Efektivitas Teknik Distraksi dan Relaksasi Terhadap Tingkat Nyeri Pasien Post Operasi di Ruang Rawat Inap Bedah Rumah Sakit Umum Daerah Tgk Chik Ditiro Sigli
DOI:
https://doi.org/10.33143/jhtm.v9i1.2797Abstrak
Tindakan operasi menyebabkan terjadinya perubahan kontinuitas jaringan tubuh. Nyeri yang timbul pasca operasi merupakan kejadian yang menekan atau stress dan dapat mengubah gaya hidup dan kesejahteraan psikologis individu. Tujuan penelitian ini adalah untuk mengetahui efektivitas teknik distraksi dan relaksasi terhadap tingkat nyeri pasien post operasi di Ruang Inap Bedah Rumah Sakit Umum Daerah Tgk Chik Ditiro Sigli. Jenis penelitian ini adalah penelitian kuantitatif, pre experimental design, mengunakan One-grup pretest posttest design. Populasi dalam penelitian ini adalah seluruh pasien post operasi di Ruang Inap Bedah. pengambilan sampel dilakukan teknik porpusive sampling sebanyak 15 orang. Penelitian ini telah dilakukan pada bulan 01 s/d 19 Juli 2022. Hasil penelitian yang telah dilakukan menunjukkan bahwa rata-rata nyeri pasien post operasi sebelum di lakukan teknik distraksi dan relaksasi adalah 6,73 dan standar deviasi 1,163. Rata-rata nyeri pasien post operasi sesudah di lakukan teknik distraksi dan relaksasi adalah 5,67 dan standar deviasi 0,900. Ada efektivitas teknik distraksi dan relaksasi terhadap tingkat nyeri pasien post operasi di Ruang Inap Bedah Rumah Sakit Umum Daerah Tgk Chik Ditiro Sigli nilai kemaknaan Ï= 0,000 dimana Ï < 0,05. Penelitian ini diharapkan menjadi pertimbangan oleh pihak manajemen Rumah sakit untuk membuatkan panduan/standar prosedur operasional termasuk peraturan untuk menjaga ketenangan selama pasien dilakukan kombinasi distraksi.
 Kata kunci :, nyeri, relaksasi, teknik distraksi
The operation causes a change in the continuity of the body's tissues. Pain that arises after surgery is a pressing or stressful event and can change the lifestyle and psychological well-being of individuals. The purpose of this study was to determine the effectiveness of distraction and relaxation techniques on the pain level of postoperative patients in the Surgical Inpatient Room of the Tgk Chik Ditiro Sigli Regional General Hospital. This type of research is quantitative research, pre-experimental design, using the One-group pretest posttest design. The population in this study were all postoperative. Sampling was carried out by porpusive sampling technique as many as 15 people. This research was conducted from 01 to 19 July 2022. The results of the research that had been conducted showed that the average postoperative patient pain before distraction and relaxation techniques were performed was 6.73 and a standard deviation of 1.163. The average postoperative patient pain after distraction and relaxation techniques was 5.67 and a standard deviation of 0.900. There is the effectiveness of distraction and relaxation techniques on the pain level of postoperative patients in the Surgical Inpatient Room of the Tgk Chik Ditiro Sigli Regional General Hospital, a significance value of Ï = 0.000 where Ï <0.05. It is hoped that this research will be taken into consideration by the hospital management to develop guidelines/standard operating procedures including regulations to maintain calm while the patient is doing a combination of distraction and relaxation techniques.
Keywords: Distraction, Pain, Relaxation
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Referensi
Aziz Ismail, N. I. A., & Elgzar, W. T. I. (2018). The Effect of Progressive Muscle Relaxation on Post Cesarean Section Pain, Quality of Sleep and Physical Activities Limitation. International Journal of Studies in Nursing, 3(3), 14. https://doi.org/10.20849/ijsn.v3i3.461
Barus, D. T., Girsang, R., Yanti, M. D., Purba, R., Novita, H., Sitorus, F. E., & Sembiring, I. M. (2020). The Effect of Distraction and Relaxation Techniques toward Pain Intensity Changes in Postoperative Patients. Ichimat 2019, 51–57. https://doi.org/10.5220/0009463300510057
Coll, A. M., & Jones, R. (2020). Role of the nurse in the assessment and management of post-operative pain. Nursing Standard (Royal College of Nursing (Great Britain) : 1987), 35(4), 53–58. https://doi.org/10.7748/ns.2020.e11530
Collaborative, C., & Collaborative, G. (2021). Timing of surgery following SARS-CoV-2 infection: an international prospective cohort study. Anaesthesia, 76(6), 748–758. https://doi.org/10.1111/anae.15458
Duan, G., Guo, S., Zhang, Y., Ying, Y., Huang, P., Zhang, L., & Zhang, X. (2017). Effects of epidemiological factors and pressure pain measurements in predicting postoperative pain: A prospective survey of 1,002 Chinese patients. Pain Physician, 20(6), E903–E914.
