Aplikasi Relax-Ortho untuk Menurunkan Ansietas dan Nyeri Pasien Orthopedic
Abstract
Tujuan penelitian ini adalah untuk mengetahui Aplikasi Relax-Ortho untuk menurunkan ansietas dan nyeri pasien Orthopedic. Metode penelitian ini dengan Quasy Experiment. Tools yang dipakai Critical Care Pain Observation Tool (CPOT) dan Anxiety Spesific to Surgery Question (ASSQ). Hasil penelitian ini menunjukkan nilai uji statistik Wolcoxon Signed Rank menunjukkan bahwa ada pengaruh pada kedua kelonpok karena nilai p-value 0,001 (p <0,05). Hasil uji beda dengan Mann Whitney Test menunjukkan ada beda pada kelompok kontrol dan intervensi karena nilai p-value 0,001 (p <0,05). Simpulan penelitian ini bahwa ada pengaruh aplikasi Relax-Ortho terhadap nyeri dan ansietas pada pasien Post Operative Orthopedic.
Kata Kunci: Ansietas, DBE, EFT, Nyeri, Relax-Ortho.
References
Aini L, Reskita R. (2018). Pengaruh Teknik Relaksasi Nafas Dalam terhadap Penurunan Nyeri pada Pasein Fraktur. Jurnal Kesehatan. 9(2). https://doi.org/10.26630/jk.v9i2.905
Ali, A. A. (2022). Comparison of Two Nursing Theories Orem's Theory of Self-Care Deficit & Kolcaba's Comfort Theory. i-manager’s Journal on Nursing, 12(2), 34-40. https://doi.org/10.26634/jnur.12.2.18958
Anggraini D, Safinatunnajah A. Efektivitas Terapi Spiritual Emotional Freedom Technique (Seft) terhadap Kualitas Tidur pada Pasien Post Operasi: Literature Review. J Keperawatan Komprehensif (Comprehensive Nursing Journal). 7(1).7–14. https://doi.org/10.33755/jkk.v7i1.184
Bahrololoomi, Z., Sadeghiyeh, T., Rezaei, M., & Maghsoudi, N. (2022). The Effect of Breathing Exercise Using Bubble Blower on Anxiety and Pain during Inferior Alveolar Nerve Block in Children Aged 7 to 10 Years: A Crossover Randomized Clinical Trial. Pain Research & Management, 2022, 7817267. https://doi.org/10.1155/2022/7817267
Cici, R., & Özkan, M. (2022). Effects on Anxiety and Vital Signs of the Emotional Freedom Technique and Music Before Surgery for Lumbar Disc Hernia. Alternative Therapies in Health and Medicine, 28(5), 20–27. https://pubmed.ncbi.nlm.nih.gov/34097649/
Cuenca-Martínez, F., López-Bueno, L., Suso-Martí, L., Varangot-Reille, C., Calatayud, J., Herranz-Gómez, A., Romero-Palau, M., & Casaña, J. (2022). Implementation of Online Behavior Modification Techniques in the Management of Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis. Journal of clinical medicine, 11(7), 1806. https://doi.org/10.3390/jcm11071806
Czech, O., Wrzeciono, A., Rutkowska, A., Guzik, A., Kiper, P., & Rutkowski, S. (2021). Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety-A Systematic Review and Meta-Analysis. Journal of clinical medicine, 10(15), 3248. https://doi.org/10.3390/jcm10153248
Dieckmann G, Ozmen MC, Cox SM, Engert RC, Hamrah P. Low-Dose Naltrexone is Effective and Well-Tolerated for Modulating Symptoms in Patients with Neuropathic Corneal Pain. Ocul Surf [Internet]. 2021;20 (June 2020). 33–8. Available from: https://doi.org/10.1016/j.jtos.2020.12.003
