PENGARUH TERAPI MUSIK ALAM TERHADAP FREKUENSI DENYUT JANTUNG PADA PASIEN SELAMA OPERASI DENGAN ANESTESI SPINAL DI RSUD PANDAN ARANG BOYOLALI

Abstract

Penatalaksanaan pembedahan dan komplikasi anestesi selama operasi dapat berupa pemberian farmakologi dan terapi komplementer. Terapi komplementer salah satunya adalah terapi musik alam, dengan terapi musik alam akan berdampak pula terhadap frekuensi denyut jantung. Penelitian ini bertujuan untuk mengetahui pengaruh musik alam terhadap frekuensi denyut jantung pada pasien selama operasi dengan anestesi spinal di RSUD Pandan Arang Boyolali. Penelitian menggunakan pendekatan quasy eksperiment dengan rancangan one group pre and post test design. Sampel sebanyak 48 pasien, dengan teknik purposive sampling. Data dikumpulkan melalui lembar observasi berupa Bed Side Monitor. Alat analisis yang digunakan dengan Paired Simple t-test. Hasil penelitian menunjukkan bahwa responden mayoritas usia di atas 36 tahun (41,7%), berjenis kelamin laki-laki (58,3%), berpendidikan SMA (39,6%) dan bekerja sebagai buruh yaitu sebanyak (39,6%), 2) Hasil pengukuran Frekuensi denyut jantung sebelum dilakukan pemberian terapi musik alam didapatkan data rata-rata sebesar 89,04 x/ menit.; 3) Hasil pengukuran frekuensi denyut jantung sesudah dilakukan pemberian terapi musik alam didapatkan data rata-rata sebesar 74,71 x/menit; dan 4) Ada pengaruh signifikan musik alam terhadap frekuensi denyut jantung pada pasien selama operasi dengan anestesi spinal di RSUD Pandan Arang Boyolali (p-value = 0,000 < 0,05). Kesimpulan dari penelitian adalah ada pengaruh signifikan musik alam terhadap frekuensi denyut jantung pada pasien selama operasi dengan anestesi spinal di RSUD Pandan Arang Boyolali. Penelitian ini disarankan dapat menjadi bahan pertimbangan sebagai dasar pembuatan Standar Operasional Prosedur pemberian terapi musik alam dalam membantu menstabilkan denyut jantung pasien selama operasi dengan anestesi spinal.

The Management of surgery and anesthetic complications during operation can include the administration of pharmacological and complementary therapies. One of the latter is natural music. The natural music may have impacts on heart pulse frequency. The objective of this research is to investigate the effect of natural music therapy on the heart pulse frequency of patients during operation with spinal anesthesia at Pandan Arang Local General Hospital of Boyolali. This research used the quasi experimental method with the one group pre and post test design. Its samples consisted of 48 patients. Purposive sampling technique was used to determine the samples. The data of the research were collected through Bed Side Monitor observation sheet. They were analyzed by using the Paired Simple t-test. The results of the research are as follows: 1) In majority, 41.7% of the patients were aged above 36 years old, 58.3% of the patients were male, 39.6% of of the patients held the latest education of Senior Secondary School, and 39.6% of the patients were laborers. 2) The result of the heart pulse frequency measurement prior to the administration of the natural music therapy shows that the average frequency was 89.04 times/ minute. 3) Following the natural music therapy, the average frequency was 74.71 times /minute. 4) There was a significant effect of the natural music therapy administration on the heart pulse frequency of patients during operation with spinal anesthesia at Pandan Arang Local General Hospital of Boyolali as indicated by the p-value = 0.000 which was less than 0.05. Thus, the results of this research could be considered as a reference for the preparation of standard operating procedure of natural music administration to help stabilize the heart pulse of patients during operation with spinal anesthesia.