PENERAPAN TERAPI FIVE FINGER RELAXATION TERHADAP INTENSITAS NYERI DALAM ASUHAN KEPERAWATANPADA ANAK DENGANOSTEOSARCOMADI RSPADGATOTSOEBROTO

PURBANDINI, AYU LESTARI (2026) PENERAPAN TERAPI FIVE FINGER RELAXATION TERHADAP INTENSITAS NYERI DALAM ASUHAN KEPERAWATANPADA ANAK DENGANOSTEOSARCOMADI RSPADGATOTSOEBROTO. Diploma thesis, D3 Keperawatan STIKes RSPAD Gatot Soebroto.

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Abstract

ABSTRAK Nama : Purbandini Ayu Lestari Program Studi : D3 Keperawatan Judul : Penerapan Intensitas Nyeri Dalam Asuhan Keperawatan Pada Anak Dengan Osteosarcoma Di RSPAD Gatot Soebroto Latar belakang osteosarcoma merupakan salah satu kanker tulang ganas yang sering menyerang kelompok usia anak – anak dan remaja. Salah satu komplikasi dan gejala utama yang paling sering dikeluhkan oleh pasien osteosarcoma Adalah nyeri kronis. Nyeri hebat ini terjadi akibat desakan massa tumor yang menginfiltrasi jaringan tulang. Selain tatalaksana farmakologis, penanganan nyeri memerlukan terapi nonfarmakologis komplementer seperti teknik distraksi terapi five finger relaxation, relaksasi lima jari yang menggabungkan sentuhan jari dengan visualisasi positif untuk merangsang system parasimpatis dan menurunkan ketegangan fisik maupun kecemasan. Tujuan untuk mengetahui asuhan keperawatan dan efektivitas penerapan terapi five finger relaxation di RSPAD Gatot Soebroto. Metode studi kasus ini menggunakan asuhan keperawatan yang meliputi pengkajian, diagnose, intervensi, implementasi, hingga evaluasi. Subjek studi kasus adalah seseorang pasien anak remaja laki-laki dengan diagnose medis osteosarcoma yang mengalami masalah nyeri kronis. Hasil pengumpulan data dilakukan melalui wawancara, observasi langsung, dan pemeriksaan fisik. Intervensi terapi five finger relaxation diterapkan selama 3 hari, didapatkan hasil penurunan ansietas nyeri yang mengalami penurunan bermakna dari skala 7 (nyeri hebat) menjadi skala 3 (nyeri ringan), disertai ekspresi wajah yang tampka rileks dan hilangnya ansietas nyeri. Kesimpulan penerapan terapi five finger relaxation terbukti efektif, aman dan sederhana dalam menurunkan intensitas nyeri kronis serta meningkatkan kenyamanan psikofisik pada anak dengan osteosarcoma. Intervensi ini direkomendasikan untuk digunakan sebagai salah satu terapi komplementer mandiri oleh perawat maupun keluarga dalam manajemen nyeri pasien kanker. Kata Kunci : Asuhan Keperawatan, Nyeri Kronis, Osteosarcoma, Remaja, Terapi five finger relaksasi STIKes RSPAD Gatot Soebroto ABSTRACT Name : Purbandini Ayu Lestari Study Program : Diploma 3 Nursing Title :Application of Five-Finger Relaxation Therapy for Pain Intensity in Nursing Care for Children With Osteosarcoma at Gatot Soebroto Army Hospital Background osteosarcoma is a neoplasm or primary malignant bone cancer that often affects children and adolescents. One of the complications and main symptoms most frequently complained of by osteosarcoma patients is chronic pain. This severe pain occurs due to pressure from the tumor mass infiltrating bone tissue and following radical surgical procedures such as amputation. In addition to pharmacological management, pain management requires complementary non-pharmacological therapies such as distraction techniques and five-finger relaxation therapy, which combine finger touch with positive visualization to stimulate the parasympathetic nervous system and reduce physical tension and anxiety. Objective to determine the description of the nursing care process and the effectiveness of the application of five finger relaxation therapy in overcoming chronic pain problems in children with osteosarcoma at RSPAD Gatot Soebroto Method this case study uses a descriptive experimental design to describe nursing care that includes assessment, diagnosis, intervention, implementation, and evaluation. The subject of the case study was a 14- year-old male adolescent patient (An. B) with a medical diagnosis of osteosarcoma who experienced chronic pain problems. Data collection was carried out through interviews, direct observation, and physical examination. The five finger relaxation therapy intervention was applied for 3 consecutive days Results after being given nursing care and the application of five finger relaxation therapy routinely for 3 days, a significant decrease in pain intensity was obtained in the patient. The patient's pain scale decreased significantly from a scale of 7 (severe pain) to a scale of 3 (mild pain), accompanied by a relaxed facial expression and the disappearance of pain anxiety. Conclusion: The application of five-finger relaxation therapy has been proven effective, safe, and simple in reducing the intensity of chronic pain and improving psychophysical comfort in children with osteosarcoma. This intervention is recommended as a complementary therapy for nurses and families in managing pain in cancer patients. Keywords: Osteosarcoma, Chronic Pain, Five-Finger Relaxation Therapy, Adolescents, Nursing Care

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