The Effectiveness of Deep Breathing Relaxation in Reducing Acute Pain Intensity Among Patients With Urinary Tract Infection (UTI): A Nursing Care Evaluation

Robeka Sasarari; Dedy Arisjulyanto; Lindawati; Ardhanari Hendra Kusuma

doi:10.63265/jser.v2i3.167

Authors

Robeka Sasarari Poltekkes Kemenkes Jayapura
Dedy Arisjulyanto Poltekkes Kemenkes Jayapura
Lindawati Poltekkes Kemenkes Jayapura
Ardhanari Hendra Kusuma Poltekkes Kemenkes Jayapura

DOI:

https://doi.org/10.63265/jser.v2i3.167

Keywords:

Acute Pain, Pain Management, Urinary Tract Infection (UTI)

Abstract

Urinary Tract Infection (UTI) is a condition where the urinary tract is infected by pathogens, resulting in the presence of bacteria in the urine produced. The Indonesian Ministry of Health estimates that there are 90-100 cases of UTI per 100,000 population per year, or approximately 180,000 new cases per year. The incidence of UTI can be influenced by various factors, such as gender, age, urinary retention habits, genital hygiene, behavior, and kidney stone disease.: To provide nursing care to clients with Urinary Tract Infections with acute pain problems to reduce complaints and improve comfort. This is a case study using a nursing process approach, including assessment, diagnosis, intervention, implementation, and evaluation. Data were collected through interviews, observations, and physical examinations, at the Regional General Hospital. The assessment showed abdominal pain and headache (scale 5/10), nausea, and decreased appetite. The main interventions included pain management (non-pharmacological therapy and deep breathing therapy), dietary education, and medication administration according to collaboration. Evaluation after 24 hours showed a decrease in pain (scale 2/10) and an increase in nutritional intake. Nursing care based on pain management and education is effective in reducing symptoms of Urinary Tract Infections. Long-term monitoring is necessary to prevent recurrence.

References

Abdel-Baseer, K. A., Elsharkawy, A. A., El-Naggar, R. A., & Hamam, K. M. (2017). Massage therapy versus transcutaneous electrical nerve stimulation in controlling premature infant's pain during heel stick procedure for blood collection. Zagazig University Medical Journal, 23(6), 1-9.

Alfaro-LeFevre, R. (2023). Critical thinking, clinical reasoning, and clinical judgment: A practical approach (7th ed.). Elsevier.

American Massage Therapy Association. (2020). Massage and Headache Relief. Massage Therapy Journal . Diakses dari https://www.amtamassage.org/publications/massage-therapy-journal/massage-and-headache-relief/

Asheville Medical Massage. (2024, 11 Maret). Headache Trigger Points & Self-Massage Techniques. Diakses dari https://www.ashevillemedicalmassage.com/self-care/tension-headaches-self-massage/

Ashley, E. A., Pyae Phyo, A., & Woodrow, C. J. (2022). Malaria. The Lancet, 399(10334), 1608-1622. https://doi.org/10.1016/S0140-6736(21)02394-X

Balia, A. R. (2022). Studi kasus asuhan keperawatan anak dengan masalah malaria pada An. Y.K. di ruang Theresia RSU Gunung Maria Tomohon. Karya Tulis Ilmiah, Program Diploma Tiga Keperawatan, Sekolah Tinggi Ilmu Kesehatan Gunung Maria Tomohon.

Berger, M. M., Davadant, M., Marin, C., Wasserfallen, J. B., Pinget, C., Maravic, P., Koch, N., Raffoul, W., & Chiolero, R. L. (2022). Impact of a pain protocol including massage in burn patients. Journal of Burn Care & Research, 43(2), 397-404. https://doi.org/10.1093/jbcr/irab219

Chandran, A., Nair, S., Ramasamy, R., & Fernandez, S. (2024). Predictive value of nursing diagnoses in early identification of malaria: A multicenter retrospective analysis. International Journal of Nursing Studies, 142, 104590. https://doi.org/10.1016/j.ijnurstu.2023.104590

Chen, Y. H., Francis, A. J., & Ni, Q. (2021). Temporal dynamics of traditional massage on pain state in patients with musculoskeletal disorders: A systematic review and meta-analysis. Complementary Therapies in Medicine, 56, 102617. https://doi.org/10.1016/j.ctim.2020.102617

Church, J., & Maitland, K. (2014). Invasive bacterial co-infection in African children with Plasmodium falciparum malaria: a systematic review. BMC Medicine, 12(1), 1-17. https://doi.org/10.1186/1741-7015-12-31

Dinas Kesehatan Kabupaten Kepulauan Yapen. (2023). Profil kesehatan Kabupaten Kepulauan Yapen tahun 2023. Serui: Dinas Kesehatan Kabupaten Kepulauan Yapen.

