The Effect of Aromatherapy by Rose Essence on Anxiety and Physiological Indices of Conscious Patients Admitted at Intensive Care Units

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
Negar Zare ◽  
Maryam Shahabinejad ◽  
Tabandeh Sadeghi
Keyword(s):  
Intensive Care ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Arterial Blood ◽  
Physiological Indices ◽  
Significant Difference ◽  
Before And After ◽  
Clinically Significant ◽  
Paired T Test

Background: Anxiety in patients admitted at the Intensive Care Unit (ICU) is common and usually moderate or severe. Anxiety affects endocrine and physiological responses. Objectives: This study aimed to determine the effect of aromatherapy by rose essence on anxiety and physiological indices of conscious patients admitted at ICU. Methods: In this clinical trial, 60 conscious patients admitted at ICU wards in Ali Ibn Abi Talib Hospital of Rafsanjan were selected and randomly allocated into two groups of intervention and control. In the intervention group, three drops of 10% rose essence were poured on the gauze and placed 20 cm from the patients’ nose on their shirt, and the patients inhaled it for 20 minutes three times a day. In the control group, three drops of distilled water were used likewise. Data collection tools included Spielberger State-Trait Anxiety Inventory (STAI) and the demographic questionnaire. Data were analyzed using SPSS V.18. Results: According to the results, in the intervention group, the systolic and diastolic blood pressure significantly increased (paired t-test, P < 0.05) in the second time after the intervention and significantly decreased (paired t-test, P < 0.05) in the third time. The mean oxygen saturation of arterial blood also significantly increased in the second time in this group after the intervention (paired t-test, P = 0.001). However, there was no significant difference in anxiety score before and after the intervention in each group. Conclusions: Although aromatherapy using rose essence was statistically significant on some of the physiological indices of conscious patients in ICU, these differences were not clinically significant.

scholarly journals Effects of Levothyroxine Treatment on Lipid Profile in Subclinical Hypothyroidism: A Randomized Clinical Trial

2015 ◽  
Vol 4 (2) ◽  
pp. 72-77
Author(s):  
Karoon Shahebrahimi ◽  
Rozita Naseri ◽  
Tahereh Sadat Kalantarian ◽  
Mehrali Rahimi ◽  
Farid Najafi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Lipid Profile ◽  
Subclinical Hypothyroidism ◽  
Serum Lipids ◽  
Intervention Group ◽  
Control Group ◽  
Significant Difference ◽  
Before And After ◽  
Clinically Significant ◽  
Levothyroxine Treatment

Background: Studies demonstrated controversial results on subclinical hypothyroidism (SCH) regarding lipid profile alteration with or without Levothyroxine treatment. The purpose of this study is to investigate the effects of Levothyroxine on serum lipids in SCH. Materials and Methods: One hundred patients with SCH referred to Taleghani hospital in Kermanshah were recruited and randomly assigned into the intervention or the control group. Patients in intervention group received Levothyroxine 50-75 micrograms for three months. Patients in control group received the same placebo with the same dose and duration. Lipid profile was measured before and after the trial and the changes were compared between groups. (IRCT code: 138903244179N1). Results: Triglyceride, Total Cholesterol, LDL, HDL and Lipoprotein-A were measured before and after treatment. None of the factors showed significant difference either between or within groups, before and after the treatment (P<0.05). Conclusion: Treating with Levothyroxine does not have any clinically significant impact on lipid profile in SCH patients which indicates that we should not expect SCH patients to use Levothyroxine solely for lipid profile alternation, except those with other clinical indications for treatment.[GMJ.2015;4(2):72-77]

scholarly journals STUDI KOMPARASI: EFEKTIFITAS PSIKOEDUKASI TERHADAP ADAPTASI PASIEN FRAKTUR DI RSUD JOMBANG

2018 ◽  
Vol 1 (2) ◽  
pp. 74-80
Author(s):  
Zuhrotul Umaroh ◽  
Elsye Maria Rosa
Keyword(s):  
Intervention Group ◽  
Public Health Problem ◽  
Test Sample ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Major Public Health Problem ◽  
Control Group Design ◽  
Significant Difference ◽  
Before And After