Dincer, B., & Inangil, D. (2021). The effect of Emotional Freedom Techniques on Nurses' Stress, Anxiety, and Burnout Levels During the COVID-19 Pandemic: A Randomized Controlled Trial. Explore (New York, N.Y.), 17(2), 109–114. https://doi.org/10.1016/j.explore.2020.11.012
Gholamrezaei, A., Van Diest, I., Aziz, Q., Pauwels, A., Tack, J., Vlaeyen, J. W. S., & Van Oudenhove, L. (2022). Effect of Slow, Deep Breathing on Visceral Pain Perception and its Underlying Psychophysiological Mechanisms. Neurogastroenterology and Motility, 34(4), e14242. https://doi.org/10.1111/nmo.14242
Hallab, N. J., Jacobs, J. J. (2020). Orthopedic Applications. Biomaterials science. Elsevier
Hasal, D. M., Muriyati, M., & Alfira, N. (2021). Effect Of Spiritual Emotional Freedom Technique (SEFT) On The Decrease In Anxiety Levels In Cancer Patients. Comprehensive Health Care, 5(2), 73-80. https://doi.org/10.37362/jch.v5i2.596
Hua, W., Li, J., Zhu, Z., Li, A., Huang, J., Gan, Z., Dong, S. (2023). A Review of Mixed Mode I-II Fracture Criteria and Their Applications in Brittle or Quasi-Brittle Fracture Analysis. Theoretical and Applied Fracture Mechanics. 124. 103741. https://doi.org/10.1016/j.tafmec.2022.103741
Jarrah, M. I., Hweidi, I. M., Al-Dolat, S. A., Alhawatmeh, H. N., Al-Obeisat, S. M., Hweidi, L. I., Hweidi, A. I., & Alkouri, O. A. (2022). The Effect of Slow Deep Breathing Relaxation Exercise on Pain Levels During and Post Chest Tube Removal After Coronary Artery Bypass Graft Surgery. International Journal of Nursing Sciences, 9(2), 155–161. https://doi.org/10.1016/j.ijnss.2022.03.001
Kemenkes RI. (2018). Hasil Utama Rikesda. Jakarta
Kemenkes, R. I. (2011). Kementerian Kesehatan RI. Bul. Jendela, Data dan Informaso Kesehatan Epidemiologi Malaria di Indonesia. Bhakti Husada. Jakarta
Ki, C., Heo, M., Kim, H. Y., & Kim, E. J. (2016). The Effects of Forced Breathing Exercise on the Lumbar Stabilization in Chronic Low Back Pain Patients. Journal of Physical Therapy Science, 28(12), 3380–3383. https://doi.org/10.1589/jpts.28.3380
Krinsky, R., Murillo, I., & Johnson, J. (2014). A Practical Application of Katharine Kolcaba's Comfort Theory to Cardiac Patients. Applied Nursing Research : ANR, 27(2), 147–150. https://doi.org/10.1016/j.apnr.2014.02.004
Kusmiran E, Manalu LO, Umanah D. (2014). Relaksasi Nafas Dalam dan Relaksasi Autogenic terhadap Respon Skala Nyeri pada Ibu Post Seksio Sesarea. Indonesia Nursing Journal of Education and Clinic. 1(1):40–45. http://injec.aipni-ainec.org/index.php/INJEC/article/download/50/49
Lee B. K. (2015). Effects of the Combined PNF and Deep Breathing Exercises on the ROM and the VAS Score of a Frozen Shoulder Patient: Single Case Study. Journal of Exercise Rehabilitation, 11(5), 276–281. https://doi.org/10.12965/jer.150229
