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.
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