Pengaruh Slow Deep Breathing dan Genggam Jari terhadap Nyeri Pasien Kanker Rektum RSUD Raden Mattaher Jambi

DOI: https://doi.org/10.33650/trilogi.v7i2.15566
Authors

(1) * Regita Putri   (Jambi University)  
        Indonesia
(2)  Yosi Oktarina   (Jambi University)  
        Indonesia
(3)  Andika Sulistiawan   (Jambi University)  
        Indonesia
(4)  Dini Rudini   (Jambi University)  
        Indonesia
(5)  Andi Subandi   (Jambi University)  
        Indonesia
(*) Corresponding Author

Abstract


Pain is a major complaint in rectal cancer patients, significantly reducing quality of life. In addition to pharmacological therapy, pain management can be supported by non-pharmacological therapies such as slow deep breathing and finger grip therapy, but the effectiveness of their combination has been limitedly studied. This study aims to analyze the effect of combining these two therapies on pain in rectal cancer patients at Raden Mattaher Regional Hospital. Participants were assigned into intervention and control groups without randomization. The sample consisted of 40 respondents divided into 20 intervention groups and 20 control groups through a purposive sampling technique. Pain levels were measured using the Numeric Rating Scale (NRS) and Within-group differences were analyzed using Wilcoxon Signed Rank Test, while between-group differences were analyzed using Mann-Whitney test. The results showed that the average pain in the intervention group decreased from 4.80 to 2.40, while in the control group from 4.75 to 4.00. The Wilcoxon test showed a significant difference between the intervention group (p=0.000) and the control group (p=0.004), with a greater decrease in the intervention group. It was concluded that the combination of slow deep breathing and finger grip therapy was effective in reducing pain in rectal cancer patients.

Keywords

Finger Grasping; Nursing; Pain; Rectal Cancer; Slow Deep Breathing.







References


at Indonesia, 22 (3), 164–168. https://doi.org/10.14710/mkmi.22.3.164-168

Ilmiah, J., & Medika, C. (2024). ANALISA PERAN PERAWAT DALAM MANAJEMEN NYERI PADA PENDERITA KANKER DI RUMAH SAKIT TENTARA TINGKAT III Dr. REKSODIWIRYO PADANG. 5 (2).

Jannah, U., Sucipto, A., & Laksnono. E.B. (2024). THE EFFECT OF SLOW DEEP BREATHING ON REDUCING PAIN SCALE IN POST-OPERATIVE PATIENTS. Global Health Science Group, 5 (2).

Keum, N. N., & Giovannucci, E. (2019). Global burden of colorectal cancer: emerging trends, risk factors and prevention strategies. Nature Reviews Gastroenterology and Hepatology, 16 (12), 713–732. https://doi.org/10.1038/s41575-019-0189-8

Larasati, D. F., & Hidayati, N. (2022). Terapi genggam jari terhadap penurunan tingkat nyeri pasien kanker. Jurnal Ilmiah Kesehatan, 145–152.

Mitra, E., Fadila, A., & Eldrian, F. (2022). Gambaran Faktor Risiko Pasien Carcinoma Colorectal di Bagian Bedah Digestif RSI Siti Rahmah Padang Periode Januari – Desember 2018. Scientific Journal, 1 (2), 121–128. https://doi.org/10.56260/sciena.v1i2.32

Paice, J. A., Bohlke, K., Barton, D., Craig, D. S., El-Jawahri, A., Hershman, D. L., Kong, L. R., Kurita, G. P., Leblanc, T. W., Mercadante, S., Novick, K. L. M., Sedhom, R., Seigel, C., Stimmel, J., & Bruera, E. (2023). Use of Opioids for Adults With Pain From Cancer or Cancer Treatment: ASCO Guideline. Journal of Clinical Oncology, 41 (4), 914–930. https://doi.org/10.1200/JCO.22.02198

Pierantoni, C., Cosentino, L., & Ricciardiello, L. (2024). Molecular Pathways of Colorectal Cancer Development: Mechanisms of Action and Evolution of Main Systemic Therapy Compunds. Digestive Diseases, 42 (4), 319–324. https://doi.org/10.1159/000538511

Pratiwi, L., & Suherni, N. (2021). Manfaat terapi genggam jari terhadap ketenangan emosi pasien kanker rawat inap. Jurnal Holistik Keperawatan, 7 (1), 39–45.

Putra, A. & Wulandari, A. (2021). Pengaruh slow deep breathing terhadap nyeri post operasi pada pasien bedah mayor. Jurnal Keperawatan Muhammadiyah, 14–20.

Putri, A., & Handayani, S. (2021). Kombinasi terapi relaksasi dalam menurunkan intensitas nyeri pada pasien penyakit kronis. Jurnal Keperawatan Komplementer Indonesia, 5 (2), 80–88.

Rahawarin, H., Hataul, I. I., & Leiwakabessy, W. N. (2024). Hasil Penelitian KARAKTERISTIK KANKER KOLOREKTAL DI RSUD DR . M . HAULUSSY AMBON Dosen Fakultas Kedokteran Universitas Pattimura Corresponding author e-mail : williams.papilaya@gmail.com ISSN 2686-5165 ( online ) Volume 6 , Nomor 1 , April 2024 Pendahulua. 6 (April).

Rahmawati, D., et al. (2023). Efektivitas slow deep breathing terhadap nyeri dan kecemasan pada pasien kanker di ruang rawat inap. Jurnal Keperawatan Soedirman, 5 (2), 75–82.

