Main Article Content
Thoracic myeloradiculopathy is a gradual loss of nerve function caused by spinal cord tumor metastases at the thoracic level resulting in pain and reduced sensation or paralysis. Mrs. N, 59 years old with thoracic myeloradiculopathy, has acute pain as the main nursing problem. The patient has been given pharmacological pain management by administering the analgesic paracetamol 3×500 mg. Acute pain in patients with thoracic myeloradiculopathy can occur in all phases of treatment which causes additional days of treatment so it is necessary to provide complementary therapy which can reduce the days of hospitalization. One of the nonpharmacological complementary therapies that have been proven effective in relieving pain in patients with thoracic myeloradiculopathy is a combination of deep breathing relaxation techniques using aromatherapy. Aromatherapy is given to the patient by dripping an essential oil containing Lavandula angustifolia (lavender), Citrus nobilis (mandarin orange), and Origanum majorana (marjoram) onto cotton and inhaled by the patient. Implementation is carried out once during a 7-day treatment period with a duration 0f 20-30 minutes after the patient performs personal hygiene or when going to rest. The evaluation results showed that the patient's pain scale decreased significantly from a score of 4 to a score of 2. Giving a combination of deep breathing relaxation techniques and aromatherapy is effective in reducing pain complaints in patients with thoracic myeloradiculopathy in addition to pharmacological therapy given by the medical team).
A. Tarulli, “Neurology A Clinician’s Approach in Neurology,” Cambridge Univ. Press, 2010, doi: 10.1007/978-3-319-29632-6.
Departemen Neurologi Fakultas Kedokteran Universitas Indonesia, Buku Ajar Neurologi. Jakarta: Departemen Neurologi Fakultas Kedokteran Universitas Indonesia, 2017.
S. Cabezas-Camarero et al., “C8-T1 Radiculopathy Due to an Intradural Extramedullary Metastasis of a Pancreatic Neuroendocrine Tumor,” Pancreas, vol. 45, no. 5, pp. 772–779, May 2016, doi: 10.1097/MPA.0000000000000515.
F. Andrian and D. Rizki, “Seorang Wanita 33 Tahun dengan Myeloradikulopati Thorakal V-VI dengan Gambaran MRI Schwannoma, namun Hasil Histopatologi adalah Spondilitis TB,” J Medula Unila |, vol. 7, no. 2, 2017.
D. I. Tuasamu, I. I. Hataul, C. I. A. Devi, and O. W. Angkejaya, “Hubungan Antara Lama Nyeri Pra Operasi Dengan Lama Perawatan Post Operasi Pada Pasien Apendisitis Perforasi Yang Dilakukan Laparotomi Apendektomi Di Rsud Dr M Haulussy Ambon Tahun 2018-2019,” PAMERI Pattimura Med. Rev., vol. 4, no. 2, pp. 30–35, Nov. 2022, doi: 10.30598/pamerivol4issue2page39-34.
M. Moayedi and K. D. Davis, “Theories of Pain: from Specificity to Gate Control,” J. Neurophysiol., vol. 109, no. 1, pp. 5–12, Jan. 2013, doi: 10.1152/jn.00457.2012.
M. C. G. M. Reyes, M. C. G. M. Reyes, K. G. L. Ribay, and E. D. Paragas, “Effects of Sweet Orange Aromatherapy on Pain and Anxiety During Needle Insertion Among Patients Undergoing Hemodialysis: A Quasi‐Experimental Study,” Nurs. Forum, vol. 55, no. 3, pp. 425–432, Jul. 2020, doi: 10.1111/nuf.12447.
M. S. Lee, J. Choi, P. Posadzki, and E. Ernst, “Aromatherapy for Health Care: An Overview of Systematic Reviews,” Maturitas, vol. 71, no. 3, pp. 257–260, Mar. 2012, doi: 10.1016/j.maturitas.2011.12.018.