Mahmoud, A. A. H., Mahmoud, B. H., Ammar, S. A. (2022). Using the Deep Breathing Technique to Decrease Pain Intensity during Wound Care for Burned Patients. African-Britis Journals. 5(2). 17–32. https://www.doi.org/10.52589/AJHNM-0QYUI2RM
Mayenti, F., Sari, Y. (2020). Efektifitas Teknik Distraksi Musik Klasik Mozart untuk Mengurangi Nyeri pada Pasien Post Operasi Fraktur. Jurnal Akademi Baiturrahim Jambi. 9(1). 98-104. http://dx.doi.org/10.36565/jab.v9i1.193
Nurlatifah, N. E. (2019). Efektivitas Antara Relaksasi Genggam Jari dengan Relaksasi Napas Dalam pada Tingkat Ansietas Pasien Pra Bedah Orthopedi di RSUD Dr. Soedarso Pontianak. Proners. 4(1). https://dx.doi.org/10.26418/jpn.v4i1.34272
Ozhanli, Y., & Akyuz, N. (2022). The Effect of Progressive Relaxation Exercise on Physiological Parameters, Pain and Anxiety Levels of Patients Undergoing Colorectal Cancer Surgery: A Randomized Controlled Study. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 37(2), 238–246. https://doi.org/10.1016/j.jopan.2021.08.008
Prasetyo, J. W. (2016). Pengaruh Pemberian Hypnoanalgesia pada Nyeri Post Operasi Fraktur di Rumah Sakit Karima Utama Surakarta. https://eprints.ums.ac.id/44867/1/naskah%20publkasi.pdf
Rokade, P. (2019). Treatment Of Panic Attack And Anxiety By Natural Endogenous Hormones. PIJR: Paripex-Indian Journal of Research. 8(9). https://www.worldwidejournals.com/paripex/
Safaat, N. (2014). Rancang Bangun Aplikasi Pembelajaran Berbasis Teknologi Augmented Reality Pada Smartphone Android (Studi Kasus: Materi Sistem Tata Surya Kelas IX). SiTekIn: Jurnal Sains, Teknologi dan Industri. 12(1). 41–47. http://dx.doi.org/10.24014/sitekin.v12i1.772
Sasongko, H., Sukartini, T., Wahyuni, E. D., Putra, M. M. (2019). The Effects of Combination of Range Motion and Deep Breathing Exercise on Pain in Post-Orthopedic Surgery Patients. Indonesian Journal of Medicine 4(1). 46-53. http://dx.doi.org/10.26911/theijmed.2019.04.01.08
Septiani, L. (2015). Analisis Faktor-Faktor yang Mempengaruhi Nyeri pada Klien Fraktur di RS PKU Muhammadiyah Yogyakarta. Publikasi. 1–15.
Silvers J. A. (2022). Adolescence as a Pivotal Period for Emotion Regulation Development. Current Opinion in Psychology, 44, 258–263. https://doi.org/10.1016/j.copsyc.2021.09.023
Smith, J. S., Schleining, J., & Plummer, P. (2021). Pain Management in Small Ruminants and Camelids: Applications and Strategies. The Veterinary clinics of North America. Food animal practice, 37(1), 17–31. https://doi.org/10.1016/j.cvfa.2020.12.005
Spielmans, G. I., & Rosen, G. M. (2022). Corrigendum Compounds Errors and Again Fails to Support the Specificity of Acupoint Tapping. The Journal of nervous and mental disease, 210(2), 139–142. https://doi.org/10.1097/NMD.0000000000001376
Stuart, B. H. (2007). Analytical Techniques In Materials Conservation. First Published.
