Does Metabolic Syndrome Determine Severity and Disability of Chronic Low Backache?

ABSTRACT Introduction: Obesity may be associated with more severe and disabling low backache (LBA) due to alteration in biomechanics, but there are no such studies from developing countries. Aims: We report the frequency of metabolic syndrome (MS) in chronic LBA (CLBA) and its association with severity and disability of CLBA. Subjects and Methods: Consecutive patients with CLBA attending to the neurology service from October 2015 to February 2016 were included in the study. Clinical and demographic parameters were recorded. Routine biochemical test was done. The severity of pain was assessed by a 0–10 Numeric Rating Scale (NRS) and disability by Oswestry Disability Index (ODI) version 2. Comparison of variables was done by Chi-square or independent t-test and correlation by Karl Pearson or Spearman's rank correlation test. Results: Seventy-none (39.3%) patients had MS as per the International Diabetic Federation (IDF) criteria and 68 (33.8%) as per the National Cholesterol Education Program Adult Treatment Panel III criteria. Abdominal obesity was the most common (171 [85.1%]) feature of MS. The patients with MS had longer duration of sitting work and did less frequently exercise. The NRS score (6.95 ± 1.06 vs. 6.65 ± 0.95; P = 0.04) and ODI score (54.91 ± 8.42 vs. 51.89 ± 8.54; P = 0.01) were higher in CLBA patients with MS compared to those without MS. Conclusion: About 40% patients with CLBA have metabolic syndrome, and they have more severe pain and disability.

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Hubungan intensitas pemakaian gawai dengan neck pain pada usia 15-20 tahun

Jurnal Biomedika dan Kesehatan ◽

10.18051/jbiomedkes.2019.v2.71-76 ◽

2019 ◽

Vol 2 (2) ◽

pp. 71-76

Author(s):

Yuni Tri Yustianti ◽

Pusparini Pusparini

Keyword(s):

Neck Pain ◽

Rating Scale ◽

Numeric Rating Scale ◽

Chi Square ◽

Cross Sectional ◽

Numeric Rating

LATAR BELAKANG Dekade terakhir menunjukkan neck pain pada remaja semakin meningkat, bersamaan dengan meningkatnya penggunaan gawai (gadget). Seiring perkembangan zaman, gawai menjadi kebutuhan dan gaya hidup masyarakat luas. Pelajar menjadi pasar terbesar dalam penggunaan gawai sehubungan dengan kebutuhan belajar yang memerlukan akses Internet. Salah satu faktor penyebab neck pain pada pengguna gawai adalah intensitas penggunaan gawai yang mempengaruhi lamanya posisi fleksi pada otot leher. Tujuan penelitian ini adalah untuk mengetahui hubungan intensitas pemakaian gawai dengan neck pain pada usia 15-20 tahun. METODE Penelitian ini merupakan studi observasional dengan desain cross sectional yang mengikutsertakan 164 pelajar SMAN 28 Jakarta dan Fakultas Hukum Universitas Trisakti. Data dikumpulkan dengan cara pengisian kuesioner yang meliputi usia, jenis kelamin, intensitas pemakaian gawai dan keluhan neck pain. Penilaian neck pain menggunakan NRS (Numeric Rating Scale). Analisis data dilakukan dengan uji Chi-square dengan tingkat kemaknaan p<0.05. HASIL Subjek perempuan berjumlah 121 orang (73.8%). Paparan gawai dengan intensitas >56 jam/minggu dijumpai pada 109 subjek (66.5%). Keluhan neck pain dijumpai pada 138 subjek (84.1%). Uji Chi-square menunjukkan terdapat hubungan yang bermakna antara intensitas penggunaan gawai dengan neck pain pada usia 15-20 tahun dengan nilai p=0.004. KESIMPULAN Terdapat hubungan yang bermakna antara intensitas penggunaan gawai dengan neck pain pada usia 15-20 tahun.

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Body Fat Parameters, Glucose and Lipid Profiles, and Thyroid Hormone Levels in Schizophrenia Patients with or without Metabolic Syndrome

Diagnostics ◽

10.3390/diagnostics10090683 ◽

2020 ◽

Vol 10 (9) ◽

pp. 683

Author(s):

Elena G. Kornetova ◽

Alexander N. Kornetov ◽

Irina A. Mednova ◽

Olga A. Lobacheva ◽

Valeria I. Gerasimova ◽

...

