Evaluate the Effect of Talc Versus Olive Oil Back Massage on Prevention of Pressure Sore Among Bedridden Patients Admitted in a Selected Hospital of Guwahati, Assam

Background: Pressure sores are injuries to skin and underlying tissues caused by prolong pressure. Talc and olive oil is a product with potential preventive effect to prevent bedsore because of its numerous medical properties. Objective: To estimate the effect of talc versus olive oil back massage on prevention of pressure sore among bedridden patients. Material and method: A quantitative research approach with factorial experimental design was used in this study. 50 patients were selected using convenient sampling technique and who fulfill the inclusion criteria of the study. Data was collected using self-administered questionnaires for demographic variables, Braden Scale for risk of pressure sore assessment and standard protocol on steps of back massage. Data was analyzed using descriptive and inferential statistics. Results: The comparison of effect of back massage with talc versus olive oil on prevention of pressure sore among Group I and Group II bedridden patients reveals that post-test mean score in Group I was 13.88±2.682 and posttest mean score in group II was 16.44±2.694 with mean difference of 2.56 which was tested by using unpaired t test with calculated value (t=3.367, df=48, p=0.002) was found to be statistically significant. As the mean is higher in group II (olive oil) than Group I (talc) hence it is considered that olive oil is more effective in preventing pressure sore than talc. Conclusion: The study concluded that the back massage with talc and olive oil was effective in prevention of pressure sore among bedridden patients.

Penerapan Kombinasi Pijat Punggung Dan Dzikir Terhadap Tingkat Stres Pada Penderita Hipertensi Di Desa Seturi Kabupaten Batang

Hipertension is an increase of systolic blood pressure above 140 mmHg and diastolic above 90 mmHg. The patients get dizziness, anxiety, stress, restlessness, weakness, and worry about their health. The purpose of this case study was to determine the application of a combination of back massage and dhikr to stress levels in hypertension sufferers in Seturi Village, Batang Regency. The method used in this paper was a case study with the subject of two axienty clients. The focus of the intervention was providing non-pharmacological therapy, relaxcation, back massage and dhikr for 3 visits to the client’s home. The result of the case studies on these two client’s showed a change in the level of stress on hypertension reduced in client I from TD : 160/100 mmHg down to 140/90 mmHg, PSS-10 : Score 14 (moderate stress) to 0 (no stress), moderate client II from TD : 170/100 mmHg down to 140/90 mmHg, PSS-10 : Score 26 (moderate stress) to 0 (no stress). Therefore, it can be concluded that there is an effect of back massage therapy and dhikr on stress stress levels in patients with hypertension. There is also stress levels in patiens with hypertension.Keywords : Dhikir; Clients With Hipertension; Back Massage And Stress AbstrakHipertensi adalah peningkatan tekanan darah sistolik berada diatas 140 mmHg dan diastolik diatas 90 mmHg. Keluhan yang dirasakan adalah pusing, cemas, stress, gelisah, lemas, dan khawatir terhadap penyakitnya. Tujuan studi kasus ini adalah untuk mengetahui penerapan kombinasi pijat punggung dan dzikir terhadap tingkat stress pada penderita hipertensi di Desa Seturi Kabupaten Batang. Metode studi kasus ini adalah studi kasusdengan subyek dua klien ansietas. Fokus intervensi berupa pemberian terapi non farmakologi relaksasi pijat punggung dan dzikir selama 3 kali kunjungan kerumah klien. Hasil studi kasus pada kedua klien ini menunjukkan adanya perubahan tingkat stress terhadap hipertensipada kedua klien ini menunjukkan adanya perubahan tingkat stress terhadap hipertensi berkurang pada klien I dari TD : 160/100 mmHg turun menjadi 140/90 mmHg, PSS-10 : Skore 14 (stress sedang) menjadi 0 (tidak stress), sedang klien II dari TD : 170/100 mmHg turun menjadi 140/90 mmHg, PSS-10 : Skore 26 (stress sedang) menjadi 0 (tidak stress). Kesimpulan : Ada pengaruh terapi pijat punggung dan dzikir terhadap tingkat stress pada penderita hipertensi. Berdasarkan hasil penerapan tersebut maka disarankan peran perawatdapat memberikan terapi pijat punggung dan dzikir untuk menurunkan tingkat stress pada penderita hipertensi.Kata kunci : Dzikir; Klien Dengan Hipertensi; Pijat Punggung Dan Stress.

