scholarly journals PENGARUH TERAPI MUROTAL TERHADAP SKALA NYERI KEPALA PADA KLIEN CEDERA KEPALA DI RSU PROF. DR. MARGONO SOEKARJO DAN RSUD BANYUMAS

2019 ◽  
Vol 1 (2) ◽  
pp. 119
Author(s):  
Arif Hendra Kusuma ◽  
Agus Setiawan ◽  
Rohman Azzam

AbstrakCedera kepala merupakan suatu trauma yang menimpa struktur kepala sehingga dapat menimbulkan kelainan struktural dan atau gangguan fungsional jaringan otak. Cedera kepala dapat menyisakan tanda ataupun gejala somatik yang nyeri kepala. Penatalaksanaan terhadap nyeri dapat berupa tindakan non farmakologis salah satunya dengan terapi murotal. Penelitian ini bertujuan untuk menganalisis pengaruh terapi murotal terhadap skala nyeri kepala pada klien dengan cedera kepala Di RSU Prof. Dr. Margono Soekarjo dan RSUD Banyumas. Desain penelitian menggunakan metode Quasi-eksperimental melalui pendekatan pretest-posttest control grup design. Jumlah sampel sebanyak 22 responden (11 responden kelompok kontrol dan 11 responden kelompok intervensi). Skala nyeri diukur menggunakan Visual Analog Scale (VAS). Uji statistik menggunakan uji independent t-test. Hasil penelitian ada pengaruh yang signifikan terapi murotal terhadap penurunan skala nyeri kepala pasien cedera kepala ringan (P value = <0,001; α<0,05). Saran: penelitian ini merekomendasikan terapi murotal dijadikan sebagai intervensi mandiri keperawatan untuk mengurangi skala nyeri pasien cedera kepala dan menjadi salah satu SOP dalam perawatan pasien cedera kepala khususnya yang beragama Islam.Kata kunci      : Terapi murotal, nyeri kepala, cedera kepala  AbstractHead injury is a trauma that befell the structure so that the head can cause abnormalities of the structural and functional disorders or brain tissue. Head injuries can leave scars or somatic symptoms such as headaches. This research aimed to analyze the effect of murotal therapy on head pain scale among the client with head injuries In Prof. Dr. Margono Soekarjo Hospital and District Banyumas Hospital. The design of the research was quasi-experimental through a pretest-posttest approach with control group. The number of samples was 22 respondents (11 respondents in control group and 11 respondents in intervention group). The pain scale was measured using the Visual Analog Scale (VAS). Statistical tests using independent t-test show a significant difference of head pain scale before and after murotal therapy among head injury patients (p= 0.001 ; α < 0.05). This research recommends murotal therapy as an independent nursing intervention to reduce head injury patients pain scale and become one of the SOP in the treatment of head injury among Muslim patients. Keywords: murotal therapy, head pain, head injury 

2020 ◽  
Vol 50 (1) ◽  
pp. 38
Author(s):  
Ade Asyari ◽  
Novialdi Novialdi ◽  
Elniza Morina ◽  
Rimelda Aquinas ◽  
Nasman Puar ◽  
...  

