Pengaruh Teknik Relaksasi Genggam Jari Terhadap Penurunan Nyeri Pasien Post Operasi Appendiktomi: Literature Review

2021 ◽  
Vol 1 ◽  
pp. 996-1004
Author(s):  
Octaviana Wafa ◽  
Firman Faradisi ◽  
Nuniek Nizmah Fajriyah

Abstract Grip Finger relaxation is one of the non-pharmacological intervention to reduce pain in post appendectomy patients. The purpose of this study was to describe the application of grip finger relaxation techniques on reducing pain in post appendectomy patients. The design of this scientific paper is a literature review with three articles taken from the Google Scholar page. the keywords used are "Finger grip relaxation" and "Post appendectomy surgery". The article selection category is fulltex, published in 2011-2020. Analysis of the characteristics of the respondents showed from the three articles, the number of respondents was 61, most of them (59.6%) were male, 64.7% aged 20-55 years. The mean pain scores before and after the intervention was 5.5 and 2.2. The grip finger relaxation technique proved can reduce pain intensity in post appendectomy patients. In line with this, nurses can teach their post appendectomy patients to use finger grip relaxation techniques to reduce pain.Keywords: Appendectomy; grip finger relaxation; pain Abstrak Relaksasi genggam jari merupakan salah satu tindakan non farmakalogi untuk menurunkan nyeri pada pasien post operasi appendiktomi. Penelitian ini bertujuan untuk menggambarkan penerapan teknik relaksasi genggam jari terhadap penurunan nyeri pasien post operasi appendiktomi berdasarkan literature review. Desain karya tulis ilmiah ini adalah literature review dengan jumlah artikel tiga yang diambil dari laman google scholar. kata kunci yang digunakan adalah “Relaksasi genggam jari” dan “Post operasi appendiktomi”. Kategori pemilihan artikelnya adalah fulltex, terbit tahun 2011-2020. Analisis karakteristik responden menunjukan, dari tiga artikel menunjukkan jumlah responden responden sebesar 61, sebagian besar (59,6%) laki-laki, 64,7% umur 20-55 tahun. Nilai rata-rata nyeri responden sebelum intervensi 5,5 sesudah intervensi 2,2. Kesimpulannya adalah teknik relaksasi genggam jari dapat menurunkan intensitas nyeri pada pasien post operasi appendiktomi. Saran bagi tenaga keperawatan teknik relaksasi genggam jari dapat digunakan sebagai intervensi keperawatan terhadap penurunan nyeri pasien post operasi appendiktomi.Kata kunci: Appendiktomi; relaksasi genggam jari; nyeri

2021 ◽  
pp. 753-757
Author(s):  
Nyayu Nina Putri Calisanie ◽  
Anisa Nur Ratnasari

Appendicitis is an inflammation of the appendix. Post-appendectomy patients often experience pain from the surgical wound incisions. Pain will have an impact on daily activities. Therefore, independent nursing action is needed by performing simple and easy pain management; one methods is finger grip relaxation. To measure the effect of finger relaxation techniques on pain reduction in post-appendectomy patients, this study used a literature review method. The data was collected by searching on Google Scholar website with the following keywords: Finger Grip Relaxation Techniques, Pain, and Appendicitis. It was found that in post-appendectomy surgery patients before being given a finger grip relaxation technique, the patients experienced moderate pain, then after being given a finger grip relaxation technique, the pain intensity decreased and effectively. Data were analysed by Paired T-Test with a significant value α=0.005. The results showed the average result before intervention was 4.80 and the average result after intervention was 3.87. The bivariate results obtained p-value 0,000. It shows that there are differences in pain intensity before and after finger grip relaxation techniques are performed in post-appendectomy patients [3]. It can be concluded that finger grip relaxation techniques can be used as an intervention in the hospital or at home to reduce pain in post-appendectomy patients.     Keywords: Finger Grip Relaxation Techniques, Pain, Appendicitis.


