Penerapan Terapi Musik Klasik Terhadap Status Hemodinamik Pada Pasien Dengan Stroke Hemoragik Di Intensive Care Unit (ICU) : Case Report
DOI:
https://doi.org/10.59841/an-najat.v2i2.1147Keywords:
Terapi musik klasik, Hemodinamik, Stroke hemoragikAbstract
Stroke hemoragik merupakan penyakit tidak menular (PTM) dan termasuk dalam gangguan neurologi yang disebabkan oleh perdarahan yang terjadi pada otak. Terapi musik memiliki efek terhadap status hemodinamik pada pasien koma, terutama pada pasien yang mengalami stroke. Terapi musik adalah intervensi yang memanfaatkan musik sebagai perantara untuk membantu orang untuk meningkatkan dan mempertahankan kesejahteraan hidup. Metode penelitian yang digunakan adalah studi kasus (case report). Penelitian dilaksanakan di ruang ICU pada tanggal 29 April – 3 Mei 2024. Partisipan sejumlah satu pasien dengan diagnosa stroke hemoragik. Pengukuran dilakukan sebelum dan sesudah intervensi terapi musik klasik menggunakan lembar status hemodinamik pasien yang meliputi Sp O2, respiratory rate (RR), heart rate (HR), tekanan darah, dan Mean Arterial Pressure (MAP). Hasil penelitian di dapatkan hasil rata-rata status hemodinamik pasien setelah diberikan intervensi terapi musik klasik memiliki dampak yang positif. Terjadi peningkatan rata-rata Sp O2 responden dari 97,5% menjadi 99%. Rata-rata respiratory rate pada responden menurun dari 34,5 kali permenit menjadi 29,5 kali permenit. Rata-rata heart rate dari responden menurun dalam rentang 93 kali permenit menjadi 89,2 kali permenit. Rata-rata tekanan darah pada responden menurun dalam rentang 157,5/87,5 mmHg menjadi 147,8/82,3 mmHg. Rata- rata MAP pada responden menurun dalam rentang dari 111 mmHg menjadi 104,5 mmHg. Terapi musik klasik dapat berpengaruh positif terhadap status hemodinamik pasien seperti saturasi oksigen (Sp O2), Respiratory rate (RR), Heart rate (HR), Tekanan darah, dan Mean Arterial Pressure (MAP) pada pasien dengan stroke hemoragik di ruang ICU.
References
Alammar, K., Baker, O. G., Alotaiba, A., & Alkhunaizi, A. (2022). The Effect of Music Therapy on Adult Patients’ Heart Rate: A Meta-Analysis. Nurse Media Journal of Nursing, 12(3), 423–436. https://doi.org/10.14710/nmjn.v12i3.46101
Antoniazza, B., Sollami, A., & Marletta, G. (2018). Effects of Music Therapy on Vital Signs and Anxiety: A Study with Terminally Ill Patients. https://www.researchgate.net/publication/330555775
Anwari, M., Norlatifah, & Ilmi, B. (2023). The Effect of Classical Music Therapy on Blood Pressure Reduction in Hypertension in the Elderly at Tresna Werdha Budi in South Kalimantan Province. KnE Medicine. https://doi.org/10.18502/kme.v3i3.13526
Ayundari, P. (2021). Diagnosis Dan Tatalaksana Stroke Hemoragik. Jurnal Medika Hutama, 03(01), 1660–1665. http://jurnalmedikahutama.com
Bagle, A., Phansalkar, S., & Gaur, S. (2023). The effect of music therapy on hemodynamic parameter and pain score in patients under going abdominal and lower limb surgeries under spinal anaesthesia. Medical Journal of Dr. D.Y. Patil Vidyapeeth, 16(2), 232–236. https://doi.org/10.4103/mjdrdypu.mjdrdypu_639_20
