scholarly journals TERAPI SLOW DEEP BREATHING DENGAN BERMAIN MENIUP BALING-BALING TERHADAP INTENSITAS NYERI PADA ANAK YANG DILAKUKAN PENYUNTIKAN ANESTESI SIRKUMSISI

2015 ◽  
Vol 1 (2) ◽  
pp. 36-43
Author(s):  
Hesti Wahyuni ◽  
Setyawati Setyawati ◽  
Iin Inayah

ABSTRAK Pendahuluan: Sirkumsisi merupakan tindakan yang memerlukan persiapan, salah satunya tindakan anestesi. Selama sirkumsisi, rasa nyeri akan dirasakan hanya pada saat penyuntikan anestesi. Perawat sering kesulitan melakukan prosedur penyuntikan anestesi sirkumsisi karena anak sering menolak dilakukan tindakan keperawatan yang akan menimbulkan rasa nyeri. Salah satu manajemen non farmakologi untuk menurunkan nyeri pada anak adalah terapi slow deep breathing sambil bermain meniup baling-baling. Tujuan: mengidentifikasi pengaruh terapi slow deep breathing dengan bermain meniup baling-baling terhadap intensitas nyeri pada anak yang dilakukan penyuntikan anestesi sirkumsisi. Metode: Penelitian ini menggunakan quasi eksperimental dengan control group post test. Populasi penelitian ini adalah seluruh anak yang dilakukan penyuntikan anestesi sirkumsisi di Klinik Khitan Kencana Medika. Sampel yang digunakan berjumlah 36 anak, 18 anak kelompok intervensi dan 18 anak kelompok kontrol. Respon nyeri diukur menggunakan Faces Pain Rating Scale. Hasil: penelitian dianalisis menggunakan uji Mann-Whitney menunjukkan  ada perbedaan yang signifikan antara kelompok intervensi dan kontrol dengan p-value < 0,001 dan nilai signifikansi alpha £ 0,05. Kesimpulan penelitian ada pengaruh terapi slow deep breathing dengan bermain meniup baling-baling terhadap intensitas nyeri pada anak yang dilakukan penyuntikan anestesi sirkumsisi.   Kata kunci: anak, nyeri, penyuntikan anestesi sirkumsisi, slow deep breathing   ABSTRACT Introduction: Circumcision is treatment which needed preparation, one of them is anesthesia treatment. As long as circumcision treatment, pain will be feel only at the time anesthesia circumcision injection. Nurses often have difficult to make action procedure of anesthesia circumcision injection because children often refuse to procedures which will occurs pain feeling. One of non pharmacology managements to reduce pain on children by giving children breath is playing with a blow vane. Objective: The purpose of study to identify the effect of slow deep breathing therapy by playing with a blow vane to pain intensity on children with anesthesia circumcision injection. Methods: This study used a quasi experimental design by control group post test. Populations were all children who had been performed anesthesia circumcision injection in Kencana Medika Circumcision Clinic. Used 36 samples consist of 18 samples were in intervention and control group. Pain response was measured by Faces Pain Rating Scale. Result: The results were analyzed using the Mann-Whitney showed there are significant differencebetweenthe interventionandcontrolgroups with ap-value of0.000 and α £ 0.05. The conclusioniseffect of slow deep breathing theraphy by playing with a blow vane to pain intensity on children with anesthesia circumcision injection. Keywords: anesthesia circumcision injection, children, pain, slow deep breathing Full printable version: PDF

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 66-69
Author(s):  
Mary Minolin T ◽  
Sivasakthi S ◽  
Subha E ◽  
Suganthi S

Dysmenorrhea or agonising uterine cycle is one of the most common significant reasons for school non-attendance among young girls since it influences their scholarly presentation, school and sports exercises. Dysmenorrhea is the most well-known gynaecologic issue among youth girls, with a predominance of 60% to 93%. The examination planned for evaluating the adequacy of Billig's exercise in diminishing dysmenorrhea among young girls. A quantitative methodology with the quasi-experimental design was embraced for the investigation. Sixty young girls with age between 12-17 years were enlisted by convenient sampling. The pain was surveyed by Numerical pain rating scale from both study and control gathering, After the pretest, Billig's exercise was given to the study group on the day preceding period, day one and day two of uterine cycle, 5 — multiple times for 20 minutes every day. Following one month on next uterine cycle, Post-test was done to evaluate the degree of dysmenorrhoea among the two gatherings by utilizing the same numerical pain rating scale. The mean score of post-test pain level was 1.2 in the study group, and 2 in the control group and the determined 't' esteem was 5.03. This infers that there was a more critical distinction in the menstrual agony level after taking Billig's exercise among young girls of exploratory gathering. This examination unmistakably expresses that there is a critical impact of Billig's exercise in a decrease of agony during the monthly cycle among young girls.


