Pengaruh slow deep breathing dan analgesik terhadap penurunan nyeri kronis pada pasien kanker payudara: A randomized controlled trial (RCT)

Authors

  • Wulan Anggraini Program Studi Ilmu Keperawatan Universitas Malahayati
  • Dennti Kurniasih Program Studi Ilmu Keperawatan Universitas Malahayati
  • Eka Yudha Chrisanto Program Studi Ilmu Keperawatan Universitas Malahayati

DOI:

https://doi.org/10.33024/hjk.v18i9.594

Keywords:

Analgesik, Kanker Payudara, Slow Deep Breathing

Abstract

Background: Breast cancer patients often faced chronic pain. Slow deep breathing and analgesics are believed can reduce pain but the combination of the two in breast cancer in not yet known.

Purpose: To determine the effect of slow deep breathing and analgesics in reducing chronic pain in breast cancer patients.

Method: A randomized controlled trial with two groups. Patients randomized to receive slow deep breathing and analgesic (intervention group) or analgesic (control group). Patients were followed up for 3 days. Pain scale was measured pre and post treatment.

Results: A total of 30 participants were enrolled and randomized. Mean values of pain scale post treatment in the intervention group (mean: 2.69 SD 1.124) were lower than in control group (mean: 4.67 SD 1.017) with p value = 0.000.

Conclusion: Slow deep relaxation and analgesics effectively reduced chronic pain in breast cancer.

Suggestion: Further research should add other variables related to pain reduction, such as other innovative relaxation therapies.

 

 Keywords: Analgesic; Breast Cancer; Slow Deep Breathing.

 

Pendahuluan: Pasien kanker payudara sering menghadapi nyeri kronis. Relaksasi slow deep breathing dan analgesik diyakini dapat mengurangi rasa sakit, tetapi kombinasi keduanya pada kanker payudara belum diketahui.

Tujuan: Untuk mengetahui pengaruh slow deep breathing dan analgesik terhadap penurunan nyeri kronis pada pasien kanker payudara.

Metode: Uji coba terkontrol secara acak dengan dua kelompok. Pasien diacak untuk menerima relaksasi slow deep breathing dan analgesik (kelompok intervensi), analgesik (kelompok kontrol). Pasien ditindaklanjuti selama 3 hari dengan skala nyeri diukur sebelum dan sesudah intervensi.

Hasil: Nilai rata-rata skala nyeri pasca pengobatan pada kelompok intervensi (rata-rata: 2.69 SD 1.124), lebih rendah daripada kelompok kontrol (rata-rata: 4.67 SD 1.017) dengan nilai p 0.000.

Simpulan: Relaksasi slow deep breathing dan analgesik dapat mengurangi nyeri kronis secara efektif pada kanker payudara.

Saran: Penelitian selanjutnya agar menambah variabel lain yang berhubungan dengan penurunan nyeri, seperti terapi relaksasi inovatif lainnya.

 

Kata Kunci: Analgesik; Kanker Payudara; Slow Deep Breathing.

References

Alhazmi, L. S. S., Bawadood, M. A. A., Aljohani, A. M. S., Alzahrani, A. A. R., Moshref, L., Trabulsi, N., & Moshref, R. (2021). Pain management in breast cancer patients: a multidisciplinary approach. Cureus, 13(6).

Bao, T., Seidman, A., Li, Q., Seluzicki, C., Blinder, V., Meghani, S. H & Mao, J. J. (2018). Living with chronic pain: perceptions of breast cancer survivors. Breast cancer research and treatment, 169, 133-140

Barrow, L. F., Segun, A., Zhang, B., Camara, S., Bah, B., Ndow, M., & Ceesay, L. M. (2024). Examining the Impact of Health Education Interventions on Breast Cancer Knowledge (Awareness) Among Women in Underserved Communities of West Coast Region, The Gambia.

Bosompem, K., Yorke, J., Buckman, T. A., Brenu, S. G., Nyantakyi, M., Aitpillah, F. S. K., & Acheampong, E. (2024). Comparative analysis of breast cancer characteristics in young premenopausal and postmenopausal women in Ghana. Scientific Reports, 14(1), 2704.

Caraceni, A., & Shkodra, M. (2019). Cancer pain assessment and classification. Cancers, 11(4), 510.

Divella, M., Vetrugno, L., Bertozzi, S., Seriau, L., Cedolini, C., & Bove, T. (2020). Patient-reported pain and other symptoms among breast cancer survivors: prevalence and risk factors. Tumori Journal, 106(6), 480-490.