Background: Post tonsillectomy pain is one of the surgery side effects that most disturbing for patient’s comfort and will cause dysphagia, low intake, dehydration, secondary infection and bleeding. Ketamine is an anesthetic drug that has strong analgesic effect and easily available in any hospital at relatively cheap price. Objective: To find out the effect of local ketamine infiltration on the post tonsillectomy pain scale. Method: An experimental study during tonsillectomy with a Post Test Control Group on 12 samples without local infiltration of ketamine and 12 samples with local infiltration of ketamine in peritonsillar pillar. The pain was assessed 2 hours and 24 hours post extubation with pain Visual Analog Scale (VAS). Result: The VAS value from patients who were given local infiltration of ketamine in peritonsillar pillar were lower (5.83 ± 0.72 at 2 hours and 2.83 ± 0.58 at 24 hours post extubation) compared to patients without ketamine infiltration (7.83 ± 0.58 at 2 hours and 3.58 ± 0.51 at 24 hours post extubation). The result showed statistically significant difference (p <0.05) at 2 hours and 24 hours post extubation. Conclusion: The VAS score of the ketamine infiltration group is lower at 2 hours and 24 hours post extubation than the group without ketamine infiltration, showing there was a noticeable effect of local ketamine infiltration on the post tonsillectomy pain scale.Keywords : post tonsillectomy pain, ketamine, local infiltration, visual analog scale ABSTRAKLatar belakang: Nyeri pascatonsilektomi adalah salah satu efek samping operasi yang sangat mengganggu kenyamanan pasien, dan dapat menyebabkan gangguan menelan, kurangnya asupan nutrisi, dehidrasi, infeksi sekunder dan perdarahan. Ketamin merupakan obat anestesi yang memiliki efek analgetik yang kuat dan mudah didapatkan di semua tipe rumah sakit dengan harga yang relatif murah. Tujuan: Mengetahui efek pemberian infiltrasi lokal ketamin terhadap skala nyeri pascatonsilektomi. Metode: Penelitian eksperimental dengan desain Post Test Control Group pada 12 sampel tanpa pemberian infiltrasi lokal ketamin dan 12 sampel dengan pemberian infiltrasi lokal ketamin di pilar peritonsil saat tonsilektomi. Dilakukan penilaian nyeri 2 jam dan 24 jam pascaekstubasi menggunakan skala nyeri Visual Analog Scale (VAS). Hasil: Nilai VAS pasien yang diberi infiltrasi lokal ketamin di pilar peritonsil lebih rendah (5,83±0,72 pada 2 jam dan 2,83 ± 0,58 pada 24 jam pascaekstubasi) dibanding tanpa diberi infiltrasi lokal ketamine (7,83 ± 0,58 pada 2 jam dan 3,58± 0,51 pada 24 jam pascaekstubasi), dan bermakna secara statistik (p<0,05) pada kedua penilaian. Kesimpulan: Terdapat efek nyata infiltrasi lokal ketamin terhadap skala nyeri pascatonsilektomi, dimana nilai VAS kelompok yang diberi infiltrasi ketamin lebih rendah, baik pada 2 jam ataupun 24 jam pascaekstubasi dibanding kelompok yang tidak diberi infiltrasi ketamin.


2020 ◽  
Vol 3 (1) ◽  
pp. 16-20
Author(s):  
Jonathan Salguero Cárdenas ◽  
Norka Altamirano Vergara

Objective: Evaluate the effect of inmediate dentinary sealing, as treatment of hypersensitivity in patients attending the fixed prosthetic clinic at the Catholic University of Santiago de Guayaquil dental clinic. Materials and methods: This study was designed as clinic, prospective and correlational. 25 patients were selected, they were divided into 2 groups, one group included 14 patients in which teeth were prepared with SDI (29 teeth) and a second control group of 11 patients in which teeth were not prepared with SDI (19 teeth), giving a total of 48 teeth. Surveys were made 1, 2 and 3 weeks after preparations and the presence of hipersensitivity was registered with the visual analog scale. Results: A chi-square test was made and in the analysis of the pain scale (EVA), the study sample exhibited a significant difference in a range above 3 for the group in which SDI was not applied. Conclusion: This study demostrates that the application of SDI helps diminish significantly dental hipersensitivity.


2015 ◽  
Vol 1 (1) ◽  
pp. 13-17
Author(s):  
Rupesh Kumar Gami ◽  
Kumar Jahan ◽  
Chandra Bhushan Jha

Background: Government of Nepal has been conducting Cesarean section under “Safe Motherhood” program all over country. The purpose of this study was to evaluate the efficacy and safety of intrathecal morphine for post cesarean analgesia under spinal anesthesia.  Methods: A total of 300 parturients posted for Cesarean section under spinal anesthesia were divided into two groups of 150 each in this prospective randomized case-control study. Morphine group received 0.15 mg of intrathecal morphine mixed in 12 mg of 0.5% bupivacaine heavy while control group received 12 mg of 0.5% bupivacaine heavy alone, after proper preparation of spinal anesthesia. The parturients were assessed for first request of analgesic as per Visual Analog Scale, frequency of analgesics required within 24 hr, nausea, vomiting, pruritus, sedation and respiratory depression.Results: Postoperative analgesia was significantly greater in morphine group as compare to control group (12.1 ± 7.6 vs 3.7 ± 2.9 hr). Frequency of analgesics requirements was also significantly lower in morphine group (1.7 ± 2.0 vs 3.4 ± 8.1). Visual Analog Scale was below 4 at most of time in morphine group. The incidence of nausea, vomiting and pruritus were more in morphine group as compare to control group but without any respiratory depression. There was no significant difference in APGAR score among fetus.  Conclusion: Mixing low dose of intrathecal morphine in standard dose of spinal anesthesia effectively prolongs the duration of post cesarean analgesia and decreases the frequency of analgesics requirement without any major complication in parturients or fetus.Journal of Society of Anesthesiologists 2014 1(1): 13-17