Author(s):  
Rosalina Setianto

Rasa nyeri pada persalinan adalah manifestasi dari adanya kontraksi (pemendekan) otot rahim. Kontraksi inilah yang menimbulkan rasa sakit pada pinggang, daerah perut dan menjalar kearah paha. Nyeri persalinan disebabkan adanya regangan segmen bawah rahim dan servik serta adanya ischemia otot rahim. Beberapa pengelolaan nyeri persalinan secara farmakologis sebagian besar merupakan tindakan medis. Salah satu metode yang sangat efektif dalam menanggulangi rasa nyeri adalah dengan massage effleurage yang merupakan salah satu metode non farmakologi yang dilakukan untuk mengurangi nyeri persalinan. Studi yang dilakukan oleh National Birthday Trust terhadap 1000 wanita menunjukan 90% wanita merasakan manfaat relaksasi dan untuk mengetahui pengaruh massage effleurage terhadap pengurangan rasa nyeri pada persalinan Kala I Fase Aktif di Wilayah Kerja Puskesmas Kemalang. Metode penelitian adalah quasi eksperimental dengan pre and post test without control group desain. Sampel penelitian sebanyak 30 responden yang diambil dengan teknik accidental sampling. Instrumen yang digunakan kuesioner skala nyeri Numerical Rating Scale (NRS) Masaage Effleurage dan Wong – Baker FACES Pain Rating Scale. Analisis data menggunakan uji paired t-test. Skala nyeri pretest adalah sedang sebanyak 22 orang (73,3%) dengan rata-rata sebesar 5,50 sedangkan post test adalah sedang sebanyak 20 orang (66,7%) dengan rata-rata sebesar 4,60. P value sebesar 0,001 (p < 0,05). Ada Pengaruh massage effleurage terhadap pengurangan rasa nyeri pada persalinan Kala I Fase Aktif di Wilayah Kerja Puskesmas Kemalang.


Author(s):  
Priti A. Mehendale ◽  
Mayur T. Revadkar

Background: There is evidence regarding beneficial use of Transcutaneous Electrical Nerve Stimulation (TENS) on post Lower Segment Caesarean Section (LSCS) incision pain. However, efficacy of different types of TENS following C section pain has not yet been explored adequately.Methods: 96 women who had recently undergone LSCS were included for the study. The subjects were in the age group of 20 to 40 years (25.84±3.96); having pain intensity 4 or more on Numerical Pain Rating Scale (NPRS). They were divided into three groups by random allocation method; namely Group A: Acupuncture (Low/Motor) TENS, Group B: Conventional (High/Sensory) TENS and Group C: Control group. Group A and B received specific type of TENS twice a day for 15 minutes. Control group C did not receive any TENS intervention. All subjects received standard post-operative medications and physiotherapy. Pain intensity was recorded on NPRS pre and post intervention.Results: Both Acupuncture TENS and Conventional TENS significantly decreased post-operative pain intensity as compared to control group (p value <0.0001).Conclusions: Both, acupuncture and conventional TENS are equally effective in reducing post LSCS incision pain at a strong and non-painful intensity.


2021 ◽  
Vol 8 (2) ◽  
pp. 182-192
Author(s):  
Achwan Achwan ◽  
Abdurahman B.B. Laksono

Leg cramps are a common side effect of intradialysis CKD patients. Preventing intradialysis cramping pain can improve quality of life. Breathing and stretching exercises are non-pharmacological treatments for cramping pain. The purpose of this study was to prove the effect of breathing and stretching exercises on changes in the intensity of leg cramps in hemodialysis patients at the Haji Jakarta Hospital in 2018. This study was a quasi-experimental study with a two-group pre-post test research design. The sample was selected by purposive sampling, a sample of 34 patients. The intensity of muscle cramps was measured using the Numeric Rating Scale. The results of the analysis using the paired sample T-test. The results showed that the intervention group had a P-value = 0.01 and the control group had a P-value = 0.055, meaning that there was a difference in mean the intensity of cramping pain before and after breathing and stretching exercises was compared, so it was concluded that there was an effect of breathing and stretching exercises on the intensity of intradialysis leg cramps. Patients are advised to breathing and stretching exercises regularly, light exercise, eat and drink diet.


