PENGALAMAN PASIEN ABSES PARU PASCA PEMBEDAHAN DALAM MANAJEMEN NYERI DAN PROSES PEMULIHAN FUNGSIONAL
POST-SURGICAL EXPERIENCES OF LUNG ABSCESS PATIENTS REGARDING PAIN MANAGEMENT AND THE FUNCTIONAL RECOVERY PROCESS
Abstract
Penelitian ini bertujuan mengeksplorasi pengalaman pasien abses paru pasca torakotomi dalam manajemen nyeri dan pemulihan fungsional di Rumah Sakit Umum Pusat Haji Adam Malik Medan. Menggunakan pendekatan kualitatif naratif pada 10 partisipan, penelitian menemukan bahwa nyeri sedang hingga berat (NRS 4-6) dialami 60% pasien, dengan batuk dan napas dalam sebagai pencetus utama. Strategi non-farmakologis seperti dukungan spiritual dan keluarga dinilai sangat membantu, melebihi kepuasan terhadap analgesik opioid. Pemulihan fungsional meningkat bertahap hingga minggu ke-8, namun kepatuhan latihan napas mandiri menurun setelah pasien pulang. Kesimpulannya, pengalaman nyeri pasca bedah paru bersifat multidimensional. Integrasi dukungan spiritual, keluarga, dan program rehabilitasi berkelanjutan sangat diperlukan untuk mengoptimalkan pemulihan.
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2. Audina, D. P., Agustin, H., & Reisa, T. (2024). Interventional approach on lung abscess. Jurnal Respirologi Indonesia, 44(2), 170–178. doi: 10.36497/jri.v44i2.440
3. Batchelor, T. J. P., Rasburn, N. J., Abdelnour-Berchtold, E., Brunelli, A., Cerfolio, R. J., Gonzalez, M., Ljungqvist, O., Petersen, R. H., Popescu, W. M., Slinger, P. D., & Naidu, B. (2019). Guidelines for enhanced recovery after lung surgery: Recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS). European Journal of Cardio-Thoracic Surgery, 55(1), 91–115. doi: 10.1093/ejcts/ezy301
4. Braun, V., & Clarke, V. (2021). Thematic analysis: A practical guide. SAGE Publications.
5. Cavalheri, V., Burtin, C., Formico, V. R., Nonoyama, M. L., Jenkins, S., Spruit, M. A., & Hill, K. (2019). Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer. Cochrane Database of Systematic Reviews, 2019(6), CD009955. doi: 10.1002/14651858.CD009955.pub3
6. Charon, R. (2006). Narrative medicine: Honoring the stories of illness. Oxford University Press.
7. Chou, R., Gordon, D. B., de Leon-Casasola, O. A., Rosenberg, J. M., Bickler, S., Brennan, T., Carter, T., Cassidy, C. L., Chittenden, E. H., Degenhardt, E., Griffith, S., Manworren, R., McCarberg, B., Montgomery, R., Murphy, J., Perkal, M. F., Suresh, S., Sluka, K., Strassels, S., Thirlby, R., Viscusi, E., Walco, G. A., Warner, L., Weisman, S. J., & Wu, C. L. (2016). Management of postoperative pain: A clinical practice guideline. The Journal of Pain, 17(2), 131–157. doi: 10.1016/j.jpain.2015.12.008
8. Creswell, J. W., & Poth, C. N. (2018). Qualitative inquiry and research design: Choosing among five approaches (4th ed.). SAGE Publications.