2021 ◽  
Vol 1 ◽  
pp. 1254-1259
Author(s):  
Agnes Setia Utami ◽  
Nuniek Nizmah Fajriyah ◽  
Firman Faradisi

AbstractAppendicitis is inflammation due to infection of the appendix or appendix. One of the actions of acute appendix patients is by means of surgery or what is called an appendectomy which is an invasive action by opening the part of the body to be treated, as well as complaints that are often felt after surgery (post surgery), the patient feels very intense pain. Pain is a form of discomfort defined in various perspectives. Finger hold relaxation is a non-pharmacological treatment that can be used to treat pain. The purpose of scientific papers is to describe the effect of finger grip relaxation techniques to reduce pain in post appendectomy surgery patients. The method was carried out by searching several research journals entitled the effect of finger grip relaxation techniques on reducing pain in post appendectomy patients. The results obtained after the finger grip relaxation action were reduced pain intensity. The conclusion of this scientific paper is that finger grip relaxation can reduce pain intensity in post appendectomy surgery patients. Suggestions for nurses are expected to be able to apply finger grasping techniques to reduce pain intensity in post appendectomy surgery patients.Keywoard: Appendicitis, Post Appendectomy Surgery, Pain, Finger Grip Relaxation. AbstrakAppendicitis adalah peradangan akibat infeksi pada usus buntu atau umbai cacing. Salah satu tindakan pasien appendiks akut adalah dengan cara pembedahan atau yang disebut appendiktomy yang merupakan tindakan invasive dengan membuka bagian tubuh yang akan ditangani, serta keluhan yang sering dirasakan setelah pembedahan (pasca operasi) pasien merasakan nyeri yang sangat hebat. Nyeri merupakan bentuk ketidaknyamanan yang didefinisikan dalam berbagai perspektif. Relaksasi genggam jari atau finger hold adalah tindakan pengobatan non farmakologi yang dapat digunakan untuk pengobatan dalam mengatasi nyeri. Tujuan dari karya tulis ilmiah adalah untuk mengetahui gambaran tentang pengaruh teknik relaksasi genggam jari untuk menurunkan nyeri pada pasien post operasi appendiktomi. Metode yang dilakukan dengan mencari beberapa jurnal penelitian yang berjudul tentang pengaruh teknik relaksasi genggam jari terhadap penurunan nyeri pada pasien post appendiktomi. Hasil yang didapatkan setelah dilakukan tindakan relaksasi genggam jari intensitas nyeri berkurang. Kesimpulan karya tulis ilmiah ini bahwa tindakan relaksasi genggam jari dapat mengurangi intensitas nyeri pada pasien post operasi appendiktomi. Saran bagi perawat diharapkan dapat menerapkan teknik genggam jari untuk menurunkan intensitas nyeri pada pasien post operasi appendiktomi.Kata kunci: Appendicitis, Post Operasi Appendiktomi, Nyeri, Relaksasi Genggam Jari.


2021 ◽  
Vol 1 ◽  
pp. 1407-1413
Author(s):  
Dwi Haryati ◽  
Nuniek Nizmah Fajriyah ◽  
Firman Faradisi

