The Ameican Society of Anastheiologists (ASA) mendefiniskan nyeri pasca operasi sebagai nyeri yang timbul pada pasien karena prosedur bedah yang dilakukan. Nyeri pasca operasi yaang tidak  ditangani dapat berefk secara fisiologis dan psikologis pada pasien. Manajemen nyeri penting untuk mengurangi nyeri dan memberikan kenyamanan pada pasien sehingga peningkatan manajemen nyeri merupakan kebutuhan mendesak. Faktor yang mempengaruhi perawat pada pelaksanaan manajemen nyeri yaitu sikap dan pengalaman perawat. Penelitian bertujuan mengidentifikasi hubungan sikap dan pengalaman terhadap pelaksanaa manajemen nyeri. Desain penelitian adalah kuantitatif korelasi dengan pendekatan cross sectional dengan sampel non probability sampling berupa tehnik total sampling dan jumlah responden 45 perawat di ruang perawatan bedah. Hasil penelitian didapatkan perawat dengan sikap positif sebnyak 62,2 % dengan pengalaman kurang sebanyak 55,6 %, dan manajemen nyeri kurang baik 51,1 %. Hasil uji statistik didapakan nilai p=0,003 sehingga didapatkan hubungan antara sikap terhadap pelaksanaan manajemen nyeri. Terdapat hubungan antara pengalaman terhadap manajemen nyeri dengan nilai p=0,025. Hasil penelitian dapat digunakan sebagai bahan kajian untuk pelaksanaan manajemen nyeri dengan menambah wawasan perawat, sementara sikap positif perawat harus dipertahankan dan menambajh pengalaman perawat dengan memberikan pelatihan serta seminar tentang manajemen nyeri.

Background: Insomnia is a sleep disturbance which commonly occurs in haemodialysis patients. Some factors contribute to insomnia in dialysis patients such as demographic, biological, psychological, lifestyle, and dialysis factors. However, there are limited studies which investigate the relating factors of insomnia in haemodialysis patients in Indonesia. Purpose:This study aimed to analyze the relating factors of insomnia in haemodialysis patients in Semarang, Central Java, Indonesia. Methods: This study was a cross-sectional study which involved 102 samples recruited by consecutive sampling technique from two dialysis units in Semarang, Central Java. Data were collected by questionnaires and analyzed using Chi-square and multiple logistic regression to know the most relating factors of insomnia. Results: The result showed that insomnia occurred in 63 respondents (61.8%). Further analysis indicated that insomnia was related to anxiety (p=0.034, OR=2.36) and age (p=0.049; OR=1.75). There was no relationship between insomnia and the other factors such as gender, education level, occupation status, marital status, haemoglobin level, smoking and coffee consumption habit, and dialysis factor (period of dialysis). Moreover, anxiety was the most relating factors of insomnia among haemodyalsis patients. Conclusion: This study concluded that anxiety and age were independent factors related to insomnia. This study recommends that anxiety screening should be performed on haemodialysis patients. Anxiety in haemodialysis patients needs to be treated properly so that it will not develop into insomnia.

Background: Physical responses that occur in patients with nasopharyngeal cancer are the emergence of pain due to the effects of treatment. The problem of pain in these patients at the stage of treatment remains critical to solve because it can cause comorbidity, psychological trauma and mortality. Mindfulness intervention is considered useful in transforming consciousness into the stage of acceptance.Objective: This study aims to determine the effect of mindfulness intervention on the intensity of pain in nasopharyngeal cancer patients undergoing radiation treatment.Methods: This was a quasy-experimental study with pretest posttest control group design. Thirty patients were selected using consecutive sampling, which divided into experiment and control group. Visual Analogue Scale (VAS) was used to measure pain. Each respondent received mindfulness intervention for 6 sessions, divided into 3 meetings. Paired t-test was used for data analysis.Results: The results showed a significant reduction of pain from 4.12 (moderate pain) to 3.06 (mild pain) in the experiment group. There was a significant difference in pain level before and after mindfulness intervention (p= 0.001).Conclusion: Mindfulness is effective in reducing pain intensity level in nasopharyngeal cancer patients undergoing radiation therapy.

Background: Patients who will have cardiac catheterization mostly experience anxiety. Unresolved anxiety may have a harmful effect such as increasing frequency of heart, breathing and blood pressure as well as risks of complication. Music is considered effective in reducing anxiety.Objective: This study aims to examine the effect of Sundanese zither (kacapi) music therapy on anxiety level in pre-cardiac catheterization patients.Methods: This was a quasi-experimental study. Fifty-six respondents were selected using consecutive sampling technique, which 28 respondents assigned in the experiment group and control group. Anxiety was measured using Hamilton Anxiety rating Scale (HARS). Data were analyzed using Wilcoxon and Mann-Whitney test.Results: The results showed an average decrease in anxiety value in the experiment group of 10.28, and in the control group of 3.25. Mann-Whitney test results obtained p value <0.001, which indicated that there was a significant difference of mean decrease between the experiment group and the control group.Conclusion: This study proves that the intervention of Sundanese kacapi music significantly decreasing anxiety levels (p <0.001) in pre-cardiac catheterization patients. It is suggested that Sundanese kacapi music can be used as an alternative therapy in the independent nursing interventions.

