Archive | 2019
PENGARUH SELF-SELECTED INDIVIDUAL MUSIC THERAPY (SeLIMuT) TERHADAP PERUBAHAN STATUS HEMODINAMIK PASIEN KANKER PALIATIF DI RSUP Dr. SARDJITO YOGYAKARTA
Abstract
A bstract : The unstabled blood pressure and pulse rates of palliative care cancer patients were due to the psychological stressed, pain, and anxiety . Complementary And Alternative Medicine (CAM) have been apply to reduce the commons symptoms of advanced illness.The aim of this study was to explain the effect of SeLIMuT to hemodynamic palliative care cancer patients in dr. Sardjito Yogyakarta hospital. A quasi experiment pre - posttest with control group designed apply to this study. A purposive sampling technique carried out in IRNA I RSUP Dr. Sardjito Yogyakarta which were divided into two groups: the intervention and control group. The intervention group (n=23) received 4 times SeLIMuT therapy for 2 days with each session about 15 to 20 minutes, and controlled group (n=23) did not receive any therapies. Pre and post test measured of pulse rates and blood pressure. It was clinically significant if there was cut off point was a ≥10 mmHg on both systolic and diastolic level and >4 x/ minute on the pulse rates . Statistically,a significant mean values difference of systolic (p=0,001), d iastolic (p= 0.024 ) dan pulse rates (p= 0 , 001 ), as signifi c an ceas p 4 x/menit pada nadi. Hasil penelitian menunjukan bahwa terdapat perbedaan yang signifikan rerata sistolik (p=0,001), diastolik (p=0,024) dan denyut nadi (p=0,001), signifikan jika p<0,05. Terjadi penurunan sebesar 3,70 mmHg pada sistolik, 2,18 mmHg, dan 0,52 pada nadi, namun penurunan tersebut tidak bermakna secara klinis. Perbedaan nilai sistolik pre-post pada kelompok kontrol cenderung tetap, sedangkan pada diastolik dan nadi justru menunjukkan peningkatan. Secara statistik SeLIMuT berpengaruh positif terhadap status hemodinamik pasien kanker paliatif, namun hasil tersebut tidak bermakna secara klinis. Kata Kunci : Kanker paliatif, hemodinamik, SeLIMuT, terapi musik