ASUHAN KEPERAWATAN ANAK DENGAN MASALAH NYERI AKUT MELALUI PENERAPAN GENTLE HUMAN TOUCH PADA ANAK DI RUANGAN PICU RSUD ARIFIN ACHMAD

Anak dengan pneumonia yang dirawat di Pediatric Intensive Care Unit (PICU) sering menjalani tindakan invasif, salah satunya suctioning, yang dapat menimbulkan nyeri akut dan distres. Gentle Human Touch (GHT) merupakan intervensi nonfarmakologis berupa sentuhan lembut dan statis yang dapat digunakan untuk membantu menurunkan respons nyeri selama tindakan invasif. Tujuan melakukan asuhan keperawatan anak dengan masalah nyeri akut melalui penerapan gentle human touch pada anak di ruang PICU RSUD Arifin Achmad. Metode pelaksanaan yang digunakan adalah studi kasus pada An. K yang menjalani tindakan suctioning. Pengukuran nyeri menggunakan Comfort Scale awal dan setelah tindakan dengan penerapan GHT selama 10–15 menit. Observasi juga dilakukan terhadap respons perilaku dan fisiologis anak. Hasil penerapan GHT, An. K menunjukkan kecemasan, gelisah, menangis, gerakan fisik, ketegangan otot wajah, serta peningkatan tekanan darah dan denyut jantung ≥15% dari nilai dasar. Setelah penerapan GHT, terjadi penurunan respons nyeri dan distres. Skor Comfort Scale pada hari pertama menurun dari 32 menjadi 24 (selisih 8), sedangkan hari kedua dari 30 menjadi 22 (selisih 8). Respons fisiologis juga membaik, ditandai dengan tekanan darah dan denyut jantung kembali ke nilai dasar. Berdasarkan hasil tersebut dapat disimpulkan bahwa penerapan GHT menunjukkan adanya penurunan skala nyeri akut dan respons distres pada An. K selama tindakan suctioning. GHT dapat digunakan sebagai intervensi nonfarmakologis pendamping dalam penerapan atraumatic care pada anak di PICU.

Children with pneumonia admitted to the Pediatric Intensive Care Unit (PICU) frequently undergo invasive procedures, such as suctioning, which may cause acute pain and distress. Gentle Human Touch (GHT) is a non-pharmacological intervention involving gentle, static touch that may help reduce pain responses during invasive procedures. This study aimed to provide nursing care for a child experiencing acute pain through the application of GHT in the PICU of Arifin Achmad Regional General Hospital. A case study method was used involving Child K, a child with pneumonia who underwent suctioning. Pain levels were assessed using the Comfort Scale before and after the procedure, with GHT applied for 10–15 minutes. Behavioral and physiological responses were also observed. Before the intervention, Child K exhibited anxiety, restlessness, crying, physical movement, facial muscle tension, and increases in blood pressure and heart rate of ≥15% above baseline. Following the application of GHT, pain and distress responses decreased. The Comfort Scale score decreased from 32 to 24 on the first day, with a reduction of 7 points, and from 30 to 22 on the second day, with a reduction of 8 points. Physiological responses also improved, as indicated by blood pressure and heart rate returning to baseline values. These findings indicate that GHT application was associated with reduced acute pain and distress responses in Child K during suctioning. GHT may be considered a complementary non-pharmacological intervention within the framework of atraumatic care for children undergoing invasive procedures in the PICU.