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      "referencetext": "American Academy of Orthopaedic Surgeons 2022, ‘Fracture healing and complications, Malunion, delayed union, and nonunion’, Clinical Guidelines, Rosemont, Illinois, Amerika Serikat, https:\/\/www.aaos.org\/quality\/quality-programs\/orthopaedic-trauma-programs\/\r\n\r\nBhandari, M, Tornetta, P, & Swiontkowski, MF, 2022, ‘Evidence-based orthopedics (2nd ed,), Wiley-Blackwell, Chichester & West Sussex, Inggris, https:\/\/www.wiley.com\/en-us\/Evidence+based+Orthopedics%2C+2nd+Edition-p-9781119413929\r\n\r\nCanale, ST, & Beaty, JH. (2012). Campbell’s operative orthopaedics (12th ed.), Elsevier Health Science, Philadelphia, Amerika Serikat, https:\/\/www.elsevier.com\/books\/campbells-operative-orthopaedics\/9780323072403\r\n\r\nDoenges, ME, Moorhouse, MF, & Murr, AC, 2019, ‘Nursing Care Plans: Guidelines for Individualizing Client Care’. FA, Davis Company, Philadelphia, Pennsylvania, Amerika Serikat.\r\n\r\nFarrell, CA, & Dempsey, JC, 2013, ‘Orthopaedic nursing (3rd ed.)’, Lippincott Williams & Wilkins, Philadelphia, Pennsylvania, Amerika Serikat.\r\n\r\nHerdman, T,H & Kamitsuru, S, 2021, ‘NANDA International nursing diagnoses: Definitions and classification 2021–2023’, Thieme, New York, Amerika Serikat.\r\n\r\nHockenberry, MJ & Wilson David, 2019, ‘Wong’s nursing care of infants and children’, Elsevier Health Science, St, Louis, Missouri, Amerika Serikat.\r\nHessanti, K, 2023, ‘Pathway fraktur dalam asuhan keperawatan’, Universitas Widya Husada Semarang\r\n\r\nHinkle, JL, & Cheever, KH, 2018, ‘Brunner & Suddarth’s Textbook of Medical-Surgical Nursing’, Lippincott Williams & Wilkins, Philadelphia, Pennsylvania,  Amerika Serikat.\r\n\r\nHawker, GA, Mian, S, Kendzerska, T, & French, M, 2011, Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Arthritis Care & Research, 63(S11), S240–S252, Hoboken, New Jersey, Amerika Serikat, https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/acr.20543\r\n\r\nInstitute for Health Metrics and Evaluation, 2023, ‘Global burden of disease study results’, Institute for Health Metrics and Evaluation, Seattle, Washington, Amerika Serikat, https:\/\/vizhub.healthdata.org\/gbd-results\/\r\n\r\nKanis, JA, McCloskey, EV, Harvey, NC, Cooper, C, Rizzoli, R, Dawson-Hughes, B, Maggi, S, & Reginster, JY, 2022, Intervention thresholds and diagnostic thresholds in the management of osteoporosis. Aging Clinical and Experimental Research, 34(12), 3155–3157Kristina, Dasar-dasar proses keperawatan dan pengkajian klinis,Jakarta\r\n\r\nKozier, B, Erb, G, Berman, A, & Snyder, SJ, 2020, ‘Fundamentals of nursing: Concepts, process, and practice (11th ed.), Pearson, London, https:\/\/www.pearson.com\/en-us\/subject-catalog\/p\/fundamentals-of-nursing-concepts-process-and-practice\/P200000000109\/9780135300107\r\n\r\nLeighton, R, 2021, Orthopedic nursing care and rehabilitation’, Wiley-Blackwell, Chichester,Inggris,https:\/\/www.wiley.com\/en-us\/Orthopedic+Nursing+Care+and+Rehabilitation-p-9781119565017\r\nPotter, PA, & Perry, AG, 2021, ‘Fundamentals of nursing (10th ed.)’ Elsevier Health Science, St, Louis, Missouri, Amerika Serikat, https:\/\/www.elsevier.com\/books\/potter-and-perrys-fundamentals-of-nursing\/9780323677721\r\n\r\nSmeltzer, SC, Bare, BG, Hinkle, JL, & Cheever, KH, 2018, ‘Brunner & Suddarth’s textbook of medical-surgical nursing (14th ed.), Wolters Kluwer, Philadelphia,Pennsylvania,AmerikaSerikat, https:\/\/shop.lww.com\/Brunner---Suddarth-s-Textbook-of-Medical-Surgical-Nursing\/p\/9781496347992\r\n\r\nSucipto Adi, Setiawan, DI, Rizqi Januar, Krisnanto. PD, Puspaningtyas, DE, Hermanto, dkk, 2023, asuhan keperawatan holistik integumen dan muskuloskeletal’, Uereka Medis Aksara, Jawa Tengah \r\n\r\nSmeltzer, SC, Bare, BG, Hinkle, JL, & Cheever, KH, 2010, ‘Brunner & Suddarth’s textbook of medical-surgical nursing (12th ed.)’, Lippincott Williams & Wilkins, Philadelphia, Pennsylvania, Amerika Serikat, https:\/\/www.amazon.com\/Brunner-Suddarths-Textbook-Medical-Surgical-Nursing\/dp\/0781785891\r\n\r\nSmeltzer, SC, Bare, BG, Hinkle, JL, & Cheever, KH, 2018, Brunner & Suddarth’s textbook of medical-surgical nursing (14th ed.), Wolters Kluwer, Philadelphia, Pennsylvania, United States.