Asuhan Keperawatan Pada Pasien Post Operasi Tumor Left Scapular Region: Studi Kasus Di RSUD dr. Soeselo Kabupaten Tegal

Authors

  • Fatiyah Alya Salsabila Akademi Keperawatan Al Hikmah 2 Brebes, Indonesia
  • Ahmad Zakiudin Akademi Keperawatan Al Hikmah 2 Brebes, Indonesia

DOI:

https://doi.org/10.62027/praba.v4i2.762

Keywords:

Nursing Care, Post-Operative, Tumor Left Scapular Region, Acute Pain, Infection Risk, Knowledge Deficit

Abstract

Tumor Left Scapular Region is an abnormal tissue growth in the left scapular area that can cause pain, mobility disturbances, and decreased upper extremity function. The aim of writing this case study was to obtain a description of the implementation of nursing care for Ny. H with Post-Operative Tumor Left Scapular Region in Mawar 2 Ward, RSUD dr. Soeselo, Tegal Regency. The method used is a case study with a nursing process approach including assessment, nursing diagnosis, intervention, implementation, and evaluation conducted on February 8–9, 2026. The assessment results showed that the patient complained of pain in the post-operative wound of the left scapula with a pain scale of 5, there was a risk of infection due to the operative wound, and the patient lacked knowledge about the disease experienced. Nursing diagnoses established were acute pain, risk of infection, and knowledge deficit. After nursing actions were carried out for 2×24 hours, pain decreased, no signs of infection were found in the operative wound, and patient knowledge increased. It can be concluded that the application of nursing care in patients with Tumor Left Scapular Region was able to help reduce pain, prevent infection, and increase patient knowledge to support the healing process optimally.

References

Adi et al. (2024). Asuhan keperawatan pada Tn. A dengan diagnosa medis post operasi soft tissue tumor (STT) flank sinistra di Ruang Mawar 2 RSUD Dr. Soeselo Kabupaten Tegal. Vitamin: Jurnal Ilmu Kesehatan Umum, 2(4), 419–430. https://doi.org/10.61132/vitamin.v2i4.787

Algandira et al. (2025). Efektivitas pemberian kombinasi teknik relaksasi nafas dalam dan aromaterapi lavender terhadap nyeri post ORIF. An-Najat. https://doi.org/10.59841/an-najat.v3i1.2395

Andarmoyo. (2021). Konsep dan Proses Keperawatan Nyeri. Yogyakarta: Ar-Ruzz Media.

Angelini et al. (2022). Bone Tumors of the Scapula: Clinical and Surgical Management. Journal of Orthopaedics. https://www.sciencedirect.com/science/article/pii/S0972978X22000329

Biermann et al. (2022). Bone Cancer. Journal of the National Comprehensive Cancer Network (JNCCN). https://jnccn.org/view/journals/jnccn/20/7/article-p785.xml

Broida et al. (2023). Oncological and functional outcomes after resection of malignant tumours of the scapula. Bone & Joint Journal. https://pubmed.ncbi.nlm.nih.gov/38035605/

Budiono. (2020). Konsep Dasar Keperawatan. Jakarta: EGC.

Coleman et al. (2020). Bone health in cancer: ESMO Clinical Practice Guidelines. Annals of Oncology, 31(12), 1650–1663. https://doi.org/10.1016/j.annonc.2020.07.019

Dinas Kesehatan Kabupaten Tegal. (2024). Data Prevalensi Tumor Scapular Region Kabupaten Tegal Tahun 2024.

Dinas Kesehatan Provinsi Jawa Tengah. (2023). Profil Kesehatan Jawa Tengah Tahun 2023.

Fitriani et al. (2023). Pasien post operasi dan risiko infeksi nosokomial akibat luka operasi dan tindakan invasif selama masa perawatan. Jurnal Keperawatan, 15(1), 20–28.

Fletcher et al. (2020). WHO Classification of Tumours: Soft Tissue and Bone Tumours. IARC Press. https://publications.iarc.fr/Book-And-Report-Series/Who-Classification-Of-Tumours

Handayani et al. (2023). Pengaruh Teknik Relaksasi Nafas Dalam terhadap Penurunan Intensitas Nyeri pada Pasien Post Operasi. Jurnal Keperawatan Profesional, 11(2), 45–52.