AbstractStroke is an acute neurocological disease caused by blood vessel disorders in the brain that occur suddenly and can cause symptoms according to areas in the brain that occur suddenly and can cause symptoms of paralysis, difficulty speaking, numbness of one side of the body and other disorders. ROM (Range of Motion) exercise is the maximum number of movements performed by the joints under normal conditions where a person moves each joint according to normal movements either actively or passively.The purpose of this scientific paper is to determine the effect of giving Range Of Motion (ROM) on increasing muscle strength in stroke patients.There is a difference in the mean (mean) before giving Range Of Motion therapy is 2.65 and after giving Range Of Motion is 3.62, there is an effect of giving Range Of Motion (ROM) therapy. Most of the respondents were male with a partial presentation (70%) and (30%) female, the age of the respondent in this study was >56 years old. Prior to ROM therapy, the degree of muscle strength was categorized as 0 to degree 2 and after ROM therapy, the degree of muscle strength was categorized as grade 2 to degree 4. The conclusion was that there was an increase in muscle strength before and after Range Of Motion (ROM) therapy. ROM therapy is effective for increasing muscle strength in stroke patients.Keywords: Muscle Strength, Range Of Motion (ROM), Stroke AbstrakStroke merupakan suatu penyait neurokologis akut yang disebabkan oleh gangguan pembulu darah otak yang terjadi secara mendadak dan dapat menimbulkan gejala yang sesuai dengan daerah di otak yang terserang terjadi secara tiba-tiba dan dapat menimbulkan gejala kelumpuhan, kesulitan bicara,mati rasa sebelah badan dan gangguan lainnya. Latihan ROM (Range of Motion) adalah jumlah maksimum gerakan yang yang dilakukan oleh sendi dalam keadaan normal dimana seseorang menggerakan masing-masing persendiannya sesuai gerakan normal baik secara aktif ataupun pasif. Tujuan karya tulis ilmiah ini adalah untuk mengetahui pengaruh pemberian Range Of Motion (ROM) Terhadap peningkatan kekuatan otot pada pasien stroke.Terdapat perbedaan rata-rata (mean) sebelum pemberian terapi Range Of Motion adalah 2,65 dan sesudah pemberian Range Of Motion adalah 3,62, terdapat pengaruh pemberian terapi Range Of Motion (ROM). Responden terbanyak berjenis kelamin laki-laki dengan presentasi sebagian (70%) dan (30%) perempuan, umur respoden pada penelitian ini berusia >56 tahun. Sebelum dilakukan terapi ROM derajat kekuatan otot termasuk katagori 0 hingga derajat 2 dan sesudah dilakukan terapi ROM derajat kekuatan otot termasuk kategori derajat 2 hingga derajat 4. Simpulan terdapat peningkatan kekuatan otot sebelum dan sesudah dilakukan terapi Range Of Motion (ROM). Terapi ROM efektif untuk meningkatkan kekuatan otot pada pasien stroke. Kata kunci : Kekuatan Otot, Range Of Motion (ROM), Stroke


2021 ◽  
Vol 1 ◽  
pp. 1250-1253
Author(s):  
Afan Saputra ◽  
Windha Widyastuti ◽  
I Isytiaroh

AbstractNausea and vomiting (emesis gravidarum) is a common complaint in the first trimester pregnant women. One of non-pharmacological therapies which are safe to give to pregnant women who experience emesis gravidarum is lemon aromatherapy. This scientific paper aims to investigate the effect of lemon aromatherapy to reduce emesis gravidarum in pregnant women in trimester I. It is a literature review with three articles taken from Google scholar. Emesis gravidarum, lemon therapy, and pregnant women in trimester I are the keywords. These articles are full-text, published in 2018-2019. The analysis result of respondents characteristics from 71 people, most of them (75%) are 20-35 years old, parity 65% of multigravida, gestational age 25% of weeks. Nausea score measurement was measured by RHODES Indeks score. The analysis result of the articles stated there is a significant different before and after intervention. The total score average before applying the intervention was 19.18 and it reduced into 10.63 after the process. It means there is a reduction for about 8.55 after the treatment. The conclusion is applying lemon aromatherapy has effectively reduced emesis gravidarum in pregnant women in trimester I. therefore, nurses were suggested to apply this therapy as an alternative ways to reduce the frequency of nausea.Keywords : emesis gravidarum lemon ; aromatherapy ; pregnant women in trimester I AbstrakMual muntah (Emesis gravidarum) merupakan keluhan yang sering terjadi pada ibu hamil trimester pertama. Salah satu terapi nonfarmakologi yang aman di berikan pada ibu hamil yang mengalami emesis gravidarum adalah aromaterapi lemon. Karya Tulis Ilmiah ini bertujuan untuk menggambarkan penerapan pengaruh aromaterapi lemon untuk mengurangi emesis gravidarum pada ibu hamil trimester I berdasarkan literature review. Desain Karya Tulis ilmiah ini berupa literature review dengan jumlah artikel tiga yang diambil dari laman jurnal google scolar dengan kata kunci “ emesis gravidarum” “Aromaterapi lemon” dan “ibu hamil trimester I,” berupa artikel fulltext, terbit tahun 2018-2019. Hasil analisa karakteristik responden dari tiga artikel menunjukan jumlah responden 71, sebagian besar 75.0 % umur 20-35 tahun, paritas 65% multigravida, usia kehamilan 25.0 % 9 minggu. Pengukuran skor mual di ukur dengan menggunakan skor Index RHODES. Hasil analisa dari tiga artikel menunjukan jumlah skor rata-rata sebelum intervensi 19,18 setelah intervensi 10,63, terdapat penurunan skor rata-rata setelah dilakukan pemberian aromaterapi lemon sebesar 8,55. Simpulan hasil menunjukan bahwa pemberian aromaterapi lemon efektif menangani emesis gravidarum pada ibu hamil trimester I. Saran bagi petugas kesehatan hendaknya bisa menerapkan aromaterapi lemon sebagai alternatif untuk mengurangi frekuensi mual.Kata Kunci : Emesis Gravidarum ; Aromaterapi Lemon ; Ibu hamil Trimester