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Ka Young Kim ◽  
Hyo Jin Seo ◽  
Sun Seek Min ◽  
Mira Park ◽  
Geun Hee Seol

The aim of this study was to investigate the effect of inhalation of eucalyptus oil and its constituents on anxiety in patients before selective nerve root block (SNRB). This study was a randomized controlled trial carried out in 62 patients before SNRB. The patients were randomized to inhale limonene, 1,8-cineole, or eucalyptus oil, each at concentrations of 1% vol/vol in almond oil or almond oil (control). Anxiety-visual analog scale (A-VAS), state-trait anxiety inventory (STAI), profile of mood states (POMS), pain-visual analog scale (P-VAS), blood pressure, and pulse rate were measured before and after inhalation prior to SNRB. Measures of anxiety, including A-VAS (P<0.001), STAI (P=0.005), and POMS (P<0.001), were significantly lower in 1,8-cineole than in the control group and significantly greater in 1,8-cineole than in the eucalyptus group in A-VAS. P-VAS was significantly lower after than before inhalation of limonene, 1,8-cineole, and eucalyptus, despite having no significant difference in the four groups compared with control group. 1,8-Cineole, a major constituent of eucalyptus, was effective in decreasing anxiety before SNRB. The present findings suggest that inhalation of 1,8-cineole may be used to relieve anxiety before, during, and after various operations, in addition to SNRB.


2021 ◽  
Vol 5 (1) ◽  
pp. 204-209
Author(s):  
Siti Hasanah Fikria ◽  
Triana Indrayani ◽  
Sri Dinengsih

Background: Menstruation is periodic bleeding from the uterus which starts about 14 days after ovulation periodically due to the detachment of theuterine endometrial lining. The incidence of dysmenorrhea in West Java was quite high, the results of the study found that 54.9% of women experienced dysmenorrhea, consisting of 24.5% experiencing mild dysmenorrhea, 21.28% experiencing moderate dysmenorrhea and 9.36% experiencing severe dysmenorrhea. One of the treatment for menstrual pain with other non-pharmacological therapies can be used by consuming coconutwater.Purpose: This study aimed to determine the effect of giving green coconut water on dysmenorrhea pain among adolescent girls in Berekah village, Sukabumi district in 2021.Methods: This study was a Quasi Experiment using a pretest-posttest design with a control group. The sampling technique used was purposive sampling which consisted of 30 adolescent girls who experienced dysmenorrhea every menstruation. The data were analyzed using the Paired T-Test to determine the difference in scores in one group and the Independent T-Test to determine the difference in scores between groups.Results: The results showed that there was a significant difference in the dysmenorrhea pain scale before and after being given green coconut water (p <0.05).Conclusion: Green coconut water has an effect on reducing the dysmenorrhea pain scale among adolescent girls in the village of Berekah, Sukabumi district. It is hoped that green coconut water can be applied thoroughly as a traditional treatment in dealing with dysmenorrhea pain in adolescent girls


PEDIATRICS ◽  
1995 ◽  
Vol 95 (5) ◽  
pp. 709-712
Author(s):  
Eileen J. Klein ◽  
Richard P. Shugerman ◽  
Kate Leigh-Taylor ◽  
Carol Schneider ◽  
Dawn Portscheller ◽  
...  

Objectives. To evaluate the effectiveness of intradermal buffered lidocaine as analgesia before intravenous line (IV) placement in children. Methods. This was a randomized clinical trial undertaken in the emergency department (ED) of a regional children's hospital. Participants were children 8 to 15 years old, seen in the ED and in need of IV lines. They were enrolled by three ED nurses. Participants were randomized to receive either intradermal buffered lidocaine or no analgesia. Before placement of the IV line, patients recorded the amount of pain they were in (baseline pain) on a visual analog pain scale. The primary outcome measure was amount of pain caused by the initial IV attempt, even if that attempt was unsuccessful. This was recorded by the participant on a visual analog scale. Demographic characteristics, the number of attempts to successful placement, and the time required to place the IV line were also recorded. Differences in pain of initial IV attempt and time to place the IV line were evaluated with the Mann-Whitney U test. Differences in success of IV line placement were evaluated with the χ2 test. Results. Fifty-nine patients completed the study. Thirty received buffered lidocaine, and 29 received no analgesia before IV line placement. There was no significant difference between the two groups with regard to baseline pain or demographic characteristics. The median level of pain of the initial IV attempt as measured by the visual analog scale was 2.3 in the buffered-lidocaine group and 4.4 in the no-lidocaine group. Thirty-three percent of patients in the lidocaine group and 28% percent in the no-lidocaine group required more than one IV attempt. The median time to IV line placement was 10 minutes in the lidocaine group and 6 minutes in the no-lidocaine group. Conclusions. Use of intradermal buffered lidocaine is an effective way to diminish the pain of IV line placement in children 8 to 15 years of age. There was no difference in IV success rate in this study; however, larger numbers of patients would be required to detect statistically significant differences. We recommend the routine use of intradermal buffered lidocaine for analgesia before IV line placement in older children in all but emergent situations.


