scholarly journals EFFECT OF LO'I KARANA ON PAIN LEVEL IN POSTPARTUM MOTHERS

2018 ◽  
Vol 4 (2) ◽  
pp. 249-255
Author(s):  
Rini Hendari ◽  
Dahlan H Ahmad ◽  
A Haris

Background: Lo'i Karana is one type of traditional therapies that has existed for more than one hundred years in the midst of society of Bima and Dompu to overcome the discomfort due to labor. However, lack of research has been conducted to examine its effect on pain in postpartum mothers.Objective: To examine the effect of Lo’I Karana on muscle pain in postpartum mothers.Methods: This was a quasy experimental study with posttest only control group design. Thirty mothers were selected using purposive sampling, which 10 assigned in 3 groups (standard-dose group, minimal-dose group, and maximal-dose group). Wong-Baker Faces Pain rating scale was used to measure pain on day 1 and day 3. Kruskal-Wallis Test and Mann Whitney test were used for data analysis. Results: There were significant effects of Lo’I karana in minimal, standard and maximal dosage on pain level in the first day (p=0.004) and the third day (p=0.009) in postpartum mothers. The results revealed that the higher doses used for the treatment, the less pain of the mothers will be. Conclusion: Lo’I Karana has a significant effect in reducing pain level in postpartum mothers. It is recommended that this intervention can be applied as a part of nursing intervention in caring postpartum mothers.

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.


2021 ◽  
Vol 24 (3) ◽  
pp. 131-139
Author(s):  
Eni Purwanty ◽  
Riri Maria ◽  
Masfuri Masfuri

Surgery for open reduction and internal fixation (ORIF) causes tissue swelling and pain in the surgical area. Swelling and pain can be reduced by performing distal elevation in the area of surgical ORIF. This study aimed to determine the effect of a 20° elevation on swelling and pain level of patients after surgery for ORIF of the lower extremities. A quasi-experimental design with one intervention group (pretest and posttest) and one control group was implemented. Thirty-four post-operative ORIF patients treated in one hospital in South Sumatera met the inclusion criteria and were divided into intervention and control groups. Swelling circumference was measured using tape meters, and pain level was assessed with a numeric rating scale. Dependent t-test, independent t-test, and Pearson correlation were applied for data analysis. Results showed that the average difference in swelling circumference and pain level between pre and post intervention was 1.93 ± 0.25 and 1.29 ± 0.35, respectively. Significant differences were found in the mean swelling circumference and pain level between the intervention and control groups (p = 0.000).  Therefore a 20° elevation of lower extremity on the second day after ORIF for two days can be an alternative for nursing intervention to reduce swelling and pain. AbstrakElevasi 20 Derajat untuk Menurunkan Pembengkakan dan Nyeri Pasca Bedah Open Reduction and Internal Fixation Ekstremitas Bawah. Pembedahan open reduction and internal fixation (ORIF) menyebabkan pembengkakan jaringan dan nyeri pada area pembedahan. Pembengkakan dan nyeri dapat dikurangi dengan melakukan elevasi distal pada area bedah ORIF. Penelitian ini bertujuan untuk mengetahui pengaruh elevasi 20° terhadap tingkat pembengkakan dan nyeri pada pasien pasca operasi ORIF ekstremitas bawah. Desain kuasi-eksperimental dengan satu kelompok intervensi (pretest dan posttest) dan satu kelompok kontrol diterapkan pada penelitian ini. Tiga puluh empat pasien ORIF pasca operasi yang dirawat di salah satu rumah sakit di Sumatera Selatan memenuhi kriteria inklusi dan dibagi menjadi kelompok intervensi dan kontrol. Lingkar pembengkakan diukur menggunakan meteran pita, dan tingkat nyeri dinilai dengan skala numerik. Dependent t-test, independent t-test, dan korelasi Pearson digunakan untuk analisis data. Hasil penelitian menunjukkan bahwa rerata perbedaan lingkar bengkak dan tingkat nyeri antara sebelum dan sesudah intervensi masing-masing adalah 1,93 ± 0,25 dan 1,29 ± 0,35. Perbedaan bermakna ditemukan pada rerata lingkar pembengkakan dan tingkat nyeri antara kelompok intervensi dan kelompok kontrol (p = 0,000). Oleh karena itu, elevasi 20° ekstremitas bawah pada hari kedua setelah ORIF selama dua hari dapat menjadi alternatif intervensi keperawatan untuk mengurangi pembengkakan dan nyeri.Kata Kunci: bengkak, ekstremitas bawah, elevasi, nyeri, open reduction and internal fixation


