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Sutrisno Sutrisno
Department Of Nursing, Universitas Sahid Surakarta, Indonesia
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Pengaruh Valsalva Manuver Terhadap Nyeri Kanulasi Arteriovenous Fistula (AVF) Pada Pasien Yang Menjalani Hemodialisis Di RSU Diponegoro Dua Satu Klaten Amelia Rizki Fauziah; Sutrisno Sutrisno; Ranti Ningsih Sumarni
JOURNAL SAINS STUDENT RESEARCH Vol. 4 No. 5 (2026): Oktober: Jurnal Sains Student Research
Publisher : CV. KAMPUS AKADEMIK PUBLISING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61722/jssr.v4i5.12516

Abstract

Arteriovenous fistula (AVF) cannulation is a routine procedure for hemodialysis patients that often causes pain, which can compromise patient comfort. One nonpharmacological intervention that can be used to reduce pain is the Valsalva maneuver. This study aimed to determine the effect of the Valsalva maneuver on the level of pain during AVF cannulation in hemodialysis patients at Diponegoro Dua Satu General Hospital in Klaten. This study used a quasi-experimental post-test-only control group design. The study was conducted over one weeks in the Dialysis Unit at Diponegoro Dua Satu General Hospital in Klaten. The population consisted of 88 patients, with a sample of 42 respondents selected using purposive sampling, comprising 21 in the intervention group and 21 in the control group. The instruments included a questionnaire on respondent characteristics, the Valsalva maneuver standard operating procedure (SOP), and a Numeric Rating Scale (NRS) observation sheet. Data analysis utilized the Shapiro-Wilk normality test and the independent t-test. The majority of respondents were male, employed, and had been on hemodialysis for 1–5 years. In the control group, most experienced moderate pain (57.1%), while in the intervention group, the majority experienced mild pain (76.2%). The results of the independent t-test showed a statistically significant difference in the level of AVF cannulation pain between the two groups (p-value = 0.001). The Valsalva maneuver is effective as a nonpharmacological intervention for reducing the level of AVF cannulation pain.
Co-Authors Amelia Rizki Fauziah Anik Suwarni Atik Aryani Desinta Aldefintania Sasti DIDIK PURWANTO Eko Yulianto Fajar Alam Putra Fajar Alam Putra, Fajar Alam Faridha Aris Setyawan Herlina Utami Prapnawati I Indriyati Indriyati Indriyati Indriyati Kinarsanti Marwa Nathalia Carolina Gerrits Novita SW Putri Sulistyowati Ranti Ningsih Sumarni Rantiningsih Sumarni Rizal Indera Permana Bayu Murti Ryan Aditya Kumara Tri Sukatmi Vitri Dyah Herawati Vitri Dyah Herawati Vitri Dyah Herawati Wa Ode Adilla Putri Muna Widiyono Widiyono . Widiyono Widiyono Widiyono Widiyono Yudhia Rizchawati