Panduan Penulisan
Efektivitas Terapi Musik dan Masase Terhadap Penurunan Kesadaran Serta Klinis Pasien dengan Ventilasi Mekanik
Sari
ABSTRACT
Decreased consciousness is a disorder that affects a person's ability to interact with the outside world. Decreased consciousness can risk worsening the patient's clinical condition, during the patient's treatment period there is a risk of instability in the patient's vital signs, thereby reducing the patient's level of consciousness. Apart from that, anxiety resulting from entering the ICU can worsen the condition of the patient's heart, breathing, and changes in body temperature. Deterioration of vital signs affects body systems including cardiovascular and respiratory. So stimulation is carried out to improve the patient's awareness and clinical condition. This implementation aims to determine the effectiveness of music and massage therapy on decreased consciousness and clinical signs in critically ill patients on mechanical ventilation. The method used is identification using the PICO formula in the ICU room at RSUP dr. Soeradji Tirtonegoro. Implementation for 3 respondents for 3 days. The results of research on the application of music and massage therapy showed clinical improvements and increased awareness. So it can be concluded that providing music and massage therapy for decreased consciousness and clinical signs has proven to be effective.
Keywords: Music Therapy, Massage Therapy, Decreased Consciousness, ICU
ABSTRAK
Penurunan kesadaran merupakan gangguan yang mempengaruhi seseorang untuk berinteraksi dengan dunia luar. Penurunan kesadaran dapat berisiko memburuknya kondisi klinis pasien, dalam masa perawatan pasien memiliki risiko terjadinya ketidakstabilan tanda-tanda vital pasien sehingga menurunkan tingkat kesadaran pasien. Selain itu kecemasan akibat masuk ke ICU dapat memperburuk kondisi jantung, pernafasan dan perubahan suhu tubuh pasien. Perburukan tanda-tanda vital mempengaruhi sistem tubuh termasuk kardiovaskular dan pernapasan. Maka dilakukan stimulasi untuk memperbaiki kesadaran dan kondisi klinis pasien. Imlementasi ini bertujuan untuk mengetahui efektivitas terapi musik dan masase terhadap penurunan kesadaran serta tanda klinis klinis pada pasien yang sakit kritis dengan ventilasi mekanik. Metode yang digunakan dengan mengidentifikasi menggunakan rumus PICO di ruang ICU RSUP dr. Soeradji Tirtonegoro. Implementasi terhadap 3 responden selama 3 hari. Hasil penelitian penerapan terapi musik dan masase terdapat perbaikan klinis dan peningkatan kesadaran. Maka dapat disimpulkan pemberian terapi musik dan masase terhadap penurunan kesadaran serta tanda klinis terbukti efektif.
Kata Kunci: Terapi Musik, Terapi Masase, Penurunan Kesadaran, ICU
Teks Lengkap:
Download ArtikelReferensi
Ahmed, F. R., Attia, A. K., Mansour, H., & Megahed, M. (2023). Outcomes of family-centred auditory and tactile stimulation implementation on traumatic brain injured patients. Nursing Open, 10(3), 1601–1610. https://doi.org/10.1002/nop2.1412
Allahbakhhsian, A., Gholizadeh, L., Allahbakhshian, M., Sarbakhsh, P., & Abbaszadeh, Y. (2020). The effects of foot reflexology on agitation and extubation time in male patients following coronary artery bypass surgery: A randomized controlled clinical trial. Complementary Therapies in Clinical Practice, 40(May), 101201. https://doi.org/10.1016/j.ctcp.2020.101201
Anggraini, N. V., Riskika, S., Ayu, N. R. I., Sibulo, M., Mardiana, Hamka, Mas’ud, A., Alviana, F., Artifasari, & Najman. (2024). Keperawatan Komplementer. Rizmedia Pustaka Indonesia.
Dewi, Z. C., Hermawati, & Purnamawati, F. (2023). Penerapan Foot Massage Terhadap Status Hemodinamik Pada Pasien Yang Terpasang Ventilator Di Intensive Care Unit ( Icu ). Jurnal Ilmiah Penelitian Multidisiplin Ilmu Mandira Cendikia, 1, 105–113.
