INTERVENSI TERAPI DISTRAKSI PADA AN. R DENGAN POST OPERASI COLOSTOMY DI RUANG RINJANI RUMAH SAKIT DR. SAIFUL ANWAR MALANG

Background: Anal atresia is a congenital abnormality known as imoerforate anus involving the anus, rectum, or both. Anal atresia is caused by a break in the upper digestive tract with the anus area so that the baby is born without an anus. In this final scientific paper, the case of An. R who has suffered from anal atresia is raised. An. R has undergone stoma closure with complaints of severe pain in the stoma closure stitches. With this, this final scientific paper aims to implement pain management interventions for children with post-anal atresia surgery in one of the major hospitals in Malang.
Method: The method used in compiling this final scientific paper uses a case study report. The author follows the scientific method in accordance with the rules of the nursing process including: assessment, data analysis, nursing intervention, implementation, and evaluation. In the assessment process, the author uses various data collection techniques such as anamnesis, observation, documentation studies and physical examinations to collect various data from the patient, namely An. R. to complete the data, the author also collected interviews with the family of An. R.
Results: After providing nursing care for 3 consecutive days, the author raised 3 nursing diagnoses, namely: Acute Pain related to physical injury agents, risk of infection related to the effects of invasive procedures, and deficit knowledge about pain management related to lack of exposure to information. Of the three diagnoses, 2 nursing diagnoses have been resolved, while 1 nursing diagnosis has only been partially resolved.
Discussion: The problem of acute pain nursing related to physical injury agents occurs in patients due to surgical procedures, namely stoma closure. The actions that have been taken by the nurse are not enough with just distraction therapy pain management for 3 days, the recommendation needed by the patient is to monitor pain management periodically until the problem is resolved.