Ibrahim, Fransisca, D., & Sari, N. F. (2020). Perbandingan Teknik Distraksi dan Relaksasi Terhadap Intensitas Nyeri Perawatan Luka Operasi Di Ruang Bedah. Jurnal Kesehatan Medika Saintika, 11(2), 290–299. http://jurnal.syedzasaintika.ac.id/index.php/medika/article/view/777
Ju, W., Ren, L., Chen, J., & Du, Y. (2019). Efficacy of relaxation therapy as an effective nursing intervention for post‑operative pain relief in patients undergoing abdominal surgery: A systematic review and meta‑analysis. Experimental and Therapeutic Medicine, 2909–2916. https://doi.org/10.3892/etm.2019.7915
Komann, M., Weinmann, C., Schwenkglenks, M., & Meissner, W. (2019). Non-pharmacological methods and post-operative pain relief: An observational study. Anesthesiology and Pain Medicine, 9(2), 1–7. https://doi.org/10.5812/aapm.84674
Kozier, B., Erb, G., Berman, A., & Frandsen. G. (2016). Fundamental of nursing concepts, process, and practice, 10th ed. New Jersey: Pearson Prantice Hall
Kühlmann, A. Y. R., de Rooij, A., Kroese, L. F., van Dijk, M., Hunink, M. G. M., & Jeekel, J. (2018). Meta-analysis evaluating music interventions for anxiety and pain in surgery. British Journal of Surgery, 105(7), 773–783. https://doi.org/10.1002/bjs.10853
Moralesâ€Fernandez, A., Moralesâ€Asencio, J. M., Cancaâ€Sanchez, J. C., Morenoâ€Martin, G., Vergaraâ€Romero, M., & Group for pain management Hospital Costa del Sol Members (2016). Impact on quality of life of a nursing intervention programme for patients with chronic nonâ€cancer pain: an open, randomized controlled parallel study protocol. Journal of Advanced Nursing, 72(5), 1182–1190. https://doi.org/ 10.1111/jan.12908
Potter, P.A., Perry, A. G., Strockert, P. A., & Hall, A. M. (2013). Fundamental of nursing, 8th ed. St Louis, Missouri: Mosby Elsevier
Rohyani, D. (2022). The Effect of Relaxation Techniques and Distraction Techniques on Reducing Pain Scale in Postoperative Patients at UKI Hospital East Jakarta in 2020. Journal Educational of Nursing(Jen), 4(2), 98–107. https://doi.org/10.37430/jen.v4i2.97
Samulowitz, A., Gremyr, I., Eriksson, E., & Hensing, G. (2018). “Brave Men†and “Emotional Womenâ€: A Theory-Guided Literature Review on Gender Bias in Health Care and Gendered Norms towards Patients with Chronic Pain. Pain Research and Management, 2018. https://doi.org/10.1155/2018/6358624
Sengkeh, M. Y., & Chayati, N. (2021). Audiovisual virtual reality distraction in reduction of pain and anxiety intention in post-operative patients: A review study. Open Access Macedonian Journal of Medical Sciences, 9(F), 76–80. https://doi.org/10.3889/oamjms.2021.5728
Shoqirat, N., Mahasneh, D., Singh, C., & Al Hadid, L. (2019). Do surgical patients’ characteristics and behaviours affect nurses’ pain management decisions? A qualitative inquiry. International Journal of Nursing Practice, 25(6), 1–8. https://doi.org/10.1111/ijn.12779
Yaban, Z. S. (2019). Usage of Non-Pharmacologic Methods on Postoperative Pain Management by Nurses : Sample of Turkey. 12(1), 529–541.
Yang, M. M. H., Hartley, R. L., Leung, A. A., Ronksley, P. E., Jetté, N., Casha, S., & Riva-Cambrin, J. (2019). Preoperative predictors of poor acute postoperative pain control: A systematic review and meta-analysis. BMJ Open, 9(4). https://doi.org/10.1136/bmjopen-2018-025091
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