PENERAPAN MANAJEMEN KECEMASAN DENGAN MUROTTAL AL-QUR’AN DAN MUSIK KLASIK INSTRUMENTAL PADA PASIEN TERINTUBASI: CASE REPORT
Implementation Of Anxiety Management By Playing Murottal Al-Qur’an And Instrumental Classic Music In Intubated Patients: Case Report
DOI:
https://doi.org/10.33023/jikep.v10i3.2215Keywords:
Intensive, care, non-pharmachological, Music, Al-Qur'anAbstract
Pendahuluan: Pasien di ICU mengalami beberapa gejala selama dirawat, salah satunya adalah tanda dan gejala kegelisahan, seperti peningkatan tekanan darah dan detak jantung, sulit tidur, serta tanda-tanda rasa tidak nyaman atau khawatir adalah beberapa gejala yang mungkin terlihat. Beberapa Upaya dilakukan untuk mengatas kecemasan pada pasien ICU salah satunya dengan pemberian terapi relaksasi audio dengan murottal Al-Qur’an dan Musik klasik Instrumental. Pelaksanaan terapi tentunya tak lepas dari peran perawat dalam melakukan manajemen intervensi untuk mengatasi kecemasan. Tujuan: Penelitian ini bertujuan untuk mengetahui penerapan manajemen kecemasan dengan murottal Al-Qur'an dan musik klasik instrumental pada pasien terintubasi di ruang GICU A RSUP Dr. Hasan Sadikin Bandung. Metode: penelitian menggunakan pendekatan studi kasus dengan observasi dan wawancara dan dianalisis dengan problem based analysis 3M. Hasil: Penelitian menunjukan belum optimalnya aspek metode dan material dari intervensi yang dilakukan untuk mengatasi kecemasan. Pada pasien terjadi penurunan skala CPOT menjadi 4 dari 8 dan penurunan skor RASS menjadi +1 (Restless) setelah intervensi diberikan. Kesimpulan: Penerapan manajemen kecemasan dengan terapi audio efektif menurunkan kecemasan pada pasien ICU namun penerapannya belum optimal karena pemanfaatan sarana speaker di beberapa kamar pasien yang dapat digunakan untuk sarana pemutaran murottal Al-Qur'an dan musik klasik instrumental belum maksimal.
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References
Almutairi AM, Pandaan IN, Alsufyani AM, Almutiri DR, Alhindi AA & Alhusseinan KS. 2022. Managing patients’ pain in the intensive care units nurses’ awareness of pain management. Saudi Medical Journal, 43(5), 514–521.
Aswad, H. N., Ferrial, E. (2016). Pengaruh Tingkat Pendidikan, Pelatihan dan Kompensasi terhadap Kinerja Perawat di Rumah Sakit UIT Makassar. Jurnal Mirai Management, Volume 1 Nomor 2, Oktober 2016
Bjørnøy, I., Rustøen, T., Mesina, R. J. S., & Hofsø, K. (2023). Anxiety and depression in intensive care patients six months after admission to an intensive care unit: A cohort study. Intensive and Critical Care Nursing, 78(June). https://doi.org/10.1016/j.iccn.2023.103473
Cahyati, Y., Prakasa, D., Sanjaya, B., & Dayana, A. C. (2023). Pengaruh Terapi Relaksasi Audio Murottal Al-Qur’an Terhadap Perubahan Tingkat Kecemasan Pada Pasien Yang Dirawat Di Ruangan Icu: Literatur Review. Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-Ilmu Keperawatan, Analis Kesehatan Dan Farmasi, 23(2), 98–110. https://doi.org/10.36465/jkbth.v23i2.1112
Chlan, L., & Savik, K. (2011). Patterns of Anxiety in Critically Ill Patients Receiving Mechanical Ventilatory Support. Nursing Research, 60(Supplement), S50–S57. https://doi.org/10.1097/NNR.0b013e318216009c
