Guided Imagery Relaxation for Acute Pain in Pre-Operative Paralitic Ileus Patient: A Case Study
DOI:
https://doi.org/10.58545/jkmi.v2i1.62Abstract
Patients with paralytic ileus generally have complaints of abdominal pain of uncertain duration. The pain that appears can get worse with anxiety about something being experienced, such as a surgical action plan. Feelings of anxiety can be a stressor and cause nursing problems in the form of anxiety. Guided imagery therapy is known to be a non-pharmacological therapy in dealing with pain and feelings of anxiety in preoperative patients. This study aims to analyze the administration of guided imagery relaxation therapy to the problem of acute preoperative pain in patients with paralytic ileus. The research method used in this study was a descriptive case study. The research was conducted for three days on one patient with preoperative paralytic ileus in the Mawar Room at RSD dr. Soebandi Jember. Guided imagery therapy is carried out twice daily for 20-30 minutes. The results obtained from this study were that after pain management was carried out with guided imagery therapy, the patient's pain level decreased from the NRS 6 scale to the NRS 5 scale, respiratory frequency 20x/minute, SpO2 96%, blood pressure 130/100 mm Hg, pulse rate 101x/minute. Reducing the pain scale results indicate that guided imagery therapy can be applied to treat pain and anxiety in preoperative patients to improve their condition. respiratory frequency 20x/minute, SpO2 96%, blood pressure 130/100 mmHg, pulse rate 101x/minute. Reducing the pain scale results indicate that guided imagery therapy can be applied to treat pain and anxiety in preoperative patients to improve their condition. respiratory frequency 20x/minute, SpO2 96%, blood pressure 130/100 mmHg, pulse rate 101x/minute. Reducing the pain scale results indicate that guided imagery therapy can be applied to treat pain and anxiety in preoperative patients to improve their condition.
Keywords:
Guided imagery, acute pain, paralytic ileusDownloads
References
Adawiyah, R., & Safrudin, B. 2021. Analysis of Nursing Practice in Chronic Kidney Disease (CKD) Patients with Innovative Interventions of Guided Imagery Spiritual Relaxation Therapy (SGIM) for Reducing Anxiety in the Hemodialysis Room at Abdul Wahab Sjahranie Hospital Samarinda in 2021.
Amalia, K., and Hartiti, T. 2021. Giving Murattal Therapy for Reducing Pain in Preoperative Colorectal Cancer Patients. Young Nurses: 2(3) pp 119-126.
Andrian, A., Ikhsan, R., & Siregar, WY 2022. Case Report: Gastric Perforation. Averrous: Malikussaleh Journal of Medicine and Health: 8(1), 81-87.
Ansari P. 2012. Internal obstruction. [accessed January 14, 2023]. http://www.merckmanuals.com/home/digestive_disorders/gastrointestinal_emergencies/intestinal_obstruction.html
Astrid, A., & Setiawan, MS 2019. The Effect of Guided Imagery Music Relaxation Techniques on Pain Intensity in Postoperative Appendicitis Patients in the Surgical Inpatient Room of Rspad Gatot Soebroto Ditkesad Jakarta 2015. JOURNAL EDUCATIONAL OF NURSING (JEN): 2(1) , 1-14.
Ayu Mira Darma Yani, AM 2021. Nursing care for appendectomy patients in fulfilling the needs for safe and comfortable distractions (Doctoral dissertation, Kusuma Husada University, Surakarta).
Ministry of Health of the Republic of Indonesia, 2009. Indonesian Health Profile
Dewi, KFP 2020. Characteristics of Obstructive Ileus Dirsup Dr. Wahidin Sudirohusodo Makassar in 2018 (Doctoral dissertation, Hasanuddin University).
Djumhana A., 2015. Paralytic Ileus. Sub-Division of Gastroentero-Hepatology, Section of Internal Medicine, Faculty of Medicine, UNPAD / Dr. Hasan Sadikin Hospital: Bandung
Dewanti, AP and Ayu, P. 2021. Development of Solution-Focused Brief Counseling Guidelines (SFBC) Imagery Techniques to Overcome Students' Academic Procrastination Behavior. Doctoral dissertations. Ganesha University of Education.
Herni Sutrisno Putri, H. 2022. Nursing Care of Post Laparotomy Patients in Fulfilling Elimination Needs. Doctoral dissertation, Kusuma Husada University, Surakarta.
