scholarly journals Comparison of Cold and Warm Compresses influence toward Pain in Patients with Extremity Fractures

2019 ◽  
Author(s):  
Trio Gustin Rahayu ◽  
Rina Sumartini ◽  
Arif Susila

Background: Fracture is one of the causes of death in the world. Pain is a major symptom reported by patients with fracture.a Nonpharmacology management of pain includes stimulus and cutaneous massage, ice, and heat therapy (cold or hot compress), distraction, guided imagery, hypnosis, and relaxation techniques. Objectives: the purpose of this study was to determine the differences of pain sensation between cold and warm compresses intervention among patients with limb fractures at the Dradjat Prawiranegara Serang Banten hospital. Methods: A quasi-experimental method was conducted with two group pretest and posttest design for each teratments. The study was conducted in dr. Dradjat Prawiranegara hospital Serang Banten. A total of 12 respondent has participated in this study. Pain intensity was measured using a numeric rating scale.The data analysis using univariate analysis and bivariate analysis. Bivariate analysis using T test (T-test) that is difference test of two independent mean. Results: The result shows that the average intensity of pain beforecoldcompresswasgivenwas7andreduce3.13to3.83postintervention.While the average intensity of the pain before given an warm compress was 6 and 3.83 post intervention. (P = 0.000). Conclusions: Judging from the magnitude of change in pain intensity was concluded that warm compress more effectively than cold compress to decrease pain in fracture patients.

2019 ◽  
Author(s):  
Agussalim . ◽  
Josephine Lorica

Arthritis Rheumatoid (AR) is an autoimmune disease showing erosive of symmetric joint. It sometimes refers to many systems disturbances inside our bodies. The progressivity of AR has chronic fluctuation in daily life. AR can increase mortality risk, especially for chronic disabilities. This study aims to understand the effect of warm compress on the pain intensity of AR cases for elderly people. The method used in this study was a quasi-experimental one. The sampling method used was a purposive technique. The total number of respondents was 10, with 5 as the interventional arm of the study and 5 as the control arm. This study was conducted between February and July 2014. A paired t-test was used to identify whether the sample means for those in the intervention arm was statistically different from the average of the sample means drawn from those drawn from the control group presumed to be from the general elderly population who do not benefit from the particular intervention of a warm compress. What the author wanted to conclude on was whether the two samples at hand actually differ significantly from each other. The intensity of pre- and post-intervention using parametric statistics following the application of warm compress was noted and used as a basis of comparison. The result of the statistics formula showed the effectiveness of warm compress in decreasing the AR pain, the t-test was 6.000 and the p-value was lower than 0.05. It can be summarized that warm compress can be used to decrease pain intensity for elderly people with AR. Discussion – the result of this study can be used as a reference to conduct care among elder people who are affected by AR. People living in the community area should help their family member with AR on first aid.


2019 ◽  
Vol 3 (1) ◽  
pp. 32
Author(s):  
Cut Yuniwati

Sectio Caesarea is surgery to give a birth of a fetus through the abdominal wall. This surgery has an impact on the pain that is caused by the incision. Pain management ncluding the usagenon-pharmacological and pharmacological approaches. Onenon-pharmacological approaches are breathing in relaxation techniques and foot-hand massage techniques. The purpose of this study was to look at the effectiveness of breathing relaxation and foot and hand massage techniques for postpartum caesarean delivery in Langsa Hospital in 2018. The designs used in this study were quasi-experimental, pre-test and post-test designs Tests used in bivariate analysis with statistical tests Paired sample t-test and t-test Independent. The results of the Statistical Test using the Independent T-test obtained an effective Foot And Hand Massage technique for reducing pain intensity with a P value of 0,000. Foot and hand massage techniques can promote blood circulation, reduce pain, reduce the number of drugs and side effects. Hand and foot massage techniques are cheaper, low risk, and easy to apply. AbstrakSectio Caesarea (SC) merupakan tindakan pembedahan sebagai upaya lahirnya janin melalui dinding abdomen. Tindakan pembedahan berdampak terhadap munculnya rasa nyeri akibat irisan. Penatalaksanaan nyeri diantaranya menggunakan pendekatan farmakologis dan non farmakologis. Salah satu pendekatan non farmakologis adalah teknik relaksasi nafas dan foot and hand massage. Tujuan penelitian ini adalah melihat efektifitas teknik relaksasi pernapasan dan foot and hand massage pada ibu pasca salin section caesarea di RSUD Langsa Tahun 2018. Desain yang digunakan dalam penelitian ini adalah Quasi eksperimen, pre-test and post-test desain. Uji yang digunakan pada analisis bivariat dengan uji statistic Paired sample t-test dan uji T-Independent. Hasil penelitian menunjukan bahwa hasil Uji Statistik mengunakan Uji Independen T-test didapatkan teknik foot and hand massage efektif untuk pengurangan intensitas nyeri dengan nilai P value 0,000. Teknik pijat kaki dan tangan dapat meningkatkan sirkulasi darah, mengurangi rasa sakit, mengurangi jumlah obat dan efek samping. Teknik foot and hand massage lebih   murah, berisiko rendah, dan mudah diterapkan.