Gambaran Penurunan Tekanan Darah Pada Pasien Lansia Dengan Hipertensi Setelah Dilakukan Pemberian Slow Stroke Back Massage: Literatur Review

Elderly is an age that is prone to hypertension so that interventions are needed to reduce blood pressure in the elderly. Hypertension is a condition of a person who has an increase in blood pressure above normal. The intervention that can be given is slow stroke back massage which is a massage to provide relaxation to lower blood pressure. This study aims to describe the re-duction of blood pressure in elderly patients with hypertension after giving slow stroke back massage: Literature Review. The selection of articles in this study was a literature review analysis using the P.I.C.O method, searching for articles through Google Scholar or Garuda Portal (n=3) and PubMed (n=2) to find articles according to inclusion and exclusion criteria. The results of the literature review analysis on the five articles after giving Slow Stroke Back Massage to elderly patients with hypertension showed a decrease in systolic blood pressure, the average result was before 147,53 and an average after 140.461, while the decrease in diastolic blood pressure obtained an average result of - the average before 90.07 and the average after 84.30. The results of a literature review of five articles show that Slow Stroke Back Massage is proven to reduce blood pressure in elderly patients with hypertension. For the basis used as the basis for the action of giving massage to the problem of hypertension in the elderly, physiotherapists can give Slow Stroke Back.Keywords : Hypertension;Elderly; Slow Stroke Back Massage AbstrakLansia merupakan suatu usia yang rentan mengalami hipertensi sehingga dibutuhkan intervensi guna menurunkan tekanan darah pada lansia. Hipertensi adalah keadaan seseorang yang men-galami peningkatantekanan darah diatas normal. Intervensi yang dapat diberikan adalah slow stroke back massage yang merupakan suatu massage guna memberikan relaksasi untuk menurunkan tekanan darah. Study ini bertujuan untuk gambaran penurunan tekanan darah pada pasien lansia dengan hipertensi setelah dilakukan pemberian slow stroke back massage: literature review. Pemilihan artikel pada penelitian ini yaitu analisis literature riview dengan metode P.I.C.O, Pencarian artikel melalui Google Scholar atau Portal garuda (n=3) dan PubMed (n=2) untuk menemukan artikel sesuai kriteria inklusi dan eksklusi. Hasil analisis literature riview pada kelima artikel setelah dilakukan pemberian Slow Stroke Back Massage pada pasien lansia dengan hipertensi didapatkan penurunan tekanan darah sistole didapatkan hasil rata-rata sebelum 147, 53 dan rata-rata sesudah 140,461 sedangkan penurunan tekanan darah diastole didapatkan hasil rata-rata sebelum 90,07 dan rata-rata sesudah 84,30. Hasil literature review lima artikel menunjukkan bahwa Slow Stroke Back Massage terbukti dapat menurunkan tekanan darah pada Pasien Lansia dengan hipertensi. Untuk dasar digunakan sebagai dasar Tindakan dalam melakukan pemberian massage pada masalah hipertensi pada lansia fisioterapis dapat melakukan pemberian Slow Stroke Back.Kata Kunci : Hipertensi;Lansia;Slow Stroke Back Massage

BACK MASSAGE IN LABOR- A TIME HONORED PRACTICE

Childbirth is a desired but painful and stressful event in a woman's life. Labor pain is considered as one of the most intense forms of pain. Now-a-days, quite a large number of pregnant women choose c-section for the fear of labor pain. Labor pain can be reduced by some pharmacological methods. Back massage is an old non-pharmachological method of reducing labor pain. This is a simple, safe, and acceptable method especially in lowresource settings like most of our facilities. Hence this study was done to reduce the intensity of labor pain, which may lead to increase in the rate of vaginal childbirth.

