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"Nyeri adalah keluhan yang dirasakan karena adanya tindakan operasi. Manajemen nyeri yang tidak adekuat dapat menimbulkan kondisi tidak nyaman dan dapat berdampak terhadap tidak kooperatifnya anak terhadap petugas kesehatan. Karya ilmiah ini bertujuan untuk memberikan gambaran tentang efektivitas terapi bermain terhadap nyeri pada anak usia prasekolah post uretroplasty. Nyeri yang Terapi bermain merupakan salah satu intervensi untuk meminimalkan hal tersebut. Hasil dari penerapan terapi bermain yang telah dilakukan selama 3 hari terbukti efektif dalam menurunkan nyeri dan membuat anak menjadi lebih kooperatif terhadap petugas kesehatan. Penulis berharap, Rumah Sakit dapat mengembangkan program terapi bermain sesuai tumbuh kembang anak untuk meningkatkan efektivitas manajemen nyeri.

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Pain is a common complaint that rises within post surgery. Inadequate pain management might lead to uncomfortable condition and impact such as children is uncooperative to health care team. This scientific work aims to provide an overview of the effectiveness of play therapy to overcome anxiety in preschool age children, post uretroplasty. Play therapy is one of the interventions to minimize it. The result of play therapy intervention that has been done for 3 days proved it is effective in reducing anxiety and treat children to more cooperative with health care team. The researcher suggests that play therapy program from the hospital for increasing the effectivity of anxiety management."

"[ABSTRAKNyeri pembedahan menimbulkan cemas, takut dan perubahan perilaku maladaptif anak. Perlu asuhan keperawatan berkualitas dalam mengatasi nyeri anak. Karya ilmiah akhir bertujuan menggambarkan aplikasi comfort theory Kolcaba dalam memberikan asuhan keperawatan pasien pasca bedah yang mengalami nyeri. Intervensi ditentukan berdasarkan comfort theory yaitu mengukur skala nyeri, memberikan posisi nyaman, memberikan madu, mengajarkan keluarga manajemen nyeri serta memberikan reinforcement positif keterlibatan keluarga dalam perawatan. Evaluasi hasil menunjukkan aplikasi comfort theory dalam keperawatan perlu ditunjang faktor-faktor lain seperti kondisi pasien, lingkungan dan tim pelayanan kesehatan dalam mencegah dan mengatasi nyeri. Rekomendasi karya ilmiah ini adalah teori keperawatan sebaiknya diaplikasikan dalam asuhan keperawatan.

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ABSTRACTSurgical pain causes anxiety, fear and change in children's behaviours. A good quality of nursing care is needed to overcome children's pain. This scientific paper aimed to illustrate the application of comfort theory Kolcaba in providing nursing care to patients suffered post-surgical pain. Intervention was determined based on comfort theory which included: measure pain scale, provide a comfortable position, offer honey, teach families management of pain, and give positive reinforcement on family involvement during the care. Result's evaluation indicated thet comfort application in nursing theory need to be supported by other factors such as the condition of the patient, the environment and health care team to prevent and overcome pain. This scientific paper recommends the application of nursing theory in providing nursing care., Surgical pain causes anxiety, fear and change in children's behaviours. A good quality of nursing care is needed to overcome children's pain. This scientific paper aimed to illustrate the application of comfort theory Kolcaba in providing nursing care to patients suffered post-surgical pain. Intervention was determined based on comfort theory which included: measure pain scale, provide a comfortable position, offer honey, teach families management of pain, and give positive reinforcement on family involvement during the care. Result's evaluation indicated thet comfort application in nursing theory need to be supported by other factors such as the condition of the patient, the environment and health care team to prevent and overcome pain. This scientific paper recommends the application of nursing theory in providing nursing care.]"

"Pasien yang dilakukan pembedahan hampir seluruhnya mengalami nyeri. Nyeri yang dialami oleh pasien pasca pembedahan dapat mempengaruhi kestabilan hemodinamik dan dapat menurunkan imunitas tubuh sehingga mengganggu proses penyembuhan. Tujuan dari karya akhir ilmiah ini adalah untuk memberikan gambaran penerapan teori keperawatan Comfort Kolcaba dan pendekatan Family Centered Care dalam mengatasi nyeri pada anak pasca pembedahan laparatomi. Penerapan teori comfort dalam melakukan asuhan keperawatan pada pasien pasca pembedahan dapat meningkatkan kepuasan keluarga dan efektif menurunkan nyeri pada pasien nyeri yang dipengaruhi faktor kecemasan. Aplikasi teori comfort yang ada belum menggunakan ceklist comfort karena perawatan difokuskan pada masalah nyeri sehingga evaluasi yang dipilih menggunakan skala nyeri FLACC dan VAS. Teori comfort dapat diaplikasikan terutama pada pasien yang mengalami nyeri ringan dan pasien dengan peningkatan skala nyeri yang dipengaruhi kecemasan.

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Patients who undergo surgery almost entirely feel pain. Pain experienced by patients after surgery could affect the stability of hemodynamic and decrease the body's immunity which can interrupt the healing process. The purpose of this study is to provide an overview of the application of nursing theory Comfort Kolcaba and Family Centered Care approach in dealing with post-surgical pain in children laparotomy. The application of the comfort theory in performing nursing care to patients after surgery can improve family satisfaction and effectively reduce pain in patients which influenced by anxiety. Recently, the application of comfort theory has not been implementing of an evaluation using a checklist comfort because the treatment is focused on the problem so that the evaluation of selected pain using the VAS pain scale and FLACC. Comfort theory can be applied, especially in patients with mild pain and increase pain scale which influenced by anxiety."

"ABSTRAKHipospadia merupakan suatu kelainan kongenital dengan ketidakabnormalan letak meatus uretra. Penatalaksanaan pada klien hipospadia adalah uretroplasti yang dapat menimbulkan efek nyeri. Asuhan keperawatan yang dilakukan untuk mengatasi nyeri akut pasca operasi adalah manajemen nyeri meliputi teknik farmakologi dan nonfarmakologi. Teknik nonfarmakologi yang diberikan adalah teknik distraksi bermain game dengan handphone. Hasil asuhan keperawatan menunjukkan bahwa teknik distraksi bermain game efektif utuk mengatasi nyeri dibuktikan dengan penurunan skala nyeri pada Visual Analog Scale setelah dilakukan implementasi. Pemberi pelayanan keperawatan anak di rumah sakit dapat menerapkan teknik distraksi sebagai upaya dalam mengatasi nyeri akut pada anak pasca operasi.

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ABSTRACTHypospadias is a congenital anomaly with abnormalities of the urethral meatus. Management on hypospadias clients is uretroplasty that can cause pain effects. Nursing care done to overcome post operative acute pain is pain management including pharmacology and nonpharmacology techniques. Nonfarmakologi technique given is distraction technique of playing game with mobile phone. The results of nursing care show that effective distraction techniques of playing game to overcome pain is proved by decreasing the scale of pain in Visual Analog Scale after the implementation. Providers of nursing services in hospitals can apply distraction techniques as an attempt to overcome acute pain in children after surgery."