Penerapan Intervensi Kombinasi Aromaterapi Lemon dan Guided Imagery dalam Asuhan Keperawatan pada Klien dengan Diagnosis Medis Post Operasi Open Reduction Internal Fixation Fraktur Ekstremitas Hari Ke-1 di Bangsal Bedah RSUD Sleman

  • Gilang Adi Vernanda Mahasiswa Program Studi Pendidikan Profesi Ners, Universitas Jenderal Achmad Yani Yogyakarta, Jl. Brawijaya, Ring Road Barat, Ambarketawang, Gamping, Sleman, Yogyakarta 55294
  • Ike Wuri Winahyu Sari Dosen Departemen Keperawatan Medikal Bedah, Program Studi Pendidikan Profesi Ners, Universitas Jenderal Achmad Yani Yogyakarta, Jl. Brawijaya, Ring Road Barat, Ambarketawang, Gamping, Sleman, Yogyakarta 55294
  • Pratiwi Pratiwi Perawat Bangsal Bedah RSUD Sleman, Jl. Bhayangkara, Temulawak, Triharjo, Sleman, Yogyakarta 55514
Keywords: Aromatherapy, Fractures, Guided imagery, Pain, Nursing Intervention

Abstract

Background: Bone fracture is one of the most common injuries with a global prevalence in 2020 reaching 2.7% with 1.3 million fracture cases occurring annually in Indonesia. Postoperative pain is one of the impacts felt by patients. One pain management that can be done is non-pharmacological management by providing combination therapy between aromatherapy and guided imagery. However, this pain management needs to be studied further because differences in patient characteristics influence the response to each therapy given.

Objective: To find out the application of combination therapy between aromatherapy and guided imagery in reducing pain levels.

Case Report:  This study is a case report with a 21-year-old male patient who came to the emergency department due to a traffic accident. The nursing diagnosis made in this patient was acute pain related to physical injury agents and the medical diagnosis was post-operative open reduction internal fixation (ORIF) cruris and right clavicle. The non-pharmacological management provided is in the form of aromatherapy using a diffuser containing 50 ml of water and 5 drops of lemon aroma essential oil, as well as guided imagery. Pain level evaluation was carried out before and after the intervention.

Results: The application of lemon aromatherapy and guided imagery is effective in reducing post-operative pain, as evidenced by the pain scale being reduced from 8 to 3.

Conclusion: The application of combination therapy between aromatherapy and guided imagery is effective in reducing pain levels in post-operative patients.

