Kejadian Nyeri Kronis dan Kualitas Hidup Pascaoperasi Jantung Terbuka di Rumah Sakit Umum Pusat Dr. Hasan Sadikin Bandung Periode Januari–Desember 2019

Andri Febriyanto Eka Putra, Budiana Rismawan, Ardi Zulfariansyah

Abstract


Operasi merupakan salah satu penyebab tersering nyeri kronis, salah satu operasi yang paling sering menimbulkan nyeri kronis pascaoperasi adalah tindakan operasi di regio jantung (sebesar 55%). Nyeri kronis pascaoperasi dapat menyebabkan gangguan kesehatan mental dan menurunnya kualitas hidup yang signifikan. Tujuan penelitian ini adalah mengetahui angka kejadian nyeri kronis dan kualitas hidup pascaoperasi jantung terbuka di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini merupakan penelitian deskriptif dengan melakukan studi potong lintang melalui pengisian kuesioner yang dilakukan melalui wawancara jarak jauh dengan telepon terhadap pasien pascaoperasi jantung terbuka di RSUP Dr. Hasan Sadikin Bandung periode Januari sampai Desember 2019. Hasil penelitian menyatakan angka kejadian nyeri kronis pascaoperasi jantung terbuka di RSUP Dr. Hasan Sadikin Bandung masih tinggi 78% (45 dari 58 orang) dengan nyeri intensitas ringan sebanyak 31 orang dan intensitas sedang sebanyak 14 orang, sedangkan kualitas hidup pasien pascaoperasi jantung terbuka pada 58 pasien secara keseluruhan baik. Skor SF-36 pada kelompok yang tidak mengalami nyeri kronis lebih tinggi dibanding dengan kelompok yang mengalami nyeri kronis, skor SF-36 pada kelompok yang mengalami nyeri intensitas ringan lebih tinggi dibanding dengan kelompok nyeri intensitas sedang. Simpulan penelitian ini adalah angka kejadian nyeri kronis pascaoperasi jantung terbuka di RSUP Dr. Hasan Sadikin Bandung pada Januari sampai dengan Desember 2019 masih tinggi, namun memiliki kualitas hidup yang baik.

 

Chronic Pain and Quality of Life Post Open Heart Surgery at Dr. Hasan Sadikin, General Hospital Bandung in January–December 2019

Surgery is one of the most common causes of chronic pain, one of the operations that most often causes postoperative chronic pain is surgery in the heart region (55%). Postoperative chronic pain can lead to mental health problems and significantly reduced quality of life. This study aimed to determine the incidence of chronic pain and quality of life after open heart surgery at Dr. Hasan Sadikin, General Hospital Bandung. This descriptive study is conducting a cross-sectional study by filling out questionnaires through long-distance telephone interviews with patients after open heart surgery at Dr. Hasan Sadikin, General Hospital Bandung from January to December 2019. The study results stated that the incidence of chronic pain after open heart surgery at Dr. Hasan Sadikin Bandung was still high at 78% (45 out of 58 people), with mild-intensity pain in 31 people and moderate intensity in 14 people. At the same time, the overall quality of life for patients after open heart surgery in 58 patients was good. The SF-36 score in the group that did not experience chronic pain was higher than in the group that experienced chronic pain. The SF-36 score in the group that experienced mild-intensity pain was higher than the moderate-intensity pain group. This study concludes that the incidence of chronic pain after open heart surgery at Dr. Hasan Sadikin Bandung from January to December 2019 is still high; however, it has a good quality of life.


Keywords


Kualitas hidup, kuesioner McGill, kuesioner SF-36, nyeri kronis, pascaoperasi

Full Text:

