Case Report Penurunan Tingkat Nyeri Pada Pasien Fraktur Femur Dengan Balut Bidai Di IGD RSUD Tidar Kota Magelang

Rizkiana Kurniasari; Al Afik; Cipto Wahyuning Utama

doi:10.61132/corona.v2i2.412

Authors

Rizkiana Kurniasari Universitas Muhammadiyah Yogyakarta
Al Afik Universitas Muhammadiya Yogyakarta
Cipto Wahyuning Utama RSUD Tidar Kota Magelang

DOI:

https://doi.org/10.61132/corona.v2i2.412

Keywords:

Fracture, Splint, Pain Level

Abstract

Fracture is one of the causes of disability caused by trauma due to an accident. Fractures can be caused by direct trauma, for example a collision or blow that results in a broken bone. Splinting is an action carried out as first aid for musculoskeletal injuries so that the injured body part can rest, avoid shifting of the injured bone and reduce the level of pain. By using a splint, the skeletal muscles that are experiencing spasm will slowly relax, thereby reducing the level of pain and holding parts of the body from shifting and reducing pain. To determine the application of splint therapy to reduce the pain level of femur fracture patients in IGD at RSUD Tidar Magelang. The research method used a case report with the nursing intervention of providing splints on the pain level of fracture patients. Conducted 3 observations every 30 minutes on the patient Mr. M, 27 years old, who was involved in a traffic accident. From the results of the research, a nursing intervention was carried out, namely by providing a splint dressing for 3 observations every 30 minutes. The result was that there was a decrease in the level of pain before and after the splint dressing. Based on research conducted with Mr. Therefore, the reduction in pain levels in femur fracture patients with splint dressing in the emergency room at Tidar Hospital Magelang can be concluded that splint therapy has an effect on the pain level of fracture patients by reducing the level of the pain scale.

References

Andri, J., Panzilion, P., & Sutrisno, T. (2019). Hubungan antara nyeri fraktur dengan kualitas tidur pasien yang di rawat inap. Jurnal Kesmas Asclepius, 1(1), 55–64. https://doi.org/10.31539/jka.v1i1.633

Assyakurrohim, D., Ikhram, D., Sirodj, R. A., & Afgani, M. W. (2022). Metode Studi Kasus dalam Penelitian Kualitatif. _Jurnal Pendidikan Sains Dan Komputer_, 3(01), 1–9. https://doi.org/10.47709/jpsk.v3i01.1951

Faidah, N., & Alvita, G. W. (2022). Pengaruh pemasangan bidai dengan tingkat nyeri pada pasien fraktur IGD RSUD dr. Loekmono Hadi Kudus. Jurnal Profesi Keperawatan, 9(1), 1–9.

Hariyadi, H., & Setyawati, A. (2022). Pengaruh metode demonstrasi teknik pembidaian pada anggota PMR terhadap pertolongan pertama fraktur. JPKM: Jurnal Profesi Kesehatan Masyarakat, 3(1), 59–67. https://doi.org/10.47575/jpkm.v3i1.295

Kementerian Kesehatan Republik Indonesia. (n.d.). Mengenal fraktur. Kemenkes.

Listiana, Devi, E., & A. R. O. (2019). Pengaruh pelatihan balut bidai terhadap pengetahuan dan keterampilan siswa di SMA N 4 Kota Bengkulu. Chmk Nursing Scientific Journal, 3, Balut Bidai, Pelatihan, Pengetahuan dan Keterampilan.

Metsemakers, W. J., Kortram, K., Ferreira, N., Morgenstern, M., Joeris, A., Pape, H. C., Kammerlander, C., Konda, S., Oh, J. K., Giannoudis, P. V., Egol, K. A., Obremskey, W. T., Verhofstad, M. H. J., & Raschke, M. (2021). Fracture-related outcome study for operatively treated tibia shaft fractures (F.R.O.S.T.): Registry rationale and design. BMC Musculoskeletal Disorders, 22(1), 1–10. https://doi.org/10.1186/s12891-020-03930-x

Moeloek, N. F. (2016). Peraturan Menteri Kesehatan Republik Indonesia Nomor 19 Tahun 20216 Tentang Sistem Penanggulangan Gawat Darurat Terpadu.

Ningsih, K. A., Dwie, I. M., Susila, P., & Purwaningsih, N. K. (2021). _Signifikansi Pengetahuan Balut Bidai dengan Pertolongan Pertama Fraktur Di SMK Kesehatan Gana Usada Nusa Dua_. 9(1), 26–31.

Nurnaningsih, N., Romantika, I. W., & Indriastuti, D. (2021). Hubungan pengetahuan dan sikap perawat dengan penatalaksanaan pembidaian pasien fraktur di RS X Sulawesi Tenggara. Holistic Nursing and Health Science, 4(1), 8–15. https://doi.org/10.14710/hnhs.4.1.2021.8-15

Permatasari, C., & Sari, I. Y. (2022). Terapi relaksasi Benson untuk menurunkan rasa nyeri pada pasien fraktur femur sinistra: Studi kasus. JKM: Jurnal Keperawatan Merdeka, 2(2), 216–220. https://doi.org/10.36086/jkm.v2i2.1420

Platini, H., Chaidir, R., & Rahayu, U. (2020). Karakteristik pasien fraktur ekstremitas bawah. Jurnal Keperawatan ’Aisyiyah, 7(1), 49–53. https://doi.org/10.33867/jka.v7i1.166

Rejeki, N. S., Kp, S., Kep, M., & Mat, S. (2020). Buku ajar manajemen nyeri (Non Farmaka). Buku Ajar Manajemen Nyeri (Non Farmaka).

Riskesdas. (2018). Riskesdas 2018.

Su, Z., Adam, A., Nasrudin, M. F., Ayob, M., & Punganan, G. (2023). Skeletal fracture detection with deep learning: A comprehensive review. Diagnostics, 13(20), 1–21. https://doi.org/10.3390/diagnostics13203245

Subandono, et al. (2019). Pembebatan dan pembidaian. Google Scholar. https://scholar.google.com/scholar?q=related:E-DN2iMkmRUJ:scholar.google.com/&hl=id&as_sdt=0,5

Warouw, J. A., Kumaat, L. T., & Pondaag, L. (2018). Pengaruh pendidikan kesehatan dan simulasi terhadap pengetahuan tentang balut bidai pertolongan pertama fraktur tulang panjang pada siswa kelas X SMK Negeri 6 Manado. Ejournal Keperawatan, 6, 1–8.

Wu, A. M., Bisignano, C., James, S. L., Abady, G. G., Abedi, A., Abu-Gharbieh, E., Alhassan, R. K., Alipour, V., Arabloo, J., Asaad, M., Asmare, W. N., Awedew, A. F., Banach, M., Banerjee, S. K., Bijani, A., Birhanu, T. T. M., Bolla, S. R., Cámera, L. A., Chang, J. C., ... Vos, T. (2021). Global, regional, and national burden of bone fractures in 204 countries and territories, 1990–2019: A systematic analysis from the Global Burden of Disease Study 2019. The Lancet Healthy Longevity, 2(9), e580–e592. https://doi.org/10.1016/S2666-7568(21)00172-0

Yazid, B., & Sidabutar, R. R. (2024). Pengaruh pembidaian terhadap penurunan skala nyeri pada pasien fraktur di RSU Sundari Medan. Jurnal, 4(1), 36–45.

Zukhri, S., Kasuningrum, P. R., & Riyanto, B. (2018). Pengaruh pembidaian terhadap penurunan skala nyeri pada pasien fraktur tertutup. The 1st Conference Of Health And Social Humaniora, 1(1), 140–144.