Penerapan Protokol Pengkajian Nyeri 24 Jam Pada Pasien Paska Operasi Orthopedi

Pain is a problem that always arises in postoperative patients. Pain in patients after orthopedic surgery is higher than in other surgical cases. Postoperative pain management has not been fulfilled optimally. Untreated pain problems have a negative impact both physically and psychologically. To find out the implementation of the 24-hour pain assessment protocol in patient with orthopaedic surgery. This study is the application of Evidence Based Nursing (EBN) in post orthopedic surgery patients. Inclusion criteria: patients undergoing orthopedic surgery, aged 18 years, can communicate well, willing to be involved in the study. Exclusion criteria: patients with decreased consciousness and patients with cognitive impairment. Pain reporting was carried out independently at the 3rd hour, 7th hour, 11th hour, 15th hour, 19th hour and 24th hour in a state of rest and in a state of movement. The most severe postoperative pain was reported by patients in the first 3 hours after surgery and began to decrease in both conditions both at rest and during movement. Pain at 3 to 19 hours showed a significant difference between pain at rest and on movement (p<0.05). At the 24th hour measurement, the results showed that there was no difference in pain scores at rest and during movement (p>0.05). Application of pain assessment protocols for 24 hours after orthopedic surgery can determine the dynamics of patient pain from time to time while at rest and during movement. Pain in patients after orthopedic surgery is at a mild to moderate level. Keywords: Assessment, Orthopaedic, Pain, Surgery ABSTRAK Nyeri menjadi permasalahan yang selalu muncul pada pasien paska operasi. Nyeri pada pasien paska pembedahan orthopedi lebih tinggi dibandingkan pada kasus pembedahan lainnya. Manajemen nyeri paska operasi belum terpenuhi secara optimal. Masalah nyeri yang tidak tertangani memberikan dampak negatif baik secara fisik maupun psikologis. Untuk mengetahui penerapan protokol pengkajian nyeri 24 jam pada pasien paska operasi ...