Terapi Musik sebagai Terapi Nonfarmakologi terhadap Respon Fisiologis dan Intensitas Nyeri pada Anak di Ruang Rawat Intensif: Telaah Sistematis

Authors

  • Rahmawati Handayani Fakultas Ilmu Keperawatan, Universitas Indonesia
  • Nani Nurhaeni Fakultas Ilmu Keperawatan, Universitas Indonesia
  • Imami Nur Rachmawati Fakultas Ilmu Keperawatan, Universitas Indonesia

DOI:

https://doi.org/10.32583/keperawatan.v15i2.904

Keywords:

intensitas nyeri, respon fisiologis, ruang rawat intensif, terapi musik

Abstract

Nyeri merupakan hal yang paling sering dialami oleh anak yang menjalani hospitalisasi, khususnya di ruang perawatan intensif. Perawatan di ruangan intensif membuat anak terpisah dari orang tua sehingga dapat meningkatkan stress dan berdampak terhadap nyeri dan perubahan respon fisiologis. Tujuan dari tinjauan sistematik ini adalah untuk mengidentifikasi pengaruh terapi musik terhadap respon fisiologis dan intensitas nyeri pada pasien anak di ruang perawatan intensif. Metode pencarian database dilakukan melalui PubMed, ProQues, Google Scholar dan Scopus, yang merupakan penelitian eksperimen pada anak usia 0-18 tahun dalam rentang waktu 2017-2022. Kata kunci adalah: Music therapy AND Pain AND physiological responses AND children AND Intensive Care Unit. Total artikel yang didapatkan awal dari empat database adalah 4980 artikel, setelah dilakukan skrining sesuai kriteria inklusi, didapatkan delapan artikel. Hasil dari tinjauan sistematik ditemukan bahwa 5 artikel dari 8 artikel menjelaskan terapi musik efektif dalam kestabilan respon fisiologis terutama denyut jantung secara bermakna dan 3 artikel menjelaskan bahwa terapi musik dapat menurunkan intensitas nyeri pada anak yang dirawat di ruang intensif.

References

Ariani I., Nurhaeni N., & Waluyanti F.T. (2015). Pengaruh Terapi Musik Terhadap Respon Fisiologis dan Kecemasan Anak Selama Hospitalisasi. Jurnal Kesehatan Al-Irsyad (JKA), Vol. VIII, No. 2. September 2015

Black, M. J. & Hawks, H .J. (2009). Medical surgical nursing : clinical management for continuity of care, 8th ed. Philadephia : W.B. Saunders Company

Bush, H. I., LaGasse, A. B., Collier, E. H., Gettis, M. A., & Walson, K. (2021). Effect of Live Versus Recorded Music on Children Receiving Mechanical Ventilation and Sedation. American journal of critical care : an official publication, American Association of Critical-Care Nurses, 30(5), 343–349. https://doi.org/10.4037/ajcc2021646

Barcellos, A. A., Mathiolli, C., Lagos, M. T. G., Matos, G. M., & Zani, A. V. (2021). Effects of music therapy on the physiological responses of preterm newborns on non-invasive ventilation: a quasiexperimental study. Online Brazilian Journal of Nursing, 20, 1–8. https://doi.org/10.17665/1676-4285.20216487

Çelikol, Ş., Tural Büyük, E., & Yıldızlar, O. (2019). Children’s Pain, Fear, and Anxiety During Invasive Procedures. Nursing Science Quarterly, 32(3), 226–232. https://doi.org/10.1177/0894318419845391

Heryani, R., & Utari, MD. (2017). Efektivitas Pemberian Terapi Musik ( Mozart ) Dan Back Exercise terhadap Penurunan Nyeri Dysmenorrea Primer. Jurnal IPTEKS Terapan, 11(4), 283–28 Hockenberry, M. J., & Wilson, D. (2015). Study Guide for Wong’s Nursing Care of Infants and Children - E-Book - Marilyn J. Hockenberry, David Wilson, Anne Rath Rentfro, Linda McCampbell - Google Buku (11 th edit). Retrieved from https://books.google.co.id.

Holden, R., & Holden, J. (2013). Music: A better alternative than pain? British Journal of General Practice, 63(615), 536. https://doi.org/10.3399/bjgp13X673748

Linton, S. J., & Shaw, W. S. (2011). Impact of psychological factors in the experience of pain. Physical Therapy, 91(5), 700–711. https://doi.org/10.2522/ptj.20100330

Lucchini A, Canesi M, Robustelli G, et al (2016). An Association Between Pain and American Association of Respiratory Care 2010 Guidelines During Tracheal Suctioning. Dimens Crit Care Nurs. doi: 10.1097/DCC.0000000000000200. PMID: 27487754.

Manuel et al,( 2019) How often do we perform painful and stressful procedures in the paediatric intensive care unit? A prospective observational study. Australian Critical Care 32

Manworren, R. C., & Lurie, A. & R. H. (2019). Pain Management in the Pediatric Intensive Care Unit (Picu). Children’s Hospital of Chicago.

