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Sofiani, Yani
Departemen Keperawatan Medikal Bedah Fakultas Ilmu Keperawatan, Universitas Muhammadiyah Jakarta
Humanities Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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The Effect of Combined Music Therapy and Stress Ball on Pain During Vascular Access Cannulation in Hemodialysis Patients Hindri Royiah Fatma; Rohman Azzam; Ninik Yunitri; Yani Sofiani; Yuni shahroh
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6215

Abstract

Hemodialysis remains the main therapy for patients with kidney failure. During the cannulation process, which is the insertion of a needle into a vascular access, hemodialysis patients often experience pain. The combination of music therapy and the use of stress balls is an example of a non-pharmacological intervention that can be used to overcome pain during cannulation. Objective to identify the effectiveness of the combination of music therapy and stress balls on pain in hemodialysis patients during the vascular access cannulation process. This study used a phased cross-over design, where each respondent received both treatments alternately. A total of 42 respondents were divided into two groups: the experimental group (n = 21) received music therapy and stress balls , while the control group (n = 21) received standard hospital therapy, namely deep breathing relaxation. Furthermore, the two groups exchanged treatments. The level of pain was measured using a VAS (Visual Analog Scale). The results showed that the combination of music therapy and stress balls was effective in reducing pain during the cannulation process, with significant changes in pain levels after insertion (p < 0.001). Cohen's d effect size of -0.632 indicates that combination therapy has a stronger effect in reducing pain than deep breathing relaxation therapy.
Co-Authors Abdu Rahim Kamil Abdu Rahim Kamil Abdu Rahim Kamil Agus Purnama Andry Sartika Anwar Wardi Anwar Wardi Anwar Wardy W Berniati Berniati Besral . Beti Haerani Cahyo Ismawati Silistyorini Cahyo Pramono Desi Luanda Desy Anggraini Dewi Anggraini Dhea Natashia Dian Noviati Kurniasih Dian Novita Egi Mulyadi Fenny Maryani Hani Fauziah Hindri Royiah Fatma Ida Yatun Khomsah Irawati, Diana Iyar Siswandi Jumaiyah, Wati Kamil, Abdu Rahim Kemala Desy Lusiana Lusiana Muhammad Hadi Muhammad Khalid Fredy Nataria Yanti Silaban Neneng Kurwiyah Nia Ayu Puspitasari Nur Wahyuni Munir Nuraeni Nuraeni Nuzula Firdaus Ohorella, Usman Barus Puji Raharja Santosa Rayasari, Fitrian Risa Oktavina Rizki Nugraha Agung Rohman Azzam Serli Wulan Safitri Siti Aminah Sri Murtini Sumah, Dene Fries Sumedi Sumedi Suryani Suryani Yuni shahroh Yunitri, Ninik Yusup Dwiyanto