POSISI DUDUK DALAM PELUKAN ORANG TUA SELAMA INSERSI INTRAVENA: APLIKASI COMFORT FOOD FOR THE SOUL

Ni made Sri Rahyanti

Abstract


ABSTRAK

Latar belakang: Posisi duduk dalam pelukan orang tua selama prosedur insersi kateter intravena merupakan intervensi kenyamanan dari teori keperawatan Kolcaba. Proyek inovasi ini bertujuan untuk memberikan gambaran mengenai penerapan rasa nyaman pada anak selama prosedur insersi kateter intravena melalui intervensi posisi duduk dalam pelukan orang tua untuk mengurangi nyeri anak.

Metode: Metode yang digunakan adalah metode PICO (Patient, Intervention, Comparison, Outcome) dan melibatkan 18 responden anak usia 1-4 tahun yang terbagi dalam kelompok intervensi dan kontrol. Proyek inovasi ini dilaksanakan selama 3 bulan.

Hasil: Analisa uji Mann Whitney menunjukkan bahwa terdapat perbedaan yang signifikan antara skor nyeri posisi duduk dalam pelukan orang tua dengan posisi telentang (p=0,016; α=0,05).

Kesimpulan: Posisi duduk dalam pelukan orang tua dapat mengurangi skor nyeri anak selama prosedur insersi kateter intravena serta posisi ini mudah dan sederhana untuk dilakukan.   

 

Kata Kunci: comfort, insersi, pelukan, posisi duduk

ABSTRACT

Background: Sitting position in parent's hold during insertion intravenous catheter is a comfort intervention from Kolcaba’s theory of nursing. This innovation project aimed to describe application of comfort intervention during insertion intravenous catheter through sitting position in parent's hold to reduce children pain.

Methods: The innovation project used PICO method (Patient, Intervention, Comparison, and Outcome) involving 18 respondents, aged 1–4 years, who were included in the intervention and control group. This innovation project has been applied in 3 month.

Results: The result of a Mann-Whitney U test analysis showed a significant difference in the pain score between the intervention and control groups (p= 0,016; α =0,05).

Conclusion: Sitting position in parent's hold can reduce children pain during insertion intravenous catheter. This intervention is easy and simple to do.

Keyword : comfort, insertion, holding, sitting position


Keywords


comfort food for the soul; insersi kateter intravena; pelukan orang tua; posisi duduk

Full Text:

PDF

References


Bowden, V.R & Greenberg, CS. (2010). Children and their families : the continuum of care. Philadelphia: Lippincott Williams & Wilkins.

Hui-Chu, Y., Shao-Wen, C., Chun-Yuh, Y., Ya-Wen Chiu, & Yi-Hao, W. (2017). Comparative survey of holding positions for reducing vaccination pain in young infants. Pain Research & Management : The Journal of the Canadian Pain Society, doi:http://remote-lib.ui.ac.id:2073/10.1155/2017/3273171

Katende, G., & Mugabi, B. (2015). Comforting strategies and perceived barriers to pediatric pain management during IV line insertion procedure in uganda's national referral hospital: A descriptive study. BMC Pediatrics, 15, 122.

Krinsky, R., Murillo, I., & Johnson, J. (2014). A practical application of katharine kolcaba's comfort theory to cardiac patients. Applied Nursing Research : ANR, 27(2), 147-150. doi:10.1016/j.apnr.2014.02.004

Kyle, T. & Carman, S. (2017). Essential of pediatric nursing. (3rd ed.). Philadelphia : Wolters Kluwer Health Lippincott Williams & Wilkins.

Lestari, K.B, Nurhaeni, N., & Sabri, L. (2013). Dampak dekapan keluarga dan pemberian posisi duduk terhadap distress anak saat dilakukan pemasangan infus. Diunduh tanggal 8 februari 2017 melalui http://lib.ui.ac.id/detail?id=20335907&lokasi=lokal#horizontalTab2

Mutlu, B., & Balcı, S. (2015). Effects of balloon inflation and cough trick methods on easing pain in children during the drawing of venous blood samples: A randomized controlled trial. Journal for Specialists in Pediatric Nursing, 20(3), 178-186. doi:10.1111/jspn.12112

Noel, M., Pavlova, M., McCallum, L., & Vinall, J. (2017). Remembering the hurt of childhood: A psychological review and call for future research. Canadian Psychology, 58(1), 58-68. doi:http://remote-lib.ui.ac.id:2073/10.1037/cap0000098

Olmstead, D. L., Scott, S. D., & Austin, W. J. (2010). Unresolved pain in children: A relational ethics perspective. Nursing Ethics, 17(6), 695-704. doi:10.1177/0969733010378932

Owen, M. I. (2016). An investigation of palliative care in heart transplant candidates utilizing kolcaba's theory of comfort (Order No. 10100942). Available from ProQuest Dissertations & Theses Global. (1783586420). Retrieved from https://remote-lib.ui.ac.id:2063/docview/1783586420?accountid=17242

Rahyanti, S.M., Nurhaeni, N., Wanda, D. (2017). Could a certain sitting position reduce the pain experienced by a child? The benefits of parental holding and an upright position. Comprehensive Child And Adolescent Nursing, 40. https://doi.org/10.1080/24694193.2017.1386965

Short, S., Pace, G., & Birnbaum, C. (2017). Nonpharmacologic techniques to assist in pediatric pain management. Clinical Pediatric Emergency Medicine, 18(4), 256. doi:10.1016/j.cpem.2017.09.006

Svendsen, E. J., Pedersen, R., Moen, A., & Bjørk, I. T. (2017). Exploring perspectives on restraint during medical procedures in paediatric care: A qualitative interview study with nurses and physicians. International Journal of Qualitative Studies on Health and Well-being, 12(1), 1-11. doi:http://remote-lib.ui.ac.id:2073/10.1080/17482631.2017.1363623

Taddio, A., Appleton, M., Bortolussi, R., Chambers, C., Dubey, V., Halperin, S., . . . Shah, V. (2010). Reducing the pain of childhood vaccination: An evidence-based clinical practice guideline. CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne, 182(18), E843-E855. doi:10.1503/cmaj.101720.

Twycross, A.,Dowden, S., & Stinson, J., (2014). Managing pain in children : a clinical guide for nurse and health care professionals. (2nd ed). Willey Blackwell.

Wilson L, Kolcaba K. (2004). Practical application of comfort theory in the perianesthesia setting. Journal of PeriAnesthesia Nursing. 2004;19:164-173.

Yin, H., Cheng, S., Yang, C., Chiu, Y., & Weng, Y. (2017). Comparative survey of holding positions for reducing vaccination pain in young infants. Pain Research and Management, 2017, 1-7. doi:10.1155/2017/3273171




DOI: http://dx.doi.org/10.37294/jrkn.v4i1.226

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.