Asuhan Keperawatan dengan Masalah Nyeri Kronis pada Lansia Osteoporosis di Panti Werdha Hargo Dedali Surabaya

Osteoporosis merupakan masalah kesehatan pada lansia yang ditandai dengan penurunan kepadatan tulang sehingga tulang menjadi rapuh dan mudah mengalami nyeri maupun fraktur. Nyeri kronis yang tidak ditangani dapat mengganggu aktivitas harian dan menurunkan kualitas hidup lansia, sehingga diperlukan asuhan keperawatan yang berbasis pada prinsip keikhlasan (caring) serta melibatkan peran penting keluarga untuk melengkapi perawatan. Tujuan penelitian ini adalah memberikan asuhan keperawatan pada lansia osteoporosis dengan masalah nyeri kronis di Panti Werdha Hargo Dedali Surabaya.
Metode penelitian deskriptif dalam bentuk studi kasus melalui pendekatan asuhan keperawatan meliputi pengkajian, diagnosa, perencanaan, implementasi, dan evaluasi. Teknik pengumpulan data dengan wawancara, pengamatan, pemeriksaan fisik, dan dokumentasi menggunakan format asuhan keperawatan gerontik selama 3 hari yang melibatkan 2 lansia berusia di atas 60 tahun menderita osteoporosis dengan keluhan nyeri kronis pada punggung, pinggul, dan lutut sehingga mengalami keterbatasan aktivitas. Analisis data menggunakan pengumpulan data, mereduksi data, penyajian data, dan kesimpulan.
Hasil penelitian pada Ny.T dan Ny.M dengan diagnosa keperawatan nyeri kronis setelah dilakukan intervensi manajemen nyeri melalui pemberian kompres hangat, massage ringan, dan teknik relaksasi napas dalam. Pada Ny. T, pasien lebih rileks, nyeri berkurang, dan mampu melakukan aktivitas ringan secara mandiri, masalah keperawatan teratasi. Pada Ny. M, pasien masih merasakan nyeri saat beraktivitas, namun skala nyeri menurun, pasien lebih nyaman, dan mampu melakukan aktivitas secara bertahap, masalah keperawatan teratasi sebagian. Oleh karena itu, intervensi manajemen nyeri pada Ny. T dipertahankan, sedangkan pada Ny. M intervensi perlu dilanjutkan dan dioptimalkan untuk membantu menurunkan nyeri serta meningkatkan kemampuan aktivitas sehari-hari.

==================================================================================

Osteoporosis is a health problem in the elderly characterized by decreased bone density, making them brittle and prone to pain and fractures. Untreated chronic pain can disrupt daily activities and reduce the quality of life of the elderly. Therefore, nursing care based on the principle of sincerity and involving the important role of the family in completing the care is necessary. The purpose of this study was to provide nursing care for elderly people with osteoporosis with chronic pain at the Hargo Dedali Nursing Home, Surabaya.
The research method was descriptive in the form of a case study using a nursing care approach including assessment, diagnosis, planning, implementation, and evaluation. Data collection techniques included interviews, observations, physical examinations, and documentation using a geriatric nursing care format for 3 days involving two elderly people aged over 60 years with osteoporosis who complained of chronic pain in the back, hips, and knees, resulting in limited activity. Data analysis involved data collection, data reduction, data presentation, and conclusions.
The results of the study on Mrs. T and Mrs. M, diagnosed with chronic pain, followed pain management interventions through warm compresses, light massage, and deep breathing relaxation techniques. In Mrs. T, the patient felt more relaxed, her pain decreased, and she was able to perform light activities independently, and her nursing problems were resolved. In Mrs. M, the patient still experienced pain during activities, but the pain scale decreased, she felt more comfortable, and she was able to resume activities gradually, and her nursing problems were partially resolved. Therefore, the pain management intervention for Mrs. T was maintained, while for Mrs. M, the intervention needed to be continued and optimized to help reduce pain and improve her ability to perform daily activities.