The Effect of Benson Relaxation Technique on Chest Pain Levels in Acute Coronary Syndrome (ACS) Patients After PCI in the Emergency Room (ER)
DOI:
https://doi.org/10.65310/7bz80514Keywords:
Benson Relaxation, Chest Pain, Acute Coronary Syndrome, PCI, Emergency Department.Abstract
Patients with Acute Coronary Syndrome (ACS) post Percutaneous Coronary Intervention (PCI) often still experience chest pain due to inflammatory processes or psychological factors. Unmanaged pain can increase cardiac workload. The Benson relaxation technique is a non-pharmacological intervention that combines deep breathing techniques with an element of faith (spiritual) to induce a relaxation response. This study aims to determine the effect of the Benson relaxation technique on reducing chest pain levels in ACS patients after PCI at Referral hospitals in Central Java Province. This study used a one-group pretest-posttest design with a sample of 36 respondents selected by purposive sampling. Pain measurement used the Numeric Rating Scale (NRS) before and after the intervention. The Benson relaxation technique was administered for 10–15 minutes per session. Data analysis used the Wilcoxon Signed Ranks Test.Before the intervention, all respondents (100%) experienced moderate chest pain (mean=5.11). After the intervention, there was a significant reduction, with 61.1% of respondents falling into the mild pain category and 38.9% remaining in the moderate category (mean=3.39). Statistical test results showed a significant difference between pain scores before and after the intervention (Z=-5.500; p=0.000).The Benson relaxation technique is proven effective in reducing chest pain levels in ACS patients post PCI in the Emergency Department
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Ali, A., & Soesanto, E. (2024). Penerapan teknik relaksasi Benson untuk mengurangi nyeri pada pasien infark miokard akut. Ners Muda, 5(3). https://doi.org/10.26714/nm.v5i3.9194
Atik Rahma Hasnawati, A. M., & Anjarwani, S. (2023). Effect of acupressure therapy to reduce chest pain in NSTEMI patients. Open Access Research Journal of Science and Technology, 8(2), 017–021. https://doi.org/10.53022/oarjst.2023.8.2.0042
Bonaz, B., Sinniger, V., & Pellissier, S. (2016). The vagus nerve at the interface of the microbiota–gut–brain axis. Frontiers in Neuroscience, 10, 49. https://doi.org/10.3389/fnins.2016.00049
Botutihe, P. A. P., Safruddin, S., & Munir, N. W. (2025). Efektivitas Terapi Relaksasi Benson Dalam Mengurangi Nyeri Dada Pada Pasien Chest Pain Di Ruang IGD Rs Ibnu Sina YW UMI Makassar. Jurnal Intelek Dan Cendikiawan Nusantara, 2(5), 8680-8685.
Bushnell, M. C., Čeko, M., & Low, L. A. (2013). Cognitive and emotional control of pain and its disruption in chronic pain. Nature Reviews Neuroscience, 14(7), 502–511. https://doi.org/10.1038/nrn3516
Chang, C. C., Chen, Y. C., Ong, E. T., et al. (2016). Chest pain after percutaneous coronary intervention in patients with stable angina. Clinical Interventions in Aging, 11, 1123–1128. https://doi.org/10.2147/CIA.S103605
Dusek, J. A., Otu, H. H., Wohlhueter, A. L., et al. (2008). Genomic counter-stress changes induced by the relaxation response. PLOS ONE, 3(7), e2576. https://doi.org/10.1371/journal.pone.0002576
Erdania, E., Faizal, M., & Anggraini, R. B. (2023). Faktor yang berhubungan dengan kejadian penyakit jantung koroner. Jurnal Keperawatan, 12(1), 17–25. https://doi.org/10.47560/kep.v12i1.472
Gibran, M. S., & Nurulhuda, U. (2023). Hubungan obesitas dengan kejadian penyakit jantung koroner. JHCN Journal of Health and Cardiovascular Nursing, 3(2), 57–62. https://doi.org/10.36082/jhcn.v3i2.1092
Handayani, A., & Nasution, R. W. (2024). Hubungan Tingkat Pendidikan Dan Status Sosial Ekonomi Terhadap Tingkat Pengetahuan Tentang Faktor Risiko Penyakit Jantung Koroner Pada Pasien Penyakit Jantung Koroner. Jurnal Pandu Husada, 5(1), 27-34. https://doi.org/10.30596/jph.v5i1.18619.
Hisyam, M., Aisah, & Ariyanto. (2024). Status gizi dan kebiasaan merokok dengan kejadian penyakit jantung koroner. Jurnal Diskursus Ilmiah Kesehatan, 2(2), 41–47. https://doi.org/10.56303/jdik.v2i2.160
Jaya KK, I. F., & Hajati, S. P. (2023). Pengaruh Terapi Benson Terhadap Pasien AMI (Acute Mycardial Infark) di Ruang Rawat Inap. Lentera Perawat, 4(1), 47-52. https://doi.org/10.52235/lp.v4i1.195.
