KOMBINASI EDUKASI NYERI DAN MEDITASI DZIKIR MENINGKATKAN ADAPTASI NYERI PASIEN PASCA OPERASI FRAKTUR

Nasriati R, Suryani L, Moh Afandi

Abstract


Post operation pain is a problem that can impede the patient recovery if not managed properly. Post operated patient should be able to adapt to  pain  perceived that they feels. Pain education and dzikir meditation were type of non-pharmalogical management to help patients controlling their pain. The aims of this study was to described the effect of combination pain education and dzikir meditation to the adaptation of post operative pain in patient with fracture. This study used quasy experiment with pre-and post-test control group design. The sample in this study was 48 people’s were divided into intervention group and control group with 24 people’s in each group recruited by consecutive sampling. Statistical analysis used parametric test (Paired T test and T test independent) and non parametric (Wilcoxon signed Rank test dan Mann Whitney test). The results showed there were decrease pain intensity from 7 to 4,1 score and blood pressure from 124/80,4 mmHg to 120/75 mmHg in intervention. group with p<0,05. Based on statistical test with p<0.05 this showed that there were differences changes in pain intensity between the intervention group and control group significantly. The conclusion of the research there was combination of pain education and dzikir meditation can reduce pain intensity but it doesn’t give any effect to the blood pressure, pulse, and respiration in post fracture operated patient.

 

Keyword : pain intensity, blood pressure, heart rate and respiration rate


Full Text:

PDF

References


Abdel-Khalek, A. M. (2007). Religiosity, happiness, health, and psychopathology in a probability sample of Muslimadolescents. Mental Health, Religion & Culture, 10, 571-583. Di akses tanggal 4Jjanuari 2014 dari htp://www.tandfonline.com

Castillo.R.C., O’Toole.R.V., Pollak.A.N., MacKenzie.E.J., Bosse.M.J and the LEAP Study Group.(2008). Determinants of Patient Satisfaction After Severe Lower- Extremity Injuries. Bone Joint Surg Am. 90:1206-11. Di akses tanggal 9 Januari 2015 dari htp://www.ncbi.nlm.nih.gov

Chau AWL, Ng SKS Leung WK.. (2004). The effect of pre-operative information in relieving anxiety in oral surgery patients. Community Dent Oral Epidemiol 32: 227–335. Di akses tanggal 20 Januari 2015 dari htp://onlinelibrary.wiley.com

Christopher L Wu, Srinivasa N Raja.,(2011). Treatment of acute postoperative pain. The Lancet (377). Diakses tanggal 2 Nopember 2013 dari htp://www.sciencedirect.com Costantini R, (2011). Controlling pain in the post-operative seting. International Journal Of Clinical Pharmacology And Therapeutics [serial online].49(2):116-127. Di akses tanggal 4 Januari 2014 dari htp:// europepmc.org

Fillingim, R. B., King, C. D., Ribeiro-Dasilva, M. C., Rahim-Williams, B., & Riley, J. L. (2009). Sex, Gender, and Pain: A Review of Recent Clinical and Experimental Findings. The Journal of Pain : Official Journal of the American Pain Society, 10(5), 447–485. di akses tanggal 9 februari 2015 dari htp:// www.ncbi.nlm.nih.gov

Fiorentini.A., Ora.J., Tubani.L.(2013). Autonomic system Modification in Zen Practitioners.Indian Journal of Medical Sciences, Vol. 67, No. 7 and 8 di akses tanggal 12 februari

dari htp://www.indianjmedsci.org Guyton. (2006). Texbook of Medical Physiology.W.B. Saunders Co.

Haruyama, S. (2013). The Miracle Of Endorphin. Bandung. Mizan Pustaka

Hu.S., Zhang.Z.Y., Hua.Y.Q.,J. Li,Z.-D. Cai. (2009). A comparison of regional and general anaesthesia for total replacement of the hip or knee . A Meta analisis. J Bone Joint Surg Br July 2009 vol. 91-B no. 7 935-942 htp://www.bjj.boneandjoint.org.uk

Jones, S., Alnaib, M., Kokkinakis, M., Wilkinson, M., St Clair Gibson, A., & Kader, D. (2011). Pre-operative patient education reduces length of stay after knee joint arthroplasty. Annals of The Royal College of Surgeons of England, 93(1), 71–75. Di akses tanggal 5 Januari 2015 dari htp://www.ncbi.nlm. nih.gov

Kindler, L. L., Sibille, K. T., Glover, T. L., Staud, R., Riley, J. L., & Fillingim, R. B. (2011). Drug Response Profiles to Experimental Pain are Opioid and Pain Modality Specific. The Journal of Pain : Official Journal of the American Pain Society, 12(3), 340–

Diakses tanggal 3 Februari 2015 dari htp://www.ncbi.nlm.nih.gov

Kneale, J, Davis,P. (2011). Keperawatan Ortopedik dan Trauma. Jakarta. EGC

Krygier.J.R., James A.J. Heathers ., Shahrestani .S.,, Abbot .M., Gross .J.J., Kemp.A.H (2013), Mindfulness meditation, well-being, and heart rate variability:A preliminary investigation into the impact of intensive Vipassana meditation International Journal of Psychophysiology 89 .305–313 Diakses tanggal 9 Februari 2015dari htp:// spl.stanford.edu

Lai YH, Guo SL, Keefe FJ, Tsai SL, Chien CC, Sung YC, Chen ML.(2004) Effects of brief pain education on hospitalized cancer patients with moderate to severe pain.Support Care Cancer;12:645–652.diakses tanggal 15Januari 2015 dari htp://link.springer. com

Macfarlane, A. J. R., Arun Prasad, G., Chan, V.