References

[1] R. Haryono dan P. Maria, Keperawatan Medikal Bedah 2. Yogyakarta: Pustaka Baru Press, 2018.
[2] Brunner dan Suddarth, Textbook Of Medical-Surgical Nursing. Cina: Lisa McAllister, 2014.
[3] World Health Organization, Global status report on road safety. World Health Organization, 2019.
[4] World Health Organization, Global status report on road safety. World Health Organization, 2020.
[5] International Orthopaedic Trauma Association, An updated hip fracture projection in Asia. Higgins Road Suite Amerika: OTA., 2018.
[6] Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI, “Riset Kesehatan Dasar 2018.” Diakses: 26 Januari 2024. [Daring]. Tersedia pada: https://layanandata.kemkes.go.id/katalog-data/riskesdas/ketersediaan-data/riskesdas-2018
[7] L. Priscilia, Keperawatan medikal bedah. Jakarta: EGC, 2015.
[8] N. Zairin, Buku ajar gangguan muskuloskeleta, 2 ed. Jakarta: Salemba Medika, 2016.
[9] N. Nurhayati, D. Marianthi, D. Desiana, dan R. Maulita, “Pemberian relaksasi benson terhadap penurunan nyeri pasien post operasi fraktur femur di rumah sakit umum daerah meuraxa banda aceh,” Journal Keperawatan, vol. 1, no. 1, hlm. 43–53, 2022.
[10] A. Zakiyah, Nyeri: Konsep dan Penatalaksanaan Dalam Praktik Keperawatan Berbasis Bukti. Jakarta: Salemba Medika, 2015.
[11] A. I. Hidayatulloh, “Pengalaman dan Manajemen Nyeri Pasien Pasca Operasi di Ruang Kemuning V RSUP Dr. Hasan Sadikin Bandung: Studi Kasus,” Jurnal Ilmu Keperawatan dan Kebidanan, vol. 11, no. 2, hlm. 187–204, 2020.
[12] M. Suriya dan S. K. Zuriati, Buku Ajar Asuhan Keperawatan Medikal Bedah Gangguan Pada Sistem Muskuloskeletal Aplikasi NANDA NIC & NOC. Pustaka Galeri Mandiri, 2019.
[13] J. D. Patil, J. A. N. Sefen, dan S. Fredericks, “Exploring non-pharmacological methods for pre-operative Pain Management,” Frontiers in Surgery, vol. 9, hlm. 801742, 2022.
[14] J. Balkam, Aromaterapi Jilid 1. Semarang: Dahara Prize, 2014.
[15] E. Rahmayati, R. Hardiansyah, dan N. Nurhayati, “Pengaruh Aromaterapi Lemon terhadap Penurunan Skala Nyeri Pasien Post Operasi Laparatomi,” Jurnal Kesehatan, vol. 9, no. 3, hlm. 427–432, 2018.
[16] I. Shaddri, I. W. Dharmayana, dan I. Sulian, “Penggunaan teknik guided imagery terhadap tingkat kecemasan siswa mengikuti aktivitas konseling kelompok,” Consilia: Jurnal Ilmiah Bimbingan dan Konseling, vol. 1, no. 3, hlm. 68–78, 2018.
[17] A. Amir dan N. Rantesigi, “Pengaruh Aromaterapi Lemon dan Guided Imagery Terhadap Penurunan Skala Nyeri Pada Pasien Dengan Fraktur Ekstremitas: The Effect of Lemon Aromatherapy and Guided Imagery on Reducing Pain Scale in Patients with Extremity Fractures,” Madago Nursing Journal, vol. 2, no. 1, hlm. 9–14, 2021.
[18] SDKI, Standar Diagnosis Keperawatan Indonesia. Jakarta: DPP PPNI, 2017.
[19] L. Astuti dan L. Aini, “Pengaruh Pemberian Aromaterapi Lavender Terhadap Skala Nyeri Pada Pasien Post Operasi Fraktur,” Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, vol. 12, no. 1, hlm. 171–178, 2020.
[20] I. Ismunandar, “Pengaruh Guide Imagery Relaxation terhadap Tingkat Nyeri pada Pasien Fraktur yang dilakukan Tindakan Pembedahan di Ruang Paviliun Teratai RSUD Undata Palu: The Effect of Guide Imagery Relaxation on Pain Levels in Fracture Patients Undergoing Surgery in the Teratai Pavilion Undata Hospital Palu,” Lentora Nursing Journal, vol. 3, no. 2, 2023.
[21] M. J. Berhimpong, H. Tambajong, dan D. C. Lalenoh, “Perbandingan Premedikasi Fentanil 1 Mcg/Kgbb Iv Dan 2 Mcg/Kgbb Iv Terhadap Tekanan Darah Dan Nadi Akibat Intubasi Jalan Nafas Pada Pasien Yang Menjalani Pembedahan Elektif Di Rsup Prof. Dr. Rd Kandou Manado Periode November–Desember 2014,” e-CliniC, vol. 3, no. 1, hlm. 412–419, 2015.
[22] D. M. Yusuf, “Asuhan Keperawatan Post Op Pada Klien Fraktur Femur Tertutup Dengan Tindakan Open Reduction Internal Fixation (Orif) Di Ruang Baitussalam 1 Rsi Sultan Agung Semarang,” 2022.
[23] A. Kotimah dan F. Prastiwi, “Asuhan Keperawatan Pasien Post Op Fraktur Ekstremitas: Nyeri Akut Dengan Intervensi Aromaterapi Kombinasi Guided Imagery,” Naskah Publikasi, 2023.
[24] N. Ayu Puspita dan A. Maliya, “Pengaruh Aromaterapi Lavender Dan Genggam Jari Terhadap Intensitas Nyeri Post Operasi Fraktur Di Rs. Ortopedi Prof. Dr. R. Soeharso Surakarta,” 2018.
[25] D. M. P. Putri dan R. N. Amalia, Terapi komplementer konsep dan aplikasi dalam keperawatan. Yogyakarta: PT. Pustaka Baru, 2019.
[26] W. Widayani, “Aromaterapi Lavender dapat Menurunkan Intensitas Nyeri Perineum pada Ibu Post Partum,” JNKI (Jurnal Ners dan Kebidanan Indonesia)(Indonesian Journal of Nursing and Midwifery), vol. 4, no. 3, hlm. 123–128, 2017.
[27] D. Grocke dan T. Moe, Guided imagery & Music (GIM) and Music Imagery Methods for Individual and Group Therapy. London: Jessica Kingsley Publishers, 2015.
Published
2024-06-30