Back Pain & Hnpi

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    MANAGEMEN KEPERAWATAN PASIEN DENGAN INJURI PADA SISTEM

    NEUROLOGI ( BACK PAIN DAN INTERVERTEBRAL DISC INJURY )

    OLEH :

    KELOMPOK XII

    TANTI INDRIANA

    WAHYU PANGESTUTI

    YADI

    ZAINAL ARIFIN

    FAKULTAS KEPERAWATAN

    UNIVERSITAS AIRLANGGA SURABAYA

    200

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    BAB !

    PENDAHULUAN

    !"! L#$#% B&'##*

    P&%*&+&%# $,'#* -&'##* .#* /#/, /& +.#%#1 +&+%3 4#

    /$%3 5,*# 4##$ /&.&-#-# .&%3 ,**,* 4# 33 -3+# /&5#'#% &

    #3 #% +.#%#1 .#* $&%5&3$" (4%" O$/# S3%&*#% SOT)"

    S&3$#% 0 6 &.#3$ .&%3 ,**,* $&%5#43 #3-#$ %+&+ / .#*

    43'#,# +&7#%387#%3 +&&%$3 '#7%#*# #$#, $&%5#$,7 4&*# +3+3 4,4,"

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    ,5,*#)= 43/## !";? %#* (;=?>6) #4#'#7 &4&%3$# .&%3 ,**,*

    -#9#7 (NPB)"

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    #'3* +&433$ +'3 4#'#/ 734,.#" P,**,* #4#'#7 -#*,# .#*/'& $&%+,+, 4#%3 $,'#* -&'##*= '&-37 4#%3 0 $$= '3*#/&$

    (&*,#$ +&43) .#* -#.#= $&%43%3 4#%3 -&%/#

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    -#*3# '#3= &4&%3$# &.#3$ .&%3 ,**,* +##$ 33 $34# 7#%,+ -&%-#$

    &',#% &*&%3 #% +,4#7 -3+# 43'#,# 43 4#'#/ &*&%3 4&*# 7#%*# .#*

    '&-37 /,%#7" S&3$#% 0 6 &%-#43*# -3#.#.# 4&*# &%#+3 43 ',#%

    &*&%3" K#'#, /#+#'#7 &%#'#$#= I4&+3# 5,*# $34# #'#7"

    !"2 R,/,+# M#+#'#7

    M&*3*#$ -#.#.# /#+#'#7 #3-#$ 4#%3 back pain4# intervertebral discus

    injury/## #/3 /&&$,# %,/,+# /#+#'#7.# #4#'#7 -#*#3/## -&$,

    #+,7# &&%#9#$# #+3& 4&*# back pain 4# intervertebral discus injury.

    !" T,5,# U/,/

    U$, /&/-&%3# &*#'#/# .#$# $&$#* #+,7# &&%#9#$# 4&*#

    #+,+ back pain4# intervertebral discus injury

    !" T,5,# K7,+,+

    #"M#/, /&*34&$313#+3 4#$# .#* /&,5#*

    -"M#/, /&&$,# 43#*+# &&%#9#$#

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    BAB 2

    TINJAUAN PUSTAKA

    2"! D&133+3

    N.&%3 ,**,* /&%,## +,#$, *&5#'# 4# -,# &.#3$" Y#* $&%/#+,

    .&%3 ,**,* #4#'#7 %#+# $34# .#/# .#* %3*# 73**# .&%3

    /&.#3$# .#* /&*#3-#$#

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    S,#$, &$&*#*# ',/-#' #4#'#7 +,#$, ',# &%&*#*# #4# '3*#/&8

    '3*#/&= $&48$&4= 4# #$#, $$8$$ 4#%3 $,'#* -&'##* -#9#7"

    P&%3+$39# &%&*#*# -&%#3-#$ #4# $3*#$#8$3*#$# .#* -&%-&4#

    4#%3 %-%- /3%+3 434#'#/ 5#%3*#85#%3*# 33"

