PENERAPAN TERAPI GENGGAM JARI PADA NY. L DENGAN KANKER OVARIUM STADIUM III POST HISTEREKTOMI SALPHINGO OOVEREKTOMI BILATERAL (HTSOB) DALAM PEMENUHAN KEBUTUHAN RASA NYAMAN: NYERI DI RUANG PERAWATAN LANTAI II PAVILIUM Dr. IMAM SUDJUDI RSPAD GATOT SOEBROTO

GALUH, WIDYADHARI (2026) PENERAPAN TERAPI GENGGAM JARI PADA NY. L DENGAN KANKER OVARIUM STADIUM III POST HISTEREKTOMI SALPHINGO OOVEREKTOMI BILATERAL (HTSOB) DALAM PEMENUHAN KEBUTUHAN RASA NYAMAN: NYERI DI RUANG PERAWATAN LANTAI II PAVILIUM Dr. IMAM SUDJUDI RSPAD GATOT SOEBROTO. Diploma thesis, D3 Keperawatan STIKes RSPAD Gatot Soebroto.

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Abstract

ABSTRAK Nama : Galuh Widyadhari Program Studi : D3 Keperawatan Judul : Penerapan Terapi Genggam Jari Pada Ny. L Dengan Kanker Ovarium Stadium III Post Histerektomi Salphingo Ooverektomi Bilateral (Htsob) Dalam Pemenuhan Kebutuhan Rasa Nyaman: Nyeri Di Ruang Perawatan Lantai Ii Pavilium Dr. Imam Sudjudi Rspad Gatot Soebroto Latar Belakang: Kanker ovarium stadium III merupakan penyakit ginekologi yang memerlukan pembedahan Histerektomi Salpingo-Ooforektomi Bilateral (HTSOB). Prosedur ini mengakibatkan trauma jaringan yang memicu keluhan nyeri akut dan mengganggu pemenuhan kebutuhan rasa nyaman pasien. Manajemen nyeri yang optimal memerlukan integrasi antara terapi farmakologis dan non-farmakologis, salah satunya dengan teknik relaksasi genggam jari. Tujuan: Menggambarkan penerapan teknik relaksasi genggam jari pada Ny. L dengan kanker ovarium stadium III post-HTSOB dalam pemenuhan kebutuhan rasa nyaman: nyeri di RSPAD Gatot Soebroto. Metode: Studi kasus deskriptif ini berfokus pada asuhan keperawatan Ny. L (68 tahun) pasca-operasi HTSOB yang mengalami nyeri akut. Intervensi relaksasi genggam jari dilakukan secara rutin 2 kali sehari selama 3 hari perawatan dengan durasi 15–30 menit per sesi, dikombinasikan dengan pemberian analgetik Tramadol. Pengukuran skala nyeri menggunakan instrumen Numeric Rating Scale (NRS). Hasil: Sebelum intervensi, Ny. L mengeluh nyeri sedang dengan skala 6 (NRS). Setelah diberikan terapi relaksasi genggam jari selama 3 hari, intensitas nyeri pasien menurun secara signifikan menjadi skala 2. Pasien secara objektif tampak tenang, tidak lagi meringis, dan mampu melakukan mobilisasi dini secara mandiri. Kesimpulan: Penerapan teknik relaksasi genggam jari efektif menurunkan intensitas nyeri akut perioperatif serta optimal dalam membantu memenuhi kebutuhan rasa nyaman pasien kanker ovarium post-HTSOB. Kata Kunci: Kanker Ovarium, HTSOB, Nyeri Akut, Relaksasi Genggam Jari, Rasa Nyaman. xii ABSTRAC Name : Galuh Widyadhari Study Program : Diploma III of Nursing Title : The Application of Finger Hold Relaxtion Technique for Mrs. L with Stage III Cancer Post Bilateral Salphingo Oophorectomy Hysterectomy (BSOH) in Fulfilling Comfort Needs: Pain at Inpatient Ward 2nd Floor Dr. Imam Sudjudi Pavilion RSPAD Gatot Soebroto Background: Stage III ovarian cancer is a gynecological malignancy that requires major surgical intervention, such as Bilateral Salpingo-Oophorectomy Hysterectomy (BSOH). This procedure induces tissue trauma, which triggers acute pain complaints and disrupts the fulfillment of the patient's comfort needs. Optimal pain management requires an integrated approach combining both pharmacological and non-pharmacological therapies, one of which is the fingerhold relaxation technique. Objective: To describe the application of the finger-hold relaxation technique for Mrs. L with stage III ovarian cancer post-BSOH in fulfilling comfort needs: pain at RSPAD Gatot Soebroto. Methods: This descriptive case study focused on the nursing care of Mrs. L (68 years old) post-BSOH surgery who experienced acute pain. The finger-hold relaxation intervention was performed routinely twice a day for 3 days of hospitalization, lasting 15–30 minutes per session, integrated with the collaborative administration of Tramadol as an analgesic. Pain intensity was measured using the Numeric Rating Scale (NRS) instrument. Results: Prior to the intervention, Mrs. L complained of moderate pain with a score of 6 on the NRS. Following the finger-hold relaxation therapy for 3 consecutive days, the patient’s pain intensity decreased significantly to a score of 2. Objectively, the patient appeared calm, no longer grimacing, and was able to perform early mobilization independently. Conclusion: The implementation of the finger-hold relaxation technique is effective in reducing perioperative acute pain and is optimal in helping fulfill the comfort needs of ovarian cancer patients post-BSOH. Keywords: Ovarian Cancer, BSOH, Acute Pain, Finger Hold Relaxation, Comfort

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