Search Repository Universitas Fort De Kock

Nyeri dada pada pasien gagal jantung adalah suatu sindroman kronis dimana klien merasakan sakit dada di daerah tulang dada atau di bawah tulang dada (substernal) atau dada sebelah kiri yang khas. Penatalaksanaan secara farmakologi pada pasien gagal jantung harus dipertimbangkan, karena terkait dengan armakokinetik obat dan farmakodinamik. Oleh sebab itu, perawatan paliatif melalui terapi non farmakologi seperti hipnoterapi harus dipertimbangkan. Data yang diperoleh di RSUD dr. Achmad Darwis Suliki, diketahui bahwa jumlah pasien jantung yang dirawat pada tahun 2016 sebanyak 250 orang. Penatalaksanaan nyeri yang dilakukan selama ini hanya dengan cara farmakologis. Penelitian ini bertujuan untuk mengetahui efektifitas hipnoterapi teknik fokus jari dengan terapi farmakologi terhadap nyeri pada pasien gagal jantung. Desain penelitian quasi-eksperimen dengan rancangan pre test post test with Control group. Populasi adalah seluruh pasien gagal jantung yang dirawat di ruang ICU RSUD Dr. Achmad Darwis Suliki dan pengambilan sampel dilakukan secara purposive sampling sebanyak yaitu 10 orang. Data di kumpulkan dengan menggunakan lembaran observasi, kemudian diolah dan dianalisa secara komputerisasi dengan uji Wilcoxon dan mann withney. Hasil analisa univariat diketahui rerata nyeri sebelum intervensi pada kelompok eksperimen adalah 5,40 dan kelompok kontrol 6. Rerata nyeri sesudah intervensi pada kelompok eksperimen 0,40 dan kelompok kontrol 3,6. Hasil bivariat diketahui ada pengaruh hipnoterapi teknik fokus jari (p = 0,041) dan terapi farmakologi (0,001) terhadap nyeri pada pasien gagal jantung. Hipnoterapi teknik fokus jari efektif terhadap nyeri pada pasien gagal jantung (p = 0,016). Disimpulkan bahwa hipnoterapi teknik fokus jari efektif dalam menurunkan nyeri pasien gagal jantung. Diharapkan pada manajemen Rumah Sakit khususnya ruang ICU untuk menerapkan hipnoterapi sebagai salah satu bentuk alternatif dalam penatalaksanaan nyeri pada pasien, dan menyediakan petugas khusus pelaksana hipnoterapi.

Chest pain in patients with heart failure is a chronic sindroman where clients feel the chest pain in the area below the breastbone or sternum (substernal) or the left chest are typical. Pharmacological management of patients with heart failure should be considered, because it is associated with drug armakokinetik and pharmacodynamics. Therefore, palliative care through non-pharmacological therapies such as hypnotherapy should be considered. Data obtained in dr. Achmad Darwis Suliki, it is known that the number of heart patients who were treated in 2016 as many as 250 people. Pain management conducted so far only by pharmacological means. This study aims to determine the effectiveness of hypnotherapy techniques focus on the finger with pharmacological therapy to pain in patients with heart failure. Quasi-experimental design with pre-posttest design with control group. The population is all heart failure patients who were treated in the ICU Hospital Dr. Achmad Darwis Suliki and sampling was done by purposive sampling of 10 people. Data was collected using observation sheets, then processed and analyzed by computerized by Wilcoxon and Mann Whitney. The results of the univariate analysis are known mean of pain before intervention in the experimental group and the control group was 5.40 6. The average of pain after intervention in the experimental group and the control group 0.40 3.6. The results of the bivariate no effect of hypnotherapy technique known finger focus (p = 0.041) and pharmacological therapy (0,001) to pain in patients with heart failure. Hypnotherapy techniques finger focus effective against pain in patients with heart failure (p = 0.016). It was concluded that hypnotherapy techniques are effective in reducing the focus of finger pain heart failure patients. Expected in the management of the Hospital, especially the ICU to implement a form of hypnotherapy as an alternative in the treatment of pain in patients, and provide specialized executive officer hypnotherapy.