2017 ◽  
Vol 31 (6) ◽  
pp. 412-415 ◽  
Author(s):  
Babak Saedi ◽  
Amin Amali ◽  
Mina Arabpor

Background A comparison of the two methods of corticosteroid (triamcinolone) use in reducing supratip edema (pollybeak deformity) after rhinoplasty. Methods Ninety patients who were candidates for rhinoplasty were randomly divided into three groups. Group A received no treatment, group B received 8 mg/mL of triamcinolone, and group C received 16 mg/mL of triamcinolone. Their effects on dorsal edema were evaluated by using the patients' and surgeons' visual analog scale scores. Also, dorsal edema was measured by using photo editing software. Results There was no significant difference in the patients' characteristics in the study groups. The surgeons' visual analog scale scores were significantly better in those patients who received triamcinolone injection than in the control group (p = 0.02). However, none of the other assessment methods showed significant differences among the study groups. There was no significant difference between the two evaluated concentrations. Conclusion Triamcinolone injection had positive temporary effects on reducing supratip edema without any important complications.


2013 ◽  
Vol 60 (3) ◽  
pp. 95-98 ◽  
Author(s):  
Sunil Yadav ◽  
Ajay Verma ◽  
Akash Sachdeva

Abstract The aim of the study was to demonstrate if 2% lidocaine hydrochloride with 1 : 200,000 epinephrine could provide palatal anesthesia in maxillary tooth removal with a single buccal injection. The subjects included in the clinical study were those requiring extraction of the maxillary third molar of either side. For the purpose of comparison, the sample was randomly divided into 2 main groups: group 1 (study group) included 100 subjects who were to receive a single injection before extraction, and group 2 (control group) included 100 subjects who were to receive a single buccal injection and a single palatal injection before extraction. After 5 minutes the extraction was performed. All patients were observed for Faces Pain Scale during extraction and asked for the same on a 100-mm visual analog scale after extraction. According to visual analog scale and Faces Pain Scale scores, when maxillary third molar removal without palatal injection (study group) and with palatal injection (control group) were compared the difference was not statistically significant (P &gt; .05). Removal of maxillary third molars without palatal injection is possible by depositing 2 mL of 2% lidocaine hydrochloride with 1 : 200,000 epinephrine to the buccal vestibule of the tooth.


2020 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
Luh Putu Widiastini ◽  
I Gusti Agung Manik Karuniadi

Pain Labor is a physiological and individual experience. The cause of pain in labor is a combination of ischemia (hypoxia) the muscles of the uterus and stretching that occurs in the lower segment of the uterus (then the cervix). Non-pharmacological efforts that can be done in reducing pain in the mother in the face of labor are through the Application of Yoga Pranayama and Gym Ball Exercise. The purpose of this study was to determine the effect of the application of Yoga Pranayama and Ball Exercise Gym on Labor Pain Active Phase in PMB Blahkiuh Village, Abiansemal, Badung. This research method used the Quasi Experimental Design study with Nonequivalent Control Group Design. The approach used is a prospective approach. Sample consisted 40 respondents. Respondent selected by purposive sampling and divide into control group and intervention group. Respondents in intervention group were given Yoga Pranayama and Gym Ball Exercise, while in the control group respondents were given conventional therapy. The data were analyzed using the Paired T-test to compare the results of the pre-test and post-test, and to compare intervention and control groups use Independent T-Test. Based on statistical tests obtained all p values <0.05 means that there is a significant difference between pain labor in the control and intervention group, so it can be interpreted that pain scale in intervention group is lower than control group. The conclusion of this study was there’s influence on the application of Yoga Pranayama and the Ball Exercise Gym on Labor Pain in the Active Phase in PMB Blahkiuh Village, Abiansemal, Badung. Index Terms— labor pain, active phase, yoga pranayama, gym ball exercise


