ASUHAN KEPERAWATAN PADA Ny.

S
DENGAN SELULITIS
Di Ruang Serly - RS Universitas Muhammadiyah Malang

KARYA ILMIAH AKHIR NERS

Diajukan Kepada Universitas Muhammadiyah Malang Untuk Memenuhi Salah
Satu Persyaratan Dalam Menyelesaikan Program Studi Profesi Ners

Disusun Oleh:
SAHRUNI ANUGRAH PRIHATIN
(202020461011053)

PROGRAM STUDI PROFESI NERS

FAKULTAS ILMU KESEHATAN
UNIVERSITAS MUHAMMADIYAH MALANG
TAHUN 2021

ii
LEMBAR PERSETUJUAN

iii
LEMBAR PENGESAHAN

iv
SURAT PERNYATAAN KEASLIAN PENELITIAN

v
 KATA PENGANTAR

Syukur alhamdulillah berkat rahmat kehadirat Allah SWT sehingga saya

dapat menyelesaikan karya ilmiah akhir ners dengan judul “Asuhan Keperawatan
Pada Ny. S Dengan Selulitis Di Ruang Serly RS Universitas Muhammadiyah
Malang” yang merupakan salah satu syarat untuk memperoleh gelar Ners (Ns)
pada Program Studi Pendidikan Profesi Ners Fakultas Ilmu Kesehatan Universitas
Muhammadiyah Malang.
Saya sebagai penulis banyak mengucapkan terima kasih atas bimbingan
dan bantuan dari berbagai pihak dalam menyusun dan menyelesaikan karya ilmiah
ini. Berkaitan dengan ini izinkan penulis mengucapkan terimakasih yang sebesar-
besarnya dengan tulus kepada :
1. Bapak Dr. Yoyok Bekti Prasetyo, M.Kep.,Sp.Kom. selaku Dekan Fakultas
Ilmu Kesehatan Universitas Muhammadiah Malang,
2. Bapak Sunardi,S.Kep.,Ns.,M.Kep selaku Ketua Program Studi Profesi Ners
Keperawatan Universitas Muhammadiyah Malang.
3. Bapak Edi Purwanto, S.Kep.,Ns.,MNg selaku pembimbing yang telah
memberikan bimbingan motivasi dan pengarahan dalam proses penyusunan.
4. Seluruh jajaran dosen Program Studi Profesi Ners yang telah memberikan ilmu
yang bermanfaat dan barokah.
5. Bapak, Mama, dan Kakak yang saya sayangi atas dukungan, do’a, kekuatan
dan motivasi.
6. Semua teman-teman Profesi Ners UMM Angkatan 23 2020 yang telah
memberikan support dan juga memberikan saran.
Penulis menyadari bahwa dalam penyusunan karya ilmiah akhir ners ini
masih banyak terdapat kekurangan, oleh karenanya penulis mengharapkan saran
dan masukan serta kritik yang bersifat membangun untuk menyempurnakan karya
ilmiah akhir ners ini.
Malang, 12 Desember 2021
Penulis

Sahruni Anugrah Prihatin

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 DAFTAR ISI

COVER .................................................................................................................. ii
LEMBAR PERSETUJUAN ................................................................................ iii
LEMBAR PENGESAHAN ............................................................................... iiiv
SURAT PERNYATAAN KEASLIAN PENELITIAN .......................................v
KATA PENGANTAR ......................................................................................... ivi
DAFTAR ISI ...................................................................................................... viiii
DAFTAR TABEL .............................................................................................. ixx
DAFTAR GAMBAR ..............................................................................................x
DAFTAR LAMPIRAN ........................................................................................ xi
ABSTRAK ........................................................................................................... xii
ABSTRACT ........................................................................................................ xiii
BAB I PENDAHULUAN .......................................................................................1
1.1 Latar Belakang ..................................................................................... 1
1.2 Perumusan Masalah.............................................................................. 4
1.3 Tujuan Penelitian.................................................................................. 4
1.4 Manfaat Penulisan ................................................................................ 5
BAB II TINJAUAN PUSTAKA............................................................................6
2.1 Konsep Selulitis.................................................................................... 6
2.1.1 Definisi ................................................................................................. 6
2.1.2 Epidemilogi .......................................................................................... 6
2.1.3 Etiologi ................................................................................................. 7
2.1.3 Faktor Resiko ....................................................................................... 7
2.1.4 Manifestasi Klinis ................................................................................ 8
2.1.5 Klasifikasi............................................................................................. 9
2.1.6 Patofisiologi ....................................................................................... 11
2.1.7 Pemeriksaan Penunjang...................................................................... 12
2.1.8 Penatalaksanaan ................................................................................. 12
2.1.9 Prognosis ............................................................................................ 13
2.1.10 Komplikasi ......................................................................................... 14

