Effect of Combination of Slow Deep Breathing and Ice Therapy towards Comfort Level in Arteriovenous Fistula Insertion of Hemodialysis Patients in PKU Muhammadiyah Hospital Yogyakarta
Abstract: Patients with
chronic renal disease undergoing hemodialysis will have arteriovenous (AV)
fistula insertion for 2–3 times a week or an average of ten punctures per
month. Intervention of comfort technical with combination of slow deep
breathing and ice therapy help to reduce discomfort due to AV fistula
insertion. The objective of this research was to determine the effect of
combination of slow deep breathing and ice therapy on comfort level of AV
fistula insertion. This research was conducted from January until February 2015
at PKU Muhammadiyah Hospital Yogyakarta. Type of this research is a quasi
experiment with only post test group design with control group. The sample was
divided into 20 patients in intervention group and 20 patients in control
groups through simple random sampling technique. For each group, discomfort
level was measured using Visual Analog Scale after AV fistula insertion. In
intervention group, respondents were given a combination of deep breathing and
ice therapy on acupuncture points LI4 10 minutes before insertion. The data
were collected twice and analyzed of the difference between intervention group
and control group using Chi-Square, Wilcoxon and Mann-Whitney test. There was a
significant difference between intervention group and control group using Visual
Analog Scale discomfort with p=0.000. Provision of comfort technical
intervention with combination of slow deep breathing and ice therapy proved to
improve the comfort of hemodialysis patients while undergoing insertion of AV
fistula.
Keywords: AV fistula
insertion, combination of slow deep breathing and ice therapy, comfort level
Penulis: Nur Isnaini, Titiek
Hidayati, Sri Sumaryani
Kode Jurnal: jpfarmasidd180008
