EFEKTIFITAS PENGGUNAAN AUDIO RECORDER GUIDED IMAGERY MUSIC TERHADAP NYERI PADA PASIEN PASCA BEDAH LAPARATOMI DI RUANG ICU RS BLUD PROF. DR. Dr. H. ALOE SABOE KOTA GORONTALO

Abstract

Latar belakang : Dampak dari dilakukannya prosedur pembedahan adalah menimbulkan dampak secara fisiologis dan psikologis. Dampak psikologis dimaksud adalah perasaan sakit atau nyeri dan cemas. Sedangkan fisiologis dimaksud adalah perubahan tanda-tanda vital: tekanan darah, nadi dan respirasi. Sebagai intervensi penatalaksanaan nyeri non-farmakologi bertujuan untuk meminimalisir nyeri dan tanda-tanda vital yang tidak stabil adalah dengan cara pemberian intervensi guided imagery music dengan menggunakan audio recorder pada pasien pasca bedah laparatomy. Tujuan Penelitian : Mengetahui efektifitas guided imagery music terhadap nyeri pada pasien pasca bedah laparatomy. Metode penelitian : quasi experimen dengan desain “group pre and post test design with control group”. Dalam penelitian ini terdapat dua kelompok yaitu kelompok intervensi adalah kelompok yang mendapatkan perlakuan guided imagery music dan control adalah kelompok yang mendapatkan perlakuan standar. Hasil penelitian : Terdapat perbedaan yang signifikan tingkat nyeri sebelum dan sesudah intervensi guided imagery music, hasil uji statistic nyeri menunjukan nilai p = 0,000 < 0,05 sehingga Ho ditolak. Dan hasil uji statistic (tanda-tanda vital) respirasi menunjukan nilai p = 0,000 < 0,05 sehingga Ho ditolak, nadi menunjukan nilai p = 0,000 < 0,05 sehingga Ho ditolak. Dan mean arteri pressure (MAP) p = 0,000 < 0,05 sehingga Ho ditolak. Kesimpulan : Audio recorder guided imagery music dapat dijadikan intervensi nyeri non farmakologi khususnya pada pasien pasca bedah. Kata kunci : Audio recorder, guided imagery music, tingkat nyeri, pasca bedah Background: There are two impacts of post-surgery procedure to patients namely, physiological and psychological impact. The psychological impacts can be identified by emerge of the pain and anxiety.Meanwhile, the physiological impacts are characterized by vital change on blood pressure, vein, and respiratory. The intervention of non-pharmacology pain management aims to minimize the pain and unstable vital changes by giving guided imagery music. This is done by using audio recorder to the patients of laparotomy post-surgery. Objectives: This research aims to figure out the effectiveness of guided imagery music to the pain of laparotomy post-surgery patients. Research Method: The method applied to this research is quasi experiment designed with group pre and post-test design with control group. There are two groups of experiment, namely intervention and control group. The intervention group consists of patient having been treated by guided imager music and the control group are those having treated by standard treatment. Result: There is a significant difference on score of pre and post-guided imagery music treatment. The statistic test on pain shows p= 0,000< 0,05 meaning Ho is refused. The result of statistic test on vital changes shows that the respiratory score is p= 0,000<0,05meaning Ho is refused; the vain shows 0,000<0,05 meaning Ho is refused;and the mean of artery pressure (MAP) is 0,000<0,05 meaning Ho is refused. Conclusion: The Audio Imager Music can be used to intervene to the pain of nonpharmacology, especially pot-surgery patients Key words: Audio recorder, guided imagery music, pain level, and post-surgery