Chakravarty, R., Mehta, N., & Vir, D. (2022). Effect of Music Therapy on Oxygen Saturation Level: A Literature Review. Harmonia: Journal of Arts Research and Education, 22(1), 37–47. https://doi.org/10.15294/harmonia.v22i1.36232
Chen, M., Kronsteiner, D., Pfaff, J., Schieber, S., Jäger, L., Bendszus, M., Kieser, M., Möhlenbruch, M. A., Ringleb, P. A., Bösel, J., & Schönenberger, S. (2021). Hemodynamic Status During Endovascular Stroke Treatment: Association of Blood Pressure with Functional Outcome. Neurocritical Care, 35(3), 825–834. https://doi.org/10.1007/s12028-021-01229-w
Cole, J. H., Hughey, S. B., Geiger, P. G., Rapp-Santos, K. J., & Booth, G. J. (2022). Hemodynamic Effects of Cardiovascular Medications in a Normovolemic and Hemorrhaged Yorkshire-cross Swine Model. Comparative Medicine, 72(1), 38–44. https://doi.org/10.30802/AALAS-CM-21-000080
Darki, C., Riley, J., Dadabhoy, D. P., Darki, A., & Garetto, J. (2022). The Effect of Classical Music on Heart Rate, Blood Pressure, and Mood. Cureus. https://doi.org/10.7759/cureus.27348
Daud, I., & Nurul Sari, R. (2020). Pengaruh Terapi Pijat Kaki terhadap Status Hemodinamik pada Pasien Terpasang Ventilator di Intensive Care Unit (ICU) RSUD Ulin Banjarmasin. In Journal of Nursing Invention (Vol. 1, Issue 1).
Ellys, E., Luh Widani, N., & Hary Susilo, W. (2021). Pengaruh Terapi Musik Klasik Terhadap Tingkat Kecemasan dan Hemodinamik Pasien Coronary Angiography dan Percutaneous Coronary Intervention di RS Jantung Diagram Cinere. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 4(1), 50–55. https://doi.org/10.56338/mppki.v4i1.1390
Ettenberger, M., Maya, R., Salgado-Vasco, A., Monsalve-Duarte, S., Betancourt-Zapata, W., Suarez-Cañon, N., Prieto-Garces, S., Marín-Sánchez, J., Gómez-Ortega, V., & Valderrama, M. (2021). The Effect of Music Therapy on Perceived Pain, Mental Health, Vital Signs, and Medication Usage of Burn Patients Hospitalized in the Intensive Care Unit: A Randomized Controlled Feasibility Study Protocol. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.714209
Indriani, N., Santoso, B., Arwani, A., & Mardiyono, M. (2018). Comparison Of Effectiveness Of A Progressive Mobilization And Mozart Music Therapy On Non-Invasive Hemodynamic Status Changes In Patients With Head Injury In The Intensive Care Unit. Belitung Nursing Journal, 4(2), 135–144. https://doi.org/10.33546/bnj.359
Jiliamarch, F., Artawan, M., & Deviani, P. (2020). Pengaruh Pemberian Terapi Musik Klasik Terhadap Tingkat Kecemasan Pasien Pre-Operasi Di RSUD Prof Dr. W. Z. Johannes Kupang. Cendana Medical Journal. https://doi.org/https://doi.org/10.35508/cmj.v8i2.3355
Karakul, A., & Bolışık, Z. B. (2018). The Effect of Music Listened to During the Recovery Period After Day Surgery on the Anxiety State and Vital Signs of Children and Adolescents. The Journal of Pediatric Research, 5(2), 82–87. https://doi.org/10.4274/jpr.24892
Kitagawa, K. (2022). Blood pressure management for secondary stroke prevention. Hypertension Research, 45(6), 936–943. https://doi.org/10.1038/s41440-022-00908-1
Kobus, S., Buehne, A. M., Kathemann, S., Buescher, A. K., & Lainka, E. (2022). Effects of Music Therapy on Vital Signs in Children with Chronic Disease. International Journal of Environmental Research and Public Health, 19(11), 6544. https://doi.org/10.3390/ijerph19116544