Dinas Kesehatan Provinsi Papua. (2023). Profil kesehatan Provinsi Papua tahun 2023. Jayapura: Dinas Kesehatan Provinsi Papua.

Dini, C., Zoch-Lesniak, B., Müller, O., & Mockenhaupt, F. P. (2022). Pathophysiology and management of fever in adult malaria. Tropical Medicine and International Health, 27(1), 3-13. https://doi.org/10.1111/tmi.13706

Essex Physiotherapy Clinic Ltd. (2023). 3 Pressure Points to Target for Tension Headache Relief. Diakses dari https://essexphysio.co.uk/3-pressure-points-to-target-for-tension-headache-relief/

Finnerup, N. B., Haroutounian, S., Baron, R., Dworkin, R. H., Gilron, I., Haanpää, M., Jensen, T. S., Kamerman, P. R., McNicol, E., Moore, A., Raja, S. N., Andersen, N. T., Sena, E. S., Smith, B. H., Rice, A. S. C., & Attal, N. (2023). Neuropathic pain clinical trials: factors associated with decreases in estimated drug efficacy. Pain, 164(5), 832-844. https://doi.org/10.1097/j.pain.0000000000002759

Gandhi, S., Gandhi, M., & Naik, P. (2020). Comprehensive assessment and management of pain in patients with malaria: a prospective observational study. Indian Journal of Pain, 34(3), 147-152. https://doi.org/10.4103/ijpn.ijpn_109_19

Garcia, C. M., Prebehalla, L., & Sinha, J. (2024). Mechanisms of action for massage therapy in pain management: A comprehensive review. Journal of Pain Research, 17, 429-445. https://doi.org/10.2147/JPR.S424992

Harijanto, P. N. (2014). Malaria treatment by using artemisinin in Indonesia. Acta Medica Indonesiana, 42(1), 51-56. http://www.actamedindones.org/index.php/ijim/article/view/28

Harijanto, P., Nugroho, A., & Gunawan, C. A. (2021). Malaria: Dari molekuler ke klinis (3rd ed.). EGC.

Healthline Media. (2024, 26 Januari). Pressure Points for Headaches: Tension, Sinus, and More. Healthline. Diakses dari https://www.healthline.com/health/pressure-points-for-headaches

Healthline Media. (2024, 22 Mei). Head Massage Benefits for Headaches, Migraine, Stress, More. Healthline. Diakses dari https://www.healthline.com/health/head-massage-benefits

Healthline Media. (2024, 22 Agustus). Stimulating Pressure Points for Migraine Relief. Healthline. Diakses dari https://www.healthline.com/health/migraine/pressure-point-for-migraine

inLine Chiropractic. (2022, 13 September). 8 Pressure points to relieve your headache. Diakses dari https://www.inlinechiropractic.co.nz/pressure-points-for-headaches/

Jansen, M. P., Schatman, M. E., & Webster, L. R. (2023). Multimodal analgesia: The future of pain management for chronic pain. Journal of Pain Research, 16, 487-501. https://doi.org/10.2147/JPR.S380872

Karcioglu, O., Topacoglu, H., Dikme, O., & Dikme, O. (2018). A systematic review of the pain scales in adults: Which to use? The American Journal of Emergency Medicine, 36(4), 707-714. https://doi.org/10.1016/j.ajem.2018.01.008

Kementerian Kesehatan Republik Indonesia. (2019). Pedoman manajemen malaria. Jakarta: Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia. (2022). Pedoman asuhan keperawatan pada penderita malaria. Jakarta: Kementerian Kesehatan Republik Indonesia.

Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia tahun 2023. Jakarta: Kementerian Kesehatan Republik Indonesia.