Keyword(s):

Metabolic Syndrome ◽

Body Fat ◽

Rank Correlation ◽

Thyroid Stimulating Hormone ◽

Lipid Profiles ◽

High Density Lipoproteins ◽

Free Triiodothyronine ◽

Chi Square ◽

Spearman’S Rank Correlation ◽

Spearman’S Rank Correlation Coefficient

In this study, we aim to investigate associations between body fat parameters, glucose and lipid profiles, thyroid-stimulating hormone (TSH), and thyroid hormones (THs) levels in Tomsk-region schizophrenia patients depending upon the presence or absence of metabolic syndrome (MetS). A total of 156 psychiatric inpatients with schizophrenia who had been treated with antipsychotics for at least six months before entry were studied: 56 with and 100 without MetS. Reference groups consisted of general hospital inpatients with MetS and without schizophrenia (n = 35) and healthy individuals (n = 35). Statistical analyses were performed using the Mann–Whitney U-test, chi-square test, Spearman’s rank correlation coefficient, multiple regression analyses, and descriptive statistics. Patients with schizophrenia and MetS had significantly higher levels of free triiodothyronine (FT3) and thyroxine (FT4) compared to schizophrenia patients without MetS (3.68 [3.25; 5.50] vs. 3.24 [2.81; 3.66], p = 0.0001, and 12.68 [10.73; 15.54] vs. 10.81 [9.76; 12.3], p = 0.0001, in pmol/L, respectively). FT3 maintained an association with MetS (p = 0.0001), sex (p = 0.0001), age (p = 0.022), and high-density lipoproteins (p = 0.033). FT4 maintained an association with MetS (p = 0.0001), sex (p = 0.001), age (p = 0.014), and glucose (p = 0.009). The data obtained showed body fat parameters, glucose and lipid profiles, and THs levels in Western-Siberian schizophrenia patients depending on MetS presence or absence.

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Kecemasan, Usia, Paritas dan Nyeri Persalinan Kala I Aktif

Jurnal Kesehatan Metro Sai Wawai ◽

10.26630/jkm.v12i2.2141 ◽

2019 ◽

Vol 12 (2) ◽

pp. 47

Author(s):

Yoga Tri Wijayanti ◽

Sumiyati Sumiyati ◽

Prasetyowati Prasetyowati

Keyword(s):

Rating Scale ◽

Sampling Technique ◽

Numeric Rating Scale ◽

Labor Pain ◽

Bivariate Analysis ◽

Chi Square ◽

Cross Sectional ◽

Purposive Sampling ◽

Self Rating ◽

Numeric Rating

Latar belakang: Nyeri persalinan merupakan kombinasi nyeri fisik akibat kontraksi miometrium disertai regangan segmen bawah rahim yang menyatu dengan kondisi psikologis ibu selama persalinan. Nyeri persalinan yang tidak diatasi menyebabkan partus lama dan asfiksia pada janin. Tujuan: Tujuan penelitian untuk mengetahui faktor yang berhubungan dengan nyeri persalinan. Metode: Rancangan penelitian menggunakan studi cross sectional. Sampel berjumlah 32 responden dan diambil dengan teknik purposive sampling. Variabel independen meliputi kecemasan, usia dan paritas, sedangkan variabel dependen nyeri persalinan. Pengumpulan data menggunakan alat kuesioner, Zung Self-Rating Anxiety Scales (ZSAC) untuk mengukur kecemasan dan lembar observasi Numeric Rating Scale (NRS) (skala 0-10) untuk nyeri persalinan. Analisis bivariat menggunakan uji chi square. Hasil: Hasil penelitian menunjukkan terdapat 43,75% ibu bersalin merasakan kecemasan menghadapi persalinan. Studi memperoleh hasil ada hubungan kecemasan dengan nyeri persalinan kala I (p = 0,017; POR 7,5 CI 95%: 1,3-43,7). Simpulan: Kecemasan pada ibu bersalin meningkatkan persepsi nyeri persalinan kala I. Perlu upaya penurunan atau menghilangkan kecemasan pada ibu bersalin dengan diberikan dukungan oleh keluarga atau Bidan dan pemahaman cara merespon nyeri.Background: Labor pain is a combination of physical pain due to myometrial contraction accompanied by a stretch of the lower uterine segment that integrates with the psychological condition of the mother during labor. Untreated labor pain causes prolonged labor and asphyxia in the fetus. Purpose: The purpose of this study was to determine factors associated with labor pain. Methods: The study design used a cross-sectional study. The sample consisted of 32 respondents and was taken by purposive sampling technique. The independent variables include anxiety, age, and parity, while the dependent variable is labor pain. Data collection using a questionnaire tool, Zung Self-Rating Anxiety Scales (ZSAC) to measure anxiety and observation sheet Numeric Rating Scale (NRS) (scale 0-10) for labor pain. Bivariate analysis using the chi-square test. Results: The results showed that 43.75% of mothers felt anxiety facing labor. The study found an association of anxiety with first stage labor pain (p = 0.017; CI 95%: 1,3-43,7). Conclusion: Anxiety in labor increases the perception of labor pain in the first stage. It is necessary to reduce or eliminate anxiety in labor by giving support from the family or midwife and understanding how to respond to pain.

