Influence before and after Early Mobilization of Changes in Pain Levels in Post Orthopedic Surgery Patients at Royal Prima Medan Hospital in 2021

Orthopedic surgery is a surgical action associated with the correction of musculoskeletal system deformities and orthopedic problems that aim to improve function by restoring movement and stability and reducing pain and disabilities. Early mobilization is a prominent factor in speeding up postoperative recovery and may prevent postoperative complications. This study aims to find out the influence before and after early mobilization of changes in pain levels in orthopedic postoperative clients at RSU Royal Prima. This type of research uses a correlational descriptive research design, using the One Group Pretest-Postest approach. The location of this study was conducted at RSU Royal Prima Medan in March 2021. The population of all patients’ post-surgery orthopedic hospitalization amounted to 176 patients. The size of the sample uses the formula Structural Equation Modelling (SEM), then the number of samples is determined to be 100 people. Univariate analysis, bivariate with t-dependent test (paired t-test) with a meaningful limit of 0.05. The results of the study that there was a change in the level of pain Wilcoxon test results at the time of the pre-test the result of the mean value of 3.82, at the time of the post-test test the mean value was 2.34. So the result of Z = -5,358 then p-value as much as 0.004 < 0.05 so that Ho is rejected and Ha accepts. The conclusion of the level of pain before early mobilization in the client post orthopedic surgery the majority feels even more pain and the minority experience severe pain. The level of pain after early mobilization in the majority of orthopedic postoperative clients was slightly more painful and the minority felt even more pain. There is an early mobilization effect on pain changes in orthopedic postoperative clients in patients in the hospital room of RSU Royal Prima in 2021.

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The Influence of Tomato Juice on Blood Pressure in Menopause Women With Hypertension in Posyandu Kantil

Journal of Health Science and Prevention ◽

10.29080/jhsp.v1i2.11 ◽

2017 ◽

Vol 1 (2) ◽

pp. 52-57

Author(s):

Ria Muji Rahayu

Keyword(s):

Blood Pressure ◽

Research Result ◽

Mean Value ◽

Tomato Juice ◽

Wilcoxon Test ◽

P Value ◽

Normality Test ◽

Menopausal Women ◽

Before And After ◽

Do So

Tomato (Lycopersicum commune) contains potassium and lycopene which has the effect blood pressure. The study aims to understand the effect of tomato juice in menopause women with hypertension. This was a pre experimental research. The population was menopausal women and hypertension case amount 11 persons, using total sampling. The research instrument was observational paper dan sphigmanometer. The research result was analyzed by normality test of Shapiro-Wilk test. Statistical test with Wilcoxon test. The research result shown there is no difference mean value between blood pressure before and after treated by tomato juice. They are 6,00 mmHg (systole) and 1,82 mmHg (diastole). Data analyzed by It is 0,05. obtains p value systole 0,072 and diastole 0,334 where p value < Î±, this H0 is accepted and H1 is rejected. The analysis result shown there is no difference between blood pressure before and after treated by tomato juice at Posyandu Kantil sub-district of Mojoroto, Kediri. Based on the research result revealed there are still many shortcomings that research do so very influential on the final result, and is expected to be study in the future.

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PENURUNAN NYERI KEPALA PADA LANSIA DENGAN HIPERTENSI MENGGUNAKAN RELAKSASI AUTOGENIK DI KELURAHAN MERSI PURWOKERTO

Media Ilmu Kesehatan ◽

10.30989/mik.v7i2.229 ◽

2019 ◽

Vol 7 (2) ◽

pp. 104-113

Author(s):

Dwi Novitasari ◽

Ikit Netra Wirakhmi

Keyword(s):

The Elderly ◽

Wilcoxon Test ◽

Relaxation Technique ◽

P Value ◽

Common Symptom ◽

Parasympathetic System ◽

Significant Difference ◽

Before And After ◽

Autogenic Relaxation ◽

The Mean

Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache. Keywords: Autogenic relaxation, headache, hypertension.