Background: The injury is still a major public health problem throughout the country, where two-thirds occur in developing countries, including Indonesia. In Indonesia, recorded injury cases in 2013 reached 84,277 people (8.2%). The negative impacts caused by the fracture appears, which includes; psychological, social, and spiritual. The Department of Health reported that 15% of patients experiencing psychological stress fractures to depression. Psychoeducation efficient in the treatment process and decrease the symptoms of depression that is a component in the psychological response on the existence of a disability condition. Aim: the research aimed todetermine the effectiveness of psychoeducation to the physical adaptation among fracture patients in public hospital of Jombang Method: this is a quasi-experiment research with pre-test and post-test control group design. There were 16 respondents in control group and another 16 respondents for intervention group which was gathered with consecutive sampling. The data were analyzed with parametric analysis using paired sample t-test dan independent t-test. For testing the data normality distribution, Shapiro-wilk analysis was operated. Result: Paired t test sample stated that there was significant difference in the physical adaptation among fracture patients before and after the intervention of psychoeducation (p value = 0,000 ; CI 95% <alpha = 0,05). In the unpaired t test was obtained p value = 0.000; CI 95% <alpha = 0.05, which indicates a significant difference of fracture patients’ adaptation who has given psychoeducation intervention and who has not. Conclusion: the psychoeducation intervention  increasedphysical adaptation among fracture patients. Nurses must continue to develop and apply the procedures for implementing psychoeducation fractures primarily in patients with the aim to improve the adaptability of fracture patients.

scholarly journals PENGARUH KONSELING PADA PENGETAHUAN DAN ASUPAN IBU DI WILAYAH KERJA PUSKESMAS KEBAYORAN BARU JAKARTA

2021 ◽  
Vol 44 (1) ◽  
pp. 87-96
Author(s):  
Iskari Ngadiarti ◽  
Moesijanti Yudiarti Endang Soekatri ◽  
Mia Srimiati ◽  
Adhila Fayasari ◽  
Lina Agestika
Keyword(s):  
Nutrient Intake ◽  
Intervention Group ◽  
T Test ◽  
Bivariate Analysis ◽  
Control Group ◽  
Sample Collection ◽  
Consecutive Sampling ◽  
Significant Difference ◽  
And Control ◽  
Paired T Test

Providing counseling is one of the factors that increase the knowledge and actions of mothers in meeting adequate nutritional consumption. This study aimed to identify the lactation and nutrition counseling towards mother's knowledge and intake in Puskesmas Kebayoran Lama Jakarta. This research was a quasi-experimental study pre-post with a control group design. Sample collection technique used consecutive sampling with 30 respondents in each group (intervention group and control group). Counseling was given 3 times, after giving birth, a child at age 7-14 days and age 35 days. Knowledge and food intake were collected before and after the intervention. The bivariate analysis used an independent t-test and paired t-test with a significance level of p0.05. There was a significant difference in mother's knowledge about breastfeeding between the intervention group and control group after they were given lactation counseling (p0.05). However, there was no significant difference in the mother's nutrient intake between the intervention and control group after counseled (p0.05). Lactation counseling can positively affect the mother's knowledge about breastfeeding, but not for the mother's action in consuming enough nutrient intake. ABSTRAKPemberian konseling menjadi salah satu faktor yang meningkatkan pengetahuan dan tindakan ibu dalam memenuhi konsumsi gizi yang adekuat. Penelitian ini bertujuan untuk mengetahui pengaruh konseling menyusui dan konsumsi gizi terhadap pengetahuan dan asupan ibu di Puskesmas Kebayoran Lama, Jakarta. Penelitian ini merupakan penelitian eksperimental semu dengan desain pre-post dengan control group. Teknik pengambilan sampel menggunakan consecutive sampling dengan jumlah sampel 30 responden pada masing-masing kelompok (kelompok intervensi dan kelompok kontrol). Konseling diberikan sebanyak 3 kali, yaitu pada saat setelah melahirkan, bayi berusia 7-14 hari dan 35 hari. Data pengetahuan dan asupan diambil sebelum dan sesudah intervensi. Analisis bivariat menggunakan independent t-test dan paired t-test. Ada perbedaan yang bermakna pada pengetahuan ibu menyusui antara kelompok intervensi dan kelompok kontrol setelah diberikan penyuluhan laktasi (p 0,05). Tidak ada perbedaan bermakna pada asupan gizi ibu antara kelompok intervensi dan kontrol setelah konseling (p0,05). Konseling laktasi berpengaruh positif terhadap pengetahuan ibu tentang menyusui, tetapi tidak untuk perilaku ibu dalam asupan gizinya.Kata kunci: konseling, laktasi, menyusui

scholarly journals The Differences of Left Lateral and Head Elevation Position toward Heart Rate of Newborns with Asphyxia in the Perinatology Room RSUD Dr. Soediran Mangun Sumarso Wonogiri