2020 ◽  
Vol 5 (2) ◽  
pp. 100-107
Author(s):  
Reny Sulistyowati ◽  
Syam�ani Syam�ani

Stress is an individual's adaptive response to various external pressures or demands and produces a variety of disorders including physical, emotional and behavioral disorders. Final year students often experience feelings of stress so that it can interfere with concentration to attend lectures and can even hamper completing education in a timely manner. There are several ways of managing stress, one of which is using aromatherapy. Aromatherapy is a non-pharmacological therapy, which is a type of therapy that applies direct body contact and has a therapeutic effect that combines physiological effects, caused by massage on the body, with psychological effects, which are derived from essential oils. The general purpose of the study is to analyze the effect of aromatherapy on blood pressure and stress levels by using the Kessler Psychological Distress Scale in final semester students. The research method used a quasi-experimental design with a pretest-posttest control group design approach, in 28 intervention groups, namely respondents who were given lavender aromatherapy massage and 28 respondents in the control group. The univariate analysis was conducted to show frequency distribution and bivariate analysis was conducted by independent sample T-test and dependent sample T-test. The results showed that there were significant differences in systolic blood pressure before and after the intervention in the intervention and the control group with a p-value of 0.01 < 0.05. Whereas the stress level variable found that there is no difference in stress levels in the intervention and the control group before and after the intervention with p-value 0.169> 0.05.


2020 ◽  
Author(s):  
Saeideh Shahsavari ◽  
Sakineh dadipoor ◽  
Mohtasham Ghaffari ◽  
Ali Safari-Moradabadi

Abstract Background: The aim of the present study was to assess readiness to become or stay physically active according to the Stages of Change Model.Methods: The present quasi-experimental study was conducted on 100 women working in the healthcare centres of Bandar Abbas, Iran. The sampling method is clustering in type. The subjects were assigned into two groups of intervention and control. The collected data were analysed by SPSS-16 software using descriptive and inferential statistics, including independent-sample t-test, paired-sample t-test and Chi-square test.Results: Before the educational intervention, 19 subjects (0.38%) from the intervention group showed to have regular physical activity (4-5 stages). This number changed to 29 (0.58%) and 25 (0.50%) after three months and six months of intervention. A statistically significant difference was found before the intervention and 3 and 6 months afterwards (P˂.001). In the control group, no statistically significant difference was found between the pre-intervention and post-intervention (three months (P=.351) and six months (P=.687).Conclusion: The educational intervention based on the stages of behaviour change model showed to be effective in promoting the physical activity of employed women. These findings may benefit health education researchers and practitioners who tend to develop innovative theory-based interventions and strategies to increase the level of physical activity in women.