Tri, A., & Niken, S. (2019, July 15). Teknik Relaksasi Nafas Dalam untuk Menurunkan Skala Nyeri pada Pasien Post Operasi Sectio Caesarea. Jurnal Manajemen Asuhan Keperawatan, 3(2), 19-25. https://doi.org/https://doi.org/10.33655/mak.v3i2.70
Tüfekçi, H., Akansel, N., & Sivrikaya, S. K. (2022). Pain Interference with Daily Living Activities and Dependency Level of Patients Undergoing CABG Surgery. Pain management nursing : official journal of the American Society of Pain Management Nurses, 23(2), 180–187. https://doi.org/10.1016/j.pmn.2021.03.002
Utomo, Y. R. (2020). Model Prediksi Peluang Kecelakaan yang Melibatkan Kendaraan Angkutan Barang pada Jalan Nasional Ngawi-Sidoarjo. Magister Thesis. Universitas Brawijaya; http://repository.ub.ac.id/id/eprint/178272/
Yau, K. K., & Loke, A. Y. (2021). Effects of Diaphragmatic Deep Breathing Exercises on Prehypertensive or Hypertensive Adults: A Literature Review. Complementary Therapies in Clinical Practice, 43, 101315. https://doi.org/10.1016/j.ctcp.2021.101315
Yusmaidi, H., Sitinjak, Z., Nurmalasari, Y. (2016). Faktor Faktor yang Mempengaruhi Tingkat Ansietas pada Pasien Pra Operasi di Bangsal Bedah RS Pertamina Bintang Amin Tahun 2015. JMM: Jurnal MEdika Malahayati. 3(3). https://doi.org/10.33024/jmm.v3i3.2027
Ali, A. A. (2022). Comparison of Two Nursing Theories Orem's Theory of Self-Care Deficit & Kolcaba's Comfort Theory. i-manager’s Journal on Nursing, 12(2), 34-40. https://doi.org/10.26634/jnur.12.2.18958
Anggraini D, Safinatunnajah A. Efektivitas Terapi Spiritual Emotional Freedom Technique (Seft) terhadap Kualitas Tidur pada Pasien Post Operasi: Literature Review. J Keperawatan Komprehensif (Comprehensive Nursing Journal). 7(1).7–14. https://doi.org/10.33755/jkk.v7i1.184
Bahrololoomi, Z., Sadeghiyeh, T., Rezaei, M., & Maghsoudi, N. (2022). The Effect of Breathing Exercise Using Bubble Blower on Anxiety and Pain during Inferior Alveolar Nerve Block in Children Aged 7 to 10 Years: A Crossover Randomized Clinical Trial. Pain Research & Management, 2022, 7817267. https://doi.org/10.1155/2022/7817267
Cici, R., & Özkan, M. (2022). Effects on Anxiety and Vital Signs of the Emotional Freedom Technique and Music Before Surgery for Lumbar Disc Hernia. Alternative Therapies in Health and Medicine, 28(5), 20–27. https://pubmed.ncbi.nlm.nih.gov/34097649/
Cuenca-Martínez, F., López-Bueno, L., Suso-Martí, L., Varangot-Reille, C., Calatayud, J., Herranz-Gómez, A., Romero-Palau, M., & Casaña, J. (2022). Implementation of Online Behavior Modification Techniques in the Management of Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis. Journal of clinical medicine, 11(7), 1806. https://doi.org/10.3390/jcm11071806
Czech, O., Wrzeciono, A., Rutkowska, A., Guzik, A., Kiper, P., & Rutkowski, S. (2021). Virtual Reality Interventions for Needle-Related Procedural Pain, Fear and Anxiety-A Systematic Review and Meta-Analysis. Journal of clinical medicine, 10(15), 3248. https://doi.org/10.3390/jcm10153248
Dieckmann G, Ozmen MC, Cox SM, Engert RC, Hamrah P. Low-Dose Naltrexone is Effective and Well-Tolerated for Modulating Symptoms in Patients with Neuropathic Corneal Pain. Ocul Surf [Internet]. 2021;20 (June 2020). 33–8. Available from: https://doi.org/10.1016/j.jtos.2020.12.003
Dincer, B., & Inangil, D. (2021). The effect of Emotional Freedom Techniques on Nurses' Stress, Anxiety, and Burnout Levels During the COVID-19 Pandemic: A Randomized Controlled Trial. Explore (New York, N.Y.), 17(2), 109–114. https://doi.org/10.1016/j.explore.2020.11.012
