ASUHAN KEPERAWATAN PADA PASIEN POST OPERASI FRAKTUR TROCHANTER FEMUR DENGAN MASALAH KEPERAWATAN NYERI AKUT

ABSTRACT

Nursing Care for Post-Operative Trochanteric Femur Fracture Patients with Acute Pain Nursing Problems
(A Case Study in Flamboyan Ward, Dr. Harjono General Hospital, Ponorogo)

By:
Desy Oktaviany
NIM 22613549

Acute pain frequently occurs in post-operative fracture patients, characterized by severe pain at the incision site, facial grimacing, restlessness, increased blood pressure, and heart rate. This study aimed to describe nursing care for post-operative fracture patients with acute pain, covering assessment, diagnosis, intervention, implementation, and evaluation.
Nursing care was provided to Mrs. P in the Flamboyan Ward of RSUD Dr. Harjono Ponorogo for three days, from June 2–4, 2025, using the nursing process method. Assessment revealed complaints of pain in the left thigh surgical site, described as a pulling sensation, pain scale of 5, lasting 10–15 minutes, accompanied by grimacing, pale face, anxiety, protective posture, and a surgical incision of ±20 cm. The established nursing diagnosis was acute pain related to physical injury agents.
Interventions included the implementation of Benson relaxation technique accompanied by the recitation of istighfar, as well as collaborative administration of analgesics. The implementation was carried out according to the plan and evaluated daily to assess its effectiveness. Evaluation results showed a decrease in pain to a scale of 3; the patient appeared calmer, began to sleep soundly, and was able to perform relaxation independently. The surgical wound was dry with no signs of infection. The reduction in pain indicates that the combination of analgesics and Benson relaxation was effective. This technique suppresses sympathetic nerve activity, thereby reducing stress and pain. Continuous evaluation and family support contributed to the success of the intervention.
Keywords: Fracture, Post-Operative Fracture, Acute Pain.