62 research outputs found
Relaksasi Otot Progresif dalam Manajemen Nyeri Pembedahan Ortopedi
Get PDFThis writing aims to determine the effect of progressive muscle relaxation as a non-pharmacological therapy that can be used as a complementary or additional therapy in pain management in patients after orthopedic surgery. The method used was a systematic search for articles through the PubMed, Science Direct, Proquest, and Francis Taylor databases and published from 2013 to 2023 using the keywords "progressive muscle relaxation" AND "Pain" OR "Postoperative Pain" AND "Orthopedics surgery." From the search results, 11,262 articles were obtained, and it was determined that five articles that met the inclusion criteria were RCT (Randomized Control Trial) research studies. The study\u27s results showed that 521 patients who met the inclusion criteria reported significant pain differences between the intervention and control groups. The intervention group given progressive muscle relaxation showed better pain reduction than the control group. The heterogeneity of study participants included patients after lumbar surgery (lumbar disc herniation, microdiscectomy, laminectomy), after TKA (Total Knee arthroplasty), and after tibiofibular fracture surgery. Four research articles provided progressive muscle relaxation interventions without combining them with other interventions, while one research article combined progressive muscle relaxation with other interventions in the form of physiotherapy. In conclusion, the latest evidence from several studies shows the role of progressive muscle relaxation as an additional or complementary therapy in managing pain in patients after orthopedic surgery, whether given together or without in combination with other interventions, shows positive results in helping reduce pain.
Keywords: Pain, Orthopedic Surgery, Progressive Muscle Relaxatio
Penggunaan Antiseptik untuk Mencegah Pin Site Infection pada Pasien Terpasang Eksternal Fiksator
Get PDFThis study aims to review antiseptics that can be used in pin-site care to prevent pin-site infection in patients with external fixators. The research method is a systematic review, which begins with the article selection process through PRISMA, followed by an article review process to determine which articles can be reviewed. The results of a systematic review of six articles showed the benefits of using antiseptics for pin site care in preventing pin site infections. Combining chlorhexidine with other antiseptics such as alcohol and 1% silver sulphadiazine, single use of chlorhexidine, povidone iodine, emollient, and microbicidal liquid polymer has proven effective in preventing pin site infection. Chlorhexidine is considered to be used in low concentrations to minimize the risk of skin irritation. Povidone iodine has the advantage of being an antiseptic that can be easily found in hospitals and is cheap. In conclusion, antiseptics can be used to prevent pin site infections. Still, emollient skincare, a combination of 5% chlorhexidine - 1% silver sulphadiazine, and microbicidal liquid polymer still require further research due to the lack of literature and the use of ingredients that are not yet familiar.
Keywords: Antiseptic, Patient Installed External Fixator, Pin Site Infectio
Edukasi Ergonomi dalam Mencegah Gangguan Muskuloskeletal pada Perawat yang Bekerja di Rumah Sakit
Get PDFThis study aims to determine the relationship between ergonomics education and reducing musculoskeletal disorders for nurses and also to determine appropriate educational methods for nurses working in Hospitals. The research method used was a systematic review by searching for this article using the keywords education, ergonomics, musculoskeletal disorders, and nursing. Inclusion criteria involved nurses working in hospitals, articles with an RCT or clinical trial research design, published within the last 10 years, and interventions that included ergonomics education for nurses. Articles were found through searches in several electronic databases, including PubMed, ProQuest, Science Direct, Scopus, Sage Journal, and Embassy. The research results show that from the 7 articles that have been reviewed, the results of the ergonomics education program have succeeded in reducing the prevalence and risk of musculoskeletal disorders in nursing staff working in hospitals. In addition, there has been a significant reduction in the prevalence of musculoskeletal disorders in various parts of the body. In conclusion, providing ergonomics education to nurses working in hospitals can reduce complaints of work-related musculoskeletal disorders.
