AKUPRESUR SEBAGAI ALTERNATIF UNTUK MENGURANGI NYERI PASIEN KANKER SERVIKS: STUDI KASUS

Ayu Ramadhana, Siti Utami Dewi, Indah Susilowati, Tuti Nuraini

Abstract


ABSTRAK 

Kanker serviks merupakan salah satu penyakit kronis yang dialami perempuan dengan berbagai gejala sepanjang hidup pasien. Nyeri pada pasien kanker berdampak serius secara fisik, mental, kesehatan emosional, serta kualitas hidup. Melihat dampak dari nyeri, diperlukan manajemen nyeri yang merupakan bagian esensial dalam perawatan kanker. Salah satu penatalaksanaan nyeri secara nonfarmakologi ialah teknik akupresur. Tujuan penelitian: untuk mendeskripsikan penanganan nyeri secara nonfarmakologi yaitu akupresur pada pasien kanker. Keluhan utama: Subjek dalam studi kasus, yaitu pasien kanker serviks dengan inisial Ny. SN 42 tahun dengan nyeri sejak terdiagnosis kanker dan semakin bertambah intensitasnya pada saat menjalani terapi radiasi. Intervensi akupresur dalam penelitian ini dilakukan selama tujuh hari, intervensi dilakukan oleh peneliti yang telah memiliki sertifikat kompetensi akupresur. Hasil: Studi kasus ini menunjukkan pasien mengalami penurunan skala nyeri setelah dilakukan intervensi akupresur selama 7 hari, dari skala 7 (nyeri berat) menjadi skala 3 (nyeri ringan). Simpulan: Manajemen nyeri dengan terapi nonfarmakologis, yakni akupresur, direkomendasikan sebagai terapi komplementer pilihan pada intervensi keperawatan, khususnya dalam mengurangi nyeri pada pasien kanker.

Kata Kunci: akupresur, kanker serviks, nyeri

 

 

Acupressure as An Alternative To Reduce Pain in Cervical Cancer Patients: A Case Study

 

ABSTRACT

Cervical cancer is one of the chronic diseases experienced by women with various symptoms throughout their life. Pain in cancer patients seriously impacts physical, mental, and emotional health and quality of life. Therefore, pain management is needed as an essential part of cancer treatment. One of the of non -pharmacological pain management is acupressure technique. Objective: To describe nonpharmacological pain management, namely acupressure in cancer patients. Chief Complaint: A subject in the case study was a cervical cancer patient, Mrs. SN, 42 years old, with pain since being diagnosed with cancer, and its intensity increased when undergoing radiation therapy. Acupressure intervention in this study was conducted for seven days and carried out by the researcher, who already had an acupressure competency certificate. Results: This case study indicated the patient had a decrease in pain scale after acupressure intervention for 7 days, from a scale of 7 (severe pain) to 3 (mild pain). Conclusion: Pain management with nonpharmacological therapy, namely acupressure, is recommended as an alternative to complementary therapy in nursing interventions, especially in managing pain in cancer patients.

Keywords: acupressure, cervical cancer, pain


References


Abdurachman. (2016). Mudah Akupunktur Melalui Anatomi. Yogyakarta: Arti Bumi Intaran.

Alligood, R.M. (2014). Nursing Theorists and Their Work (Alih Bahasa: Achir Yani S., Ariesta Milanti, Efa Apriyanti, Hana Rizmadewi, Herni Susanti, Nursiswati). 8th ed. Singapore: Elsevier. (Buku asli terbit tahun 2013).

Arum, S.P. (2015). Stop Kanker Serviks: Panduan Bagi Wanita untuk Mengenal, Mencegah & Mengobati. Yogyakarta: Notebook.

Atrian, M. K., Afshar, M., Sarvieh, M., Ajorpaz, N. M., Taheri Z. K., Jafarabadi, M. A., Heshmat, R. Comparison of mazimum pain intensity and duration of primary dysmenorrhea after acupressure on third liver and placebo points – A double-blind randomized controlled clinical trial. Nursing Practice Today, 1(4): 192-198.

Bahrudin, M. (2018). Patofisiologi nyeri (pain). Saintika Medika, 13(1): 7-13.

Changfa, X., Xuesi, D., He, L., Maomao, C., Dianqin, S., Siyi, H.,

Chen, W. (2022). Cancer statistics in China and United States: Profiles, trends and determinants. Chinese Medical Journal, 135(5): 584-590.

Chen, Y. W. & Wang, H. H. (2014). The effectiveness of acupressure on relieving pain: A systematic review. Pain Management Nursing, 15(2): 539-550. doi: 10.1016/j.pmn.2012.12.005

Goucke, C. R. (2019). Essentials of interventional cancer pain management. Anesthesia & Analgesia, 129(6): e190.

He, Y., Guo, X., May, B. H., Zhang, A. L., Liu, Y., Lu, C., …, Zhang, H. (2020). Clinical Evidence for Association of Acupuncture and Acupressure with Improved Cancer Pain: A Systematic Review and Meta-Analysis. JAMA Oncology, 6(2): 271–278.

Heri, A. A. P. & Subarnas, A. (2019). Morfin: Penggunaan Klinis dan Aspek-aspeknya. Farmaka, 17(3), 134–141.

