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"ABSTRAKLatar Belakang: Nyeri panggul kronik merupakan suatu gejala yang dialami oleh perempuan terutama di usia reproduksi. Kondisi ini menggangu aktivitas harian dan menurunkan kualitas hidup hingga membuat penderita mengalami depresi. Prevalensi nyeri panggul kronis pada perempuan berkisar 3,8 ndash; 40 di seluruh dunia. Kondisi ini merupakan suatu entitas yang masih belum dipelajari dengan baik dan dapat menyebabkan morbiditas yang serius. Proses inflamasi juga berperan dalam mencipatakan rasa nyeri. Hs ndash; CRP merupakan sebuah penanda inflamasi yang nilainya meningkat pada saat terjadi reaksi tersebut.Tujuan: Penelitian ini bertujuan untuk mengetahui prevalensi dan berbagai aspek yang berhubungan dengan nyeri panggul kronik pada perempuan di RSUP Cipto Mangunkusumo.Metode: Penelitian dilakukan dengan desain potong lintang di poliklinik rawat jalan ginekologi dan laboratorium di RSCM selama Januari ndash; Maret 2016. Pasien yang mengeluh nyeri panggul lebih dari 6 bulan dilakukan anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang dan pemeriksaan hs ndash; CRP serum. Dilakukan penghitungan prevalensi dan deskripsi karakteristik klinis dan diagnosis pasien. Kualitas hidup dan kadar hs ndash; CRP dibandingkan antara kelompok derajat nyeri ringan dan berat.Hasil: Didapatkan prevalensi sebesar 9,78 dari total pasien di poliklinik ginekologi RSCM. Ditemukan 96,9 kelainan ginekologi, 1 kelainan urologi, dan 2,1 kelainan muskulo-skeletal. Diagnosis tersering adalah endometriosis. Karakteristik klinis pasien yang ditemukan adalah 62,9 menderita lama nyeri selama 6 bulan ndash; 1 tahun dengan intensitas nyeri VAS 7 ndash; 10 sebanyak 51,5 . Kadar hs ndash; CRP serum sebesar 1,99 0,00 ndash; 404, 53 . Terjadi penurunan kualitas hidup dari domain fisik 56 38 - 81 ; domain psikologi 56 31 - 100 ; domain hubungan sosial 25 - 75 ; domain lingkungan 56 31 - 94 .Kesimpulan: Nyeri panggul kronik pada perempuan dijumpai pada usia reproduksi dengan penyebab tersering endometriosis. Nyeri tersebut menyebabkan penurunan kualitas hidup.

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ABSTRACT Background Chronic pelvic pain is a symptom which experienced by women, especially in the reproductive age. These condition interferes with daily activities and decreses quality of life from the patient who suffers it. The prevalences of chronic pelvic pain in women range from 3.8 to 40 worldwide. This condition is an entity that has not been studied well and can cause serious morbidity. Inflammatory process also plays a role in the creation of pain. Hs CRP is a marker of inflammation that increases in value in the event of such reactions.Purpose This study aimed to determine the prevalence and various aspects that associated with female chronic pelvic pain at Cipto Mangunkusumo hospital. Methods The study was conducted with a cross sectional design in gynecology outpatient polyclinic and laboratory at RSCM during January to March 2016. Patients who complain pelvic pain for more than 6 months. We take the history and was performed physical examination and investigations including hs CRP serum examination. We calculate the prevalence and describe the clinical characteristics and diagnosis of the patient. Quality of life and levels of hs CRP were compared between the group of mild and severe pain. Results The prevalence was 9.78 from the total patients in the RSCM gynecology outpatient clinic. We found 96.9 of gynecological disorders, 1 of urological disorders, and 2.1 of musculo skeletal disorders. The most common diagnosis is endometriosis. The Clinical characteristics of patients were found 62.9 suffer for 6 months 1 year with the intensity of pain VAS 7 10 as much as 51.5 . Levels of hs CRP serum was around 1.99 0.00 404, 53 . We found a decreased in the quality of life of the patient. The physical domain score was 56 38 81 the psychology domain score was 56 31 100 the domain of social relationships was 59 25 75 and the environmental domain score was 56 31 94 . Conclusion Endometriosis is the most common diagnosis in female chronic pelvic pain of reproductive age. The Pain causes a decreased in quality of life who suffer from it. "

"Nyeri kronik pada sendi dapat menimbulkan dampak negatif bagi kehidupan lansia, seperti menggangu aktivitas keseharian dan mobilitas. Karya ilmiah ini bertujuan menganalisis hasil praktik klinik pada nenek W (82 tahun) dengan masalah nyeri kronik pada sendi menggunakan intervensi physical exercises program (PEP). Praktik dilakukan di PSTW Budi Mulia 1 Cipayung selama tujuh minggu dengan melakukan intervensi PEP kepada tiga lansia dengan nyeri kronik. Pengkajian nyeri menggunakan pendekatan PQRST, observasi, dan instrumen numeric rating scale (NRS). PEP yang dilakukan terdiri dari latihan kekuatan otot, stretching, pergerakan sendi, dan keseimbangan. Setelah melakukan latihan, dilakukan refleksi, tanya jawab, dan revision. Hasil intervensi keperawatan selama empat minggu dengan jumlah latihan delapan kali yaitu tingkat nyeri berkurang, dari skala enam ke skala empat, intensitas pelaporan nyeri berkurang, dan keinginan nenek W melakukan aktivitas meningkat, meskipun memerlukan bantuan. Pemberi asuhan diharapkan melakukan PEP kepada lansia dengan nyeri kronik dua kali dalam seminggu untuk menurukan tingkat nyeri lansia di panti.

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Chronic pain in joints can cause a negative impact for elderly, such as disrupted daily activities and impaired mobility.This scientific work aimed to analyze the results of clinical practice in Nenek W (82 years old) with chronic pain using physical exercises program (PEP) as interventions. Clinical practice carried out in PSTW Budi Mulia 1 Cipayung for seven weeks with PEP as interventions in three elderly with chronic pain. Pain assessment using PQRST approach, observation, and numeric rating scale instrument. PEP in this scientific work consist of strenght training, stretching, joint mobility, and balance. After doing the exercises, do reflection, discussing, and revision. The results of nursing interventions for four weeks, with eight time of exercises, made the level of pain decreased. For scale of six to four. Nenek W was reporting reduced pain intensity, and desire nenek W to do some activity increased although still need help. Caregiver is expected to do PEP to the elderly with chronic pain, twice a week, to lower elderly pain level in PSTW."