Keywords: Education, Ergonomics, Musculoskeletal, Nursing
Peran Stakeholder Dalam Pelaksanaan Program Mitra Desa Mandiri (PMDM) Bidang Pendidikan (Studi Pada Dinas Pemberdayaan Masyarakat Dan Desa Kabupaten Luwu Timur Provinsi Sulawesi Selatan)
No full textPemerintah daerah Kabupaten Luwu Timur bersama masyarakat dan PT.Vale dan para pemangku kepentingan dalam rangka kerjasama kemitraan berupaya memberikan dukungan peningkatan kesejahteraan masyarakat khususnya di wilayah terdampak operasi PT.Vale melalui Program Mitra Desa Mandiri. Khususnya dalam bidang pendidikan, Program Mitra Desa Mandiri dalam rangka percepatan penurunan kemiskinan melalui program perbaikan pendidikan yang ada di daerah. Pelaksanaan Program Mitra Desa Mandiri mengacu pada prinsip-prinsip yakni; Berpihak kepada masyarakat miskin dan rentan, Berpihak kepada perempuan, Bertumpu pada pembangunan sumber daya manusia, Partisipasi pemangku kepentingan, Akuntabilitas, Transparansi, Kemandirian, Kemitraan, dan Keberlanjutan. Penelitian ini bertujuan untuk mendeskripsikan dan menganalisis bagaimana peran stakeholder dalam pelaksanaan Program Mitra Desa Mandiri di Kabupaten Luwu Timur khususnya di 4 kecamatan yang terkena dampak kegiatan pertambangan PT.Vale yakni, Kecamatan Malili, Wasuponda, Nuha dan Kecamatan Towuti diharapkan mampu mendorong peningkatan kualitas tenaga pendidik dan peningkatan pembangunan khususnya pembangunan pendidikan dasar secara langsung di wilayah terdampak operasi dan tidak langsung kepada masyarakat lain di kabupaten Luwu Timur. Dalam penelitian ini peneliti menggunakan jenis penelitian deskriptif dengan pendekatan kualitatif. Berdasarkan hasil penelitian yang dilakukan, peran stakeholder dalam pelaksanaan Program Mitra Desa Mandiri telah melaksanakan tugas sesuai perannya meskipun belum maksimal. Dalam pelaksanaan program, tentunya tidak luput dari adanya faktor yang menjadi pendukung dan penghambat keberhasilan program. Sedangkan untuk faktor penghambat adalah masih ada sebagian masyarakat yang kurang memahami tentang pentingnya pendidikan dasar bagi anak dan keterbatasan jumlah tenaga pengajar pada sekolah-sekolah TK/Paud. Rekomendasi dari hasil penelitian ini adalah perlu adanya perbaikan dan peningkatan kuantitas dan kualitas koordinasi yang lebih intensif lagi di dalam membangun komunikasi dan kualitas koordinasi antar stakeholder terkait, serta perlu adanya perbaikan pola piker tentang pentingnya pendidikan bagi masyarakat
Manajemen Nyeri Distraksi Berbasis Virtual Reality (VR)
Get PDFThis study aims to analyze the effectiveness of Virtual Reality (VR) as a distraction technique in pain management. The method used in this research is a literature study through online databases: EBSCOhost, PubMed, and Scopus, with free full-text criteria, using English, publications in the last five years, and clinical trial or randomized controlled trial research designs. The results showed that there were 1,012 articles, with six pieces according to the inclusion criteria, which identified the effectiveness of Virtual Reality (VR) in reducing pain, anxiety, vital signs, experiences, levels of satisfaction, and side effects. In conclusion, Virtual Reality (VR) can be a distraction method to reduce pain, anxiety, and patients\u27 vital signs. VR produces a positive and fun experience that is also considered feasible and safe.
Keywords: Distraction, Comfort, Pain, Virtual Realit
Pengaruh marketing mix terhadap keputusan pembelian konsumen untuk berbelanja di BSM (Bandung Super Model) Sengkaling Malang
No full textCold Therapy pada Luka Operasi Ortopedi
Get PDFThis study aims to determine the effect of the cooling method on overcoming acute responses such as pain after surgery. It has three main effects: reducing pain (analgesia), anti-inflammatory effects, and edema/swelling. The method used was a systematic search for articles with a randomized controlled trial (RCT) research design through the PubMed, ProQuest, ScienceDirect, and ClinicalKey databases from October 2013 to October 2023 using the keywords "post-surgical" OR "after surgery" OR "post-operative" AND "iced pack" OR "cold packs" AND "acute pain" OR "pain management" OR "therapy." The search results revealed that six articles were obtained from 696 articles through screening based on inclusion and exclusion criteria. Research shows that the cooling method can be applied to orthopedic patients and positively impacts the acute response after surgery. Conclusions show that this method can significantly reduce the effects of acute inflammation after surgery and restore optimal function with the standard protocols related to this method.This study aims to determine the effect of the cooling method on overcoming acute responses such as pain after surgery. It has three main effects: reducing pain (analgesia), anti-inflammatory effects, and edema/swelling. The method used was a systematic search for articles with a randomized controlled trial (RCT) research design through the PubMed, ProQuest, ScienceDirect, and ClinicalKey databases from October 2013 to October 2023 using the keywords "post-surgical" OR "after surgery" OR "post-operative" AND "iced pack" OR "cold packs" AND "acute pain" OR "pain management" OR "therapy." The search results revealed that six articles were obtained from 696 articles through screening based on inclusion and exclusion criteria. Research shows that the cooling method can be applied to orthopedic patients and positively impacts the acute response after surgery. Conclusions show that this method can significantly reduce the effects of acute inflammation after surgery and restore optimal function with the standard protocols related to this method.
