scholarly journals The effect of warm compress intervention on post herniotomy pain

2020 ◽  
Vol 1 ◽  
pp. 146-150
Author(s):  
Ika Cahyaningsih ◽  
Wenny Savitri ◽  
R. Anggono Joko Prasojo

The most complaint symptom for post herniotomy patients is pain on the surgical site. Pain may affect patients' ability to mobilize and may attribute to prolonged length of stay in the hospital. Many complementary therapies have been used to decrease pain intensity for patients post-surgery, but warm compress intervention on post herniotomy pain has not been explored significantly. To investigate the effect of warm compress intervention on post herniotomy pain. The study used a pre-post test quasi-experimental with control group design. Sixteen post herniotomy adult patients of Wates Kulon Progo District General Hospital of Yogyakarta were recruited for each group. The intervention group was given warm compress interventions two times per day for two days. Pain intensity was assessed pre and post-intervention with the Numerical Rating Scale, while the control group only received regular analgetic. The researchers used the Wilcoxon Signed-Rank Test and Mann-Whitney U Test to compare pain intensity in each group and between groups.Fifteen out of 16 patients who received warm compress intervention rated decreased pain intensity as the rest did not experience any differences after the intervention (Z=-3.354, p=.001). Unlike the control group, only 3 out of 16 patients experienced declined pain intensity after two days of herniotomy when the rest did not encounter any changes (Z=-1.732, p=.083). The mean rank between intervention and control groups were significantly different (U=20.000, p=.000). Warm compress intervention is a non-invasive nursing intervention which is effective in reducing the pain intensity of post herniotomy patients.

2020 ◽  
Vol 2 (2) ◽  
pp. 74
Author(s):  
Kirnawan Fadholi ◽  
Akhmad Mustofa

Pain management in postoperative patients so far in the Shofa Room of PKU Muhammadiyah Hospital in Temanggung is still limited to pharmacotherapy in the form of 1 gram injection metamizole or 30mg ketorolac injection and the provision of deep breath therapy. Giving this therapy is not optimal in dealing with patient pain. Therefore other therapies need to be given for example non-pharmacology, one of them is a combination of murottal Al-Qur'an therapy and virtual reality when the pharmacotherapy reaction is finished and the complementary therapy has never been done in the room. The purpose of this study was to determine the effect of a combination of Murottal Al-Qur'an therapy and virtual reality on pain intensity in postoperative patients. The research design used in this study was quasi-experimental with a pre-posttest with a control group design approach. The subjects of this study were 32 post-operative patients at PKU Muhammadiyah Temanggung Hospital. The sampling technique used was purposive sampling. The instrument used in obtaining data is the Numeric Rating Scale. The results showed that: 1) there were differences in the average pretest and posttest intensity of postoperative pain in the intervention group with a p-value of 0,000; 2) there is a difference in the average pretest and posttest intensity of postoperative pain in the control group with a p-value of 0.003; and 3) there is a significant difference in the decrease in intensity of postoperative pain in the intervention group and the control group with a p-value of 0.009 where the experimental group showed a decrease in intensity more effectively than the control group. The results of this study indicate that the combination of Murottal Al-Qur'an therapy and virtual reality is effective in reducing pain intensity in postoperative patients.


2016 ◽  
Vol 9 (6) ◽  
pp. 47
Author(s):  
Mohammad Hosseinifar ◽  
Razieh Bazghandi ◽  
Zahra Azimi ◽  
Bahareh Khodadadi Bohlouli

PURPOSE: Tension type headache (TTH) is one of the most prevalent types of headache. TTH is classified as episodic if it occurs on less than 15 days a month and as chronic if it occurs more often. Tension, anxiety and depression are some etiological factors for TTH which leads to work efficiency reduction. Today the interest in non-pharmacological methods is increasing; massage is one of these approaches which has no side effects. Aim of this study was to investigate the effects of neck Myofascial Release (MFR) techniques and exercise therapy on pain intensity and disability in patients with chronic tension-type headache.METHODS: This randomized clinical trial study was investigated on 30 females suffering from TTH. Participants were randomly assigned into two equal groups (n=15). The MFR group received neck MFR massage and exercise therapy four times a week for 3 weeks, each session lasting 45 minutes. Control group had no intervention. Outcomes were headache intensity and disability measured by numerical rating scale (NRS) and headache disability index (HDI), respectively. Data was analysed through independent and pair t-test.RESULTS: Between group comparison showed significant improvement of headache intensity and disability rate in MFR group (p<0.05) than control group (p=0.000).DISCUSSION: This study provides evidences that MFR technique and exercise therapy have significant effect on patients with TTH.


