Pengaruh Thermoterapy terhadap Penurunan Tingkat Nyeri Dada Pasien Infark Miocard Acute di Ruang ICU RSUD Toto Kabila
Abstract
Chest pain in patients with acute myocardial infarction is a symptom that arises due to blockage in the coronary arteries which is a serious problem, because it will cause a decrease in cardiac output, so that the blood supply that carries oxygen and nutrients to tissues or cells also decreases. Appropriate use of analgesics or in combination is the most effective management for reducing pain intensity. However, in reality not all pain can be intervened with systemic analgesics. One of the non-pharmacological treatments to reduce chest pain is to use thermotherapy or application of heat to the body to reduce symptoms of acute pain and chronic pain. This study aims to determine the effect of thermotherapy on the pain level of patients with acute myocardial infarction in the ICU room of RSUD Toto Kabila. This study uses a Quasi Experiment One Group Pretest-Posttest Design. The sample used was 30 patients who were determined by Accidental Sampling. Data were collected using a pain level observation sheet and analyzed using the Wilcoxon Rank Test. The results showed that there was an effect of thermotherapy on decreasing the level of chest pain in patients with acute myocardial infarction, before being given thermotherapy the chest pain level with a mean value of 6.40, SD 0.516 and after being given thermotherapy chest pain level with a mean value of 2.40, SD 0.699. The statistical test results obtained the Wilcoxon rank test with a p-value of 0.004 (<α 0.05). It is recommended that thermotherapy be a non-pharmacological action, especially nursing interventions to reduce the level of chest pain in patients with acute myocardial infarction.
Keywords
Full Text:
PDFReferences
Astuti, A. and Maulani. 2018, Faktor Resiko Infark Miokard di Kota Jambi, Jurnal Endurance, 3(1).
Badran, D., Abreu, P. and Restivo, M. T. 2019, Effect of Local Heat Application on Physiological Status and Pain Intensity among Patients with Acute Coronary Syndrome, 2019 5th ExperimentInternational Conference (Exp.at’19), 476–480.
G.D., G., P.J., R. and Y., L. 2006, Infrared therapy for chronic low back pain: A randomized, controlled trial, Pain Research and Management.
Irmalita, 2015, Penyakit Kardiovaskuler. Jakarta, Badan Penerbit FKUI.
Kemenkes, R. 2019, Riskesdas 2018, Riset Kesehatan Dasar.
Kneale, J. and Davis, P. 2011, Keperawatan Ortopedik dan Trauma. 2nd edn. Jakarta: EGC.
Mohammadian, B. et al. 2017, The effects of local heat therapy in the posterior part of chest on physiologic parameters in the patients with acute coronary syndrome: A randomized double-blind placebo-controlled clinical trial, Scientific Journal of Kurdistan University of Medical Sciences.
Moradkhani, A. et al. 2018. Effects of Local Thermotherapy on Chest Pain in Patients with Acute Coronary Syndrome: A Clinical Trial, Jundishapur Journal of Chronic Disease Care. doi: 10.5812/jjcdc.69799.
Neff, D. et al. 2016, Thermotherapy reduces blood pressure and circulating endothelin-1 concentration and enhances leg blood flow in patients with symptomatic peripheral artery disease, American Journal of Physiology - Regulatory Integrative and Comparative Physiology. doi: 10.1152/ajpregu.00147.2016.
Potter, P. A. et al. 2016, Fundamentals of Nursing: Ninth Edition, The American Journal of Nursing.
Sembiring, 2018, Karakteristik Penderita Fraktur Femur Akibat Kecelakaan Lalu Lintas, RSUP Haji Adam Malik Medan.
Shin, H. J. et al. 2020, Thermotherapy plus neck stabilization exercise for chronic nonspecific neck pain in elderly: A single-blinded randomized controlled trial, International Journal of Environmental Research and Public Health. doi: 10.3390/ijerph17155572.
Sjamsuhidajat and De Jong, W. (2017) Sjamsuhidajat R, de Jong W. 4th edn. Jakarta: EGC.
WHO, 2017, Media Centre: Cardiovascular disease, World Health Organization, 1–5.
DOI: http://dx.doi.org/10.33087/jiubj.v22i2.2338
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
|