Hidayat, A. A. (2021). Metodologi Penelitian Keperawatan dan Teknik Analisis Data. Jakarta: Salemba Medika.

Houdek et al. (2023). Management of scapular tumors. Orthopedic Clinics of North America, 54(1), 101–108. https://doi.org/10.1016/j.ocl.2022.08.009

Isakoff et al. (2021). Osteosarcoma: Current Treatment and Future Directions. Current Oncology Reports. https://link.springer.com/article/10.1007/s11912-021-01046-z

Kalekar et al. (2025). Global Cancer Statistics 2022 and its Implications. Oncology Reports.

Khan et al. (2024). Tumor left scapular region: Diagnosis and management. International Journal of Surgery Case Reports.

Kozier et al. (2021). Fundamental of Nursing: Concepts, Process and Practice. New Jersey: Pearson Education.

Kurniawan dan Putri. (2022). Pengaruh komunikasi terapeutik terhadap pemahaman pasien tentang kondisi kesehatannya. Jurnal Keperawatan Indonesia, 25(2), 88–95.

Lestari et al. (2023). Pendidikan kesehatan pada pasien post operasi dan peningkatan tingkat pengetahuan perawatan mandiri. Jurnal Ilmiah Keperawatan Indonesia, 8(2), 40–48.

Li, S. et al. (2025). Musculoskeletal tumor of the scapular region: A review. Journal of Orthopaedic Research.

Lutfiah et al. (2023). Asuhan keperawatan pada pasien post eksisi tumor abdomen dengan intervensi pemberian aromaterapi lavender. Jurnal Ilmiah Kesehatan Mandira Cendikia, 2(8), 25–28. https://journal.mandiracendikia.com/index.php/JIK-MC/article/view/392

Maulana dan Yusuf. (2022). Efektivitas Analgetik Intravena terhadap Penurunan Nyeri Pasca Operasi. Jurnal Medikal Bedah Indonesia, 6(1), 20–27.

Mavrogenis et al. (2023). Tumors of the Shoulder Girdle: Diagnosis and Management. EFORT Open Reviews. https://eor.bioscientifica.com/view/journals/eor/8/3/EOR-22-0085.xml

Muharni et al. (2023). Faktor-Faktor yang Berhubungan dengan Respon Nyeri pada Pasien Rawat Inap. Jurnal Keperawatan.

Murphey et al. (2022). Imaging of Osteochondroma. Radiographics. https://pubs.rsna.org/doi/10.1148/rg.220097

Muttaqin, A. (2021). Buku Ajar Asuhan Keperawatan Klien Gangguan Sistem Muskuloskeletal. Jakarta: EGC.

Nugraha et al. (2023). Penatalaksanaan Paliatif Pasien dengan Nyeri Kanker. Jurnal Komplikasi Anestesi. https://journal.ugm.ac.id/v3/jka/article/view/7268

Orme et al. (2024). A review of contemporary guidelines and evidence for wide local excision in primary cutaneous melanoma management. Cancers, 16(5), 895. https://doi.org/10.3390/cancers16050895

Potter, P. A., & Perry, A. G. (2021). Fundamentals of Nursing (10th ed.). Missouri: Elsevier Mosby.

PPNI. (2017). Standar Diagnosis Keperawatan Indonesia (SDKI). Jakarta: DPP PPNI.

PPNI. (2018). Standar Intervensi Keperawatan Indonesia (SIKI). Jakarta: DPP PPNI.

PPNI. (2019). Standar Luaran Keperawatan Indonesia (SLKI). Jakarta: DPP PPNI.

PPNI. (2025). Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik (3rd ed.). Jakarta: DPP PPNI.

Pratama et al. (2022). Efektivitas Perawatan Luka terhadap Pencegahan Infeksi Luka Post Operasi. Jurnal Keperawatan Medikal Bedah, 5(2), 55–62.

Prastiwi et al. (2024). Efektivitas edukasi berbasis perawatan dalam mengurangi makanan instan pada penderita tumor. Jurnal Kesehatan Masyarakat, 12(1), 1–8.

