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

Appendicitis 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.

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

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

Patient-reported factors associated with degree of pain medication dependence and presence of severe dependence among spinal outpatients

Aim: To identify risk factors for pain medication dependence. Materials & methods: Chronic spinal pain outpatients (n = 106) completed the Leeds Dependence Questionnaire (LDQ) and measures of potential risk factors. Participants with high (n = 3) and low (n = 3) dependence were interviewed. Results: Mean LDQ score was 11.52 (standard deviation 7.35) and 15/106 participants (14.2%) were severely dependent (LDQ ≥20). In linear regression, pain intensity (β = 0.313, p < 0.001), being disabled by pain (β = 0.355, p < 0.001), borrowing pain medication (β = 0.209, p = 0.006), and emergency phone calls or clinic visits (β = 0.169, p = 0.029) were associated with degree of dependence across the range of LDQ scores. In logistic regression, pain intensity (p = 0.001) and borrowing pain medication (p = 0.004) increased the odds of severe dependence. Interviewees described how their pain influenced their pain medication use and one described pain medication addiction. Conclusion: Interventions to reduce pain intensity and pain-related disability may reduce pain medication dependence.

Abdominal Stretching as a Therapy for Dysmenorrhea

BACKGROUND: Dysmenorrhea is pain during the menstrual period caused by uterine muscle cramps. The Dysmenorrhea prevalence in Indonesia is categorized as high at 64.25%. The dysmenorrhea symptom could be very disruptive and even decrease women’s productivity. Related to this problem, abdominal stretching is one of the alternatives to reduce pain from dysmenorrhea. AIM: This research was aimed to find out the effect of abdominal stretching on the pain intensity of menstrual cramps. METHODS: It was a quasi-experimental research with a pre-test post-test control group design. The sample was 130 female adolescents that were taken by total sampling. The sample was divided into two groups, which were the intervention group and the control group. RESULTS: The research finding, with a 0.000 (p < 0.005) significance value was obtained by using the Wilcoxon test. CONCLUSION: It means abdominal stretching exercise is significantly effective to reduce pain intensity from menstrual cramps (dysmenorrhea) in female adolescents. It is suggested to implement abdominal stretching as nursing care for menstrual cramps.

Intravenous lidocaine in cancer-related neuropathic pain: case series

Introduction: Administering systemic lidocaine has been shown to deliver effective analgesia for both cancer-related and non-cancer pain. Adverse effects and toxicity are rare with controlled administration. Objective: To report the results obtained after the indication to manage with IV lidocaine infusion to control neuropathic pain flares in 9 cancer patients. Methodology: Observational, descriptive, case series-type study. A search was conducted in the files of the Pain and Palliative Care Service of the National Cancer Institute - Instituto Nacional de Cancerología - in Bogotá. Patients over 18 years old diagnosed with cancer, who experienced high intensity neuropathic pain and with the cognitive ability to rate their pain in a numerical analogue scale (NAS), without any absolute contraindications for the use of IV lidocaine were included; patients were assessed between September 27 and November 21, 2019. Results: 9 patients experiencing a pain flare-up which was characterized as neuropathic were registered, of which 89 % had some improvement following the administration of an initial lidocaine bolus. After one hour, 60 % reported over 40% improvement in the initial NAS. After 24 hours all patients had experienced some improvement, with a reduction of 46% in the pain scale as compared to the baseline. Conclusions: In this series of cases, the intravenous infusion of lidocaine as an option for the management of neuropathic pain flares seems to reduce pain intensity following the initial bolus administration.

Hubungan Pengetahuan dan Sikap Tenaga Kesehatan dengan Perilaku pemberian Teknik Relaksasi dan Teknik Distraksi pada Nyeri Pasien Pasca Operasi Sectio Caesarea di Rumah Sakit Baiturrahim

Sectio caesaria surgery can cause changes in the continuity of body tissues and the aftereffect of delivery of a caesarean section is that the patient will feel pain after 2 hours of operation to 3 days and the pain feels hot in the incision scar. Efforts to reduce pain intensity are using non-pharmacological pain management, namely distraction and relaxation techniques. This study used cross sectional approach by using description correlation design which conducted at Baiturrahim hospital Jambi city, sample were health personnel (Nurse and Midwife), the sampling technique used total sampling. The collecting of data used a questionnaire by using Chi-Square test. The findings indicated that from 21 respondents 13 (61.9%) respondents have sufficient knowledge of health personnel, 14 (71.4%) respondents have Positive attitude of health personnel, 20 (95.2%) respondents have good health personnel behavior in giving distraction and relaxation techniques to pain patients. From the result of chi square test indicated that score p-value 0.381 so that the null hypothesis is accepted, namely there is no correlation between knowledge of health personnel with the behavior of giving distraction and relaxation techniques in postoperative pain patients with sectio caesarea at Baiturrahim hospital. It is expected to Baiturrahim hospital in order to increase services in providing non-pharmacological techniques to reduce pain intensity in post-caesarean section patients

Magnesium for Pain Treatment in 2021? State of the Art

Background: Magnesium (Mg) is commonly used in clinical practice for acute and chronic pain and has been reported to reduce pain intensity and analgesics consumption in a number of studies. Results are, however, contested. Objectives: This review aims to investigate randomised clinical trials (RCTs) on the effectiveness of Mg treatment on pain and analgesics consumption in situations including post-operative pain, migraine, renal pain, chronic pain, neuropathic pain and fibromyalgia. Results: The literature search identified 81 RCTs (n = 5447 patients) on Mg treatment in pain (50 RCTs in post-operative pain, 18 RCTs in migraine, 5 RCTs in renal pain, 6 RCTs in chronic/neuropathic pain, 2 RCTs in fibromyalgia). Conclusion: The level of evidence for the efficacy of Mg in reducing pain and analgesics consumption is globally modest and studies are not very numerous in chronic pain. A number of gaps have been identified in the literature that need to be addressed especially in methodology, rheumatic disease, and cancer. Additional clinical trials are needed to achieve a sufficient level of evidence and to better optimize the use of Mg for pain and pain comorbidities in order to improve the quality of life of patients who are in pain.

The Effectiveness of the Finger Grip Relaxation Technique to Reduce Pain Intensity in Post-Appendectomy Patients: A Literature Review

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.

The Effect of Intraoperative Ketamine and Magnesium Sulfate on Acute Pain and Opioid Consumption After Spine Surgery

Ketamine and magnesium in brain act as an N-methyl-D-aspartate receptor antagonist that has been shown to be useful in the reduction of acute postoperative pain and analgesic consumption in a variety of surgical interventions. We hypothesized that combination of low dose ketamine and magnesium would reduce early postoperative opiate consumption and analgesic requirement after 6 weeks. This was a randomized, prospective, controlled-placebo trial involving elective and eligible patients undergoing lumbar spine surgery. Seventy patients in the treatment group were administered 0.5 mg/kg intravenous ketamine and 1 gram of magnesium as an intravenous bolus slowly during 3 minute before incision and 0.25 mg/kg/hr ketamine and 0,5 g/hr magnesium intravenous infusion during surgery. Seventy patients in the placebo group received saline of equivalent volume. Patients were observed for48 h postoperatively and followed up at 6 weeks. The primary outcome was 48h morphine consumption. The severity of pain was lower in the intervention group than in the placebo group during 48 hr post-operatively, morphine consumption in this group also decreased significantly during this period. Intraoperative ketamine-magnesium reduces opiate consumption in the 48-h postoperative period. This combination may also reduce pain intensity throughout the postoperative period in this patient population.