Keefektifan Logoterapi terhadap Penurunan Intensitas Nyeri dan Skor Depresi Pasien Nyeri Kronik di Poliklinik Rehabilitasi Medik RSDM Surakarta

Abstract

Pain is a multidimensional sensory experience that is not pleasant, complex health problems, and one of the main reasons for someone to come to seek medical help. Pain, physically and emotionally are in the same neurobiological pathway, so it is necessary for chronic pain management therapy that is integrated. Logoterapi expected to influence the factors that can modulate pain and improve patient coping resources resulting in a balance in the regulation of the nervous system, the axis of the hypothalamic-pituitary-adrenal (HPA) and immune system components, which eventually will produce changes in perception of pain in patients.Aim of this study is to determine the effectiveness of logoterapi against pain intensity and degree of depression of patients with chronic pain. The study was a randomized pretest-posttest experimental control group design. Subjects are patients with complaints of chronic pain who underwent therapy at the Medical Rehabilitation Polyclinic RSDM Surakarta. Samples were taken purposively, a total of 18 respondents (9 treated and 9 control). Pain intensity was measured by Visual Analogue Scale (VAS), and scores of depression with Beck Depression Inventory (BDI). Statistical analysis using t-test and unpaired Mann-Whitney test, and significance of the relationship variables with significance level of 5%, which is calculated with the program SPSS for Windows version 17.0. There were significant differences of decrease in pain intensity and depression scores between pretest and post-test in the treatment group than the control group (p = 0.01). Logoterapi effective for decreasing pain intensity and depression scores of patients with chronic pain.