Nyeri akut adalah salah satu masalah keperawatan yang sering muncul pada klien post laparoskopi kolesistektomi dan berdampak pada aktivitas sehari-hari klien. Nyeri akut pada klien dapat diatasi dengan manajemen nyeri farmakologi dan non-farmakologi. Karya ilmiah akhir ini bertujuan untuk menganalisis manajemen nyeri teknik relaksasi pada klien kolelitiasis post laparoskopi kolesistektomi. Data pengkajian dianalisis dan didapatkan masalah keperawatan utama pada klien yaitu nyeri akut. Penulis melakukan analisis terhadap 8 literature review untuk menyusun asuhan keperawatan pada klien post laparoskopi kolesistektomi. Hasil analisis didapatkan bahwa manajemen nyeri farmakologi dengan pemberian ketorolak dapat membantu mengurangi nyeri post laparoskopi kolesistektomi. Sedangkan manajemen nyeri non-farmakologi teknik relaksasi efektif untuk mengurangi nyeri pada klien post laparoskopi kolesistektomi. Edukasi teknik relaksasi pada klien merupakan salah satu peran perawat, agar manfaat teknik relaksasi untuk mengurangi nyeri post laparoskopi kolesistektomi dapat dirasakan oleh klien
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Cholelithiasis is one of the major health problems of gastrointestinal system at the global level. This is due to changes in peoples lifestyles including decreased physical activity and inappropriate dietary patterns. One of the surgical treatments performed on cholelithiasis patients is laparoscopic cholecystectomy. The aims of this study is to analyse the nursing care of pre-laparoscopic cholecystectomy patients by applying deep breathing relaxation intervention to overcome the preoperative anxiety problem. Besides that, another intervention that is recommended based on evidence-based practice studies is the use of intervention of music therapy to reduce anxiety in pre-laparoscopic cholecystectomy patients. Combining the application of deep breathing relaxation and music therapy is expected to be applied by nurses, especially for patients who will undergo laparoscopic cholecystectomy to overcome the problem of preoperative anxiety."
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Hepatocellular carcinoma is a malignant disease that occurs in liver. Laparoscopic hepatectomy is one of the managemen for the disease which part of the liver with carcinoma cells will be removed. Patients after laparoscopic hepatectomy surgery are prone to postoperative complications. Currently the patient is on the fifth postoperative day of stay, where possible complications include infection, bleeding and ascites. Nurses have an important role in preventing post-surgical complications. One way to prevent post-surgical complications is by giving ambulation intervention. The advantages of ambulation intervention is effective in preventing postoperative complications, increasing independence, reducing the length of stay in the hospital and improving the quality of life of patients after laparoscopic hepatectomy surgery. The ambulation intervention is easy to do, requires no tools and easy for patient and their family to redemonstrate. Ambulation intervention was carried out for four days with four sessions of meetings. The results obtained showed a decrease in the level of pain, an increase in the patients independence score with the Barthel Index questionnaire, there were no signs of infection in the patients incision wound and reduced bleeding. So author recommend giving ambulation intervention to prevent complications after laparoscopic hepatectomy surgery."