Cox, J. (2011). Empathy, the song and the singer: a legacy of Robert Schumann. Advances in Psychiatric Treatment, 17(6), 447–450. doi:10.1192/apt.bp.110.008409
Dwi Nur Anggraeni, Antari, I., & Arthica, R. (2023). Pengaruh Terapi Murottal Al-Qur’an Surah Ar-Rahman Terhadap Kualitas Tidur Lansia Di Upt Rumah Pelayanan Lanjut Usia Terlantar Budhi Dharma Yogyakarta. Journal of Health (JoH), 10(1), 079–085. https://doi.org/10.30590/joh.v10n1.577
Garcia Guerra, G., Joffe, A. R., Sheppard, C., Hewson, K., Dinu, I. A., Hajihosseini, M., deCaen, A., Jou, H., Hartling, L., & Vohra, S. (2021). Music Use for Sedation in Critically ill Children (MUSiCC trial): a pilot randomized controlled trial. Journal of Intensive Care, 9(1), 1–8. https://doi.org/10.1186/s40560-020-00523-7
Garcia Guerra, G., Joffe, A., Sheppard, C., Hewson, K., Dinu, I. A., de Caen, A., Jou, H., Hartling, L., & Vohra, S. (2020). Music Use for Sedation in Critically ill Children (MUSiCC trial): study protocol for a pilot randomized controlled trial. Pilot and Feasibility Studies, 6(1), 31. https://doi.org/10.1186/s40814-020-0563-x
Gélinas, C., Arbour, C., Michaud, C., Robar, L., & Côté, J. (2013). Patients and ICU nurses’ perspectives of non?pharmacological interventions for pain management. Nursing in Critical Care, 18(6), 307–318. https://doi.org/10.1111/j.1478-5153.2012.00531.x
Greenway, K. T., Garel, N., Dinh-Williams, L.-A. L., Beaulieu, S., Turecki, G., Rej, S., & Richard-Devantoy, S. (2024). Music as an Intervention to Improve the Hemodynamic Response of Ketamine in Depression. JAMA Network Open, 7(2), e2354719. https://doi.org/10.1001/jamanetworkopen.2023.54719
Hakak, B., Tadke, R., Faye, A., Gawande, S., Bhave, S., & Kirpekar, V. (2022). Anxiety symptoms in patients admitted in medical intensive care unit: A cross-sectional study. Indian Journal of Medical Sciences, 74, 62. https://doi.org/10.25259/IJMS_196_2021
Hussain, N., Samuelsson, C. M., Drummond, A., & Persson, C. U. (2024). Prevalence of symptoms of anxiety and depression one year after intensive care unit admission for COVID-19. BMC Psychiatry, 24(1), 1–8. https://doi.org/10.1186/s12888-024-05603-8
Iksan, R. R., & Hastuti, E. (2020). Terapi Murotal dalam Upaya Meningkatkan Kualitas Tidur Lansia. Jurnal Keperawatan Silampari, 3(2), 597–606. https://doi.org/10.31539/jks.v3i2.1091
Kakar, E., Ottens, T., Stads, S., Wesselius, S., Gommers, D. A. M. P. J., Jeekel, J., & van der Jagt, M. (2023). Effect of a music intervention on anxiety in adult critically ill patients: a multicenter randomized clinical trial. Journal of Intensive Care, 11(1), 1–9. https://doi.org/10.1186/s40560-023-00684-1
Lee, C. H., Lai, C. L., Sung, Y. H., Lai, M. Y., Lin, C. Y., & Lin, L. Y. (2017). Comparing effects between music intervention and aromatherapy on anxiety of patients undergoing mechanical ventilation in the intensive care unit: a randomized controlled trial. Quality of Life Research, 26(7), 1819–1829. https://doi.org/10.1007/s11136-017-1525-5
Levine, S. L. (2016). Music Therapy as an Intervention to Reduce Anxiety in Mechanically-Ventilated Patients.
