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PENGARUH KOMBINASI FOOT HAND MASSAGE DAN GUIDED IMAGERY TERHADAP INTENSITAS NYERI PASIEN AMI DI RUANG ICCU
Abstrak (Bhs. Indonesia)
ABSTRAK Latar Belakang: Nyeri dada merupakan masalah utama pasien Akut Miokard Infark (AMI). Kombinasi Foot Hand Massage (FHM) dan Guided Imagery (GI) merupakan tindakan mandiri keperawatan yang mengombinasikan FHM dan GI. Metode ini membantu proses tranduksi dan persepsi dalam menghambat impuls nyeri untuk menurunkan nyeri pasien Akut Miokard Infark (AMI). Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh kombinasi FHM dan GI terhadap intensitas nyeri pasien AMI. Metode: Penelitian ini merupakan penelitian Quasi Eksperimen dengan pendekatan nonequivalent control grup before-after design. Sample penelitian adalah pasien AMI di ruang ICCU RSUD Prof. Dr. Margono Soekarjo Purwokerto berjumlah 30 responden (15 responden kelompok eksperimen dan 15 responden kelompok kontrol). Teknik pengambilan sample menggunakan teknik consecutif sampling dengan cara observasi dan wawancara. Analisis data yang digunakan adalah uji nonparametrik Wilcoxon dan Mann-Whitney. Hasil: Hasil analisis dengan uji Wilcoxon diperoleh nilai p value sebesar 0,000, berarti ada pengaruh kombinasi FHM dan GI dalam menurunkan intensitas nyeri pasien AMI. Hasil uji Mann-Whitney diperoleh nilai p value sebesar 0,622, berarti tidak ada perbedaan dalam menurunkan intensitas nyeri pasien AMI di ruang ICCU sesudah perlakuan pada kedua kelompok. Kesimpulan: Ada pengaruh kombinasi FHM dan GI dalam menurunkan intensitas nyeri pasien AMI tetapi tidak ada perbedaan penurunan nyeri yang bermakna antara kombinasi FHM dan GI dengan FHM. Kata kunci : Foot Hand Massage, Guided Imagery, Nyeri, Akut Miokard Infark (AMI).
Abtrak (Bhs. Inggris)
ABSTRACT Background: Chest pain is one of the main problems that often arise in patients with Acute Myocardial Infarction (AMI). Combination Hand Foot Massage and Guided Imagery are independent nursing actions that combine Hand Foot Massages with Guided Imagery. This method helps transduction and perception process in inhibiting the impulse pains to reduce the pain of Acute Myocardial Infarction (AMI) patients. Objective: This study is aimed to determine the effect of the combination of FHM and GI to the pain intensity of AMI patients. Methods: This study was a Quasi Experiment with nonequivalent control group approached before-after design. Sample of this study were patients of Acute Myocardial Infarction (AMI) treated in ICCU Prof. Dr. Margono Soekarjo Purwokerto hospital, they were 30 respondents (15 respondents in experimental group and 15 respondents in control group). The sampling technique used was consecutive sampling technique, with observation and interview as the data collection techniques. The data analysis techniques used were nonparametric Wilcoxon test and Mann-Whitney. Results: The results of the analysis obtained by Wilcoxon p value got 0.000, meaning there was an effect of combining the FHM and GI to AMI patients in reducing the pain intensity. Mann-Whitney test results obtained the p value was 0.622, meaning there was no difference in reducing the pain intensity of AMI patients in the ICCU room after giving the treatment in both groups. Conclusion: There was an effect of combining the FHM and GI to AMI patients in reducing the pain intensity but there is no significant difference in pain reduction between the combination of GI and FHM to FHM. Keywords: Foot Hand Massage, Guided Imagery, Pain, Acute Myocardial Infarction (AMI).
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