Diiorio, O. (2024). Music therapy and mechanical ventilation: a survey of current practice Item Type Masters Thesis. 0–91. http://hdl.handle.net/20.500.12648/7438
Elay, G., & Ozkaya, M. (2020). The Effect of Music and Massage on the Pain Scales and Vital Signs of ICU Patients with Hemodialysis Catheter. European Journal of Therapeutics, 26(3), 263–269. https://doi.org/10.5152/eurjther.2020.20075
Erbay Dalli, Ö., Bozkurt, C., & Yildirim, Y. (2023). The effectiveness of music interventions on stress response in intensive care patients: A systematic review and meta-analysis. Journal of Clinical Nursing, 32(11-12), 2827–2845. https://doi.org/https://doi.org/10.1111/jocn.16401
Febriawati, H., Andri, J., Losyanti, Y., & Padila, P. (2023). Pemberian Stimulasi Sensori Auditorius terhadap Perubahan Nilai Glasgow Coma Scale (GCS) pada Pasien Penurunan Kesadaran. Jurnal Keperawatan Silampari, 6(2), 1994–2001. https://doi.org/10.31539/jks.v6i2.5684
He, B., Mo, B. rong, Meng, S. ya, Yang, Z., Liu, W. ting, Wang, Y. ying, Mou, X. L., Chen, Y. Q., & Chen, Y. (2024). Decreasing the incidence of delirium via multi-sensory stimulation in patients receiving mechanical ventilation in the intensive care unit: A protocol for a randomized feasibility study. Contemporary Clinical Trials Communications, 38(January), 101263. https://doi.org/10.1016/j.conctc.2024.101263
Hemmatpour, B., Poorshadan, S., Azami, H., Ashtarian, H., Almasi, A., Bijan, B., & Farahmand Moghaddam, N. (2020). The effect of foot massage duration on vital signs of patients with cerebrovascular accidents with lowered level of consciousness in the intensive care unit. Journal of Babol University of Medical Sciences, 22(1), 308–317.
Herawati, S. (2022). Penerapan Evidence Based Nursing Dengan Intervensi Terapi Musik Klasik Instrumental Dalam Meningkatkan GCS pada Pasien Stroke disertai Penurunan Kesadaran di Ruang Intensive Care Unit RSUD Tarakan. Doctoral Dissertation, Universitas Pembangunan Nasional Veteran Jakarta.
Hermanto. (2021). Terapi Cermin (Mirror Therapy) Dalam Asuhan Keperawatan Strok. Ahlimedia Book.
Huang, Y. L., Lei, Y. Q., Xie, W. P., Cao, H., Yu, X. R., & Chen, Q. (2021). Effect of music therapy on infants who underwent mechanical ventilation after cardiac surgery. Journal of Cardiac Surgery, 36(12), 4460–4464. https://doi.org/10.1111/jocs.15976
Jain, S., & M.Iverson, L. (2023). Glasgow Coma Scale. https://www.ncbi.nlm.nih.gov/books/NBK513298/#:~:text=The levels of response in,and 15 being the highest.
Jeong, I. S., & Cho, M. K. (2023). Factors Affecting Delirium in ICU Patients. International Journal of Environmental Research and Public Health, 20(10). https://doi.org/10.3390/ijerph20105889
Kang, J., Cho, Y. S., Lee, M., Yun, S., Jeong, Y. J., Won, Y.-H., Hong, J., & Kim, S. (2023). Effects of nonpharmacological interventions on sleep improvement and delirium prevention in critically ill patients: A systematic review and meta-analysis. Australian Critical Care : Official Journal of the Confederation of Australian Critical Care Nurses, 36(4), 640–649. https://doi.org/10.1016/j.aucc.2022.04.006
Kavanagh, N. (2022). The effects of sensory stimuli on the rehabilitation of behaviourally low Glasgow Coma Scale patients. British Journal of Neuroscience Nursing, 18(4), 176–181. https://doi.org/10.12968/bjnn.2022.18.4.176
Kolbadinejad, A., Bagheri-Nesami, M., Setareh, J., Mousavinasab, S. N., Habibi, V., & Saatchi, K. (2023). Effect of Foot Reflexology Massage on Death Anxiety and Well-being of Patients Undergoing Coronary Artery Bypass Graft: A Randomized Controlled Trial. Journal of Nursing and Midwifery Sciences, 10(1), 1–9. https://doi.org/10.5812/jnms-136236
Kristinawati, B., Rizkiawan, A., & Wahyu Mardana, N. (2024). Model “PrOMiSe” untuk Meningkatkan Pengetahuan dan Kemampuan Perawatan Diri Pasien Gagal Jantung Kongestif. 16, 429–436.
