The Effect of Virtual Reality (VR) Relaxation on the Pain Scale During Vascular Access Cannulation Procedures
Abstract
Cannulation is an act of inserting a needle through the skin into a blood vessel (AV Shunt or Femoral) as a means of connecting the vascular circulation and the dialysis machine during the hemodialysis process, cannulation is a procedure that causes psychological problems in the form of anxiety and physical problems in the form of pain due to the insertion of a large needle during hemodialysis. Relaxation training can be done for a limited period of time and usually has no side effects. One of them can use the Guided imagery technique. The purpose of this study was to determine the effect of Virtual Reality (VR) relaxation on the pain scale during the Vascular Access Cannulation procedure for Hemodialysis Patients at Maguan Husada Pracimantoro Hospital. This study used a Pre-experimental research type with One group pretest-posttest design, conducted in the Hemodialysis Room of Maguan Husada Pracimantoro Hospital in March 2024. This study uses purposive sampling techniqu. The sample used was 56 people. The data collection tool used a numeric rating scale pain assessment sheet. The data analysis used was the Wilcoxon analysis. The results of the study showed that pain before Virtual Reality (VR) relaxation was carried out, the average pain of respondents was 5.96. Pain after Virtual Reality (VR) relaxation for 10 minutes 38 seconds was known to have an average pain of respondents on a scale of 3.36. The results of the Wilcoxon Strained Rank Test with a significant value (p value) of 0.000 < 0.005. There is an effect of virtual reality (VR) relaxation on the pain scale during the procedure of installing vascular access cannulation for hemodialysis patients at Maguan Husada Pracimantoro Hospital.
References
Aditya. (2023). Faktor-Faktor yang Berhubungan dengan Kepatuhan Pembatasan Cairan pada Pasien CKD Ruang Rawat Inap Rumah Sakit Sentra Medika Cibinong Kabupaten Bogor. Universitas Medika Suherman. Tersedia pada https://repository.medikasuherman.ac.id/xmlui/handle/123456789/2936.
Alemanno F, Houdayer E, Emedoli D, Locatelli M, Mortini P, Mandelli C, et al. (2020). Efficacy of Virtual Reality to Reduce Chronic Low Back Pain: Proof-of-Conceptof a Nonpharmacological Approach on Pain, Quality of Life. Neuropsychological and Functional Outcome. PLoS One. 14(5):1–16. DOI: http://dx.doi.org/10.1371/journal.pone.0216858.
Anggraini, S., & Fadila, Z. (2023). Kualitas Hidup Pasien Gagal Ginjal Kronik dengan Dialisis Di Asia Tenggara : A Systematic Review. Jurnal Hearty Kesehatan Masyarakat, 11(1), 77–83.
Ardiansyah. (2022). Asuhan Keperawatan Pada Klien Dengan Gangguan Pemenuhan Kebutuhan Nyeri Dan Kenyamanan (Nyeri Akut) Menggunakan Intervensi Terapi Murottal Dan Asmaul Husna Di RSUD Labuang Baji Kota Makassar.
Firmada, M. A., Kristianti, M., & Husain, F. (2021). Manajemen Nyeri dengan Guide Imagery Relaxation pada Pasien Cedera Kepala Ringandi Instalasi Gawat Darurat (IGD) : Literature Review. Aisyiyah Surakarta Journal of Nursing, 2(1), 20–25.
Fitria, P. N., & Blandina, O. A. (2023). Pengetahuan Masyarakat Tentang Faktor Penyebab Gagal Ginjal Kronik di Kota Tobelo Kab. Halmahera Utara. Manuju Malahayati Nursing Journal, 5(2), 359–366.
Garrett, B., Taverner, T., & Masinde, W. (2019). A rapid evidence assessment of immersive virtual reality as an adjunct therapy in acute pain management in clinical practice. Clinical Journal of Pain, 35(7), 556-568.
Gerogianni G. (2023). Factors Affecting Pain in Hemodialysis and Non-pharmacological Management. Cureus, 15(2), e35448. https://doi.org/10.7759/cureus.35448.
Gupta, A., Scott, K., & Dukewich, M. (2022). Innovative Technology Using Virtual Reality in the Treatment of Pain: Does It Reduce Pain via Distraction, or Is There More to It? Pain Medicine (Malden, Mass.), 19(1), 151–159. https://doi.org/10.1093/pm/pnx109.
Hartini. (2020). Gambaran karakteristik pasien gagal ginjal kronis yang menjalani hemodialisa di rumah sakit umum daerah Dr. Moewardi. Artikel Publikasi. Universitas Muhammadiyah Surakarta.
Hasanah, U., Dewi, N. R., Ludiana., Pakarti, A. T., Inayati, A. (2023). Analisis faktor-faktor resiko terjadinya penyakit ginjal kronik pada pasien hemodialisis. Jurnal Wacana Kesehatan, 8(2),96-103.
Hayashi K, Aono S, Shiro Y, Ushida T. (2020). Effects of Virtual Reality-Based Exercise Imagery on Pain in Healthy Individuals. Biomed Res Int. 14–6.
Hidayat, S. F., & Prijotomo, J. (2020). Teknologi Virtual Reality dalam Arsitektur sebagai Bentuk Penanganan Stres Masyarakat Perkotaan pada Masa Kini. Jurnal Sains & Seni ITS, 6(2). https://doi.org/10.12962/j23373520.v6i2.26561.
