scholarly journals AKUPRESUR EFEKTIF MENGATASI DISMENOREA

2018 ◽  
Vol 2 (1) ◽  
pp. 9
Author(s):  
Abel Zulia ◽  
Heni Setyowati Esti Rahayu ◽  
Rohmayanti
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Therapy Group ◽  
Numeric Rating Scale ◽  
Health Sciences ◽  
Statistical Test ◽  
Test Results ◽  
Relieve Pain ◽  
Numerical Rating ◽  
Numeric Rating

ABSTRAKTujuan penelitian: untuk membandingkan efektivitas antara aromaterapi lavender dan akupresur dalam mengatasi dismenorea. Metode: Rancangan penelitian yang digunakan adalah quasy experiment dengan two group pretest dan posttest design. Penelitian dilakukan di Fakultas Ilmu Kesehatan Universitas Muhammadiyah Magelang tanggal 14 Maret sampai 9 Mei 2015. Sampel sebanyak 44 responden dibagi menjadi dua kelompok, yaitu 22 orang sebagai kelompok aromaterapi lavender dan 22 orang sebagai kelompok terapi akupresur. Aromaterapi diberikan secara inhalasi selama 10 menit, dilakukan dua kali sehari selama 3 hari. Akupresur dilakukan pada LI 4 dan ST 36 selama 20 menit sebanyak dua kali sehari selama 3 hari. Instrumen untuk mengukur nyeri menggunakan numeric rating scale. Uji statistik yang digunakan adalah uji Mann Whitney. Hasil: Terdapat perbedaan antara aromaterapi lavender dan terapi akupresur dalam mengatasi dismenore dengan perbedaan penurunan intensitas nyeri terapi akupresur 1,95 lebih besar daripada aromaterapi lavender 1,46 dengan nilai p= 0,002. Diskusi: Terapi akupresur dengan pemijatan atau penekanan pada titik LI 4 dan ST 36 akan meningkatkan kadar endorfin sehingga lebih cepat menurunkan rasa nyeri, sedangkan aroma yang dihirup melalui proses pernapasan baru merangsang kinerja otak dan dipengaruhi oleh dalamnya pernapasan. Kesimpulan: Terapi akupresur lebih efektif dalam mengatasi dismenorea daripada aromaterapi lavender.Kata Kunci: dismenorea, aromaterapi lavender, akupresurEFFECTIVENESS OF ACUPRESSURE IN TREATING DYSMENORRHOEA ABSTRACTObjective: To compare the effectiveness of lavender aromatherapy and acupressure in treating dysmenorrhea. Methods: This study is a quasi-experiment with two group pretest and posttest design. The study was conducted at the Faculty of Health Sciences, Muhammadiyah University of Magelang on 14 March 2015 to 9 May 2015. Samples consisting of 44 respondents were divided into two groups, namely 22 in lavender aromatherapy group and 22 in acupressure therapy group. Aromatherapy was given through inhalation for 10 minutes, done twice a day for 3 days. Acupressure was performed on LI 4 and ST 36 for 20 minutes, twice a day for 3 days. Numerical rating scale was usedfor measuring pain. The statistical test usedMann-Whitney test. Results: There was a difference between lavender aromatherapy and acupressure therapy in treating dysmenorrhea with a decrease in the intensity ofpain of acupressure therapy by 1.95, which was greater than lavender aroma by 1.46 with p = 0.002. Discussion: Acupressure therapy with massage or pressure on the points of LI 4 and ST 36 would increase endorphin levels so that it would quickly relieve pain, while the inhaled scent through the breathing process only stimulated brain’sperformance and was affected by the depth of breathing. Conclusion: Acupressure therapy is more effective in treating dysmenorrhea than lavender aromatherapy.Keywords: dysmenorrhea, lavender aromatherapy, acupressure

scholarly journals PENGARUH TERAPI KOMPRES HANGAT DENGAN WWZ (WARM WATER ZACK) TERHADAP NYERI PADA PASIEN DYSPEPSIA

2020 ◽  
Vol 11 (1) ◽  
pp. 1462-1468
Author(s):  
R. Nur Abdurakhman ◽  
Suzana Indragiri ◽  
Leny Nur Setiyowati
Keyword(s):  
Rating Scale ◽  
Medical Condition ◽  
Numeric Rating Scale ◽  
Statistical Test ◽  
Warm Water ◽  
Test Results ◽  
Solar Plexus ◽  
The One ◽  
Upper Abdomen ◽  
Numeric Rating

