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.
References
Hadid W, Stella GM, Maskey AP, Bechara RI, Islam S. Lung abscess: the non-conservative management: a narrative review. J Thorac Dis. 2024;16(5):3431-3440.
Gupta R, Van de Ven T, Pyati S. Post-thoracotomy pain: current strategies for prevention and treatment. Drugs. 2020;80(16):1677-1684.
Schug SA, Lavand’homme P, Barke A, Korwisi B, Rief W, Treede RD. The IASP classification of chronic pain for ICD-11: chronic postsurgical or posttraumatic pain. Pain. 2019;160(1):45-52.
Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS). Eur J cardio-thoracic Surg. 2019;55(1):91-115.
Wang J, Deng N, Qi F, Li Q, Jin X, Hu H. 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 Pulm Med. 2023;23(1):276.
Xu M, Yang X, Guo L. Effectiveness of preoperative and perioperative pulmonary rehabilitation nursing program for the management of patients undergoing thoracic surgery: A systematic review and meta-analysis. Pakistan J Med Sci. 2024;40(6):1280.
Lei C, Gong R, Zhang J, Sunzi K, Xu N, Shi Q. Pain experience of lung cancer patients during home recovery after surgery: A qualitative descriptive study. Cancer Med. 2023;12(19):20212-20223.
Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23(4):334-340.
Braun V, Clarke V. Thematic Analysis: A Practical Guide. SAGE Publications Ltd; 2021.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Heal Care. 2007;19(6):349-357.
Miyazaki T, Doi R, Matsumoto K. Post-thoracotomy pain syndrome in the era of minimally invasive thoracic surgery. J Thorac Dis. 2024;16(5):3422-3430.
Arends S, Böhmer AB, Poels M, et al. Post-thoracotomy pain syndrome: seldom severe, often neuropathic, treated unspecific, and insufficient. Pain reports. 2020;5(2):e810.
Chou R, Gordon DB, de Leon-Casasola OA, et al. Management of Postoperative Pain: a clinical practice guideline from the American pain society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists’ committee on regional anesthesia, executive commi. J pain. 2016;17(2):131-157.
Feray S, Lubach J, Joshi GP, et al. PROSPECT guidelines for video‐assisted thoracoscopic surgery: a systematic review and procedure‐specific postoperative pain management recommendations. Anaesthesia. 2022;77(3):311-325.
De Cassai A, Boscolo A, Zarantonello F, et al. Serratus anterior plane block for video-assisted thoracoscopic surgery: a meta-analysis of randomised controlled trials. Eur J Anaesthesiol EJA. 2021;38(2):106-114.
Xiong C, Han C, Zhao D, Peng W, Xu D, Lan Z. Postoperative analgesic effects of paravertebral block versus erector spinae plane block for thoracic and breast surgery: A meta-analysis. PLoS One. 2021;16(8):e0256611.
Accardi-Ravid M, Eaton L, Meins A, et al. A qualitative descriptive study of patient experiences of pain before and after spine surgery. Pain Med. 2020;21(3):604-612.
Zghab S, Pagé G, Lussier M, Bédard S, Cheng J. “ It’s Sink or Swim”: Exploring Patients’ Challenges and Tool Needs for Self-Management of Postoperative Acute Pain. In: Proceedings of the 2024 CHI Conference on Human Factors in Computing Systems. ACM; 2024:1-11.
Cavalheri V, Tahirah F, Nonoyama ML, Jenkins S, Hill K. Exercise training undertaken by people within 12 months of lung resection for non‐small cell lung cancer. Cochrane Database Syst Rev. 2013;(7).
Şahin H, Naz İ, Aksel N, et al. Outcomes of pulmonary rehabilitation after lung resection in patients with lung cancer. Turkish J Thorac Cardiovasc Surg. 2022;30(2):227.
Tazreean R, Nelson G, Twomey R. Early mobilization in enhanced recovery after surgery pathways: current evidence and recent advancements. J Comp Eff Res. 2021;11(2):121-129.
Granger C, Cavalheri V. Preoperative exercise training for people with non‐small cell lung cancer. Cochrane Database Syst Rev. 2022;(9).
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