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PE Class Attendance and Engagement in Recreational Activities during the COVID-19 Pandemic / Sudjelovanje na nastavi Tjelesne i zdravstvene culture i bavljenje rekreacijskim aktivnostima tijekom pandemije izazvane koronavirusom

Croatian Journal of Education - Hrvatski časopis za odgoj i obrazovanje ◽

10.15516/cje.v23i1.4245 ◽

2021 ◽

Vol 23 (1) ◽

Author(s):

Andrea Vrbik ◽

Ivan Vrbik ◽

Srna Jenko Miholić

Keyword(s):

Physical Activity ◽

Leisure Activities ◽

Mean Value ◽

Wilcoxon Test ◽

Male Students ◽

P Value ◽

Vocational High School ◽

Online Questionnaire ◽

Recreational Activities ◽

The Mean

This study was conducted among 137 male students (average age 16.1) of a vocational high school via an online questionnaire concerning online schooling, PE class participation and participation in recreational (leisure) activities before and during the pandemic lockdown. According to the p-value of the Wilcoxon test (p=0.014), the mean value (3.92:3.61), the mode value (4:3) and the frequency of the mode value (46:48) for the observed variables, the students attended PE classes when they were held regularly significantly more than online PE class. Furthermore, the p-value of the Wilcoxon test (p=0.003), the mean (3.72:3.41), the mode (5:3) and the frequency of the mode (57:46) value indicated that students were significantly more engaged in recreational activities before the lockdown than during the lockdown. In order to encourage physical activity during online schooling, a few possible solutions are presented.Key words: corona virus; physical activity; sedentary behaviour; screen time; youth. --- U ovom istraživanju sudjelovalo je 137 učenika muškoga spola (prosječna dob 16,1) srednje strukovne škole putem upitnika koji se odnosio na online nastavu, sudjelovanja na nastavi Tjelesne i zdravstvene kulture prije i tijekom općega zatvaranja izazvanog koronavirusom, te bavljenje rekreacijskim aktivnostima prije i tijekom općeg zatvaranja. Prema p-vrijednosti Wilcoxonova testa (p = 0,014), aritmetičkoj sredini (3,92 : 3,61), modu (4 : 3) i frekvenciji moda (46 : 48) promatranih varijabli, učenici su pohađali značajno više nastavu Tjelesne i zdravstvene kulture kad se održavala normalno u odnosu na online nastavu. Nadalje, p-vrijednost Wilcoxonova testa (p = 0,003), aritmetička sredina (3,72 : 3,41), mod (5 : 3) i frekvencija moda (57 : 46) upućivali su na značajno veće sudjelovanje u rekreacijskim aktivnostima prije zatvaranja nego tijekom zatvaranja. S ciljem povećanja tjelesne aktivnosti tijekom online nastave, predloženo je nekoliko mogućih rješenja.Ključne riječi: koronavirus; tjelesna aktivnost; sjedilačko ponašanje; vrijeme uz ekran; mladi

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Relaksasi Progresif terhadap Intensitas Nyeri Post Operasi BPH (Benigna Prostat Hyperplasia)

Jurnal Kesehatan ◽

10.26630/jk.v8i2.505 ◽

2017 ◽

Vol 8 (2) ◽

pp. 289

Author(s):

Aprina Aprina ◽

Noven Ilham Yowanda ◽

Sunarsih Sunarsih

Keyword(s):

Standard Deviation ◽

Mean Value ◽

Progressive Relaxation ◽

Sign Test ◽

P Value ◽

Relaxation Therapy ◽

Prostate Hyperplasia ◽

Post Surgery ◽

Surgery Patient ◽

The Mean

<p>Pain is one of the most common complaints in patients after experiencing a surgery. Surgery is a biphasic event against the human body that implies pain management. In post-surgery patients feel severe pain and 75% of patients have unpleasant experiences due to inadequate pain management.Based on the results of activity reports in Dr. Hi. Abdul Moeloek Public Hospital in Lampung Province in July-December 2016 obtained data operation BPH as many as 51 inhabitants. The objective of this research was to find out the effect of progressive relaxation to an intensity of pain for BPH (Benigna Prostate Hyperplasia) post-surgery patient. This was a quasi-experiment research by using one group pretest and posttest design. 20 respondent samples were taken by using accidental sampling. Data were collected by using observation sheet and analyzed by using univariate and bivariate analyses with Wilcoxon sign test. The results showed that the mean value of pain before the progressive relaxation therapy equal to 5.20 with standard deviation 0.834. While the mean value of pain scale after it was 3.60 with standard deviation 0.681. Analysis with Wilcoxon sign test derived p-value 0.000 (ρ-value 0.000 < α 0.05), and the conclusion there was a significant effect the mean value of pain in the post-surgery patient’s BPH (Benigna Prostate Hyperplasia) after progressive relaxation therapy. The researcher expects that the progressive relaxation therapy can be used by more operational methods. </p>