ABSTRAKDyspepsia merupakan suatu kondisi medis yang ditandai dengan nyeri atau rasa tidak nyaman pada perut bagian atas atau ulu hati. Hal ini yang dapat menyebabkan gangguan rasa nyaman dan aman yaitu nyeri. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi kompres hangat dengan WWZ (Warm Water Zack) terhadap nyeri pada pasien dyspepsia di RSIA Pala Raya Kabupaten Tegal Tahun 2020.Penelitian ini menggunakan rancangan penelitian Pre-eksperimental dengan tipe the one group pretest-posttest design. Populasi dalam penelitian ini adalah seluruh pasien yang didiagnosa dyspepsia sebanyak 15 pasien pada tanggal 12 - 14 Maret 2020, pengambilan sampel dengan teknik total sampling. Instrumen penelitian berupa lembar ceklist dan NRS (Numeric Rating Scale) menggunakan metode Paired T-Test.Hasil penelitian didapatkan bahwa intensitas nyeri sebelum dilakukan intervensi sebagian besar responden mengalami nyeri berat 7 - 10 (66,66%) dan intensitas nyeri setelah dilakukan intervensi adalah sebagian besar responden mengalami nyeri ringan 1 - 3 (60%). Hasil uji statistik diperoleh nilai p = 0,000 dan jika α = 0,05 maka p <α (0.000 < 0,05), yang artinya terdapat pengaruh yang signifikan antara terapi kompres hangat dengan WWZ (Warm Water Zack) terhadap nyeri pada pasien dyspepsia Kata Kunci    : Terapi Kompres Hangat, WWZ (Warm Water Zack), Nyeri, Dyspepsia. ABSTRACTDyspepsia is a medical condition characterized by pain or discomfort in the upper abdomen or solar plexus. This can cause discomfort and safety, namely pain. The purpose of this study was to determine the effect of warm compress therapy with WWZ (Warm Water Zack) on pain in dyspepsia patients at RSIA Pala Raya Kabupaten Tegal 2020.This study uses a Pre-experimental research design with the type of the one group pretest-posttest design. The population in this study were all patients diagnosed with dyspepsia as many as 15 patients on March 12-14, 2020, sampling with an total sampling techniqueat. The research instruments were checklist sheets and NRS (Numeric Rating Scale) using the Paired T-Test method.The results is the intensity of pain before the intervention was done most of the respondents experienced severe pain 7 – 10 (66,66%0 and the intensity of pain after the intervention was that the majority of respondents experienced mild pain 1 – 3 (60%). Statistical test results obtained the value of p = 0,000 and if α = 0.05 then p <α (0,000 <0.05), which means there is a significant effect between warm compress therapy with WWZ (Warm Water Zack) on pain in dyspepsia patients.Keywords : Warm Compress Therapy, WWZ (Warm Water Zack), Pain, Dyspepsia.

Xenon analgesia in children with extensive wounds

2021 ◽  
pp. 52-57
Author(s):  
V. G. Bagaev ◽  
N. G. Rauschenbach ◽  
V. A. Mitish ◽  
P. V. Medinsky ◽  
V. G. Amcheslavsky ◽  
...  
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Local Treatment ◽  
Mean Value ◽  
Wound Dressings ◽  
Severe Injuries ◽  
Relieve Pain ◽  
Xenon Concentration ◽  
Numerical Rating ◽  
Ramsay Scale