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 2.2 Konsep Asuhan Keperawatan ............................................................ 14
2.2.1 Pengkajian .......................................................................................... 14
2.2.2 Diagnosa Keperawatan ....................................................................... 16
2.2.3 Intervensi Keperawatan ...................................................................... 16
BAB III LAPORAN KASUS KELOLAAN UTAMA .......................................19
3.1 Pengkajian .......................................................................................... 19
3.1.1 Identitas Pasien dan Penanggung Jawab ............................................ 19
3.1.2 Keluhan Utama ................................................................................... 19
3.1.3 Riwayat Penyakit Sekarang ................................................................ 19
3.1.4 Riwayat Kesehatan Lalu..................................................................... 20
3.1.5 Riwayat Kesehatan Keluarga ............................................................. 20
3.1.6 Activity Daily Live (ADL) ................................................................. 20
3.1.7 Pemeriksaan Fisik .............................................................................. 21
3.1.8 Pemeriksaan Penunjang...................................................................... 22
3.1.9 Analisa Data dan Diagnosa Keperawatan .......................................... 23
3.2 Rencana Keperawatan ........................................................................ 24
3.3 Implementasi Keperawatan ................................................................ 25
3.1 Evaluasi .............................................................................................. 28
BAB IV ANALISIS SITUASI .............................................................................30
4.1 Analisis Profil Pelayanan ................................................................... 30
4.2 Analisi Pasien ..................................................................................... 31
4.3 Analisis Masalah Keperawatan .......................................................... 33
4.4 Analisis Intervensi .............................................................................. 35
4.1 Rekomendasi Terapi/Intervensi Lanjutan Di Rs Dan Komunitas ...... 42
BAB V PENUTUP ................................................................................................47
5.1 Kesimpulan......................................................................................... 47
4.2 Saran ................................................................................................... 47
DAFTAR PUSTAKA .......................................................................................... xii

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 DAFTAR TABEL

Tabel 2.1 Intervensi Keperawatan..........................................................................16

Tabel 3.1 Hasil Pemeriksaan Laboratorium ...........................................................22

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 DAFTAR GAMBAR

Gambar 2.1 Patofisiologi........................................................................................................ 11

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 DAFTAR LAMPIRAN

Lampiran 1 Laporan Asuhan Keperawatan............................................................50

Lampiran 2 Lembar Konsultasi..............................................................................80
Lampiran 3 Lembar Plagiasi ..................................................................................81

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 DAFTAR PUSTAKA

Alzate-Granados, J. P., Solarte, A., Lopez, P. J., & Barceló, E. (2020). Breathing
technique in pain and cognitive function: a systematic review of the
literature. Journal of Applied Cognitive Neuroscience, 1(1), 25–42.
https://doi.org/10.17981/jacn.1.1.2020.02

Amalia Rositawati, S. (2016). Studi Retrospektif : Profil Pasien Erisipelas dan

Selulitis ( A Retrospective Study : Erysipelas and Cellulitis Patients ’ Profile
). Berkala Ilmu Kesehatan Kulit Dan Kelamin, 28(2), 59–67.
file:///C:/~DataPenting/Downloads/2817-7307-1-SM.pdf

Bozorgnejad, M., Zarei, M. R., Mamashli, L., & Mohaddes Ardebili, F. (2019).
The Effect of Rhythmic Breathing on the Anxiety of Dressing Change in
Burning Patients. International Electronic Journal of Medicine, 8(2), 95–
100. https://doi.org/10.34172/iejm.2019.04

Church, J., & Road, D. (2021). Skin care considerations for those with chronic
oedema or lymphoedema. British Journal of Community Nursing, 26(10),
2052–2215.
https://www.britishjournalofcommunitynursing.com/content/long-term-
conditions/skin-care-considerations-for-those-with-chronic-oedema-or-
lymphoedema

Collazos, J., De La Fuente, B., García, A., Gómez, H., Menéndez, C., Enríquez,
H., Sánchez, P., Alonso, M., López-Cruz, I., Martín-Regidor, M., Martínez-
Alonso, A., Guerra, J., Artero, A., Blanes, M., De La Fuente, J., & Asensi, V.
(2018). Cellulitis in adult patients: A large, multicenter, observational,
prospective study of 606 episodes and analysis of the factors related to the
response to treatment. PLoS ONE, 13(9), 1–15.
https://doi.org/10.1371/journal.pone.0204036

Dalal, A., Eskin-Schwartz, M., Mimouni, D., Ray, S., Days, W., Hodak, E.,
Leibovici, L., & Paul, M. (2017). Interventions for the prevention of
recurrent erysipelas and cellulitis. Cochrane Database of Systematic
Reviews, 2017(6). https://doi.org/10.1002/14651858.CD009758.pub2

Dinarti, Budiyanto, A., Pudjiati, S., Siswati, R., Febriana, & Rayinda. (2020).
Clinical Decision Making Series Dermatologi Dan Venereologi. Gajah Mada
Univercity Press.

Hasliani. (2021). Sistem Integumen. CV Tohar Media.

