Efektivitas Tinnitus Retraining Therapy terhadap Perbaikan Nilai Tinnitus Handicap Inventory dan Visual Analogue Scale Penderita Tinitus

Andrew Halim; Edi Handoko; Ahmad Dian Wahyudiono

doi:10.17977/um062v7i42025p185-198

Authors

Andrew Halim Universitas Negeri Malang
Edi Handoko Universitas Negeri Malang
Ahmad Dian Wahyudiono Universitas Negeri Malang

DOI:

https://doi.org/10.17977/um062v7i42025p185-198

Keywords:

tinnitus, tinnitus retraining therapy, tinnitus handicap inventory, visual analogue scale

Abstract

Abstract: The aim this study to determine whether TRT is more effective than guided counseling in reducing Tinnitus Handicap Inventory (THI) and Visual Analog Scale (VAS) scores in tinnitus patients. The experimental study with a pre and post control group design involved twenty tinnitus subjects divided into two groups: the TRT group and the guided counseling group. THI and VAS scores were measured before the intervention, as well as in the second and fourth weeks after the intervention. Data were analyzed using a paired t-test to assess changes within each group and an unpaired t-test to compare effectiveness between groups. This study found that TRT was more effective than guided counseling in reducing THI and VAS scores in tinnitus patients. In the TRT group, significant reductions in THI and VAS scores occurred in every measurement period, whereas in the control group, significant reductions were observed only in certain periods. Comparisons between groups showed a greater percentage reduction in THI and VAS scores in the TRT group, particularly in the early stages of the study. TRT is more effective than guided counseling in reducing THI and VAS scores in tinnitus patients. These findings support the implementation of TRT as a more optimal therapy in Indonesia, although further development of facilities and medical personnel training is needed for wider application.

Abstrak: Tujuan penelitian ini untuk mengetahui apakah TRT lebih efektif dibanding konseling terpimpin dalam menurunkan nilai THI dan VAS penderita tinitus. Penelitian eksperimental dengan desain pre and post control group ini melibatkan dua puluh subjek tinitus yang dibagi menjadi dua kelompok, yaitu kelompok TRT dan kelompok konseling terpimpin. Pengukuran nilai THI dan VAS dilakukan sebelum intervensi, serta pada minggu kedua dan keempat setelah intervensi. Data dianalisis menggunakan uji t berpasangan untuk mengevaluasi perubahan dalam kelompok serta uji t tidak berpasangan untuk membandingkan efektivitas antar kelompok. Hasil penelitian ini menunjukkan bahwa Tinnitus Retraining Therapy (TRT) lebih efektif dibandingkan konseling terpimpin dalam menurunkan nilai THI dan VAS pada penderita tinitus. Pada kelompok TRT, penurunan nilai THI dan VAS signifikan terjadi di setiap periode pengukuran, sedangkan pada kelompok kontrol, penurunan signifikan hanya terjadi pada periode tertentu. Perbandingan antar kelompok menunjukkan persentase penurunan nilai THI dan VAS yang lebih besar pada kelompok TRT, terutama pada periode awal penelitian. TRT lebih efektif dibandingkan konseling terpimpin dalam menurunkan nilai THI dan VAS pada penderita tinitus. Temuan ini mendukung penerapan TRT sebagai terapi yang lebih optimal di Indonesia, meskipun masih diperlukan pengembangan fasilitas dan pelatihan tenaga medis agar terapi ini lebih luas diterapkan.

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