Purpose. To assess the effectiveness of sub-narcotic concentrations of xenon in the local treatment of extensive wounds in children with severe injuries.Material and methods. 14 patients (average age 9.3 ± 4.0 years) with extensive wounds were taken into the trial. 67 dressings in them were done with 30 % xenon and oxygen. Pain intensity was assessed by the numerical rating scale of pain (NRSp) (1–10 points); sedation depth – by Ramsay scale (1–6 points) and BIS index.Results. Inhalations of 30 % xenon with oxygen during wound dressings reduced the intensity of pain from Me 3.67 (1.2; 6.0) to Me 2.0 (1.0; 3.3) points by NRSp scale (p < 0.05); after sedanalgesia, it increased again to Me 3.0 (1.0; 5.3). Analgesia with 30 % xenon was effective in 55 (82.0 %) dressings; in 8 (11.9 %) patients with trauma, xenon concentration was increased to 50 %, and in 4 (5.9 %) cases 50 % xenon was added with Fentanyl 1–2 mcg/kg. The depth of sedation assessed by the Ramsay scale decreased (p < 0.05) from 6.0 (5.6; 6.0) to 3.1 (2.2; 4.5) points; after sedanalgesia it increased to Me 5.0 (4.5; 5.4) points. At the same time, the mean value of BIS index decreased (p < 0.05) from 97.5 ± 1.5 to 86.5 ± 5.0 U; after dressing, it rapidly increased to 93.0 ± 2.1 U. During dressings, 82 % of children were calm, had contact with a doctor. Afterwards, their sleep was restored, their mood improved.Conclusion. Sedanalgesia with xenon in sub-narcotic concentrations is an effective technique to relieve pain during treatment of extensive wounds in children.

scholarly journals Clinical Outcome of Cooled Radiofrequency Ablation in Chronic Knee Pain Osteoarthritis: An Initial Experience from Nepal

2021 ◽  
Vol 19 (1) ◽  
pp. 175-178
Author(s):  
Anuj Jung Rayamajhi ◽  
Pawan Kumar Hamal ◽  
Rupesh Kumar Yadav ◽  
Nabin Pokhrel ◽  
Prashanta Paudel ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Knee Pain ◽  
Ultrasound Guidance ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Numeric Rating Scale ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Chronic Knee Pain ◽  
Numerical Rating

Background: Cooled Radiofrequency ablation is a newer technique for management of chronic knee pain in osteoarthritis. The aim of the study is to evaluate the clinical outcomes in patients with chronic osteoarthritis in terms of pain scores for first six months of cooled radiofrequency ablation using ultrasound guidance. Methods: A cross-sectional study with retrospective review of database was evaluated to analyze the change in the Numerical Rating Scale from baseline scores at 1 day, 1 month and 6 months after the Cooled Radiofrequency ablation of genicular nerves around knee in patients with chronic knee osteoarthritis. Results: Median age was 71 years [ 61-73 years (IQR: 25-75)] with more female preponderance. Numerical Rating Scale (Mean ± S.D.) was significantly less at 1 day (1.87 ± 1.22), 1 month (3.03 ± 0.99) and 6 months (3.37 ± 1.098) from baseline values (6.77 ± 1.00). No soreness and numbness were noted.Conclusions: Cooled Radiofrequency using Ultrasound guidance for management of knee pain in chronic osteoarthritis is promising and reduces Numerical Rating Score significantly from baseline at 1 month and 6 months respectively.Keywords: Cooled radiofrequency ablation; genicular nerve; numeric rating scale

scholarly journals Comparison of Lancing Devices for Self-Monitoring of Blood Glucose regarding Lancing Pain

2009 ◽  
Vol 3 (5) ◽  
pp. 1136-1143 ◽  
Author(s):  
Serge Kocher ◽  
J. K. Tshiang Tshiananga ◽  
Richard Koubek
Keyword(s):  
Blood Glucose ◽  
Rating Scale ◽  
State Of The Art ◽  
Numerical Rating Scale ◽  
Monitoring Systems ◽  
Test Results ◽  
Self Monitoring ◽  
Numerical Rating ◽  
Improve Patient ◽  
Diabetes Patients