Hidayati, A. N., Akbar, M. I. A., & Rosyid, A. N. (2018). Gawat Darurat Medis
dan Bedah. Airlangga University Press.

Keller, S. (2020). Cellulitis. Mayo Clinic Press.

xii
 https://www.mayoclinic.org/diseases-conditions/cellulitis/symptoms-
causes/syc-20370762

Lestari, S., & Kunidah, K. (2020). Efektifitas Antara Perawatan Luka Dengan
Menggunakan Nacl 0,9% Dan Betadin Terhadap Proses Penyembuhan Luka.
Jurnal Kesehatan, 7(1), 782–788. https://doi.org/10.38165/jk.v7i1.120

Lola Tri Emilia. (2018). Analisis Praktik Klinik Keperawatan Pada Pasien Post
Debridement Dan Selulitis Pedis Dengan Intervensi Inovasi Hand Massage
Menggunakan Minyak Essensial Lavender Terhadap Penurunan Intensitas
Nyeri Di Ruang Icu Rsud Abdul Wahab Sjahranie. Journal of Physical
Therapy Science, 9(1), 1–11.
http://dx.doi.org/10.1016/j.neuropsychologia.2015.07.010%0Ahttp://dx.doi.o
rg/10.1016/j.visres.2014.07.001%0Ahttps://doi.org/10.1016/j.humov.2018.08
.006%0Ahttp://www.ncbi.nlm.nih.gov/pubmed/24582474%0Ahttps://doi.org
/10.1016/j.gaitpost.2018.12.007%0Ahttps:

Mayasari, C. D. (2016). Pentingnya Pemahaman Manajemen Nyeri Non

Farmakologi bagi Seorang Perawat. Jurnal Wawasan Kesehatan, 1(1), 35–
42.

Mitaart, A. F., & Pandaleke, H. E. J. (2018). Selulitis Dengan Ulkus Varikosum.

Jurnal Biomedik (Jbm), 6(1), 60–64.
https://doi.org/10.35790/jbm.6.1.2014.4165

Norazirah, M. N., Khor, I. S., Adawiyah, J., Tamil, A. M., & Azmawati, M. N.
(2020). The risk factors of lower limb cellulitis: A case-control study in a
tertiary centre. Malaysian Family Physician, 15(1), 23–29.

Peterson, R. A., Polgreen, L. A., Sewell, D. K., & Polgreen, P. M. (2017).

Warmer Weather as a Risk Factor for Cellulitis: A Population-based
Investigation. Clinical Infectious Diseases, 65(7), 1167–1173.
https://doi.org/10.1093/cid/cix487

PPNI, Tim Pokja SDKI DPP. (2017a). Standar Diagnosis Keperawatan

Indonesia. Dewan Pengurus Pusat.

PPNI, Tim Pokja SDKI DPP. (2017b). Standar Intervensi Keperawatan

Indonesia. Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

PPNI, Tim Pokja SLKI DPP. (2017). Standar Luaran Kperawatan Indonesia :
Definisi dan Kriteria Hasil Keperawatan. Dewan Pengurus Pusat Persatuan
Perawat Nasional Indonesia.

Qaira Anum. (2019). Upaya Peningkatan Pengetahuan Tentang Penyakit Kulit

Infeksi Pada Masyarakat Di Pantai Bungus Kecamatan Bungus Teluk
Kabung Padang. Jurnal Keshatan Kulit Dan Kelamin, 1, 105–112.

xiii
Raff, A. B., & Kroshinsky, D. (2017). Cellulitis A Review. Empirical MRSA
Coverage for Nonpurulent Cellulitis, 316(3):325.
https://jamanetwork.com/journals/jama/article-abstract/2533510

Santos, E., Queirós, P., Cardoso, D., Cunha, M., & Apóstolo, J. (2016). The
effectiveness of cleansing solutions for wound treatment: A systematic
review. Revista de Enfermagem Referencia, 4(9), 133–143.
https://doi.org/10.12707/RIV16011

Teasdale, E. J., Lalonde, A., Muller, I., Chalmers, J., Smart, P., Hooper, J., El-
Gohary, M., Thomas, K. S., & Santer, M. (2019). Patients’ understanding of
cellulitis and views about how best to prevent recurrent episodes: mixed-
methods study in primary and secondary care. British Journal of
Dermatology, 180(4), 810–820. https://doi.org/10.1111/bjd.17445

Webb, E., Neeman, T., Bowden, F. J., Gaida, J., Mumford, V., & Bissett, B.
(2020). Compression Therapy to Prevent Recurrent Cellulitis of the Leg.
New England Journal of Medicine, 383(7), 630–639.
https://doi.org/10.1056/nejmoa1917197

Wolff, G., Katz, G. B., & Paller, L. (2017). Risk factors of lower limb cellulitis in
a level-two healthcare facility in Cameroon: a case-control study. BMC
infectious diseases. Dermatology in General Medicine, 17(1):418.

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