Hidayati, H. B., Amelia, E. G., Turchan, A., Rehatta, N. M., Atika., Hamdan, M. (2021). Pengaruh usia dan jenis kelamin pada skala nyeri pasien Trigeminal Neuralgia. Jurnal Aksona, 1(2). 53-56.
Ibrahim, M. B., Badawi, S. E. A., & Alameri, R. A. (2022). Assessment of Pain and Anxiety During Arteriovenous Fistula Cannulation Among Hemodialysis Patients: A CrossSectional Study in Saudi Arabia. Journal of Multidisciplinary Healthcare, 15, 705–718. https://doi.org/10.2147/JMDH.S344256.
Inayama E, Yamada Y, Kishida M, et al. (2022). Effect of music in reducing pain during hemodialysis access cannulation: a crossover randomized controlled trial. Clin J Am Soc Nephrol. 17:1337–1345.
Ipo, A., Aryani, T., Suri, M. (2020). Hubungan jenis kelamin dan frekuensi hemodialisa dengan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisa di rumah sakit umum daerah Raden Mattaher Jambi. Jurnal Akademika Baiturrahim, 5(2), 46-55.
Johnson, M., & Davis, P. (2019). The Role of Education in Pain Management Among Chronic Pain Patients. Pain Management Journal, 22(4), 155-165.
Kementerian RI. (2020). Riset Kesehatan Dasar (Riskesdas) (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI.
Komariyah, N., Aini, D. N., Prasetyorini, H. (2024). Hubungan usia, jenis kelamin dan tingkat pendidikan dengan kepatuhan pembatasan cairan pada pasien gagal ginjal kronik yang menjalani hemodialisa. Jurnal Ilmiah Permas, 14(3). 1107-1116.
Matheve T, Bogaerts K, Timmermans A. (2020). Virtual Reality Distraction Induces Hypoalgesia in Patients with Chronic Low Back Pain: A Randomized Controlled Trial. J Neuroeng Rehabil. 17(1):1–13.
Pranandhira, R. A. W., Rahman, E. Y & Khatimah, H. (2023). Karakteristik pasien chronic kidney disease yang dilakukan hemodialisis di RSUD Ulin Banjarmasin Selama Pandemi Covid-19. Homeostasis. 6(1),69-78.
Pranowo, S., Prasetyo, A. and Handayani, N. (2020). Pengaruh kompres dingin terhadap penurunan nyeri pasien saat kanulasi (inlet akses femoral) hemodialisis. Jurnal Kesehatan Al-Irsyad. 50–60.
Prasetyo, A., Pranowo, S., & Handayani, N. (2020). Karakteristik pasien gagal ginjal yang menjalani terapi hemodialisa di RSUD Cilacap. Prosiding Seminar Nasional dan Diseminasi Penelitian Kesehatan. STIKes Bakti Tunas Husada Tasikmalaya
Prastiwi, F. (2022). Manajemen Nyeri Dengan Virtual Reality. Majalah Kesehatan, 9(1), 50–59.
Risnawati, H. (2020). Efektifitas Terapi Murottal al-Qur’an dan Terapi Musik Terhadap Tingkat Kecemasan Mahasiswa Keperawatan Semester VIII UIN Alauddin Makassar [Universitas Islam Negeri Alauddin Makassar]. https://repositori.uin-alauddin.ac.id/3285/
Romaniah, F. A., & Sunarno, R. D. (2022). Efikasi Diri Untuk Meningkatkan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisis. Jurnal Ilmu Keperawatan dan Kebidanan, 13(1), 164–175.
Salsabila, A., Herman, H., Shafira, N. N. (2023). Gambaran karakteristik gagal ginjal kronik obstruktif dan non obstruktif pada pasien dewasa-lansia di RSUD Raden Mattaher Tahun 2017-2020. JOMS, 3(2), 86-94.
Saputra, M. B. (2020). Kombinasi terapi murotal ar-rahman dan virtual reality (VR) terhadap penurunan tekanan darah pasien hipertensi di wilayah Kedungmundu Kota Semarang. Universitas Muhammadiyah Semarang.
Smith, J. D., et al. (2022). The impact of virtual environments on amygdala activation: A neuroimaging study. Journal of Cognitive Neuroscience, 34(4), 567-579.
Sugathot & Nugrahaningtyas (2020). Hubungan umur dengan tingkat nyeri pasca persalinan setelah melakukan teknik relaksasi napas dalam. Jurnal Medika Respati, 13(3), 1-6.
Suwariyah, P., & Rachmawati, A. U. (2023). Pengaruh Kompres Dingin Terhadap Penurunan Nyeri Kanulasi Pada Pasien Hemodialisis. Jurnal Kesehatan Tambusai, 4(2), 2474–2478.
Tempake, R & Doho, A., D. (2021). Karakteristik pasien gagal ginjal kronik yang menjalani hemodialisa. Lentora Nursing journal, 1(2),39-43.
Tuloli, Madinah, Adam, Evania. (2019). Evaluasi penggunaan obat pada pasien gagal ginjal kronik yang menjalani Hemodialisa di RSUD Toto Kabila Periode 2017- 2018, Universitas negeri Gorontalo.
Ustinerz. (2023). 6 Alat ukur tingkat nyeri pada anak. Guztinerz. https://gustinerz.com/6-alat-ukur-tingkat-nyeri-pada-anak/.
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