Indrayani, M. 2018. Diagnosis and management of obstructive ilesus. Denpasar: Faculty of Medicine, Udayana University
Jesus, O.,D & Beach, E., C. 2022. Ileus. https://www.ncbi.nlm.nih.gov/books/NBK558937/ [Accessed July 4, 2022]
Khirfiyah, I. 2019. Management of Damage to Skin Integrity in Mr. P With Post Laparotomy For Indications of Obstructive Ileus in the Bougenvile Room at Ungaran Hospital. Doctoral Dissertation, Ngudi Waluyo University.
Krisdayanti, S. 2021. The Effect of Guided Imagery Relaxation Therapy on Postoperative Patient Pain in School-Age Children at Dr. Hospital. H. Abdul Moeloek, Lampung Province, 2020 (Doctoral Dissertation, Tanjungkarang Health Polytechnic).
Mandini, SS 2022. Evaluation of the Use of Analgesics for Pain in Patients After Fracture Surgery at Anwar Medika Hospital (Doctoral Dissertation, University of Anwar Medika).
Marhamah, M. 2021. Perioperative Nursing Care of Obstructive Ileus Patients with Exploratory Laparotomy Actions in the Operating Room of Jend. Hospital. Ahmad Yani Metro Lampung Province in 2021. Doctoral Dissertation. Tanjung Karang Health Polytechnic.
Martanto, M. 2019. Prevalence of Shivering in Surgical Patients at the Central Surgical Installation (Ibs) of Ajibarang Hospital (Doctoral Dissertation, Harapan Bangsa University).
Mau, EM 2019. Nursing Care Mr. YF with Paralytic Ileus in the Komodo room at Prof. Hospital. Dr. WZ Johannes Kupang July 15-18 2019. Doctoral dissertation, Poltekkes Kemenkes Kupang.
Nisa, SA, Finansah, YW, Marlina, U., and Rochman, S. 2021. Differences Characteristics of Partial Bowel Obstruction and Total Bowel Obstruction in Ileus Patients at Dr. Soegiri Lamongan Hospital. MAGNA MEDIKA: Medical and Health Scientific Periodical: 8(1), 29-34.
Nuraeni, S. 2022. Application of Guided Imagery Relaxation Techniques for Reducing Pain Scale in Post Op Appendectomy Patients in the Imam Bonjol Room, Arjawinangun Hospital, Cirebon Regency (Doctoral Dissertation, Tasikmalaya Health Polytechnic).
Potter & Perry. 2005. Nursing Fundamentals Volume 2. Jakarta: EGC Medical Book
Prabowo, AD, Yudono, DT, & Maryoto, M. (2022). Description of Propofol Therapy for General Anesthesia Patients at Hj. Anna Lasmanah Banjarnegara. In the National Seminar on Research and Community Service.
Prawira, MD, Sueta, MAD, & Golden, N. 2022. Risk factors for post-laparotomy pathological paralytic ileus with resection and anastomosis of the gastrointestinal tract. Digest of Medical Science, 13(3), 635-639.
Radi, Adrian. 2022. Large Intestine. https://www.kenhub.com/en/library/anatomy/large-intestine. [Accessed July 4, 2022]
Risqullah, AC 2022. Clinical Characteristics of Obstructive Ileus Sufferers at Dr. Wahidin Sudirohusodo General Hospital Period 1 July 2018-30 June 2021 “Characteristics Of Obstructive Ileus At Dr. Wahidin Sudirohusodo Makassar Hospital Period 1 July 2018–30 June 2021”. Doctoral dissertation, Hasanuddin University.
Safik, A. 2018. The Effectiveness of Guided Imagery, Benson Relaxation, and Finger Holding Relaxation on Reducing Pain Intensity in Postoperative Laparotomy Patients at Ngudi Waluyo Wlingi Hospital. Scientific papers. Malang Health Polytechnic
Septa, RK 2022. Gerontic Nursing Care for Mrs. I, 75 years old with a medical diagnosis of hypertension and a major nursing problem, acute pain in Tanjungsari Panekan Magetan Village (Doctoral dissertation, Stikes Hang Tuah Surabaya).
Serin, A., Simangunsong, B., & Siagian, P. (2017). Characteristics of Obstructive Ileus Sufferers Who Are Hospitalized at Deli Serdang Lubuk Pakam Hospital for the 2015-2016 Period. Journal of MedicineMethodist, 10(1), 31-34.
Sonhaji, S., Sawitry, S., & Siahaya, S. 2021. Reducing joint pain in the elderly with autogenic relaxation therapy and guided imagery therapy. Scientific Journal of Nursing: 16(1), 93-100.