Gholamrezaei, A., Van Diest, I., Aziz, Q., Pauwels, A., Tack, J., Vlaeyen, J. W. S., & Van Oudenhove, L. (2022). Effect of Slow, Deep Breathing on Visceral Pain Perception and its Underlying Psychophysiological Mechanisms. Neurogastroenterology and Motility, 34(4), e14242. https://doi.org/10.1111/nmo.14242
Hallab, N. J., Jacobs, J. J. (2020). Orthopedic Applications. Biomaterials science. Elsevier
Hasal, D. M., Muriyati, M., & Alfira, N. (2021). Effect Of Spiritual Emotional Freedom Technique (SEFT) On The Decrease In Anxiety Levels In Cancer Patients. Comprehensive Health Care, 5(2), 73-80. https://doi.org/10.37362/jch.v5i2.596
Hua, W., Li, J., Zhu, Z., Li, A., Huang, J., Gan, Z., Dong, S. (2023). A Review of Mixed Mode I-II Fracture Criteria and Their Applications in Brittle or Quasi-Brittle Fracture Analysis. Theoretical and Applied Fracture Mechanics. 124. 103741. https://doi.org/10.1016/j.tafmec.2022.103741
Jarrah, M. I., Hweidi, I. M., Al-Dolat, S. A., Alhawatmeh, H. N., Al-Obeisat, S. M., Hweidi, L. I., Hweidi, A. I., & Alkouri, O. A. (2022). The Effect of Slow Deep Breathing Relaxation Exercise on Pain Levels During and Post Chest Tube Removal After Coronary Artery Bypass Graft Surgery. International Journal of Nursing Sciences, 9(2), 155–161. https://doi.org/10.1016/j.ijnss.2022.03.001
Kemenkes RI. (2018). Hasil Utama Rikesda. Jakarta
Kemenkes, R. I. (2011). Kementerian Kesehatan RI. Bul. Jendela, Data dan Informaso Kesehatan Epidemiologi Malaria di Indonesia. Bhakti Husada. Jakarta
Ki, C., Heo, M., Kim, H. Y., & Kim, E. J. (2016). The Effects of Forced Breathing Exercise on the Lumbar Stabilization in Chronic Low Back Pain Patients. Journal of Physical Therapy Science, 28(12), 3380–3383. https://doi.org/10.1589/jpts.28.3380
Krinsky, R., Murillo, I., & Johnson, J. (2014). A Practical Application of Katharine Kolcaba's Comfort Theory to Cardiac Patients. Applied Nursing Research : ANR, 27(2), 147–150. https://doi.org/10.1016/j.apnr.2014.02.004
Kusmiran E, Manalu LO, Umanah D. (2014). Relaksasi Nafas Dalam dan Relaksasi Autogenic terhadap Respon Skala Nyeri pada Ibu Post Seksio Sesarea. Indonesia Nursing Journal of Education and Clinic. 1(1):40–45. http://injec.aipni-ainec.org/index.php/INJEC/article/download/50/49
Lee B. K. (2015). Effects of the Combined PNF and Deep Breathing Exercises on the ROM and the VAS Score of a Frozen Shoulder Patient: Single Case Study. Journal of Exercise Rehabilitation, 11(5), 276–281. https://doi.org/10.12965/jer.150229
Mahmoud, A. A. H., Mahmoud, B. H., Ammar, S. A. (2022). Using the Deep Breathing Technique to Decrease Pain Intensity during Wound Care for Burned Patients. African-Britis Journals. 5(2). 17–32. https://www.doi.org/10.52589/AJHNM-0QYUI2RM
Mayenti, F., Sari, Y. (2020). Efektifitas Teknik Distraksi Musik Klasik Mozart untuk Mengurangi Nyeri pada Pasien Post Operasi Fraktur. Jurnal Akademi Baiturrahim Jambi. 9(1). 98-104. http://dx.doi.org/10.36565/jab.v9i1.193
Nurlatifah, N. E. (2019). Efektivitas Antara Relaksasi Genggam Jari dengan Relaksasi Napas Dalam pada Tingkat Ansietas Pasien Pra Bedah Orthopedi di RSUD Dr. Soedarso Pontianak. Proners. 4(1). https://dx.doi.org/10.26418/jpn.v4i1.34272
