Nurul Kawakib, - (2005) Pengaruh Pendekatan Spiritual Dan Do' A Prabedah Terhadap Nyeri Pasca bedah. Masters thesis, UNIVERSITAS AIRLANGGA.

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Abstract

Postoperative pain is still a major problem for patients after surgery. Holistic approach which consider patient as a unique biopsikososiospiritual individu should be used to solve the problem. The origin of "state of pain" condition is dependent upon two components : the sensory and the affect. However until now the management of the postoperative pain focused mainly on the sensory component. The research aim is to prove that spiritual and praying approach, which are a therapeutic approach besides biopsikososial, influence the affect of the patients and there by can be conducted to a better and focused pain management. This study used lhe concept of pain as a stressor and by giving spiritual and praying approach the coping mechanism to the stress is assisted wit11 cognitive modulation. An interventional clinical study was conducted with randomized pre test and post test control group design. The subjects of the study were 18 patients admined with closed femoral fracture, which will be operated at Dr. Soetomo Hospital and were found by consecutive sampling.Having met the inclusion criteria and signed the infonned consent, they were divided randomly into treatment and control group. Spiritual and praying approach was given to the treaUDent group. Plasma cortisol level as a dependent variable was measured one hour before surgery and postoperative after the patient gained their full consciousness. Meanwhile, the intensity of pain was evaluated on the first, second, and third day after surgeI)' used The Visual Analog Scale (VAS). The result revealed that spiritual and praying approach significantly decreased the intensity of paio (p = 0,(00 1) and decreased ne uroendocrine cortisol respone (p = 0,003). It can be proven that postoperative pain affected with psychological stressor and th erefore spiritual and praying approach as an affective modulator should berecommended as a part of postoperative management, besides phannacological rreannent.

Item Type:	Thesis (Masters)
Additional Information:	PPDS.IB.34-20 Kaw p
Uncontrolled Keywords:	Spiritual approach., praying, pain
Subjects:	R Medicine > RD Surgery
Divisions:	01. Fakultas Kedokteran > Ilmu Bedah Umum
Creators:	Creators NIM Nurul Kawakib, - NIM-
Contributors:	Contribution Name NIDN / NIDK Copyright claimant URIP MURTEDJO, - NIDN8878130017
Depositing User:	Dwi Prihastuti
Date Deposited:	21 Mar 2023 05:55
Last Modified:	21 Mar 2023 05:55
URI:	http://repository.unair.ac.id/id/eprint/120695
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