Juzar, D. A., Muzakkir, A. F., Ilhami, Y. R., et al. (2022). Management of acute coronary syndrome in Indonesia. Indonesian Journal of Cardiology, 43(2), 45–55. https://doi.org/10.30701/ijc.1098
Kazazi, E. H., Sheikhvatan, M., Mahmoodian, M., et al. (2021). Comparing angiography features of inferior versus anterior myocardial infarction. JRMS, 16(4), 484–489.
Kementerian Kesehatan Republik Indonesia. (2022). Profil Kesehatan Indonesia 2021.
Legha, A. D., & Mukin, F. A. (2023). Penerapan terapi relaksasi Benson untuk menurunkan skala nyeri pasien PJK. Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama, 10(1), 86–92.
Lehrer, P. M., & Gevirtz, R. (2014). Heart rate variability biofeedback. Frontiers in Psychology, 5, 756. https://doi.org/10.3389/fpsyg.2014.00756
Lutfiah, A., & Mustika, A. (2025). Prevalensi dan Profil Penderita Sindroma Koroner Akut dengan ST Segmen Elevasi (STEMI) di Rumah Sakit Umum Daerah dr. Fauziah Bireuen Tahun 2022-2023. Protein: Jurnal Ilmu Keperawatan Dan Kebidanan., 3 (3), 313–324. Protein: Jurnal Ilmu Keperawatan Dan Kebidanan, 3(3), 313-324. https://doi.org/10.61132/protein.v3i3.1598.
Nolan, R. P., Kamath, M. V., Floras, J. S., Stanley, J., Pang, C., Picton, P., & Young, Q. R. (2005). Heart rate variability biofeedback as a behavioral neurocardiac intervention to enhance vagal heart rate control. American heart journal, 149(6), 1137-e1. https://doi.org/10.1016/j.ahj.2005.03.015.
Nur’aeni, A., Trisyani, Y., & Nuraeni, A. (2020). Heat therapy to reduce chest pain among ACS patients. Padjadjaran Acute Care Nursing Journal, 1(2), 102–111. https://doi.org/10.24198/pacnj.v1i2.28843
Sayari, S., Nobahar, M., & Ghorbani, R. (2021). Effect of foot reflexology on chest pain and anxiety. Complementary Therapies in Clinical Practice, 42, 101296. https://doi.org/10.1016/j.ctcp.2020.101296
Siang Ng, I. K., Chia, Y. W., See, K. C., & Teo, D. B. S. (2024). Approach to acute chest pain and acute coronary syndrome in adults. Singapore Medical Journal, 65(2), 111-118. https://doi.org/10.4103/singaporemedj.smj-2023-039.
Supadi, S., Widjijati, W., & Haryati, W. (2021). Autogenic Relaxation on Cardiac Pain in Patients with Acute Coronary Syndrome (Palliative Review Study of Patients with Acute Coronary Syndrome after a Heart Attack at Margono Sokarjo Hospital, Purwokerto). Budapest International Research and Critics Institute-Journal (BIRCI-Journal), 4(1), 1596-1596h. https://doi.org/10.33258/birci.v4i1.4568.
Susila, I. K., Wulandari, P. K., & Yasa, A. A. G. W. P. (2022). Infark miokard akut dengan elevasi segmen ST (IMA-EST) anterior ekstensif: laporan kasus. Ganesha Medicina, 2(1), 22-32. https://doi.org/10.23887/gm.v2i1.47058.
Titi, H. S. S., & Untar, R. (2021, March). Benson relaxation relieve a pain in coronary syndrome patients. In 1st Paris Van Java International Seminar on Health, Economics, Social Science and Humanities (PVJ-ISHESSH 2020) (pp. 639-642). Atlantis Press. https://doi.org/10.2991/assehr.k.210304.144.
Virani, S. S., Newby, L. K., Arnold, S. V., et al. (2023). AHA/ACC guideline for chronic coronary disease. Circulation, 148(9). https://doi.org/10.1161/CIR.0000000000001168
Widani, N. L. (2022). Analisis Faktor Yang Berhubungan Dengan Serangan Jantung Berulang Pada Pasien Post Percutaneous Transluminal Coronary Angioplasty . Jurnal Kesehatan, 10(1), 25–39. https://doi.org/10.35913/jk.v10i1.247.
Yuliani, F., Oenzil, F., & Iryani, D. (2014). Hubungan berbagai faktor risiko terhadap kejadian penyakit jantung koroner pada penderita diabetes melitus tipe 2. Jurnal Kesehatan Andalas, 3(1). https://doi.org/10.25077/jka.v3i1.22.
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