THE USE FAMILIAR AUDITORY SENSORY TRAINING (FAST) TO LEVEL CONSCIOUSNESS AND PAIN SCALE IN POST OP CRANIOTOMY DECOMPRESSION PATIENTS : CASE STUDY

Authors

  • Ilany Nandia Chandra University of jember
  • Akhmad Zainur Ridla Departemen keperawatan medikal bedah dan kritis, Fakultas Keperawatan, Universitas Jember, Indonesia
  • Rismawan Adi Yunanto Departemen keperawatan medikal bedah dan kritis, Fakultas Keperawatan, Universitas Jember, Indonesia
  • Sugito Tri Gunarto 4Instalasi Gawat Darurat (IGD) RSD dr. Soebandi, Jember, Indonesia

Abstract

Abstrak
Prosedur kraniektomi dekompresi merupakan salah satu penatalaksanaan cedera kepala
untuk menurunkan tekanan intrakranial. Tindakan ini dapat menimbulkan komplikasi
salah satunya berdampak pada penurunan kesadaran dan nyeri. Pemberian intervensi
Familier auditory sensoric training (FAST) dapat dijadikan sebagai salah satu intervensi
yang dapat meningkatkan kesadaran dan menurunkan skala nyeri pada pasien post op
kraniektomi. Tujuan penelitian ini adalah mengetahui efektivitas pemberian intervensi
FAST untuk meningkatkan kesadaran dan menurunkan skala nyeri pada pasien post op
kraniektomi dekompresi hari ke 4 di RSUD dr. Soebandi Jember. Metode yang digunakan
dalam penelitian ini adalah metode case report. Intervensi dilakukan selama enam hari
pada pasien post op kraniektomi dekompresi hari ke 4. Pengumpulan data tingkat
kesadaran menggunakan nilai Glasgow Coma Scale (GCS) dan pengukuran skala nyeri
menggunakan Behaviour Pain Scale (BPS). Hasil penelitian menunjukan terdapat
perubahan pada tingkat kesadaran dari nilai awal GCS 3 (Coma) menjadi GCS 6 (Supor)
dan penurunan skala nyeri dari nilai awal 6 (nyeri) menjadi 5 (tidak nyeri) pada pasien
post op craniotomy dekompresi hari ke 4. Pemberian intervensi FAST pada pasien post
op craniotomy hari ke 4 yang dilakukan selama 6 hari dan durasi pemberian selama 10
menit terbukti efektif unuk meningkatkan kesadaran dan menurunkan skala nyeri.
Keywords: Familiar Auditory Sensory Training, Tingkat Kesadaran, Skala Nyeri


Abstract
Decompression craniectomy procedure is one of the management of head injuries to
decrease intracranial pressure. This procedure can cause complications, one of which has an
impact on decreased level of consciousness and pain. Familiar auditory sensory training
(FAST) intervention can be used as one intervention that can improvement level of
Jurnal Perawat Indonesia, Volume 9 No 1, Hal 1898-1904, Mei 2025
e-ISSN 2548-7051
Persatuan Perawat Nasional Indonesia Jawa Tengah p-ISSN 2714-6502
1899
consciousness and reduce pain scale in post op craniotomy patients. The purpose of this
study was to determine the effectiveness of FAST intervention to improvement level of
consciousness and reduce pain scale in day 4 post op craniotomy decompression patients at
RSUD dr. Soebandi Jember. The method used in this study is case report. The intervention
conducted for six days in patients post craniotomy decompression. Level of consciusness was
measured using Glasglow Coma Scale (GCS) and pain scale using Behaviour Pain Scale
(BPS). The results showed improvement level of consciousness from GCS 3 (Coma) to GCS 6
(Suppor) and a decrease in the pain scale from 6 (indicate an unacceptable amount of pain)
to 5 (mild pain). Therefore FAST is proven and useful to improvement level of consciousness
and reduce pain post op craniotomy decompression.
Keywords: Familiar auditory sensory Training, Level of consciousness, Pain Scale

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Published

2025-06-17

Issue

Vol. 9 No. 1 (2025): May 2025

Section

Articles

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How to Cite

THE USE FAMILIAR AUDITORY SENSORY TRAINING (FAST) TO LEVEL CONSCIOUSNESS AND PAIN SCALE IN POST OP CRANIOTOMY DECOMPRESSION PATIENTS : CASE STUDY. (2025). Jurnal Perawat Indonesia, 9(1), 1898-1904. https://journal.ppnijateng.org/jpi/article/view/3126