Lancioni, G. E., Singh, N. N., O’reilly, M. F., Sigafoos, J., & Desideri, L. (2021). Music stimulation for people with disorders of consciousness: A scoping review. Brain Sciences, 11(7), 13–15. https://doi.org/10.3390/brainsci11070858
Li, J., Cheng, Q., Liu, F. K., Huang, Z., & Feng, S. S. (2020). Sensory stimulation to improve arousal in comatose patients after traumatic brain injury: a systematic review of the literature. Neurological Sciences, 41(9), 2367–2376. https://doi.org/10.1007/s10072-020-04410-9
Ni Putu, W. D., Sukraandini, N. K., Dharma Wiasa, I. N., & Sudarmika, P. (2023). Effect Effect of Foot Massage Therapy on Patient’s Non-Invasive Hemodynamic Status in The Intensive Care Unit. Nursing and Health Sciences Journal (NHSJ), 3(1), 109–115. https://doi.org/10.53713/nhs.v3i1.201
Nurhidayat, M. R. (2024). Penerapan Terapi Musik Klasik Terhadap Status Hemodinamik Pada Pasien Dengan Stroke Hemoragik Di Intensive Care Unit ( ICU ) : Case Report. 2.
Sarwal, A., Edlow, B. L., Nobleza, C. O., Polizzotto, L., Dangayach, N., Gosseries, O., & Mainali, S. (2024). Coma and Disorders of Consciousness: An Overview. Frontiers Media SA.
Sedghi, T., & Ghaljeh, M. (2020). Effect of auditory and tactile stimulation by family members on the level of consciousness in comatose patients: A quasi-experimental study. Hayat, 26(4), 357–370. https://doi.org/10.5812/msnj.108844.Research
Seyffert, S., Moiz, S., Coghlan, M., Balozian, P., Nasser, J., Rached, E. A., Jamil, Y., Naqvi, K., Rawlings, L., Perkins, A. J., Gao, S., Hunter, J. D., Khan, S., Heiderscheit, A., Chlan, L. L., & Khan, B. (2022). Decreasing delirium through music listening (DDM) in critically ill, mechanically ventilated older adults in the intensive care unit: a two-arm, parallel-group, randomized clinical trial. Trials, 23(1), 1–9. https://doi.org/10.1186/s13063-022-06448-w
Utli, H. (2022). Effects of Massage Therapy on Clinical Symptoms of Older People. Journal of Education and Research in Nursing, 18(1), 103–107. https://doi.org/10.5152/jern.2021.09327
Warth, M., Koehler, F., Brehmen, M., Weber, M., Bardenheuer, H. J., Ditzen, B., & Kessler, J. (2021). “Song of Life”: Results of a multicenter randomized trial on the effects of biographical music therapy in palliative care. Palliative Medicine, 35(6), 1126–1136. https://doi.org/10.1177/02692163211010394
Zhang, X. Y., Li, J. J., Lu, H. T., Teng, W. J., & Liu, S. H. (2021). Positive effects of music therapist’s selected auditory stimulation on the autonomic nervous system of patients with disorder of consciousness: a randomized controlled trial. Neural Regeneration Research, 16(7), 1266–1272. https://doi.org/10.4103/1673-5374.301021
Zuo, J., Tao, Y., Liu, M., Feng, L., Yang, Y., & Liao, L. (2021). The effect of family-centered sensory and affective stimulation on comatose patients with traumatic brain injury: A systematic review and meta-analysis. International Journal of Nursing Studies, 115, 103846. https://doi.org/10.1016/j.ijnurstu.2020.103846
DOI: https://doi.org/10.33024/mahesa.v4i8.14709
Refbacks
- Saat ini tidak ada refbacks.
Publisher: Universitas Malahayati Lampung
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License
kostenlose besucherzähler