Indah Ika Sariningrum, Tri Mochartini

EFFECTIVENESS OF USE OF BENSON RELAXATION THERAPY, DZIKIR AND MUSIC DANGDUT ON PAIN SCALE LEVELS IN POST-OPERATIVE PATIENTS APPENDICTOMY AT BHAYANGKARA BRIMOB HOSPITAL

Introduction

Effectiveness of use of benson relaxation therapy, dzikir and music dangdut on pain scale levels in post-operative patients appendictomy at bhayangkara brimob hospital. Explore how Benson relaxation therapy, dhikr, and dangdut music affect post-appendectomy pain. Learn which non-pharmacological approach is most effective for pain reduction.

Abstract

Background: WHO in 2021 stated that the incidence of appendicitis in the world reached 7% of the total world population. Asia 2.6%, United States 7% of the total population. In Southeast Asia, Indonesia ranks first with a prevalence of 0.05%, followed by the Philippines at 0.022% and Vietnam at 0.02%. One of the medical treatments for appendicitis patients is surgery. The problem that arises after surgery is pain. Post-surgical pain management to reduce post-surgical pain is carried out using pharmacological and non-pharmacological approaches. Non-pharmacological management is by giving hot and cold compresses, massage, listening distraction, breathing relaxation techniques in dhikr and music therapy techniques. Objective: To determine the effectiveness of using Benson relaxation therapy, dhikr, and dangdut music on pain scale levels in post-appendectomy patients. Methods: Quasi experimental with a three group pretest-posttest design. The sample in this study was all post-appendectomy patients at the hospital. Bhayangkara Brimob in November 2023 as many as 30 people. The sampling technique uses total sampling. Results: The majority of respondents before being given the intervention experienced moderate pain and after the intervention the majority of respondents experienced mild pain. Benson relaxation therapy was more effective in reducing the pain scale in pre-appendectomy patients compared to dhikr therapy and dangdut music (p=0.047). Conclusions and Suggestions: Benson relaxation therapy is more effective in reducing the pain scale in pre-appendectomy patients compared to dhikr therapy and dangdut music. It is hoped that Benson relaxation therapy can be used as a non-pharmacological therapy option to reduce the pain scale in post-operative patients.

Review

This study addresses a pertinent clinical issue: the management of post-operative pain following appendectomy using non-pharmacological interventions. The background clearly establishes the global prevalence of appendicitis and the need for effective pain management strategies. The objective to evaluate Benson relaxation therapy, dhikr, and dangdut music as non-pharmacological options is commendable, particularly the inclusion of culturally relevant interventions like dhikr and dangdut music, which could resonate with the local patient population. The quasi-experimental, three-group pretest-posttest design is an appropriate choice for comparing the effectiveness of these distinct interventions. The finding that Benson relaxation therapy was more effective (p=0.047) in reducing pain scales is a significant result that warrants further exploration. However, several limitations in the presented abstract diminish the robustness and generalizability of the findings. The sample size of 30 patients, obtained through total sampling from a single hospital over just one month, is considerably small and raises concerns about statistical power and representativeness. The abstract also contains a critical typo, repeatedly referring to "pre-appendectomy patients" in the results and conclusions when it clearly means "post-appendectomy patients," which needs immediate correction for clarity and accuracy. Furthermore, while the p-value for Benson therapy's effectiveness is given, the abstract lacks detailed reporting of the actual pain scale reductions (e.g., mean scores, standard deviations, or effect sizes) for each group, making it difficult to fully grasp the clinical significance of the observed difference. The specific method for pain scale measurement (e.g., VAS, NRS) is also not mentioned, which is crucial for reproducibility and interpretation. In conclusion, this preliminary study offers valuable insights into the potential of diverse non-pharmacological approaches for post-operative pain management. The identified effectiveness of Benson relaxation therapy provides a promising direction for clinical practice. For future research, it is strongly recommended to conduct studies with larger sample sizes, possibly across multiple centers, and to include a control group receiving standard care to strengthen the comparative analysis. More comprehensive reporting of methodological details, such as the specific pain measurement tool and detailed statistical results including effect sizes for all interventions, would significantly enhance the study's scientific rigor and enable clearer interpretation of its findings. Correcting the typo mentioned above is also essential before publication.

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