Eko Mulyadi (2018) Intervensi Asuhan Keperawatan Spiritual Hipnosis Terhadap Koping, Comfort, Kadar Β Endorphin Dan Penurunan Skala Nyeri Pada Pasien Post Operasi Fraktur Femur. Disertasi thesis, UNIVERSITAS AIRLANGGA,.

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Abstract

Introduction. Hospital Pain Intervention only focused on pharmacological intervention, whereas non-pharmacological intervention were less developed. Method. This study aims to develop the model and prove the effect of hypno-spiritual nursing care on coping, comfort, pain and β endorphin levels in post-operative femur fracture patients in Dr Soetomo Hospital, Dr. Soewandhi Hospital, Dr Slamet Martodhijo Hospital and Sampang Hospital. This study conducted pre-posttest quas-experiment with control group design, andpost-operative femur fracture patients divided into 2 groups; 17 patients for control groups, 17 patients for treatment groups. The research variables are coping, comfort, pain, and β endorphin, were measured before and after the treatment using questionnaires and blood samples. The control group received standard intervention while the treatment group received hypno-spiritual nursing care. This research was started from January-December 2017. Result. It can be showed that hypno-spiritual nursing care can decrease negative coping (p=0.042), pain (P=0.00), improving comfort (p=0.00). But, it cannot improve endorphin β levels. (p=0.506). Meanwhile, path analysis proves that hypno-spiritual nursing care can decrease pain through improving comfort and without passing endorphin path. Previous research mentions that endorphins are not involved in hypnotic analgesia. Other previous research mentions that hypnosis is more effective than acupuncture in reducing pain, because hypnosis and acupuncture are not primarily mediated by opiate endorphin, while plasma β endorphin levels are not significantly affected by hypnosis or acupuncture. Conclusion. It can be concluded that hypno-spiritual nursing care can significantly reduce pain. In line with that, the nurse needs to consider several aspects of hypno-spiritual nursing care, such as environmental conditions, the condition of the patient, and the further investigatiors need to pay attention to other varibales that may affect the pain. Such as pain-reducing drugs, and environmental conditions.

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