2018 ◽  
Vol 6 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Oktavina Permatasari ◽  
Retno Murwani ◽  
M. Zen Rahfiludin

Tempe is a well known fermented soybean food, inexpensive, and a good source of dietary protein and energy. To improve fresh Tempe as an attractive food to children, Tempe is processed into nugget. A study using pre and post control group design was conducted to determine the effect of the Tempe nugget provision on energy and protein intake, and body weight/age (W/A) of 24-59 months old children. Forty six subjects were selected according to inclusion criteria from local Community Health Center (Puskesmas) and grouped into intervention (provision of Tempe nugget) and control group (no provision). Data of energy and protein intake of subjects before intervention were obtained by 2x24 food recall to determine deficiency in intake for the respective age. The amount of the nugget given to each underweight child in intervention group was calculated on the basis of deficiency in energy and protein intake of each child (W/A) per day. Body weight was recorded pre and post intervention. The deep-fried nuggets contained 276.53 calories per 100 g, 8.60% protein, 28.41% carbohydrate, 13.28% lipid, and 44.28% fiber. The mean age of the subjects in intervention and control group were homogeneous i.e. 40.52±10.88 months and 42.39±12.35 months respectively. Tempe nugget provision for 30 days improved significantly energy intake (p 0.001) in intervention compared to control group. Protein intake and W/A in intervention group were higher compared to control although not significant and further study with higher amount of Tempe nugget provision is needed. This study provides evidence that deep fried Tempe nugget can be used as inexpensive and nutritious food to improve protein and energy intake for underweight underfive children.


2019 ◽  
Vol 7 (7) ◽  
pp. 1220-1225
Author(s):  
Abdul Aziz Alimul Hidayat ◽  
Musrifatul Uliyah

AIM: The purpose of this study is to analyse the usage of nursing care model based on culture to improve parenting practices related to malnutrition among Madurese children. METHODS: This study uses a quasi-experimental design and a purposive sample of 102 respondents from families with toddlers who suffered from nutritional deficiency. The sample consisted of an intervention group (n = 51) and a control group (n = 51). Data were collected using a questionnaire and weight measurement. RESULTS: A t-test found a difference between all of the variables of care, including health technology utilization, when comparing the following variables between the intervention group and the control group (t = 14.12, p < 0.001), beliefs and philosophy (t = 10.20, p < 0.001), cultural values and lifestyle (t = 13.63, p < 0.001), economic reasons (t = 0.20, p = 0.837), nursing action response based on culture (t = 11.28, p < 0.001), and care behaviors for children (t = 16.43, p < 0.001). The Wilcoxon signed-rank test found a difference between pre-intervention nursing care model based on culture and post-intervention nursing care model based on culture regarding the variable malnutrition status (t = 16.43, p < 0.001). CONCLUSION: This study found that the application of nursing care model based on culture affects care practices. Nursing care model based on culture can be applied to families with toddlers who are malnourished because of the lack of a culture of care.


