scholarly journals 20-Degree Elevation to Reduce Swelling and Pain After Lower Extremity Open Reduction and Internal Fixation Surgery

2021 ◽  
Vol 24 (3) ◽  
pp. 131-139
Author(s):  
Eni Purwanty ◽  
Riri Maria ◽  
Masfuri Masfuri

Surgery for open reduction and internal fixation (ORIF) causes tissue swelling and pain in the surgical area. Swelling and pain can be reduced by performing distal elevation in the area of surgical ORIF. This study aimed to determine the effect of a 20° elevation on swelling and pain level of patients after surgery for ORIF of the lower extremities. A quasi-experimental design with one intervention group (pretest and posttest) and one control group was implemented. Thirty-four post-operative ORIF patients treated in one hospital in South Sumatera met the inclusion criteria and were divided into intervention and control groups. Swelling circumference was measured using tape meters, and pain level was assessed with a numeric rating scale. Dependent t-test, independent t-test, and Pearson correlation were applied for data analysis. Results showed that the average difference in swelling circumference and pain level between pre and post intervention was 1.93 ± 0.25 and 1.29 ± 0.35, respectively. Significant differences were found in the mean swelling circumference and pain level between the intervention and control groups (p = 0.000).  Therefore a 20° elevation of lower extremity on the second day after ORIF for two days can be an alternative for nursing intervention to reduce swelling and pain. AbstrakElevasi 20 Derajat untuk Menurunkan Pembengkakan dan Nyeri Pasca Bedah Open Reduction and Internal Fixation Ekstremitas Bawah. Pembedahan open reduction and internal fixation (ORIF) menyebabkan pembengkakan jaringan dan nyeri pada area pembedahan. Pembengkakan dan nyeri dapat dikurangi dengan melakukan elevasi distal pada area bedah ORIF. Penelitian ini bertujuan untuk mengetahui pengaruh elevasi 20° terhadap tingkat pembengkakan dan nyeri pada pasien pasca operasi ORIF ekstremitas bawah. Desain kuasi-eksperimental dengan satu kelompok intervensi (pretest dan posttest) dan satu kelompok kontrol diterapkan pada penelitian ini. Tiga puluh empat pasien ORIF pasca operasi yang dirawat di salah satu rumah sakit di Sumatera Selatan memenuhi kriteria inklusi dan dibagi menjadi kelompok intervensi dan kontrol. Lingkar pembengkakan diukur menggunakan meteran pita, dan tingkat nyeri dinilai dengan skala numerik. Dependent t-test, independent t-test, dan korelasi Pearson digunakan untuk analisis data. Hasil penelitian menunjukkan bahwa rerata perbedaan lingkar bengkak dan tingkat nyeri antara sebelum dan sesudah intervensi masing-masing adalah 1,93 ± 0,25 dan 1,29 ± 0,35. Perbedaan bermakna ditemukan pada rerata lingkar pembengkakan dan tingkat nyeri antara kelompok intervensi dan kelompok kontrol (p = 0,000). Oleh karena itu, elevasi 20° ekstremitas bawah pada hari kedua setelah ORIF selama dua hari dapat menjadi alternatif intervensi keperawatan untuk mengurangi pembengkakan dan nyeri.Kata Kunci: bengkak, ekstremitas bawah, elevasi, nyeri, open reduction and internal fixation

Author(s):  
Hasanul Arifin Zul And Masitowarni Siregar

This thesis is focused on the investigation of the effect of applying animal cartoon pictures on students’ achievement in writing narrative text. This study aims to find whether applying animal cartoon pictures significantly affect the students’ writing achievement or not. The data in this study were obtained by administering a written test. The population was the 2015/2016 first year (grade XI) of SMA Swasta Nusantara Lubuk Pakam and 66 students were taken as the sample by using random sampling. The sample was divided into two groups, experimental and control groups. The experimental group was taught by applying animal cartoon pictures while the control group without animal cartoon pictures (x = lecturing). The data were taken the scores from the pre-test and post-test to both experimental and control groups. These data were analyzed by using t-test. The result of computing the t-test obviously showed that t-observed is higher than t-table (5.21 >1,67) with the degree of freedom 64 (df =N-2) at the level significance 0,05 one tail test. It showed that the application of animal cartoon pictures significantly affected the students of SMA Swasta Nusantara Lubuk Pakam achievement in writing narrative text.


