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Music Therapy for Reducing Pain Intensity in Post-Laparotomy Patients: A Quasi-Experimental Study in Indonesia St. Nurfatul Jannah; Wiwiek Hidayati Jaya; Anester B Lololuan
An Idea Health Journal Vol 6 No 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i01.670

Abstract

Postoperative pain following laparotomy remains a significant challenge, with 58-60% of patients experiencing moderate to severe pain despite standard pharmacological management. Music therapy has emerged as a promising non-pharmacological intervention. This study aimed to examine the effectiveness of music therapy in reducing pain intensity among patients following laparotomy surgery. A quasi-experimental one-group pretest-posttest design was conducted at RSUD Daya Kota Makassar, Indonesia, from April 1 to April 30, 2025. A total of 34 post-laparotomy patients were recruited using total sampling. Inclusion criteria were adults aged ≥18 years on postoperative day 1, literate, able to communicate in Indonesian, and willing to participate. Exclusion criteria included severe pain (NRS 7-10), recent analgesic use (<2 hours), or continuous analgesic administration. Participants received classical music therapy via headphones for 10-20 minutes daily over three consecutive days. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The mean pain intensity decreased significantly from 4.76 ± 1.18 at baseline to 2.29 ± 0.87 post-intervention (Z = -5.188, p .000), representing a mean reduction of 2.47 points. The distribution of pain categories shifted substantially, with mild pain increasing from 20.6% to 88.2%, while moderate pain decreased from 79.4% to 11.8% following the intervention. The significant reduction in pain scores supports the integration of music therapy as a safe, accessible, and cost-effective complementary approach to standard postoperative pain management protocols in clinical practice.
The Effectiveness of Integrating Complementary Therapy with Modern Wound Dressings on the Healing of Diabetic Wounds Wiwiek Hidayati Jaya; Ambo Anto; Rijalul Fikri; Rismanudin Rismanudin; Sahari Bulan
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60577

Abstract

Abstract Delayed healing, severe infections, and amputations are real threats resulting from chronic complications of diabetic wounds in people with diabetes mellitus. To address this, the integration of complementary care and modern wound dressing technology is now being considered as a promising strategy. This study aims to examine the impact of this integration on accelerating wound healing. Using a quantitative quasi-experimental design, participants were grouped into intervention and control groups through purposive sampling. Patients in the intervention group were treated using a combination of complementary therapy and modern wound dressings, while the control group received only standard modern wound care. Healing rates were measured using standardized assessment tools before and after the intervention. The data showed a significant improvement in wound condition in the intervention group compared to the control group (p < 0.05). This success was demonstrated by a reduction in wound area, better granulation tissue formation, minimal exudate, and faster epithelialization. This study proves that combining complementary therapy with modern wound dressings yields far more effective results in healing diabetic wounds than modern wound dressing methods alone.