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PENGARUH TERAPI KOMPRES HANGAT DENGAN WWZ (WARM WATER ZACK) TERHADAP NYERI PADA PASIEN DYSPEPSIA

Jurnal Kesehatan ◽

10.38165/jk.v11i1.201 ◽

2020 ◽

Vol 11 (1) ◽

pp. 1462-1468

Author(s):

R. Nur Abdurakhman ◽

Suzana Indragiri ◽

Leny Nur Setiyowati

Keyword(s):

Rating Scale ◽

Medical Condition ◽

Numeric Rating Scale ◽

Statistical Test ◽

Warm Water ◽

Test Results ◽

Solar Plexus ◽

The One ◽

Upper Abdomen ◽

Numeric Rating

ABSTRAKDyspepsia merupakan suatu kondisi medis yang ditandai dengan nyeri atau rasa tidak nyaman pada perut bagian atas atau ulu hati. Hal ini yang dapat menyebabkan gangguan rasa nyaman dan aman yaitu nyeri. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi kompres hangat dengan WWZ (Warm Water Zack) terhadap nyeri pada pasien dyspepsia di RSIA Pala Raya Kabupaten Tegal Tahun 2020.Penelitian ini menggunakan rancangan penelitian Pre-eksperimental dengan tipe the one group pretest-posttest design. Populasi dalam penelitian ini adalah seluruh pasien yang didiagnosa dyspepsia sebanyak 15 pasien pada tanggal 12 - 14 Maret 2020, pengambilan sampel dengan teknik total sampling. Instrumen penelitian berupa lembar ceklist dan NRS (Numeric Rating Scale) menggunakan metode Paired T-Test.Hasil penelitian didapatkan bahwa intensitas nyeri sebelum dilakukan intervensi sebagian besar responden mengalami nyeri berat 7 - 10 (66,66%) dan intensitas nyeri setelah dilakukan intervensi adalah sebagian besar responden mengalami nyeri ringan 1 - 3 (60%). Hasil uji statistik diperoleh nilai p = 0,000 dan jika α = 0,05 maka p <α (0.000 < 0,05), yang artinya terdapat pengaruh yang signifikan antara terapi kompres hangat dengan WWZ (Warm Water Zack) terhadap nyeri pada pasien dyspepsia Kata Kunci : Terapi Kompres Hangat, WWZ (Warm Water Zack), Nyeri, Dyspepsia. ABSTRACTDyspepsia is a medical condition characterized by pain or discomfort in the upper abdomen or solar plexus. This can cause discomfort and safety, namely pain. The purpose of this study was to determine the effect of warm compress therapy with WWZ (Warm Water Zack) on pain in dyspepsia patients at RSIA Pala Raya Kabupaten Tegal 2020.This study uses a Pre-experimental research design with the type of the one group pretest-posttest design. The population in this study were all patients diagnosed with dyspepsia as many as 15 patients on March 12-14, 2020, sampling with an total sampling techniqueat. The research instruments were checklist sheets and NRS (Numeric Rating Scale) using the Paired T-Test method.The results is the intensity of pain before the intervention was done most of the respondents experienced severe pain 7 – 10 (66,66%0 and the intensity of pain after the intervention was that the majority of respondents experienced mild pain 1 – 3 (60%). Statistical test results obtained the value of p = 0,000 and if α = 0.05 then p <α (0,000 <0.05), which means there is a significant effect between warm compress therapy with WWZ (Warm Water Zack) on pain in dyspepsia patients.Keywords : Warm Compress Therapy, WWZ (Warm Water Zack), Pain, Dyspepsia.