2019 ◽  
Vol 3 (2) ◽  
pp. 92
Author(s):  
Sri Tanjung Rejeki ◽  
Yuni Fitriani

 Latar Belakang : Kehamilan melibatkan berbagai perubahan fisiologis antara lain perubahan fisik, perubahan sistem pencernaan, sistem respirasi, sistem traktus urinarius,muskuloskeletal dan sirkulasi. Dalam proses adaptasi tidak jarang ibu akan mengalami ketidaknyamanan salah satunya adalah nyeri punggung, meskipun nyeri punggung adalah hal fisiologis namun tetap perlu diberikan suatu penanganan, seperti yoga prenatal. Tujuan : untuk mengetahui pengaruh yoga prenatal terhadap nyeri punggung pada ibu hamil trimester II dan III. Metode penelitrian dengan quasi experiment Desain penelitian Pretest and Postest Without Control Group Design. Jumlah sampel dalam penelitian ini adalah 30 ibu hamil Trimester II dan III, alat ukur kuesioner Numeric Pain Rating Scale (NPRS). Penelitian dilakukan bulan April tahun 2019. Data dianalisis dengan Wilcoxon (Wilcoxon Signed Rank Test). Hasil penelitian menunjukkan adanya pengaruh yoga prenatal terhadap penurunan intensitas nyeri punggung pada ibu hamil trimenster II dan III karena nilai Asym. Sig sebesar 0,000(p value < 0,05).


2013 ◽  
Vol 11 (1) ◽  
pp. 84-96 ◽  
Author(s):  
Linda A. Keeler ◽  
Dawn E. Clifford ◽  
August Buck ◽  
Petra Kowalski ◽  
Michelle N. Morris

A non-equivalent control group design was utilized to investigate the effect of a non-diet, peer-led, tailored nutrition and exercise adherence intervention (FitU) on exercise stages of change, intuitive eating, and barriers to healthy eating and exercise in college females. Female students (n=17) who enrolled in the 8-10 week program served as the intervention group and general education students who did not receive an intervention served as the control group (n=16). Surveys were administered pre and post intervention over two consecutive semesters. Utilizing ANCOVA analyses, reported barriers to eating healthy decreased (p=.008) and one intuitive eating subscale, eating for physical rather than emotional reasons improved significantly (p=.01) in the intervention group compared to control from pre to post. Further, 65% of the intervention group reported an improvement in exercise stage of change and none relapsed compared with only 20% improvement and 40% relapse in the control group from pre to postintervention. The majority of the intervention participants also reported improved dietary (82.4%) and exercise (76.5%) patterns/thoughts. Peer-led and individually tailored, non-diet nutrition and exercise interventions may effectively promote healthy behaviors among college females.


2018 ◽  
Vol 7 (2) ◽  
pp. 143
Author(s):  
Natalia Devi Oktarina ◽  
Suwanti Suwanti ◽  
M. Imron Rosyidi

Nyeri dismenore adalah nyeri di daerah panggul akibat menstruasi dan produksi zat prostaglandin yang membuat dinding rahim berkontraksi dan pembuluh darah sekitarnya terjepit (kontriksi) yang menimbulkan iskemi jaringan. Penanganan nyeri dismenore dapat dilakukan dengan nonfarmakologis diantaranya dengan pemberian minuman kunyit asam dan stimulasi kutaneus. Penelitian ini untuk mengetahui perbedaan efektivitas pemberian kunyit asam yang baisa dikonsumsi remaja dengan pemberian stimulasi kutaneusterhadap penurunan intensitas nyeri dismenore pada siswi remaja putri. Penelitian ini menggunakan desain penelitian quasy eksperiment dengan rancangan pretest-posttest with control group design. Pengambilan sampel dengan cara purposive sampling. Besarnya sampel adalah 40 remaja di Desa Candirejo Kabupaten Semarang. Instrumen penelitiannya berupa lembar observasi nyeri Numerical Rating Scale. Analisis data menggunakan uji statistik t-test independent. Hasil penelitian melalui uji statistik t-test independent menunjukkan nilai p-value 0,002  yang artinya ada perbedaan efektivitas pemberian kunyit asam dan stimulasi kutaneus terhadap penurunan intensitas nyeri haid dengan rata-rata penurunan skala nyeri lebih tinggi pada stimulasi kutaneus. Kesimpulannya adalah stimulasi kutaneus lebih efektif menurunkan skala nyeri dismenore pada remaja putri.Berdasarkan dari hasil penelitian yang dilakukan diharapkan intervensi stimulasi kutaneus dapat diterapkan dan diaplikasikan sebagai intervensi baru bagi remaja ataupun masyarakat untuk mengatasi dismenore. Kata kunci      : nyeri dismenore, kunyit asam, stimulasi kutaneus