2019 ◽  
Author(s):  
Agussalim . ◽  
Josephine Lorica

Arthritis Rheumatoid (AR) is an autoimmune disease showing erosive of symmetric joint. It sometimes refers to many systems disturbances inside our bodies. The progressivity of AR has chronic fluctuation in daily life. AR can increase mortality risk, especially for chronic disabilities. This study aims to understand the effect of warm compress on the pain intensity of AR cases for elderly people. The method used in this study was a quasi-experimental one. The sampling method used was a purposive technique. The total number of respondents was 10, with 5 as the interventional arm of the study and 5 as the control arm. This study was conducted between February and July 2014. A paired t-test was used to identify whether the sample means for those in the intervention arm was statistically different from the average of the sample means drawn from those drawn from the control group presumed to be from the general elderly population who do not benefit from the particular intervention of a warm compress. What the author wanted to conclude on was whether the two samples at hand actually differ significantly from each other. The intensity of pre- and post-intervention using parametric statistics following the application of warm compress was noted and used as a basis of comparison. The result of the statistics formula showed the effectiveness of warm compress in decreasing the AR pain, the t-test was 6.000 and the p-value was lower than 0.05. It can be summarized that warm compress can be used to decrease pain intensity for elderly people with AR. Discussion – the result of this study can be used as a reference to conduct care among elder people who are affected by AR. People living in the community area should help their family member with AR on first aid.


2020 ◽  
Vol 3 (2) ◽  
pp. 75
Author(s):  
Tunggul Sri Agus Setyaningsih ◽  
Hesti Wahyuni

Circumcision is an action done by removing the skin that covers the tip of the penis. The pain will be felt during the child is injected circumcision anesthesia. This can make the child uncooperative, making it difficult for the procedure to be performed. Electronic games are one of the non-pharmacological management to reduce pain in children. The purpose of this study was to identify the effect of the use of electronic games on the level of pain in children undergoing circumcision anesthetic injection. This research uses quantitative method, quasi-experimental research with one group pretest-posttest design.  The technique used is an accidental sampling. The study was conducted on 17 children who performed circumcision anesthesia injections in Klinik Kencana Medika Rancaekek Bandung. Pain response is measured using the Faces Pain Rating Scale. These results indicate that there are significant differences with p-value <0.001 and alpha significance value £ 0.05. Based on the results of the study showed the use of electronic games affects the level of pain in children who performed injection circumcision anesthesia. Electronic games can reduce the level of pain in children who undergo injection of circumcision anesthesia. It is hoped that the use of electronic games can be done on factors that affect the level of pain.


2019 ◽  
Vol 1 (1) ◽  
pp. 22
Author(s):  
Evelin Malinti ◽  
Febri A Nabuasa

CRYOTHERAPY DAN INTENSITAS NYERI PADA INJEKSI INTRAKUTAN Abstrak Cryotherapy merupakan aplikasi terapi suhu rendah atau dingin yang digunakan untuk berbagai keperluan seperti mengurangi pembengkakan pada trauma, peradangan dan mengurangi nyeri. Cryotherapy juga telah digunakan untuk menangani nyeri pada prosedur penyuntikan seperti penyuntikan subkutan dan intravena. Secara khusus penelitian ini bertujuan untuk mengevaluasi perbedaan efek dari cryotherapy kering dan basah pada intensitas nyeri injeksi intrakutan. Metode: yang digunakan dalam penelitian ini adalah quasi ekperimen dengan post-test design. Pemilihan sample menggunakan teknik purposive sampling untuk memperoleh total 54 responden yang dibagi kedalam dua kelompok. Penelitian ini membandingkan intensitas nyeri kedua kelompok menggunakan numerical pain rating scale. Masing-masing kelompok mendapatkan aplikasi cryotherapy pada area penyuntikan selama 5 menit sebelum dilakukan injeksi intrakutan. Kelompok I diberikan aplikasi cryotherapy dalam bentuk es batu dalam plastik es yang dibungkus kantong kain. Kelompok II diberikan aplikasi washlap yang telah dicelupkan dalam air es. Hasil penelitian menunjukkan bahwa rata-rata intensitas nyeri pada kelompok I berada pada kategori nyeri sedang, dan kelompok II berada pada kategori nyeri berat terkontrol. Uji t-independen menunjukkan bahwa terdapat perbedaan signifikan pada intensitas nyeri diantara kedua kelompok (p<0.05). Dengan demikian aplikasi cryotherapy dengan es batu selama 5 menit lebih efektif mengurangi intensitas nyeri pada injeksi intrakutan. Aplikasi cryotherapy dapat dilakukan untuk mengurangi nyeri pada injeksi intrakutan. CRYOTHERAPY AND PAIN INTENSITY ON INTRACUTANEOUS INJECTION  Abstract Cryotherapy is an application of low or cold temperature therapy that is used for various purposes such as reducing swelling in trauma, inflammation and reducing pain. Cryotherapy has also been used to treat pain in injection procedures such as subcutaneous and intravenous injections. In particular, this study aimed to evaluate the differences in the effects of dry and wet cryotherapy on the pain intensity of intracutaneous injection. The method used in this study is quasi experiment with post-test design. The sample selection uses a purposive sampling technique to obtain a total of 54 respondents divided into two groups. This study compared the intensity of pain between the two groups using the numerical pain rating scale. Each group received an application of cryotherapy in the injection area for 5 minutes before intracutaneous injection. Group I was given the application of cryotherapy in the form of ice cubes in ice plastic wrapped in a cloth bag. Group II was given the washlap application which had been dipped in ice water. The results showed that the average pain intensity in group I was in the moderate pain category, and group II was in the category of heavily controlled pain. Independent t-test showed that there were significant differences in pain intensity between the two groups (p <0.05). Thus the application of cryotherapy with ice cube for 5 minutes is more effective in reducing pain intensity in intracutaneous injection. The application of cryotherapy can be done to reduce pain in intracutaneous injection.  