Management of Labour Pain by using non-pharmacological Measures

Introduction: Pain during childbirth is a special experience of a woman that vary from one individual to another, that is caused by uterine contractions and cervical dilatation during labour. Nature and level of pain influence by various physiology, psychology and environmental factors. Thus, pain relief during childbirth is essential therefore, the delivery period will be uneventful. Non-pharmacological pain relief measures: Controlling pain without harm to mother, non-pharmacological measures assure in reducing labour pain with less or even no harm to the mother and fetus. These measures include sensory stimulation measures eg. breathing technique, aromatherapy and music therapy that provides sensory input to the brain to promote relaxation, enhance positive thoughts and transmission of nociceptive stimuli of pain during labour and cutaneous stimulation measures include back massage, changing position, heat and cold application, transcutaneous electrical nerve stimulation, hydrotherapy and acupressure that work as to stimulation of nerves by using skin manipulation in an attempt to reduce pain impulses to the brain. Conclusion: The major aspects of midwifery care are supporting women during labour pain thus, they must understand the choices of the mother's for manage with labour pain. However, non-pharmacological measures are helpful for decelerating pain and discomfort during labour which is easy to given and cost-effective. Key Words: Breathing technique, aromatherapy and music therapy, back massage, changing position, application of heat and cold, Transcutaneous electrical nerve stimulation, acupressure and hydrotherapy.

PENGARUH MASASE PUNGGUNG TERHADAP PENGURANGAN NYERI PERSALINAN: A SYSTEMATIC REVIEW

Pain is a physiological process. As many as 12% - 67% of women are worried about the pain that will be experienced during childbirth. One of the efforts to reduce pain is massage. is a condition in the form of a very pleasant unpleasant feeling, because the feeling of pain is different for each person in terms of scale or level. One technique to reduce pain is back massage. The theory shows that back massage is effective intermittently during labor. But at that time back massage was not done because they did not know that back massage could reduce pain. This study uses a systematic review method with the aim of seeing an effective method in overcoming labor pain. This systematic review examines articles and journals via the Google Scoolar site from 7 journals. Based on this system review, it can be guaranteed that back massage can reduce the intensity of pain in labor.