2021 ◽  
Vol 1 ◽  
pp. 628-633
Author(s):  
Ria Rizki Septiyani ◽  
Tri Sakti Wirotomo

AbstractAppendectomy is a surgery to remove the appendix of worms that have been infected and will cause pain. One Of the efforts to reduce pain is by performing early mobilization. Early mobilization is a non-pharmacological therapy that is recommended for postoperative patients. This study aims to describe early mobilization therapy to reduce the level of pain intensity in postoperative appendectomy patients based on a literature review. The design of scientific papers is in the form of a literature review with three articles taken from the Google Scholar journai page with the keywords "early mobilization, pain, and postoperative appendectomy" in the form -of articles published from 2016-2019. The results of the analysis of the three articles showed the mean level of pain before and after the intervention from 6.75 to 3.68 with p-value <0.05. In conclusion, early mobilization is effective in reducing pain scale in post-operative appendectomy patients. This result can be used as a consideration for nurses to provide early mobilization therapy postoperative appendectomy patients as therapy to reduce pain levels.Keywords: Early mobilization; pain;post appendectomy surgery AbstrakAppendiktomi adalah pembedahan untuk mengangkat umbai cacing yang sudah terinfeksi dan akan menyebabkan nyeri.Salah satu upaya untuk menurunkan nyeri yaitu dengan mobilisasi dini. Mobilisasi dini adalah terapi non farmakologi yang dianjurkan untuk melakukan rentang gerak paska pembedahan dengan keadaan pasien sudah sadar penuh. Penelitian ini bertujuan untuk menggambarkan terapi mobilisasi dini terhadap penurunantingkat intensitas nyeri pada pasien post operasi appendiktomi berdasarkan literature review. Desain karya tulis ilmiah berupa literature review dengan jumlah artikel tiga yang diambil dari lamangoogle scholar dengan kata kunci “mobilisasi dini, nyeri, danpost operasi Appendiktomi” berupa artikel terbitan dari tahun 2016-2019. Hasil analisa dari tiga artikel menunjukkan mean tingkat nyerisebelum dan sesudah intervensi 6,75 menjadi 3,68 dengan p-value <0,05. Simpulan mobilisasi dini efektif terhadap penurunan skala nyeri pada pasien post operasi appendiktomi. Saran kepada perawat diharapkan untuk memberikan terapi mobilisasi dini pada pasien post operasi appendiktomi sebagai terapi untuk menurunkan tingkat nyeri.Kata kunci: Mobilisasi dini; nyeri; postoperasi appendiktomi.


2021 ◽  
Vol 1 ◽  
pp. 1300-1305
Author(s):  
Arti Ayuningtiyas ◽  
Benny Arief Sulistyanto