Author(s):  
RAIMONDA AMAYU IDA VITANI

Background: Pain that has been experienced by patients in intensive care can lead them into worse condition. The efforts relieving the pain have been done a lot. One of them is to use music therapy. Nevertheless, the researcher has not found the the research of keroncong music therapy as original Indonesian classical traditional music for pain. Purpose: The aims of this study was to know the effect of keroncong music for pain level of the postoperative patients in intensive care. Method: This research used quasy experimental with pre-post nonequivalent control group design on 32 postoperative patients in critical care rooms. Keroncong music therapy has been implemented to the second day postoperative patients, it has been given twice a day and each implementation the patients listened keroncong music for 20 minutes. The pain level was measured using Visual Analogue Scale (VAS). Result: Postoperative pain level in intervention group (22,94 � 14,63) significantly decreased than control group (2,06 � 21,90) with p = 0,003, with a difference of mean 20.88 mm decrease in pain.Conclusion: Keroncong music therapy had effect on the decreasing of pain level of postoperative patients. Keroncong music therapy can be recommended to be independent complementary nursing intervention to decrease the pain level of postoperative patients in intensive care unit.�Keywords: Music therapy; Pain; Postoperative, Keroncong


2019 ◽  
pp. 10
Author(s):  
Monalisa Mall ◽  
T. Pravati ◽  
K. Pratibha

Background: The wonder of motherhood is the enjoyable journey that is felt only by the mother after giving birth. During postnatal period, the mother experiences problems like afterpain, back pain, pain in leg, breast engorgement, perineal discomfort, fatigue etc. Material and methods: This study focus on finding the effect of selected nursing interventions such as ambulation, emptying  bladder, deep breathing exercise, fundal massage, alternate leg raising and Kegel’s exercise in reducing afterpain and improving involution of uterus among postnatal mother in selected hospitals of Bhubaneswar by quantitative experimental research approach of Quasi experimental non randomized control group design. Purposive sampling technique was used to select the 60 postnatal mothers. Data were collected through Self-structured Questionnaire on socio-demographic, standardized numeric pain intensity scale on after pain and Self-structured rating scale on assessing involution of uterus. Descriptive and inferential statistics were used for analyzed the collected data. Results: The study findings revealed that 83.3% of postnatal mothers had no pain and 96.7% had fundal height bellow umbilicus. After pain level in experimental group with the ‘t’ value was 20.79 at p value 0.05 level, which is statistically significant. There was significant difference observed between pre and post test mean score of after pain level and involution of uterus at p<0.0001. There was notable association between parity of mother and afterpain level at χ2= 10.44. Conclusion: It conclude that rendering of planned nursing interventions to the postnatal mothers were helpful in dropping the level of after pains and improves in involution of uterus. Therefore, the investigator felt that more importance should be given to assess the post partum afterpain and involution of uterus experienced by the mother and measures should be taken seriously in order to reduce the afterpain and improves involution of uterus.


1970 ◽  
Vol 5 (2) ◽  
Author(s):  
Rosani Naim ◽  
Neti Juniarti ◽  
Ahmad Yamin