Nilsson, U. (2008). The Anxiety- and Pain-Reducing Effects of Music Interventions: A Systematic Review. AORN Journal, 87(4). https://doi.org/10.1016/j.aorn.2007.09.013

Novita D. (2012). Pengaruh Terapi Musik Terhadap Nyeri Post Operasi Open Reduction And Internal Fixation (ORIF) di RSUD DR. H. Abdul Moeloek Propinsi Lampung. Tesis

Novitasari, S., Sulaeman, S., & Purwati, N. (2019). Pengaruh Terapi Musik dan Terapi Video Game terhadap Tingkat Nyeri Anak Usia Prasekolah yang Dilakukan Pemasangan Infus. Journal of Telenursing (JOTING), 1(1), 168-177.

Potter, & Perry. (2013). Study Guide for Fundamentals of Nursing E-Book - Patricia A. Potter, Anne Griffin Perry, Patricia Stockert, Amy Hall, Geralyn Ochs - Google Buku (Eight edit). Retrieved from https://books.google.co.id/.

Rais A., & Alfiyanti D., (2020) Penurunan Skala Nyeri Pada Anak Post Operasi Laparatomi menggunakan Terapi Musik Mozart. Jurnal Unimus. Vol.1, No 2

Raja, S. N., Carr, D. B., Cohen, M., Finnerup, N. B., Flor, H., Gibson, S., Keefe, F. J., Mogil, J. S., Ringkamp, M., Sluka, K. A., Song, X. J., Stevens, B., Sullivan, M. D., Tutelman, P. R., Ushida, T., & Vader, K. (2020). The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain, 161(9), 1976–1982. https://doi.org/10.1097/j.pain.0000000000001939

Ramli, N. A., Ramadanti, A., Indrayady, & Memy, Y. D. (2021). Music for pain in healthy neonates. Paediatrica Indonesiana(Paediatrica Indonesiana), 61(2), 69–73. https://doi.org/10.14238/pi61.2.2021.69-73

S., P., & S., K. (2011). Music intervention and preoperative anxiety: An integrative review. International Nursing Review, 58(2), 157–163. http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L361725604%5Cnhttp://dx.doi.org/10.1111/j.1466-7657.2011.00888.x%5Cnhttp://resolver.ebscohost.com/openurl?sid=EMBASE&issn=00208132&id=doi:10.1111%2Fj.1466-7657.2011.00888.x&atitle=Mu

Seniwati, T., Hasmuddin, A. D., & Afelya, T. I. (2021). Children mortality in Pediatric Intensive Care Unit (PICU): An Overview. Jurnal Kesehatan Pasak Bumi Kalimantan, 5(1), 22–27. http://e-journals.unmul.ac.id/index.php/JKPBK/article/view/7344

Sriyanah, N., Efendi, S., Syatiani, S., Nurleli, N., & Nurdin, S. (2022). Relationship between hospitalization stress and changes in sleep patterns in children aged 3-6 years in the Al-Fajar Room of Haji Hospital, Makassar. International Journal of Health Sciences, 6(March), 608–618. https://doi.org/10.53730/ijhs.v6ns4.5594

Tang, L., Wang, H., Liu, Q., Wang, F., Wang, M., Sun, J., & Zhao, L. (2018). Effect of music intervention on pain responses in premature infants undergoing placement procedures of peripherally inserted central venous catheter: A randomized controlled trial. European Journal of Integrative Medicine, 19(November 2017), 105–109. https://doi.org/10.1016/j.eujim.2018.03.006

Ting, B., Tsai, C. L., Hsu, W. T., Shen, M. L., Tseng, P. T., Chen, D. T. L., Su, K. P., & Jingling, L. (2022). Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 11(4), 1–18. https://doi.org/10.3390/jcm11040991

van der Heijden, M. J. E., Jeekel, J., Rode, H., Cox, S., van Rosmalen, J., Hunink, M. G. M., & van Dijk, M. (2018). Can live music therapy reduce distress and pain in children with burns after wound care procedures? A randomized controlled trial. Burns, 44(4), 823–833. https://doi.org/10.1016/j.burns.2017.12.013

van Dokkum, N. H., Jaschke, A. C., Ravensbergen, A. G., Reijneveld, S. A., Hakvoort, L., de Kroon, M. L. A., & Bos, A. F. (2020). Feasibility of Live-Performed Music Therapy for Extremely and Very Preterm Infants in a Tertiary NICU. Frontiers in Pediatrics, 8(October), 1–7. https://doi.org/10.3389/fped.2020.581372

Wager, J., Ruhe, A. K., Stahlschmidt, L., Leitsch, K., Claus, B. B., Häuser, W., Brähler, E., Dinkel, A., Kocalevent, R., & Zernikow, B. (2021). Long-term outcomes of children with severe chronic pain: Comparison of former patients with a community sample. European Journal of Pain (United Kingdom), 25(6), 1329–1341. https://doi.org/10.1002/ejp.1754

Downloads

Published

03/31/2023

How to Cite

Handayani, R., Nurhaeni, N. ., & Rachmawati, I. N. (2023). Terapi Musik sebagai Terapi Nonfarmakologi terhadap Respon Fisiologis dan Intensitas Nyeri pada Anak di Ruang Rawat Intensif: Telaah Sistematis. Jurnal Keperawatan, 15(2), 607–618. https://doi.org/10.32583/keperawatan.v15i2.904