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Evaluation of the Stability of the Subjects with Anterior Cruciate Injuries Reconstruction

The Journal of Knee Surgery ◽

10.1055/s-0040-1710374 ◽

2020 ◽

Author(s):

Hossein Akbari Aghdam ◽

Mahsa Kavyani ◽

Maryam Bosak ◽

Mohammad Taghi Karimi ◽

Mehdi Motififard

Keyword(s):

Acl Reconstruction ◽

Postural Stability ◽

Center Of Pressure ◽

Mean Value ◽

P Value ◽

Before And After ◽

The Mean ◽

The Difference ◽

Anterior Cruciate ◽

The Stability

AbstractAnterior cruciate ligament (ACL) is the most frequently injured ligament in the knee and is often injured during sport-related activities. ACL injuries influence the abilities of the subjects during standing and walking. Although early surgical intervention is preferred treatment for the majority of knee surgeons, the effect of this approach on postural stability of patients is not fully understood. Therefore, the aim of this study was to determine the difference between stability of ACL-reconstructed subjects before and after surgery. A group of 15 consecutive ACL injured patients participated in this study. Postural stability of the patients was evaluated 1 week before and 6 months after surgery (ACL reconstruction with hamstring autograft). A Kistler force plate was used to evaluate center of pressure (COP) sway during quiet standing. The mean values of the COP parameters were obtained in pre and postsurgery conditions. Paired sample t-test was used to evaluate the difference between the stability parameters of the two conditions. The significant point was set at 0.05. The mean value of path length of COP velocity in mediolateral (ML) direction was 1,485.57 ± 479.42 mm and 2,641.33 ± 996.26 mm before and after surgery, respectively (p-value = 0.01). Although the mean value of COP velocity in anteroposterior and ML directions increased after surgery, the difference was only significant for velocity in ML direction (p-value = 0.049). The results of this study showed that the standing stability of those with ACL reconstruction decreased significantly after ACL reconstruction, which may be due to the effects of the surgery on sensory mechanism of ACL and inability of patients to return to their previous deep sense perception and knee proprioception.

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AB0495 BIOMECHANICAL STRESS IN THE CONTEXT OF COMPETITIVE SPORTS TRAINING TRIGGERS ENTHESITIS

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.1793 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 1275.1-1275

Author(s):

D. Simon ◽

A. Kleyer ◽

S. Bayat ◽

J. Knitza ◽

L. Valor ◽

...

Keyword(s):