Background: Self-monitoring of blood glucose empowers diabetes patients to effectively control their blood glucose (BG) levels. A potential barrier to frequent BG controls is lancing pain, intrinsically linked to pricking the finger several times a day. In this study, we compared different state-of-the-art lancing devices from leading manufacturers regarding lancing pain, and we intended to identify lancing devices that are less painful. Methods: First, 165 subjects compared 6 different BG monitoring systems—consisting of a lancing device and a BG meter—at home for 36 days and at least 3 BG tests per day. Second, the subjects directly compared 6 different lancing devices—independent from a BG meter—in a laboratory setting. The test results were collected in questionnaires, and lancing pain was rated on a numerical rating scale. Results: One hundred fifty-seven subjects were included in the analysis. Accu-Chek BG monitoring systems were significantly ( p ≤ .006) preferred to competitor BG monitoring systems and were rated by >50% of the subjects as “less painful” than competitor BG monitoring systems. Accu-Chek lancing devices were significantly ( p < .001) preferred to competitor lancing devices and were rated by >60% of the subjects as “less painful” than competitor lancing devices. Conclusions: We found significant differences in lancing pain between lancing devices. Diabetes patients clearly preferred lancing devices that cause less lancing pain. In order to improve patient compliance with respect to an adequate glycemic control, the medical staff should preferentially prescribe lancing devices that cause less lancing pain.

scholarly journals MUROTTAL THERAPHY AND FINGER HANDHELD RELAXATION ON ADOLESCENT WITH DYSMINORRHEA

2020 ◽  
Vol 13 (2) ◽  
pp. 104
Author(s):  
Andi Adriana Amal ◽  
Hasnah Hasnah ◽  
Nur Rezki Hadiyanti Z
Keyword(s):  
Quantitative Research ◽  
Rating Scale ◽  
Therapy Group ◽  
Numeric Rating Scale ◽  
Pain Scale ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
Before And After ◽  
Numeric Rating

Dysmenorrhoea is experienced by most girls which causes them to be absent from school repeatedly so that proper management of dysmenorrhea is needed. This study aims to determine the effectiveness of murottal therapy and finger handheld relaxation in adolescents with dysmenorrhea. This research method is a quantitative research with a quasi experiment with control group, the study population is young women with dysmenorrhea and the sample consists of 36 girls with dysmenorrhea divided into 18 respondents in the murottal therapy group and 18 respondents in the finger handheld relaxation group. The dysmenorrhea pain scale was measured by the Numeric Rating Scale (NRS). The results showed that there were significant differences before and after the intervention, both murottal therapy and finger handheld relaxation with p value <0.0001. There was no significant difference in the murottal therapy and finger handheld relaxation groups with p value = 0.486. From the results of the study, it was concluded that murottal therapy and finger handheld relaxation were effective against dysmenorrhea in adolescents so that these two interventions could be used to treat dysmenorrhea in young womenABSTRAKDismenorea dialami sebagian besar remaja perempuan yang menyebabkan ketidakhadiran mereka di sekolah secara berulang sehingga dibutuhkan manajemen dismenore yang tepat. Penelitian ini bertujuan untuk mengetahui bagaimana efektivitas murottal theraphy dan fing er handheld relaxation pada remaja dengan dismenore. Metode penelitian ini adalah penelitian kuantitatif dengan quasi eksperiment with control group, populasi penelitian adalah remaja putri dengan dismenore dan sampel terdiri dari 36 remaja putri dengan dismenore yang dibagi menjadi 18 responden pada kelompok murottal theraphy dan 18 responden pada kelompok finger handheld relaxation. Skala nyeri dismenore diukur dengan Numeric Rating Scale (NRS). Hasil penelitian menunjukkan terdapat perbedaan yang bermakna sebelum dan setelah diberikan intervensi baik murottal therapy maupun finger handheld relaxation dengan nilai p <0.0001. Tidak ada perbedaan signifikan pada kelompok murottal therapy dan finger handheld relaxation dengan nilai p=0,486. Dari hasil penelitian disimpulkan bahwa murottal therapy maupun finger handheld relaxation efektif terhadap dismenore pada remaja sehingga kedua intervensi ini dapat digunakan dalam mengatasi dismenore pada remaja putri 

scholarly journals Does Metabolic Syndrome Determine Severity and Disability of Chronic Low Backache?

