Authors:

I Made Cahyadi Agastiya

Abstract:

“Pendahuluan: Mayoritas pasien kritis di ICU mengalami nyeri selama proses perawatan. Nyeri merupakan halyang bersifat subjektif sehingga yang dilaporkan oleh pasien menjadi pengkajian dan evaluasi yang paling baik.Akan tetapi, sebagian besar pasien kritis di ICU terintubasi, menggunakan ventilasi mekanik ataupun mengalamipenurunan kesadaran. Walaupun demikian, nyeri harus tetap dikaji dan dievaluasi untuk menentukan manajemennyeri pada pasien kritis di ICU. Hal tersebut membutuhkan instrumen pengkajian nyeri yang praktis, objektif danrelevan dengan kondisi pasien di ICU.Metode: Penyusunan studi literatur ini menggunakan jurnal-jurnal yang relevan dari mesin pencari sepertiproquest.com, sciencedirect.com dan scholar.google.com dengan kata kunci pain, assessment tool, critical care.Pembahasan: Terdapat empat instrumen pengkajian nyeri pada pasien kritis di ICU yang telah teruji yaituBehavioral Pain Scale (BPS), Critical Care Pain Observation Tool (CPOT), Non-verbal Pain Scale (NVPS) danPain Assessment and Intervention Notation (PAIN). Keempat instrumen pengkajian nyeri tersebut memilikikelemahan dan kelebihannya masing-masing. Diantara keempat instrumen pengkajian nyeri tersebut, BPS danCPOT merupakan instrumen yang objektif, praktis dan relevan serta akurat sesuai karakteristik pasien kritis diICU. Kedua instrumen tersebut memiliki nilai reliabilitas dan validitas yang baik yaitu BPS: 0,72;3,9-6,8(p<0,001)dan CPOT: 0,71;0,26-0,56(p<0,001) dibandingkan dengan NVPS: 0,59;0,19-0,44(p<0,001) dan PAIN: p<0,05.Simpulan: BPS dan CPOT adalah instrumen yang paling objektif, praktis, dan relevan digunakan untuk mengkajinyeri pada pasien kritis di ICU karena dapat mengkaji nyeri pada pasien kritis di ICU dengan penurunankesadaran.”

Keywords

pain, assessment tool, critical care.Pembahasan: Terdapat empat instrumen pengkajian nyeri pada pasien kritis di ICU yang telah teruji yaituBehavioral Pain Scale (BPS), Critical Care Pain Observation Tool (CPOT), Non-verbal Pain Scale (NVPS) danPain Assessment and Intervention Notation (PAIN). Keempat instrumen pengkajian nyeri tersebut memilikikelemahan dan kelebihannya masing-masing. Diantara keempat instrumen pengkajian nyeri tersebut, BPS danCPOT merupakan instrumen yang objektif, praktis dan relevan serta akurat sesuai karakteristik pasien kritis diICU. Kedua instrumen tersebut memiliki nilai reliabilitas dan validitas yang baik yaitu BPS: 0, 72;3, 9-6, 8(p<0, 001)dan CPOT: 0, 71;0, 26-0, 56(p<0, 001) dibandingkan dengan NVPS: 0, 59;0, 19-0, 44(p<0, 001) dan PAIN: p<0, 05.Simpulan: BPS dan CPOT adalah instrumen yang paling objektif, praktis, dan relevan digunakan untuk mengkajinyeri pada pasien kritis di ICU karena dapat mengkaji nyeri pada pasien kritis di ICU dengan penurunankesadaran.

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https://jurnal.harianregional.com/essential/full-44560

Published

2018-08-30

How To Cite

AGASTIYA, I Made Cahyadi. INSTRUMEN PENGKAJIAN NYERI PADA PASIEN KRITIS DI INTENSIVE CARE UNIT (ICU): STUDI LITERATUR.Essential: Essence of Scientific Medical Journal, [S.l.], v. 16, n. 1, p. 5-9, aug. 2018. ISSN 2655-6472. Available at: https://jurnal.harianregional.com/essential/id-44560. Date accessed: 28 Aug. 2025.

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Vol 16 No 1 (2018): Volume 16 No. 1 (Januari-Juni) : Essence Of Scientific Medical Journal

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