PENGARUH STIMULASI SENSORI AUDITORY DAN TACTILE TERHADAP TINGKAT KESADARAN PASIEN CEDERA KEPALA
DOI:
https://doi.org/10.31004/jkt.v4i2.15423Keywords:
Cedera Kepala, Peningkatan kesadaran, Stimulasi Auditory dan TactileAbstract
Cedera kepala merupakan penyebab utama kecacatan dan kematian biasanya, pasien diawali dengan penurunan kesadaran. Tindakan yang dapat meningkatkan kesadaran pasien yaitu farmakologi dan nonfarmakologi. Pemberian stimulasi lebih awal sangatlah penting dalam mendukung terapi farmakologi untuk meningkatkan kesadaran pasien. Stimulasi yang paling efektif dalam meningkatkan kesadaran yaitu stimulasi auditory dan stimulasi tactile, sehingga peneliti ingin meneliti pengaruh stimulasi sensori auditory dan tactile terhadap peningkatan kesadara pasien cedera kepala. Tujuan penelitian ini untuk mengetahui pengaruh stimulasi auditory dan stimulasi tactile dalam meningkatkan kesadaran pada pasien. Penelitian ini menggunakan metode Quasi Ekperimental dengan design one group Pretest-posttest. Popoulasi dalam penelitian ini adalah pasien cedera kepala yang mengalami penurunan kesadaran. Jumlah sampel 20. Teknik pengambilan sampel yang digunakan adalah non-probability sampling dengan metode consecutive sampling, sebelum diberikan terapi peneliti melakukan pre-test, terapi stimulasi sensori auditory dan stimulasi tactile diberikan selama 5 hari dan pada hari kelima dilakukan post-tes. Uji statistik yang digunakan dalam penelitian yaitu uji paired sampel T-Test. Hasil uji statistik menunjukan adanya pengaruh stimulasi auditory dan tactile dalam meningkatkan kesadaran pasien (p= 0.00) Dapat disimpulkan bahwa stimulasi sensori auditory dan tactile merupakan terapi adjuvant dari terapi farmakologi dan memiliki pengaruh dalam meningkatkan kesadaran pasien, keluarga dan orang yang dekat dengan pasien dapat membantu mempercepat peningkatan kesadaran pasien. Sehingga disarankan untuk melibatkan keluarga dalam memberikan asuhan keperawatan pada pasien yang mengalami penurunan kesadaran.References
DAFTAR PUSTAKA
Alam, Z. A., Elsaay, O. E. E., Weheida, S. M., Elazazy, M., & Ahamed, S. E. (2016). Effect of sensory and motor stimulation program on clinical outcomes of patients with moderate head injury. IOSR Journal of Nursing and Health Science, 5(5), 24–36. https://doi.org/10.9790/1959-0505062436
Ali, M., & Gorji, H. (2014). Effect of auditory stimulation on traumatic coma duration in intensive care unit of Medical Sciences University of Mazandarn , Iran. Saudi Journal of Anesthesia, 8(1), 69–73. https://doi.org/10.4103/1658-354X.125940
Alrajhi, K. N., Perry, J. J., & Forster, A. J. (2015). Original contributions intracranial bleeds after minor and minimal head injury in patients. Journal of Emergency Medicine, 48(2), 137–142. https://doi.org/10.1016/j.jemermed.2014.08.016
Andelic N. The epidemiology of traumatic brain injury. The Lancet Neurology. 2013; 12(1):28–9
Aykanat, Ö., Karakoyun, D. O., Türko?lu, M. E., & Dinç, C. (2017). effect of etanercept in acute stage in experimental head injury. Ulus Travma Acil Cerrahi Derg, 23(3), 173–180. https://doi.org/10.5505/tjtes.2016.43692
Badan Penelitian dan Pengembangan Kesehatan RI. (2018). Hasil Utama Riskesdas 2018.
