Asuhan Keperawatan pada Pasien Neoplasma Ovarium Kistik Pascaoperasi: Studi Kasus di RSUD Prof Dr Margono Soekarjo Purwokerto

Abstract

Ovarian neoplasms are one of the gynecological disorders that are often diagnosed at an advanced stage because the symptoms are not specific. This condition causes various nursing problems ranging from pain, risk of infection, risk of bleeding, to nutritional disorders. This study aims to describe the nursing care process for a post-operative patient diagnosed with cystic ovarian neoplasm. The design used was a case study with a nursing process approach. The research subject was a 44-year-old woman who was treated in the gynecological surgery ward and complained of abdominal enlargement, nausea and vomiting, pain scale 5, leukocytosis, anemia, and poor nutritional status. Data collection was carried out through interviews, observations, physical examinations, and medical record reviews. Four main nursing diagnoses were established, namely acute pain, risk of bleeding, risk of infection, and risk of nutritional deficiency. Interventions included pain management, bleeding prevention, infection prevention, and nutritional management, supported by the collaboration of analgesic and antibiotic administration, as well as nutritional consultation. The results showed a decrease in pain from a scale of 5 to 4, a decrease in drainage from 600 cc to 300 cc, a decrease in leukocytes from 25,660/mm³ to 17,700/mm³, and an increase in food intake, which resulted in an increase in body mass index from 15 to 16.9 kg/m². These findings indicate that nursing interventions can improve patient conditions, although pain management still requires additional interventions to achieve optimal results. The results of this study reinforce the importance of a holistic approach in the care of ovarian cancer patients, especially in the postoperative phase.