Psoriatic Arthritis ◽

Mechanical Stress ◽

Power Doppler ◽

Mean Value ◽

Mixed Effects ◽

P Value ◽

Biomechanical Stress ◽

Score Difference ◽

Before And After ◽

The Mean

Background:Preclinical models have indicated that biomechanical stress can trigger entheseal inflammation (1). Furthermore, enthesitis is a hallmark of psoriatic arthritis (PsA) and spondyloarthritis (SpA), suggesting that mechanoinflammation is an important step in their pathogenesis (2). However, the relation between mechanical stress and enthesitis in humans is poorly investigated. Competitive badminton is a demanding stop-and-go sport that strains entheseal sites in particular and provides an opportunity to assess the impact of physical activity on the development of an instant inflammatory response in the entheses.Objectives:To evaluate the influence of mechanical stress on the development of immediate enthesitis.Methods:BEAT (Badminton Enthesitis Arthrosonography Study) is an interventional study that assessed entheses in competitive badminton players before and immediately after a 60-minute intensive training session by ultrasound. Power Doppler (PD) signal and Gray-Scale (GS) changes were evaluated at the insertions sites of both Achilles tendon, patellar tendons and lateral humeral epicondyles and quantified using a validated scoring system (3). Pre- and post-training scores were compared using linear mixed-effects models. We used interaction terms to assess possible differential effects on patellar, elbow and Achilles entheses.Results:Thirty-two badminton players (22 men, 10 women) with an average age of 31.1±13.0 years were included (Table 1). On average, they had been playing badminton for 16.2±10.1 years. 192 entheseal sites were examined twice. The respective empirical total scores for PD examination were 0.1 (0.3) before and 0.5 (0.9) after training (Figure 1). Mean total GS scores were 2.9 (2.5) and 3.1 (2.5) before and after training, respectively. The mean total PD score difference of 0.4 between pre- and post -training was significant with a p value of 0.0014, whereas the p value for the mean total GS score difference of 0.2 was 0.63. Overall, seven participants (22%) showed an increased empirical total PD score. A mixed-effects model showed a significant increase of PD scores after training, with a mean increase per site of 0.06 (95%CI 0.01 to 0.12, p=0.017).Table 1.Baseline characteristicsDemographic characteristicsN, total32Females, N (%)10 (31.3)Age, years (mean ± SD)36.1 ± 13.0Height, cm (mean value ± SD)178.6 ± 9.9Body weight, kg (mean value ± SD)74.7 ± 13.5Smoking, N (%)11 (34.4)Alcohol, N (%)24 (75.0)Concomitant DiseasesInflammatory bowel disease, N (%)0Psoriasis, N (%) 0Uveitis, N (%)0Diabetes mellitus, N (%)0Hypertension, N (%)2 (6.3)Sports historyYears Badminton (mean ± SD)16.2 ± 10.1Figure 1.Ultrasound scores before and after training Figure 1. A Spaghetti plots depicting inividual Gray-Scale and Power Doppler ultrasound scores before and after trainingConclusion:Mechanical stress leads to rapid inflammatory responses in the entheseal structures of humans. These data support the concept of mechanoinflammation in diseases associated with enthesitis. However, while such responses may be self-contained in healthy subjects, they may be prolonged and more pronounced in certain risk groups, such as patients with PsA or SpA.References:[1]Cambré I, et al. Mechanical strain determines the site-specific localization of inflammation and tissue damage in arthritis. Nature Communications. 2018; 9:4613.[2]Schett G, et al. Enthesitis: from pathophysiology to treatment. Nat Rev Rheumatol. 2017; 13:731-741.[3]Balint PV, et al. Reliability of a consensus-based ultrasound definition and scoring for enthesitis in spondyloarthritis and psoriatic arthritis: an OMERACT US initiative. Annals of the Rheumatic Diseases. 2018; 77:1730.Disclosure of Interests:David Simon: None declared., Arnd Kleyer: None declared., Sara Bayat: None declared., Johannes Knitza: None declared., Larissa Valor: None declared., Marina Schweiger: None declared., Georg Schett: None declared., Koray Tascilar: None declared., Axel Hueber Grant/research support from: Novartis Research Grant.

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The Effect of Extension with Audio Visual Method on The Improvement of Knowledge Levels and Attitude of The Use of Borax In The Making of Gendar Crackers in Family Households

Aloha International Journal of Health Advancement (AIJHA) ◽

10.33846/aijha20403 ◽

2019 ◽

Vol 2 (4) ◽

pp. 87

Author(s):

Dyah Suryani ◽

Wibowo Wibowo

Keyword(s):

Food Additives ◽

Food Poisoning ◽

Mean Value ◽

Mean Difference ◽

Wilcoxon Test ◽

P Value ◽

Visual Methods ◽

Visual Method ◽

Post Test ◽

The Mean

Background: Food is one of the basic important of human needs. Since the mid-20th century, the role of food additives, particularly preservatives are becoming increasingly important in line with advances in production technology of synthetic BTP (food additives). The use of BTP often adverse effects on health. Some of the causes were the use of non-organic materials due to economic reasons. The lower public's knowledge about quality and safety of food led to rampant cases of food poisoning. This compounded with various kinds of food additives (BTP) are derived from chemical products and its derivatives. Cracker was one of snack that much-loved by the majority of Indonesian people. On making of Crackers both the traditional and the modern are often added borax as a food additive that was felt to be more savory crackers and crunchy. This research aimed to examine the influence of counseling with audio-visual method on the improvement of knowledge and attitude of use borax on making gendar crackers family households in Kategan, Patalan, Jetis, Bantul, Special Region of Yogyakarta Province. Methods: This research used quasi experiment type with the design of one group pretest - posttest. The samples were housewives in the Kategan, Patalan, Jetis, Bantul. Results: There was a difference of housewife’s knowledge in Kategan on the use of borax on making gendar crackers between before and after counseling with audio-visual methods which seen by a mean value of 6.64 pre-test and 6.92 for post-test average with -1.238 as mean difference. Based on the results of Wilcoxon test obtained p-value of 0.216 (H0 was accepted). While the mean, obtained on the attitude of the pre-test of 10.28 and the mean of post-test of 11.19 with a mean difference of -2.018. The p-value was 0.044 (H0 was rejected). Conclusion: There was no effect of counseling with the use of audio-visual methods in use of borax on making gendar crackers on the knowledge. Whereas there was influence of counseling with the use of audio-visual methods in the use of borax on making gendar crackers on the attitude. Keywords: knowledge, attitudes, audio visual, borax