2021 ◽  
Vol 9 (B) ◽  
pp. 492-496
Author(s):  
Noerma Shovie Rizqiea ◽  
Septy Nur Aini ◽  
Ratih Dwilestari Puji Utami ◽  
Ratnawati Ratnawati ◽  
Khairunisa Wardani
Keyword(s):  
Heart Rate ◽  
Intervention Group ◽  
Lateral Position ◽  
T Test ◽  
Control Group ◽  
Test Analysis ◽  
Left Lateral Position ◽  
Head Elevation ◽  
Significant Difference ◽  
Paired T Test

BACKGROUND: Asphyxia delivery results in hypoxic-ischemic encephalopathy and multiorgan failure. The organ most affected by hypoxia is the cardiovascular system. Newborns with asphyxia have a lack of oxygen (hypoxia) and have an increased heart rate (tachycardia). Giving baby positions, such as supination position, pronation, right lateral, left lateral, and head elevation, are expected to improve the hemodynamic of newborns with asphyxia. AIM: This study was to determine the difference in effect between left lateral position and the head elevation position on the heart rate of newborns with asphyxia in the perinatology room of RSUD Dr. Soediran Mangun Sumarso Wonogiri. METHODS: This research is a quasi-experimental quantitative study with a pre- and post-test non-equivalent control group design. Sampling using non-probability sampling technique with consecutive sampling. The sample was divided into two groups, namely, the intervention group with 30 respondents who got the left lateral position and the control group with 30 respondents who got the head elevation position. Data analysis was performed using the Statistical Package for the Social Sciences parametric test with paired t-test and independent t-test. RESULTS: The results of paired t-test analysis in the intervention group obtained p = 0.003 (p < 0.05) and in the control group obtained p < 0.001 (p < 0.05), which means that both have a significantly on changes in the heart rate of newborns with asphyxia. The results of the independent t-test analysis obtained p = 0.191 (p < 0.05), which means that there is no significant difference in the heart rate of newborns with asphyxia in the intervention and control groups. CONCLUSION: Both interventions, giving the left lateral position and the head elevation position, have a significantly effect on changes in the heart rate of newborns with asphyxia.

scholarly journals Pengaruh Pemberian Madu Terhadap Berat Badan Dan Kadar Malondialdehyd Pada Ibu Hamil Dengan Anemia

2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Astuti Astuti ◽  
Kartika Asli ◽  
Asrida Asrida ◽  
Nunung Erviany ◽  
Ummul Khair
Keyword(s):  
Pregnant Women ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Design Data ◽  
Average Value ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Paired T Test

Honey contains complex nutrients including vitamins A, C, E, B and flavonoids which play a role in suppressing oxidative stress. This study aimed to determine the effect of honey and Fe on body weight and malondialdehyde (MDA) levels of anemia pregnant women. The type of this study was quasi-experimental with the pretest-posttest design. Data analysis using paired t-test and independent samples test. After implementation the average value of the intervention group was 2.30 ± 0.50 while the average value of the control group was 2.00 ± 0.20 which showed that there was an effect of giving honey + Fe and Fe to the weight of anemic pregnant women. Whereas the statistical test results of the independent samples test showed p> 0.05 (p = 0.307) which means that there was no significant difference between the administration of honey + Fe (intervention) and Fe (control). In the melondialdehyde (MDA) variable there was a decrease in the intervention group by 8.86 ± 2.78 with the paired t-test obtained p value 0.002, this indicates there is an effect of giving honey + Fe to malondialdehyde (MDA) levels. The average value in the control group was 0.92 ± 0.07 with the paired t-test p value of 0.653 indicating no effect of Fe on Melondialdehyde (MDA) levels. Based on the test of the independent samples test obtained p value 0.004 (α <0.05). Conclusion: administration of honey + Fe effectively reduces malondialdehyde (MDA) levels and increases the weight of anemic pregnant women.

