Asuhan Keperawatan Pada Tn. R Dengan Post Operasi Soft Tissue Tumor (STT) Gluteal Sinistra Di Ruang Mawar 2 RSUD dr. Soeselo Kabupaten Tegal

Ayu Pujiati; Ahmad Zakiudin

doi:10.62027/praba.v4i2.763

Authors

Ayu Pujiati Akademi Keperawatan Al Hikmah 2 Brebes, Indonesia
Ahmad Zakiudin Akademi Keperawatan Al Hikmah 2 Brebes, Indonesia

DOI:

https://doi.org/10.62027/praba.v4i2.763

Keywords:

Nursing Care, Post Operative, Soft Tissue Tumor, Gluteal Sinistra, Acute Pain

Abstract

Soft Tissue Tumor (STT) is an abnormal lump or swelling caused by new cell growth originating from connective tissue. Post-operative STT presents major nursing problems including acute pain, knowledge deficit, and risk of infection that require comprehensive nursing care. This scientific paper aims to describe nursing care for Mr. R with post-operative Soft Tissue Tumor (STT) Gluteal Sinistra in Mawar 2 Ward of RSUD dr. Soeselo Tegal Regency. The writing method used is descriptive with a case study plan through interviews, physical examination, observation, and documentation. Assessment was conducted on February 8, 2026 on Mr. R, a 37-year-old male, who underwent left gluteal tumor removal surgery on February 7, 2026. Assessment results identified three nursing diagnoses: acute pain related to physical injury agent (D.0077), knowledge deficit related to lack of information exposure (D.0111), and risk of infection evidenced by invasive procedure effects (D.0142). After nursing interventions for 2x24 hours on February 8–9, 2026, evaluation showed all three nursing diagnoses resolved: pain scale decreased from 6 to 2, the client was able to re-explain the tumor disease, and the surgical wound was clean without signs of infection. The conclusion of this nursing care shows that the application of deep breathing relaxation techniques, health education, and proper wound care are effective in addressing nursing problems in post-operative Soft Tissue Tumor patients.

References

Aprilia. (2022). Asuhan Keperawatan Gangguan Kebutuhan Nyeri dan Kenyamanan Pada Pasien Pasca Operasi Apendiktomi RS TK IV 02.07.04 DENKESYAH. Doctoral Disesertation.

Asis, et al. (2021). Literature Review: Pengaruh Dukungan Komunitas Pasien Kanker terhadap Penurunan Kecemasan dalam Menghadapi Terapi Pengobatan. Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 1(3), 338–344. https://doi.org/10.35892/jimpk.v1i3.553

Ayu, & Tika. (2024). Eksplorasi Hubungan Museum dan Pariwisata Melalui Tata Koleksi Arsip Museum: Studi Kasus Museum Negeri Medan. ABDI PUSTAKA: Jurnal Perpustakaan dan Kearsipan, 4(2), 82–92. https://doi.org/10.24821/jap.v4i2.12793

Ayundita A. (2023). Buku Ajar Asuhan Kebidana Manegemen Nyeri dan Persalinan Kala I-IV S1 Kebidanan (TIM MCU Gr). Maha karya Citra Utama.

Azqiyyah, Zakiudin, & Baso. (2025). Asuhan Keperawatan Pada NY. S dengan Katrak Okuli Sinistra di Ruangan Mawar 2 RSUD dr. Soeselo Kabupaten Tegal 2025. Jurnal Ilmu Kesehatan, 12(4), 0–6. https://doi.org/10.5455/mnj.v1i2.644

Bilani, et al. (2026). Revisiting the Immune Frontier in Soft Tissue Sarcomas. Current Oncology Reports, 28(1). https://doi.org/10.1007/s11912-026-01761-y

Boutry, et al. (2022). The evolution and ecology of benign tumors. Biochimica et Biophysica Acta Reviews on Cancer, 1877(1). https://doi.org/10.1016/j.bbcan.2021.188643

Cholifah, & Azizah. (2020). Buku Ajar Mata Kuliah Ketrampilan Dasar Klinik Kebidanan 1. Sidoarjo: UMSIDA Press.

