PERBANDINGAN TINGKAT NYERI PADA PASIEN TERPASANG VENTILASI MEKANIK SELAMA ISTIRAHAT DAN TINDAKAN KEPERAWATAN RUTIN DI RUANG INTENSIVE CARE UNIT RUMAH SAKIT PUSAT PERTAMINA
DOI:
https://doi.org/10.52020/.v6i3.4773Kata Kunci:
CPOT, Intensive Care Unit, Mechanical Ventilation, PainAbstrak
Pain is the most common stressor experienced by patients in the ICU. Nearly 5 million patients are treated in the Intensive Care Unit (ICU), and 71% experience pain during treatment. Most of the pain felt by patients in the ICU is when the patient is mechanically ventilated. Pain can occur during routine nursing actions such as positioning, suction, and oral hygiene. This study aims to compare the level of pain in patients on mechanical ventilation during rest and routine nursing actions in the Intensive Care Unit of Pertamina Central Hospital. This research is an analytical observational research design with a cross-sectional approach, a sample of 31 patients with mechanical ventilation installed and the sampling technique used is non-probability sampling with accidental sampling. Data were taken using the Critical Pain Observation Tool (CPOT) questionnaire to measure pain levels. The results showed that there was a comparison of pain levels during rest and positioning with a comparison value of 15.00 (p<0.05); There is a comparison of pain levels during rest and suction action with a comparison value of 15.00 (p<0.05); There is a comparison of pain levels during rest and oral hygiene measures with a comparison value of 7.00 (p <0.05).
Referensi
Apriani, Agustina, R., & Hafifah, I. (2018) ‘PENGKAJIAN NYERI CPOT DAN WONG BEKKER PASIEN PENURUNAN KESADARAN’, Dunia Keperawatan, 6(1), pp. 34–40.
Ayasrah, S. (2016) ‘Care-Related Pain in Critically ill Mechanically Ventilated Patients’, Anaesth Intensive Care, 44(4).
Ayasrah, S. M. (2019) ‘Pain among Non-Verbal Critically ill Mechanically Ventilated Patients : Prevalence, Correlates and Predictors’, Journal of Critical Care, 49, pp. 14–20.
Barr, J., Fraser, G. L., Puntillo, K., Ely, E., W., Devlin, J. W., Kress, J. P., … and Jaeschke, R. (2013) ‘Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit’, Society of Critical Care Medicine, The American College of Critical Care Medicine (ACCM), 41(1), pp. 263–306.
Damico, C., Macchi, G., Murano, L., & Molinari, A. F. (2020) ‘Incidence of Pain at Rest and During Nursing Procedures in ICU patients : A Longitudinal Observational Study’, Annali di Igiene : Medicina Preventiva e di Comunita, 32(4), pp. 407–418.
Du, B., An, Y,, Kang, Y., Yu, X., Zhao, M., Ma, X., Ai, Y., Xu, Y., Wang, Y., Qian, C., Wu, D., Sun, R., Li, S., Hu, Z., Cao, X., Zhou, F., Jiang, L., Lin, J., Chen, E., Qin, T., He, Z., & Zhou, L. (2013) ‘Characteristics of Critically Ill Patients in ICUs in Mainland China’, Critical Care Medicine, 41(1), pp. 84–92.
Guo, N.N., Wang, H.L., Zhao, M.Y., Li, J.G., Liu, H.T., Zhang T.X., Zhang, X.Y., Chu, Y.J., Yu, K.J., & Wang, C. S. (2022) ‘Management of Procedural Pain in the Intensive Care Unit’, World Journal of Clinical Cases, 10(5), pp. 1473–1484.
Hidayat, A.I., Purnawan, I., & Kamaluddin, R. (2020) ‘Gambaran Nyeri Pasien Yang Terpasang Ventilator Mekanik di Ruang Intensive Care Unit RSUD Prof Margono Soekarjo Purwokerto’, Jurnal of Bionursing, 2(3), pp. 167–170.
Ito, Y., Teruya, K., & Nakajima, E. (2022) ‘Evaluation of pain severity in critically ill patients on mechanical ventilation’, Intensive & Critical Care Nursing.
Kotfis, K., Zegan-Baranska, M., Szydlowski, L., Zukowski, M., & Ely, E. W. (2017) ‘Methods Of Pain Assessment In Adult Intensive Care Unit Patient - Polish Version Of The CPOT (Critical Care Pain Observation Tool) and BPS (Behavioral Pain Scale)’, Anaesthesiology Intensive Therapy, 49(1), pp. 66–72.
Kurt, E., & Zaybak, A. (2022) ‘Pain Behavior Experienced During Nursing Interventions by Patients on Mechanical Ventilation : A Cross-Sectional Study’, Florence Nightingale Journal of Nursing, 30(2), pp. 126–132.
Ma, J.G., Zhu, B., Jiang, Q., & Xi, X. M. (2022) ‘Gender and Age-Based Differences in Outcomes of Mechanically Ventilated ICU Patients : A Chinese Multicentre Rtetrospective Study’, BMC Anesthesiology, 22(1), p. 18.
Mahmood, K., Eldeirawi, K., & Wahidi, M. M. (2012) ‘Association of Gender with Outcomes in Critically Ill Patients’, Critical Care, 16(3).
Morton, P, G., & Fointaine, D. K. (2018) Critical Care Nursing : A holistic Approach. Philadelphia: Wolters Kluwer Heatlh.
Puntillo, K. A. (2014) ‘Determinants of procedularal pain intensity in the intensive care unit’, Am J Respir Crit Care Med, 189(1), pp. 39–47.