2016 ◽  
Vol 11 (1) ◽  
pp. 25 ◽  
Author(s):  
Husnul Laili

Penelitian ini bertujuan untuk mendeskripsikan keefektifan pembelajaran dengan pendekatan Contextual Teaching and Learning (CTL) dan Problem Based Learning (PBL) ditinjau dari motivasi dan prestasi belajar matematika siswa, serta membandingkan keefektifan pembelajaran dengan pendekatan CTL dan PBL ditinjau dari motivasi dan prestasi belajar matematika siswa. Penelitian ini merupakan penelitian eksperimen semu, yang menggunakan dua kelompok eksperimen. Untuk mengetahui keefektifan pembelajaran dengan pendekatan CTL dan PBL digunakan uji one sample t-test pada taraf signifikansi 5%. Untuk membandingkan keefektifan pembelajaran dengan pendekatan CTL dan PBL, data dianalisis secara multivariat menggunakan T2 Hotelling dengan taraf signifikansi 5% dan dianalisis lanjut menggunakan uji t univariat dengan kriteria Bonferoni. Hasil penelitian menunjukkan bahwa pembelajaran dengan pendekatan CTL dan PBL efektif ditinjau dari motivasi dan prestasi belajar matematika siswa, dan pembelajaran dengan pendekatan PBL lebih efektif dibanding dengan pembelajaran dengan pendekatan CTL ditinjau dari prestasi belajar matematika siswa, tetapi pembelajaran dengan pendekatan PBL tidak lebih efektif dibanding dengan pembelajaran dengan pendekatan CTL ditinjau dari motivasi belajar matematika siswa.Kata kunci: CTL, PBL, motivasi, prestasi belajar. The Effectiveness of the CTL and PBL Approaches Viewed from Students’ Motivation and Achievement in Mathematics Learning AbstractThis study aimed to describe the effectiveness of the Contextual Teaching Learning (CTL) and Problem Based Learning (PBL) approaches viewed from students’ motivation and achievement in mathematics learning, and to compare the effectiveness of the CTL and the PBL approach in mathematics learning viewed from students’ motivation and achievement. This study was a quasi-experimental research and used two experimental groups. To find out the effectiveness of the CTL and PBL approach in each variable, the data were analyzed using one-sample t-test what the significance level of 5%. To compare the effectiveness of the CTL and PBL approaches, the data were analyzed using the multivariate T2 Hotelling with the significance level of 5% and followed up by the univariate analysis using the Bonferoni criterion. The results of the study show that the CTL and PBL approaches were effective viewed from students’ motivation and achievement in mathematics learning and the PBL approach was more effective than CTL approach viewed from students’ achievement in mathematics but the PBL approach is not more effective than CTL approach viewed from students’ motivation in mathematics learning.Keywords: CTL, PBL, motivation, learning achievement.


2019 ◽  
Vol 10 (2) ◽  
pp. 72
Author(s):  
Putri Dafriani ◽  
Siti Aisyah Nur ◽  
Welly Martawati

Neuropathy or neurological disorders are caused by hyperglycemia. It can cause damage to the peripheral nervous system. It makes diabetic patients cannot feel heat, pain and tingling. The aim of this research to determine the effect of foot exercise on foot sensitivity at diabetic patients in Puskesmas Alai Kota Padang. This type of research is quasi-experimental, one group pretest postest. Sample was 16 diabetic patients in Puskesmas Alai. The data were processed by computerization with univariate analysis using descriptive statistics and bivariate analysis using the Wilcoxon Signed Ranks Test.  The results of univariate analysis showed an average foot sensitivity before foot exercise was 1,56 and after that was 2,44. The results of bivariate analysis showed that there was an effect with p = 0,000 (p≤0,05). Based on the results, this study proved the effect of foot exercise in diabetic patients. It suggested to facilitate foot exercise at diabetic patients by nurses in Puskesmas Alai.


2019 ◽  
Vol 7 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Haifa Wahyu ◽  
Henni Febriawati ◽  
Liza Fitri Lina ◽  
Fatsiwi Nunik Andari ◽  
Restu Wulandari

Sectio saecarea (SC) is a method of giving birth to the fetus through an incision in the abdominal wall and uterine wall. One of the complications of SC is pain in the incision area. The non-pharmacological pain management strategy is to warm compress with the scent of lavender. The purpose of this study was to determine the effect of warm compress therapy with lavender aroma on decreasing pain intensity in post SC patients before and after warm compresses with aroma lavender. This type of research is quantitative research, with a pre-experimental research design method, using the design of one group pre test - post test design.        On the results of univariate analysis the pain intensity of post SC patients was obtained before a warm compress with lavender aroma in the hospital. The FKT Bengkulu in 2018 is 15 people (100%) Respondents experience moderate pain with a scale of 4-6. While the pain intensity of post SC patients after being warm compressed with lavender aroma is 12 people (80.0%) respondents experienced mild pain with a range of 1-3, and 3 people (20.0%) respondents with moderate pain intensity with a range of scales 4-6. The results of bivariate analysis showed that there was an effect of warm compress therapy with lavender aroma on the reduction in pain intensity in post SC patients in the hospital. Bengkulu DKT with a p-value of 0.01 0.05. It is recommended to RS.DKT Bengkulu to apply warm compress therapy with lavender aroma in the management of pain in post SC patients. Keywords: Sectio caesaria, pain, aroma of lavender