Periode emas tumbuh kembang seorang anak dimulai sejak anak dalam kandungan hingga berusia dua tahun. Wanita hamil dan anak-anak usia dibawah 5 tahun berada pada risiko tertinggi micronutrient deficiencies (MNDs), masalah pertumbuhan, penurunan intelektual, komplikasi perinatal dan meningkatnya risiko morbiditas dan mortalitas. Oleh karena itu ibu hamil memerlukan program edukasi tentang nutrisi yang tepat untuk kesehatan ibu dan janin. Edukasi berbasis keluarga sesuai program keluarga sehat dapat meningkatkan intensi untuk mengubah perilaku kesehatan. Menurut Theory of Planned Behavior (TPB), bahwa intensi untuk mengubah perilaku dipengaruhi oleh sikap, norma subjektif dan persepsi kontrol perilaku. Penelitian ini bertujuan mengidentifikasi pengaruh edukasi berbasis keluarga terhadap intensi ibu hamil untuk optimalisasi nutrisi pada 1000 Hari Pertama Kehidupan di wilayah kerja Puskesmas Neglasari, Kota Bandung. Desain penelitian menggunakan quasi eksperiment, pre-test and posttest with control group design. Pengambilan sampel dengan teknik total sampling seluruh ibu hamil yang terdata di Puskesmas sampai bulan November 2016 berjumlah 44 orang yang kemudian dibagi dalam kelompok intervensi dan kelompok kontrol. Kegiatan edukasi dilaksanakan melalui tiga kali pertemuan kunjungan rumah. Analisis data menggunakan Wilcoxon test dan Mann whitney test. Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan antara edukasi berbasis keluarga terhadap intensi ibu hamil untuk optimalisasi nutrisi pada 1000 hari pertama kehidupan (p = 0.00). Program edukasi berbasis keluarga adalah efektif meningkatkan intensi ibu hamil. Dengan demikian, disarankan penerapan edukasi berbasis keluarga dalam intervensi keperawatan untuk meningkatkan kesehatan ibu dan bayi yang dikandungnya.Kata kunci: Edukasi berbasis keluarga, intensi, ibu hamil, nutrisi, 1000 hari pertama kehidupan. Effect Of Family-Based Education Towards Pregnant Mothers’ Intention to Optimize The Nutrition at 1000 First Day Of LifeAbstractChildren “Golden Period” starts since in the womb until two years after birth. Pregnant mothers and children under five (5) years old are at risk to suffer from micronutrient deficiencies (MNDs), growth problems, intellectual impairment, perinatal complications and increase of morbidity and mortality risks. Therefore pregnant mothers need an education program about proper nutrition for mothers’ and the fetus’ health.Family based education can improve intention to change health behavior. According to Theory of Planned Behavior (TPB, behaviour is influenced by attitudes, subjective norms and perceived behavioral control. Intention in order to change the behavior. The study aimed to identified the effect of family-based education towards pregnant mothers’ intention to optimize the nutrition at 1000 First Day of Life in the working area of Puskesmas Neglasari, BandungResearch design was quasi experiment, pre-test and post-test with control group design. A total of 44 pregnant mothers’ were recruited and divided into intervention and control group. Intervention were conducted three times through home visits. The data were analyzed using Wilcoxon test and Mann Whitney testThe findings showed that there was a significant effect between the family-based education towards pregnant mothers’ intention to optimize the nutrition of 1000 first days of life (p = 0.00). Thus, it is recommended to apply family based education in nursing intervention to improve of mothers and fetus health.Keywords : Family based education, intention, pregnant mothers’, nutrition, 1000 first days of life.