2018 ◽  
Vol 09 (02) ◽  
pp. 208-213 ◽  
Author(s):  
Jayantee Kalita ◽  
Kamlesh Kumar Sonkar ◽  
Usha Kant Misra ◽  
Sanjeev K. Bhoi
Keyword(s):  
Metabolic Syndrome ◽  
National Cholesterol Education Program ◽  
Rating Scale ◽  
Rank Correlation ◽  
Numeric Rating Scale ◽  
Test Results ◽  
Adult Treatment Panel ◽  
Chi Square ◽  
Spearman’S Rank Correlation ◽  
Numeric Rating

ABSTRACT Introduction: Obesity may be associated with more severe and disabling low backache (LBA) due to alteration in biomechanics, but there are no such studies from developing countries. Aims: We report the frequency of metabolic syndrome (MS) in chronic LBA (CLBA) and its association with severity and disability of CLBA. Subjects and Methods: Consecutive patients with CLBA attending to the neurology service from October 2015 to February 2016 were included in the study. Clinical and demographic parameters were recorded. Routine biochemical test was done. The severity of pain was assessed by a 0–10 Numeric Rating Scale (NRS) and disability by Oswestry Disability Index (ODI) version 2. Comparison of variables was done by Chi-square or independent t-test and correlation by Karl Pearson or Spearman's rank correlation test. Results: Seventy-none (39.3%) patients had MS as per the International Diabetic Federation (IDF) criteria and 68 (33.8%) as per the National Cholesterol Education Program Adult Treatment Panel III criteria. Abdominal obesity was the most common (171 [85.1%]) feature of MS. The patients with MS had longer duration of sitting work and did less frequently exercise. The NRS score (6.95 ± 1.06 vs. 6.65 ± 0.95; P = 0.04) and ODI score (54.91 ± 8.42 vs. 51.89 ± 8.54; P = 0.01) were higher in CLBA patients with MS compared to those without MS. Conclusion: About 40% patients with CLBA have metabolic syndrome, and they have more severe pain and disability.

scholarly journals Pengaruh Mckenzie Cervical Exercise terhadap Nyeri Leher Pekerja Home Industry Tahu

2021 ◽  
Vol 4 (1) ◽  
pp. 34-43
Author(s):  
Octavia Nurhidayanti ◽  
Elis Hartati ◽  
Prita Adisty Handayani
Keyword(s):  
Neck Pain ◽  
Rating Scale ◽  
Sampling Technique ◽  
Numeric Rating Scale ◽  
Statistical Test ◽  
P Value ◽  
Musculoskeletal Complaints ◽  
Work Related ◽  
Workplace Conditions ◽  
Numeric Rating

Introduction: Occupational health problems in the home industry are found in many work-related diseases and unsafe workplace conditions, one of the diseases arising from work is musculoskeletal complaints. Mckenzie cervical exercise can reduce neck pain however it has not been proven for home industry workers. This study aims to determine the effect of Mckenzie cervical exercise on the scale of neck pain on workers in tofu home industry. Methods: This research design used pre-experimental design with one-group pre-posttest design. The number of samples were 30 respondents with a total sampling technique. The instrument was the Numeric Rating Scale and data were collected using interview techniques. Results: Workers with neck pain in the “tahu” home industry were provided Mckenzie cervical exercise. The statistical test used was the dependent t-test. The results showed that Mckenzie cervical exercise is effective in reducing the scale of neck pain with a p-value of 0.000. Conclusion: The recommendations of this study are for routine workers to perform Mckenzie cervical exercise therapy in each implementation in order to help reduce the scale of neck pain in tofu home industry workers

Foot Massage Menurunkan Nyeri Post Operasi Sectio Caesarea Pada Post Partum

2020 ◽  
Vol 6 (2) ◽  
pp. 164-170
Author(s):  
Dewi Nurlaela Sari ◽  
Aay Rumhaeni
Keyword(s):  
Daily Living ◽  
Rating Scale ◽  
Post Partum ◽  
Numeric Rating Scale ◽  
Sectio Caesarea ◽  
P Value ◽  
Test Design ◽  
Purposive Sampling ◽  
Post Test ◽  
Numeric Rating

ABSTRAK Sectio caesarea merupakan tindakan alternatif dalam proses persalinan untuk menyelamatkan ibu dan janin. Ibu Bersalin dengan operasi sectio caesarea dilakukan pembedahan pada dinding abdomen dan dinding rahim. Dampak yang paling sering muncul dirasakan oleh postpartum dengan post operasi sectio caesarea adalah  nyeri. Nyeri akan berdampak pada bounding attachment terganggu, mobilisasi terbatas, Activity Daily Living (ADL) terganggu serta berpengaruh  terhadap Inisiasi Menyusui Dini (IMD). Asuhan yang diberikan terbatas pada terapi farmakologi dibandingkan  non farmakologi. Foot massage adalah salah satu terapi non farmakologi yang dapat membantu menutup gerbang di posterior horns dari sumsum tulang belakang dan memblokir bagian dari nyeri ke sistem saraf pusat. Tujuan penelitian ini untuk mengetahui pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea di RS AMC. Penelitian ini merupakan penelitian pre eksperimen dengan pendekatan one group pre test post test design. Jumlah sampel yang digunakan berjumlah 27 orang dengan menggunakan teknik purposive sampling. Instrumen yang digunakan adalah Numeric Rating Scale (NRS) dan prosedur kerja foot massage. Responden dilakukan foot massage selama 20 menit selama 2 hari. Data di analisis dengan menggunakan uji wilcoxon. Hasil penelitian menunjukkan lebih dari setengah klien post operasi sectio caesarea berada di skala nyeri 6 sebelum dilakukan foot massage dan hampir setengah memiliki skala nyeri 3 sesudah dilakukan foot massage dan didapatkan nilai p value = 0.000, sehingga disimpulkan ada pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea. Diharapkan rumah sakit dapat menjadikan foot massage sebagai salah satu alternatif manajemen non farmakologi dalam penanganan nyeri.   Kata kunci: Foot Massage; Post Partum; Nyeri; Sectio Caesarea      

Efektivitas pencucian luka menggunakan daun jambu biji terhadap tingkat malodor klien luka kaki diabetik

2019 ◽  
Vol 8 (2) ◽  
pp. 152
Author(s):  
Adi Antoni ◽  
Yanna Wari Harahap
Keyword(s):  
Diabetic Foot ◽  
Rating Scale ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Numeric Rating Scale ◽  
P Value ◽  
Consecutive Sampling ◽  
Guava Leaves ◽  
Guava Leaf ◽  
Numeric Rating