Author(s):  
Saharnauli Janna Verawaty Simorangkir

Background: The challenge faced by anatomy educator today is the number of medical education students added with medical competencies about the anatomy of human body that must be achieved and the limited teaching staff. Other problems are the reduced time allocation for anatomy lectures and decreasing student knowledge about the anatomy of the human body. To answer these problems, one solution that can be done is to test the most effective method to help students understand each topic given in lectures and practicum anatomy. The aim of this research was to find out the difference in learning achievement and learning motivation between Jigsaw group and control group during anatomy practicum.Method: This research was a quasi-experimental research. The samples of this research were all medical students of UHKBPN batch 2017 who were actively undergoing lectures. The number of samples of this study were 39 people, where the control group was 20 people and the Jigsaw group were 19 people. Data collection instruments were the SMTSL questionnaire and the pretest and posttest questions.Results: Bivariate analysis results showed an increase in posttest results in both groups (p <0.05). Univariate analysis results for the questionnaire scores showed that most students in the two groups had moderate motivation, while the results of the bivariate analysis showed no difference between the two groups (p> 0.05).Conclusion: The Jigsaw cooperative learning method is effective to be implemented in anatomy practicum.


2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Citra Amelia Lubis ◽  
Dudut Dudut Tanjung ◽  
Asrizal Asrizal Asrizal

<em><span lang="EN-US">Fracture occurs due to the damage of the shape and function of the bone, and the fractured patients generally experience pain. One of the interventions to reduce pain intensity in fracture patients is cold compress. This study aims to identify the effectiveness of cold compress on pain intensity in fracture patients in H. Adam Malik Hospital Medan. This is a quantitative study with a quasi-experimental design approach with an equivalent control group pretest-posttest design. The number of samples is 70 respondents consisting of 35 people for each intervention and control group, respectively, which was collated by consecutive sampling. Data analysis used paired t-test and independent t-test. The results showed that there was a significant influence before and after cold compress intervention on pain intensity (p value 0.001 (p = &lt;0.05)). There is a significant difference between the intervention with cold compresses and the hospital standard intervention on pain intensity in fracture patients (p value 0.001 (p = &lt;0.05)). It can be concluded that cold compress has a significant effect on the pain intensity in fracture patients. Cold compress is one of the nursing interventions that can help to reduce the intensity of fracture pain.</span></em>


2018 ◽  
Vol 7 (2) ◽  
pp. 130-136
Author(s):  
Hermansyah Hermansyah ◽  
Husni Husni ◽  
Elly Wahyuni

Approximately 40 % of women aged 14-50 years experiencing pre-menstrual syndrome, better known as PMS (pre-menstruation syndrome). This study aims to determine the effect of a structured intervention (counseling and natural techniques) against reducing premenstrual syndrome complaints in young women aged 12-15 years in the city of Bengkulu. This type of research is a pre-experimental, with one group pretest posttest design. The populations in this study were all girls  (191 girls) in grade one of Junior High School 2, Bengkulu city in 2013. The sample was 35 samples girls  taken with accidental sampling technique. Data was collected using primary data to obtain symptom of premenstrual syndrome by using a check list format and schedule student menstruation. Data analysis was performed using univariate and bivariate statistical tests by using a dependent t-test (paired t test) at α 5 % (one tail ). Results obtained by univariate analysis the average complaint premenstrual syndrome experienced by young women before intervention structured is 31.29 with a standard deviation of 7.238, the average sympton of premenstrual syndrome experienced by young women after structured interevensi is 27.86 with a standard deviation of 7.815. The results of the bivariate analysis showed a structured intervention has efffect in reducing symptom of premenstrual syndrome (p =0.022). It is suggested to do this intervention regularly in order to reduce premenstrual syndrome.


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