W. S., & Brull, R. (2009). Does Regional Anesthesia Improve Outcome After Total Knee Arthroplasty? Clinical Orthopaedics and Related Research, 467(9), 2379–2402. doi:10.1007/s11999-008-0666-9 Diakses tanggal 4 Januari 2015 dari htp://www. ncbi.nlm.nih.gov

Nidich, S. I., Rainforth, M. V., Haaga, D. A. F., Hagelin, J., Salerno, J. W., Travis, F., … Schneider, R. H. (2009). A Randomized Controlled Trial on Effects of the Transcendental Meditation Program on Blood Pressure, Psychological Distress, and Coping in Young Adults. American Journal of Hypertension, 22(12), 1326– 1331. Diakses tanggal 6 Januari 2015 htp:// www.ncbi.nlm.nih.gov

Oosterwijck, V. J., Nijs, J., Meeus, M., Truijen, S., Craps, J., Van den Keybus, N., and Paul,

L. (2011) Pain neurophysiology education improves cognitions, pain thresholds, and movement performance in people with chronic whiplash: A pilot study. Journal of Rehabilitation Research and Development, 48(1). pp. 43-58. Diakses tanggal 13 Januari 2015 htp://www.rehab.research.va.gov

Paller, C. J., Campbell, C. M., Edwards, R. R., & Dobs, A. S. (2009). Sex-Based Differences in Pain Perception and Treatment. Pain Medicine (Malden, Mass.), 10(2), 289–299. Diakses tanggal 10 Januari 2015 dari htp:// www.ncbi.nlm.nih.gov

Perlman.D.M., Salomons.T.V., Davidson.R.J., and Luz. A.(2010). Differential effects on pain intensity and unpleasantness of two meditation practices. Emotion. 10(1): 65–71 Diakses tanggal 15 Januari 2015 dari htp://www.ncbi.nlm.nih.gov

Poter. P. A & Perry, AG. (2009). Fundamental Keperawatan Edisi 7 Buku 1 dan 2. Jakarta. Salemba Medika

Pujiwati, A. (2011). Pengaruh Edukasi Pre Operasi Terstruktur (dengan Teori Kognitif Sosial) terhadap Self Efficasy dan Perilaku Latihan Post Operasi pada Pasien Fraktur Ekstremitas Bawah dengan Pembedahan di Surabaya, Tesis . Universitas Indonesia. Jakarta

Purwanto, S., & Zulaekah, S. (2007). Pengaruh pelatihan relaksasi religious untuk mengurangi gangguan insomnia. Surakarta: University of Muhammadiyah Surakarta.

R.N. Raichur, S.B. Kulkarni, R.R. Rahul , G.B. Aruna and R.R. Sridevi.(2010).Effect of Meditation Training on Pulmonary Fuction Tests. Recent Research in Science and Technology. 2(11): 11-16 diakses tanggal 5 februari 2015 dari htp://recent-science.com

Roth, M. L., Tripp, D. A., Harrison, M. H., Sullivan, M., & Carson, P. (2007). Demographic and psychosocial predictors of acute perioperative pain for total knee arthroplasty. Pain Research & Management : The Journal of the Canadian Pain Society, 12(3), 185–194 diakses tanggal 5 februari 2015 dari htp://www. ncbi.nlm.nih.gov

Salamon.E., Esch.T., and. Stefano.G.B.(2005). Pain and relaxation (Review)

International Journal Of Molecular Medicine 18: 465-470, 2006 diakses tanggal 23 februari 2015 dari htp://www.spandidos- publications.com

Sitepu, N. F. (2009). Effect of zikir meditation on postoperative pain among mulsim patients undergoing abdominal surgery, Medan, Indonesia. Unpublished Master thesis, Prince of Songkla University, Hat Yai, Thailand

Solinan, H, & Muhammed, S. (2013). Effect of zikir meditation and jaw relaxation on post operative pain, anxiety and phisiologi response of patient undergoing abdominal surgery.Jurnal of Biologi, Agricultural and Health Care. Di akses tanggal 20 Januari 2014 htp://web.b.ebscohost.com

Smelzer,S,C.dan Bare, G. (2008). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth, Edisi 8 Volume 1 dan 3. Jakarta. EGC

Wells, N., Hepworth, J. T., Murphy, B. A., Wujcik, D., &Johnson, R. (2003). Improving cancer pain management through patient and family education. Journal of Painand Symptom Management, 25(4), 344-356. Diakses tanggal 27 Februari 2015 dari www.sciencedirect.com

Yezierski.R.P .(2012).The Effects of Age on Pain Sensitivity:Preclinical Studies. Pain Medicine 13 13: S27–S36, Diakses tanggal 20 Februari 2015 dari htp://www.ncbi. nlm.nih.gov

Yildirim Y.K., Cicek F., Uyar M. (2009). Effects of Pain Education Program on Pain Intensity, Pain Treatment Satisfaction, and Barriers in Turkish Cancer Patients. Pain Management Nursing, 10 (4) , pp. 220-228 Diakses tanggal 20 Februari 2015 dari htp:// www.scopus.com




DOI: https://doi.org/10.18196/ijnp.v3i1.2221

Refbacks

  • There are currently no refbacks.





IJNP (Indonesian Journal of Nursing Practices) are indexed by:

        


Office:

School of Nursing, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta
Siti Walidah Building F3, 4th floor.
JL. Brawijaya, Tamantirto, Kasihan, Bantul, Yogyakarta 55183
Email: IJNP@umy.ac.id
Web: http://journal.umy.ac.id/index.php/ijnp

Creative Commons License
Indonesian Journal of Nursing Practice is licensed under an Attribution 4.0 International (CC BY 4.0) license.

View My Stats