2018 ◽  
Vol 7 (2) ◽  
pp. 91-100
Author(s):  
Islam Namazian Doost ◽  
Soheila Tahmasbi

This study aims to investigate the possible effects of peripheral learning on elementary EFL learners’ grammar improvement: the case of prepositions of time and place. Two elementary classes were selected as experimental and control groups. Before beginning the treatment, a grammar test was administered to both the groups as a pre-test. Then, as treatment, the experimental group was exposed to realia, pictures, posters and texts, while the control group was not. After term-long treatment of 10 weeks, the two groups received the same grammar test as post-test. The results of t-test showed that the experimental group improved their grammar ability, i.e., knowledge of prepositions of time and place more than their friends in the control group. The finding of the study may open an optional path for teachers to include some peripheral materials in their teaching environment to further invest on unconscious learning abilities of the students.   Keywords: Peripheral learning, reposition of time, prepositions of place, grammar.


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Luh Mastia Andriani ◽  
I Gst Lanang Agung Parwata ◽  
Ni Luh Kadek Alit Arsani

Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan 30 second box drill dan 60 second box drill terhadap peningkatan daya ledak otot tungkai. Jenis penelitian ini adalah penelitian eksperimen semu (quasi) dengan rancangan the non-randomized pretest posttest control groups design. Subjek penelitian sebanyak 30 orang. Daya ledak otot tungkai diukur dengan vertical jump test dan data dianalisis dengan uji-t independent, uji anava satu jalur dan uji least significant difference (LSD) pada taraf signifikansi (α) 0,05 dengan bantuan SPSS 16,0. Berdasarkan hasil uji hipotesis antara gaint-score kelompok pelatihan 30 second box drill, 60 second box drill dan kelompok kontrol pada variable daya ledak otot tungkai, hasil analisis data menggunakan uji-t independent menunjukkan bahwa pelatihan 30 second box drill dan 30 second box drill berpengaruh terhadap peningkatan daya ledak otot tungkai dengan nilai signifikansi sebesar 0,000 dan 0,000 (SigKata Kunci : pelatihan 30 second box drill, pelatihan 60 seond box drill, daya ledak otot tungkai This study aimed to know the effect of 30 second box drill training and 60 second box drill training toward the increase of explosive power of leg muscle. This study is quasi experiment research with thenon-randomized pretest posttest control groups design. Subjects of this study were 30 people. The explosive power of leg muscle was measured by vertical jump test and analyzed by independent t-test, one lane anava test and test of least significant difference (LSD) in the significant standard (α) 0,05 by using SPSS 16,0. Based on the result of hypothesis between gaint-score on training group of 30 second box drill, 60 second box drill and control group on the variable of explosive power of leg muscle, result of analysis by using independent t-test showed that 30 second box drill training and 30 second box drill training influenced the explosion power of leg muscle in the significant value of 0,000 and 0,000 (Sigkeyword : 30 second box drill, 60 second box drill,explosive power


2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S52-S52
Author(s):  
Tommaso Accinni ◽  
Marianna Frascarelli ◽  
Antonino Buzzanca ◽  
Luca Carlone ◽  
Francesco Ghezzi ◽  
...  

