PENGARUH INHALASI AROMATERAPI LAVENDER TERHADAP KECEMASAN DAN NYERI ANAK SEKOLAH SAAT DILAKUKAN IMUNISASI

Komang Yogi Triana, Made Pande Lilik Lestari, I Nyoman Pande Suyasa

Abstract


Pendahuluan: Nyeri dan kecemasan merupakan respon yang sering ditunjukkan oleh anak-anak yang akan mendapatkan imunisasi berupa injeksi di sekolah pada saat Bulan Imunisasi Anak Sekolah (BIAS) tiba. Nyeri yang ditimbulkan oleh tindakan invasif dapat menyebabkan timbulnya trauma pada anak terhadap tindakan imunisasi dan menunjukkan sikap yang tidak kooperatif. Tujuan: Adapun tujuan dari penelitian ini adalah untuk mengetahui perbedaan pengaruh dari aromaterapi lavender dengan intervensi rutin yang diberikan terhadap kecemasan dan nyeri anak sekolah dasar yang mendapatkan imunisasi TD. Metode: Penelitian ini menggunakan desain quasi experimental dengan non-equivalent with control group design post-test only.  Sebanyak 29 responden dilibatkan dalam penelitian ini yang dipilih dengan teknik purposive sampling sesuai dengan kriteria inklusi yang terbagi menjadi 2 kelompok. Instrumen penelitian ini menggunakan Visual Analog Scale (VAS) for Pain and Anxiety untuk mengukur skala nyeri dan kecemasan anak. Hasil: Hasil analisis data dengan uji Mann Whitney menunjukkan bahwa aromaterapi lavender efektif menurunkan nyeri anak saat diimunisasi (p value = 0.005) namun tidak menunjukkan adanya pengaruh yang signifikan terhadap kecemasan anak (p value = 0,122). Kesimpulan: Aromaterapi lavender dapat menjadi salah satu pilihan teknik distraksi yang mudah dan terjangkau untuk dapat diterapkan perawat saat melakukan imunisasi ke sekolah sehingga dapat membantu mengontrol nyeri yang dirasakan anak.

Keywords


Anak, Aromaterapi, Imunisasi, Kecemasan, Nyeri.

References


Abbaszadeh, R., Tabari, F., Taherian, K., & Torabi, S. (2017). Lavender Aromatherapy in Pain Management: A Review Study.

Bikmoradi, A., Harorani, M., Roshanaei, G., Moradkhani, S., & Falahinia, G. H. (2016). The effect of inhalation aromatherapy with damask rose (Rosa damascena) essence on the pain intensity after dressing in patients with burns: A clinical randomized trial. Iranian journal of nursing and midwifery research, 21(3), 247.

Bikmoradi, A., Khaleghverdi, M., Seddighi, I., Moradkhani, S., Soltanian, A., & Cheraghi, F. (2017). Effect of inhalation aromatherapy with lavender essence on pain associated with intravenous catheter insertion in preschool children: A quasi-experimental study. Complementary Therapies in Clinical Practice, 28, 85-91. doi:10.1016/j.ctcp.2017.05.008

Bikmoradi, A., Zafari, A., Oshvandi, K., Mazdeh, M., &Roshanaei, G. (2014). Effect of progressive muscle relaxation on severity of pain in patients with multiple sclerosis: a randomized controlled trial. Hayat; 20 (1): 26-37

Bucci, L. M., MacDonald, N. E., Sondagar, C., & Taddio, A. (2017). Taking the sting out of school-based immunizations. Paediatrics & Child Health, 22(1), 41-42.

Burns-Nader, S., Atencio, S., & Chavez, M. (2016). Computer tablet distraction in children receiving an injection. Pain Medicine, 17(3), 590-595.

Cerne, D., Sannino, L., & Petean, M. (2015). A randomised controlled trial examining the effectiveness of cartoons as a distraction technique. Nursing Children and Young People, 27(3), 28-33. doi:10.7748/ncyp.27.3.28.e534

Ciftci, E. K., Ozdemir, F. K., & Aydın, D. (2016). Effect of flick application on pain level and duration of crying during infant vaccination. Italian journal of pediatrics, 42(1), 1-6.

Dehkordi, Z. R, Baharanchi, F. S. H, & Bekhradi, R. (2014). Effect of lavender inhalation on the symptoms of primary dysmenorrhea and the amount of menstrual bleeding: A randomized clinical trial. Complementary Therapies in Medicine, 22(2), 212-219. 10.1016/j.ctim.2013.12.011

Giordano, C.N., Nelson, j., Kohen, L.L., Nijhawan, R., &. Srivastava, D. (2015). Local anesthesia: Evidence, Strategies, and Safety. Curr. Derm. Rep. ; 4 (3) :97-104

Göl, İ., & Altuğ Özsoy, S. (2017). Effects of rapid vaccine injection without aspiration and applying manual pressure before vaccination on pain and crying time in infants. Worldviews on Evidence‐Based Nursing, 14(2), 154-162. doi:10.1111/wvn.12206

Halpert, C., Meier, S., & Naus, M. (2015). Reducing immunization injection pain in infants. BCMJ, 57, 189.