scholarly journals Effect of Audiovisual Media Based Education on Changes in Adolescent's Attitudes Related to Cigarette Advertising

2021 ◽  
Vol 12 (1) ◽  
pp. 38-49
Author(s):  
Rengga Dwija Prasetya ◽  
Fenny Etrawati ◽  
Yeni Yeni ◽  
Widya Lionita
Keyword(s):  
Intervention Group ◽  
Smoking Behavior ◽  
T Test ◽  
Control Group ◽  
Research Subjects ◽  
Audiovisual Media ◽  
Cigarette Advertising ◽  
Significant Difference ◽  
Before And After ◽  
Adolescent Attitudes

Smoking behavior among adolescents is increasing. This condition is partly influenced by the incessant advertisements for cigarettes that offer expectations that are the opposite of their impact. This study aims to determine the effect of audiovisual media-based education in the context of changing adolescent attitudes towards cigarette advertisements. The study design used was a Quasi Experiment with a Pretest-Posttest with Control Group. The research subjects were college adolescents (students) with a total of 25 people in the intervention group and 25 in the control group. Data were analyzed using dependent t test and independent t test. In the intervention group, there was a significant difference between attitudes towards cigarette advertisements before and after being given audiovisual media related to cigarette advertising in the experimental group (p = 0.010), on the other hand there was no change in attitude in the control group (p = 0.760) . However, there was no significant difference between attitudes towards cigarette advertising in the experimental and control groups (p = 0.096). Therefore, education using audiovisual media is considered more effective in increasing changes in attitudes towards cigarette advertisements. The campus is expected to reinforce and socialize regulations related to KTR and further research can conduct media pre-testing.

scholarly journals PENGARUH PEMBERIAN TERAPI DZIKIR TERHADAP PENURUNAN TINGKAT KECEMASAN PADA PASIEN POST SC

2019 ◽  
Vol 10 (2) ◽  
pp. 307
Author(s):  
Dwi Astuti ◽  
Dewi Hartinah ◽  
David Reveindra Afif Permana
Keyword(s):  
Intervention Group ◽  
T Test ◽  
Anxiety Level ◽  
Wilcoxon Test ◽  
Control Group ◽  
Test Design ◽  
Test Results ◽  
Before And After ◽  
Post Test ◽  
Paired T Test

Abstrak Latar belakang:Di Indonesia dalam Riset Kesehatan Dasar tahun 2013 proporsi persalinan dengan bedah sesar menunjukkan sebesar 9,8% Provinsi Jawa Tengah sendiri untuk metode persalinan Caesar sebesar 10%. Bedah caesar merupakan bedah yang bukan tanpa resiko, risiko dari bedah Caesar ini merupakan potensi stressor yang dapat menyebabkan pasien operasi SC mengalami kecemasan.  Dunia kesehatan Islam, memasukkan dzikir sebagai salah satu upaya untuk mengatasi kecemasan. Tujuan: mengetahui pengaruh pemberian terapi dzikir terhadap penurunan tingkat kecemasan pada pasien post SC. Metode: Penelitian ini menggunakan quasy experiment dengan desain pre-post test design with control group. Sampel sebanyak 24 orang yang diambil secara sampel jenuh. Statistik yang digunakan adalah paired t test, wilcoxon test dan independent t test. Hasil uji Paired t Test diperoleh ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan terapi dzikir pada kelompok intervensi nilai p = 0,000 > α = 0,05, terjadi penurunan rata-rata sebesar 9,917.  Hasil uji Wilcoxon diperoleh tidak ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan komunikasi terapeutik pada kelompok kontrol nilai p = 0,636 > α = 0,05, penurunan yang terjadi yaitu hanya 0,83. Hasil uji Independent t Test diperoleh tidak ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan perlakuan pada kelompok intervensi dan kelompok kontrol dengan nilai p = 0,211 > α = 0,05. Kesimpulan: ada pengaruh pemberian terapi dzikir terhadap penurunan tingkat kecemasan pasien post operasi SC Kata kunci      : Kecemasan, Post SC, Dzikir AbstractBackground: In Indonesia in 2013 Basic Health Research the proportion of deliveries with cesarean section showed 9.8% of Central Java Province alone for the method of caesarean delivery by 10%. Caesarean section is a surgery that is not without risk, the risk of a C-section is a potential stressor that can cause SC surgery patients to experience anxiety. The world of Islamic health, incorporating dzikir as an effort to overcome anxiety. Objective: to determine the effect of dzikir therapy on reducing anxiety levels in post SC patients. Method: This study uses a quasy experiment with a pre-post test design with control group design. A sample of 24 people were taken in a saturated sample. The statistics used were paired t test, Wilcoxon test and independent t test. Results: Paired t Test results obtained there were differences (changes) in the anxiety level of post SC patients before and after given dzikir therapy in the intervention group the value of p = 0,000> α = 0.05, there was an average decrease of 9,917. The results of the Wilcoxon test obtained no difference (change) in the anxiety level of post SC patients before and after therapeutic communication in the control group p = 0.636> α = 0.05, the decrease that occurred was only 0.83. The results of the Independent t Test obtained no difference (change) in the anxiety level of post SC patients before and after treatment in the intervention group and the control group with a value of p = 0.211> α = 0.05. Conclusion: there is an effect of giving dzikir therapy to decrease anxiety level of postoperative SC patients Keywords: Anxiety, Post SC, Dzikir

