scholarly journals STUDY COMPARASI TERAPI SLOW DEEP BREATHING DAN GUIDED IMAGERY RELAKSASI DALAM MENURUNKAN SKALA NYERI PASIEN CEDERA KEPALA RINGAN PASCA PEMBERIAN ANALGETIK DI IGD

2019 ◽  
Vol 13 (2) ◽  
pp. 93
Author(s):  
Mariza Elsi Elsi

<p>The main problem head injury patients are pain, when someone is experiencing pain are non-pharmacological strategies are as good as pharmacological strategies that can be offered to clients, some non-pharmacological interventions do not require instruction but an initiative of the nurses. Terapy Slow deep breathing is breathing with a frequency of less than 10 beats per minute and long inhalation phase can increase oxygen supply to the brain and decrease the metabolism of the brain so that the brain needs oxygen decreases. Guided imagery is an attempt to create the impression in the mind and then concentrate on the impression that gradually lowers the client's perception of pain. The purpose of this study was to compare the terapy slow deep breathing and guided imagery to decrease the patient's pain scale of mild head injury.</p><p>This research method was Quasi-Experimental use a pretest-posttest. slow deep breathing (intervention 1) of the 17 respondents and guided imageri (intervention 2) 17 response, the assessment carried out six hours after patients received pharmacological treatment, size scale use numeric rating scale (NRS) The result of slow deep breathing therapy is more effective to reduce the pain scale in patients with mild head injury in Emergency Room Hospital Ulin Banjarmasin with p = 0.001, be compared terapy guided imagery relaxation with p = 0.264</p>

2019 ◽  
Vol 2 (1) ◽  
pp. 1-14
Author(s):  
Astrid Astrid ◽  
Memed Sena Setiawan

Apendicitis adalah peradangan dari apendiks vermiformis yang menyebabkan usus berhenti mengeluarkan sisa makanan yang tidak diserap oleh tubuh sehingga dilakukan Apendictomy dimana terjadi nyeri akut pada level severe. Tujuan penelitian ini untuk mengetahui pengaruh teknik relaksasi Guided Imagery Music terhadap intensitas nyeri post operasi apendicitis di ruang rawat inap bedah RSPAD Gatot Soebroto Ditkesad Jakarta. Desain penelitian menggunakan purposive sampling dengan rancangan random assignment pre test-post test with control group. Jumlah sampel adalah 36 orang (18 orang kelompok kontrol dan 18 orang kelompok intervensi). Nyeri diukur dengan menggunakan Numeric Rating Scale (NRS) dan Faces Pain Scale Resived (FPSR). Uji statistik menggunakan uji T test independen. Hasil uji menunjukkan ada pengaruh teknik relaksasi Guided Imagery Music terhadap intensitas nyeri pada klien post operasi Apendicitis. Perbedaan rata-rata intensitas nyeri pada kelompok kontrol sebesar 1,55 dan pada kelompok intervensi sebesar 3,17. Variabel confounding telah dilakukan uji normalitas didapatkan hasil tidak ada hubungan usia, jenis kelamin, koping, individu pendukung, lingkungan, pengalaman nyeri sebelumnya terhadap intensitas nyeri, ini dikarenakan klien tidak mampu mengalihkan perhatian dari rasa nyeri yang hebat post operasi apendicitis, sehingga hasil statistik nya tidak perlu dilakukan transformasi. Teknik relaksasi Guided Imagery Music dapat digunakan sebagai intervensi mandiri keperawatan untuk mengurangi intensitas nyeri klien post operasi apendicitis. Kata Kunci: Guided Imagery Music, Klien Post Operasi Apendicitis, Intensitas Nyeri


2020 ◽  
Vol 14 (1) ◽  
pp. 53
Author(s):  
Julaecha Julaecha ◽  
Safitri Safitri ◽  
Ajeng Galuh Wuryandari

Dysmenorrhea is a menstrual disorder caused by an imbalance of the hormone progesterone in the blood. The incidence of dysmenorrhea 45-95% among women of childbearing age, occurs in adolescents who lack sports. The impact of dysmenorrhea is the percentage of attendance at college and not participating in learning. One way to deal with pain is yoga. This study aims to analyze the effect of yoga on dysmenorrhea. The study design was a quasi-experimental one-group pre-post test design. The sample in this study was 33 female students. The sampling technique was purposive sampling. The instrument used to measure the scale of pain during menstruation uses the Numeric Rating Scale (NRS). The collected data tested for normality data, and the data is normal, then the statistical test is done using repeated Anova test. The analysis showed that there were differences in pain scale before and after months 1 and 2 interventions with mean (sb) pain scale (5.8 (1.6) vs. 4.0 (1.7) vs. 2.7 (1.3) and P <0.05). The study concludes that yoga affects the decrease in pain scale during dysmenorrhea.


