Terapi Akupresur Dapat Menurunkan Keluhan Mual Muntah Akut Akibat Kemoterapi Pada Pasien Kanker: Randomized Clinical Trial

Hilman Syarif, Elly Nurachmah, Dewi Gayatri
| Abstract views: 6249 | PDF views: 15675

Abstract

Abstrak

Akupresur merupakan salah satu terapi komplementer pada pasien yang mengalami mual muntah akut akibat kemoterapi.
Tujuan riset ini untuk membuktikan pengaruh akupresur terhadap mual muntah akut pada pasien kanker di dua RS di Jakarta.
Penelitian ini merupakan randomized clinical trial dengan metode single blind. Pengambilan sampel dengan cara consecutive
sampling dan penentuan kelompok intervensi dan kontrol dengan randomisasi alokasi subjek sederhana. Sampel penelitian
berjumlah 44 responden, terdiri dari 22 responden sebagai kelompok intervensi yang dilakukan terapi akupresur sebanyak tiga
kali sehari, dan 22 responden sebagai kelompok kontrol. Pengujian perbedaan penurunan rerata skor mual, muntah, dan mual
muntah pada kelompok intervensi dan kelompok kontrol menggunakan uji T test. Hasil penelitian menunjukkan penurunan
rerata mual muntah akut setelah akupresur pada kelompok intervensi signifikan lebih besar dibanding dengan kelompok kontrol
(p= 0,000; α= 0,05). Akupresur secara signifikan dapat menurunkan mual muntah akut akibat kemoterapi pada pasien kanker
yang dilakukan akupresur dibandingkan dengan kelompok kontrol. Akupresur direkomendasikan dapat diterapkan sebagai
bagian dari intervensi keperawatan dalam pemberian asuhan keperawatan pada pasien yang mengalami mual muntah akut
akibat kemoterapi.
Kata kunci: akupresur, kemoterapi, mual muntah akut


Abstract

Acupressure is one of the complementary theraphies for patients with acute chemotherapy-induced nausea and vomiting
(CINV). The objective of the study was to prove the effect of acupressure to acute CINV on patients with cancer at two hospitals
in Jakarta. The research used randomized clinical trial with single blind method. A consecutive sampling was used as the
sample collection method and simple randomization allocation subject was used to identify samples in the intervention or
control group. The number of samples was 44 respondents, consisted of 22 subjects who were given an acupressure theraphy,
three times a day; and the remaining was the control group. A t-test was used to examine the differences of the mean nausea
and vomiting scores between the intervention and control groups. The result indicated that there is a signifant decrease of the
mean acute nausea and vomiting scores after acupressure between the two groups (p= 0.000; α= 0.05). It was concluded that
the acupressure can significantly decrease acute CINV on patients with cancer in the intervention group if compared with
control group. Based on the findings, recommendation is directed to hospital management especially nursing management to
apply acupressure as a nursing intervention to patients with acute CINV.
Keywords: acupressure, chemotherapy, acute nausea and vomiting

Keywords

akupresur, kemoterapi, mual muntah akut

Full Text:

PDF

References

Collin, K.B., & Thomas, D.J. (2004). Accupuncture and accupressure for the Management of Chemotherapy-Induced Nausea and Vomiting. Journal of the American Academy of Nurse Practitioner, 16 (2), 76–80.

Depkes RI. (2006). Enam persen penduduk RI menderita kanker. Diperoleh dari http://www. depkes.go.id/.

Desen, W. (2008). Buku ajar onkologi medik. Edisi 2. Jakarta: Balai Penerbit Fakultas Kedokteran Universitas Indonesia.

Dibble, S.L., Chapman, J., Mack, K.I., & Shih, A. (2000). Acupressure for nausea. Diperoleh dari http://web.ebscohost.com/.

Dibble, S.L., Luce, J., Cooper, B.A., & Israel, J. (2007). Acupressure for chemoterapy-induced nausea & vomiting: A randomized clinical trial. Oncology Nursing Forum, 34 (4), 813–820.

Grunberg, S.M. (2004). Chemotherapy-induced nausea and vomiting: Prevention, detection, & treatment-how are we doing? The Journal of Supportive Oncology, 2 (1), 1–12.

Hesketh, P.J. (2008). Chemotherapy-induced nausea & vomiting. The New England Journal of Medicine, 358 (23), 2482–2494. DOI: 10.1056/NEJMra0706547.

Ignatavicius, D.D., & Workman. M.L. (2006). Medical surgical nursing: Critical thinking for collaborative care (5th Ed.). Philadelphia: W.B. Saunders Company.

LeMone, P., & Burke, K. (2008). Medical surgical nursing: Critical thinking in client care (4th Ed.). New Jersey: Pearson Prentice Hall.

Molassiotis, A., Helin, A.M., Dabbour, R., & Hummerston, S. (2007). The effects of P6 accupressure in the profilaxis of chemotherapy related nausea and vomiting in breast cancer patients. Complementary Therapies in Medicine, 15 (1), 3–12.

Roscoe, J.A., Morrow, G.R., Hickok, J.T., Bushunow, P., Pierce, H.I., Flynn, P.J., et al. (2003). The efficacy of accupressure and accustimulation wrist bands for the relief of chemotherapy-induced nausea and vomiting. Journal of Pain and Symptom Management, 26 (2), 731–742.

Samad, K., Afshan, G., & Kamal, R. (2003). Effect of acupressure on postoperative nausea and vomiting in laparoscopic cholecystectomy. J Pak Med Assoc, 53 (2), 68–72.

Sukanta, P. O. (2008). Terapi pijat tangan. Jakarta: Penebar Plus.

Tarcin, O., Gurbuz, A.K., Pocan, S., Keskin, O., & Demirturk, L. (2004). Accustimulation of the Neiguan point during gastroscopy: Its effect on nausea and retching. The Turkish Journal of Gastroenterology, 15 (4), 258–262.


Refbacks

  • There are currently no refbacks.