EFEKTIVITAS PEMBERIAN TEKNIK VALSAVA MANUVER TERHADAP INTENSITAS NYERI PENUSUKAN ARTERIOVENOUS FISTULA PADA PASIEN HEMODIALISA
Keywords:
Arteriovenouse fistula, hemodialisa, nyeri, valsava manuver
Abstract
Latar Belakang : Nyeri insersi arteriovenouse fistula adalah masalah nyata bagi pasien hemodialisa. Salah satu intervensi yang dapat dilakukan oleh perawat untuk mengurangi nyeri yaitu dengan teknik valsava manuver. Valsava manuver adalah teknik non-farmakologi yang mudah dilakukan dan tidak menimbulkan efek samping. Tujuan : Mengetahui Efektivitas Pemberian Teknik Valsava Manuver Terhadap Intensitas Nyeri Penusukan Arteriovenouse Fistula Pada Pasien Hemodialisa Di RSUI Banyu Bening. Metode : Rancangan penelitian pre experiment design dengan jumlah sempel 30 responden diambil dengan metode purposive sampling. Intrumen penelitian ini menggunakan kuisioner NPRS (Numerical Pain Rating Scale). Analisis data mengunaan uji bivariat dengan shapiro-wilk dan independent sempel t-test. Hasil Penelitian : Hasil uji normalitas Shapiro-Wilk pada kelompok perlakuan p=0,153 dan kelompok kontrol p=0,155. Angka p-value Shapiro-Wilk tersebut lebih besar dibandingkan dengan taraf signifikansi 5% (0,05) yang artinya kedua kelompok data berdistribusi normal. Berdasarkan hasil uji independen sempel t-test diperoleh nilai p=0,000<0,05 dan nilai t hitung -4.668 > t tabel 1.701 yang artinya H0 titolak dan Ha diterima. Simpulan : Secara signifikan ada efektifivas pemberian teknik valsava manuver terhadap intensitas nyeri penusukan arteriovenouse fistula pada pasien hemodialisa di Rumah Sakit Umum Islam Banyu Bening.References
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Saputra, M., Badri, S., Keperawatan, P. S., Bina, U., & Getsempena, B. (2021). Pemberian teknik valsava manuver terhadap intensitas nyeri penusukan arteriovenous fistula (avf) pasien hemodialisa valsava manuver techniques to pain intensity arteriovenous fistula (avf) pain in hemodialized patients. 8(2), 92–100.
Sundaran Jisha, P., Khan, F., & Bansal, P. (2016a). An experimental study to assess the effectiveness of Valsalva maneuver prior to intravenous cannulation on pain perception among ... an experimental study to assess the effectiveness of Valsalva maneuver prior to intravenous cannulation on pain perception. Egyptian Journal of Health Care, 12(4), 530–538. https://doi.org/10.21608/ejhc.2021.201916
Sundaran Jisha, P., Khan, F., & Bansal, P. (2016b). An experimental study to assess the effectiveness of Valsalva maneuver prior to intravenous cannulation on pain perception among ... an experimental study to assess the effectiveness of Valsalva maneuver prior to intravenous cannulation on pain perception. Egyptian Journal of Health Care, 12(4), 530–538.
Bayhakki, B., & Hasneli, Y. (2018). Hubungan Lama Menjalani Hemodialisis dengan Inter-Dialytic Weight Gain (IDWG) pada Pasien Hemodialisis. Jurnal Keperawatan Padjadjaran, 5(3), 242–248. https://doi.org/10.24198/jkp.v5i3.646
Cahyaningtyas, P. Y., Purwanti, O. S., & Purnama, A. P. (2020). Efek Terapi Akupresur Point Hugo untuk Mengurangi Nyeri Tusukan Arteriovenous Fistula pada Pasien yang Menjalani Hemodialisa d i RS PKU ‘ Aisyiyah Boyolali. 5(1), 75–84.
Celik et al. (2011). Kompres Es Lebih Efektif Untuk Mengurangi Nyeri Saat Insersi Jarum Pada Pasien Hemodialisa?: Ebn. IV, 1–8.