Eaton, L. (2017). Nonpharmacologic pain interventions: a review of evidence-based practices for reducing chronic cancer pain. Number 3/June 2017, 21(3), 54-70.

George, B., Minello, C., Allano, G., Maindet, C., Burnod, A., & Lemaire, A. (2019). Opioids in cancer-related pain: current situation and outlook. Supportive care in cancer, 27, 3105-3118.

Hamood, R., Hamood, H., Merhasin, I., & Keinan-Boker, L. (2018). Chronic pain and other symptoms among breast cancer survivors: prevalence, predictors, and effects on quality of life. Breast cancer research and treatment, 167, 157-169.

Kaur, N., Kumar, A., Saxena, A. K., Gupta, A., & Grover, R. K. (2018). Post mastectomy chronic pain in breast cancer survivors: an exploratory study on prevalence, characteristics, risk factors, and impact on quality of life. Indian..Journal..of Surgery, 80, 592-598.

Latifah, H. (2022). Efektifitas Teknik Relaksasi Slow Deep Breathing (Sdb) Dan Relaksasi Benson Terhadap Nyeri Pada Pasien Post Operasi Modifikasi Radikal Mastektomi (Mrm) (Doctoral..dissertation, Universitas..Islam..Sultan..Agung..Semarang).

Lestari, W. E. (2024). Hubungan frekuensi kemoterapi dengan status nutrisi pada pasien kanker yang menjalani kemoterapi (Doctoral dissertation, Universitas Islam Sultan Agung Semarang).

Merlin, N. M., & Vanchapo, A. R. (2019). Karakteristik Responden Kanker Payudara yang Memiliki Penerimaan Diri Rendah. Penelitian Kesehatan Suara Forikes, 10(4), 320–323. https://forikes-ejournal.com/index.php/SF/article/download/sf10415/10415

Multazam, M., Eliawati, U., & Muharni, S. (2023). Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Penurunan Nyeri Pada Pasien Post Operasi Sedang Di Rumah Sakit Umum Daerah Tanjungpinang. An-Najat, 1(4), 167-183.

Ruiz-Casado, A., Alvarez-Bustos, A., de Pedro, C. G., Mendez-Otero, M., & Romero-Elias, M. (2021). Cancer-related fatigue in breast cancer survivors: a review. Clinical breast cancer, 21(1), 10-25.

Setiawati, W. I., Ardiyanti, A., & Arisdiani, D. R. (2024). The Effect Of Deep Breathing And Hand Massage On The Pain Of Ca Mammae Patients. Protein: Jurnal Ilmu Keperawatan dan Kebidanan., 2(3), 67-76.

Supriadi, F. E., Fitri, N. L., & Dewi, N. R. (2024). Penerapan Slow Deep Breathing Terhadap Nyeri Kepala Pasien Hipertensi Di Ruang Penyakit Dalam A Rsud Jend. Ahmad Yani Metro. Jurnal Cendikia Muda, 4(4), 542-551.

Swarm, R. A., Paice, J. A., Anghelescu, D. L., Are, M., Bruce, J. Y., Buga, S., Chwistek, M., Cleeland, C., Craig, D., Gafford, E., Greenlee, H., Hansen, E., Kamal, A. H., Kamdar, M. M., LeGrand, S., Mackey, S., Rachel McDowell, M., Moryl, N., Nabell, L. M., … Gurski, L. A. (2019). Adult cancer pain.

Wang, H., Tan, J. Y. B., Wang, T., Liu, X. L., Bressington, D., Zheng, S. L., & Huang, H. Q. (2022). Feasibility and potential effects of breathing exercise for chronic pain management in breast cancer survivors: study protocol of a phase II randomised controlled trial. BMJ open, 12(12), e064358.

Wang, H., Liu, X. L., Wang, T., Tan, J. Y. B., & Huang, H. (2023). Breathing exercises for pain management in cancer survivors: A systematic..review. Pain..Management Nursing, 24(3), 299-310.

Published

2024-11-20

How to Cite

Anggraini, W., Kurniasih, D., & Chrisanto, E. Y. (2024). Pengaruh slow deep breathing dan analgesik terhadap penurunan nyeri kronis pada pasien kanker payudara: A randomized controlled trial (RCT). Holistik Jurnal Kesehatan, 18(9), 1091–1095. https://doi.org/10.33024/hjk.v18i9.594