Kulinski, J., Ofori, E. K., Visotcky, A., Smith, A., Sparapani, R., & Fleg, J. L. (2022). Effects of music on the cardiovascular system. Trends in Cardiovascular Medicine, 32(6), 390–398. https://doi.org/10.1016/j.tcm.2021.06.004
Kuriakose, D., & Xiao, Z. (2020). Pathophysiology and Treatment of Stroke: Present Status and Future Perspectives. International Journal of Molecular Sciences, 21(20), 7609. https://doi.org/10.3390/ijms21207609
Liang, J., Tian, X., & Yang, W. (2021). Application of Music Therapy in General Surgical Treatment. BioMed Research International, 2021, 1–4. https://doi.org/10.1155/2021/6169183
Lindsay, M. P., Norrving, B., Sacco, R. L., Brainin, M., Hacke, W., Martins, S., Pandian, J., & Feigin, V. (2019). World Stroke Organization (WSO): Global Stroke Fact Sheet 2019. International Journal of Stroke, 14(8), 806–817. https://doi.org/10.1177/1747493019881353
Montaño, A., Hanley, D. F., & Hemphill, J. C. (2021). Hemorrhagic stroke (pp. 229–248). https://doi.org/10.1016/B978-0-444-64034-5.00019-5
Moshayedi, P., & Liebeskind, D. S. (2021). Hemodynamics in acute stroke: Cerebral and cardiac complications (pp. 295–317). https://doi.org/10.1016/B978-0-12-819814-8.00015-9
Murphy, S. JX., & Werring, D. J. (2020). Stroke: causes and clinical features. Medicine, 48(9), 561–566. https://doi.org/10.1016/j.mpmed.2020.06.002
Pinsky, M. R., Cecconi, M., Chew, M. S., De Backer, D., Douglas, I., Edwards, M., Hamzaoui, O., Hernandez, G., Martin, G., Monnet, X., Saugel, B., Scheeren, T. W. L., Teboul, J.-L., & Vincent, J.-L. (2022). Effective hemodynamic monitoring. Critical Care, 26(1), 294. https://doi.org/10.1186/s13054-022-04173-z
Saugel, B., Kouz, K., Meidert, A. S., Schulte-Uentrop, L., & Romagnoli, S. (2020). How to measure blood pressure using an arterial catheter: a systematic 5-step approach. Critical Care, 24(1), 172. https://doi.org/10.1186/s13054-020-02859-w
Sugiharto, Merawati, D., & Susanto, H. (2019). The Physiological Effects Of Campursari (Crossover Music Genre) Allegro In Sports On Circulating Cortisol And Testosterone Levels. 070005. https://doi.org/10.1063/1.5115722
Tandirerung, R. J., Irwanto, & Krisna, A. A. N. (2023). The effect of Mozart’s classical music on blood pressure in Wistar white rats (Rattus norvegicus). Bali Medical Journal, 12(2), 2055–2057. https://doi.org/10.15562/bmj.v12i2.4577
Turana, Y., Tengkawan, J., Chia, Y. C., Nathaniel, M., Wang, J., Sukonthasarn, A., Chen, C., Minh, H. Van, Buranakitjaroen, P., Shin, J., Siddique, S., Nailes, J. M., Park, S., Teo, B. W., Sison, J., Ann Soenarta, A., Hoshide, S., Tay, J. C., Prasad Sogunuru, G., … Kario, K. (2021). Hypertension and stroke in Asia: A comprehensive review from HOPE Asia. The Journal of Clinical Hypertension, 23(3), 513–521. https://doi.org/10.1111/jch.14099
Yanti, P. A., Dewi Noorratri, E., & Utami, N. (2023). Penerapan Terapi Musik Terhadap Respirasi Bayi Berat Badan Lahir Rendah Selama Kangaroo Mother Care Di Ruang Perinatalogi RSUD dr. Soehadi Prijonegoro Sragen. https://journal-mandiracendikia.com/jikmc
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