9. Feray, S., Lubach, J., Joshi, G. P., Bonnet, F., & Van de Velde, M. (2022). PROSPECT guidelines for video-assisted thoracoscopic surgery: A systematic review and procedure-specific postoperative pain management recommendations. Anaesthesia, 77(3), 311–325. doi: 10.1111/anae.15609
10. Granger, C., & Cavalheri, V. (2022). Preoperative exercise training for people with non-small cell lung cancer. Cochrane Database of Systematic Reviews, 2022(9), CD012020. doi: 10.1002/14651858.CD012020.pub3
11. Kuhajda, I., Zarogoulidis, K., Tsirgogianni, K., Tsavlis, D., Kioumis, I., Kosmidis, C., Tsakiridis, K., Mpakas, A., Zarogoulidis, P., & Zissimopoulos, A. (2015). Lung abscess: Etiology, diagnostic and treatment options. Annals of Translational Medicine, 3(13), 183. doi: 10.3978/j.issn.2305-5839.2015.07.08
12. Lei, C., Gong, R., Zhang, J., Sunzi, K., Xu, N., & Shi, Q. (2023). Pain experience of lung cancer patients during home recovery after surgery: A qualitative descriptive study. Cancer Medicine, 12(19), 20212–20223. doi: 10.1002/cam4.6616
13. Melzack, R., & Wall, P. D. (1965). Pain mechanisms: A new theory. Science, 150(3699), 971–979. doi: 10.1126/science.150.3699.971
14. Miyazaki, T., Doi, R., & Matsumoto, K. (2024). Post-thoracotomy pain syndrome in the era of minimally invasive thoracic surgery. Journal of Thoracic Disease, 16(5), 3422–3430. doi: 10.21037/jtd-24-158
15. O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine, 89(9), 1245–1251. doi: 10.1097/ACM.0000000000000388
16. Riessman, C. K. (2008). Narrative methods for the human sciences. SAGE Publications.
17. Sabbula, B. R., Rammohan, G., Sharma, S., & Akella, J. (2024). Lung abscess. In StatPearls. StatPearls Publishing.
18. Schug, S. A., Lavand’homme, P., Barke, A., Korwisi, B., Rief, W., & Treede, R. D. (2019). The IASP classification of chronic pain for ICD-11: Chronic postsurgical or posttraumatic pain. Pain, 160(1), 45–52. doi: 10.1097/j.pain.0000000000001413
19. Shi, Y., & Wu, W. (2023). The analgesic efficacy of erector spinae plane block versus paravertebral block in thoracic surgeries: A meta-analysis. BMC Anesthesiology, 23, 290.
20. Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. doi: 10.1093/intqhc/mzm042
21. Wang, J., Deng, N., Qi, F., Qingbo, L., Jin, X., & Hu, H. (2023). The effectiveness of postoperative rehabilitation interventions that include breathing exercises to prevent pulmonary atelectasis in lung cancer resection patients: A systematic review and meta-analysis. BMC Pulmonary Medicine, 23, 276. doi: 10.1186/s12890-023-02563-9
22. Xu, M., Yang, X., & Guo, L. (2024). Effectiveness of preoperative and perioperative pulmonary rehabilitation nursing program for the management of patients undergoing thoracic surgery: A systematic review and meta-analysis. Pakistan Journal of Medical Sciences, 40(6), 1280–1286. doi: 10.12669/pjms.40.6.9259
23. Zghab, S., Pagé, G., Lussier, M., Bédard, S., & Cheng, J. (2024). “It’s sink or swim”: Exploring patients’ challenges and tool needs for self-management of postoperative acute pain. Proceedings of the ACM on Human-Computer Interaction, 8, 1–27.
24. Mostafa, T. A. H., Abd El-Hamid, A. M., Abdelgawad, B. M., & Elbarbary, D. H. (2021). Serratus anterior plane block for cardiothoracic surgeries: A meta-analysis of randomized trials. Ain-Shams Journal of Anesthesiology, 13, 77. doi: 10.1186/s42077-021-00195-x
25. Wang, Y., Liu, Y., Zhang, X., & Li, H. (2021). Postoperative analgesic effects of paravertebral block versus erector spinae plane block for thoracic and breast surgery: A meta-analysis. PLoS ONE, 16(8), e0256611.
Published
2026-07-22
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