PDF

References


  1. Moazzami K, Dolmatova E, Maher J, Gerula C, Sambol J, Klapholz M, dkk. In-hospital outcomes and complications of coronary artery bypass grafting in the United States between 2008 and 2012. J Cardiothorac Vasc Anesth. 2017;31(1):19–25.
  2. Eraballi A, Pradhan B. Quality of life improvement with rehabilitation according to constitution of the World Health Organization for coronary artery bypass graft surgery patients: a descriptive review. AYU (An Int Q J Res Ayurveda). 2017;38(2):102.
  3. Van Gulik L, Janssen LI, Ahlers SJGM, Bruins P, Driessen AHG, Van Boven WJ, dkk. Risk factors for chronic thoracic pain after cardiac surgery via sternotomy. Eur J Cardio-thoracic Surg. 2011;40(6):1309–13.
  4. Claudio M, Pompilio F, Cesare G, Marco A, Luigi TP. A retrospective multicenter study on long-term prevalence of chronic pain after cardiac surgery. J Cardiovasc Med. 2015;16(11):768–74.
  5. Dos Santo Silva MA, de Matto Pimenta CA, da Cruz DALM. Pain assessment and training: The impact on pain control after cardiac surgery. Rev Esc Enferm. 2013;47(1):83–91.
  6. Sattari M, Baghdadchi ME, Kheyri M, Khakzadi H, Mashayekhi SO. Study of patient pain management after heart surgery. Adv Pharm Bull. 2013;3(2):373–7.
  7. Johansen A, Romundstad L, Nielsen CS, Schirmer H, Stubhaug A. Persistent postsurgical pain in a general population: prevalence and predictors in the Tromsø study. Pain. 2012;153(7):1390–6.
  8. Mazzeffi M, Khelemsky Y. Poststernotomy pain: a clinical review. J Cardiothorac Vasc Anesth. 2011;25(6):1163–78.
  9. Novitasari L, Perwitasari DA, Khoirunnisa SM. Validity of short form 36 (SF-36) Indonesian version on rheumatoid arthritis patients. Indones J Med Heal J. 2016;3(7):80–6.
  10. Bruce J, Quinlan J. Chronic post surgical pain 2010. Rev Pain. 2011;5(3):23–9.
  11. Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth. 2013;111(1):52–8.
  12. Mills SEE, Nicolson KP, Smith BH. Chronic pain: a review of its epidemiology and associated factors in population-based studies. Br J Anaesth. 2019;123(2):e273–83.
  13. Bruce J, Drury N, Poobalan AS, Jeffrey RR, Smith WCS, Chambers WA. The prevalence of chronic chest and leg pain following cardiac surgery: a historical cohort study. Pain. 2003;104(1–2):265–73.
  14. Yamada K, Kubota Y, Iso H, Oka H, Katsuhira J, Matsudaira K. Association of body mass index with chronic pain prevalence: a large population-based cross-sectional study in Japan. J Anesth. 2018;32(3):360–7.
  15. Okifuji A, Hare BD. The association between chronic pain and obesity. J Pain Res. 2015;8:399–408.
  16. Lanitis S, Mimigianni C, Raptis D, Sourtse G, Sgourakis G, Karaliotas C. The impact of educational status on the postoperative perception of pain. Korean J Pain. 2015;28(4):265–74.
  17. Graf N, Geißler K, Meißner W, Guntinas-Lichius O. A prospective cohort register-based study of chronic postsurgical pain and long-term use of pain medication after otorhinolaryngological surgery. Sci Rep. 2021;11(1):5215.
  18. Alemzadeh-Ansari MJ, Ansari-Ramandi MM, Naderi N. Chronic pain in chronic heart failure: a review article. J Tehran Univ Hear Cent. 2017;12(2):49–56.
  19. Lahtinen P, Hannu K, Hynymen M. Pain after cardiac surgery. Surv Anesthesiol. 2007;51(5):227–8.
  20. da Costa MAC, Trentini CA, Schafranski MD, Pipino O, Gomes RZ, dos Santo Reis ES. Factors associated with the development of chronic post-sternotomy pain: a case-control study. Brazilian J Cardiovasc Surg. 2015;30(5):552–6.
  21. Eng J, Wells FC. Morbidity following coronary artery revascularisation with the internal mammary artery. Int J Cardiol. 1991;30(1):55–9.
  22. Conacher ID, Doig JC, Rivas L, Pridie AK. Intercostal neuralgia associated with internal mammary artery grafting. Anaesthesia. 1993;48(12):1070–1.
  23. McGreevy K, Bottros MM, Raja SN. Preventing chronic pain following acute pain: risk factors, preventive strategies, and their efficacy. Eur J Pain Suppl. 2011;5(2):365–72.
  24. Anekar AA, Cascella M. WHO analgesic [update 2022 Nov 15]. Dalam: StalPearls[Internet]. Treasure Island (FL): StalPearls Publishing:2022.
  25. McCarberg BH, Nicholson BD, Todd KH, Palmer T, Penles L. The impact of pain on quality of life and the unmet needs of pain management: results from pain sufferers and physicians participating in an Internet survey. Am J Ther. 2008;15(4):312–20.
  26. Tung H-H, Wei J, Chang C-Y. Gender differences in quality of life for post coronary artery bypass grafting patients in Taiwan. J Nurs Res. 2007;15(4):275–84.
  27. Schandl AR, Johar A, Mälberg K, Lagergren P. Education level and health-related quality of life after oesophageal cancer surgery: a nationwide cohort study. BMJ Open. 2018 Aug 23;8(8):e020702.
  28. Wahl AK, Rustøen T, Rokne B, Lerdal A, Knudsen Ø, Miaskowski C, dkk. The complexity of the relationship between chronic pain and quality of life: a study of the general Norwegian population. Qual Life Res. 2009;18(8):971–80.
  29. Gross JJ. Emotion regulation: affective, cognitive, and social consequences. Psychophysiology. 2002;39(3):281–91.
  30. Christian E. Perancangan antarmuka m-learning berdasarkan analiss aspek emosional di Universitas Palangkaraya. [Tesis].Yogyakarta: Program studi Magister Teknik Informatika Program Pascasarjana Universitas Atma Jaya Yogyakarta;2016.
  31. Painter P, Stewart AL, Carey S. Physical functioning: definitions, measurement, and expectations. Adv Ren Replace Ther. 1999;6(2):110–23.
  32. Fransoo R, Martens P, Burland E, Team TN to K, Prior H, Burchill C. Indicators Atlas 2009. Manitoba Centre for Health Policy; 2009.
  33. Zangi HA, Haugli L. Vitality training—A mindfulness- and acceptance-based intervention for chronic pain. Patient Educ Couns. 2017;100(11):2095–7.
  34. Posthouwer D, Plug I, van der Bom J, Fischer K, Rosendaal F, Mauser-Bunschoten E. Hepatitis C and health-related quality of life among patients with hemophilia. Haematologica. 2005;90:846–50.
  35. Sturgeon JA, Dixon EA, Darnall BD, Mackey SC. Contributions of physical function and satisfaction with social roles to emotional distress in chronic pain. Pain. 2015;156(12):2627–33.
  36. McLeod S. Social roles. Simply Psychol. 2008 [diunduh 10 Oktober 2021]. Tersedia dari: https://www.simplypsychology.org/social-roles.html.




DOI: https://doi.org/10.15851/jap.v10n3.2607

Article Metrics

Abstract view : 287 times
PDF - 176 times



 

This Journal indexed by

                      

           


 
Creative Commons License
JAP is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 



View My Stats