Abstract Background 22q11DS is the most important genetic risk factor for schizophrenia: up to 28% of these subjects develop psychosis in adulthood. At present this syndrome represents the strongest biological model to investigate neurobiological underpinnings of schizophrenia. We expected Theory of Mind impairments in subjects at risk for psychosis (22q11DS) and more severe impairments in subjects with an established psychotic disorder. Furthermore we sought to investigate eventual correlations between social cognition and self-esteem levels, hypothesizing that both would be impaired in psychotic groups. Methods Data come from Italian Network for Research on Psychoses for the Schizophrenic (SCZ, N=260) and Control groups (HC, N=111). 22q11DS psychotic (22q11DS_SCZ, N=17) and non-psychotic patients (22q11DS, N=46) were enrolled at Policlinico Umberto I, in Rome. The Awareness and Social Inference Test (TASIT) and Self-Esteem Rating Scale (SERS) were administered. Results The three main TASIT variables, Emotion Recognition, Minimal Social Inference and Enriched Social Inference, showed no different scores between the three clinical groups, which were significantly lower respect to the control group. The SERS total score showed no significant differences between clinical groups but was for all three significantly lower than control group score. No significant correlation was observed between SERS and TASIT scores for clinical groups. Discussion Social Cognition impairments are present in 22q11DS at the same extent as in idiopathic schizophrenia, and thus they represent an endophenotype of psychosis. A low Self-Esteem, even though associated to psychosis, does not affect neurocognitive process, impaired on a neurobiological basis.


2016 ◽  
Vol 5 (1) ◽  
pp. 75
Author(s):  
Fatwa Tentama ◽  
Surahma Asti Mulasari ◽  
Muchsin Maulana ◽  
Rini Anggraeni

The farmers in Indonesia have not maximally taken advantage of the existence of rice husk; therefore the huge number of the husk becomes disturbing waste, which spoils environment. The waste of rice husk is potentially capable of improving the farmers’ economy amidst the people’s lack of knowledge about its potential to commercially produce charcoal briquettes from it, make it a plant growing medium, and change it into manure. This research aims at knowing if the training of recycling waste of rice husk can improve the farmers’ entrepreneurship motivation. The subjects of the research were farmers in groups at Bimomartani village, Ngemplak district, Sleman regency. They were 60 participants divided into experintal and control groups. The planned experiment used <em>untreated control group design with dependent pretest and posttest samples.</em> The <em>paired sample t-test</em> and <em>independent sample t-test</em> were used as the techniques of analysis in this research. The result of t-test on <em>paired sample t-test</em> for the experimental group resulted in the value of t = -6.659 with p = 0.000 (p&lt;0.01), which means there was a significant difference of entrepreneurship motivation before and after the training of recycling rice husk. The analysis for <em>Independent sample t-test</em> resulted in the value of t = 7.411 with p = 0.000 (p&lt;0.01), which means there was a significant difference of entrepreneurship motivation between experimental and control groups. It can be concluded that the training of recycling waste of rice husk was effective in improving the farmers’ entrepreneurship motivation.


2020 ◽  
Vol 10 (3) ◽  
pp. 196-205
Author(s):  
Atoosa Tavasoli ◽  
◽  
Golbahar Akhoundzadeh ◽  
Hamid Hojjati ◽  
◽  
...  

Objective: Premature birth and hospitalization in the intensive care unit cause many crises and stresses for mothers. In the meantime, narration writing is a method of counseling to reduce mothers' stress. Therefore, we aimed to study the effect of maternal narration on the stress of mothers of premature infants admitted to the neonatal intensive care unit. Methods: This experimental study was performed on mothers of neonates admitted to the intensive care units. The experimental and control groups were selected by simple random sampling method. In the experimental group, based on the instructions given, the mothers recorded their daily events 3 times a day. The obtained data were analyzed in SPSS V. 21 with descriptive statistics (mean and standard deviation) and inferential statistics (paired t-test, independent t-test, ANCOVA test). Results: The Mean±SD score of stress was 97.43±2.66 in the experimental group and 95.26±5.76 in the control group before the intervention. The stress level of mothers was 84.9±5.35 in the experimental group after the intervention and 87.1±5.25 in the control group. The covariance test showed a significant difference between the experimental and control groups (P=0.03 and Eta= 0.07) so that 7% of stress reduction changes are related to mothers' narration. Conclusion: This study showed that narrative writing as an effective supportive intervention has a vital role in reducing stress in mothers of neonates admitted to the intensive care unit. 