Davtalab, E., Naji, S., & Shahidi, S. (2016). Comparing the effects of Valsalva maneuver and ice massage at Hoku point methods on pain intensity within the needle insertion to the arteriovenous fistula (AVF) for patients undergoing hemodialysis in the selected hospitals in Isfahan in 2015. Www.Ijmrhs.Com International Journal of Medical Research & Health Sciences, 5(S), 101–107. www.ijmrhs.com
da Silva, O. M., Rigon, E., Corradi Dalazen, J. V., Bissoloti, A., & Rabelo-Silva, E. R. (2016). Pain during Arteriovenous Fistula Cannulation in Chronic Renal Patients on Hemodialysis. Open Journal of Nursing, 06(12), 1028–1037. https://doi.org/10.4236/ojn.2016.612098
Djarwoto. (2018). KOMPRES NaCl 0,9% DALAM UPAYA MENURUNKAN NYERI POST INSERSI AV FISTULA PADA PASIEN GAGAL GINJAL KRONIK. 2, 71–80.
Ganik, M. & K. (2017). PENGARUH INTRADIALISIS EXERCISE?: ROM TERHADAP TEKANAN DARAH PADA KLIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS.
Harris, T. J., Nazir, R., Khetpal, P., Peterson, R. A., Chava, P., Patel, S. S., & Kimmel, P. L. (2012). Pain, sleep disturbance and survival in hemodialysis patients. Nephrology Dialysis Transplantation, 27(2), 758–765. https://doi.org/10.1093/ndt/gfr355
Kaza et al. (2014). Pain during arterio-venous fistula ( AVF ) cannulation. September 2014. https://doi.org/10.11648/j.ajim.20140205.12
Kumar, S., Kumar, S., Gautam, S., Gupta, D., & Agarwal, A. (2016). The effect of Valsalva maneuver in attenuating skin puncture pain during spinal anesthesia: a randomized controlled trial. February. https://doi.org/10.4097/kjae.2016.69.1.27
Kumar, S., Kumar, S., Gautam, S., Gupta, D., Agarwal, A., Dhirraj, S., & Khuba, S. (2016). The effect of Valsalva maneuver in attenuating skin puncture pain during spinal anesthesia: a randomized controlled trial. 0–4.
M.Bachrudin, & Moh. Najib. (2016). Keperawatan Medikal Bedah 1.
NIDDK. (2016). Pengaruh pemberian tekn ik valsava manuver, teknik kompres dingin kontralateral. 141.
Nurmandhani, R. (2020). Jurnal Profesi Kesehatan Masyarakat. 1(2), 51–59.
Pasero, C., et al. (2017). Pain Management. St Louis: Mosby Elsevier., 277–622. file:///C:/Users/nasyp/Downloads/Nursing Diagnosis Handbook_ An Evidence-Based Guide to Planning Care ( PDFDrive ).pdf
Rahman, D. (2013). HUBUNGAN FATIGUE DENGAN TINGKAT KECEMASAN PADA PASIEN HEMODIALISA DI RS PERKEBUNAN JEMBER Diajukan.
Riskesdas. (2013). RISET KESEHATAN DASAR.
sanusi. (2015). EFEKTIFITAS KOMPRES DINGIN DAN TEKNIK RELAKSASI NAFAS DALAM UNTUK SKALA NYERI PASIEN SAAT KANULASI (INLET AKSES FEMORAL) DI UNIT HEMODIALISA RSUD CILACAP Effectiveness. 14, 24–34.
Saputra, M., Badri, S., Keperawatan, P. S., Bina, U., & Getsempena, B. (2021). Pemberian teknik valsava manuver terhadap intensitas nyeri penusukan arteriovenous fistula (avf) pasien hemodialisa valsava manuver techniques to pain intensity arteriovenous fistula (avf) pain in hemodialized patients. 8(2), 92–100.
Sundaran Jisha, P., Khan, F., & Bansal, P. (2016a). An experimental study to assess the effectiveness of Valsalva maneuver prior to intravenous cannulation on pain perception among ... an experimental study to assess the effectiveness of Valsalva maneuver prior to intravenous cannulation on pain perception. Egyptian Journal of Health Care, 12(4), 530–538. https://doi.org/10.21608/ejhc.2021.201916
Sundaran Jisha, P., Khan, F., & Bansal, P. (2016b). An experimental study to assess the effectiveness of Valsalva maneuver prior to intravenous cannulation on pain perception among ... an experimental study to assess the effectiveness of Valsalva maneuver prior to intravenous cannulation on pain perception. Egyptian Journal of Health Care, 12(4), 530–538.
Published
2024-01-31
How to Cite
Hasbi, H. A., Sutanta, S., & Muntiasih, M. (2024). EFEKTIVITAS PEMBERIAN TEKNIK VALSAVA MANUVER TERHADAP INTENSITAS NYERI PENUSUKAN ARTERIOVENOUS FISTULA PADA PASIEN HEMODIALISA . Jurnal Cakrawala Keperawatan, 1(01), 13-23. https://doi.org/10.35872/jck.v1i01.653
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Articles
