PENATALAKSANAAN PROGRESSIVE MUSCLE RELAXATION (PMR) TERHADAP TINGKAT NYERI PADA PASIEN PASCAOPERASI PERCUTANEOUS NEPHROLITHOTOMY (PNCL) : STUDI KASUS

Rizki Kania Oktaviani Pujawati, - and Upik Rahmi, - (2025) PENATALAKSANAAN PROGRESSIVE MUSCLE RELAXATION (PMR) TERHADAP TINGKAT NYERI PADA PASIEN PASCAOPERASI PERCUTANEOUS NEPHROLITHOTOMY (PNCL) : STUDI KASUS. S1 thesis, Universitas Pendidikan Indonesia.

Abstract

Pendahuluan: Nyeri pascaoperasi merupakan masalah signifikan setelah tindakan Percutaneous Nephrolithotomy (PCNL) untuk mengatasi batu saluran kemih berukuran sedang hingga besar yang tidak responsif terhadap terapi konservatif. Meskipun PCNL minimal invasif, insisi kulit dan manipulasi ginjal dapat menyebabkan nyeri yang mempengaruhi kenyamanan, mobilisasi, dan pemulihan pasien. Progressive muscle relaxation atau latihan relaksasi otot progresif (PMR) adalah teknik non-farmakologis yang melibatkan kontraksi dan relaksasi sistematis kelompok otot di seluruh tubuh. Progressive muscle relaxation (PMR) dapat mengurangi persepsi nyeri melalui penurunan ketegangan otot, modulasi respons sistem saraf simpatik, dan pelepasan endorfin. Penelitian ini bertujuan untuk mengetahui penatalaksanaan latihan relaksasi otot progresif terhadap penurunan tingkat nyeri pada pasien pascaoperasi percutaneous nephrolithotomy (PCNL). Metode: Penelitian studi kasus deskriptif kualitatif ini mengeksplorasi penatalaksanaan PMR pada satu pasien pascaoperasi (PCNL) dengan nyeri akut. Data dikumpulkan melalui pengukuran VAS sebelum dan setelah intervensi selama 4 hari, 8 sesi dan pada setiap sesi dilakukan selama 30 menit. Hasil: Hasil penelitian menunjukkan bahwa latihan relaksasi otot progresif (PMR) efektif dalam menurunkan tingkat nyeri pasien pascaoperasi Percutaneous Nephrolithotomy (PNCL) selama 4 hari intervensi. Penurunan Skala nyeri VAS terlihat pada sebagian besar waktu pengukuran, rata-rata selama 4 hari intervensi dengan penurunan nilai minimal 0 dan penurunan maksimal 2. Penurunan Skala nyeri awal pasien seiring waktu menunjukkan pengaruh positif PMR dalam manajemen nyeri pascaoperasi (PCNL). Simpulan: Studi kasus menunjukkan bahwa progressive muscle relaxation (PMR) efektif menurunkan intensitas nyeri pascaoperasi percutaneous nephrolithotomy (PCNL) melalui pengukuran VAS. Introduction: Postoperative pain is a significant problem after Percutaneous Nephrolithotomy (PCNL) for the treatment of medium to large urinary tract stones that are unresponsive to conservative therapy. Although PCNL is minimally invasive, skin incision and kidney manipulation can cause pain that affects patient comfort, mobility, and recovery. Progressive muscle relaxation (PMR) training is a non-pharmacological technique that involves systematic contraction and relaxation of muscle groups throughout the body. Progressive muscle relaxation (PMR) can reduce pain perception by reducing muscle tension, modulating the sympathetic nervous system response, and releasing endorphins. This study aims to determine the management of progressive muscle relaxation training on reducing pain levels in post-percutaneous nephrolithotomy (PCNL) patients. Methods: This qualitative descriptive case study explores the management of PMR in one post-PCNL patient with acute pain. Data were collected through VAS measurements before and after the intervention for 4 days, 8 sessions, and each session lasted 30 minutes. Results: The results of the study showed that progressive muscle relaxation (PMR) training was effective in reducing pain levels in postoperative Percutaneous Nephrolithotomy (PNCL) patients during 4 days of intervention. A decrease in the VAS pain scale was seen during most of the measurement time, on average during the four days of intervention with a minimum decrease of 0 and a maximum decrease of 2. The decrease in the patient's initial pain scale over time indicated a positive effect of PMR in postoperative pain management (PCNL). Conclusion: This case study demonstrates that progressive muscle relaxation (PMR) is effective in reducing pain intensity after percutaneous nephrolithotomy (PCNL) surgery through VAS measurements.

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Item Type:	Thesis (S1)
Additional Information:	ID SINTA Dosen Pembimbing : Upik Rahmi : 5978408
Uncontrolled Keywords:	Nyeri pascaoperasi, Percutaneous nephrolithotomy, Progressive muscle relaxation, Skala analog visual (VAS). Postoperative pain, Percutaneous nephrolithotomy, Progressive muscle relaxation, Visual analog scale (VAS).
Subjects:	L Education > L Education (General) R Medicine > RT Nursing
Divisions:	Fakultas Pendidikan Olahraga dan Kesehatan > Ners - Profesi
Depositing User:	Rizki Kania Oktaviani Pujawati
Date Deposited:	05 Oct 2025 06:08
Last Modified:	05 Oct 2025 06:08
URI:	http://repository.upi.edu/id/eprint/142131

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