2018 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Rr. Catur Leny W ◽  
Machfudloh Machfudloh

ABSTRAK Nyeri persalinan dapat menimbulkan stres yang menyebabkan pelepasan hormon yang berlebihan seperti katekolamin dan steroid. Endorphin Massage merupakan sebuah terapi sentuhan/pijatan ringan yang cukup penting diberikan pada wanita hamil, di waktu menjelang hingga saatnya melahirkan. Tujuan penelitian adalah mengetahui pengaruh Endorphin Massage terhadap intensitas nyeri kala I fase aktif pada persalinan. Penelitian ini menggunakan jenis penelitian kuantitatif quasi eksperimental design, dengan rancangan yang digunakan adalah posttest only control group design dengan sampel 30 responden diambil dengan menggunakan teknik Acidental sampling di BPM Wilayah Puskesmas Demak. Data yang digunakan data primer dengan instrument berupa lembar checklist. Analisa data menggunakan uji Spearman Rank. Hasil Penelitian ada pengaruh pemberian Terapi Endorphin Massage terhadap intensitas nyeri kala I fase aktif persalinan yaitu didapatkan hasil p<0,05 yaitu p=0,004. Simpulan intesitas nyeri responden sebelum dilakukan Endorphin Massage sebagian besar responden mengalami nyeri berat dengan skala 8-9, Intesitas nyeri responden setelah dilakukan Endorphin Massage sebagian besar responden mengalami nyeri sedang dengan skala 6-7. Ada pengaruh Endorphin Massage terhadap intensitas nyeri kala I fase aktif pada persalinan. Kata kunci : Endorphin massage; Intensitas nyeri; Persalinan   ENDORPHIN MASSAGE THERAPY TO REDUCE THE INTENSITY OF PAIN DURING THE ACTIVE PHASE OF LABOR  ABSTRACT Birth pain may cause stress that lead tobring out excessive hormones such as catecholamines and steroids. Endorphin massage is a touch therapy orgentlemassage which is important enough for pregnant women before giving birth. The aim of this research is to know the effect of Endorphin Massageonpain intensity during active phase of first stage in labor. This research uses quantitative quasi experimental design, with the design used is posttest for control group design. Independent variable is endorphin massage.Variable dependent is pain intensity of acitivephase of first stage in labor, with 30 respondents of sample wich is taken by using technique of Acidental sampling. This research took a place in BPM area of public health center Demak. The data was gathered through observation using checklist form. The data was analyzed using Spearman Rank test. The result of the research is there is an effect of Endorphin Massage onpain intensity of acitivephase of first stage in labor withp <0,05, p = 0,004. The conclusion is most of respondents had severe pain with scale 8-9before Endorphin Massage, and most of the respondentshad moderate pain with scale 6-7after Endorphin Massage. There is an effect of Endorphin Massage on pain intensity of acitivephase of first stage in labor. Keywords: Endorphin massage; Labor; Pain Intensity 


2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Farhad Soltani ◽  
Farahzad Janatmakan ◽  
Sara Jorairahmadi ◽  
Fatemeh Javaherforooshzadeh ◽  
Pooyan Alizadeh ◽  
...  

Background: Traumatic brain injury (TBI) is one of the common causes of long-term disabilities and mortality. This study aimed to evaluate the effect of atorvastatin administration on the Glasgow Coma Scale (GCS), Glasgow Outcome Scale (GOS), and Disability Rating Scale (DRS) in patients with TBI. Methods: This double-blinded randomized clinical trial included 60 patients with TBI in Golestan Hospital of Ahvaz, Iran. After obtaining an informed consent from all patients, the patients were randomly assigned into two groups. For the intervention group, atorvastatin with a daily dose of 20 mg was used. The control group was administered the same amount of placebo for 10 days. Changes in the level of consciousness were measured using the GCS, and functional recovery rate in patients was measured by GOS and DRS in the third follow-up month. Results: According to the obtained results, compared with the control group, the atorvastatin administration significantly increased the level of GCS and DRS within 2 - 3 months post-intervention and improved GOS since the tenth day after the study (P < 0.05). Conclusions: The results revealed the positive effect of atorvastatin on the improvement of outcomes measurements such as GCS, DRS, and GOS in patients after moderate and severe TBI.