Rahmawati, D., Sari, R. M., & Susanti, H. (2023). Efektivitas slow deep breathing terhadap nyeri dan tanda vital pasien kanker. Jurnal Keperawatan Soedirman, 15 (2), 75–82.

Rahmawati, N., & Putri, D. (2023). (2023). Hubungan kondisi psikologis dengan persepsi nyeri pada pasien kanker. Jurnal Keperawatan Onkologi Indonesia, 7 (1), 55–63.

Rahmawati, N., Putri, D., & Lestari, S. (2023a). Pengaruh teknik relaksasi napas dalam terhadap nyeri kronis. Jurnal Keperawatan Klinis Indonesia, 7 (1), 60–68.

Rahmawati, N., Putri, D., & Lestari, S. (2023b). Pengaruh teknik relaksasi napas dalam terhadap penurunan nyeri pada pasien dengan nyeri kronis. Jurnal Keperawatan Klinis Indonesia, 7 (1) (60–68.).

Rezaei, M., Salari, N., Aznab, M., & Vahid, S. (2024). Heliyon Effect of deep diaphragmatic breathing on pain in patients with metastatic gastrointestinal cancers. Heliyon, 10 (22), e40283. https://doi.org/10.1016/j.heliyon.2024.e40283

Rocha, A., Plancarte, R., Natarén, R. G. R., Carrera, I. H. S., Pacheco, V. A. D. L. R., & Hernández-Porras, B. C. (2020). Effectiveness of superior hypogastric plexus neurolysis for pelvic cancer pain. Pain Physician, 23 (2), 203–208. https://doi.org/10.36076/ppj.2020/23/203

Salminen, S., Collado, M. C., Endo, A., Hill, C., Lebeer, S., Quigley, E. M. M., Sanders, M. E., Shamir, R., Swann, J. R., Szajewska, H., & Vinderola, G. (2022). Author Correction: The International Scientific Association of Probiotics and Prebiotics (ISAPP) consensus statement on the definition and scope of postbiotics. Nature Reviews Gastroenterology & Hepatology, 19 (8), 551–551. https://doi.org/10.1038/s41575-022-00628-4

Sari, D., & Nugroho, A. (2021). Gambaran tingkat nyeri pada pasien kanker yang menjalani perawatan di rumah sakit. Jurnal Keperawatan Indonesia, 24 (3), 175–182.

Sulistiawan, A., Jauhari, M. F., & Nurhusna, N. (2022). Efektifitas Terapi Genggam Jari Terhadap Intensitas Nyeri Pada Pasien Post Operasi Appendektomi. Electronic Journal Scientific of Environmental Health And Disease, 3 (1), 45–57. https://doi.org/10.22437/esehad.v3i1.20282

Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71 (3), 209–249. https://doi.org/10.3322/caac.21660

Utami, R., Handayani, S., & Pratiwi, D. (2022). Manajemen nyeri pada pasien kanker melalui pendekatan farmakologis dan nonfarmakologis. Jurnal Keperawatan Klinis Indonesia, 6 (2), 85–94.

Vogel, J. D., Felder, S. I., Bhama, A. R., Hawkins, A. T., Langenfeld, S. J., Shaffer, V. O., Thorsen, A. J., Weiser, M. R., Chang, G. J., Lightner, A. L., Feingold, D. L., & Paquette, I. M. (2022). The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Colon Cancer. Diseases of the Colon and Rectum, 65 (2), 148–177. https://doi.org/10.1097/DCR.0000000000002323

Waddell, O., Keenan, J., & Frizelle, F. (2024). Challenges around diagnosis of early onset colorectal cancer, and the case for screening. ANZ Journal of Surgery, 94, 1687–1692. https://doi.org/10.1111/ans.19221

Wang, H., Liu, X.-L., Wang, T., Tan, J.-Y., & Huang, H. (2023). Breathing exercises for pain management in cancer survivors: A systematic review. Pain Management Nursing, 24 (3), 971–979.

Wijayanti, N., & Ismail, F. (2022). Pengaruh slow deep breathing terhadap intensitas nyeri pada pasien kanker kolorektal. Jurnal Ilmu Dan Teknologi Kesehatan, 13 (1), 40–47.

Wijianto, W., Nurarifah, N., Sukmawati, S., Subchan, D., Yuwono, D. K., Hasan, S. M., Muhammad, H. Y., Mangemba, Dg., & Galenso, N. (2023). Skrining Penyakit Tidak Menular dan Kanker Leher Rahim pada Masyarakat di Kota Luwuk Kabupaten Banggai. Poltekita: Jurnal Pengabdian Masyarakat, 4 (1), 276–285. https://doi.org/10.33860/pjpm.v4i1.1538

Wulandari, R., & Sari, P. (2022). Efektivitas terapi genggam jari terhadap penurunan nyeri pada pasien dengan kondisi penyakit kronis. Jurnal Keperawatan Holistik, 6 (1), 45–52.

Zulaekha, Q. S., Setiawan, A., Sukarni, S., & Hapsari, T. (2024). Tingkat Kecemasan dan Tingkat Nyeri Menurunkan Kualitas Tidur pada Pasien Kanker Kolorektal. Jurnal Keperawatan Indonesia Florence Nightingale, 4 (1), 15–22. https://doi.org/10.34011/jkifn.v4i1.2167


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TRILOGI: Jurnal Ilmu Teknologi, Kesehatan, dan Humaniora
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