Bahonar, E., Ghezeljeh, T. N., & Haghani, H. (2019). Comparison of single and combined effects of nature sounds and foot sole reflexology massage on the level of consciousness in. Holistic Nursing Practice, 33(3), 177–186. https://doi.org/10.1097/HNP.0000000000000326
Chitkara, N., Goel, S., & Sood, S. (2013). Traumatic head injury?: Early intervention by coma arousal therapy. The Indian Journal of Neurotrauma, 10(1), 13–18. https://doi.org/10.1016/j.ijnt.2013.05.004
Cox, M., Becker, T. D., & Motsumi, M. (2018). African journal of emergency medicine head injury burden in a major referral hospital emergency centre in Botswana. African Journal of Emergency Medicine, 8(3), 100–105. https://doi.org/10.1016/j.afjem.2018.02.003
Guan, L., Collet, J., Yuskiv, N., Skippen, P., Brant, R., & Kissoon, N. (2014). The Effect of Massage Therapy on Autonomic Activity in Critically Ill Children. Evidence-Based Complementary and Alternative Medicine, 2014, 1–8. https://doi.org/10.1155/2014/656750
Honeybul, S. (2010). Complications of decompressive craniectomy for head injury. Journal of Clinical Neuroscience, 17(4), 430–435. https://doi.org/10.1016/j.jocn.2009.09.007
Hoseinzadeh, E., Reza, G., Shan, M., Vakili, M. A., & Kazemnejad, K. (2018). Effect of auditory stimulation on consciousness in coma patients with head injury?: A randomized clinical trial. Jurnal of Nursing and Widwifery Sciences, 4(3), 82–88. https://doi.org/10.4103/JNMS.JNMS
Hudak & Gallo. (2010). Keperawatan Kritis Edisi 6. Jakarta; EGC
Lombardi, F., Taricco, M., Tanti, A., Telaro, E., & Liberati, A. (2009). Sensory stimulation for brain injured individuals in coma or vegetative state ( Review ). Cochrane Library, (2). https://doi.org/10.1002/14651858.CD001427.www.cochranelibrary.com
Martini, V., Lederer, A. K., Laessle, C., Makowiec, F., Utzolino, S., Fichtner-Feigl, S., & Kousoulas, L. (2017). Clinical characteristics and outcomes of surgical patients with intensive care unit lengths of stay of 90 days and greater. Critical Care Research and Practice, 2017(December 2015). https://doi.org/10.1155/2017/9852017
Mccullough, J. E. M., Liddle, S. D., Sinclair, M., Close, C., & Hughes, C. M. (2014). The physiological and biochemical outcomes associated with a reflexology treatment?: A Systematic Review. Evidence-Based Complementary and Alternative Medicine, 2014, 1–16.
Minhas, H., Welsher, A., Turcotte, M., Eventov, M., Mason, S., Nishijima, D. K., & Wit, K. De. (2018). Incidence of intracranial bleeding in anticoagulated patients with minor head injury?: a systematic review and meta-analysis of prospective studies, (July), 119–126. https://doi.org/10.1111/bjh.15509
Moattari, M., Shirazi, F. A., Sharifi, N., & Zareh, N. (2016). Effects of a sensory stimulation by nurses and families on level of cognitive function , and basic cognitive sensory recovery of comatose patients with severe traumatic brain injury?: a randomized control trial. Trauma Monthly, 21(4). https://doi.org/10.5812/traumamon.23531.Research
Nam, E. (2018). Effect of auditory stimulation on the level of consciousness in comatose patients admitted to the intensive care unit: a randomized controlled trial. Journal of Neuroscience Nursing, 50(6), 375–380. https://doi.org/10.1097/JNN.0000000000000407
Nates, J. L., Nunnally, M., Kleinpell, R., Blosser, S., Goldner, J., Birriel, B., … Sprung, C. L. (2016). ICU admission, discharge, and triage guidelines: A framework to enhance clinical operations, development of institutional policies, and further research. Critical Care Medicine, 44(8), 1553–1602. https://doi.org/10.1097/CCM.0000000000001856
Popescu C1, Anghelescu A1, Daia C1 and Onose G1. Actual data on epidemiological evolution and prevention endeavours regarding traumatic brain injury Med Life J. 2015;8(3):272-7
Sargolzaei, K., Fallah, M. S., Aghebati, N., & Esmaily, H. (2017). Effect of a structured sensory stimulation program on the sensory function of patients with stroke- induced disorder of consciousness. Evidence Based Care Journal, 7(2), 7–16. https://doi.org/10.22038/ebcj.2017.23807.1505
Tavangar, H., Kalantary, M. S., Salimi, T., & Jarahzadeh, M. (2015). Effect of family members ’ voice on level of consciousness of comatose patients admitted to the intensive care unit?: A single ? blind randomized controlled trial. Advanced Biomedical Research, 4, 106. https://doi.org/10.4103/2277-9175.157806
Tsao, J. & Moore, D. (2010). Traumatic Brain Injury a clinicians guide to diagnosis, management, an rehabilitation. Anaesthesia and Intensive Care Medecine, 15 (4);164
Urbenjaphol, P., Jitpanya, C., & Khaoropthum, S. (2009). Effects of the sensory stimulation program on recovery in unconscious patients with traumatic brain injury. Journal of Neuroscience Nursing Effects, 41(3), 10–16.
Vahedian-azimi, A., Ebadi, A., Jafarabadi, M. A., & Saadat, S. (2014). Effect of massage therapy on vital signs and GCS scores of ICU patients?: A Randomized Controlled Clinical Trial. Trauma Monthly, 19(3), 1–7. https://doi.org/10.5812/traumamon.17031
Wu, X., Yang, Z., Bailey, S. K., Cutting, L. E., & Gore, J. C. (2017). Functional connectivity and activity of white matter in somatosensory pathways under tactile stimulations. https://doi.org/10.1016/j.neuroimage.2017.02.074
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