2018 ◽  
Vol 1 (1) ◽  
pp. 24-28
Author(s):  
Aprillia Veranita ◽  
Ni Luh Widani ◽  
Wilhelmus Hary Susilo

Pendahuluan: Kanker paru adalah pertumbuhan sel yang tidak terkendali pada paru-paru yang sering menimbulkan nyeri dan sesak napas. Manajemen nyeri yang tepat diperlukan untuk menangani respon nyeri.  Penelitian ini bertujuan untuk mengetahui pengaruh terapi musik & Deep Breathing Exercise (DBE) terhadap penurunan nyeri, frekuensi nadi dan pernapasan pada pasien kanker paru. Metode: Penelitian ini merupakan studi  quasi experimental pre-post test with control group dengan teknik purposive sampling ,terdiri dari 86 responden kelompok intervensi dan 22 kelompok kontrol di RSUP Persahabatan. Nyeri diukur dengan Numeric Rating Scale (NRS). Analisis yang digunakan adalah Uji regresi linear berganda, Paired sampel t-test,  Independent t-test. Hasil: Hasil penelitian menunjukan perbedaan bermakna nilai skala nyeri, frekuensi pernapasan dan nadi  sebelum dan sesudah intervensi terapi musik dan Deep Breathing Exercise (DBE) (p=0,000). Kesimpulan: Penurunan skala nyeri, frekuensi pernapasan dan nadi kelompok intervensi lebih besar dari pada kelompok kontrol. Penelitian ini merekomendasikan terapi musik & DBE sebagai intervensi mandiri keperawatan untuk mengurangi nyeri kanker paru.


2021 ◽  
pp. 009164712110115
Author(s):  
Charissa H. W. Wong ◽  
Li Neng Lee ◽  
Alberto Pérez Pereiro

Short-term Christian overseas volunteer trips, also known as short-term mission trips (STMs), have become increasingly prevalent (Howell & Dorr, 2007). However, research on these programs has been limited. This quasi-experimental study adds to the literature by quantitatively measuring the effects of an STM from Singapore to Thailand. STM recipients’ ( n = 44) self-esteem and readiness for self-directed learning (RSDL) were compared across timepoints – pre-test, post-test, follow-up – and with a control group ( n = 50). It was hypothesized that recipients would experience an increase in self-esteem and RSDL such that their scores would be higher than the control group post-STM. Results provide partial support for the hypotheses; while improvements among recipients were either not significant (for self-esteem) or not long-lasting (for RSDL), recipients had higher scores than the control group post-STM. This suggests that STMs have some, albeit limited, positive effects. Recommendations for promoting greater and longer-lasting effects are offered.


2021 ◽  
Vol 7 (4) ◽  
pp. 292-295
Author(s):  
Roland Prethipa P ◽  
Jimsha V K ◽  
Jonathan Daniel M

Pain intensity is a common outcome domain assessed in pain clinical trials. The patient’s self-report is the gold standard and it appears to be embedded in everyday clinical practice. Most often pain assessment is considered to be the cornerstone for ideal treatment.The aim of this study was to assess the dental patients’ level of pain using Full Cup Test (FCT) and Numeric Pain Rating Scale (NPRS), and to compare and validate the Full Cup Test in the assessment of orofacial pain with Numeric Pain Rating Scale.A total of sixty patients presenting with various forms of orofacial pain were included in this cross-sectional study. Data collected include the patient demographic details and the diagnosis of each case was made after proper history taking, clinical examination and radiographic investigation. Pain assessment was done for each patient using both numeric pain rating scale and full cup test.All the data were analysed using inferential statistics Mann Whitney test and the analysis was carried out with SPSS 17.The comparison of mean pain scores using full cup test and numeric pain rating scale shows there was significant differences between acute and chronic pain with P- value of 0.023 and 0.005 respectively. FCT had shown 83 percent sensitivity and 94 percent specificity.Patients who presented with either acute or chronic dental conditions experienced moderate to severe level of pain. FCT is useful for both evaluating and discerning changes in pain and it can be used as a tool in pain assessment.


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