SDKI DPP PPNI Working Group Team. 2017. Indonesian Nursing Diagnosis Standards. III Edition. Jakarta: Central Executive Board of the Indonesian National Nurses Association.
SIKI DPP PPNI Working Group Team. 2018. Indonesian Nursing Intervention Standards. Jakarta: Central Executive Board of the Indonesian National Nurses Association.
PPNI DPP DPP SLKI Working Group Team. 2019. Indonesian Nursing Outcome Standards. Edition I. Jakarta: Central Executive Board of the Indonesian National Nurses Association.
RSUP dr. Soeradji Tirtonegoro Klaten. 2022. Get to know Paralytic Ileus. Klaten. Ministry of Health.
Vascovic, J. 2022. Small Intestine. https://www.kenhub.com/en/library/anatomy/the-small-intestine . [Accessed July 4, 2022]
Wahyudi, A., Siswandi, A., Purwaningrum, R., & Dewi, BC 2020. The incidence of obstructive ileus in BNO examination 3 positions at Abdul Moeloek Hospital. Sandi Husada Scientific Journal of Health, 9(1), 145-151.
Wardhana, IG 2021. Nursing Care of Post Appendictomy Patients with Acute Pain Nursing Problems in the Ibs Recovery Room of Sanglah Hospital, Denpasar. Doctoral dissertation, Poltekkes Kemenkes Denpasar.
Wati, EA 2019. Hemorrhagic Stroke Nursing Care for Mrs. B and Mrs. M with Nursing Problems with Physical Mobility Barriers in the Melati Room of RSUD dr. Haryoto Lumajang in 2019. Doctoral dissertation, Faculty of Nursing, University of Jember.
Widyawati, Y. 2019. Nursing Care of Postoperative Appendicitis Patients with Acute Pain Nursing Problems in the Mas Mansyur Room of Muhammadiyah Hospital Ponorogo. Doctoral dissertation, University of Muhammadiyah Ponorogo.
Wijayanti, GSPW, & Prasetianti, PAS (2019). Reducing Anxiety in Preoperative Patients After the Implementation of Guided Imagination Relaxation at Patut Patuh Patju Gerung Hospital. Integrated Nursing Journal, 1(2), 39-46.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Siti Nur Rofi'ah
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Most read articles by the same author(s)
- Pinky Issabella Nanda Basuki, Siswoyo, Rondhianto, Mustakim, The Impact of 30-Degree Head-Up Position on Cerebral Perfusion in Moderate Brain Injury Patients , Jurnal Kegawatdaruratan Medis Indonesia : Vol. 3 No. 1: February 2024
- Olifia Nafa Jelita, Mulia Hakam, Rondhianto, Umayanah, Nursing Care of Acute Pain in Rectal Cancer Patients Using Non-Pharmacological Approach with Benson Therapy: A Case Study , Jurnal Kegawatdaruratan Medis Indonesia : Vol. 2 No. 1: February 2023
- Faiqotul Himmah, Ana Nistiandani, Mulia Hakam, Sulis Setyowati, Progressive Muscle Relaxation for Anxiety and Hyperglycemia in Diabetes Mellitus Type 2 Patient: A Case-Study , Jurnal Kegawatdaruratan Medis Indonesia : Vol. 3 No. 1: February 2024
- Enggal Hadi Kurniyawan, Sofi Fitriyah Santoso, Nur Widayati, Erti Ikhtiarini Dewi, Mulia Hakam, Fitrio Deviantony, Yeni Fitria, Self-Empowerment And Coping Strategies In Type 2 Diabetes Mellitus Patients , Jurnal Kegawatdaruratan Medis Indonesia : Vol. 2 No. 2: August 2023
- Risma Eka Putri Arlyani Kusuma Dewi, Mulia Hakam, Jon Hafan Sutawardana, Mohammad Shodikin, Nursing Care of Acute Pain in Multiple Fractures with Spiritual Therapy Quantum Touch and Finger Holding: A Case Study , Jurnal Kegawatdaruratan Medis Indonesia : Vol. 3 No. 1: February 2024
- Naretta Khoirunisak, Mulia Hakam, Kushariyadi, Sulis Setyowati, The Implementation of Guided Dhikr Therapy to Reduce Anxiety in Close Fractures Patients , Jurnal Kegawatdaruratan Medis Indonesia : Vol. 3 No. 2: August 2024