2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Sumaryani ◽  
Indri Nurasa

PENGARUH PEMBACAAN DZIKIR PADA IBU MELAHIRKAN TERHADAP TINGKAT NYERI INTRA NATAL DI RUMAH BERSALIN FAJAR YOGYAKARTAEffect of Reading Dhikr Women On The Level Of Birth Pain Intra Christmas At Home Delivery Dawn YogyakartaSri Sumaryani1 & Indri Nurasa21, 2)Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Muhammadiyah YogyakartaJl. Lingkar Barat Taman Tirto Kasihan Bantul Yogyakarta 55182*)e-mail: [email protected] atau yang biasa disebut dengan proses persalinan merupakan suatu proses membuka dan menipisnya serviks, dan janin turun ke dalam jalan lahir. Gejala awal persalinan akan menimbulkan nyeri yang sangat hebat karena adanya kontraksi uterus dan otot abdomen. Nyeri intra natal adalah suatu nyeri yang dirasakan saat terjadinya proses persalinan (melahirkan). Saat nyeri persalinan muncul, ada baiknya bagi ibu untuk membaca dzikir. Dzikir adalah mengingat Allah SWT dan menghadirkan apa yang tadinya ada di dalam benak untuk kemudian dilafadzkan atau disebut-sebut yang dapat dilakukan secara lisan dengan menggunakan lidah atau bisa juga diucapkan tanpa adanya keterlibatan lidah, yaitu melalui hati. Penelitian ini bertujuan untuk mengetahui pengaruh pembacaan dzikir pada ibu melahirkan terhadap tingkat nyeri intra natal. Teknik pengambilan sampel menggunakan purposive sampling. Desain penelitian pra eksperimen, dengan rancangan pre test-post test tanpa kelompok kontrol. Sampel penelitian berjumlah 30 responden. Pengumpulan data dilakukan dengan observasi langsung kepada responden untuk mengukur tingkat nyeri. Analisa data menggunakan uji statistik wilcoxon signed rank test dan regresi linier dengan menggunakan SPSS 14. Hasil penelitian menunjukkan bahwa hasil uji statistik untuk nilai pre test dan post test tingkat nyeri diperoleh nilai signifikansi 0,02 dengan p < 0,05.Kata kunci: pembacaan dzikir, melahirkan, nyeri intra natal, tingkat nyeriABSTRACTThe delivery or usually called labor process is a process open and thin the cervix, and descent of the fetus into the way of birth. The early symptom of delivery will be appearing very heavy because there are uterus contraction and abdomen muscle. In partum pain is a pain which feel when delivery process happening (labor). When labor pain appears, there is a good for the mother to read dzikir. Dzikir is remembering Allah SWT and make present what before in the mind and then pronounced or make cal can do spoken by tongue or pronounced without there are involving tongue, by heart. The purpose of this research is to know about the influence of reading dzikir to the delivery mother toward in partum level of pain. Technique sampling used purpose sampling. The research of design pre experiment, with pre test-post test without control group design. The sample in this research’s total is 30 respondents. The manner of data was did by direct observation to the respondents to measure pain level. Data analysis used statistic test wilcoxon signed rank test and regression linier in SPSS 14. The results of research showed that results of the statistic pretest and posttest of pain level show significance value 0,02 with p < 0,05.Keywords: reading dzikir, delivery, in partum pain, pain level


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 593-598
Author(s):  
Tamilselvi S ◽  
Anshu Gloria Ekka ◽  
Arul Jothi L

Joint inflammation might be a term regularly acclimated mean any confusion that influences joints. Manifestations for the most part, incorporate joint torment and firmness. Different manifestations may incorporate redness, warmth, growing, the diminished scope of movement of the influenced joints. The aim of the study is to determine the effectiveness of strengthening and aerobic exercise among geriatrics with arthritis. A quantitative research approach with a quasi-experimental research design was used for the present study. A total of 60 arthritis clients who fall in the inclusion criteria were selected by purposive sampling technique, among which 30 samples were in the experimental group and 30 in the control group. The data were collected for both the groups, followed by the pre-test was conducted on the 1st day, the intensity level of pain was assessed by the numerical pain rating scale followed by the exercises which are effective in arthritis are a range of motion exercise, strengthening exercises (hand towel knee exercises, knee flexion, long arc quads), aerobic exercise (brisk walking) was initiated only in the experimental group. The post-test was conducted on 7th day and the level of pain was assessed by a numerical pain rating scale in both the groups. The results revealed that there was a significant reduction in the level of pain at p<0.0001 after the intervention among the experimental group. Thus, the study proves that strengthening and aerobic exercises can be used as an effective nursing intervention for reducing the arthritis pain among the geriatrics and it is easily applicable exercises, and also considered as a less cost-effective. These exercises can be practiced at home without any stress or harm and it has less side effect as compared to that of pharmacological interventions. 


MEDISAINS ◽  
2020 ◽  
Vol 17 (3) ◽  
pp. 57
Author(s):  
Qurota A'yun ◽  
Mukhoirotin Mukhoirotin