2018 ◽  
Vol 4 (2) ◽  
pp. 219-238
Author(s):  
Naning Ma'rifatul Faiqoh ◽  
Nurul Huda

The present study aims to: (1) know the vocabulary learning process through field trip method, (2) know the significant differences in the increase of Arabic vocabulary in the experimental and control groups. This study uses qualitative experimental approach. As for the data collection technique, this study uses interview, observation, documentation, and tests, such as pretest and posttest. The pretest uses experimental design. The result shows that (1) the result of the learning class which uses experiment experiences enhancement between the average values of pretest and posttest which are 30.76 to become 55.54. And the result of the control group shows improvement with the average posttest score from 34.00 to 56.16. This indicates that the average value of experimental posttest class is higher compared to the average values of control class posttest. (2) There are significant differences in the experimental and control groups while learning vocabulary of 11th graders of MAN 1 Sleman. It is based on on the data analysis results through -T test Paired T-test with the significance of 0.000<0.05 that the results of vocabulary learning process of experimental and control groups are considered significantly different. Abstrak Penelitian ini bertujuan untuk: (1) Mengetahui bagaimana proses pembelajaran kosa kata melalui metode karyawisata. (2) Mengetahui perbedaan yang signifikan pada peningkatan kosa kata bahasa Arab kelompok eksperimen dan kontrol. Penelitian ini menggunakan pendekatan kuantitatif dengan jenis penelitian Eksperimental Research (penelitian eksperimen). Adapun teknik pengumpulan data dalam penelitian ini adalah menggunakan teknik wawancara, observasi, dokumentasi dan tes, adapun tes dalam penelitian ini meliputi pretest dan posttest. Penelitian ini menggunakan true eksperimental design (eksperimen yang betul-betul) sebagai desain penelitian. Hasil penelitian ini menunjukkan bahwa: (1) Hasil belajar kelas eksperimen mengalami peningkatan antara rata-rata nilai pretest dan postest yaitu 30.76 menjadi 55.45 dan hasil belajar kelas kontrol mengalami peningkatan antara rata-rata nilai posttest dan pretest yaitu 34.00 menjadi 56.16. hal ini menunjukkan rata-rata nilai posttest kelas eksperimen lebih tinggi dibandingkan dengan rata-rata nilai posttest kelas kontrol. (2) Ada perbedaan yang signifikan pada kelompok eksperimen dan kelompok kontrol dalam pembelajaran kosa kata di kelas XI MAN 1 Sleman. Hal tersebut didasarkan pada hasil analisis data melalui uji-T Paired T-test dengan signifikansi 0.000 < 0.05, sesuai dengan pedoman pengambilan keputusan maka diputuskan bahwa terdapat perbedaan signifikan pada hasil pembelajaran kosa kata siswa kelas eksperimen dan kontrol. Kata Kunci: Pembelajaran, Metode Karyawisata, Pembelajaran Kosa Kata


2015 ◽  
Vol 1 (1) ◽  
pp. 94 ◽  
Author(s):  
Ananto Ali Alhasyimi ◽  
Siti Sunarintyas ◽  
Marsetyawan HNE Soesatyo

