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"Gaya hidup pada masyarakat perkotaan salah satunya adalah kebiasaan olahraga yang rendah, hal tersebut dapat menjadi salah satu faktor risiko untuk terjadinya dismenore pada remaja. Karya ilmiah ini bertujuan untuk memberikan gambaran penatalaksanaan asuhan keperawatan dengan pendekatan Family Centered Nursing pada keluarga Bapak Y dengan masalah dismenore pada remaja di RW 24 Kelurahan Sukatani, