scholarly journals Aplikasi pemberian teknik distraksi terhadap skala nyeri anak selama prosedur medis

2021 ◽  
Vol 15 (1) ◽  
pp. 140-146
Author(s):  
Setiawati Setiawati ◽  
Linawati Novikasari

A comparison of distractors for  controlling pain and discomfort in young children during medical procedures Background: The problem that often occurs in the pediatric ward is when going to take medical procedures, there are several procedures that will cause a pain and discomfort in young children. During the performance, a nurse needs a full concentration and a calm environment. Meanwhile, a young children need a distraction for controlling pain and discomfort during medical procedures. Procedure need to apply to make easily and smoothly until end of the performance.Purpose:  A comparison of distractors for  controlling pain and discomfort in young children during medical proceduresMethod: A quantitative study and a purposive sampling experimental design (pre-test and post-test). The population and sample taken 60 participants by a purposive sampling divided into two groups intervention, 30 participants by video cartoons and 30 participants with storytelling. A medical procedure when taking a venous blood sample. The measuring instrument used the face, legs, activity, cry and consolability (FLACC) pain scale with the lowest score of 0 and the highest score of 10. Statistical test using the T test.Results: Finding that there was a significant effect on young children by distraction technique with cartoon video media and storytelling media when taking venous blood samples. Both groups obtained p-value 0.000, indicating that both distraction techniques are effective to use. While the difference in the mean value (pre test-post test) on video cartoon media is 0.97 and storytelling media with a mean value of 1.50. It means that storytelling media is more effective than video cartoon media.Conclusion: Both distraction techniques, such as videos, cartoon media and storytelling media, have a significant level of effectiveness and storytelling media is more effective than cartoon video media, that could as an alternative as a permanent procedure in the pediatric ward.Keywords: Distractors; Controlling pain; Discomfort; Young children; Medical proceduresPendahuluan:  Masalah yang sering terjadi diruang anak yaitu pada saat akan melakukan tindakan medis, dimana ada beberapa prosedur yang akan membuat rasa sakit dan ketidaknyamanan pada anak. Selama tindakan tersebut, seorang perawat akan mengerjakannya dengan penuh konsentrasi dan perlu ketenangan. Sedangkan pada anak tersebut dibutuhkan tindakan distraksi supaya tindakan medis dapat dilakukan dengan mudah dan lancar.Tujuan: Untuk melihat efektivitas pemberian teknik distraksi terhadap skala nyeri anak selama prosedur medis di rumah sakitMetode: Penelitian kuantitatif dengan desain eksperimen semu (pre-test dan post-test) dan pemilihan sampelnya menggunakan purposive sampling. Populasi dan sampel sebanyak 60 partisipan yang dibagi dalam dua grop perlakuan yaitu 30 partisipan dengan media video cartoon dan 30 partisipan dengan media storytelling. Prosedur medis yang dilakukan pada saat pengambilan sampel darah vena. Alat ukur yang dipakai untuk mengujkur skala nyeri menggunakan skala nyeri face, legs, activity, cry and consolability (FLACC) dengan skor terendah 0 dan tertinggi skor 10. Uji statistik menggunakan uji T.Hasil: Didapatkan adanya pengaruh yang signifikan pada anak jika dilakukan perlakukan distraksi dengan media video kartun dan media storytelling saat pengambilan sampel darah vena. Kedua kelompok didapatkan p-value 0.000 menunjukkan bahwa kedua intervensi efektif untuk digunakan. Sedangkan perbedaan nilai mean (pre test-post test) pada media video cartoon 0.97 dan media storytelling dengan nilai mean 1.50. artinya media storytelling lebih efektif dibandingkan media video cartoon.Simpulan: Intervensi menonton video kartun dan storytelling mempunyai tingkat efektivitas yang sukup signifikan dan media storytelling lebih efektif dibandingkan media video cartoon, sehingga dapat jadikan alternatif sebagai prosedur tetap diruangan anak.

Author(s):  
Sowmya M V ◽  
Nandhini S ◽  
Manigandan V

Objective: To evaluate the efficacy of ultrasound and calf stretching in subjects with gastrocnemius tightness in plantar fascitis to reduce pain and improve functional ability. Method: 30 patients with plantar fascitis selected from Saveetha college of physiotherapy and rehabilitation center (SPARC) based on inclusion and exclusion criteria. The patients were treated with ultrasound therapy and calf stretching. The pre and post test values of pain and functional ability was be calculated using Silfverskiold test and Foot Function Index as an outcome measure. Results: The mean value and standard errors were calculated for different variables and the difference in mean value was tested for statistical significance using paired t test. P value of <0.0001 was considered as statistically significant. Conclusion: From the statistical analysis and graphical interpretation the final derived results concluded that combined therapy of ultrasound and calf stretching is found to be effective in relieving gastrocnemius tightness in patient suffering with plantar fascitis and it can be used to improve the functional activities.


2018 ◽  
Vol 7 (2) ◽  
pp. 100-105
Author(s):  
Puteri Indah Dwipayanti ◽  
Anik Supriani ◽  
Nanik Nur Rosyidah ◽  
Nurul Mufida

Background: There was joint pain that frequently happens by the elderly, which was joint pain. One of actions to abate the joint pain was compress with warm ginger.Objectives: The aims of this research were to identify the effect of warm ginger compress towards joint pain of the elderly at UPT Panti Werdha Mojopahit, Mojokerto District.Method: Design of this research was Pre-Experiment with Type of one group pre-test-post test design. Population of this research was whole of elderly who undergoes joint pain at UPT Panti Werdha Mojopahit Mojokerto district. Technique that used to take sample in this research was purposive sampling with 20 respondents. Data collecting was done before and after warm ginger compress was given use pain scale instrument PAINAD with 1-10 scale. The researcher used Wilcoxon statistic test with value of α=0, 05 to analyze the data.Results: The result of this research wasgained before carried out by warm ginger compress with advance pain scale of 6 respondents (30%), and intermediate pain scale of 10 respondents (50%). After the warm ginger compress was done by 8 respondents (40%) with light pain scale and 11 respondents (55%) with intermediate pain. Data analyzing used statistic test with Wilcoxon P value test 0,003 (α˂ 0, 05). It showed that warm ginger compress effective towards joint pain of the elderly.Conclusion: Looking at the result above shows that warm ginger compress can be created as one of alternative choices to decrease joint pain intensity of the elderly, because this non-pharmacologist treatment uses easy to be obtained ingredient and there is no side effect for the elderly.Key words: Joint Pain, Warm Ginger Compress, Elderly.


2019 ◽  
Vol 3 (1) ◽  
pp. 11-20
Author(s):  
Avliya Quratul Marjan ◽  
A’immatul Fauziyah ◽  
M. Ikhsan Amar

MPASI, complementary food to breast milk, is food or drink containing nutrients, given to babies or infants aged 6-24 months, and given in stages according to the age and digestive capacity of the babies or infants to meet their nutritional needs other than breast milk. The objective of the activity was to improve the mothers’ knowledge of correct and good complementary food for their under-five-year-old infants in Sukmajaya, Depok 2018 and to determine the differences of these mothers’ knowledge about how to process and use ingredients for the complementary food before and after counseling. The method of this community service activity was through pre- and post-test designs. The results showed that the average score of mothers; knowledge before the counseling was 73.00 and after the counseling 79.43. The difference in the mean value between the first and second measurements was 6.43 and the results of the statistical test show the value of P value <0.05. Therefore, it can be concluded that there were significant differences between the pre-test (before counseling) and post-test (after counseling) scores. Based on the results of data processing and analysis, it was found that 66.66% of respondents experienced improving knowledge of complementary food, although the number was still below the target of 70%.


2017 ◽  
Vol 1 (3) ◽  
pp. 8
Author(s):  
Veronika Hutabarat ◽  
Hotmarida Silalahi

Abstrak.Pseudomonas aeruginosa merupakan patogen utama bagi manusia yang disebut patogen oportunistik, bakteri ini menjadi problema serius pada pasien rumah sakit yang menangani pasien AIDS yang mengalami penurunan sistem kekebalan akibat perkembangan virus.Tujuan penelitian ini adalah untuk mengetahui pengaruh rawat gabung pasien HIV / AIDS dengan infeksi Pseudomonas aeruginosa terhadap resiko transmisi ke pasien lain di Ruang Dahlia II RSPI Sulianti Saroso Jakarta. Penelitin ini merupakan penelitian pre experimental dengan pre and posttest without control desaign. Sampel dalam penelitian ini adalah pasien HIV/AIDS dewasa yang terinfeksi dan tidak terinfeksi Pseudomonas aeruginosa sebanyak 50 responden yang diambil dengan teknik purposive sampling. Dari 60 pasien didominasi oleh kelompok usia 31-40 Tahun yaitu sebanyak 29 (48.3%), jenis jenis kelamin laki–laki yaitu sebanyak 40 (67 %), tingkat kesadaran compos mentis yaitu sebanyak 50 (83.3 %), jumlah CD4 < 50 yaitu sebanyak 44 (73 %), mikroorganime hasil kultur I didominasi oleh jamur sebanyak 22 (36.7%), mikroorganisme hasil kultur II didominasi oleh Klebsiella pnumonia sebanyak 19 (31.7%). Infeksi oportunistik pasien yaitu 56 (50%) Tb Paru. Hasil penelitian menunjukkan bahwa tidak ada perbedaan transmisi infeksi Pseudomonas aeruginosa sebelum dan sesudah rawat gabung dengan P value (1.000) > (0,05). Diharapkan rawat gabung pasien memperhatikan universal precaution.Abstract.Pseudomonas aeruginosa is main pathogenic for humans called pathogenic opportunistic, this bacteria is serious problem on hospital patients who handles AIDS patients have experienced decline immune systems due to the development of the virus.The purpose of this research is to know the effect of join care of HIV/AIDS patients with Pseudomonas aeruginosa infectious against transmission risk to other patients in the dahlia II ward at hospital of infectious diseases Prof. Dr. Sulianti Saroso in Jakarta.This research is the pre experimental research with pre and post-test without control design. The samples in this research were HIV/AIDS adult patients whom infected and not infected by Pseudomonas aeruginosa as many as 50 respondents taken by using purposive sampling techniques. From 60 patients whom dominated by age group 31-40 years old as many as 29 ( 48.3 % ), the male gender were as many as 40 (67 %), the level of awareness is compos mentis that were as many as 50 ( 83.3 % ), amount of CD4 < 50 namely as many as 44 (73 %), the results of the culture of microorganis that dominated by fungi as many as 22 (36.7%), the results of the culture of microorganisms II that dominated by Klebsiella pnumonia were as many as 19 (31.7 %). Patients of opportinistic infectious were as many as 56 (50%) pulmonology tuberculosis. An opportunistic infection of patients that is 56 (50 percent) pulmonary tuberculosis.The results of research stated that there is no the difference in the transmission of Pseudomonas aeruginosa infections before and after join care with P value (1.000) > (0,05). It is expected to join care of patients more focus and notice on universal precaution.


Author(s):  
Priyanto Priyanto ◽  
Idia Indar Anggraeni

Chest pain is a major complaint that is often felt by people with coronary heart disease. Chest pain occurs because of a decreased supply of oxygen to the myocardium. Murottal Al-Qur' therapy is a religious therapy where someone will be heard verses of Al-Qur’an for a few minutes so it will have a positive impact on one’s body, one of them is to reduce pain. This study aims to find out the difference between chest pain level before and after murottal Al-Qur'an therapy. This research design used a pre-experimental method with one group pre-test and post-test. The sampling method was accidental sampling, the number of sampling were 17 respondents. The research instrument used the Numeric Rating Scale to measure pain scale before and after murottal Al-Qur'an therapy, giving it once for 20 minutes. The test statistic used is the paired sample T-test. The results of this study indicate that there are significant differences in chest pain levels before and after murottal Al-Qur'an therapy with a p-value of 0.004 (p <α (0.05)).Murottal Al-Qur'an therapy can reduce the scale of a patient's chest pain. The need for socialization and application of murottal Al-Qur'an therapy in patients with chest pain. Keywords: Chest Pain, Murottal Al-Qur’an Therapy


Author(s):  
Moh. Hanafi ◽  
Wiwin Renny R ◽  
Suyanta . ◽  
Ismi Rajiani

Background: Labor and birth are physiological processes of women. Although it is natural for women, but in general, the process is accompanied by severe pain and sometimes even lead to life-threatening. Childbirth pain is a problem that receives proper attention from nurses. Many alternative and complementary methods besides the use of drugs, can be applied to reduce pain. The methods applied include a holistic approach to ear massage, deep breathing relaxation, and guided imagery. Research method: This research is a quasi experiment. The research design used in this study is the "pre test and post test group design experiment" research by collecting data twice, namely before and after treatment. Results: From the analysis results obtained p value<0.05 indicating the three variables give the effect of the difference in pain between before and after the intervention. The difference in mean between the three interventions, ear massage and guide imagery have the same effect of reducing pain scale. However, if observed from the large value, imagery guide is the most effective in reducing labour pain. This is because the guide imagery can minimise labor pain by up to 12 times, while ear massage reduces labor pain by up to 10 times and breathing relaxation in reducing labor pain by up to 8 times. Conclusion: There is an effect of ear massage, deep breathing relaxation and guide imagery in reducing labor pain. Keywords: ear massage, deep breathing relaxation, and guide imagery, labor pain


2019 ◽  
Vol 9 (2) ◽  
pp. 61
Author(s):  
Didi Kurniawan ◽  
Reni Zulfitri ◽  
Ari Pristiana Dewi

Nyeri merupakan keluhan paling sering terjadi pada pasien kanker. Nyeri pada kanker payudara terjadi karena kerusakan ujung-ujung saraf reseptor akibat adanya peradangan atau terjepit oleh pembengkakan. Penanganan nyeri kanker membutuhkan terapi non farmakologis yang efisien dan mudah diterapkan, salah satunya yaitu Progresive Muscle Relaxation (PMR). Penelitian pre-ekperimental ini menggunaan desain one group pre test - post test. Sampel penelitian ini adalah pasien kanker payudara yang menjalani kemoterapi di ruang Dahlia RSUD Arifin Achmad Provinsi Riau periode perawatan bulan Januari sampai Maret 2019 sebanyak 20 responden yang dipilih dengan teknik purposive sampling sesuai dengan kriteria inklusi. Pengumpulan data diperoleh secara langsung dari responden dengan menggunakan alat ukur Comparative Pain Scale (CPS). Analisis data melalui dua tahapan, yaitu univariat dan bivariat dengan menggunakan uji t-dependen. Hasil penelitian didapatkan nilai rata-rata skala nyeri kanker payudara sebelum diberikan intervensi adalah 6,50 dan nilai rata-rata sesudah diberikan intervensi adalah 1,35. Hasil analisis bivariat menunjukan bahwa t = 17,596 dan p-value = 0,001 sehingga terdapat pengaruh intervensi PMR terhadap kualitas nyeri kanker payudara dengan kemoterapi. PMR disarankan dapat digunakan sebagai terapi nonfarmakologis untuk menurunkan nyeri yang dialami pasien kanker payudara


2020 ◽  
Vol 9 (2) ◽  
pp. 246
Author(s):  
Hasyim Kadri ◽  
Salvita Fitrianti

Laparatomi surgery in the Raden Mattaher Jambi Hospital Operating Room in the last 3 years has increased. The average per month of Laparatomi surgery in 2017 is 31 actions, in 2018 there are 33 actions and increased to 38 actions in 2019. This research aims to look at the effect of the aroma of lemon therapy on decreasing pain intensity in post-op Laparatomi patients in the operating room Raden Mattaher Hospital in Jambi. This research is a quantitative study with a pre-experimental design without control group. Aims to see the effect of the aroma of lemon therapy on the decrease in pain intensity in post-op Laparatomi patients in the Raden Mattaher Hospital Operating Room Jambi. The population of this study was all post-op patients in the Operating Room at Raden Mattaher Jambi Hospital in the 2019 Deesember period with a total of 44 people. Samples amounted to 10 people. Accidental sampling, t-dependent statistical test. The results of the study on average scale pain post Laparatomi patients before being given the aroma of lemon therapy was 5.20 (moderate pain). After being given the aroma of lemon therapy, the average pain scale of the patient was 4.50 (moderate pain). The difference between the pre-test and post-test pain scales was 0.70. There is an influence of the aroma of lemon therapy on the decrease in pain intensity in post-op Laparatomi patients with a p-value of 0.001 (p <0.05). Researchers hope at the Raden Mattaher Jambi Hospital to make the aroma of lemon therapy as an alternative that can be used to help reduce the pain felt by post-op Laparatomi patients.


Author(s):  
Taufik Hidayat ◽  
Hafnati Rahmatan ◽  
Khairil Khairil

Internet based – learning media is one of the learning sources that can be used to replace the text book. This research was aimed to find out the difference of learning result of students who utilized internet based – learning media as the sources of learning compare to the students who used conventional learning method on the topic of blood circulatory system. An experimental research had been conducted at SMAN 1 Woyla in the school year of 2014/2015. The population of this research was 60 students, which were 30 students of XII IPA 1 and 30 students of XII IPA 2 class. The entire population was chosen as the samples of the research which were 30 students for experimental class and 30 students for control class. The data were collected by using pre-test and post-test. The data were analyzed by using independent sample t-tes or Mann Whitney test. The results showed that: (1) the N-Gain mean value of experimental class was 60 which was categorized as medium and for the control was 20 which was categorized as low, (2) the learning result was significantly different between the students who used internet based – learning media and the students who were taught conventionally on the topic of blood circulatory system with P value of 0,000 < 0,05. It can be summarized that there was a significant difference of learning result of students who used internet based – learning media with the students who used conventional learning method especially on the topic of blood circulatory system.


2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Supriyadi . ◽  
Nurul Makiyah ◽  
Novita Kurnia Sari

<p><em>Buerger Allen Exercise</em> mampu meningkatkan pemakaian glukosa oleh otot yang aktif sehingga glukosa dalam darah dapat menurun, dapat membantu mencegah terjadinya penyakit arteri perifer, serta meningkatkan aliran darah ke arteri dan berefek positif pada metabolisme glukosa. Penelitian ini bertujuan untuk mengetahui nilai <em>ankle brachial index</em>pada penderita diabetes melitus tipe 2setelah melakukan <em>Buerger Allen exercise</em>. Jenis penelitian ini adalah <em>quasy-experiment </em>dengan<em> pre-post test design with control group</em><em>.</em> Jumlah sampel 60 penderita diabetes melitus tipe 2 dengan <em>purposive sampling</em>, dibagi menjadi 2 kelompok yaitu kelompok perlakuan dan kelompok kontrol. Responden kelompok perlakuan diberikan intervensi <em>Buerger Allen exercise</em> sebanyak 12 kali  selama 15 hari.Penelitian dilakukan di wilayah Puskesmas Kecamatan Nganjuk.Data hasilpengukuran nilai <em>ankle brachial index</em>berupa ratio dan diuji statistik dengan <em>Paired Samples Test</em>. Didapatkan <em>p value</em> 0.001 untuk kelompok perlakuan (<em>p value</em>&lt; 0.05) yang menunjukkan bahwa adanya perubahan bermakna secara statistik nilai <em>ankle brachial index</em> sesudah melakukan <em>Buerger Allen exercise</em>. Dapat disimpulkan bahwa nilai <em>ankle brachial index</em>pada penderita diabetes melitus tipe 2 meningkat sesudah melakukan <em>Buerger Allen exercise</em>.</p><p> </p><p> <strong>Kata kunci :penderita diabetes melitus tipe2, <em>Buerger Allen Exercise, Ankle brachial index</em></strong></p><p> </p>


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