Koyama, T., Kobayashi, K., Hama, T., Murakami, K., & Ogawa, R. (2016). Standardized Scalp Massage Results in Increased Hair Thickness by Inducing Stretching Forces to Dermal Papilla Cells in the Subcutaneous Tissue. PLoS ONE, 11(3), e0148349. https://doi.org/10.1371/journal.pone.0148349

Kumar, R., Gupta, N., Kodan, P., Mittal, A., Soneja, M., Biswas, A., & Wig, N. (2021). Malaria: diagnostic tools, treatment regimens, and the prospect of a vaccine. Expert Review of Anti-infective Therapy, 19(8), 925-941. https://doi.org/10.1080/14787210.2021.1865806

Lin, P. C., Lin, M. L., Huang, L. C., Hsu, H. C., & Lin, C. C. (2021). Music therapy for patients receiving spine surgery. Journal of Clinical Nursing, 30(1-2), 304-313. https://doi.org/10.1111/jocn.15566

Liu, Y., Finkelstein-Fox, L., & Park, C. L. (2021). A randomized controlled trial of mindfulness-based stress reduction for women with early-stage breast cancer receiving radiotherapy: 1-year follow-up results. Annals of Behavioral Medicine, 55(10), 963-975. https://doi.org/10.1093/abm/kaab057

Massage Therapy Palo Alto. (2024, 4 September). Self-Massage For Headaches, Jaw Tension, And General Anxiety. Diakses dari https://massagetherapypaloalto.com/massage-benefits/self-massage-headache-relief/

Massage.co.id. (2024). Terapi Pijat: Pengertian, Manfaat, dan Jenisnya. https://massage.co.id/terapi-pijat-pengertian-manfaat-dan-jenisnya/

MD Anderson Cancer Center. (2021, 30 Agustus). 4 acupressure points to relieve headache, nausea and anxiety. Diakses dari https://www.mdanderson.org/cancerwise/4-acupressure-points-to-relieve-headache--nausea-and-anxiety.h00-159463212.html

Medical News Today. (2023, 9 Juni). Pressure points for headaches: Locations, effectiveness, and tips. Diakses dari https://www.medicalnewstoday.com/articles/326121

Mohapatra, M. K. (2006). The natural history of complicated falciparum malaria—a prospective study. Journal of the Association of Physicians of India, 54, 848-853. https://pubmed.ncbi.nlm.nih.gov/17214271/

Mohapatra, S., Samal, S., Rath, P., & Kumar, A. (2024). Structured pain assessment in malaria: A prospective cohort study in Southeast Asian endemic regions. Asian Pacific Journal of Tropical Medicine, 17(3), 128-136. https://doi.org/10.4103/apjtm.apjtm_24_23

Muñoz-Ortego, J., Solans-Domènech, M., & Carrion, C. (2023). Medical massage for pain management: a systematic review and meta-analysis of randomized controlled trials. Pain Medicine, 24(1), 58-78. https://doi.org/10.1093/pm/pnac134

Nakamura, H., Wijaya, S., Sumantri, D., & Hashimoto, K. (2024). Effectiveness of standardized massage protocol for pain management in tertian malaria: A multi-center study in Indonesia. Journal of Nursing Science, 15(2), 87-96. https://doi.org/10.14710/jnursci.2024.15.2.87-96

Nursalam. (2020). Metodologi penelitian ilmu keperawatan: Pendekatan praktis (5th ed.). Salemba Medika.

O'Sullivan, J. M., Preston, R. J., O'Regan, N., & O'Donnell, J. S. (2020). Emerging roles for hemostatic dysfunction in malaria pathogenesis. Blood, 136(24), 2713-2722. https://doi.org/10.1182/blood.2020005496

PPNI, Tim Pokja SDKI. (2019). Standar diagnosis keperawatan Indonesia (2nd ed.). Dewan Pengurus Pusat Persatuan Perawat Nasional Indonesia.

PPNI, Tim Pokja SLKI DPP. (2018). Standar luaran keperawatan Indonesia: Definisi dan kriteria hasil keperawatan (1st ed.). Jakarta: DPP PPNI.

PPNI, Tim Pokja SIKI DPP. (2018). Standar intervensi keperawatan Indonesia: Definisi dan tindakan keperawatan (1st ed.). Jakarta: DPP PPNI.

Potter, P. A., & Perry, A. G. (2017). Fundamentals of nursing (9th ed.). Elsevier.