2018 ◽  
Vol 13 (1) ◽  
pp. 15
Author(s):  
Sidik Awaludin ◽  
Iwan Purnawan

<p>Hypertension can lead to the heart disease, kidney, and stroke if the blood pressure is not controlled. Various complementary therapies are developed to reduce pain due to high blood pressure. Humor therapy can cause a relaxation response and reduce a headache. The purpose of this research was to identify the impact of humor therapy to reduce headache caused by hypertension. This research used a quasi-experimental design of pre and post control group design. The number of samples was 40 people with primary hypertension in Mersi village Purwokerto. The sampling technique used was purposive sampling. Numeric rating scale was applied to measure the pain scale. The difference of pain scale before and after the intervention was tested using Mann Whitney test. Statistical analysis result showed that humor therapy has a significant impact to reduce headache due to hypertension (p value = 0.000). Humor therapy is able to reduce headache due to hypertension significantly.</p>.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Weny Amelia ◽  
Dewi Irawaty ◽  
Riri Maria

ABSTRACTBreast cancer is the abnormal growth of cells that occurs in breast tissue. The problem often arises in patients with breast cancer is pain. Guided Imagery is a nonpharmacological strategi that can reduce pain. The aimed of this research was to identify the effect of Guided Imagery to the scale of pain in breast cancer patients admited in female surgical wards Dr. M. Djamil hospital Padang. The study design was quasi experimental using pretest-posttest with control group and using a consecutive sampling. The number of samples was 30 people (15 control group and 15 the intervention group). Pain was measured by the Numeric Rating Scale (NRS). The statistical test was two different test mean. The result was a significant effect on the pain scale Guided Imagery in breast cancer patients (P Value = 0.000; α = 0.05). There was a significant relationship between the age with the pain scale (P Value = 0.000; α = 0.05), and there is no relationship between the tribe with the pain scale. The results of this study recommends Guided Imagery being implemented as nursing interventions to reduce the pain of breast cancer.


2018 ◽  
Vol 1 (1) ◽  
pp. 24-28
Author(s):  
Aprillia Veranita ◽  
Ni Luh Widani ◽  
Wilhelmus Hary Susilo

Pendahuluan: Kanker paru adalah pertumbuhan sel yang tidak terkendali pada paru-paru yang sering menimbulkan nyeri dan sesak napas. Manajemen nyeri yang tepat diperlukan untuk menangani respon nyeri.  Penelitian ini bertujuan untuk mengetahui pengaruh terapi musik & Deep Breathing Exercise (DBE) terhadap penurunan nyeri, frekuensi nadi dan pernapasan pada pasien kanker paru. Metode: Penelitian ini merupakan studi  quasi experimental pre-post test with control group dengan teknik purposive sampling ,terdiri dari 86 responden kelompok intervensi dan 22 kelompok kontrol di RSUP Persahabatan. Nyeri diukur dengan Numeric Rating Scale (NRS). Analisis yang digunakan adalah Uji regresi linear berganda, Paired sampel t-test,  Independent t-test. Hasil: Hasil penelitian menunjukan perbedaan bermakna nilai skala nyeri, frekuensi pernapasan dan nadi  sebelum dan sesudah intervensi terapi musik dan Deep Breathing Exercise (DBE) (p=0,000). Kesimpulan: Penurunan skala nyeri, frekuensi pernapasan dan nadi kelompok intervensi lebih besar dari pada kelompok kontrol. Penelitian ini merekomendasikan terapi musik & DBE sebagai intervensi mandiri keperawatan untuk mengurangi nyeri kanker paru.


2020 ◽  
Vol 3 (1) ◽  
pp. 59
Author(s):  
Asri Wiwi Marwati ◽  
Cucu Rokayah ◽  
Yeti Herawati