scholarly journals Pengaruh Pendidikan Kesehatan tentang Menopause terhadap Perubahan Kualitas Hidup Perempuan Klimakterik

1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Yanita Trisetiyaningsih ◽  
Elsi Dwi Hapsari ◽  
Shofwal Widad
Keyword(s):  
Quality Of Life ◽  
Health Education ◽  
Intervention Group ◽  
Signs And Symptoms ◽  
T Test ◽  
Control Group ◽  
Control Group Design ◽  
Significant Difference ◽  
Paired T Test

Perubahan fisik dan psikologis yang terjadi pada masa klimakterium akan mempengaruhi kualitas hidup perempuan. Untuk itu diperlukan proses adaptasi terhadap berbagai masalah dan perubahan selama masa klimakterium sehingga akan meningkatkan kualitas hidup perempuan klimakterik. Kurangnya pengetahuan dan akses informasi merupakan tantangan besar yang dihadapi oleh wanita menopause. Salah satu upaya yang bisa dilakukan untuk meningkatkan pengetahuan adalah melalui pemberian pendidikan kesehatan. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan tentang menopause terhadap perubahan kualitas hidup perempuan klimakterik. Penelitian ini merupakan penelitian quasy experimentdengan rancangan pretest and posttest nonequivalent control group design. Penelitian dilakukan di Dusun Gamping Kidul Ambarketawang bulan Desember 2013-April 2014. Jumlah populasi sebanyak 271 orang. Sampel terdiri dari 44 orang kelompok intervensi dan 44 orang kelompok kontrol. Kelompok intervensi diberikan pendidikan kesehatan sebanyak 4 kali ceramah dan diskusi kelompok kecil, serta 1 kali praktik relaksasi dan senam yoga. Kelompok kontrol diberikan booklet tentang perubahan masa menopause, tanda dan gejala, nutrisi masa menopause, dan penatalaksanaan menopause. Instrumen yang digunakan adalah WHOQOL-BREF. Analisis yang digunakan adalah uji Paired t-test, Independent Samples t-Testdengan α 0.05.Nilai rata-rata kualitas hidup pretest pada kelompok intervensi sebesar 51,9 dan posttest sebesar 66,5. Hasil uji paired t-test menunjukkan ada perbedaan skor kualitas hidup sebelum dan sesudah diberikan pendidikan kesehatan pada kelompok intervensi (t =14,436, p=0,001). Namun tidak bermakna pada kelompok kontrol (t=1,059, p= 0,0295) dengan perubahan skor kualitas. Berdasarkan hasil penelitian dapat disimpulkan bahwa program pendidikan kesehatan tentang menopause dapat meningkatkan kualitas hidup perempuan selama periode klimakterium.Kata kunci: Klimakterium, kualitas hidup, menopause, pendidikan kesehatan.Influence of Health Education about Menopause towards the Quality of Life Changes in Climacteric Women AbstractPhysical and psychological changes that happen at the climacterium period would influence the quality of life in climacteric women. Therefore, the adaptation process is needed to overcome problems and changes during this period so that the quality of life of climacteric women could be increased. Lack of knowledge and access to information are major challenger that were faced by menopause women. One of efforts that can be done to improve their knowledge is through health education. This study aimed to identify the influence of health education about menopause towards the quality of live changes in climacteric women. The study used quasi experiment design with pretest and posttest nonequivalent control group. The location of this study was in Gamping Kidul Ambarketawang Village in December 2013 to April 2014. The total population is 271 people. Sample consisted of 44 people in the intervention group and 44 people in the control group. The intervention group received 4 times health education and small group discussion, as well as once relaxation and Yoga. Participants in control group received a booklet about menopause, signs and symptoms, nutrition during menopause period, and management of menopause. The quality of life was measured using WHOQOL-BREF. Analysis used paired t-test, independent samples t-test with α = 0.05. The mean scores of quality of life for intervention group were 51.0 (pretest) and 66.5 (posttest). The paired t-test showed that there was a significant difference of quality of life score before and after health education in the intervention group (t =14,436, p=0,001). However, there was no significant difference of quality of life in the control group (t=1,059, p= 0,0295). Based on this results, it can be concluded that health education program about menopause can increase quality of life of climacteric women. Keywords: Climacterium, health education, menopause quality of life.