2016 ◽  
Vol 2 (2) ◽  
pp. 141
Author(s):  
Asep Edyana ◽  
Endah Sri Lestari ◽  
Novi Malisa

ABSTRAK Pendahuluan: Nyeri merupakan keluhan tertinggi yang dirasakan pasien dengan luka episiotomi menyebabkan penurunan kemampuan ibu untuk melakukan bounding attachment kepada bayinya. Intervensi keperawatan yang dapat menurunkan keluhan nyeri luka episiotomy secara aman dan tanpa efeksamping menjadi penting. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh cryptherapy terhadap nyeri luka episiotomi pada pasien post partum hari pertama di Ruang V/VI RS. Dustira Cimahi. Metode: Penelitian ini menggunakan metode penelitian quasi eksperimental dengan pendekatan two groups pretest and posttest design. Sebanyak 88 pasien dipilih sebagai responden yang terbagi dalam dua kelompok menggunakan accidental sampling. Data dianalisis menggunakan uji statistik analisis univariat (berupa distribusi frekuensi, persentase dan mean dari setiap variabel), analisis bivariat (paired t test, independent t test), dan analisis multivariat (uji ancova). Hasil: Penelitian menunjukkan bahwa terdapat perbedaan rerata skor nyeri antara skor sebelum dan sesudah dilakukan intervensi cryotherapy pada kelompok intervensi (pretest 4,86±0,930 dan posttest 3,59±0,844). Pada kelompok kontrol juga terjadi penurunan skor nyeri setelah dilakukan relaksasi autogenik (pretest 4,86±0,930 dan posttest 4,82±1,040) namun peningkatan ini tidak signifikan. Terdapat perbedaan bermakna selisih skor nyeri kelompok intervensi dengan kelompok kontrol (p = 0,000). Tidak adanya pengaruh dominan yang signifikan (p > 0,005) dari masing-masing karakteristik responden (usia, skor cemas dan riwayat episiotomi sebelumnya) terhadap skala nyeri posttest kelompok intervensi. Secara umum hasil penelitian ini menemukan ada pengaruh cryotherapy terhadap tingkat nyeri luka episiotomy dibandingkan dengan relaksasi autogenik. Diskusi: Disarankan kepada pasien post partum yang mengalami luka nyeri episiotomy agar menggunakan tehni cryotherapy mulai hari pertama post partum, rutin dilakukan dua hari sekali (pagi dan sore) untuk mempercepat penurunan skala nyeri.   Kata Kunci: cryotherapy, nyeri luka episiotomi, post partum   ABSTRACT Introduction: Pain is the highest complaint felt by a patient with episiotomy injury causing a decrease in the mother's ability to perform bounding attachment to her baby. Safe and less side effect interventions that aimed to reduce pain of episiotomy wound become necessary. Objective: This study aims to determine the effect of cryptherapy on the pain of episiotomy wound in first day postpartum patient in Room V / VI RS. Dustira Cimahi. Method: This research uses quasi experimental research method with approach of two groups pretest and posttest design. A total of 88 patients were selected as respondents who were divided into two groups using accidental sampling. Data were analyzed using univariate statistic test (frequency distribution, percentage and mean of each variable), bivariate analysis (paired t test, independent t test), and multivariate analysis (ancova test). Results: This study indicates that there is a difference in the mean score of pain between before and after cryotherapy intervention in the intervention group (pretest 4.86 ± 0.930 and posttest 3.59 ± 0.844). There is different in pain score after the autogenic relaxation in control group (pretest 4.86 ± 0.930 and posttest 4.82 ± 1.040) yet the increament is not statistically significant. There was a significant difference in intervention group pain score with control group (p = 0,000). There is no significant influence (p> 0.005) of each respondent characteristic (age, anxiety score and previous episiotomy history) on the posttest pain scale of the intervention group. In general, the results of this study found no effect of cryotherapy on the level of episiotomy wound pain compared with autogenic relaxation. Discussion: It is advisable for postpartum patients with episiotomy pain to use cryotherapy from the first day of post partum, routinely done every other day (morning and afternoon) to accelerate the decrease of pain scale. Keywords: cryotherapy, episiotomy wound pain, post partum


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