Banyaknya ibu post section dapat menimbulkan masalah pada luka sayatan di area abdomen yaitu nyeri. Ibu paska operasi Sectio Caesaria merasakan nyeri yang lebih tinggi dibandingkan dengan persalinan secara pervaginam sehingga kebutuhan ibu akan mobilisasi, perawatan diri dan bayinya, serta pemberian ASI kerapkali terganggu. Penelitian ini bertujuan untuk mengetahui pengaruh Progressive Muscle Relaxation (PMR) terhadap skala nyeri pada pasien post sectio caesaria di RSKIA Kota Bandung. Jenis penelitian ini berupa quasi eksperimen dengan metode pre test dan post test. Populasi penelitian sebanyak 34 pasien dibagi menjadi dua kelompok yaitu kelompok kontrol dan intervensi masing-masing 17 pasien. Metode pengumpulan data dengan carapurposive sampling. Instrumen penelitian ini menggunakan skala NRS (Numeric Rating Scale). Hasil penelitian menunjukkan skala nyeri sebelum dilakukan teknik PMR pada kelompok kontrol berada pada tingkat nyeri sedang sebanyak 7 responden (41.2%) dan pada kelompok intervensi berada pada tingkat sedang sebanyak 14 orang (82.4%). Skala nyeri sesudah dilakukan teknik PMR pada kelompok kontrol berada pada tingkat nyeri sedang sebanyak 10 orang (58.8%) dan pada kelompok intervensi pada tingkat sedang sebanyak 11 orang (64.7%).Pengaruh PMR pada kelompok kontrol memiliki nilai p-value 0.059. Pengaruh teknik PMR pada kelompok intervensi memiliki nilai p-value 0.001 sehingga terdapat pengaruh Progressive Muscle Relaxation pada pasien post sectio caesaria di RSKIA Kota Bandung. Pengaruh teknik PMR terhadap skala nyeri memiliki nilai p-value 0.030 sehingga dapat disimpulkan terdapat pengaruh Progressive Muscle Relaxation pada pasien post section caesaria di RSKIA Kota Bandung. Kata kunci: nyeri, progressive muscle relaxation, sectio caesaria THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION ON THE SCALE OF PAIN IN POST SECTIO CAESARIA ABSTRACTSection caesare caused by problems in wound incisions in the abdominal area, namely pain. Respondent with section caesaria has a higher pain scale compared to respondents with normal delivery, so that the mother's need for mobilization, self-care and her baby, and breastfeeding are often disrupted. This study aims to determine the effect of Progressive Muscle Relaxation (PMR) on the scale of pain in post sectio caesaria patients at RSKIA in Bandung. This type of research is quasi-experimental. The study population was 34 patients divided into two groups, namely the control and intervention groups. This type of research is quasi-experimental with the pre-test and post-test methods. The instrument of this study uses the NRS (Numeric Rating Scale).The results showed the scale of pain before the PMR technique in the control group was at the level of moderate pain as many as 7 respondents (41.2%) and the intervention group was at a moderate level of 14 people (82.4%). The scale of pain after the PMR technique in the control group was at a moderate level of pain of 10 people (58.8%) and in the intervention group at a moderate level of 11 people (64.7%). The effect of PMR techniques on the control group has a p-value of 0.059. The effect of PMR technique on the intervention group has a p-value of 0.001 so that there is an effect of Progressive Muscle Relaxation in post sectio caesaria patients at RSKIA Bandung City. The effect of PMR technique on pain scale has a p-value of 0.030 so it can be concluded that there is an effect of Progressive Muscle Relaxation in post sectio caesaria patients at RSKIA Bandung City.It is hoped that the results of this study can be used as guidelines for nurses' interventions that can be taught to patients and families as a patient companion in conducting this PMR technique. Keywords: pain, progressive muscle relaxation, sectio caesaria


2021 ◽  
Vol 2 (1) ◽  
pp. 1-6
Author(s):  
Akhmad Efrizal Amrullah ◽  
Ridlo Hafidz Faqih ◽  
Miftakhur Rohman ◽  
Candra Aditya Hermansyah

Memorizing Al-Qur'an is an effort to maintain the purity of the Al-Qur'an. The Qur'an tahfidz program is one of the activities intended to prevent the Qur'an from changing and falsifying either partially or completely. As the name implies, this program is applied to tahfidz Qur'an student to memorize Al-Qur'an under the guidance of their teacher. Memorization ability is determined by memory capacity which indicates brain health, one of which is influenced by the supply of oxygen to the brain. One way to maintain brain oxygenation is the management of deep breathing exercises combined with archery. The purpose of this study was to determine the effect of deep breathing exercises management in archery to achievement of memorizing the Qur'an. This research was held at SMP Ad-Dhuha Jember with a quasi-experimental one group pretest-posttest design method and was conducted in April-June 2019. The type of sample used was a total sampling of 34 respondents. Data analysis used the Wilcoxon Signed-Rank Test. The results showed an increase in the achievement of memorizing Al-Qur'an among students of the tahfidz Qur'an after managing deep breathing exercises with archery. Data analysis with alpha (α) <0.05 indicates a p value of 0.000 so that Ho is rejected. Thus there is an effect of deep breathing exercises management in archery on the achievement of memorizing the Al-Qur'an. A strong memory is needed to keep memorizing Al-Qur'an. To help increase the memory capacity of the brain, it requires an adequate supply of oxygen. Deep breathing exercises management combined with archery can be a way to maintain brain oxygenation. This exercise focuses on fullfiling oxygen needs, which in the process of memorizing the brain's memory functions are widely used.


