Murdani Abdullah
Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine University of Indonesia/Dr. Cipto Mangunkusumo General National Hospital

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Journal : eJournal Kedokteran Indonesia

Efek Stimulasi Titik Shenmen, Relaksasi, dan Zero Point terhadap Frekuensi Nadi dan Tekanan Darah Pasien Endoskopi Saluran Cerna Atas Wahdini, Sri; Srilestari, Adiningsih; Mihardja, Hasan; Abdullah, Murdani
eJournal Kedokteran Indonesia Vol. 12 No. 3 (2024): Vol. 12 No. 3 - Desember 2024
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.12.416.310

Abstract

Endoskopi saluran cerna atas dapat memicu aktivasi saraf simpatis sehingga memengaruhi tanda vital yang diukur dari frekuensi nadi, pernapasan, dan tekanan darah. Penelitian ini bertujuan untuk mengevaluasi pengaruh stimulasi titik akupunktur telinga terhadap perubahan tanda vital selama prosedur endoskopi. Penelitian dilakukan dengan desain uji klinis acak tersamar tunggal dengan kelompok kontrol. Sebanyak 39 pasien yang menjalani endoskopi dibagi menjadi kelompok intervensi (20 pasien) dan kelompok kontrol (19 pasien). Pasien kelompok intervensi diberikan jarum Seirin Pyonex® press needles diameter 0,15 mm dan panjang 0,6 mm, yang diaplikasikan di tiga titik akupunktur telinga sebelum tindakan endoskopi saluran cerna atas dan tetap dipertahankan selama prosedur berlangsung. Pasien kelompok kontrol diberikan press needles sham di titik yang sama. Pengukuran tekanan darah dan frekuensi nadi dilakukan pada saat sebelum intervensi, selama prosedur endoskopi, dan 10 menit setelah endoskopi selesai. Hasil penelitian menunjukkan bahwa tidak terdapat perbedaan tekanan darah sistolik antara kedua kelompok pada setiap tahapan. Namun, saat pasien menelan endoskop, rerata tekanan darah diastolik pada kelompok sham lebih tinggi (86,4±20,49 mmHg) dibandingkan kelompok akupunktur (77,4±22,71 mmHg), meskipun perbedaan ini tidak signifikan secara statistik (p=0,12). Terdapat perbedaan signifikan (p=0,03) frekuensi nadi pada fase pemulihan kelompok akupunktur (77,3+12,17) dibandingkan dengan kelompok sham (86,2+13,20). Akupunktur telinga bisa dipertimbangkan sebagai intervensi tambahan untuk memberikan kenyamanan dan kestabilan tanda vital pasien saat menjalani endoskopi saluran cerna atas. Kata kunci: endoskopi saluran cerna atas, akupunktur telinga, press needle, tanda vital.   Effects of Shenmen, Relaxation, and Zero Point Stimulation on Heart Rate and Blood Pressure in Patients Undergoing Upper Gastrointestinal Endoscopy Abstract Upper gastrointestinal endoscopy can trigger sympathetic nerve activation, thereby affecting vital signs measured through pulse rate, respiration, and blood pressure. This study aims to evaluate the effect of auricular acupuncture point stimulation on changes in vital signs during the endoscopic procedure. A single-blind, randomized controlled clinical trial design was used. A total of 39 patients undergoing endoscopy were divided into two groups: the intervention group (20 patients) and the control group (19 patients). Patients in the intervention group received Seirin Pyonex® press needles with a diameter of 0.15 mm and a length of 0.6 mm, applied to three auricular acupuncture points prior to upper gastrointestinal endoscopy and maintained throughout the procedure. Control group patients received sham press needles at the same points. Blood pressure and pulse rate measurements were taken before the intervention, during the endoscopic procedure, and 10 minutes after completion. The results showed no difference in systolic blood pressure between the two groups at any stage. However, when patients swallowed the endoscope, the average diastolic blood pressure in the sham group was higher (86.4±20.49 mmHg) than in the acupuncture group (77.4±22.71 mmHg), although this difference was not statistically significant (p=0.12). A statistically significant difference (p=0.03) was found in the recovery phase for pulse rate, with the acupuncture group showing a lower average (77.3±12.17) compared to the sham group (86.2±13.20). Auricular acupuncture may be considered as an adjunctive intervention to support patient comfort and stabilize vital signs during upper gastrointestinal endoscopy. Keywords: upper gastrointestinal endoscopy, auricular acupuncture, press needle, vital signs.
Co-Authors A.A. Ketut Agung Cahyawan W Aan Santi Abdul A. Rani Abdul Aziz Rani Abdullah, Arman Adel Achmad Fauzi Achmad, Ibrahim Adang Bachtiar Adeputri Tanesha Idhayu Adiningsih Srilestari Aditya Rachman, Aditya Adityo Susilo, Adityo Adli, Mizanul Afifah Is Afistianto, Muhammad Fikri Ahmad Soefyani Ahmar Abyadh Aida Lydia, Aida Akmal Taher Alexander, Reinaldo Ali Djumhana Ali Imron Yusuf Amanda P Utari, Amanda P Amanda Pitarini Utari Anastasia Yoveline Andri Sanityoso Ari F Syam Ari F. Syam Ari Fahrial Syam Ari Wijayanti Ariadi Humardani Arleni Bustami Arman A Abdullah Arnelis Arnelis Artati Murwaningrum, Artati Ascobat, Purwantyastuti Asysyifa, Nisrina Aziz Rani Azzaki Abubakar, Azzaki Birry Karim Bisuk, Batara Bona Adhista Budhi Setianto Budi Tan Oto Budiman Bela Budiman Budiman Budimutiar, Felix C Martin Rumende Ceva W. Pitoyo Chairul R Nasution Chatarina Umbul Wahyuni Chudahman Manan Chyntia Olivia Maurine Jasirwan, Chyntia Olivia Maurine Chyntia Olivia MJ Cleopas Martin Rumende Cosphiadi Irawan Czeresna Heriawan Soejono Dadang Makmun Daldiyono Daldiyono Daldiyono Hardjodisasto Daldiyono Hardjodisastro Dante Saksono Harbuwono Dasril Nizam Deddy Gunawanjati Dewantoro, Okto Dharmeizar Dharmeizar Dharmika Djojoningrat Diah Rini Handjari Diani Kartini Diany N Taher Diding Heri Prasetyo Djumhana A Dolly Dolven Kansera Dono Antono Dyah Purnamasari E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri E. Mujaddid Edy Rizal Wahyudi Ekowati Rahajeng Ellen Susanti Elli Arsita Em Yunir, Em Ening Krisnuhoni Eric Daniel Tenda Evy Yunihastuti Fauzi Ahmad Muda Fiastuti Witjaksono Fransiska Hardi Fumiaki Kitahara Gaol, Donnie Lumban Giri Aji, Giri Guntur Darmawan Haloho, Raja Mangatur Harini Oktadiana, Harini Harmani Kalim Harry Isbagio Haryana, Sofia M Haryanto Surya Hasan Maulahela, Hasan Hasan Mihardja Hayatun Nufus Hazim, Ahmad Herdiman T Pohan Herdiman T. Pohan Heri Wibowo Hiroyuki Otsuka Hotmen Sijabat I. D.N. Wibawa Ibrahim Basir Ibrahim Basyir Idrus Alwi Ifransyah Fuadi, Ifransyah Ika Prasetya Wijaya Ikhwan Rinaldi Ilum Anam, Ilum Indra Marki Inge Sutanto Ingrid S. 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