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

Daruhadi, & Sop. (2024). Research data collection. SpringerBriefs in Public Health, 04(9783319534435), 33–39. https://doi.org/10.1007/978-3-319-53444-2_6

Devita, et al. (2021). Prinsip dan Praktik Ongkologi (edisi-11). Wolters Kluwer.

Djaguna, & Widiatii. (2025). Pengaruh Terapi Relaksasi Napas Dalam Untuk Mengurangi Nyeri Pada Pasien Soft Tissue Tumor Rumah Sakit Bhakti Wira Tamtama Semarang. Jurnal Keperawatan dan Kesehatan Masyarakat, 5(1), 18–23. https://doi.org/10.55984/leleani.v5i1.233

Faozan, Zakiudin, & Baso. (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

Fatmawati, & Rahman. (2022). Pengaruh Dukungan Keluarga dan Peran Perawat terhadap Tingkat Kecemasan pada Pre Operasi Katarak. Jurnal Penelitian Perawat Profesional, 4(2), 615–626. https://doi.org/10.37287/jppp.v4i2.875

Gita. (2023). Asuhan Keperawatan Pada Pasien Post Op Soft Tissue Tumor Dengan Implementasi Teknik Relaksasi Tarik Nafas Dalam Di Ruang Rawat Inap Anggrek Rsud Rejang Lebong Tahun 2023.

Hamdan, & Kamitsuru. (2024). NANDA-I International Nursing Diagnoses: Definitions & Classification, 2024-2026 (edisi 13). Georg Thieme Verlag.

Hamsir. (2023). Pemberian Anti Biotik Profilaksis Dalam Mencegahan Surgical Site Infection Pada Tindakan Wide Eksisi Tumor Mammae Dextra. Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis, 53(1), 1–19.

Harismayanti, et al. (2025). Gambaran Pengetahuan Perawat Dalam Penerapan Standar Asuhan Keperawatan. Jurnal Kesehatan Tambusai, 6(2), 4740–4746. https://doi.org/10.31004/jkt.v6i2.39272

Heitler. (2023). Primary Afferent Depolarization and the Gate Control Theory of Pain: a tutorial simulation. Journal of Undergraduate Neuroscience Education, 22(1), 58–65. https://doi.org/10.59390/pwfc1224

Hettler, et al. (2026). Evaluation of magnetic resonance imaging parameters and compliance with guidelines in soft tissue sarcomas. BMC Cancer. https://doi.org/10.1186/s12885-026-15569-3

Hoang, et al. (2022). A review of soft-tissue sarcomas: Translation of biological advances into treatment measures. Cancer Management and Research, 10, 1089–1114. https://doi.org/10.2147/CMAR.S159641

Ilahiyah, Karyawati, & Fatimah. (2023). Laporan Pendahuluan Pada Ny.S P1A0 Dengan Post Sectio Caesarea Ketuban Pecah Dini (KPD). 1(4).

Kaunang, et al. (2024). "Program Pencegahan dan Pengendalian Penyakit Sistem Reproduksi Carcinoma/kanker Payudara dan kanker Serviks Rahim."

Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia Tahun 2022. Jakarta: Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia. (2024). Laporan Nasional Riset Kesehatan Dasar (Riskesdas) 2023. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Kurniati, Khayudi, & Efendi. (2024). Pengaruh Intervensi Supportive Educative System Berbasis Integrasi Self care Menurut Dorothe Orem Terhadap Upaya Pencegahan Stroke. Jurnal Ilmiah Keperawatan, 10(3), 2–4.

Manalu. (2024). Pelaksanaan Pemeriksaan Fisik Oleh Perawat Rumah Sakit Advent Bandar Lampung. Jurnal Skolastik Keperawatan, 2(1), 13. https://doi.org/10.35974/jsk.v2i1.234

Manurung, et al. (2024). Menganalisis Kesinambungan Pengkajian Diunit X Di rumah sakit X. Jurnal Kesehatan dan Teknologi Medis (JKTM), 06(03), 84–90.

Maradona et al. (2023). Manajemen Nyeri Pada Anak "Prespektif Perawatan Padiatrik." Rizmedia Pustaka Indonesia.