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PENGARUH TERAPI BEKAM BASAH TERHADAP PERUBAHAN SKALA NYERI PADA PASIEN MIGRAIN

NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 ◽

10.36089/nu.v1i2.64 ◽

2019 ◽

Vol 1 (2) ◽

pp. 54-62

Author(s):

Mulia Mayangsari

Keyword(s):

Health Workers ◽

Sampling Technique ◽

Pain Scale ◽

Wilcoxon Test ◽

P Value ◽

Minimum Value ◽

Migraine Pain ◽

Maximum Value ◽

Before And After ◽

The Mean

The research design used was Experimental with Kunsekutive Sampling technique. The population in this study were patients who had migraine in Noreh village. The working area of Puskesmas Sreseh was 18 respondents and the result was analyzed using Shapiro Wilk and Wilcoxon test. The results of the study in migraine patients can be seen that the mean pretest scale of migraine pain scale is 4.67 whereas, for the mean posttest of migraine pain scale is 2.22. In the pretest of migraine pain scale the minimum value found is 4 whereas, the maximum value is 6. While in posttest skalanyeri migraine the minimum value found is 1 whereas, the maximum value is 3. In the Shapiro Wilk analysis showed that there were differences in the scale of migraine pain before and after wet bruise therapy. In the Wilcoxon analysis comparing migraine patients, a p-value of 0,000 indicated that there was an effect of wet-brushing therapy on changes in the pain scale. To health workers and educational institutions are expected to use wet brewing therapy as a complementary alternative and as a non-pharmacological treatment that can reduce the scale of pain.

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Effectiveness of Audio Visual Media Intervention Aku Bangga Aku Tahu (ABAT) towards Attitude of Street Children in Prevention of HIV & AIDS Transmission in Makassar City

International Journal of Multicultural and Multireligious Understanding ◽

10.18415/ijmmu.v6i5.1176 ◽

2019 ◽

Vol 6 (5) ◽

pp. 705

Author(s):

Nahdiyah Nahdiyah ◽

Ida Leida Maria ◽

Yahya Thamrin

Keyword(s):

Street Children ◽

Visual Media ◽

Wilcoxon Test ◽

Control Group ◽

P Value ◽

Attitude Score ◽

Before And After ◽

Media Intervention ◽

The Mean ◽

Prevention Of Hiv

Street children are one of the populations that are vulnerable to HIV transmission and the use of drugs, psychotropic substances, and addictive substances (drugs) because they are in a social, economic and psychological situation that allows such deviant behavior to occur. This study aims to determine the effectiveness of ABAT audio visual media interventions on the attitudes of street children in the prevention of HIV & AIDS transmission in Makassar City. This study uses an experimental quasy with the Nonequivalent Control Group Design. Sampling using non probability sampling by purposive sampling. The research sample consisted of 48 intervention groups and 47 controls. Data collection took place from June to July 2019. Quantitative data analysis with statistical application of SPSS, using paired T test, Wilcoxon test and mann whitney. The results showed that the average attitude score before and after the intervention, where the mean value ± SD was 36.81 ± 4.489 to 42.27 ± 3.174 with a p value (p = 0.000) <0.05 in the intervention group, and at the mean ± SD value in the control group was 38.06 ± 4.570 to 44.77 ± 2.830 with a p value (p = 0.000) <0.05) which means that there were significant differences in attitude before and after the ABAT audio-visual media intervention. The results of the mann whitney test show that the ABAT intervention is three times better than just one time with a p value (p = 0,000 and 0.007) <0.05). It can be concluded that the ABAT audio-visual media is effective in improving the attitude of street children in preventing the transmission of HIV & AIDS. ABAT needs to be recommended as a counseling media for the prevention of HIV & AIDS transmission among adolescents, especially street children in Makassar.

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