GAMBARAN PENANGANAN NYERI POST OPERASI PADA PASIEN SECTIO CAESAREA DI RUANG IBS RSUD KLUNGKUNG I Gede Gita Ariawan Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang : Operasi sectio caesarea menyebabkan nyeri. Spinal anestesi digunakkan agar pasien tidak nyeri pada saat dibedah. Namun setelah hilangnya efek anastesi akan merasakan nyeri di daerah sayata n. Dampak nyeri yang tidak diatasi terhadap pasien pasca operasi sectio caesarea akan berpengaruh terhadap mobilisasi, kesulitan dengan perawatan bayi, menunda pemberian ASI sejak awal pada bayinya, dan sulit mengatur posisi nyaman selama menyusui . Tujuan : Untuk mengetahui gambaran penanganan nyeri post operasi pada pasien sectio caesarea di RSUD Kabupaten Klungkung. Metode : D esain penelitian deskriptif kualitatif dengan multiple caese study . Sampel penelitian ini berjumlah 3 orang dengan pengumpulan data menggunakan lembar wawancara dan lembar observasi yang menggambarkan penanganan nyeri post operasi sectio caesarea. Hasil : Pada kasus satu dan dua terdap at pasien sebelum diberikan penanganan nyeri pasien mengalami skala nyeri sedang (4 - 6) dan setelah diberikan terapi farmakologi dengan drip analgetik tramadol 2 ampul (100mg) + ketorolac 2 ampul (60 mg) yang dimasukan ke infud RL 500 ml (20 tpm) dan terapi non farmakologi dengan teknik relaksasi napas dalam pasien menunjukan perubahan intensitas nyeri dengan skala nyeri ringan (1 - 3). Pada kasus tiga terdap at pasien sebelum diberikan penanganan nyeri pasien mengalami skala nyeri berat (7 - 9) dan setelah diber ikan terapi farmakologi dengan drip analgetik tramadol 2 ampul (100mg) + ketorolac 2 ampul (60 mg) yang dimasukan ke infud RL 500 ml (20 tpm) dan terapi non farmakologi dengan teknik relaksasi napas dalam pasien menunjukan perubahan intensitas nyeri dengan skala nyeri sedang (4 - 6). Kesimpulan : Penangan nyeri post operasi section caesarean menggunakan terapi non farmakologis dan farmakologis dari 3 responden didapatkan 2 diantaranya mengalami penurunan intensitas nyeri sedang ke nyeri ringan dan 1 responden mengalami penurunan intensitas nyeri berat ke nyeri sedang . Kata Kunci: Nyeri Post Operasi , Sectio Caesarea, Spinal Anestesi

THE HANDLING OF POST OPERATION PAIN IN SECTIO CAESAREA PATIENTS AT IBS ROOM KLUNGKUNG HOSPITAL Health Faculty D IV Nursing Anesthesiology Study Program Bali Institute of Technology and Health Email: [email protected] ABSTRAK Background : Sectio caesarea operation causes pain. Spinal anesthesia is used, thus the patient does not feel pain during surgery. However, after the anesthe sia effect disappears, you will feel pain in the incision area. The impact of untreated pain on post - operation sectio caesarea patients will affect mobilization, difficulties with baby care, delaying ea rly breastfeeding for the baby, and difficult to adjust to a comfortable position during breastfeeding. Purpose : The purpose of this study was to identify the hand ling of post operation pain in s ectio caesarea patients at IBS Room Klungkung H ospital Met hod : Qualitative descriptive research design with multiple case studies. The sample of this study amounted to 3 people with data collection by using interview sh eets and observation sheets that describe d the handling of post - opertion sectio caesarea pain. Res ult : In the first and two cases, there were patients before being provide pain management, the patient experienced moderate pain scale (4 - 6) and after being provided pharmacological therapy with 2 ampoules of tramadol analgesic drip (100 mg) + 2 ampoules o f ketorolac (60 mg) which was inserted into 500 ml RL infusion. (20 tpm) and non - pharmacological therapy with deep breathing relaxation techniques showed changes in pain intensit y with a mild pain scale (1 - 3). In the third case, there were patients before being provided pain management the patient experienced severe pain scale (7 - 9) and after being provided pharmacological therapy with 2 ampoules of tramadol analgesic drip (100 mg) + 2 ampoules of ketorolac (60 mg) which was inserted into 500 ml RL infusion (20 tpm) and non - pharmacological therapy with deep breathing relaxation techniques showed a change in pain intensity with a moderate pain scale (4 - 6). Conclusion : T he hand ling of post operation pain in s ectio caesarea by using non - pharmacological and pharmacological therapy from 3 respondents, 2 of them experienced a decrease in the intensity of moderate to mild pain and 1 respondent experienced a decrease in the intensity of severe pain to moderate pain. Keywords : Post Operation Pain, Sectio Caesarea , Spinal Anesthesia