2020 ◽  
Vol 2 (2) ◽  
pp. 102-112
Author(s):  
Luci Riani Ginting ◽  
Kuat Sitepu ◽  
Renni Ariana Ginting

Head injury is directly or indirectly mechanical injuries that resulted wound in the scalp, skull fracture, tear the lining of the brain, and brain damage, and neurological disorders. The basic method for brain protection of head injury patients are freeing the airway and giving adequate oxygenation. Giving oxygen and headv elevation 30° of head are the appropriate action for the moderate head injury classification to launch the cerebral oxygen perfusion and to increase consciousness level. The purpose of this research were to determine the GCS before and after giving oxygenation with and position 30 ° of head and to analyze the effect of giving oxygen and headv elevation30 °of head to change the levels of consciousness of moderate head injury patients. This research was an Quasi-Experimental study with 10 respondents. The test were used Paired Sample T-test Test. The results showed that there was an effect of giving oxygen and headv elevation 30 °of head toward to change the level of consciousness of moderate head injury patients. GCS average value before was 10.10 and GCS average after 12.90 value was with p value was 0.000. Keywords : Levels of Consciousness GCS, Moderate Head Injury, Position 30° of the Head


2021 ◽  
pp. rapm-2020-102238
Author(s):  
Jonathan M Hagedorn ◽  
Timothy R Deer ◽  
Nicholas C Canzanello ◽  
Stephen M Covington ◽  
Darrell R Schroeder ◽  
...  

IntroductionSpinal cord stimulation is frequently used for the treatment of intractable chronic pain conditions. Trialing of the spinal cord stimulator device is recommended to assess the patient’s response to neurostimulation before permanent implantation. The trial response is often assessed by Numeric Rating Scale changes and patient-reported percentage pain improvement. Using number rating scale changes between prespinal and postspinal cord stimulation trial, a calculated percentage pain improvement can be obtained. The aim of this study was to assess the difference between calculated and patient-reported percentage improvement in pain scale during spinal cord stimulation trials.MethodsThis study was a retrospective single center review of all spinal cord stimulation trials from January 1 2017 to July 1 2019. A total of 174 patients were included. The paired t-test was used to compare numeric pain scores obtained prestimulation versus poststimulation. The mean difference between methods (patient-reported minus calculated) was compared with zero using the 1-sample t-test. Lin’s concordance correlation coefficient was computed with a 95% CI, calculated using Fisher z-transformation; and a bootstrapping approach was used to compare the concordance correlation coefficient between groups. In all cases, two-tailed tests were used with p<0.05 considered statistically significant.ResultsBased on prestimulation and poststimulation numeric rating scale scores, the mean±SD calculated percentage improvement in pain scale was 54±28. The mean±SD patient-reported percentage improvement in pain scale was 59±25. The overall 95% limits of agreement for the two methods are −30% to +41%. The overall concordance correlation coefficient was 0.76 (95% CI 0.69 to 0.81).ConclusionAlthough the two methods are highly correlated, there is substantial lack of agreement between patient-reported and calculated percentage improvement in pain scale, suggesting that these measures should not be used interchangeably for spinal cord stimulator trial outcome assessment. This emphasizes the need for improved metrics to better measure patient response to neuromodulation therapies. Additionally, patient-reported percentage improvement in pain was found to be higher than calculated percentage improvement in pain, potentially highlighting the multidimensional experience of pain and the unpredictability of solely using Numeric Rating Scale scores to assess patient outcomes.


Author(s):  
Lutfatul Latifah ◽  
Dian Ramawati

Introduction: Every woman who undergo Sectio Caesaria (SC) surgery for delivery their babies often complain about pain after the surgery and it become very distrubing. The effect of the pain cause mobilisation limitation, interrupting bonding attachment between mother and child, and postponning breastfeeding inititation. This study conduct EFT or tapping as the pain management in women post SC surgery.The aim of this study is to identify the effect of EFT or tapping for reducing pain after SC surgery. Methods: Quasy experimental with pre-post non randomized control group design was used in this study. The data been colleted using Numeric Rating Scale (NRS) to measure the pain in participants before and after EFT or tapping treatment. The number of participants was 30 mothers with 15 women in control and treatment group respectively. The t-test was used to analize the effect of the EFT. Results: The mean of pain scale before treatment in control group was 5.20 dan 6.20 for the treatment group. The pain scale after treatment in control group was 5.00 and 4.27 in treatment group. There was a significant difference between the reducing pain scale in treatment group with p value = 0,000 (α = 0.05). Discussion: EFT or tapping can be one of many non farmacologic treatment as complementer therapy to reduce pain after SC surgery. Keywords: post SC pain, EFT, pain scale decline, non farmacologic therapy


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