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Effect of intervention on a quality measure of pain management at Medstar Washington Cancer Institute.

Journal of Clinical Oncology ◽

10.1200/jco.2013.31.31_suppl.144 ◽

2013 ◽

Vol 31 (31_suppl) ◽

pp. 144-144

Author(s):

Vishal Navnitray Ranpura ◽

Lynne Wood ◽

Stephanie Heller ◽

Linda Self ◽

Sekwon Jang

Keyword(s):

Severe Pain ◽

Rating Scale ◽

Numeric Rating Scale ◽

Administrative Staff ◽

Chi Square ◽

Potential Explanation ◽

Chi Square Test ◽

Oncology Practice ◽

Pain Documentation ◽

Numeric Rating

144 Background: Medstar Washington Cancer Institute (MWCI) has participated in Quality Oncology Practice Initiative (QOPI) since 2008. Adherence to pain assessment and intensity documentation was high, but lower in plan of care for moderate/severe pain documentation (69%, compared to QOPI aggregate of 79%) during the fall 2011 round. One potential explanation for the discrepancy was lack of communication between the nursing staff assessing the pain and the physician treating pain. We hypothesized that the use of pain card can improve the communication between nurses and doctors, as well as prompt physicians to document the plan of care for moderate/severe pain. Methods: MWCI created a team of physicians, nurses, quality resources, and administrative staff in December 2011. We abstracted up to 10 patients charts per oncologist for those patientswho reported moderate to severe pain (pain score of more than 3 of 10 on numeric rating scale) each quarter during 2012.We used data for quarter 1 and 2 as a baseline. We implemented the use of pain card by nurses to report pain for these patients to the physician in quarter 3 and 4. Chi square test was used to compare documentation rate in the first two quarters and last two quarters. Results: The total number of charts evaluated, pain documentation as well as confidence intervals for each quarter are shown in the table. Our results show significant improvement in pain documentation by physician in last two quarters compared to first two quarters ( p = 0.0007). Conclusions: Our study demonstrates pain card improved communication between nurse and physician resulting improved documentation of pain by physician. [Table: see text]

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AKUPRESUR EFEKTIF MENGATASI DISMENOREA

Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) ◽

10.32419/jppni.v2i1.78 ◽

2018 ◽

Vol 2 (1) ◽

pp. 9

Author(s):

Abel Zulia ◽

Heni Setyowati Esti Rahayu ◽

Rohmayanti

Keyword(s):

