Asuhan Keperawatan Pada Tn. K Dengan Closed Fracture Pelvic Post ORIF di Rumah Sakit Umum Pusat Haji Adam Malik

Cahaya Artha Anastasia Gultom; Dudut Tanjung; Edianto Edianto; Dina Afriani; Saodah Hanin

doi:10.62027/vitamedica.v3i1.264

Authors

Cahaya Artha Anastasia Gultom Fakultas Keperawatan Universitas Sumatera Utara
Dudut Tanjung Universitas Sumatera Utara
Edianto Edianto Institut Kesehatan Helvetia Medan
Dina Afriani Rumah Sakit Umum Pusat Haji Adam Malik
Saodah Hanin Rumah Sakit Umum Pusat Haji Adam Malik

DOI:

https://doi.org/10.62027/vitamedica.v3i1.264

Keywords:

Pelvic fracture, ORIF, Nursing care

Abstract

Background: Pelvic fractures are common injuries resulting from high-energy trauma, such as traffic accidents or falls from height. These injuries can cause decreased mobility function, pain, and risk serious complications. A common treatment that can be done is Open Reduction Internal Fixation (ORIF) to improve bone stability and patient mobility function. Objective: this study is to provide nursing care for patients with post-ORIF pelvic fractures to improve nursing outcomes, including pain management, physical mobility, and skin integrity. Methods: This study used a case report approach where the source of research data came from interviews, observations, physical examinations, and patient documentation. Nursing care was organized based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Intervention Standards (SIKI), and Indonesian Nursing Outcome Standards (SLKI). Results: After the intervention, the patient showed a decrease in pain from scale 6 to scale 3 with the use of PMR. Improved physical mobility was observed through regular ROM exercises, and skin integrity was maintained with position changes and routine wound care. No complications occurred post intervention. Conclusion: Comprehensive nursing care in patients with post-ORIF pelvic fractures can accelerate healing and reduce the risk of complications. Integrated interventions, including pain management, mobility, and skin care, play an important role in supporting patient recovery. The nurse's role in observation and collaboration with the medical team is essential to improve patient outcomes and quality of life.

References

Asri Hidayatun Nasiha, Ahmad Zakiudin, & Yusriani Saleh Baso. (2023). Asuhan keperawatan pada Tn. S dengan gangguan sistem musculoskeletal: Post op fraktur 1/3 distal radius ulna di ruang Mawar 2 RSUD dr. Soeselo Kabupaten Tegal. DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan, 1(4), 39–53. https://doi.org/10.59581/diagnosa-widyakarya.v1i4.1286

Chen, Q., Li, T., Ding, H., Huang, G., Du, D., & Yang, J. (2024). Age–period–cohort analysis of epidemiological trends in pelvic fracture in China from 1992 to 2021 and forecasts for 2046. Frontiers in Public Health, 12(July). https://doi.org/10.3389/fpubh.2024.1428068

Fu, Y., Li, C., Luo, W., Chen, Z., Liu, Z., & Ding, Y. (2021). Fragility fracture discriminative ability of radius quantitative ultrasound: A systematic review and meta-analysis. Osteoporosis International, 32(1), 23–38. https://doi.org/10.1007/s00198-020-05559-x

Kronborg, L., Bandholm, T., Palm, H., Kehlet, H., & Kristensen, M. T. (2017). Effectiveness of acute in-hospital physiotherapy with knee-extension strength training in reducing strength deficits in patients with a hip fracture: A randomised controlled trial. PLoS ONE, 12(6), 1–18. https://doi.org/10.1371/journal.pone.0179867

Mashhadi-Naser, S., Shirvani, S., & Vasli, P. (2024). A randomized controlled trial to evaluate the progressive muscle relaxation technique in hip fracture patients. Scientific Reports, 14(1), 1–10. https://doi.org/10.1038/s41598-024-64516-4

Mennen, A. H. M., Blokland, A. S., Maas, M., & van Embden, D. (2023). Imaging of pelvic ring fractures in older adults and its clinical implications—a systematic review. Osteoporosis International, 34(9), 1549–1559. https://doi.org/10.1007/s00198-023-06812-9

Novitasari, D., & Pangestu, R. S. A. (2023). Tatalaksana keperawatan nyeri akut pasien fraktur radius ulna sinistra dengan terapi relaksasi nafas dalam. Jurnal Penelitian Perawat Profesional, 5(3), 1067–1076. https://doi.org/10.37287/jppp.v5i3.1663

Oeding, J. F., Bockman, S., Chiu, H., Hua, C., Connor, J., & Slocum, A. (2022). A novel approach to open reduction and internal fixation of distal radius fractures utilizing a multi-degree-of-freedom traction and stabilization device. Journal of Medical Devices, Transactions of the ASME, 16(2), 1–6. https://doi.org/10.1115/1.4052901

Sheen, A. I., Herd, C. D. K., Staddon, L. G., Darling, J. R., Schwarz, W. H., & Tait, K. T. (2024). Baddeleyite microstructural response to shock metamorphism in three enriched shergottites and implications for U–Pb geochronology. Geochimica et Cosmochimica Acta, 366(June 2023), 267–283. https://doi.org/10.1016/j.gca.2023.12.002

Siregar, H. K., Tanjung, D., & Sitepu, N. F. (2020). Pengaruh intervensi keperawatan berbasis model konseptual Levine terhadap kecemasan pada pasien fraktur. Jurnal Ilmu Keperawatan Medikal Bedah, 3(2), 1. https://doi.org/10.32584/jikmb.v3i2.467

Wu, A. M., Bisignano, C., James, S. L., Abady, G. G., Abedi, A., Abu-Gharbieh, E., Alhassan, R. K., Alipour, V., Arabloo, J., Asaad, M., Asmare, W. N., Awedew, A. F., Banach, M., Banerjee, S. K., Bijani, A., Birhanu, T. T. M., Bolla, S. R., Cámera, L. A., Chang, J. C., … Vos, T. (2021). Global, regional, and national burden of bone fractures in 204 countries and territories, 1990–2019: A systematic analysis from the Global Burden of Disease Study 2019. The Lancet Healthy Longevity, 2(9), e580–e592. https://doi.org/10.1016/S2666-7568(21)00172-0

Young, K., Aquilina, A., Chesser, T. J. S., Costa, M. L., Hettiaratchy, S., Kelly, M. B., Moran, C. G., Pallister, I., & Woodford, M. (2019). Open tibial fractures in major trauma centres: A national prospective cohort study of current practice. Injury, 50(2), 497–502. https://doi.org/10.1016/j.injury.2018.10.028