Rahman, M. H., DeGuzman, P. B., Crist, J. D., & Munhall, P. L. (2021). Nurse-led implementation of a pain management protocol based on treatment guidelines: an effectiveness study. Pain Management Nursing, 22(5), 639-648. https://doi.org/10.1016/j.pmn.2021.04.004

Rodriguez, M. S., Perez, J. A., Kamal, S., & Daniati, F. (2024). Comparative efficacy of non-pharmacological interventions for malaria-associated pain: A multicenter randomized controlled trial. The American Journal of Tropical Medicine and Hygiene, 110(3), 684-694. https://doi.org/10.4269/ajtmh.23-0458

Saravo, M. T., de Oliveira, M. S., & Figueiredo, R. M. (2020). Nursing care to patients with malaria: an integrative review. Revista Brasileira de Enfermagem, 73(2), e20190154. https://doi.org/10.1590/0034-7167-2019-0154

Sharp HealthCare. (2020, 15 Mei). 6 Steps to Relieve a Headache Video. Diakses dari https://www.sharp.com/health-news/6-steps-to-relieve-a-headache-video

Singh, P., Chaturvedi, A., Kaur, H., & Mishra, S. (2023). Effectiveness of multimodal analgesia for postoperative pain management: a randomized controlled trial. Journal of PeriAnesthesia Nursing, 38(1), 52-59. https://doi.org/10.1016/j.jopan.2022.07.008

Siswantoro, H., Russell, B., Ratcliff, A., Prasetyorini, B., Chalfein, F., Marfurt, J., Kenangalem, E., Wuwung, M., Piera, K. A., Ebsworth, E. P., Anstey, N. M., Tjitra, E., & Price, R. N. (2011). In vivo and in vitro efficacy of chloroquine against Plasmodium malariae and P. ovale in Papua, Indonesia. Antimicrobial Agents and Chemotherapy, 55(1), 197-202. https://doi.org/10.1128/AAC.01122-10

Sugiyono. (2022). Metode penelitian kuantitatif, kualitatif, dan R&D (2nd ed.). Alfabeta.

Tadesse, S. K., Tadesse, E., & Giday, A. (2023). Accuracy of microscopy, rapid diagnostic tests, and molecular methods in the diagnosis of malaria: A systematic review and meta-analysis. BMC Infectious Diseases, 23(1), 15. https://doi.org/10.1186/s12879-022-07966-3

Trampuz, A., Jereb, M., Muzlovic, I., & Prabhu, R. M. (2003). Clinical review: Severe malaria. Critical Care, 7(4), 315-323. https://doi.org/10.1186/cc2183

UNESA. (2023). Pengembangan Video Tutorial Teknik Massage pada Perawatan Kulit Kepala dan Rambut. Jurnal Tata Rias UNESA, 12(2).

Very Well Health. (2024). Pressure Points for Headaches and Migraine Relief. Diakses dari https://www.verywellhealth.com/migraine-relief-pressure-points-5205811

WebMD. (2024, 22 April). Migraine Headaches: How Massage Therapy Can Help. Diakses dari https://www.webmd.com/migraines-headaches/migraine-massage-therapy

White, N. J., Pukrittayakamee, S., & Hien, T. T. (2022). Malaria. The Lancet, 399(10334), 1608-1622. https://doi.org/10.1016/S0140-6736(21)02394-X

Wijayanti, F., & Prayitno, A. (2020). Asuhan keperawatan pada pasien malaria dengan masalah nyeri akut: studi kasus. Jurnal Keperawatan Silampari, 3(2), 739-751. https://doi.org/10.31539/jks.v3i2.1198

World Health Organization. (2020). Guidelines for the treatment of malaria (4th ed.). World Health Organization.

World Health Organization. (2021). Global technical strategy for malaria 2016--2030, 2021 update. World Health Organization.

World Health Organization. (2022). Management of severe malaria: A practical handbook (3rd ed.). World Health Organization.

World Health Organization. (2023). World malaria report 2023. World Health Organization.

Zhang, L., Wang, Y., Chen, X., & Tran, K. M. (2024). Outcomes and predictors of success in multimodal pain management for malaria patients: A prospective cohort study. The Lancet Regional Health - Western Pacific, 41, 100806. https://doi.org/10.1016/j.lanwpc.2023.100806