PENGARUH LATIHAN ROM DAN TERAPI MURROTAL TERHADAP PENURUNAN NYERI DAN KEKAKUAN SENDI BAHU PASIEN POST MASTEKTOMI DI RUMAH SAKIT URIP SUMOHARJO BANDAR LAMPUNG

The background of this study is that post-mastectomy patients often experience complications in
the form of pain and stiffness in the shoulder joint which has an impact on decreasing quality of
life. Non-pharmacological approaches such as Range of Motion (ROM) exercises and murottal
therapy are seen as potential independent nursing interventions.
The purpose of this study was to determine the effect of ROM exercises and murottal therapy on
reducing pain and stiffness in the shoulder joint in post-mastectomy patients at Urip Sumoharjo
Hospital, Bandar Lampung.
The research method used a quasi-experimental design with a pretest-posttest control group
approach. The sample consisted of 28 post-mastectomy patients divided into two groups: control
(standard care) and intervention (ROM exercises and murottal therapy) each 14 people.
Measurements were carried out using pain score instruments, disability, and SPADI before and
after the intervention.
The results of this study obtained the average pain, disability, and SPADI scores in the
intervention group decreased significantly compared to the control group. The pain score
decreased by 9.65 points in the intervention group compared to 2.79 points in the control group.
SPADI scores decreased by 23.15 points in the intervention group, indicating a clinically and
statistically significant improvement (p < 0.05).
Conclusion ROM exercises and murottal therapy are significantly effective in reducing shoulder
joint pain and stiffness in post-mastectomy patients. This intervention supports a holistic approach
in nursing practice that considers the physical, psychological, and spiritual aspects of patients.