Asuhan Keperawatan Nyeri Akut (Hipertensi) Dengan Terapi Slow Stroke Back Massage di Rsud Dr. R. Soedarsono

Abstract

Latar Belakang: Hipertensi sebagai "silent killer" dengan prevalensi 30,8% di Indonesia sering menimbulkan nyeri kepala akibat vasokonstriksi serebral. Slow Stroke Back Massage (SSBM) dengan minyak serai merupakan intervensi nonfarmakologis untuk menurunkan nyeri akut dan tekanan darah Tujuan: Mendeskripsikan penerapan asuhan keperawatan nyeri akut pada pasien hipertensi dengan pemberian terapi Slow Stroke Back Massage menggunakan minyak serai di RSUD dr. R. Soedarsono. Metode: Penelitian ini menggunakan desain deskriptif dengan pendekatan studi kasus. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi. Intervensi Slow Stroke Back Massage menggunakan minyak serai diberikan selama 15 menit selama tiga hari berturut-turut. Evaluasi nyeri menggunakan Numeric Rating Scale (NRS). Analisis data dilakukan secara naratif. Hasil: Skala nyeri menurun dari 6 menjadi 3, tekanan darah dari 160/120 mmHg menjadi 130/95 mmHg, dan nadi dari 114 menjadi 88 kali/menit. Analisis: SSBM dengan minyak serai efektif menurunkan nyeri akut melalui stimulasi saraf parasimpatis, pelepasan endorfin, vasodilatasi, dan efek sinergis eugenol. Kesimpulan: Terapi Slow Stroke Back Massage dapat membantu menurunkan nyeri akut pada pasien hipertensi. Kata kunci: Asuhan keperawatan, Hipertensi, minyak serai, nyeri akut, Slow Stroke Back Massage

Background: Hypertension, often referred to as the “silent killer” with a prevalence of 30.8% in Indonesia, frequently causes headaches due to cerebral vasoconstriction. Slow Stroke Back Massage (SSBM) with lemongrass oil is a nonpharmacological intervention to reduce acute pain and blood pressure Objective: To describe the implementation of acute pain nursing care in hypertensive patients through the administration of Slow Stroke Back Massage therapy using lemongrass oil at Dr. R. Soedarsono General Hospital. Methods: This study used a descriptive design with a case study approach. Data collection was conducted through interviews, observations, physical examinations, and documentation. The Slow Stroke Back Massage intervention using lemongrass oil was administered for 15 minutes over three consecutive days. Pain was evaluated using the Numeric Rating Scale (NRS). Data analysis was performed narratively. Results: The pain score decreased from 6 to 3, blood pressure from 160/120 mmHg to 130/95 mmHg, and pulse rate from 114 to 88 beats per minute. Analysis: SSBM with lemongrass oil effectively reduces acute pain through parasympathetic nerve stimulation, endorphin release, vasodilation, and the synergistic effects of eugenol. Conclusion: Slow Stroke Back Massage therapy can help reduce acute pain in patients with hypertension. Keywords: Nursing care, Hypertension, lemongrass oil, acute pain, Slow Stroke Back Massage