Hmwe, N. T. T., Subramanian, P., Tan, L. P., & Chong, W. K. (2015). The effects of acupressure on depression, anxiety and stress in patients with hemodialysis: A randomized controlled trial. International Journal of Nursing Studies, 52(2): 509–518.

Howell, D., Mayer, D. K., Fielding, R., Eicher, M., Verdonck-De Leeuw, I. M., Johansen, C., Soto-Perez-De-Celis, E, …, Koczwara, B. (2021). Management of Cancer and Health after the Clinic Visit: A Call to Action for Self-Management in Cancer Care. Journal of the National Cancer Institute, 113(5): 523–531.

Pusat Data dan Informasi Kementerian Kesehatan Republik Indonesia. (2015). Stop Kanker: Situasi Penyakit Kanker. Jakarta: Pusat Data dan Informasi Kesehatan Kementerian Kesehatan RI.

Liu, Q., Zhang, X. M., Liu, P. Y., Wang, Y. L., & Wang, Y. Q. (2020). A self-management application “pain-housekeeper” to control cancer pain: A randomized controlled trial study protocol. Frontiers of Nursing, 7(3): 257–267.

Mehta, P., Dhapte, V., Kadam, S., & Dhapte, V. (2017). Contemporary acupressure therapy: Adroit cure for painless recovery of therapeutic ailments. Journal of Traditional and Complementary Medicine, 7(2): 251–263.

Rajin, M., Masruroh, & Qhofar, A. (2021). Panduan Babon Akupuntur. Yogyakarta: Indoliterasi.

Rosińczuk, J., Kołtuniuk, A., Górska, M., & Uchmanowicz, I. (2015). The Application of Callista Roy Adaptation Model in the Care of Patients with Multiple Sclerosis – Case Report. The Journal of Neurological and Neurosurgical Nursing, 4(3): 121–129.

Sand-Jecklin, K., & Reiser, V. (2018). Use of Seva Stress Release Acupressure to Reduce Pain, Stress, and Fatigue in Patients Hospitalized for Cancer Treatment. Journal of Hospice and Palliative Nursing, 20(6): 521–528.

Septadina, I. S. (2021). Effectivity of Acupressure in Low Back Pain. Arkus, 7(1): 146–154.

Septiwi, C. & Setiaji, W. R. (2020). Penerapan Model Adaptasi Roy Pada Asuhan Keperawatan Pasien dengan Penyakit Ginjal Kronis. Jurnal Ilmiah Kesehatan Keperawatan, 16(2): 101–111.

Serçe, S., Ovayolu, Ö., Pirbudak, L., & Ovayolu, N. (2018). The Effect of Acupressure on Pain in Cancer Patients With Bone Metastasis: A Nonrandomized Controlled Trial. Integrative Cancer Therapies, 17(3): 728–736.

Nia, H. S., Sharif, S. P., Yaghoobzadeh, A., Yeoh, K. K., Goudarzian, A. H., Soleimani, M. A., Jamali, S. (2017). Effect of acupressure on pain in Iranian leukemia patients: A randomized controlled trial study. Int J Nurs Pract, 23(2): e12513.

Shinta, R. N. & Surarso, B. (2016). Terapi mual muntah pasca kemoterapi. Jurnal THT-KL, 9(2): 74–82.

Singh, R., Shetty, N., Naveed, M., Pawar, S. B., Iska, S., & Alugubelli, N. R. (2016). Retrospective analysis of patients with carcinoma cervix in a rural/semi-urban setting in Western India. Indian Journal of Medical and Paediatric Oncology, 37(1): 25–27.

Sulistyoningrum, I. (2017). Pengaruh Teknik Akupresure Terhadap Pengurangan Intensitas Nyeri Kala I Persalinan. Tunas-tunas Riset Kesehatan, 7(2): 143–148.

Tandon, M., Singh, A., Saluja, V., Dhankhar, D., Pandey, C., Jain, P. (2016). Validation of a new.objective score vs Numeric Rating Scale for the evaluaiton of acute pain: A comparative study. Anest Pain Med, 6(1): 1–5.

The Global Cancer Observatory. (2020). Cancer Incident in Indonesia. International Agency for Research on Cancer, 858: 1–2. https://doi.org/10.25259/IJPC.119.21

Tim Pokja SDKI DPP PPNI. (2016). Standar Diagnosis Keperawatan Indonesia (SDKI). Jakarta: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

Tim Pokja SIKI DPP PPNI. (2018). Standar Intervensi Keperawatan Indonesia (SIKI). Jakarta: Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

Wiffen, P. J., Wee, B., & Moore, R. A. (2013). Oral morphine for cancer pain. The Cochrane database of systematic reviews, 22(7): CD003868.

Yarbro, C. H., Debra, W., Barbara, H. G. (2011). Cancer Nursing: Principles and Practice. 7th Edition. America: Jones and Bartlett Publisher.

Yeh, C. H., Chien, L. C, Glick, R. M., Londen, Gv, & Bovbjerg, D. H. (2015). Auricular Point Acupressure (APA) to Manage a Symptom Cluster of Pain, Fatigue, and Disturbed Sleep in Breast Cancer Patients: A Pilot Study. Journal of Pain & Relief, 4(5): 199.

Yesilyurt, M. and Faydali, S. (2021). Evaluation of Patients Using Numeric Pain-Rating Scales. International Journal of Caring Sciences, 14(2): 890-897.




DOI: http://dx.doi.org/10.32419/jppni.v7i3.375

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