Rating Scale ◽

Numerical Rating Scale ◽

Therapy Group ◽

Numeric Rating Scale ◽

Health Sciences ◽

Statistical Test ◽

Test Results ◽

Relieve Pain ◽

Numerical Rating ◽

Numeric Rating

ABSTRAKTujuan penelitian: untuk membandingkan efektivitas antara aromaterapi lavender dan akupresur dalam mengatasi dismenorea. Metode: Rancangan penelitian yang digunakan adalah quasy experiment dengan two group pretest dan posttest design. Penelitian dilakukan di Fakultas Ilmu Kesehatan Universitas Muhammadiyah Magelang tanggal 14 Maret sampai 9 Mei 2015. Sampel sebanyak 44 responden dibagi menjadi dua kelompok, yaitu 22 orang sebagai kelompok aromaterapi lavender dan 22 orang sebagai kelompok terapi akupresur. Aromaterapi diberikan secara inhalasi selama 10 menit, dilakukan dua kali sehari selama 3 hari. Akupresur dilakukan pada LI 4 dan ST 36 selama 20 menit sebanyak dua kali sehari selama 3 hari. Instrumen untuk mengukur nyeri menggunakan numeric rating scale. Uji statistik yang digunakan adalah uji Mann Whitney. Hasil: Terdapat perbedaan antara aromaterapi lavender dan terapi akupresur dalam mengatasi dismenore dengan perbedaan penurunan intensitas nyeri terapi akupresur 1,95 lebih besar daripada aromaterapi lavender 1,46 dengan nilai p= 0,002. Diskusi: Terapi akupresur dengan pemijatan atau penekanan pada titik LI 4 dan ST 36 akan meningkatkan kadar endorfin sehingga lebih cepat menurunkan rasa nyeri, sedangkan aroma yang dihirup melalui proses pernapasan baru merangsang kinerja otak dan dipengaruhi oleh dalamnya pernapasan. Kesimpulan: Terapi akupresur lebih efektif dalam mengatasi dismenorea daripada aromaterapi lavender.Kata Kunci: dismenorea, aromaterapi lavender, akupresurEFFECTIVENESS OF ACUPRESSURE IN TREATING DYSMENORRHOEA ABSTRACTObjective: To compare the effectiveness of lavender aromatherapy and acupressure in treating dysmenorrhea. Methods: This study is a quasi-experiment with two group pretest and posttest design. The study was conducted at the Faculty of Health Sciences, Muhammadiyah University of Magelang on 14 March 2015 to 9 May 2015. Samples consisting of 44 respondents were divided into two groups, namely 22 in lavender aromatherapy group and 22 in acupressure therapy group. Aromatherapy was given through inhalation for 10 minutes, done twice a day for 3 days. Acupressure was performed on LI 4 and ST 36 for 20 minutes, twice a day for 3 days. Numerical rating scale was usedfor measuring pain. The statistical test usedMann-Whitney test. Results: There was a difference between lavender aromatherapy and acupressure therapy in treating dysmenorrhea with a decrease in the intensity ofpain of acupressure therapy by 1.95, which was greater than lavender aroma by 1.46 with p = 0.002. Discussion: Acupressure therapy with massage or pressure on the points of LI 4 and ST 36 would increase endorphin levels so that it would quickly relieve pain, while the inhaled scent through the breathing process only stimulated brain’sperformance and was affected by the depth of breathing. Conclusion: Acupressure therapy is more effective in treating dysmenorrhea than lavender aromatherapy.Keywords: dysmenorrhea, lavender aromatherapy, acupressure

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Effect of intervention on a quality measure of pain management at Medstar Washington Cancer Institute (MWCI).

Journal of Clinical Oncology ◽

10.1200/jco.2013.31.15_suppl.e20700 ◽

2013 ◽

Vol 31 (15_suppl) ◽

pp. e20700-e20700

Author(s):

Sekwon Jang ◽

Vishal Navnitray Ranpura ◽

Lynne Wood ◽

Heller Stephanie ◽

Linda Self

Keyword(s):

Severe Pain ◽

Rating Scale ◽

Numeric Rating Scale ◽

Administrative Staff ◽

Chi Square ◽

Potential Explanation ◽

Chi Square Test ◽

Oncology Practice ◽

Pain Documentation ◽

Numeric Rating

e20700 Background: MWCI has participated in Quality Oncology Practice Initiative (QOPI) since 2008. Adherence to pain assessment and intensity documentation was high, but lower in plan of care for moderate/severe pain documentation (69%, compared to QOPI aggregate of 79%) during the Fall 2011 round. One potential explanation for the discrepancy was lack of communication between the nursing staff assessing the pain and the physician treating pain. We hypothesized that the use of pain card can improve the communication between nurses and doctors, as well as prompt physicians to document the plan of care for moderate/severe pain. Methods: MWCI created a team of physicians, nurses, quality resources and administrative staff in December 2011. We abstracted up to 10 patients charts per oncologist for those patientswho reported moderate to severe pain (pain score of more than 3 of 10 on numeric rating scale) each quarter during 2012.We used data for quarter 1 and 2 as a baseline. We implemented the use of pain card by nurses to report pain for these patients to the physician in quarter 3 and 4. Chi square test was used to compare documentation rate in the first two quarters and last two quarters. Results: The total number of charts evaluated, pain documentation as well as confidence intervals for each quarter are shown in the Table. Our results show significant improvement in pain documentation by physician in last two quarters compared to first two quarters (p =0.0007). Conclusions: Our study demonstrates pain card improved communication between nurse and physician resulting improved documentation of pain by physician. [Table: see text]

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Pengaruh Premedikasi Midazolam 0,04 mg/kgBB sebelum Anestesi Spinal terhadap Respons Tubuh Saat Insersi Jarum Spinal dan Kepuasan

