Intervensi Kombinasi Deep Breathing Exercise dan Murottal terhadap Perubahan Nyeri dan Tanda-Tanda Vital Pasien Pasca Bedah Jantung Terbuka
Abstract
This study aims to analyze the effect of a combination of deep breathing exercises and murottal on changes in pain and vital signs in patients after open heart surgery in intensive care. This research method uses a quasi-experimental design pre-post test. The results showed that the difference test between the treatment and control groups, there was a significant difference. value= 0.001, SpO2 with p value=0.000 and MAP with p value=0.000. The statistical tests used are the Independent t-test, Paired t-test, and Manova, with a significance level of α= 0.05. In conclusion, combining deep breathing exercises and murottal is a relaxation technique that can affect changes in pain and vital signs (pulse, RR, SpOâ and MAP) in patients after open heart surgery.
Keywords: Deep Breathing, Post-Cardiac Surgery, Vital Signs, Pain Level
References
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Purwanto, A., Jati, S. P. & Suhartono, S. (2022). Utilization Review Pasien Bedah Jantung 2 katup dan ASD di RSUP Dr. Kariadi. Jurnal Ilmu Kesehatan Masyarakat, 11(03), 245–252. https://doi.org/10.33221/jikm.v11i03.1514.
Sakti, Rizki P. & Maria, R. (2022). Breathing Exercise untuk Meningkatkan Fungsi Respirasi pada Pasca Pembedahan Abdomen. Jurnal Keperawatan Silampari, 6(1), 2597–7482. https://doi.org/10.31539/jks.v6i1.3807.
Sari, R. Y. Rahmawati, R., Faizah, I., & Putri, R. A. (2023). Pengaruh Murrotal Al-Qur’an terhadap Nyeri dan Status Hemodinamika pada Pasien Penyakit Jantung Koroner’. Jurnal Keperawatan, 15(2), 481–490. https://doi.org/10.32583/keperawatan.v15i2.937.
Shahiri T., S. & Gélinas, C. (2023). The Validity of Vital Signs for Pain Assessment in Critically Ill Adults: A Narrative Review. Pain Management Nursing, 24(3), 318–328. https://doi.org/10.1016/j.pmn.2023.01.004.
Widiyawati, F. R. Alfiyanti, D., Pohan, V. Y., & Mariyam. (2022). Penerapan Isometric Handgrip Exercise dan Slow Deep breathing exercise terhadap Penurunan Tekanan Darah pada Klien Hipertensi, Prosiding Seminar Nasional UNIMUS, 5, 976–989. https://prosiding.unimus.ac.id/index.php/semnas/article/view/1266.
Astriani, N. M. D. Y., Dewi, P. I. S. & Yanti, K. H. (2020). Relaksasi Pernafasan dengan Teknik Ballon Blowing terhadap Peningkatan Saturasi Oksigen pada Pasien PPOK. Jurnal Keperawatan Silampari, 3(2), 426–435. https:// doi.org/10.31539/jks.v3i2.1049.
Astuti, E. and Syafriati, A. (2023). Pengaruh Stimulus Murottal Qur’an Kombinasi Slow Deep Breathing terhadap Penurun Ansietas. Jurnal Ilmiah Multi Science Kesehatan, 15(1), 1-14. https://doi.org/10.36729/bi.v15i1.1058
Azizah, C. O. Hasanah, U., & Pakarti, A. T. (2021). Penerapan Teknik Relaksasi Otot Progresif terhadap Tekanan Darah Pasien Hipertensi. Jurnal Cendikia Muda, 1(4), 502–511. ttps://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/244
Cahyani, T. D. Nursalam, N., Sudarmaji, W. P., & Priyantini, D. (2022). Teknik Relaksasi Napas dalam Kombinasi Guided Imagery Berbasis Teori Comfort terhadap Intensitas Nyeri Pasca Bedah Sectio Caesarea. Journal of Telenursing (JOTING), 4(2), 932–940. https:// doi.org/10.31539/joting.v4i2.4810.
Herdiana, Y., & Djamil, M. (2021). The Effectiveness of Recitation Al-Qur’an Intervention and Deep Breathing Exercise on Improving Vital Sign and Anxiety Level Among Congestive Heart Failure (CHF) Patients. International Journal of Nursing and Health Services (IJNHS), 4(1), 9-16. https://doi.org/10.35654/ijnhs.v4i1.369
Jarrah, M. I., Hweidi, I. M., Al-Dolat, S. A., Alhawatmeh, H. N., Al-Obeisat, S. M., Hweidi, L. 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.
