Controlling Post-Operative Pain with Early Mobilization and Music Therapy

Authors

DOI:

https://doi.org/10.26630/jk.v14i1.3746

Keywords:

Early mobilization, Music therapy, Pain, Post operation.

Abstract

Pain is the main complaint that is commonly experienced by patients undergoing surgery. The pain appears as a normal response after surgery with injury to the incision area. This study aimed to determine the effect of early mobilization and music therapy on pain intensity in postoperative patients. The quasi-experimental research design used a pre-test and post-test with a control design. The sample was 32 people, divided into experimental and control groups, each of which consisted of 16 respondents. The sampling technique uses the Accidental Sampling approach. The variable in the assessment is pain intensity as the dependent variable, while the independent variables are early mobilization and music therapy. Pain measurement was performed using the Numeric Rating Scale (NRS). The analysis used the Wilcoxon test to test pain intensity before and after treatment in the intervention and control groups while testing the difference in pain intensity between the intervention and control groups using the Mann-Whitney test. The Wilcoxon test results obtained a p-value of 0.000 (α<0.05) in the control group, while in the intervention group, it was 0.000, while the Mann-Whitney test results were obtained at 0.015. The results show that early mobilization and music therapy affect pain intensity in postoperative patients. A considerable difference between the group that received music therapy and early mobilization and those that only received music therapy. It is recommended to be able to provide a combination of both treatments to distract the pain experienced after surgery.

References

Amarini, R., Chien, S., & Kotwal, G. J. (2019). Facilitation of Wound Healing Following Laparoscopic and Conventional Abdominal Surgery with Dressings, Patches, Antibiotics, etc. In Wound Healing-Current Perspectives. IntechOpen. https://doi.org/10.5772/intechopen.82614

Andri, J., Febriawati, H., Padila, P., Harsismanto, J., & Susmita, R. (2020). Nyeri pada Pasien Post Op Fraktur Ekstremitas Bawah dengan Pelaksanaan Mobilisasi dan Ambulasi Dini. Journal of Telenursing (JOTING), 2(1), 61-70. http://dx.doi.org/10.31539/joting.v2i1.1129

Astuti, A., & Merdekawati, D. (2016). Pengaruh terapi musik klasik terhadap penurunan tingkat skala nyeri pasien post operasi. Jurnal ipteks terapan, 10(3), 148-154.

Berkanis, A. T. (2020). Pengaruh Mobilisasi Dini terhadap Intensitas Nyeri pada Pasien Post Operasi di RSUD Sk Lerik Kupang Tahun 2018. CHMK Applied Scientific Journal, 3(1), 6-13. http://cyber-chmk.net/ojs/index.php/sains/article/view/759

Arif, M., & Sari, Y. P. (2019). Efektifitas Terapi musik mozart terhadap penurunan intensitas nyeri pasien post operasi fraktur. Jurnal Kesehatan Medika Saintika, 10(1), 69-76. http://dx.doi.org/10.30633/jkms.v10i1.310

Budiarti, I., Ayubbana, S., & Inayati, A. (2021). Penerapan Mobilisasi Dini Terhadap Skala Nyeri Pasien Post Operasi Appendiktomi Di Ruang Bedah RSUD Jend. Ahmad yani Kota Metro. Jurnal Cendikia Muda, 2(3), 320-324. https://jurnal.akperdharmawacana.ac.id/index.php/JWC/article/view/353

Ditya, W., Zahari, A., & Afriwardi, A. (2016). Hubungan Mobilisasi Dini dengan Proses Penyembuhan Luka pada Pasien Pasca Laparatomi di Bangsal Bedah Pria dan Wanita RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas, 5(3).https://doi.org/10.25077/jka.v5i3.608

Latifah, H. (2022). Efektifitas Teknik Relaksasi Slow Deep Breathing (SDB) Dan Relaksasi Benson Terhadap Nyeri Pada Pasien Post Operasi Modifikasi Radikal Mastektomi (MRM). [Skripsi]. Semarang: Fakultas Ilmu Keperawatan, Universitas Islam Sultan Agung Semarang.