MASASE PUNGGUNG TERHADAP PENURUNAN NYERI PERSALINAN FISIOLOGIS KALA I FASE AKTIF

Background: Pain in the process of persuasion begins since the occurrence of uterine contractions and complete cervical opening which is devided into two phases, namely the latent phase and the active phase. The International Association for Study of Pain, defines pain as a subjective sensory and unpleasant emotional experience associated with actual or potential tissue damage or perceived in events where damage occurs. Purpose: to determine the effect of back massage on the decrease in pain physiological labor pain during the active phase at the Husniyati Palembang Midwife Practice. Methods: The research design was pre-experimental design with one group pre test - post test design. The population in this study were all mothers who would give birth during the first stage of the active phase at the Husniyati Independent Practice Midwives. The research sample is the total population, namely 35 people. The research variables included independent variables, namely back massage and the dependent variable, namely labor pain. Results: 20 respondents (57.1%) who experienced moderate pain experienced pain scale description before giving back massage. After being given back massage, the pain scale decreased from 35 respondents who experienced mild pain totaling 23 respondents (65.7%). The results of the Wilcoxon statistical test showed that the value of p = 0.000, it can be concluded that there is a significant difference in the pain scale of mothers who are about to give birth during the 1st stage of the active phase before and after being given back massage. Conclusion: There is a significant difference in the pain scale of mothers who are about to give birth during the first stage of the active phase before and after being given back massage at the Husniyati Palembang Midwife Practice.Suggestion The results of this study can be used as information for further research using more varied variables and different designs. And can also be done on a larger number of samples. Keywords: labor pain, first stage active phase and back massage ABSTRAK Latar belakang: Nyeri pada proses persalinan dimulai sejak terjadinya kontraksi uterus dan pembukaan servik lengkap yang dibagi dua fase, yaitu fase laten dan fase aktif. International Association for Study of Pain, mendefinisikan nyeri sebagai suatu sensori subjektif dan pengalaman emosional yang tidak menyenangkan berkaitan dengan kerusakan jaringan yang bersifat aktual atau potensial atau yang dirasakan dalam kejadian-kejadian dimana terjadi kerusakan.Tujuan: untuk mengetahui pengaruh masase punggung terhadap penurunan nyeri persalinan fisiologis kala 1 fase aktif di Bidan Praktek Mandiri Husniyati Palembang.Metode: Rancangan penelitian dengan desain Pra Eksperimental dengan rancangan one group pre test - post test. Pengumpulan data didapat melalui wawancara langsung dan observasi pada responden dibantu dengan menggunakan angket. Populasi dalam penelitian ini seluruh ibu yang akan melahirkan pada kala I fase aktif di Bidan Praktek Mandiri Husniyati. Sampel penelitian merupakan total populasi yaitu berjum,ah 35 orang. Variabel penelitian, variabel independen yaitu masase punggung serta variabel dependen yaitu nyeri persalinan. Analisis yang digunakan adalah univariat dan bivariate. Uji Statistik yang digunakan yaitu non parametric Wilcoxon.Hasil: gambaran skala nyeri sebelum diberikan masase punggung dari 35 responden yang mengalami nyeri sedang berjumlah 20 responden (57,1%). setelah diberikan masase punggung skala nyeri menjadi menurun dari 35 responden yang mengalami nyeri ringan berjumlah 23 responden (65,7 %). Hasil uji statistik wilcoxon didapatkan nilai p = 0,000, maka dapat disimpulkan ada perbedaan yang signifikan skala nyeri pada ibu yang akan melahirkan pada kala 1 fase aktif sebelum dan sesudah diberikan masase punggung.Kesimpulan: ada perbedaan yang signifikan skala nyeri pada ibu yang akan melahirkan pada kala 1 fase aktif sebelum dan sesudah diberikan masase punggung di Bidan Praktek Mandiri Husniyati.Saran Hasil penelitian ini dapat dijadikan informasi untuk penelitian lebih lanjut dengan menggunakan variable yang lebih bervariasi dan desain yang berbeda. Dan juga dapat dilakukan pada jumlah sampel yang lebih banyak. Kata Kunci : Nyeri persalinan, kala I Fase aktif dan masase punggung

Pengaruh Pemberian Deep Breathing Exercise Dan Slow Stroke Back Massage Efektif Dalam Menurunkan Tekanan Darah Tinggi Pada Penderita Hipertensi.

Latar Belakang: Hipertensi merupakan peningkatan abnormal tekanan darah dalam pembuluh darah arteri terus menerus lebih dari satu periode. Hipertensi atau tekanan darah tinggi merupakan penyakit yang sering diderita oleh kebanyakan orang. Hipertensi telah menjadi penyakit yang umum diderita oleh banyak masyarakat Indonesia. Tujuan: Penelitian ini bertujuan untuk membuktikan Deep Breathing Exercise dan Slow Stroke Back Massage efektif dalam menurunkan tekanan darah tinggi pada penderita Hipertensi. Metode: Jenis penelitian yang digunakan adalah penelitian quasie xperiment dengan desain penelitian pre and post test without control group design. Hasil: Perbedaan pre-test dan post-test terlihat dari tekanan sistolik diperoleh p-value 0,027. Pada tekanan diastolik terdapat perubahan nilai pre test dan post test p-value 0,015 yang berarti terdapat perbedaan pengaruh sebelum dan sesudah intervensi. Kesimpulan: Ada pengaruh pemberian Deep Breathing Exercise dan Slow Stroke Back Massage terhadap penurunan tekanan darah tinggi pada penderita Hipertensi.