Ozhanli, Y., & Akyuz, N. (2022). The Effect of Progressive Relaxation Exercise on Physiological Parameters, Pain and Anxiety Levels of Patients Undergoing Colorectal Cancer Surgery: A Randomized Controlled Study. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 37(2), 238–246. https://doi.org/10.1016/j.jopan.2021.08.008
Prasetyo, J. W. (2016). Pengaruh Pemberian Hypnoanalgesia pada Nyeri Post Operasi Fraktur di Rumah Sakit Karima Utama Surakarta. https://eprints.ums.ac.id/44867/1/naskah%20publkasi.pdf
Rokade, P. (2019). Treatment Of Panic Attack And Anxiety By Natural Endogenous Hormones. PIJR: Paripex-Indian Journal of Research. 8(9). https://www.worldwidejournals.com/paripex/
Safaat, N. (2014). Rancang Bangun Aplikasi Pembelajaran Berbasis Teknologi Augmented Reality Pada Smartphone Android (Studi Kasus: Materi Sistem Tata Surya Kelas IX). SiTekIn: Jurnal Sains, Teknologi dan Industri. 12(1). 41–47. http://dx.doi.org/10.24014/sitekin.v12i1.772
Sasongko, H., Sukartini, T., Wahyuni, E. D., Putra, M. M. (2019). The Effects of Combination of Range Motion and Deep Breathing Exercise on Pain in Post-Orthopedic Surgery Patients. Indonesian Journal of Medicine 4(1). 46-53. http://dx.doi.org/10.26911/theijmed.2019.04.01.08
Septiani, L. (2015). Analisis Faktor-Faktor yang Mempengaruhi Nyeri pada Klien Fraktur di RS PKU Muhammadiyah Yogyakarta. Publikasi. 1–15.
Silvers J. A. (2022). Adolescence as a Pivotal Period for Emotion Regulation Development. Current Opinion in Psychology, 44, 258–263. https://doi.org/10.1016/j.copsyc.2021.09.023
Smith, J. S., Schleining, J., & Plummer, P. (2021). Pain Management in Small Ruminants and Camelids: Applications and Strategies. The Veterinary clinics of North America. Food animal practice, 37(1), 17–31. https://doi.org/10.1016/j.cvfa.2020.12.005
Spielmans, G. I., & Rosen, G. M. (2022). Corrigendum Compounds Errors and Again Fails to Support the Specificity of Acupoint Tapping. The Journal of nervous and mental disease, 210(2), 139–142. https://doi.org/10.1097/NMD.0000000000001376
Stuart, B. H. (2007). Analytical Techniques In Materials Conservation. First Published.
Tri, A., & Niken, S. (2019, July 15). Teknik Relaksasi Nafas Dalam untuk Menurunkan Skala Nyeri pada Pasien Post Operasi Sectio Caesarea. Jurnal Manajemen Asuhan Keperawatan, 3(2), 19-25. https://doi.org/https://doi.org/10.33655/mak.v3i2.70
Tüfekçi, H., Akansel, N., & Sivrikaya, S. K. (2022). Pain Interference with Daily Living Activities and Dependency Level of Patients Undergoing CABG Surgery. Pain management nursing : official journal of the American Society of Pain Management Nurses, 23(2), 180–187. https://doi.org/10.1016/j.pmn.2021.03.002
Utomo, Y. R. (2020). Model Prediksi Peluang Kecelakaan yang Melibatkan Kendaraan Angkutan Barang pada Jalan Nasional Ngawi-Sidoarjo. Magister Thesis. Universitas Brawijaya; http://repository.ub.ac.id/id/eprint/178272/
Yau, K. K., & Loke, A. Y. (2021). Effects of Diaphragmatic Deep Breathing Exercises on Prehypertensive or Hypertensive Adults: A Literature Review. Complementary Therapies in Clinical Practice, 43, 101315. https://doi.org/10.1016/j.ctcp.2021.101315
Yusmaidi, H., Sitinjak, Z., Nurmalasari, Y. (2016). Faktor Faktor yang Mempengaruhi Tingkat Ansietas pada Pasien Pra Operasi di Bangsal Bedah RS Pertamina Bintang Amin Tahun 2015. JMM: Jurnal MEdika Malahayati. 3(3). https://doi.org/10.33024/jmm.v3i3.2027
Published
2024-07-31
Section
Articles
Copyright (c) 2024 Lailaturohmah Kurniawati, Iyyana Al Fiatur Rofiiqoh, Khusnun Adma Hamidah
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
