IMPLEMENTASI KEPERAWATAN MANEJEMEN NYERI PADA PASIEN POST OPERASI CARCINOMA MAMAE DI RUMAH SAKIT BHAYANGKARA PALEMBANG PALEMBANG TAHUN 2026

Latar belakang: Kanker Payudara (carcinoma mamae) merupakan keganasan paling umum pada wanita di seluruh dunia. Berdasarkan data GLOBOCAN 2020, tercatat 2.261.419 kasus baru secara global. Di Indonesia, prevalensi kanker payudara mencapai sekitar 877.531 kasus dengan angka kejadian 42,1 per 100.000 penduduk. Penatalaksanaan utama yang dilakukan adalah tindakan pembedahan (mastektomi) yang kerap menimbulkan nyeri akut pascaoperasi. Nyeri yang tidak ditangani secara optimal dapat memperlambat proses penyembuhan dan memicu komplikasi pada sistem pernapasan, sirkulasi, serta psikologis pasien. Intervensi nonfarmakologis berupa teknik guided imagery terbukti efektif menurunkan intensitas nyeri melalui mekanisme relaksasi dan pengalihan fokus pikiran. Metode: Penelitian ini menggunakan desain studi kasus dengan pendekatan proses keperawatan yang meliputi pengkajian, penetapan diagnosis, perencanaan, implementasi, dan evaluasi. Data dikumpulkan melalui wawancara mendalam, observasi langsung, pemeriksaan fisik, dan studi dokumentasi. Intervensi keperawatan difokuskan pada penerapan teknik guided imagery yang dilaksanakan selama 3 hari berturut-turut, dengan durasi 15 menit per sesi, dikombinasikan dengan manajemen nyeri farmakologis sesuai program medis.Hasil: Setelah intervensi selama 3 × 24 jam, pasien menunjukkan penurunan skala nyeri yang bermakna dari skala sedang (5–6) menjadi skala ringan (1–2) berdasarkan Numerical Rating Score (NRS). Pasien tampak lebih rileks, mampu beristirahat dengan nyaman, pola tidur membaik, penggunaan otot bantu napas berkurang, serta pasien mampu mempraktikkan teknik guided imagery secara mandiri sebagai strategi koping terhadap nyeri.Kesimpulan: Implementasi keperawatan manajemen nyeri yang komprehensif melalui penerapan teknik guided imagery terbukti efektif dalam menurunkan intensitas nyeri pada pasien post operasi carcinoma mamae. Intervensi mandiri dan kolaboratif keperawatan berperan penting dalam memperbaiki kondisi klinis serta meningkatkan kenyamanan dan kualitas hidup pasien.

Background: Breast cancer (carcinoma mamae) is the most common malignancy in women worldwide. According to GLOBOCAN 2020, approximately 2,261,419 new cases were recorded globally. In Indonesia, the prevalence of breast cancer reaches around 877,531 cases with an incidence rate of 42.1 per 100,000 population. The primary treatment is surgical intervention (mastectomy), which frequently causes acute postoperative pain. Inadequately managed pain can delay the healing process and trigger complications in the respiratory, circulatory, and psychological systems. The non-pharmacological intervention of guided imagery has been proven effective in reducing pain intensity through relaxation mechanisms and cognitive distraction. Methods: This study used a case study design with a nursing process approach encompassing assessment, diagnosis, planning, implementation, and evaluation. Data were collected through in-depth interviews, direct observation, physical examination, and document review. The nursing intervention focused on the application of guided imagery technique performed for 3 consecutive days, 15 minutes per session, combined with pharmacological pain management according to the medical program. Results: After 3 × 24 hours of intervention, the patient demonstrated a significant reduction in pain scale from moderate (5–6) to mild (1–2) based on the Numerical Rating Score (NRS). The patient appeared more relaxed, was able to rest comfortably, sleep patterns improved, use of accessory breathing muscles decreased, and the patient was able to independently practice guided imagery as a pain coping strategy. Conclusion: Comprehensive nursing implementation of pain management through the application of the guided imagery technique was proven effective in reducing pain intensity in post-operative carcinoma mamae patients. Independent and collaborative nursing interventions play a vital role in improving clinical outcomes and enhancing patient comfort and quality of life.