scholarly journals Mengurangi Risiko Jatuh pada Lanjut Usia dengan Latihan Keseimbangan

2021 ◽  
Vol 7 (1) ◽  
pp. 12-15
Author(s):  
The Maria Meiwati Widagdo ◽  
Rambat Sambudi
Keyword(s):  
Test Data ◽  
Intervention Group ◽  
Balance Training ◽  
The Elderly ◽  
T Test ◽  
Control Group ◽  
Significant Difference ◽  
Post Test ◽  
Paired T Test ◽  
Falls In Elderly

Background: Population of elderly in Indonesia continues to grow. Physical changes in the elderly cause balance disturbances, increasing the risks of falling. Objective: To determine balance training effectiveness on reducing risks of falls in elderly. Methods: This study used a quasi-experimental design with control and intervention groups. Functional Reach Test (FRT) and Falls Efficacy Scale-International (FES-I) were used to assess balance function. The elderly in this study had risks of falling according to FRT and FES-I. Timed Get-up and Go Test was used to assess physical function. Education and balance exercises were given for 3 weeks to the intervention group. Pre-test data were taken at the beginning of the study, while post-test data after the balance training was given to the intervention group. Paired t-test was used to compare the pre-test and post-test data. Results: Research was conducted in Warungboto and Giwangan Kampongs, Umbulharjo District, Yogyakarta Municipality. Data from 60 elderly: 30 in the intervention and 30 in the control groups. Paired t-test showed a significant difference between pre-test and post-test results in the intervention group on FRT (t=-16,301, p<0.001, and FES-I (t=-24,457, p<0.001). The three-week-balance-training significantly reduced the risk of falling in the intervention group. Significant difference was not found in the control group on FRT (t=-0.126, p=0.901), and FES-I (t=-0.764, p=0.451). There was no significant reduction in the risks of falls in the control group. Conclusion: Balance training is effective in reducing the risk of falls in elderly.

scholarly journals PENGARUH CRYOTHERAPY TERHADAP NYERI LUKA EPISIOTOMI PADA PASIEN POST PARTUM HARI PERTAMA DI RUANG PERAWATAN V/VI RS. DUSTIRA CIMAHI

2016 ◽  
Vol 2 (2) ◽  
pp. 141
Author(s):  
Asep Edyana ◽  
Endah Sri Lestari ◽  
Novi Malisa
Keyword(s):  
Pain Score ◽  
Post Partum ◽  
Intervention Group ◽  
Pain Scale ◽  
T Test ◽  
Control Group ◽  
Significant Difference ◽  
Wound Pain ◽  
Autogenic Relaxation ◽  
Paired T Test

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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