Background: The dysmenorrhea prevalence is still reported high in the world. Several previous studies discovered that deep breathing relaxation effectively reduced dysmenorrhea. Other studies presented the combination of early mobilization and spiritual relaxation could reduce the level of client pain postoperative appendectomy, however the effectiveness of spiritual relaxation techniques to reduce dysmenorrhea is not yet tested.Objective: to determine the effect of spiritual relaxation to reduce dysmenorrhea.Method: The research design used was Quasi Experiment with the pretest-posttest Control Group Design approach. The populations were female students who experienced menstrual pain (dysmenorrhea) and met the inclusion and exclusion criteria. The variable in this study was dysmenorrhea. The sampling technique was simple ramdom sampling consisted of 44 respondents. The calculation instrument was NRS (Numeric Rating Scale) and data were analyzed through statistical test of Paired T-Test and Independent T-Test.Results: After spiritual relaxation treatment, the intensity of menstrual pain reduced significantly from 6.05 - 1.77, it proved that there was an effect of spiritual relaxation on dysmenorrhea with a significant value (ρ) of 0.000 (p ≤ 0.05). There were significant differences in the intensity of menstrual pain in the intervention and control groups (1.77 ± 1,109 vs 5.63 ± 0.445; p> 0.05).Conclusion: Spiritual relaxation effectively reduces dysmenorrhea


2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Adhiono , A ◽  
Gondo H K ◽  
Noer Kumala I

Abstract: Preeclampsia is multisystem specific disorder in pregnancy. Preeclampsia has signed byincreased cytokine Interleukin-6 and β hCG (human Chorionic Gonadotropin). Spirulina is green-bluealga has bioactive compound namely antioxidant, vitamin, mineral. And has benefit namelyantinflamation. The aim of this research was to know how spirulina influence to repair trophoblast inHcg concentration on rat pregnancy (biology material collecting). The type of this research is anexperimental laboratoric with post test only control group design. A total of 25 rats with pre-eclampsiamodels induced by Interleukin 6 are divided into 5 groups: the untreated control group, the positivecontrol group with Interleukin 6 induction for three days, the treatment group with a dose of 10 mg /day, 20 mg / day and 40 mg of spirulina. / day for five day, then the blood serum produced was measuredwith β hCG levels using ELISA (Enzyme-Linked Immunosorbent Assay). The results of the Spirulina 10mg / day are higher at 85.11 ± 25.70 mIU / ml from a dose of spirulina 20 mg / day at 79.65 ± 10.65mIU / ml . In the level of β hCG, the dose group of spirulina 10 mg / day and the group there is nosignificant difference (0.730> 0.05), the β hCG level group of spirulina 40 mg / day was 93.28 ± 17, 12mIU / ml from the dose group of spirulina 10 mg / day was 85.11 ± 25.70 mIU / ml. The administrationof spirulina for five days was able to reduce β hCG levels at a dose of 10 mg / day, 20 mg / day and 40mg / day and the dose that was most effective in reducing β hCG levels significantly (P <0.05) was adose of 10 mg than dose of 20 mg / day and 40 mg / day.


2018 ◽  
Vol 1 (2) ◽  
pp. 120-127
Author(s):  
Yunita Liana

Young women often feel primary dysmenorrhoea because the hormonal cycles experienced are not stable, this can disrupt the concentration and activity of young women. The principle of back to nature is increasingly popular today, the side effects of chemical drugs can cause new problems, it is one of the driving force of the development of traditional medicine. Papaya leaves contain Vitamin E which can reduce dysmenorrhea. In addition, turmeric acids also contain curcumine and anthocyanins that inhibit cyclooxygenase, thereby reducing the occurrence of inflammation during uterine contractions. The aim of this research is to know the effectiveness of papaya leaf stew with acidic turmeric to primary dysmenorrhea. Type of Research is an experimental study with a Pretest-Posttest Control Group Design design. The sample is 30 people. The research was conducted on December 27, 2017 s.d February 24, 2018 at SMP Negeri 46 Palembang. Instrument to measure pain Numeric Rating Scale. The statistical test used by Wilcoxon and Mann Whitney U. Average score of pain before papaya leaves stem 5.40 ± 0.73 while the mean score of pain after given turmeric acid 5.33 ± 0.61 The mean score of pain after being given papaya leaves stew 3.60 ± 0.91 while the mean score of pain after given turmeric acid 4.06 ± 0.79. There was a difference of mean score of dysmenorrhea pain before and after given papaya leaf stem p value = 0.000. There is difference of mean score of dysmenorrhea pain before and after given turmeric acid p value = 0,002. There was no difference of mean score of dysmenorrhea pain before and after given papaya leaf sting and turmeric acid p value = 0,217. The decoction of papaya leaf and turmeric acid have the same effectiveness in reducing primary dysmenorrhea pain.


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