The Effect of Slow Deep Breathing on Reducing Pain Scale in Post-Operative Patients
Abstract
Post-operative pain is the body's reaction to tissue damage caused by a surgical procedure so that the patient will experience discomfort, this can cause sleep quality problems, breathing problems, making the condition worse, the healing process and a long treatment period resulting in increased treatment costs. Pain management can be done using non-pharmacological therapy, one of which is slow deep breathing which will stimulate the parasympathetic nervous system thereby increasing endorphin production and reducing the pain level. The purpose of this research to determine whether there is an effect of slow deep breathing on reducing the pain scale in post-operative patients at Sultan Imanuddin Pangkalan Bun. The method in this research uses a quasi experimental with a one group pre-test and post-test design approach. Consecutive sampling technique, the sample in this study was 57 respondents who underwent 10 minute procedures on post-operative patients after 24 hours. This research instrument uses the NRS (Numeric Rating Scale), where the results of this research are analyzed using the Wilcoxon test. The results before slow deep breathing were carried out, almost all respondents experienced moderate pain, amounting to 45 respondents (78.9%). Meanwhile, after slow deep breathing were carried out by the majority of respondents experienced a change to mild pain, amounting to 34 respondents (59.6%). The results of statistical test analysis using the Wilcoxon test showed that the p value = 0.000, so the p value < (0.05). There is an effect of slow deep breathing on reducing the pain scale in post-operative patients at Sultan Imanuddin Pangkalan Bun Regional Hospital.
References
Kemenkes. Meningkatnya Tindakan Operasi [Internet]. 2021. Available from: https://www.kemkes.go.id/article/view/15082800002/pembedahan- tanggulangi-11-%0Apenyakit-di-dunia.html
Badan Pusat Statistik [Internet]. 2016. Available from: https://kobarkab.bps.go.id/indicator/30/302/1/pasien-yang-mengalami-operasi-.html
SDKI TPP. Standar Diagnosis Keperawatan Indonesia [Internet]. 1st ed. Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia; 2019. Available from: http://www.inna-ppni.or.id
Agustin R, Koeryaman MT, DA IA. Gambaran Tingkat Cemas, Mobilisasi, dan Nyeri pada Ibu Post Operasi Sectio caesarea di RSUD dr. Slamet Garut. J Kesehat Bakti Tunas Husada J Ilmu-ilmu Keperawatan, Anal Kesehat dan Farm. 2020;20(2):223.
Andika M, Nurleny, Desnita R, Alis F, Lola D. Penyuluhan Pemberian Foot Massage Terhadap Perubahan Intensitas Nyeri Pada Pasien Post Operasi Di Ruangan Bedahwanita Rsup. Dr. M. Djamil Padang. J Abdimas Saintika [Internet]. 2019;2(2):73–7. Available from: https://jurnal.syedzasaintika.ac.id
Tiara N, Sunarno RD. Efektifitas Senam Tai Chi Terhadap Keseimbangan Tubuh Dan Penurunan Risiko Jatuh Pada Lansia. J Ilmu Keperawatan dan Kebidanan. 2022;13(1):198.
Bahrudin M. Patofisiologi Nyeri (Pain). Saintika Med [Internet]. 2018;13(1):7. Available from: https://ejournal.umm.ac.id/index.php/sainmed/article/view/5449/5246
Amalia Yunia Rahmawati. Analisis Post Bedah Pada Ibu Dengan Pre Eklamsia Post Sectio Caesarea Di Rumah Sakit Bhayangkara Provinsi Jambi. 2020; Available from: https://repository.unja.ac.id/id/eprint/69159
Prabandari DA, Indriasari I, Maskoen TT. Efektivitas Analgesik 24 Jam Pascaoperasi Elektif di RSUP Dr. Hasan Sadikin Bandung Tahun 2017. J Anestesi Perioper [Internet]. 2018;6(2):98–104. Available from: https://journal.fk.unpad.ac.id/index.php/jap/article/view/1221
Small C, Laycock H. Acute Postoperative Pain Management. Br J Surg [Internet]. 2020;107(2):e70–80. Available from: https://watermark.silverchair.com/bjs11477.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAA7UwggOxBgkqhkiG9w0BBwagggOiMIIDngIBADCCA5cGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMYwkvBmp1dR_S0WAoAgEQgIIDaBZCuOrBgrf2Yq5YrIhIZqd6y47jg0zzAm2XFDfa0s6o3d
Rahayu, Notesya P. Bunga Rampai Manejemen Nyeri. 2023. 193 p.
Mayenti F, Sari Y. Efektifitas Teknik Distraksi Musik Klasik Mozart Untuk Mengurangi Nyeri Pada Pasien Post Operasi Fraktur. J Akad Baiturrahim Jambi. 2020;9(1):98.