Jurnal Anestesi Perioperatif ◽

10.15851/jap.v8n2.2035 ◽

2020 ◽

Vol 8 (2) ◽

pp. 82-90

Author(s):

Anna Christanti ◽

Ezra Oktaliansah ◽

Indriasari Indriasari

Keyword(s):

Conscious Sedation ◽

Rating Scale ◽

Numeric Rating Scale ◽

Chi Square ◽

Response Score ◽

Numeric Rating

Conscious sedation pada pasien yang dilakukan tindakan anestesi spinal membuat pasien menjadi lebih nyaman, kooperatif selama penyuntikan, dan mengurangi respons tubuh saat insersi jarum spinal. Midazolam memiliki efek ansiolitik, sedatif-hipnotik, amnesia, melemaskan otot, dan mengurangi mual-muntah akibat pembedahan. Tujuan penelitian ini mengetahui pengaruh premedikasi midazolam 0,04 mg/kgBB yang diberikan 30 menit sebelum dilakukan anestesi spinal terhadap respons tubuh pasien saat insersi jarum spinal dan kepuasan pasien terhadap anestesi spinal. Penelitian dilakukan periode September–Desember 2019 di RSUP Dr. Hasan Sadikin Bandung. Penelitian bersifat prospektif eksperimental menggunakan uji klinis acak buta ganda terhadap 46 subjek yang dibagi acak ke dalam 2 kelompok, yaitu kelompok kontrol (kelompok K, n=23) dan kelompok premedikasi midazolam (kelompok M, n=23). Pasca- pemberian premedikasi midazolam dinilai respons tubuh pasien saat insersi jarum spinal menggunakan prick response score dan kepuasan pasien dengan numeric rating scale. Analisis statistik untuk respons penyuntikan dan kepuasan pasien diuji dengan uji chi-square. Hasil penelitian menunjukkan respons tubuh pasien saat insersi jarum spinal berkurang (p<0,01) dan kepuasan pasien meningkat (p<0,01) pada kelompok premedikasi midazolam. Simpulan, premedikasi midazolam 0,04 mg/kgBB yang diberikan 30 menit sebelum anestesi spinal menurunkan respons tubuh pasien saat insersi jarum spinal dan meningkatkan kepuasan pasien terhadap anestesi spinal

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Foot Massage Menurunkan Nyeri Post Operasi Sectio Caesarea Pada Post Partum

Jurnal Kesehatan Komunitas ◽

10.25311/keskom.vol6.iss2.528 ◽

2020 ◽

Vol 6 (2) ◽

pp. 164-170

Author(s):

Dewi Nurlaela Sari ◽

Aay Rumhaeni

Keyword(s):

Daily Living ◽

Rating Scale ◽

Post Partum ◽

Numeric Rating Scale ◽

Sectio Caesarea ◽

P Value ◽

Test Design ◽

Purposive Sampling ◽

Post Test ◽

Numeric Rating

ABSTRAK Sectio caesarea merupakan tindakan alternatif dalam proses persalinan untuk menyelamatkan ibu dan janin. Ibu Bersalin dengan operasi sectio caesarea dilakukan pembedahan pada dinding abdomen dan dinding rahim. Dampak yang paling sering muncul dirasakan oleh postpartum dengan post operasi sectio caesarea adalah nyeri. Nyeri akan berdampak pada bounding attachment terganggu, mobilisasi terbatas, Activity Daily Living (ADL) terganggu serta berpengaruh terhadap Inisiasi Menyusui Dini (IMD). Asuhan yang diberikan terbatas pada terapi farmakologi dibandingkan non farmakologi. Foot massage adalah salah satu terapi non farmakologi yang dapat membantu menutup gerbang di posterior horns dari sumsum tulang belakang dan memblokir bagian dari nyeri ke sistem saraf pusat. Tujuan penelitian ini untuk mengetahui pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea di RS AMC. Penelitian ini merupakan penelitian pre eksperimen dengan pendekatan one group pre test post test design. Jumlah sampel yang digunakan berjumlah 27 orang dengan menggunakan teknik purposive sampling. Instrumen yang digunakan adalah Numeric Rating Scale (NRS) dan prosedur kerja foot massage. Responden dilakukan foot massage selama 20 menit selama 2 hari. Data di analisis dengan menggunakan uji wilcoxon. Hasil penelitian menunjukkan lebih dari setengah klien post operasi sectio caesarea berada di skala nyeri 6 sebelum dilakukan foot massage dan hampir setengah memiliki skala nyeri 3 sesudah dilakukan foot massage dan didapatkan nilai p value = 0.000, sehingga disimpulkan ada pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea. Diharapkan rumah sakit dapat menjadikan foot massage sebagai salah satu alternatif manajemen non farmakologi dalam penanganan nyeri. Kata kunci: Foot Massage; Post Partum; Nyeri; Sectio Caesarea