    K&$&*#*# ',/-#' 43&%$3/-#*# +&-#*#3 +#'#7 +#$, 4#%3 &.&-#-8

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    ',# -&%#$ ($%#,/#)" L,# 5#%3*# ',# -3#+#.# 43'#+313#+3# +&-#*#3

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    J3# &$&*#*# -&%'#*+,* '&-37 '#/# 4#%3 $3*# -,'#= 3$, 43%,5, +&-#*#3

    %3+"

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    43#%#$&%3+$3# '&7 %#+# $34# /&.*# .#* 43'#'3+3% #4# #%

    $,'#* -&'##* -#9#7 4&*# $3/-,'.# +&$&'#7 +,#$, &5#43# .#*

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    4 43734#%3 4&*# /&/##3 $&38$&3 %$&+3 $,'#* -&'##*

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    P&%#9#$# ',/-#% %#43

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    4# +&438+&43 .#* .#* /&.,+, @&%$&-%#& (1#

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    /&*&/-#'3# -&-&%## 4#%3 &$3**3#.# .#* 73'#*" S&+,4#7 3$,=

    +,#$,

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    B&3* @&%9&3*7$" A 43&$ 73*7 3

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    M&43

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    2"; P&/&%3+## P&,5#*

    T 43#*+& -#

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    T%. $ +$#4 , +$%#3*7$ #4 #@34 7@. '31$3* 97& .,

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    INTERVERTEBRAL DISC INJURY

    ( HERNIA NUKLEUS PULPOSUS )

    !" P&*&%$3#

    D3+,+ I$&%@&%$&-%#'3+ #4#'#7 '&/&*# #%$3'#* .#* /&/-&$, +&-,#7

    -#$#'# 43#$#%# $,-,7 @&%$&-%#" M#$&%3#' .#* &%#+ 4# 13-%+# 33

    43*#-,*# 4#'#/ +#$, #+,'" B#$#'# +&&%$3 -'# 43-#*3# $&*#7 43+,+

    43+&-,$ ,'&,+ ,'+,+" HNP /&%,## %,$,%.# ,'&,+ ,'+,+"

    (B%,&% S,44#%$7= 2002)

    HNP #4#'#7 S,#$, .&%3 .#* 43+&-#-# '&7 %+&+ #$'*3 43',/#

    @&%$&-%#'3+ #4# 43+,+ 3$&%@&%$&-%#'3+ (43+*&3) (H#%+= !>)

    HNP #4#'#7 ## 43/## ,'&,+ ,'+,+ &',#% /&5' ,$,

    &/,43# /& & #%#7 ##'3+ +3#'3+ /&'#',3 #,',+ 13-%+3+ .#* %-&"

    2" E$3'*3

    HNP $&%5#43 #% %+&+ 4&*&&%#$31 43+,+ 3$&%@&$&-%#'3+"

    " I+34&

    A*# &5#43# 4# &+#3$# -#.# $&%5#43 #4# ,+3# &%$&*#7#" P#4#

    ,/,/.# HNP 434#7,',3 '&7 #$3@3$#+ .#* -&%'&-37#= /3+#'.#

    /&*#*#$ -&-# -&%#$ ($&%,$#/# /&4#4#) /&4%* -#%#* -&%#$" L#38'#3 '&-37 -#.# 4#%3 #4# 9#3$#"

    " P#$13+3'*3

    H&%3# N,'&,+ P,'+,+ -3+# & %,+ @&%$&-%# 43#$#+ #$#, -#9#7.#= -3+#

    5,*# '#*+,* & ##'3+ @&%$&-%#'3+" (P%3*,# S347#%$#= !0)

