ASUHAN KEPERAWATAN PADA PASIEN BENIGN PROSTATIC HYPERLASIA DENGAN PRE OPERASI TURP DAN IMPLIKASI KEPERAWATAN FIVE FINGERS TECHNIQUE

DYANTINI, LESI YULI and Purwanto, Sigit (2020) ASUHAN KEPERAWATAN PADA PASIEN BENIGN PROSTATIC HYPERLASIA DENGAN PRE OPERASI TURP DAN IMPLIKASI KEPERAWATAN FIVE FINGERS TECHNIQUE. Undergraduate thesis, Sriwijaya University.

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Abstract

Perawat sebagian besar kurang mengkaji kesiapan psikologis preoperasi TURP. Masalah psikologis seperti cemas biasa dialami pasien saat menghadapi operasi. Ansietas yang tinggi mempengaruhi proses operasi bahkan pembatalan operasi sehingga diperlukan tindakan mandiri keperawatan. Five fingers technique adalah bentuk self hypnosis yang menghasilkan relaksasi tinggi untuk menurunkan ansietas malalui kata-kata sugesti sederhana dan mudah dipahami. Tujuan penulisan ini untuk mengaplikasikan asuhan keperawatan pada pasien preoperasi TURP dengan five fingers technique sesuai Evidence Based. Metode yang digunakan yaitu deskriptif kualitatif dengan pendekatan studi kasus. Hasil pengkajian ketiga pasien didapatkan gejala ansietas tingkat sedang, satu pasien dengan keluhan nyeri dan dua pasien dengan penggunaan kateter jangka panjang. Diagnosa keperawatan yang dianalisis yaitu ansietas, nyeri akut dan risiko infeksi. Intervensi keperawatan berupa reduksi ansietas, manajemen nyeri, pencegahan infeksi dan perawatan selang. Implementasi keperawatan dilakukan secara mandiri, interdependen dan kolaborasi. Evaluasi keperawataan didapatkan hasil bahwa ketiga prioritas masalah keperawatan teratasi. Implikasi five fingers technique menunjukkan terjadinya penurunan tingkat anisetas. Hasil imaginasi responden dari kata-kata sugesti yang diberikan mempengaruhi gelombang alpha. Saat responden mampu menuju gelombang pikir alpha maka tingkat emosionalnya menjadi jauh lebih stabil, kegelisahan dan ketidaknyamanan menurun. Five fingers technique dilakukan dengan memusatkan pikiran pada bayangan yang diciptakan sambil menyentuhkan lima jari secara berurutan dengan membayangkan kenangan yang menyenangkan. Stimulus menyenangkan tersebut merangsang sekresi hormon endorphin dan serotonin yang berfungsi menghadirkan ketenangan. Namun terdapat intervensi lain berupa pemberian pendidikan kesehatan preoperasi dan penggunaan relaksasi napas dalam yang menjadi faktor perancu terhadap keefektifan five fingers technique. Ketiga pasien BPH dengan pre operasi TURP diberikan asuhan keperawatan mulai dari pengkajian, penegakan diagnosa keperawatan, perencanaan, implementasi sampai evaluasi keperawatan. Implikasi dari five finger technique menurunkan tingkat ansietas pada ketiga pasien yaitu dari kategori tingkat sedang menjadi tidak ada ansietas. Kata Kunci: Ansietas, Pre Operasi, Five Fingers Technique Kepustakaan: 80 (2005-2020) ABSTRACT Nurses mostly do not assess the psychological readiness of TURP preoperatively. Psychological problems such as anxiety commonly experienced by patients when facing surgery. High anxiety influences the operation process and even the cancellation of the operation so that it requires an independent nursing action. Five fingers technique is a form of self hypnosis that produces high relaxation to reduced anxiety through simple and easy to understand suggestion words. This study aimed to apply the nursing care to patients pre-operative TURP with five fingers technique according to Evidence Based. The method used a qualitative descriptive with a case study approach. The assessment of the three patients found moderate anxiety symptoms, one patient with complaints of pain and two patients with long-term use of a catheter. Nursing diagnoses analyzed were anxiety, acute pain and risk of infection. Nursing interventions take the form of anxiety reduction, pain management, infection prevention and interval care. Implementation of nursing is done independently, interdependently and collaboratively. Nursing evaluation found that the three priority nursing problems were completely resolved. The implications of the five fingers technique showed a decrease in anxiety levels. The results of the respondents' imagination of the suggestion words given affect the alpha wave. When the respondent is able to head to an alpha thought wave, his emotional level becomes much more stable, anxiety and discomfort decreases. Five fingers technique was done by focusing on the shadows created while touched five fingers in a row by imagining pleasant memories. The pleasant stimulates the secretion of the hormones endorphin and serotonin which served to bring calm. However there was other interventions such as providing preoperative health education and the used of deep breathing relaxation to be a confounding factor to the effectiveness of the five fingers technique. The three BPH patients with preoperative TURP were given nursing care starting from the assessment, enforcement of nursing diagnoses, planning, implementation to nursing evaluation. The implications of the five finger technique show the results of a decrease in anxiety levels in three patients, namely from the moderate level to no anxiety. Keywords: Ansietas, Pre Operation, Five Fingers Technique Bibliography: 80(2005-2020)

Item Type:	Thesis (Undergraduate)
Uncontrolled Keywords:	Ansietas, Pre Operasi, Five Fingers Technique
Subjects:	R Medicine > RT Nursing > RT1-120 Nursing
Divisions:	04-Faculty of Medicine > 14901-Nursery Profession (Profesi)
Depositing User:	Users 6178 not found.
Date Deposited:	18 Jun 2020 06:10
Last Modified:	18 Jun 2020 06:10
URI:	http://repository.unsri.ac.id/id/eprint/30502

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