Mersi, et al. (2024). Buku Proses Keperawatan konsep, implementasi, dan evaluasi. Universitas Nusantara PGRI Kediri.

Ningsih. (2023). Asuhan Keperawatan Gangguan Citra Tubuh Pada Pasien Post Mastektomi Dengan Intervensi Promosi Koping Di RS Bhayangkara Polda Lampung Tahun 2023.

Ningtiyas, et al. (2023). Buku Manajemen Nyeri. Elibrary.Almaata.Ac.Id.

Nkenguye, et al. (2024). Unusual presentation of a giant gluteal lipoma in a pediatric patient: Case report and clinical implications. International Journal of Surgery Case Reports, 125(November), 110612. https://doi.org/10.1016/j.ijscr.2024.110612

Novitayanti. (2023). Hubungan Jenis Kelamin Dengan Skala Nyeri Pada Pasien Gastritis. INFOKES: Jurnal Ilmiah Rekam Medis dan Informasi Kesehatan, 13(1), 31–34.

Nurlatipah, Zakiudin, & Sukirno. (2025). Asuhan Keperawatan pada Ny. D dengan Post Operasi Tumor Mammae Dextra di Ruang Mawar 2 RSUD dr. Soeselo Kabupaten Tegal. Protein : Jurnal Ilmu Keperawatan dan Kebidanan, 3(4), 286–296. https://doi.org/10.61132/protein.v3i4.1794

Pandean, & Sugiharto. (2025). Prevelensi Tumor Jaringan Lunak Berdasarkan Gambaran Histopatologi Di Rumah Sakit Sumber Waras Jakarta. Mahesa: Malahayati Health Student Journal, 5, 2383–2392.

Pangestika, & Danu. (2021). Soft Tissue Tumor. Soft Tissue Tumor, 1(12), 6.

Purwanto, et al. (2023). Manajemen Nyeri. Global Eksekutif Teknologi.

Putri, Zakiudin, & Baso. (2024). Asuhan Keperawatan pada Tn. A dengan Diagnosa Medis Post Operasi Soft Tissue Tumor (STT) Lengan Kanan 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

Putu, N. I., & Pradnya, D. (2022). Analisis Pelaksanaaan Intervensi Keperawatan pada Pasien Anak Dengan Covid 19 Berbasis Standar Intervensi Keperawatan Indonesia di Ruangan Isolasi RSUD Bali Mandara. Jurnal Cendikia Muda, 3(2), 24–32.

Rahmadania, & Aly. (2022). Implemantasi Teori Hirarchy Of Needs Maslow Dalam Meningkatkan Motivasi Belajar Di Yayasan Cahaya Generasi Islam Kota Bengkulu. 4, 2036–2039.

Rasnita, et al. (2026). Pleomorphic Sarcoma Gluteal. 41(01), 95–103.

Rugambwa et al. (2024). Duplicated gluteus maximus muscle: rare variant anatomy: a case report. Rwanda Medical Journal, 81(1), 167–170. https://doi.org/10.4314/rmj.v81i1.20

Said, & Masfuri. (2024). Studi Literatur Efektivitas Stretching Exercises Terhadap Gejala Musculoskeletal Disorder. Jurnal Kesehatan, 17(1), 89–97. https://doi.org/10.32763/6cn3rv24

Schemitsch. (2020). Operative Techniques: Orthopaedic Trauma Surgery.

Serous. (2024). Hormone Therapy in Cancer Treatment: Targeting Hormone-sensitive Tumors for Improved Outcomes. 09(01), 1–2.

Suwando, et al. (2022). Buku Ajar Nyeri.

Wang, et al. (2024). Radiotherapy and immunology. Journal of Experimental Medicine, 221(7), 1–17. https://doi.org/10.1084/jem.20232101

Weskamp, et al. (2022). Risk Factors for Occurrence and Relapse of Soft Tissue Sarcoma. Cancers, 14(5). https://doi.org/10.3390/cancers14051273

Yusuf, & Asilla. (2022). The Effectiveness of Mozart Classical Music Therapy to Overcome Pain in Osteosarcoma Pedis Dextra Post-Amputation Surgery. 5(1), 42–47.