Keywords: Cryotherapy, Cold Compress, Orthopedics, Post-Operatio
The effects of prehabilitation on the functional status of patients undergoing total joint arthroplasty: A Literature Review
Get PDFBackground: Total Joint Arthroplasty (TJA) has been proven as the common procedure for end-stage disease in both hip and knee OA. TJA surgery is usually elective. There is a long waiting time between the diagnosis and the surgery, creating a potential for functional decline during the preoperative period that makes a greater effect of disease severity on postoperative result. Therefore, preoperative management is important in TJA preparation in allowing an opportunity window to improve function in patients waiting for TJA surgery and improve postoperative functional recovery. Preoperative exercise programs, known as prehabilitation, have been studied to improve results, before and after surgery. The implementation of prehabilitation before TJA in the recent literature has been shown has many benefits to improve functional statusObjectives: This literature review sought to assess the effects of prehabilitation on the functional status of patients undergoing TJA.Methods: This review made use of articles obtained through online search on the database of EBSCO, Science Direct, Proquest, and Scopus, with inclusion criteria having full text, published in 2016-2021, and written in English which then matched with certain specific keywords to get the appropriate article.Results: A total of 7 selected articles have been reviewed in accordance with the search objectives and the results are presented in tabular form. The results of the article indicate that the participants in this study consisted of patients who underwent TKA or THA.Conclusions: Based on a review conducted on selected articles, it was revealed that prehabilitation provides several benefits including increasing muscle strength, increasing ROM, reducing pain, reducing hospital stay duration, and allowing faster physical and functional recovery after TJA surgery.Â
Perbandingan Efektivitas Latihan Intradialisis dan Profiling Suhu dalam Meningkatkan Mutu Layanan Hemodialisis
Get PDFThis study aims to describe the effectiveness of intradialytic exercises and HD temperature profiling in improving the quality of HD services. The literature search method is based on the compilation of PICO through online database searches on Clinicalkey, Clinicalkey Nursing, ScienceDirect, EBSCO, ProQuest, and Scopus. Journal search results obtained 20,106 articles; after the selection stage, nine reports were obtained for analysis, consisting of 5 RCT articles, one systematic review article, two quasi-experimental articles, and one meta-analysis article. The results showed that HD patients who were routinely given intradialytic exercises would show an increase in HD adequacy achievements, suppress inflammatory reactions, increase albumin and hemoglobin values, reduce the erythropoietin resistance index, increase phosphate clearance, improve the quality of life of HD patients and minimize the risk of both acute and chronic complications. Chronic disease caused by HD. Meanwhile, temperature profiling can reduce the incidence of intradialytic hypotension, pruritus, and fatigue and reduce the severity of Restless Leg Syndrome (RLS) without interfering with the achievement of HD adequacy. This study concludes that intradialytic training and temperature profiling effectively improve the quality of HD services.
Keywords: HD Quality, HD Patient Quality of Life, Intradialysis Exercise, Temperature Profilin
Manajemen Nonfarmakologis dalam Mengurangi Resiko Konstipasi pada Pasien Ortopedi
Get PDFThis study aims to evaluate the results of published studies related to nonpharmacological management to reduce complaints of constipation in orthopedic patients. The research method used was Systematic Review which was carried out through a search strategy in 9 electronic databases with the keywords (orthopedic patient OR orthopedic patient) AND (nonpharmacological management OR nonpharmacological therapy) AND (constipation OR obstipation). The results showed that there was various nonpharmacological management used to treat and prevent the severity of constipation in orthopedic patients, including interventions such as chewing gum, abdominal massage, acupressure, hydrotherapy, biofeedback therapy, and nursing interventions based on the patient\u27s active involvement in care. Various nonpharmacological strategies are used to treat constipation in orthopedic patients, and the best method to treat constipation in orthopedic patients cannot be ascertained due to the variety of instruments used and differences in sample characteristics in each study. Selected articles were assessed for quality using the Critical Appraisal Skill Program (CASP) guidelines. The six reviewed articles obtained that the range of patients who were given nonpharmacological interventions was ≥ 18 years. Instruments for measuring the incidence and severity of constipation are the Constipation Assessment Score, ROME III, Bristol Scale, Rasmusen measuring scale, Constipation Score Method, and Constipation Risk Assessment Scale. In conclusion, several nonpharmacological therapies can be applied to orthopedic patients to reduce their constipation complaints, thereby reducing the impact of hospitalization on patients and improving their quality of life.
Keywords: Constipation, Orthopedics, Nonpharmacological Therap
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