Gambaran Skor Nyeri Anak Saat Pemasangan Infus Dengan Intervensi Guided Imagery dan Ethyl Chloride

Nopi Nur Khasanah, Indra Tri Astuti

Abstract


Abstrak

Pemasangan infus merupakan tindakan invasif awal yang seringkali dilakukan di Instalansi Gawat Darurat (IGD) untuk memenuhi kebutuhan cairan dan elektrolit. Perawat perlu menggunakan metode yang tepat untuk mengurangi nyeri hebat pada anak saat pemasangan infus. Tujuan penelitian ini untuk menganalisis perbedaan skor nyeri anak saat pemasangan infus dengan intervensi guided imagery dan ethyl chloride. Penelitian ini menggunakan rancangan pre-eksperimental post-test design  dengan 30 anak sebagai responden yang diambil melalui consecutive sampling. Data dikumpulkan dengan Wong-Baker face pain rating scale dan dianalisis secara statistik dengan uji post hoc Mann-whitney. Hasil menunjukkan nilai ρ sebesar 0,530 (ρ>0,05) artinya tidak terdapat perbedaan yang bermakna antara kedua intervensi. Guided imagery dapat dijadikan alternatif penatalaksanaan nyeri pada anak saat pemasangan infus di IGD.

 

Kata kunci: Ethyl chloride, Guided imagery, Nyeri pada anak, Pemasangan infus

 

Abstract

Intravenous catheter insertion procedure is the first invasive treatment in Emergency Room (ER) to fullfil the need of fluid and electrolyte. Nurses need to used the right method to decrease pain in children underwent IV insertion procedure. The aim of this study was to analyze the differences of children pain score when  they had IV insertion with guided imagery and ethyl chloride intervention. This study used pre-experimental post-test treatment with 30 children as a participant by consecutive sampling technique  The data was collected using Wong-Baker face pain rating scale and analyzed by post hoc Mann-Whitney test. The result showed that ρ value was  0,530 (ρ>0,05), in which can be concluded that there was  no significant differences on two intervention. Guided imagery could be used as an alternative pain management on children when they had IV insertion procedure  at ER.

 

Keywords: ethyl chloride, guided imagery, pain in children, procedure of infusion.

Keywords


ethyl chloride; guided imagery; pain in children; infusion procedure

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References


Andarmoyo, S. (2013). Konsep dan proses keperawatan nyeri. Jogjakarta: Arruz Media.

Apóstolo, J. L. A., & Kolcaba, K. (2009). The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders. Archives of Psychiatric Nursing, 23(6), 403–411. http://doi.org/10.1016/j.apnu.2008.12.003

Broome, M. E., Lillis, P. P., McGahee, T. W., & Bates, T. (1994). The use of distraction and imagery with children during painful procedures. European Journal of Cancer Care, 3(1), 26–30.

Creswell, J. W. (2010). Research design: Pendekatan kualitatif, kuantitatif, dan mixed. Jogjakarta: Pustaka Pelajar.

Dahlan, M. S. (2009). Besar sampel dan cara pengambilan sampel dalam penelitian kedokteran dan kesehatan. Jakarta: Salemba Medika.

Faridah, H. (2015). Perkembangan Kognitif: Teori Jean Piaget. Jurnal Intelektualita, 3(1), 27–38. http://doi.org/10.3109/02841851.2010.495350

Forsner, M., Norstrom, F., Nordyke, K., Ivarsson, A., & Lindh, V. (2013). Relaxation and guided imagery used with 12-year-olds during venipuncture in a school-based screening study. Journal of Child Health Care, 18(3), 241–252.

Hockenberry, M. J., & Wilson, D. (2009). Wong’s essentials of pediatric nursing (8th ed.). St. Louis Missouri: Mosby Elsvier.

Ismanto, A. Y. (2011). Studi komparatif pemberian ASI dan topikal anestesi terhadap respon nyeri imunisasi pada bayi di Puskesmas Bahu Manado. Universitas Indonesia. Retrieved from http://lontar.ui.ac.id/opac/themes/libri2/detail.jsp?id=20280168&lokasi=lokal

Kozier, & Erb’s. (2012). Fundamentals of nursing. America: Person PLC.

Mariyam, & Widodo, S. (2012). Pengaruh guided imagery terhadap tingkat nyeri pada anak usia 7-13 tahun saat dilakukan pemasangan infus di RSUD Kota Semarang. In Seminar Hasil-Hasil Penelitian (p. 978 (6), 6). Semarang: LPPM UNIMUS.

Mariyam, & Widodo, S. (2012). Pengaruh guided imagery terhadap tingkat nyeri pada anak usia 7-13 tahun saat dilakukan pemasangan infus di RSUD Kota Semarang. In Seminar Hasil-Hasil Penelitian (p. 978 (6), 6). Semarang: LPPM UNIMUS.

Novianti, Novayelinda, R., & Utomo, W. (2012). Pengaruh pemberian eutetic mixture of local anestetic terhadap penurunan nyeri pada anak prasekolah yang dilakukan pengambilan darah vena. Universitas Riau. Retrieved from http://repository.unri.ac.id/bitstream/123456789/1889/1/MANUSCRIPT.pdf.

Othman, A., Buang, M. J., Taib, M. N. A., Mohamad, N., & Nasir, A. (2013). Guided imagery and relaxation audio for children with cancer: Development and evaluation. Open Journal of Medical Psychology, 02(03), 101–106. http://doi.org/10.4236/ojmp.2013.23016

Potter, A. P., & Perry, G. P. (2006). Buku Ajar Fundamental keperawatan. Jakarta: EGC.

Siregar, I. A. (2007). Perbandingan efektifitas anestesi oles dengan anestesi semprot dalam menurunkan intensitas nyeri pada pungsi arteri. Universitas Sumatera Utara. Retrieved from http://repository.usu.ac.id/bitstream/123456789/6263/1/Ira Aliza1.pdf

van der Veek, S. M. C., Derkx, B. H. F., Benninga, M. A., Boer, F., & de Haan, E. (2013). Cognitive behavior therapy for pediatric functional abdominal pain: A randomized controlled trial. Pediatrics, 132(5), e1163–e1172. http://doi.org/10.1542/peds.2013-0242




DOI: https://doi.org/10.18196/ijnp.2172

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