AbstractDuring the Covid-19 pandemic, nurses are at the forefront. Many nurses experience stress and fatigue due to increased workload. Stress and fatigue that is obtained at work, both physical and psychological fatigue, is known as Burnout. This study aimed to describe the incidence of Burnout experienced by nurses during the Covid 19 Pandemic. This research is a literature review. This study was looking for some articles from PubMed,Garuda, and Google Scholar, with keyword. There were 5 articles that matched the research inclusion criteria. Critical analysis of 5 articles used the JBI instrument. These articles used the mean calculation. In the Emotional Exhaustion category, the mean value was 22.75 and SD was 8.828. it meant that the burnout level in the Emotional Exhaustion category was at a moderate level. In the depersonalization category, the mean value was 7.54 with SD 4.248. it meant that the burnout level in the depersonalization category was at a moderate level. In the personal accomplishment category, the mean was 19.676 with SD of 6.7. it mean that the burnout level in this category was a high level. The nurses experience burnout during the Covid-19 pandemic. The Emotional exhaustion category is a moderate level, depersonalization is at a moderate level, and personal accomplishment is at a high level.Keywords: Nurse, Burnout, Covid-19 pandemic AbstrakDimasa pandemi Covid-19 perawat berada pada garda terdepan, banyak perawat mengalami stress dan kelelahan dikarenakan beban kerja meningkat. Stress dan Kelelahan yang didapat saat kerja baik itu kelelahan fisik maupun psikis dikenal dengan nama Burnout penelitian ini bertujuan untuk mendeskripsikan kejadian Burnout yang dialami Perawat selama Pandemi Covid 19. Penelitian ini adalah literatur review. Hasil pencarian artikel dari database online yaitu Pubmed,Garuda dan Google Scholar, dengan kata kunci di dapatkan 5 artikel yang sesuai dengan kriteria inklusi penelitian. Analisa telaah kritis terhadap 5 artikel menggunakan instrument JBI. Terdapat 5 Artikel yang menggunakan perhitungan mean di dapatkan hasil kategori Emotional Exhaustion nilai mean sebanyak 22.75 dan SD 8.828 dimana hasil menunjukkan level burnout pada level sedang. Kategori depersonalization dengan nilai mean 7.54 dengan SD 4.248 dimana hasil burnout pada level sedang. Kategori personal accomplishment hasil mean 19.676 dengan SD 6.7 dimana hasil burnout menunjukkan level tinggi. Dari 5 Artikel yang di telaah di dapatkan Perawat mengalami Burnout selama pandemic Covid-19, kategori Emotional Exhaustion berada pada level sedang, depersonalization berada pada level sedang, dan personal accomplishment pada level tinggi.Kata Kunci : Perawat, Burnout, pandemi Covid-19


2021 ◽  
Vol 1 ◽  
pp. 737-743
Author(s):  
Marita Purwaningsih ◽  
Nuniek Nizmah Fajriyah ◽  
Firman Faradisi

AbstractGastritis is inflammation of the gastric mucosa which can last for six months or more and can cause recurrence. Gastritis is characterized by signs and symptoms, namely pain in the gut or epigacentrum, vomiting, nausea and vomiting. Pain is a personal experience that is described by the individual himself with several factors such as psychological that can control the pain. Pain can be treated with pharmacological and non-pharmacological techniques. An example of a non-pharmacological technique is the progressive muscle relaxation technique. Progressive muscle relaxation is a technique for reducing pain by moving the body so that it relaxes tight muscles. The purpose of this scientific paper is to describe the effect of progressive muscle relaxation techniques to reduce pain in gastritis patients. The method used in this scientific paper is Literature review by searching for journals with the title the effect of progressive muscle relaxation techniques to reduce pain in gastritis patients. The results obtained after progressive muscle relaxation measures are reduced or lost pain in gastritis patients. The conclusion of this scientific paper is that progressive muscle relaxation techniques can reduce pain in gastritis patients. Suggestions for nurses are expected to be able to apply complementary therapy to gastritis patients who experience pain with progressive muscle relaxation techniques.Keywords:Gastritis, Pain, Progressive Muscle Relaxation Techniques AbstrakGastritis adalah mukosa lambung mengalami peradangan yang dapat berangsung lama selama enam bulan atau lebih dan dapat menimbulkan kekambuhan. Gastritis ditandai dengan tanda dan gejalanya yaitu nyeri pada ulu hati atau epigasentrum, begah, mual dan muntah. Nyeri merupakan pengalaman pribadi yang digambarkan oleh individu itu sendiri dengan beberapa faktor seperti psikologis yang dapat mengontrol nyeri tersebut. Nyeri dapat ditangani dengan teknik farmakologi dan non farmakologi. Contoh teknik non farmakologi adalah teknik relaksasi otot progresif. Relaksasi otot progresif adalah teknik untuk menurunkan nyeri dengan melakukan gerakan gerakan tubuh sehingga meriekskan otot otot yang kaku. Tujuan karya tulis ilmiah ini adalah untuk mengetahui gambaran pengaruh teknik relaksasi otot progresif untuk menurunkan nyeri pada pasien gastritis. Metode yang digunakan dalam karya tulis ilmiah ini adalah literature riview dengan mencari jurnal dengan judul pengaruh teknik relaksasi otot progresif untuk menurunkan nyeri pada pasien gastritis. Hasil yang didapatkan setelah dilakukan tindakan relaksasi otot progresif adalah berkurang atau hilang rasa nyeri pada pasien gastritis. Kesimpulan karya tulis ilmiah ini adalah teknik relaksasi otot progresif dapat menurunkan nyeri pada pada pasien gastritis. Saran bagi perawat diharapkan dapat menerapkan terapi komplementer terhadap pasien gastritis yang mengalami nyeri dengan teknik relaksasi otot progresif. Kata kunci:Gastritis, Nyeri, Relaksasi otot progrsif