Nurkholis, Z., & Alimansur, M. (2017). Hubungan Tingkat Pengetahuan Perawat Tentang Mobilisasi Dini Dengan Pelaksanaan Tindakan Mobilisasi Dini Pada Pasien Post Operasi. Jurnal Ilmu Kesehatan, 1(2), 1-5. https://doi.org/10.32831/jik.v1i2.19

Oktaningsih, F. (2018). Penerapan Teknik Relaksasi Terapi Musik Terhadap Intensitas Nyeri Pada Pasien Post Operasi di RSUD DR. R Goeteng Taroenadibrata Purbalingga. Tugas Akhir Mahasiswa, Purwokerto: Universitas Muhammadiyah Purwokerto.

Potter, & Perry, a. g. (2015). Buku Ajar Fundamental Keperawatan: Konsep, Proses, Dan Praktik, edisi 4, Volume 2. Jakarta: EGC.

Puspita, D., & Yati, D. (2020). Pengaruh Aroma Terapi Lavender terhadap Nyeri Postpartum Sectio Caesarea di RSUD Panembahan Senopati Bantul. Jurnal Smart Keperawatan, 7(2), 140-147. http://dx.doi.org/10.34310/jskp.v7i2.391

Pristahayuningtyas, C. Y., Murtaqib, M., & Siswoyo, S. (2016). Pengaruh Mobilisasi Dini terhadap Perubahan Tingkat Nyeri Klien Post Operasi Apendektomi di Rumah Sakit Baladhika Husada Kabupaten Jember (The Effect of Early Mobilization on The Change of Pain Level in Clients with Post Appendectomy Operation at Mawar S. Pustaka Kesehatan, 4(1), 102-107. https://jurnal.unej.ac.id/index.php/JPK/article/view/2510

Rohmah, N. (2022). Hubungan Mobilisasi Dini Dengan Penurunan Skala Nyeri Pada Pasien Post Operasi Sectio Caesarea Di RSUD Sawerigading Kota Palopo Tahun 2021. Mega Buana Journal of Nursing, 1(1), 34-40. http://e-jurnal.umegabuana.ac.id/index.php/MBJN/article/view/5

Septiyani, R. R., & Wirotomo, T. S. (2021, December). Literatur Review: Pengaruh Mobilisasi Dini Terhadap Penurunan Tingkat Intensitas Nyeri Pada Pasien Post Operasi Appendiktomi. In Prosiding Seminar Nasional Kesehatan (Vol. 1, pp. 628-633). https://doi.org/10.48144/prosiding.v1i.726

Sormin, T., Puri, A., & Vivinarti, S. (2023). THE Effect Therapeutic Communication And Music Therapy On Anxiety Of Preoperative Patients In Jenderal Ahmad Yani Metro City In 2021. Jurnal Ilmu Keperawatan Indonesia (JIKPI), 4(1). http://www.jurnal.umitra.ac.id/index.php/jikpi/article/view/1108

Susanti, D. C., Suryani, S., & Rahmawati, R. (2020). Pengaruh Mobilisasi Dini Terhadap Skala Nyeri Pada Pasien Post Operasi Fraktur Femur Di Ruang Kenanga Rsud Sunan Kalijaga Demak. The Shine Cahaya Dunia D-Iii KeperawataN, 5(1). https://ejournal.annurpurwodadi.ac.id/index.php/TSCD3Kep/article/view/204

Tarigan, H. N. B., Sinambela, M., & Novrina, R. (2020). Pengaruh Pemberian Terapi Musik Terhadap Penurunan Intensitas Nyeri Pada Pasien Post Sectio Caesarea. Jurnal Penelitian Keperawatan Medik, 2(2), 27-33. http://ejournal.delihusada.ac.id/index.php/JPKM/article/view/210

Wulff, V., Hepp, P., Fehm, T., & Schaal, N. K. (2017). Music in obstetrics: an intervention option to reduce tension, pain and stress. Geburtshilfe Und Frauenheilkunde, 77(09), 967-975. https://doi.org/10.1055/s-0043-118414

Downloads

Additional Files

Published

30-04-2023

Issue

Vol. 14 No. 1 (2023): Jurnal Kesehatan

Section

Articles

License

Authors who publish in this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
  2. Authors can enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.