Y.-J. Kim, M. S. Lee, Y. S. Yang, and M.-H. Hur, “Self-aromatherapy Massage of the Abdomen for the Reduction of Menstrual Pain and Anxiety During Menstruation in Nurses: A Placebo-Controlled Clinical Trial,” Eur. J. Integr. Med., vol. 3, no. 3, pp. e165–e168, Sep. 2011, doi: 10.1016/j.eujim.2011.08.007.
C. Chang and M. E. Gershwin, “Integrative Medicine in Allergy and Immunology,” Clin. Rev. Allergy Immunol., vol. 44, no. 3, pp. 208–228, Jun. 2013, doi: 10.1007/s12016-012-8314-2.
H. D. Godfrey, Essential Oils for Mindfulness and Meditation: Relax, Replenish, and Rejuvenate. Simon and Schuster, 2018.
K. M. Alpi and J. J. Evans, “Distinguishing Case Study as a Research Method from Case Reports as a Publication Type,” J. Med. Libr. Assoc., vol. 107, no. 1, Jan. 2019, doi: 10.5195/jmla.2019.615.
PPNI, Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik, 1st ed. Jakarta: DPP PPNI, 2016.
X. Lv, Z. Liu, H. Zhang, and C. Tzeng, “Aromatherapy and the Central Nerve System (CNS): Therapeutic Mechanism and its Associated Genes,” Curr. Drug Targets, vol. 14, no. 8, pp. 872–879, Jun. 2013, doi: 10.2174/1389450111314080007.
H. K. Son, W.-Y. So, and M. Kim, “Effects of Aromatherapy Combined with Music Therapy on Anxiety, Stress, and Fundamental Nursing Skills in Nursing Students: A Randomized Controlled Trial,” Int. J. Environ. Res. Public Health, vol. 16, no. 21, p. 4185, Oct. 2019, doi: 10.3390/ijerph16214185.
P. Tomas-Carus, J. C. Branco, A. Raimundo, J. A. Parraca, N. Batalha, and C. Biehl-Printes, “Breathing Exercises Must Be a Real and Effective Intervention to Consider in Women with Fibromyalgia: A Pilot Randomized Controlled Trial,” J. Altern. Complement. Med., vol. 24, no. 8, pp. 825–832, Aug. 2018, doi: 10.1089/acm.2017.0335.
S. Sagala, D. Tanjung, and E. Effendy, “Aromaterapi Lavender Melalui Humidifier Terhadap Kualitas Tidur Pasien Kanker Payudara,” J. Keperawatan Silampari, vol. 6, no. 1, pp. 62–70, 2022.
M. Grabnar, M. J. Roach, A. Abd-Elsayed, and C. Kim, “Impact of Lavender on Pain and Anxiety Levels Associated With Spine Procedures,” Ochsner J., vol. 21, no. 4, pp. 358–363, Dec. 2021, doi: 10.31486/toj.21.0013.
E. Burns, V. Zobbi, D. Panzeri, R. Oskrochi, and A. Regalia, “Aromatherapy in Childbirth: a Pilot Randomised Controlled Trial,” BJOG An Int. J. Obstet. Gynaecol., vol. 114, no. 7, pp. 838–844, Jul. 2007, doi: 10.1111/j.1471-0528.2007.01381.x.
J. Cheraghi and A. Valadi, “Effects of Anti-Nociceptive and Anti-Inflammatory Component of Limonene in Herbal Drugs,” Iran. J. Med. Aromat. Plants Res., vol. 26, no. 3, pp. 415–422, 2010, doi: 10.22092/ijmapr.2010.6803.
S. Kushariyadi, “Therapeutic modality of nursing in psychogeriatric clients,” Publ. Salemba Med., 2011.
K. Adhisty, “Citrus Aromatherapy as Complementary Medicine for Pain Management,” Arkus, vol. 3, no. 1, pp. 28–31, 2017, doi: 10.37275/arkus.v3i1.66.
I. Rasjidi, “Epidemiology of Cancer in Women,” Jakarta. Sagung Seto, 2010.
B. G. B. Suzanne C. Smeltzer, Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth, 12th ed. Jakarta: EGC, 2011.
D. Rosalina, “Maximum healthy lifestyle,” Bandung Gramedia Pustaka Utama. h, 2013.