Mini screw orthodontics merupakan alat yang digunakan dalam perawatan ortodonsia untuk kasus yang membutuhkan absolute anchorage. Mini screw yang tersedia terbuat dari logam nikel titanium atau stainless steel yang pada beberapa pasien menyebabkan reaksi pada jaringan. Uji implantasi adalah uji yang dilakukan untuk menentukan biokompatibilitas medical device yang berkontak langsung dengan jaringan hidup. Respon jaringan terhadap jejas pasca implantasimempengaruhi derajat pembentukan jaringan granulasi, reaksi benda asing, dan fibrosis. Penelitian ini bertujuan untuk mengetahui efek lokal implantasi kobalt kromium sebagai alternatif bahan mini screw orthodontics terhadap jaringan subkutan kelinci albino. Subjek penelitian berupa 20 ekor kelinci jantan albino yang digunakan untuk 2 kelompok(perlakuan dan kontrol negatif). Kobalt kromium dibuat lempengan diameter 10 mm dan ketebalan 1 mm. Pada kelompok perlakuan, material diimplankan pada jaringan subkutan dorsum kelinci dengan insisi sampai terbentuk poket subkutan, dasar poket tidak lebih dari 10 mm dari garis awal insisi dan dilakukan suturing. Kelompok kontrol hanya dilakukanincisi kemudian disuturing. Secara makroskopis 24 jam pasca implantasi, daerah implan diamati terjadinya edema, hematoma, enkapsulasi dan tanda-tanda inflamasi. Evaluasi secara mikroskopis pada hari ke 14 pasca implantasi, diamati perubahan histopatologis infiltrasi sel-sel inflamasi, kemudian rerata hasil diuji dengan uji independent samplet-test untuk mengetahui apakah ada perbedaan jumlah sel-sel inflamasi pada kelompok perlakuan dan kontrol. Hasil pengamatan makroskopis, kelompok perlakuan maupun kontrol hanya terlihat tanda inflamasi ringan berupa eritema. Rerata dan Simpangan baku jumlah PMN, limfosit, sel plasma, makrofag, giant cell, neovaskularisasi, fibrosis kobalt kromium dan kontrol berturut turut yaitu (0,6 ± 0,49; 0,7 ± 0,48); (0,9 ± 0,87; 1,0 ± 0,67); (0,6 ± 0,24; 0,6 ± 0,21); (1,4 ± 0,84; 0,9 ± 0,74); (0,5 ± 0,27; 0); (0,6 ± 0,33; 0,7 ± 0,48); (0,5 ± 0,27; 0,1 ± 0,02). Hasil t-test menunjukkan perbedaan yang tidak signifikan (p>0,05) pada 6 parameter inflamasi sedangkan parameter giant cell menunjukkan perbedaan yang signifikan (p<0,05). Kesimpulan penelitian ini adalah implantasi subkutan logam kobalt kromium menyebabkan reaksi jaringan berupa infiltrasi giant cell selama 14 hari pasca implantasi sebagai respon tehadap benda asing. Effect Of Subcutaneous Implantation Of Cobalt Chromium As An Alternative Material For Mini Screw Orthodontics Against Albino Rabbit’s Tissue. Mini screw orthodontics is an instrument which is used in orthodontic treatment for some cases that require absolute anchorage. Available mini screws are made of nickel titanium or stainless steel alloy which in some patients may cause a reaction to the tissues. Implantation test is a test performed to determine the biocompatibility of medical devices that are directly contacted to the living tissue. Tissue response to injury after implantation affects the degree of formation of granulation tissue, foreign body reaction, and fibrosis. The aim of this study is to determine the local effect of implantation of cobalt chromium as an alternative material for mini screw orthodontic against the subcutaneous tissue of albino rabbits. The subjects of study were 20 male albino rabbits divided into two groups (treatment and negative control groups). Cobalt chromium was made in the form of discs with 10 mm in diameter and 1 mm in thickness. In the treatment group, the material was implanted in the subcutaneous tissue of the dorsum of the rabbits with an incision to form a subcutaneous pocket. The pocket base was not more than 10 mm from the initial line of incision then suturing was performed. The control group only had incision then sutured to maintain aseptic conditions. Macroscopically 24 hours after implantation, the implant area was observed related to the occurrence of oedema, haematoma, encapsulation and signs of inflammation. The evaluation on day 14 post-implantation shows the histopathologic changes observed by the infiltration of inflammatory cells types. The average of the results was analyzed using independent sample t-test. The results of the macroscopic observation shows that the treatment and control group were only seen of mild inflammatory signs included erythema. The mean and standard deviation of the amount of PMN, lymphocyte, plasma cells, macrophage, giant cell, neovascularisation, and fibrosis from cobalt chromium and control groups were (0.6 ± 0.49; 0.7 ± 0.48); (0.9 ± 0.87; 1.0 ± 0.67); (0.6 ± 0.24; 0.6 ± 0.21); (1.4 ± 0.84; 0.9 ± 0.74); (0.5 ± 0.27; 0); (0.6 ± 0.33; 0.7 ± 0.48); (0.5 ± 0.27; 0.1 ± 0.02). The results of t-test show a significant difference in giant cell (p<0.05), while the six others did not (p>0.05). The conclusion of this study is that the cobalt chromium alloy can affect the subcutaneous tissue by inducing giant cell infiltration on day 14 post-implantation as the result of foreign body reactions.