Karseno, I., & Sudjud, R. (2021). Komplikasi Multi Organ pada Pasien yang Menjalani Operasi Double Valve Replacement. JAI (Jurnal Anestesiologi Indonesia), 13(2), 125-133. https:// doi.org/10.14710/jai.v13i2.31578.
Lestari, D., Handiyani, H., Nuraini, T., & Gayatri, D. (2023). Pengaruh Terapi Musik dan Terapi Murotal pada Pasien Ansietas di Ruang Perawatan Intensif: Case Report. Journal of Health and Cardiovascular Nursing, 3, 28-41. https://doi.org/10.36082/jhcn.v3i1.1015.
Maharani, S., & Melinda, E. (2021). Implementasi Terapi Murrotal dan Relaksasi Napas Dalam untuk mengatasi Masalah Nyeri Akut. Jurnal Ilmu Kedokteran dan Kesehatan, 8(3), 255-262. https://doi.org/10.33024/jikk.v8i3.4293.
Mailani, R., Nazhira, F., & Sirada, A. (2022). Penanganan fisioterapi pada Kasus Post Operasi Coronary Artery Bypass Graft: Studi Kasus. Indonesian Journal of Physiotherapy, 2(1), 106-109. https://doi.org/10.52019/ijpt.v2i1.4059.
Megasari, M., Ningrum, D. & Dolifah, D. (2023). Pengaruh Intervensi Relaksasi Napas Dalam dan Murottal Al-Qur’an Irama Nahawand terhadap Penurunan Tekanan Darah pada Lansia Hipertensi. Jurnal Ners, 7(1), 632–638. https://doi.org/ 10.31004/jn.v7i1.13991.
Mulianda, D. & Umah, E. L. (2021). Penerapan Prosedur Terapi Relaksasi Benson dan Murottal Al-Qur’an Surah Ar-Rahman Ayat 1-78 terhadap Tekanan Darah pada Pasien Hipertensi Primer Di RSUD Ungaran. Jurnal Ilmu Kedokteran dan Kesehatan Indonesia, 1(3), 12–27. https://doi.org/10.55606/jikki.v1i3.78.
Mustofa, S., Sriyono, S. & Veterini, A. S. (2023). Kontrol Edukasi Video Visual Smartphone Berbasis Selfcare. Journal of Telenursing (JOTING), 5(2684–8988), 190–200. https://doi.org/10.31539/joting.v5i1.4887
Pfeifer, E. & Virmakoski, S.-M. (2020). Postoperative Pain Among Patients Under-going Open-heart Surgery. Helsinki Metropolia University of Applied Sciences. https://urn.fi/URN:NBN:fi:amk-2020100821140
Purwanto, A., Jati, S. P. & Suhartono, S. (2022). Utilization Review Pasien Bedah Jantung 2 katup dan ASD di RSUP Dr. Kariadi. Jurnal Ilmu Kesehatan Masyarakat, 11(03), 245–252. https://doi.org/10.33221/jikm.v11i03.1514.
Sakti, Rizki P. & Maria, R. (2022). Breathing Exercise untuk Meningkatkan Fungsi Respirasi pada Pasca Pembedahan Abdomen. Jurnal Keperawatan Silampari, 6(1), 2597–7482. https://doi.org/10.31539/jks.v6i1.3807.
Sari, R. Y. Rahmawati, R., Faizah, I., & Putri, R. A. (2023). Pengaruh Murrotal Al-Qur’an terhadap Nyeri dan Status Hemodinamika pada Pasien Penyakit Jantung Koroner’. Jurnal Keperawatan, 15(2), 481–490. https://doi.org/10.32583/keperawatan.v15i2.937.
Shahiri T., S. & Gélinas, C. (2023). The Validity of Vital Signs for Pain Assessment in Critically Ill Adults: A Narrative Review. Pain Management Nursing, 24(3), 318–328. https://doi.org/10.1016/j.pmn.2023.01.004.
Widiyawati, F. R. Alfiyanti, D., Pohan, V. Y., & Mariyam. (2022). Penerapan Isometric Handgrip Exercise dan Slow Deep breathing exercise terhadap Penurunan Tekanan Darah pada Klien Hipertensi, Prosiding Seminar Nasional UNIMUS, 5, 976–989. https://prosiding.unimus.ac.id/index.php/semnas/article/view/1266.