    P%$%,+3 #$#, %,$,% ,'&,+ ,'+,+ -3#+#.# 434#7,',3 4&*# &%,-#7#

    4&*&&%#$31 .#* $&%5#43 #4# %+&+ &,##" K&73'#*# %$&3 '3+##%34#

    4#'#/ 43+,+ /&,%,# #4,*# #3% ,'&,+ ,'+,+" P&%&/-#*#

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    &

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    " M#31&+$#+3 K'33+

    N.&%3 4##$ $&%5#43 #4# -#*3# +3#' /##, +&&%$3 +&%@3#'= $%##'

    (5#%#*) #$#, ',/-#'" M#31&+$#+3 '33+ -&%*#$,* #4# '#+3= &

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    " E'&$%/3*%#13 (EMG) : ,$, /&'#'3+#+3 %#43+ +#%#1 +3#' 7,+,+

    .#* $&%"

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    4# /&*,-#7 4&13+3$ &,%'*3"

    M#

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    BAB

    TINJAUAN KASUS

    "! P&*#53#!" I4&$3$#+

    HNP $&%5#43 #4# ,/,% &%$&*#7#= &-#.## #4# 5&3+ &'#/3 %3#

    4# &&%5## #$#, #$3@3$#+ -&%#$ (/&*#*#$ -#%# -&%#$ #$#,

    /&4%* -&4# -&%#$)

    2" K&',#7# U$#/#

    N.&%3 #4# ,**,* -#9#7

    P= $%#,/# (/&*#*#$ #$#, /&4%* -&4# -&%#$)

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    = +31#$ .&%3 +&&%$3 43$,+,8$,+, #$#, +&&%$3 43+#.#$= /&4&.,$= +&&%$3

    #3= .&%3 $,/,' #$#, &/&* .#* $&%,+8/&&%,+" P&.&-#%# .&%3

    ###7 -&%+31#$ .&%3 %#43,'#% #$#, .&%3 #

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    I+&+3

    8 3+&+3 ,**,*= #$#$ 4# $,*#3

    4#'#/ -&%-#*#3 +3+3 4# *&%## ,$, &@#',+3

    &.,%*&3

    8 K,%@#$,%# .#* -&%'&-37#= &4#$#%# #%,+

    ',/-#'=#4#.# #*,',+= &'@3+ .# * /3%3*#+3/3$%3+=

    /,+,'#$,% #%#@&%$&-%#' #$#, #$#$ .#* #+3/&$%3+= +$,%

    $,*#3 .#* #-%/#'"

    8 H#/-#$# #4# &*&%## ,**,* = &'@3+

    4# $,*#3 +&'#/# -&*&%#"

    8 K'3& 4##$ /&&*# ##3# +&

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    4&*# /&/-#43*# ##83%3"

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    7#',+) #4# $$8$$ $&%$&$,"

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    8 %&1'&+ ',$,$ #$&'#7#//&% ('3&

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    '#$&%#' 43 L8; %&1'&+ &*#$31"

    8 R1'&+ $,/3$"#

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    M&'37#$ *#/-#%# @&%$&-%# 4# 5#%3*# 43+&3$#%.# $&%/#+,

    43+,+3 3$&%@&%$&-%#'3+"

    >" P$#'#+###

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    .#$# #$#,, $&+3#' 4# /&/-,$,7# $34## &&%#9#$# +&73**#

    /#+#'#7 #+3& 4##$ 43$#**,'#*3 #$#, 43,%#*3" (L3+/34#%= !0)

    !) N.&%3 (%3*#= +&4#*= -&%#$ )-&%7,-,*# 4&*# &5&3$# +#%#1

    #4# 43+,+ 3$&%@&$&-%#'3+= +$ &%#+3"

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    #&+$&+3= .&%3= 73'#*.# 1,*+3"

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    7&/3'#*3#

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    Tujuan :

    N.&%3 -&%,%#* #$#, %#+# .#/# $&%&,73

    Kriteria :

