PENGARUH TERAPI BERMAIN PUZZLE TERHADAP TINGKAT PENURUNAN NYERI PADA ANAK DENGAN POST OF APENDIKS
DOI:
https://doi.org/10.31004/jkt.v6i2.46218Keywords:
Kata kunci: apendisitis, manajemen nyeri, pediatrik, terapi bermain, terapi non-farmakologisAbstract
Apendisitis akut merupakan penyebab utama bedah darurat anak, dengan nyeri pascaoperasi sebagai tantangan signifikan. Terapi farmakologis konvensional berisiko menimbulkan efek samping, sehingga diperlukan intervensi non-farmakologis seperti terapi bermain puzzle. Penelitian ini bertujuan menganalisis pengaruh terapi bermain puzzle terhadap penurunan nyeri pascaapendiktomi pada anak. Desain quasi-experimental dengan pretest-posttest control group. Populasi anak usia 6–12 tahun pascaapendiktomi (n=30) dialokasikan ke kelompok intervensi (terapi puzzle) dan kontrol (perawatan standar) melalui convenience sampling. Variabel independen terapi puzzle (50–100 keping, 30 menit/2×sehari selama 3 hari), variabel dependen skor nyeri diukur dengan FACES Pain Rating Scale (0–10). Analisis data menggunakan uji Shapiro-Wilk, paired t-test, independent t-test, dan two-way ANOVA. Kelompok intervensi mengalami penurunan nyeri signifikan (rerata skor: 7,2 menjadi 3,1; Δ=-4,1; p<0,001), sementara kontrol tidak signifikan (7,0 menjadi 6,5; Δ=-0,5; p=0,15). Perbedaan penurunan antar kelompok signifikan (p<0,001). Usia dan jenis kelamin tidak memengaruhi efektivitas intervensi (p>0,05). Terapi bermain puzzle efektif menurunkan nyeri pascaapendiktomi pada anak dan layak diintegrasikan dalam protokol manajemen nyeri pediatrik.References
Brewer, S. K., et al. (2020). Therapeutic play in pediatric healthcare: A Child Life Specialist perspective. Journal of Pediatric Nursing, 55, 123-130. https://doi.org/10.1016/j.pedn.2020.07.008
Das, R. K., & Yaqoob, M. (2020). Neurophysiological mechanisms of cognitive distraction in pain modulation. Pain Research and Management, 2020, Article 8769124. https://doi.org/10.1155/2020/8769124
Fortier, M. A., et al. (2019). Acute postoperative pain trajectories in pediatric patients. The Clinical Journal of Pain, 35(8), 689-696. https://doi.org/10.1097/AJP.0000000000000729
He, H. G., et al. (2015). Children's psychological responses after surgery. Journal of Advanced Nursing, 71(6), 1322-1333. https://doi.org/10.1111/jan.12601
Kiche, M. T., & Almeida, R. A. (2019). Puzzle-based play therapy for post-tonsillectomy pain in children. Pediatric Nursing, 45(4), 183-189.
Kulaylat, A. N., & Moore, M. M. (2016). Appendicitis in children. Surgical Clinics of North America, 96(1), 93-112. https://doi.org/10.1016/j.suc.2015.09.008
Kementerian Kesehatan RI. (2018). Laporan Nasional Riset Kesehatan Dasar 2018. Badan Penelitian dan Pengembangan Kesehatan.
Suresh, S., et al. (2020). Adverse effects of opioid analgesia in pediatric patients. Anesthesia & Analgesia, 131(4), 1225-1235. https://doi.org/10.1213/ANE.0000000000004967
Uman, L. S., et al. (2019). Psychological interventions for needle-related procedural pain in children. The Cochrane Database of Systematic Reviews, 4, CD005179. https://doi.org/10.1002/14651858.CD005179.pub4
Walker, S. M. (2018). Pain pathophysiology in children. British Journal of Anaesthesia, 121(1), e1-e9. https://doi.org/10.1016/j.bja.2018.02.026
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Eli Lusiani, Depi Lukitasai
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