2021 ◽  
pp. 38-42
Author(s):  
Amel Eltaib Elagib ◽  
Ibrahim Ismail Mohammed ◽  
SamiaYousif Idris ◽  
Jaafar Abdelrahman Omar ◽  
Somia Bilal Babiker ◽  
...  

In Sudan, cancer incidence has been growing considerably in recent years and is likely to continue to grow creating a big burden on the health system resources. The aim of this study is to assess the baseline Perception and Practice about breast cancer and breast self-examination (BSE) and to nd out the effectiveness of an educational program about breast cancer and BSE on Perception and Practice among women in AlJeeraif West Administrative Unit. Community based intervention study with pre-post and control was carried out among 200 women who were recruited by means of multistage sampling. The sample size was divided equally into intervention and control groups. Baseline data was collected from both groups through direct interview, using structured close ended questionnaire. Educational program was implemented for the intervention group. Four months after the intervention, women in the study and control groups were exposed to the same questionnaire. Chi-square, paired t-test and independent t-test (difference of difference) were conducted in the course of the data analyses. There was statistically signicant difference in the intervention group pre-post program in all of the HBM components in the intervention group (p value0.000), while in the control group statistically signicant difference existed only in perceived barrier (p value.004) and perceived benet (p value.000) and over all perception (p value .016) with no signicant difference in other (HBM) components. In the intervention group practice and performance scores were highly signicant pre-post program (p value 0.000), where as in the control group only practice was signicant (p value 0.001). There were statistically signicant differences in the mean difference of performance, practice and perceptions between the intervention and control groups (p-value .000). The results of this study have conrmed the effectiveness of educational program based on the health belief model on improving perceptions and practice of breast cancer and breast self-examination.


2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Tinok Ayu Putri Wardani ◽  
Nursalam Nursalam ◽  
Eka Mishbahatul M. Has

Introduction: Discharge planning is one of nursing intervention that aim to promote the independence of patient’s self care-activities after discharge from hospital. This study was aimed to examine the effect of discharge planning on wound care independence of post sectio caesarea patient at Melati Room, Dr. Soegiri Hospital, Lamongan. Methodes: Design of this study was Quasy Experiment. The population were post sectio caesarea patient at Melati Room Dr. Soegiri Hospital Lamongan, since May – June 2012. The samples were taken by purposive sampling technique. Fourteen respondents matched with the inclusion criteria and divided into treatment and control groups. The datas were collected by using questionnaire and observation sheet. Then datas were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level of α ≤ 0.05. Result and Analysis: The result of this study showed that post sectio caesarea patient’s knowledge had significance level of p=0.027 in treatment group, and in control group was p=0.034, for post sectio caesarea patient’s skill p=0,015 in treatment group and in control group was p=0,017. The result of Mann Whitney U test was p=0,001, it means there was different in knowledge, and skill of wound care on post sectio caesarea patient between treatment and control groups. Discussion and Conclusion: It can be concluded that there are significant effect of wound care independence of post sectio caesarea patient with discharge planning approach based on orem’s self care theory to improve patient’s independence. Hospital need to develop discharge planning procedure to meet the needs of patient with post sectio caesarea wound and decrease the number of surgical wound infection.


Sign in / Sign up

Export Citation Format

Share Document