    8 K'3& /&*#$## $34# $&%#+# .&%3"

    8 %#7# .&%3 -&%+#'# 0

    8 I43#$% .&%3 @&%-#' 4# @&%-#' ($34# /&.&%3*#3)

    INTERVENSI RASIONAL

    I4&$313#+3 '3& 4#'#/

    /&/-#$, /&*73'#*# %#+#

    .&%3.#

    P&*&$#7,# .#* /&4#'#/ $&$#*

    .&%3 4# &1&$31# $34##

    &*73'#*# .&%3"

    B&%3# 31%/#+3 $&$#*

    &.&-#- 4#

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    '3& .#* 5,*# &%#7 /&*#'#/3

    *#**,# +&&%$3 .#* 43#'#/3

    '3& 4# /&5#'#3 &%#+3

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    +,/-&%8+,/-&% 4# #'#$8'#$ .#*

    $&%+&43# .#* 4##$ /&/-#$,

    '3&

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    (&%#9#$= &',#%*# #$#, $&/#

    4$ 4# &4$# +3%3$,#')

    ;" R&31%

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    INTERVENSI RASIONAL

    #) U-#7 +3+3 '3&

    $3# 2 5#/

    -) A5#%# '3& ,$,

    /&'#,# '#$37# *&%# #$31 #4#

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    #$3@3$#+ 4# -&%3 -#$,# 4&*#

    +3# +,**,7

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    /&**,## -#$

    8 K+3+$&+31+&+ ',#

    8 T34# $&%#-# /#+# #4# ' ( +

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    >" R&+3 *#**,# 3$&*%3$#+ ,'3$ -&%7,-,*# 4&*# $3%#7 -#%3* '#/#

    T,5,# :

    K'3& /#/, /&/&%$#7## &,$,7# ,'3$

    K%3$&%3# 7#+3' :

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    $&%7#4# ,'3$

    " P&'#+###

    P&'#+### #+,7# &&%#9#$# 33 /&%,## %'3+#+3 4#%3 %&

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    BAB

    TINJAUAN KASUS

    "! P&*#53#

    !" I4&$3$#+

    N#/# : N." R

    U/,% : >; $#7,

    J&3+ &'#/3 : &%&/,#

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    P&&%5## : 8

    S$#$,+ : I-, %,/#7 $#**#

    A'#/#$ : M#43,

    MRS : !?80;8200

    DM : P+$ O L#/3&

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    $ime= N.&%3 $$ 4# *%3**3# 43%#+## ##-3'# 43*&%##"

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    !" R39#.#$ &.#3$ +&-&',/.#

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    +&&%$3 .#* 43%#+## +##$ 33 $&$#3 $34# &%', 43&%#+3 #% -3+#

    43+&/-,7# 4&*# &%#9#$# 4# 3+$3%#7#$"

    T#7, 200; 4&*# &.&-#- 4# +#3$ .#* +#/#= +&/-,7 $##

    &%#+3 4# /&5#'#3 &%#9#$# 43 RSSM

    T#7, 200 +#3$.# .#* +%#* 33 4# +$ &%#+3 '#/3&

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    2" P'# ,$%3+3 4# /&$#-'3+/&

    M## MB = '#,= +#.,% #" P'# +&+%3+ 4# *3$31

    T3*#$ &*&$#7,# '3& 4# &4343# -#3 4# /&,5#* %+&+

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    I$&%#+3= '#

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    K'3& +&'#', -&%4# +&+,#3 4&*# #*#/# 4# &&%0 K*

    T#4# @3$#' : T !200 //H*= N ?? /$= S C= RR 20

    /$

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    -" S3+$&/ @#+,'&%

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    $,**#' %/#'= .&%3 4#4# (8)

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    P&*&

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    S##% 4#%#7 ,#+#

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    " Analisa data

    TGL DATA ETIOLOGI MASALAH

    20-

    05-

    2009

    Data Subyejtif

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    Data Subyejtif

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    B" A+,7# K&&%#9#$#

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    DAFTAR PUSTAKA

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