Abstrak   Latar belakang: Diabetes mellitus (DM) merupakan penyakit kronik dan menjadi masalah global. Salah satu komplikasi yang ditimbulkan dari DM adalah luka kaki diabetic. Langkah awal dalam perawatan luka kaki diabetic adalah mencuci luka. Tujuan penelitian ini adalah mengetahui keefektifan dari rebusan daun jambu biji sebagai cairan pencuci luka terhadap tingkat malodor pada luka kaki diabetic. Metode: Desain penelitian yang digunakan adalah quasy experiment dengan rancangan one group pretests-posttest only. Teknik sampling yang digunakan adalah consecutive sampling dengan jumlah sampel 16 orang. Kriteria sampel yang digunakan adalah klien luka kaki diabetic, tingkat malodor 1-10 dengan NRS. Alat ukur yang digunakan adalah Numeric Rating Scale (NRS). Analisa data yang digunakan dalam penelitian ini menggunakan uji paired t test. Hasil: tingkat malodor sebelum intervensi pencucuan luka menggunakan rebusan daun jambu biji rata-rata sebesar 4.40 dan sesudah intervensi sebesart 2.44 dengan p value < 0.001. Selisih tingkat malodor antara sebelum dan sesudah intervensi sebesar 1.96. Hasil penelitian ini menunjukkan bahwa daun jambu dapat digunakan sebagai cairan pencuci luka dalam mengatasi tingkat malodor pada luka kaki diabetik. Kesimpulan : daun jambu biji dapat digunakan sebagai cairan pencuci luka pada luka kaki diabetic. Perawat diharapkan dapat memanfaatkan daun jambu biji sebagai salah satu alternatif dalam pencucian luka kronik khususnya luka kaki diabetik.   Kata kunci: Daun Jambu Biji, Tingkat Malodor, Luka Kaki Diabetik   Abstract   Background: Diabetes mellitus (DM) is a chronic disease and a global problem. One of the complications that arise from DM is diabetic foot ulcer. The first step in treating diabetic foot ulcer is washing the wound. The purpose of this study was to determine the effectiveness of guava leaf decoction as a washing fluid for malodor levels in diabetic foot ulcer. Method: The research design used was quasy experiment with one group pretests-posttest only design. The sampling technique used was consecutive sampling with a sample of 16 people. Sample criteria used were diabetic foot ulcer clients, malodor level 1-10 with NRS. The measuring instrument used is the Numeric Rating Scale (NRS). Analysis of the data used in this study used paired t test. Results: the level of malodor before intervening in wound washing using guava leaf decoctions on average was 4.40 and after the intervention was 2.44 with p value <0.001. The difference in the level of malodor between before and after the intervention was 1.96. The results of this study indicate that guava leaves can be used as a washing fluid in dealing with malodor levels in diabetic foot ulcer. Conclusion: Guava leaves can be used as a washing fluid for diabetic foot wounds. Nurses are expected to be able to use guava leaves as an alternative in washing chronic wounds, especially diabetic foot injuries.   Key words: Guava Leaf, Malodor Level, Diabetic foot ulcer.

Comparing the efficacy of nebulized morphine with intravenous morphine in traumatic musculoskeletal pain management

2020 ◽  
Vol 8 (1) ◽  
pp. 21-21
Author(s):  
Mani Mofidi ◽  
Ali Dashti ◽  
Mahdi Rezai ◽  
Niloufar Ghodrati ◽  
Hoorolnesa Ameli ◽  
...  
Keyword(s):  
Pain Management ◽  
Pain Relief ◽  
Musculoskeletal Pain ◽  
Normal Saline ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Vital Signs ◽  
Categorical Variables ◽  
Intravenous Morphine ◽  
Numerical Rating

Introduction: This study was designed to compare the effectiveness of intravenous morphine with nebulized morphine in pain relief of patients referring to the emergency setting with traumatic musculoskeletal pain. Methods: This randomized, placebo-controlled and double-blind clinical study evaluated 160 patients 18 to 65 years of age with acute traumatic pain, who attended the emergency department during 2019. Subjects were assessed with Numerical Rating Scale based on inclusion and exclusion criteria and randomly divided into two groups. In one group, 80 patients received IV morphine (0.1 mg/kg+5 mL normal saline) plus an equivalent volume of IV placebo. In the second group, 80 patients received nebulized morphine (0.2 mg/kg+5 mL normal saline) plus nebulized placebo. Pain score was monitored in all patients with Numerical Rating Scale before and after intervention at baseline, 15, 30, 45, and 60-minute intervals. Patients’ vital signs and possible adverse events were evaluated in each observation time points. Finally, all participants were assessed for their satisfaction with pain management. Data were analyzed using repeated measure analysis for continuous variables and Binomial test for categorical variables Results: There was no significant difference between the demographic characteristics of patients in study groups. Pain relief between the two groups was similar during the observation (0, 15, 30, 45, 60 min) (P>0.05). There were no changes in vital signs between two groups, although the nebulized group had lower systolic blood pressure at the time-point of 15 minutes after the treatment initiation (P=0.03). Conclusion: Although Nebulized morphine has similar efficacy in comparison with IV route, nebulization might be considered as the clinically efficacious route of morphine administration with minimal side effects, providing optimal pain relief in patients.

Sign in / Sign up

Export Citation Format

Share Document