Cynthia Puspariny, Diny Fellyana DM. Pengaruh kompres hangat Dalam Terhadap Intensitas Nyeri Pasien Gastritis. Nurs J (Manila). 2019;2:62–6.
Obar, Sopyan HY. Slow Breathing Sebagai Metode Yang Efektif Uuntuk Menurunkan Kekambuhan Nyeri Pada Pasien Pasca Operasi Laparatomi. Sci Signal [Internet]. 2022;13(3):667–71. Available from: http://forikes-ejournal.com/ojs-2.4.6/index.php/SF/article/view/2264
Pertiwi RA, Prihati DR. Penerapan Slow Deep Breathing Untuk Menurunkan Keletihan Pada Pasien Gagal Ginjal Kronik. J Manaj Asuhan Keperawatan [Internet]. 2020;4(1):14–9. Available from: https://jurnal-d3per.uwhs.ac.id/index.php/mak/article/view/77/65
Cahyo D, Putro P, Wulandari I. Penerapan Slow Deep Breathing Untuk Menurunkan Skala Nyeri Pada Pasien Cedera Kepala Ringan ( CKR ) Di RSUD Dr . Moewardi Surakarta. J Ilmu Keseharan dan Gizi. 2023;1(4):73–83.
Nurjanah DA, Yuniartika. Teknik Relaksasi Nafas Dalam Pada Pasien Gagal Ginjal : Kajian Literatur. 2020; Available from: https://publikasiilmiah.ums.ac.id/xmlui/bitstream/handle/11617/12351/62-71.pdf?sequence=1&isAllowed=y
Wulansari N, Rayasari F, Anggraini D. Slow Deep Breathing Exercise Untuk Mengurangi Nyeri Selama Pelepasan Water Seal-Drainage ( WSD ) Pada Pasien Pneumothorax. 2023;17(6):487–96. Available from: http://ejurnalmalahayati.ac.id/index.php/holistik
Mahmudi M, Dinaryanti RS. Pengaruh Kombinasi Relaksasi Benson dan Slow Deep Breath Terhadap Intensitas Nyeri Post Operasi Sectio Caesarea di RSAB Harapan Kita Jakarta. J Sehat Mandiri [Internet]. 2022;17(2):142–52. Available from: https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/issue/archive
Tamrin IN, Rosa EM, Subagyo D. Effect slow deep breathing of pain in post op apendisitis. 2019;3(1):37–43. Available from: https://doi.org/10.31101/jhes.491
Nursalam. Metodologi Penelitian Ilmu Keperawatan [Internet]. Penerbit Salemba Medika; 2020. 80 p. Available from: http://www.penerbitsalemba.com
Setianingsih EAPRN. Penerapan Slow Deep Breathing Terhadap Nyeri CKR Di IGD Rumah Sakit PKU Muhammadiyah Gombong Endah Setianingsih 1) , Putra Agina WS 2) , Reza Nuurdoni 3). J Vokasi Keperawatan [Internet]. 2018;021. Available from: https://ejournal.unib.ac.id/JurnalVokasiKeperawatan/article/view/12484
Hidayati HB, Amelia EGF, Turchan A, Rehatta NM, Atika, Hamdan M. Pengaruh Usia dan Jenis Kelamin pada Skala Nyeri Pasien Trigeminal Neuralgia. Aksona. 2022;1(2):53–6.
Hidayatulloh AI, Limbong EO, Ibrahim KI. Pengalaman Dan Manajemen Nyeri Pasien Pasca Operasi Di Ruang Kemuning V Rsup Dr. Hasan Sadikin Bandung : Studi Kasus. J Ilmu Keperawatan dan Kebidanan. 2020;11(2):187.
Vitri VR. Hubungan Intensitas Nyeri dengan Strategi Manajemen Nyeri pada Pasien Fraktur Post Operasi ORIF di RSU Setia Budi. J Vocat Heal Sci. 2022;1(1):24–33.
Prawito, Shomad M. Hubungan Tingkat Pengetahuan dengan Tingkat Kecemasan Pasien dalam Melaksanakan Mobilisasi Dini Post Operasi Appendiktomi. J Keperawatan dan Kebidanan. 2019;83–8.
Igiany PD. Perbedaan Nyeri Pada Pasien Pasca Bedah Fraktur Ekstremitas Sebelum Dan Sesudah Dilakukan Teknik Relaksasi Napas Dalam. J Manaj Inf dan Adm Kesehat [Internet]. 2018;1(1):16–21. Available from: http://journal.univetbantara.ac.id/index.php/jmiak-rekammedis/article/view/123