Hockenberry, M. J. & Wilson D. (2009). Wong’s essentials of pediatric nursing (7th ed.). St. Louis: Mosby Elsevier

Hockenberry, M. J, Wilson, D., & Rodgers, C.C. (2016). Wong's Essentials Of Pediatric Nursing (10th ed.). Elsevier Health Science

Karaman, T., Karaman, S., Dogru, S., Tapar, H., Sahin, A., Suren, M., ... & Kaya, Z. (2016). Evaluating the efficacy of lavender aromatherapy on peripheral venous cannulation pain and anxiety: A prospective, randomized study. Complementary therapies in clinical practice, 23, 64-68.

Koulivand, P. H., Khaleghi Ghadiri, M., & Gorji, A. (2013). Lavender and the nervous system. Evidence-Based Complementary and Alternative Medicine : ECAM, 2013, 681304-10. doi:10.1155/2013/681304

Lakhan, S. E., Sheafer, H., & Tepper, D. (2016). The effectiveness of aromatherapy in reducing pain: a systematic review and meta-analysis. Pain research and treatment, 2016.

Lee, M., Lim, S., Song, J., Kim, M., & Hur, M. (2017). The effects of aromatherapy essential oil inhalation on stress, sleep quality and immunity in healthy adults: Randomized controlled trial. European Journal of Integrative Medicine, 12, 79-86. 10.1016/j.eujim.2017.04.009

Luthy, Eden, L., Macintosh, J., & Beckstrand, R. (2014). Minimizing pain during childhood vaccination injections: Improving adherence to vaccination schedules. Pediatric Health, Medicine and Therapeutics, 5(default), 127-140. doi:10.2147/PHMT.S50510

MacLennan, C. A., & Saul, A. (2014). Vaccines against poverty. Proceedings of the National Academy of Sciences, 111(34), 12307-12312.

McMurtry, C. M., Riddell, R. P., Taddio, A., Racine, N., Asmundson, G. J., Noel, M., ... & Shah, V. (2015). Far from" just a poke": Common painful needle procedures and the development of needle fear. The Clinical journal of pain.

Nursalam. (2016). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis. Ed. 4. Jakarta: Salemba Medika

Öztürk, D., Baykara, Z. G., Karadag, A., & Eyikara, E. (2017). The effect of the application of manual pressure before the administration of intramuscular injections on students' perceptions of postinjection pain: A semi‐experimental study. Journal of Clinical Nursing, 26(11-12), 1632-1638. doi:10.1111/jocn.13530

Taddio, A., Ipp, M., Thivakaran, S., Jamal, A., Parikh, C., Smart, S., . . . Katz, J. (2012). Survey of the prevalence of immunization non-compliance due to needle fears in children and adults. Vaccine, 30(32), 4807-4812. doi:10.1016/j.vaccine.2012.05.011

Taddio, A., McMurtry, C. M., Shah, V., Riddell, R. P., Chambers, C. T., Noel, M., ... & Lang, E. (2015). Reducing pain during vaccine injections: clinical practice guideline. Cmaj, 187(13), 975-982.

Taddio, A. (2019). Pain Pain Go Away: Improving the vaccination experience at school. Paediatrics & Child Health, 24(S1). doi: 10.1093/pch/pxz016

Treede, R. D. (2018). The International Association for the Study of Pain definition of pain: as valid in 2018 as in 1979, but in need of regularly updated footnotes. Pain reports, 3(2).

Turner, L. (2019). Aromatherapy for kids & teens. Better Nutrition, 81(8), 24-26.

Şahiner, N. C., Inal, S., & Akbay, A. S. (2015). The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children. Journal of perianesthesia nursing, 30(3), 228-235.

Seyyed-Rasooli, A., Salehi, F., Mohammadpoorasl, A., Goljaryan, S., Seyyedi, Z., & Thomson, B. (2016). Comparing the effects of aromatherapy massage and inhalation aromatherapy on anxiety and pain in burn patients: A single-blind randomized clinical trial. Burns, 42(8), 1774-1780.

Stevens, K. E., & Marvicsin, D. J. (2016). Evidence-Based Recommendations For Reducing Pediatric Distress During Vaccination. Pediatric nursing, 42(6).

Victoria, N. C., & Murphy, A. Z. (2016). Exposure to early life pain: long term consequences and contributing mechanisms. Current opinion in behavioral sciences, 7, 61-68.

Yayla, E. M., & Ozdemir, L. (2019). Effect of inhalation aromatherapy on procedural pain and anxiety after needle insertion into an implantable central venous port catheter: a quasi-randomized controlled pilot study. Cancer nursing, 42(1), 35-41.

Yin, H., Cheng, S., Yang, C., Chiu, Y., & Weng, Y. (2017). Comparative survey of holding positions for reducing vaccination pain in young infants. Pain Research and Management, 2017, 1-7. doi:10.1155/2017/3273171




DOI: https://doi.org/10.32382/jmk.v11i2.1731

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