Introduction: Complications in catheterization vascular access range from 1%-61%. One of interventions that can be taken to prevent hematoma and reduce pain in post PCI patients at off sheath is with cold compresses or ice bag. The fact shows that pain and hematoma in patient PCI in hospital just done by using sand bag therapy. There was a limited review about the use of ice bag to reduce pain in patients with PCI.Methods: Searched articles through Science Direct, PubMed, EBSCO and Google Scholar conducted using advanced searching with keywords including “ice bag”, “pain”, and “percutaneous coronary intervention”. Searching through Google Scholar using keywords involving “effectiveness of ice bag on pain in patient’s percutaneous coronary intervention (PCI)”.Results: There were three articles control trials and the results showed that implementation of cold compresses with ice bag for 20 minutes before and after catheter release in PCI measures was significant in reducing pain (P <0.05).Conclusion: Giving cold compresses can reduce pain because it can inhibit the fibber of small-diameter nerves in delivering pain stimuli.

<p>Breast cancer patients experience low self-acceptance and some of the experiencing psychological problems but not a lot of research to increasing self-acceptance. Additional intervention is needed to improve the effectiveness to increase self-acceptance. Technique relaxation is especially related because easy and quick to learn, it involves no risk, does not need use or purchased equipment and can be used on its own and immediately to tiredness and ill patients. This paper offers a literature review assessing the implications of previous studies order to create evidence-based decisions about the possibility to use of relaxation techniques with adult breast cancer patient for low self-acceptance. The Science Direct, EBSCOhost, Pubmed, DOAJ, Google Scholar database were searched in 2017 in orders to replied two questions: are relaxation technique effective to increase self-acceptance in breast cancer patients, and implications the previous investigation to future research concerning increase self-acceptance in breast cancer patients? Four articles included in the literature review. The relaxation technique for breast cancer patients with low self-acceptance is statically significant, and good evidence-based to practice. Some use of relaxation techniques in this study needs clarification as to whether it can be used directly or need to learn. Procedures in the collection of data in the articles also need to be assessed. In this literature review explain 4 relaxation technique to use for increasing self-acceptance in breast cancer, there are self-forgiveness, meditation, tai-chi, reflection, prayer, mindfulness. This literature review can be used as the basis for the decision to use relaxation techniques for increasing self-acceptance in the breast cancer patient.</p>

Background: Nausea is a common complaint of patients with chronic kidney disease due to an accumulation of urea. Hemodialysis therapy has some side effects that play a role in increasing nausea. The use of pharmacological treatment to deal with nausea may bring a risk of aggravating the work of the kidneys, and thus its administration should be limited. Benson relaxation is a complementary therapy which reduces nausea by increasing the relaxation response that affects the nausea center in the brain. Objectives: This study aims to determine the effects of Benson relaxation technique on decreasing nausea. Methods: This study used a pre-posttest quasiexperimental research design with a control group. The samples were 30 patients recruited using consecutive sampling and were divided into the intervention group (n=15) and the control group (n=15). Nausea was measured using a numeric rating scale. The results showed that there was a decrease in the mean of nausea in the intervention group from 7.13 to 2.26, with p-value = 0.001. The mean value slightly decreased in the control group from 7.20 to 6.40, with p-value = 0.001. Conclusions: Benson relaxation affected the decrease of nausea in patients undergoing hemodialysis. Based on the results of this study, it is expected that nurses apply Benson relaxation technique as a non-pharmacological therapy to decrease nausea in hemodialysis patients.

Diabetic ulcers is one of diabetic complications often experienced by patients with diabetes mellitus (DM). This problem lead to serious condition which usually have an effect on patients' quality of life. Application and research about wound care management in diabetic ulcer, specifically in ozone and olive oil, have been done already. However, exploration of how does the therapeutic effect of ozonized olive oils still limited. The purpose of this literature review is to determine the effectiveness of ozonized olive oil as topical treatment in diabetic ulcer. Source of databases in this literature review are Science direct, PubMed, and Google scholar. Articles were limited for 10 years from January 2009 to May 2019 which can be accessed full text in English. Type of literature included were review articles and research articles which the research area is in human. A qualitative analysis was performed to interpret the data. There were 5847 articles based on the keywords. Four studies met the inclusion criteria then were analyzed. Results of this review stated that it has been recently proved that ozonized olive oils are effective to care diabetic ulcer. It is useful as antiseptic, anti-fungal, topical antibiotics, anti-infections, and continued to be healing stimulator. This review provides clinical evidence which supports and recommends the benefits of ozonized olive oil in diabetic ulcer healing.