2021 ◽  
Vol 1 ◽  
pp. 1472-1476
Author(s):  
Fatturichza Yamiendinar ◽  
I Isytiaroh ◽  
Windha Widyastuti

AbstractContraction during labour can be painful. The pain due to labour process can be reduced by performing non-pharmacological treatment of Effleurage. Effelurage is a serries of massage which is done in the abdominal area aiming to reduce pain that arises during the labour process. The purpose of this study was to find out whether Effleurage could reduce pain response of mothers in the first phase labour. The study was a literature review of three articles taken from Google Scholar with the keyword “Effleurage”, “labour pain” and “first phase” in the form of fulltext articles, published in 2019. The respondents of the thre articles 63 mothers who gave birth. The average value of pain response showed by the respondents before and after being treated with Effleurage decreased from 5.883 to 3.576. Therefore, it was concluded that effleurage could be given to mothers to reduce the pain response in the labour process. Moreover, health providers are expected to treat mothers with Effleurage to reduce their pain to the labour process.Keywords: First phase, labour pain, Massage effleurage AbstrakKontraksi selama persalinan dapat menimbulkan rasa nyeri. Rasa nyeri yang dirasakan pada proses persalinan tersebut dapat dikurangi dengan melakukan tindakan non-farmakologis salah satunya berupa pemberianmassage effleurage. Massage effleurage yang dilakukan di area perut untuk membantu mengurangi rasa nyeri yang muncul pada proses persalinan. Tujuan karya tulis ilmiah ini untuk mengetahui apakah massage effleurage dapat menurunkan respon nyeri pada ibu bersalin kala I berdasarkan literatur review. Desain karya tulis ilmiah berupa literatur review dengan jumlah artikel tiga yang diambil dari laman jurnal google scholar dengan kata kunci “massage effleurage”. “nyeri persalinan” dan “kala I” berupa artikel fulltext, terbit tahun 2019. Jumlah responden dari tiga artikel tersebut adalah 63 ibu bersalin. Nilai rata-rata respon nyeri sebelum dilakukan massage effleurage 5,883, dan nilai rata-rata respon nyeri setelah dilakukan massage effleurage 3,576. Simpulannya adalah tindakan massage effleurage dapat membantu menurunkan respon nyeri pada proses persalinan. Saran bagi pelayanan kesehatan agar dapat menerapkan teknik massage effleurage untuk mengurangi nyeri pada proses persalinan.Kata kunci: Massage effleurage,nyeri persalinan, kala I


2020 ◽  
Author(s):  
Yashar Eshraghi ◽  
Roshina Khan ◽  
Omar Said ◽  
Cruz Velasco ◽  
Maged Guirguis