Putri et al. (2024). Asuhan keperawatan pada pasien tumor payudara post operasi lumpektomi. Jurnal Keperawatan Medika, 3(1), 142–151. https://doi.org/10.24036/jkem.v3i1.269

Putri et al. (2024). Asuhan keperawatan pada Ny. N dengan post operasi tumor mammae sinistra di Ruang Mawar 2 RSUD dr. Soeselo Kabupaten Tegal. Jurnal Mahasiswa Ilmu Kesehatan, 2(4), 101–111. https://doi.org/10.59841/jumkes.v2i4.1815

Rahmawati et al. (2023). Efektivitas Perawatan Luka terhadap Pencegahan Infeksi pada Pasien Post Operasi. Jurnal Keperawatan Modern, 9(2), 40–48.

Ramadhan et al. (2022). Efektivitas Pemberian Ketorolac Intravena terhadap Penurunan Nyeri Pasca Operasi. Jurnal Keperawatan Klinis Indonesia, 6(2), 45–52.

Ranjana et al. (2025). Peran perawat dalam penatalaksanaan nyeri pada pasien dengan tumor muskuloskeletal. Jurnal Keperawatan Onkologi, 3(1), 10–18.

Rekam Medis RSUD dr. Soeselo Kabupaten Tegal. (2026). Data Kasus Tumor Left Scapular Region Tahun 2023–2025.

Risnawati dan Andi Hermawan. (2023). Pengkajian Keperawatan Berbasis Bukti. Jakarta: EGC.

Rosenberg et al. (2023). Pathophysiology of bone and soft tissue tumors. Journal of Bone and Joint Surgery, 105(3), 215–224.

Sari dan Putri. (2023). Pengaruh Teknik Relaksasi Nafas Dalam terhadap Penurunan Intensitas Nyeri pada Pasien Post Operasi. Jurnal Ilmiah Keperawatan Indonesia, 8(1), 23–30.

Shashaa et al. (2022). Ewing's sarcoma in scapula: Epidemiology, clinical manifestation, diagnosis and treatment. Annals of Medicine and Surgery, 77, 103617. https://doi.org/10.1016/j.amsu.2022.103617

Smeltzer, S. C., & Bare, B. G. (2020). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth. Jakarta: EGC.

Song et al. (2022). Clinical and Imaging Features of Tumors in the Scapula. Current Medical Imaging. https://dx.doi.org/10.2174/1573405617666210901144924

Syadza. (2024). Pengaruh Perawatan Luka dengan Teknik Aseptik terhadap Pencegahan Infeksi Luka Operasi. Jurnal Ilmiah Keperawatan dan Kesehatan, 9(1), 12–19.

Wahyudi et al. (2023). Pertumbuhan tumor pada regio scapula kiri dan dampaknya terhadap fungsi ekstremitas atas. Jurnal Ortopedi Indonesia, 11(2), 75–82.

Wahyuni dan Lestari. (2023). Hubungan Kepatuhan Hand Hygiene Perawat dengan Kejadian Infeksi Nosokomial di Ruang Rawat Inap. Jurnal Keperawatan Nasional, 7(1), 34–41.

WHO Classification of Tumours Editorial Board. (2020). Soft Tissue and Bone Tumours (5th ed.). World Health Organization. https://tumourclassification.iarc.who.int/

World Health Organization. (2023). Global guidelines for the prevention of surgical site infection. https://www.who.int

Yu et al. (2022). Oncologic and functional outcomes after resection of chondrosarcoma of the scapula. BMC Musculoskeletal Disorders, 23, 758. https://doi.org/10.1186/s12891-022-05661-7

Zainal et al. (2023). Peran Ketamin pada Nyeri di Tingkat Sel. JAI (Jurnal Anestesiologi Indonesia), 15(1), 86–94.

Downloads

Published

2026-06-24

How to Cite

Fatiyah Alya Salsabila, & Ahmad Zakiudin. (2026). Asuhan Keperawatan Pada Pasien Post Operasi Tumor Left Scapular Region: Studi Kasus Di RSUD dr. Soeselo Kabupaten Tegal. Jurnal Praba : Jurnal Rumpun Kesehatan Umum, 4(2), 440–456. https://doi.org/10.62027/praba.v4i2.762

Similar Articles

<< < 12 13 14 15 16 17 18 19 > >> 

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)