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Efektivitas pencucian luka menggunakan daun jambu biji terhadap tingkat malodor klien luka kaki diabetik

Riset Informasi Kesehatan ◽

10.30644/rik.v8i2.251 ◽

2019 ◽

Vol 8 (2) ◽

pp. 152

Author(s):

Adi Antoni ◽

Yanna Wari Harahap

Keyword(s):

Diabetic Foot ◽

Rating Scale ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Numeric Rating Scale ◽

P Value ◽

Consecutive Sampling ◽

Guava Leaves ◽

Guava Leaf ◽

Numeric Rating

Abstrak Latar belakang: Diabetes mellitus (DM) merupakan penyakit kronik dan menjadi masalah global. Salah satu komplikasi yang ditimbulkan dari DM adalah luka kaki diabetic. Langkah awal dalam perawatan luka kaki diabetic adalah mencuci luka. Tujuan penelitian ini adalah mengetahui keefektifan dari rebusan daun jambu biji sebagai cairan pencuci luka terhadap tingkat malodor pada luka kaki diabetic. Metode: Desain penelitian yang digunakan adalah quasy experiment dengan rancangan one group pretests-posttest only. Teknik sampling yang digunakan adalah consecutive sampling dengan jumlah sampel 16 orang. Kriteria sampel yang digunakan adalah klien luka kaki diabetic, tingkat malodor 1-10 dengan NRS. Alat ukur yang digunakan adalah Numeric Rating Scale (NRS). Analisa data yang digunakan dalam penelitian ini menggunakan uji paired t test. Hasil: tingkat malodor sebelum intervensi pencucuan luka menggunakan rebusan daun jambu biji rata-rata sebesar 4.40 dan sesudah intervensi sebesart 2.44 dengan p value < 0.001. Selisih tingkat malodor antara sebelum dan sesudah intervensi sebesar 1.96. Hasil penelitian ini menunjukkan bahwa daun jambu dapat digunakan sebagai cairan pencuci luka dalam mengatasi tingkat malodor pada luka kaki diabetik. Kesimpulan : daun jambu biji dapat digunakan sebagai cairan pencuci luka pada luka kaki diabetic. Perawat diharapkan dapat memanfaatkan daun jambu biji sebagai salah satu alternatif dalam pencucian luka kronik khususnya luka kaki diabetik. Kata kunci: Daun Jambu Biji, Tingkat Malodor, Luka Kaki Diabetik Abstract Background: Diabetes mellitus (DM) is a chronic disease and a global problem. One of the complications that arise from DM is diabetic foot ulcer. The first step in treating diabetic foot ulcer is washing the wound. The purpose of this study was to determine the effectiveness of guava leaf decoction as a washing fluid for malodor levels in diabetic foot ulcer. Method: The research design used was quasy experiment with one group pretests-posttest only design. The sampling technique used was consecutive sampling with a sample of 16 people. Sample criteria used were diabetic foot ulcer clients, malodor level 1-10 with NRS. The measuring instrument used is the Numeric Rating Scale (NRS). Analysis of the data used in this study used paired t test. Results: the level of malodor before intervening in wound washing using guava leaf decoctions on average was 4.40 and after the intervention was 2.44 with p value <0.001. The difference in the level of malodor between before and after the intervention was 1.96. The results of this study indicate that guava leaves can be used as a washing fluid in dealing with malodor levels in diabetic foot ulcer. Conclusion: Guava leaves can be used as a washing fluid for diabetic foot wounds. Nurses are expected to be able to use guava leaves as an alternative in washing chronic wounds, especially diabetic foot injuries. Key words: Guava Leaf, Malodor Level, Diabetic foot ulcer.

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