\r\n\r\nSmeltzer, SC, & Bare, BG, 2018, ‘Brunner & Suddarth’s Textbook of Medical-Surgical Nursing’, Lippincott Williams & Wilkins, Philadelphia, Pennsylvania, United States.\r\n\r\nTim Pokja SDKI DPP PPNI 2017, Standar Diagnosis Keperawatan Indonesia, Jakarta, DPP PPNI.\r\nTim Pokja SDKI DPP PPNI 2018, Standar Intervensi Keperawatan Indonesia, Jakarta, DPP PPNI.\r\n\r\nTim Pokja SDKI DPP  PPNI 2019, Standar Luaran Keperawatan Indonesia, Jakarta, DPP PPNI.\r\n\r\nWorld Health Organization ,  2020, ‘Mental health and psychosocial considerations duringrecovery’.Jenewa,Swiss, https:\/\/www.who.int\/publications\/i\/item\/WHO-2019-nCoV-MentalHealth-2020.1\r\n\r\nWorld Health Organization, 2021, ‘Global health estimates: injuries and musculoskeletal conditions’Geneva Jenewa, Switzerland",
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      "abstract": "Fraktur adalah kondisi terganggunya kontinuitas normal tulang yang dapat disebabkan oleh cidera traumatik, fraktur patologik, atau stres berkelanjutan, dengan manifestasi klinis berupa nyeri hebat, bengkak, deformitas, dan kesulitan bergerak. Pada An.S di Ruangan Cendana RSUP Ben Mboi Kupang, ditemukan keluhan subjektif berupa nyeri seperti tertusuk saat bergerak, kelelahan pada aktivitas ringan, serta tidak mampu melakukan aktivitas sehari-hari secara mandiri. Data objektif menunjukkan kondisi umum compos mentis dengan tanda-tanda vital dalam batas normal dan terpasang infus. Asuhan keperawatan yang diberikan meliputi tahap pengkajian secara komprehensif, penetapan diagnosa keperawatan utama yaitu nyeri akut dan intoleransi aktivitas, serta potensi masalah lain seperti kerusakan integritas kulit, hambatan mobilitas fisik, risiko infeksi, dan kurang pengetahuan. Intervensi keperawatan yang diimplementasikan mencakup manajemen nyeri (melalui observasi karakteristik nyeri, pemberian teknik nonfarmakologis dan farmakologis), manajemen energi (pemberian lingkungan nyaman, latihan rentang gerak, edukasi aktivitas bertahap), serta edukasi tentang penyebab penyakit, perawatan diri, dan pola hidup sehat. Evaluasi menunjukkan hasil yang positif, di mana pasien mengalami perbaikan kondisi dengan nyeri yang berkurang saat istirahat, kemampuan untuk melakukan gerakan ringan meningkat, dan toleransi aktivitas menjadi lebih baik. Asuhan keperawatan yang terstruktur dan sesuai dengan standar telah berkontribusi pada peningkatan kondisi pasien dan mendukung proses penyembuhan",
      "divisions": [
        "dep_kep"
      ],
      "pages": 85,
      "rev_number": 61,
      "thesis_name": "other",
      "eprint_status": "archive",
      "institution": "Poltekkes Kemenkes Kupang",
      "date": "2026-02-11",
      "datestamp": "2026-05-11 03:53:20",
      "eprintid": 9908,
      "department": "D3 Keperawatan",
      "thesis_type": "diploma",
      "dir": "disk0\/00\/00\/99\/08",
      "userid": 8992,
      "lastmod": "2026-05-11 03:53:20",
      "status_changed": "2026-05-11 03:53:20",
      "ispublished": "pub",
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            "family": "Riny Pujiyanti",
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      "creators": [
        {
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            "given": "PO5303201230752",
            "family": "Irene Diliansi Riwu",
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      "keywords": "Fraktur, Asuhan Keperawatan; Nyeri Akut; Intoleransi Aktivitas",
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      "title": "Asuhan Keperawatan Pada  An. S Dengan Pemenuhan Kebutuhan Rasa Aman Nyaman Akibat Fraktur  Di Ruangan Cendana  Rsup Dr. Ben Mboi Kota Kupang",
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