Oral Cryotherapy dalam Menurunkan Skala Nyeri dan Mencegah Perdarahan Sekunder pada Pasien Pasca Tonsilektomi di RS TK.II Moh. Ridwan Meuraksa

Wijaya, Salsa Febby (2026) Oral Cryotherapy dalam Menurunkan Skala Nyeri dan Mencegah Perdarahan Sekunder pada Pasien Pasca Tonsilektomi di RS TK.II Moh. Ridwan Meuraksa. D3 thesis, Universitas Kristen Indonesia.

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Abstract

Latar Belakang: Secara global, tonsilitis akut pada dewasa menyumbang sekitar 1– 5% dari kunjungan layanan kesehatan primer, dengan kejadian tonsilitis berulang mencapai 10–11% pada populasi tertentu. Tonsilitis merupakan salah satu indikasi tersering tindakan tonsilektomi. Data di RS TK.II Moh. Ridwan Meuraksa menunjukkan terdapat 305 pasien tonsilitis yang menjalani tonsilektomi dalam periode tiga bulan. Pasien pasca tonsilektomi umumnya mengalami nyeri akut akibat trauma jaringan dan inflamasi serta berisiko mengalami perdarahan sekunder. Oral cryotherapy merupakan intervensi nonfarmakologis yang dapat membantu menurunkan nyeri melalui efek vasokonstriksi lokal, mengurangi inflamasi, dan mendukung hemostasis. Tujuan: Mengevaluasi efektivitas oral cryotherapy dalam menurunkan skala nyeri dan mencegah perdarahan sekunder pada pasien pasca tonsilektomi di RS TK.II Moh. Ridwan Meuraksa. Metode: Studi kasus deskriptif pada dua pasien pasca tonsilektomi dengan pendekatan proses keperawatan. Hasil: Skala nyeri pasien 1 menurun dari 8 menjadi 5 dan pasien 2 dari 8 menjadi 3. Tidak ditemukan tanda-tanda perdarahan sekunder pada kedua pasien selama observasi. Kesimpulan: Oral cryotherapy efektif membantu menurunkan nyeri dan mendukung pencegahan perdarahan sekunder pada pasien pasca tonsilektomi. Kata kunci: tonsilektomi, nyeri akut, perdarahan sekunder, oral cryotherapy, asuhan keperawatan./ Background: Globally, acute tonsillitis in adults accounts for approximately 1–5% of primary healthcare visits, while recurrent tonsillitis occurs in about 10–11% of certain populations. Tonsillitis is one of the most common indications for tonsillectomy. Data from Moh. Ridwan Meuraksa Level II Hospital showed that 305 patients with tonsillitis underwent tonsillectomy within a three-month period. Post-tonsillectomy patients commonly experience acute pain caused by tissue trauma and inflammation and are also at risk of secondary hemorrhage. Oral cryotherapy is a non-pharmacological intervention that may reduce pain through local vasoconstriction, decrease inflammation, and support hemostasis. Objective: To evaluate the effectiveness of oral cryotherapy in reducing pain intensity and preventing secondary hemorrhage in post- tonsillectomy patients at Moh. Ridwan Meuraksa Level II Hospital. Methods: A descriptive case study using the nursing process approach was conducted on two post- tonsillectomy patients. Results: Pain scores decreased from 8 to 5 in patient 1 and from 8 to 3 in patient 2. No signs of secondary hemorrhage were observed during the monitoring period. Conclusion: Oral cryotherapy was effective in reducing pain intensity and supporting the prevention of secondary hemorrhage in post-tonsillectomy patients. Keywords: tonsillectomy, acute pain, secondary hemorrhage, oral cryotherapy, nursing care.

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