BackgroundChronic knee pain from conditions such as osteoarthritis (OA) is a significant problem in a growing and aging population. Cooled radiofrequency ablation (CRFA) is an emerging technique to treat chronic knee pain. There is significant literature noting the clinical outcomes of CRFA in anatomic locations including the peripheral joints and the lumbar spine. This retrospective study found significant improvements in Pain Disability Index (PDI) scores and Numerical Pain Rating Scale (NPRS) scores for patients with chronic knee pain who underwent cooled radiofrequency ablation (CRFA) therapy of the genicular nerves.ObjectivesThis retrospective study evaluated the effectiveness of CRFA in the general chronic knee pain population.Study DesignRetrospective electronic chart review.SettingOutpatient non-profit practice.MethodsAfter institutional review board approval, we reviewed the data of 205 patients who had undergone cooled radiofrequency ablation therapy of the genicular nerves at a multiple-site pain practice between December 5, 2017 and September 4, 2019. This study’s primary outcome was improvement in Pain Disability Index (PDI) scores. The secondary outcomes were pain scores, assessed by the Numerical Pain Rating Scale (NPRS), and opioid consumption, assessed by daily Morphine Equivalent Dose (MED). From the 205 patients who met inclusion criteria, there were 104 patients who had PDI scores both before and after the CRFA procedure that were collected in the appropriate time frame. For these 104 patients, the pain scores and opioid consumption before and after the CRFA procedure were also collected. The age of the 104 patients ranged from 21 to 89 years. There were 38 males and 66 females.ResultsThe mean PDI score before genicular nerve block and CRFA was 38.7, and the mean PDI score after CRFA was 26.5. After CRFA treatment, 67.38% of patients had a decrease in their PDI scores, 27.9% had no change, and 4.81% had an increase in their PDI scores. P-value <0.001 with 95% CI Median (-11, -7). The mean NPRS score before genicular nerve block and CRFA was 6.98, and the mean NPRS score after CRFA was 4.18. P-value <0.001 with 95% CI Median (-3, -2). The largest group of patients, 49% of patients, had a pain score reduction of 2.25 points, while the next largest group, 17.3% of patients, had a reduction of 0.75 points, followed by 12.5% of patients with a reduction of 3.75 points. When comparing Morphine Equivalent Dose (MED) before and after the CRFA procedure, 37.5% of patients were not on opioid medication at any time during the study; additionally, the MED did not change for the majority of patients (80.77%), while the MED decreased for 13.46% of patients and increased for 5.77% of patients. Mean MED before GNB and CRFA was 17.13 and 15.91 after CRFA. P=0.025 with 95% CI Median (0,0). No serious adverse events were reported.LimitationsRetrospective nature of the study.ConclusionsThis study demonstrates the clinical effectiveness of CRFA for the treatment of chronic knee pain by improvements in PDI scores and NPRS scores for the majority of patients. Results from this study indicate that CRFA treatment provides significant pain relief and reduces the disability caused by chronic knee pain in a patient’s daily life.


2021 ◽  
Vol 1 ◽  
pp. 2129-2133
Author(s):  
Yanuar Sultan Pramana ◽  
I Isytiaroh

AbstractOne way to increase milk production is by doing oxytocin massage. This scientific paper aims to find out the description of oxytocin massage therapy to increase breast milk in postpartum mothers. It is a literature review with 3 articles taken from google scholar. Oxytocin massage, postpartum, and breast milk are the keywords. All are full-text, the first article published in 2016, the second one was in 2019, and the latter was in 2020. The result shows before applying the therapy, the average value of milk breast production was 10.02 ml, and it was 17.2 after applying the therapy with difference of the production was 7.18 ml. It means there was an increasing in producing breast milk. Therefore, nurses are suggested to apply this therapy on postpartum mothers.Keywords: oxytocin massage, postpartum, breast milk producing AbstrakSalah satu cara untuk meningkatkan produksi ASI yaitu pijat oksitosin. Tujuan karya tulis ilmiah ini yaitu mengetahui gambaran terapi pijat oksitosin untuk meningkatkan produksi ASI pada ibu post partum. Berdasarkan literature review Metode dalam karya tulis ilmiah ini adalah literature review dengan subyek literature review yang digunakan yaitu 3 artikel yang diambil dari laman jurnal google scholar dengan kata kunci “pijat oksitosin”, “post partum” dan “produksi ASI”. Berupa fulltext dan pada artikel pertama terbit pada tahun 2016, artikel kedua 2019 dan artikel ketiga tahun 2020. Hasil dari ketiga artikel menunjukan bahwa sebelum dilakukan pijat oksitosin terdapat nilai rata-rata produksi ASI 10,02 ml dan setelah dilakukan pijat oksitosin didapatkan bahwa terdapat nilai rata-rata produksi ASI 17,2 ml dengan perbedaan produksi ASI 7,18 ml sehingga terdapat adanya peningkatan produksi ASI. Simpulannya adalah terapi pijat oksitosin dapat meningkatkan produksi ASI pada ibu post partum. Saran untuk tenaga kesehatan diharapkan dapat menerapkan terapi pijat oksitosin untuk meningkatkan produksi ASI pada ibu post partum.Kata kunci: pijat oksitosin, post partum, produksi ASI


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