1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Vivi Meliana Sitinjak ◽  
Maria Fudji Hastuti ◽  
Arina Nurfianti

Proses degeneratif tubuh yang terjadi seiring dengan pertambahan usia akan meningkatkan risiko terjadinya nyeri sendi akibat osteoarthritis lutut, terutama pada lansia. Nyeri sendi yang dialami akan menurunkan aktivitas fisik lansia dan berdampak pada penurunan lingkup gerak sendi. Salah satu tindakan nonfarmakologi yang dapat digunakan untuk mengurangi skala nyeri sendi adalah senam rematik. Gerakan aktif dan ringan tanpa menggunakan beban dalam senam rematik menjadi pemicu pengeluaran beta-endorfin, neuromudulator alami tubuh yang dapat menghambat pelepasan impuls nyeri sehingga skala nyeri sendi lansia berkurang. Tujuan penelitian ini untuk mengetahui pengaruh senam rematik terhadap perubahan skala nyeri pada lansia dengan osteoarthritis lutut. Desain penelitian quasi experimentaldengan pendekatan pretest-posttest with control group design. Responden dipilih menggunakan teknik purposive sampling di Panti Werdha Sinar Abadi Kota Singkawang kemudian dibagi menjadi kelompok perlakuan dan kelompok kontrol. Instrumen penelitian adalah Pain Assessment in Advanced Dementia Scaledengan analisis data menggunakan Paired T Testdan Independent T Test.Uji hipotesis dengan Paired T Testpada kelompok perlakuan p-value= 0,000 dan pada kelompok kontrol p-value= 0,017. P-valuekedua kelompok < 0,05 yang berarti terdapat penurunan skala nyeri setelah pemberian senam rematik pada kelompok perlakuan dan kelompok kontrol. Uji beda mean posttestantara kelompok perlakuan dan kelompok kontrol menggunakan Independent T Test menunjukkan p-value= 0,000 (p<0,05) yang berarti penurunan skala nyeri dengan senam rematik lebih bermakna daripada penurunan skala nyeri yang tidak diberikan senam rematik. Terdapat pengaruh senam rematik terhadap perubahan skala nyeri pada lansia dengan osteoarthritis lutut berupa penurunan skala nyeri pada kelompok perlakuan dan kelompok kontrol, tetapi hasil uji beda mean kedua kelompok menunjukkan adanya perbedaan perubahan skala nyeri, skala nyeri kelompok perlakuan lebih rendah daripada kelompok kontrol. Penurunan skala nyeri lebih efektif pada kelompok menggunakan senam rematik daripada kelompok yang tidak diberikan senam rematik.Kata kunci:Lansia, nyeri sendi, osteoarthritis lutut, senam rematik, skala nyeri.The Effect of Rheumatoid Physical Exercises to Reduce Pain Intensity among Elderly Diagnosed with Knee Osteoarthritis AbstractIt is known that arthritis pain can reduce physical activities and join mobility among elderly. A rheumatoid physical exercise is considered as one of non-pharmacologic treatment to minimise their pain intensity. This activity stimulates the release of beta endorphin which inhibits pain impulse modulation that contributed to the reduction of pain intensity. This study aimed to examine the effect of structured physical exercises towards pain intensity among knee osteoarthritis. A quasi experimental with pretest-posttest with control group design was designed. Two groups of elderly were assigned in control and intervention groups. Respondent were recruited using purposive sampling from Panti Werdha Sinar Abadi in Singkawang Kalimantan. Data was assessed using Pain Assessment in Advanced Dementia Scale and then analysed by employing Paired T-test and Independent T-test. Findings indicated there was a different of pain intensity within the intervention group (p-value = 0,000) and controlled group (p-value=0,017). Thus, the reduction of pain score was more effective among the intervention group compared to the controlled group. Keywords: Arthritis pain, elderly, knee osteoarthritis, rheumatoid physical exercise, pain scale.


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