Pengelolaan Pelayanan dan Asuhan Keperawatan pada Pasien Efusi Pleura dengan Gangguan Pola Tidur melalui Pemberian Terapi Musik di Ruang Rawat Inap Terpadu RA-5 RSUP H Adam Malik Medan

Abstract

Pleural effusion is a pathological condition in which there is an abnormal accumulation of fluid in the pleural cavity that surrounds the lungs. This condition can cause respiratory problems, chest pain, and reduce the patient's quality of life. Chest pain, shortness of breath, and coughing experienced by patients can cause sleep pattern disorders that can lead to other health problems. In addition to pharmacological management, one of the non-pharmacological treatments that can be implemented is music therapy. Music therapy can create a sense of security and well-being in individuals by providing a calming effect, making it easier to fall asleep and improving mood. This study was conducted using a case study method with a nursing process approach that includes assessment, data analysis, nursing planning, implementation, and evaluation. The nursing diagnoses that appeared in Mr. E according to the data analysis were 3, namely: impaired gas exchange, acute pain, and disturbed sleep patterns. The evaluation criteria for the respiratory monitoring intervention were decreased dyspnea and improved breathing patterns. The evaluation criteria for the pain management intervention obtained reports of pain reduced to a scale of 2 and the patient showed relaxed facial and body expressions. Furthermore, the evaluation criteria for the sleep support intervention through the provision of music therapy obtained that Mr. E's complaint of difficulty sleeping. E decreased, the patient did not appear sleepy during the day, and slept around 5-7 hours.