Pengelolaan Asuhan Keperawatan pada Klien dengan Masalah Gangguan Rasa Nyaman: Nyeri Kronis dengan Penerapan Kombinasi Progressive Muscle Relaxation, Terapi Musik, dan Meditasi Spiritual terhadap Intensitas Nyeri, Kemampuan Aktivitas, dan Kualitas Hidup pada Pasien Kanker di Ruangan Rawat Inap RB6 Rumah Sakit Umum Pusat Haji Adam Malik Medan

Abstract

Background: Chronic pain is one of the main problems experienced by cancer patients that affects physical comfort, daily activities, and overall quality of life. This study aims to evaluate the effect of applying a combination of Progressive Muscle Relaxation (PMR) therapy, music therapy, and spiritual meditation on pain intensity, activity ability, and quality of life of cancer patients. Methods: This intervention was carried out on three clients in the RB6 inpatient room of Haji Adam Malik Hospital Medan for five days with the pre test and post test method. The measuring instruments used include Numeric Rating Scale for pain, Barthel Index for activity, and WHOQOL-BREF for quality of life. Results: There was a decrease in pain from severe to mild pain in 66% of clients. Activity ability increased from severe to mild dependence. Quality of life scores improved in the physical, psychological, and social domains. Conclusion: The application of this combination intervention is effectively applied in nursing practice.