Mahmood, S., & Sulaiman, Z. (2020). "Physiological Effects of Quranic Recitation on Stress Reduction". Medical Journal of Indonesia.
Mata Ferro, M., Falcó Pegueroles, A., Fernández Lorenzo, R., Saz Roy, M. Á., Rodríguez Forner, O., Estrada Jurado, C. M., Bonet Julià, N., Geli Benito, C., Hernández Hernández, R., & Bosch Alcaraz, A. (2023). The effect of a live music therapy intervention on critically ill paediatric patients in the intensive care unit: A quasi-experimental pretest–posttest study. Australian Critical Care, 36(6), 967–973. https://doi.org/10.1016/j.aucc.2023.01.006
McCraty, R., Atkinson, M., Stolc, V., Alabdulgader, A., Vainoras, A., & Ragulskis, M. (2017). Synchronization of Human Autonomic Nervous System Rhythms with Geomagnetic Activity in Human Subjects. International Journal of Environmental Research and Public Health, 14(7), 770. https://doi.org/10.3390/ijerph14070770
Messika, J., Kalfon, P., & Ricard, J. D. (2018). Adjuvant therapies in critical care: music therapy. Intensive Care Medicine, 44(11), 1929–1931. https://doi.org/10.1007/s00134-018-5056-5
Muslimin R Pakka, Nurbaeti, & Arni Rizqiani Rusyidi. (2021). Pengaruh Kinerja Perawat dan Sarana Prasarana Terhadap Keselamatan Pasien di Ruang Rawat Inap RSUD Kota Makassar. Window of Public Health Journal, 2(1), 21–29. https://doi.org/10.33096/woph.v2i1.115
Mutiah, S., & Dewi, E. (2022). Penggunaan Terapi Audio Murotal Al-Qur’an Dan Efeknya Terhadap Status Hemodinamik Pasien Di Dalam Perawatan Intensif: Tinjauan Pustaka. Jurnal Stikes Kendal, 14(2), 473–480. http://journal2.stikeskendal.ac.id/index.php/keperawatan/article/view/191
Nikmah, N., Ilham, & Supriatna, L. D. (2022). Pengaruh Terapi Audio Murottal Al-Quran Surah Ar-Rahman Terhadap Tingkat Kecemasan Pasien Pre Operasi di Ruang Gili Trawangan RSUD Provinsi. Journal Nursing Research Publication Media (NURSEPEDIA), 1(3), 144–151. https://doi.org/10.55887/nrpm.v1i3.23
Rababa, M., & Al-Sabbah, S. (2023). The use of islamic spiritual care practices among critically ill adult patients: A systematic review. Heliyon, 9(3), e13862. https://doi.org/10.1016/j.heliyon.2023.e13862
Saeidi, M., Safaei, A., Sadat, Z., Abbasi, P., Sarcheshmeh, M. S. M., Dehghani, F., Tahrekhani, M., & Abdi, M. (2021). Prevalence of Depression, Anxiety and Stress among Patients Discharged from Critical Care Units. Journal of Critical Care Medicine, 7(2), 113–122. https://doi.org/10.2478/jccm-2021-0012
Sessler, C. N., & Muzevich, K. M. (2016). Sedatives and anti-anxiety agents in critical illness (Vol. 1). Oxford University Press. https://doi.org/10.1093/med/9780199600830.003.0042
Sudjud RW & Yulriyanita B. 2014. Sedasi dan analgesia di ruang rawat intensif. Anesthesia & Critical Care, 221–233.
Ul-Ain Irfan, N., Atique, H., Taufiq, A., & Irfan, A. (2019). Differences in Brain Waves and Blood Pressure by Listening to Quran-e-Kareem and Music. Journal of Islamabad Medical & Dental College, 8(1), 40–44. https://doi.org/10.35787/jimdc.v8i1.315
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