CHAPTER I

PRELIMINARY

1. Background Back

Appendicitis is a condition in which happened infection diumbai worms .In

the case of light can heal without care , but many cases need laparotomy by

getting rid of the vermiform appendix infected ( kowalak ,

2011 ) .Appendicitis acute need surgery .Generally clients with the post

appendiktomy will have a problem nursing acute pain from surgery .According

to maslow ( quoted in virgianti 2015 ) , that the needs of comfortable is a

physiological need to be met .According to virgianti ( 2015 ) suggested research

gannong ( 2008 ) out a nursing pain problems will have an impact on

sehari-harinya activity .Activity disturbed of them are needs break sleep , the

fulfillment of individual , also aspects social interaction which can be avoid a

conversation , pull back and avoid contact .In addition , when one undergo pain

great and not to be made the act of , the man to will experience shock

neurogenik .As for management intensity of pain clients by post appendiktomy

namely to pharmacology and nonfarmakologi .But researchers will use intensity of

pain management with nonfarmakologi who of them are his breath for , compress

warm , masase therapy , and the provision of analgesic .But in this research

researchers will try to technique his breath for .A manner in intent his breath for

this is clients in pandangkan on one objects and closed my eyes then do

inhalation slowly .Technique his breath for this believed to sent down intensity of

pain .Research by: tamsuri , 2007 ( quoted in rini 2012 ) .

According to rahmayati for 2010 quoted in chandra ( 2013 ) physiologically ,

the state of relaxation characterized by a decrease in the epinephrine and non

epinephrine in the blood , caused a decline in the tension of the muscles ,

downward metabolism , vasodilation and the increase in the temperature at

extermitas .Technique the breath in very be implemented effectively for client post
 op appendiktomy .From the research conducted by virgianti ( 2015 ) by

conducting technique the breath ritmik in the with 30 patients who developed

frequency scale pain and he 100 % ) post appendiktomy fell to 19 patients with the

frequency of the scale mild pain ( 63.3 % ) .According to the lancet the

development of mortalitas appendicitis in the world is seen where in 2013 level

mortalitas in the overall age is as many as 719.000 death .Based on the research

who 2013 that analyzes national data between 2011-2012 there are 32.782

patients suffer appendicitis acute

Apendisitis undergo as many as acute appendiktomy % 75.2.Ministry of

finance data indonesia in was 2008 says that the number of patients in indonesia

appendiktomy approximately 27 % of the total indonesians.Of in-patient done the

act of appendiktomy reached 28.949 patients ( jamaludin & amp, nur;

2017 ).Dinkes data central java stated that in 2009 the number of cases

apendisitis in central java with as many as 5.980, clients and 117 cases

apendisitis dying.Taufik, research by: ( 2011 ) silvia quoted in 2015.Of research

conducted by siti hardiyanti sibuea year 2014 who obtain data from medical

patient apendisitis good will and for acute perforation january 2010- october 2013

in rsup semarang dr.karyadi or as many as 139 patients in which as many as

acute apendisitis % 69.1 from an undiagnosed and the like % 30.9 from an

undiagnosed apendisitis perforation.

Of patients, 139 apendisitis as many as 61.9 % of the male sex and % 38.1 of

female sex.Of the male sex from an undiagnosed patients who apendisitis acute as

many as 70.9 % and the from an undiagnosed apendisitis perforation as many as

29.1 %.In patients of a female sex from an undiagnosed apendisitis acute as many as

66.0 % and the terdiagosis apendisitis perforation as many as % 34.0 ( jamaludin &

amp, nur; 2017 ).Based on the above explanation, writer interested discussed nursing

care in post clients appendiktomy to the acute pain, and reduced pain itself.Make this

writer aimed to reduce pain in post appendiktomy.

1. Limits Problem

Problem on case this restricted on care nursing clients who experience

post appendiktomy with problem pain acute that will

be done action breath inside .

1. Formulation Problem

Based on background back that

was described by author then concluded formula problem namely " How care

nursing on clients who experience post appendiktomy with problem pain acute

".

1. Aim

1. Aim general

Knowing picture in a

manner real about application care nursing on clients who experience post

appendiktomy with problem pain acute .

1. Aim special

1. For knowing peng study care nursing on clients who experience post

appendiktomy with problem pain acute . .

2. For knowing about diagnos a nursing client on clients who experienc

e post appendiktomy with problem pain acute .

1. For knowing about intervention nursing client on clients who experi

ence post appendiktomy with problem pain acute .

2. For knowing about implementation nursing client on clients who ex

perience post appendiktomy with problem pain acute .

3. For knowing about evaluation nursing client on clients who experien

ce post appendiktomy with problem pain acute .

1. Benefits Writing

P enulis an Creation Write it down Scientific this expected could give

away benefits in a manner theoretical and practical .
1. Theoretical

As ingredients additional for knowledge and information to get

it develop research next about heading t appendik tomy.

1. Practical

1. For Author

For improve knowledge and skills about care nursing post appe

ndiktomy with problem pain acute .

1. For Institution Education

Work Proposal write down scientific this expected could give

away input and benefits to party institution education Her khusu s abou

t care nursing clients who experience postappendiktomy with problem

pain acute .

1. Institution Health

Could give

away information about appendicitis and factors - factors that influenc

e so that could do effort handling appendicitis .