Rijkenberg, S., Stilma, W., Endeman, H., Bosman, R.J., Oudemans-van, & Straaten, H. M. (2017) ‘Pain Measurement In Mechanically Ventilated Critically Ill Patients : Behavioral Pain Scale Versus Critical-Care Pain Observation Tool’, Journal Critical Care, 30(1), pp. 167–172.
Rimawati, S.H., & VW, A. (2018) ‘Resilience of Knowledge and Perception Skills on the First Aid on Employess’, The 2nd Joint International Conferences, 2(2), p. 535.
Robleda, G., Campo, F.R., Martinez, L.M., Lucio, A.F., Vazquez, M.V., Marten, S., Gich, I., Mancebo, J., Puigbo, E.C., & Banos, Y. J. E. (2015) ‘Evaluación del dolor durante la movilización y la aspiración endotraqueal en pacientes críticos’, Medicina Intensiva, 40(2), pp. 96–104.
Setiati, S. (2020) ‘Karakteristik Pasien Geriatri dan Sindrom Geriatri’, Geriatri Lansia Sehat Bahagia.
Al Sutari, M.M., Abdalrahim,, M.S., Hamdan-Mansour, A.M., & Ayasrah, S. M. (2014) ‘Pain Among Mechanically Ventilated Patients In Critical Care Units’, J Res Med Sci, 19, pp. 726–32.
Suwardianto, H., & Sari, D. A. K. W. (2019) ‘Nyeri Pasien Kritis Pada Intervensi Sleep Hygiene Care Di Intensive Care Unit’, Jurnal Penelitian Keperawatan, 5(2).
Suwardianto, H., Sari, D. A. K. W. (2020) ‘Environmental Factoors of Sleep Hygiene That Influence The Level of Pain on Criticall Ill Patients in Intensive Care Unit’, STRADA Jurnal Ilmiah Kesehatan, 9(1), pp. 26–34.
Suwardianto, H. & Sari, D. A. K. W. (2020) ‘Faktor Lingkungan Sleep Hygiene Yang Mempengaruhi Tingkat Nyeri Pada Pasien Kritis di Intensive Care Unit’, STRADA Jurnal Ilmiah Kesehatan, 9(1), pp. 26–34.
Suwardianto, H. (2011) ‘Pengaruh Terapi Relaksasi Nafas Dalam (Deep Breathing) terhadap Perubahan Tekanan Darah pada Penderita Hipertensi di Puskesmas Kota Wilayah Selatan Kota Kediri’, Jurnal Kesehatan STIKES RS. Baptis Kediri, 4(1).
Suwardianto, H. (2016) ‘Tardive Dyskenesia, Motor Activity, Sedation Sclae, dan Cardiac Workload pasien IPI pada Pemberian Analgesik di Instalasi Perawatan Intensif RS. Baptis Kediri’, Keperawatan Kritis, Penelitian Hibah YBI.
Suwardianto, H. dkk (2019) Sleep Hygiene, Strategi Mengurangi Nyeri pada Pasien Nyeri. Kediri: Chakra Brahmanda Lentera.
Vera, Evacuasiany, E., & Richardo, Y. (2011) ‘Karakteristik Pasien Usia Lanjut di Ruang Rawat Intensif Rumah Sakit Immanuel Bandung’, Maranatha Journal of Medicine and Health, 10(2), pp. 110–119.
Verceles, A. C., Lechner, E. J., Halpin, D., & Scharf, S. M. (2013) ‘The Association Between Comorbid Illness, Colonization Status, and Acute Hospitalization in Patiens Receiving Prolonged Mechanical Ventilation’, Respiratory Care, 58(2), pp. 250–256.
Villalba, D., Rossetti, G. G., Scrigna, M., Collins, J., Rocco, A., Matesa, A., Areas, L., Golfarini, N., Pini, P., Hannun, M., Boni, S., Gimaldi, S., Pedace, P., Diaz-Ballve, L., Andreu, M., Bunirigo, P., Noval, D., & Planells, F. (2020) ‘Prevalence of and Rsik Factors for Mechanical Ventilation Reinstitution in Patients Weaned From Prolonged Mechanical Ventilation’, Respiratory Care, 65(2).
Wahyuningsih, I. S. (2017) ‘Profil Demografi Pasien Kritis Dewasa Berventilator Yang Mengalami Nyeri’, Jurnal Keperawatan dan Pemikiran Ilmiah, 3(7), pp. 54–61.
Wahyuningsih, I. S. (2019) ‘Sensitivitas dan Spesifisitas Critical Care Pain Observational Tool (CPOT) sebagai Instrumen Nyeri pada Pasien Kritis Dewasa Paska Pembedahan dengan Ventilator’, Jurnal Keperawatan BSI, 7(1).
Yamashita, A., Yamasaki, M., Matsuyama, H., & Amaya, F. (2017) ‘Risk Factors and Prognosis of Pain events during Mechanical Ventilation : A Retrospective Study’, Journal of Intensive Care, 5, p. 17.
Unduhan
Diterbitkan
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2022 Jurnal Keperawatan Widya Gantari Indonesia
Artikel ini berlisensi Creative Commons Attribution 4.0 International License.
Syarat yang harus dipenuhi oleh Penulis sebagai berikut:
Penulis menyimpan hak cipta dan memberikan jurnal hak penerbitan pertama naskah secara simultan dengan lisensi di bawah Creative Commons Attribution License yang mengizinkan orang lain untuk berbagi pekerjaan dengan sebuah pernyataan kepenulisan pekerjaan dan penerbitan awal di jurnal ini.
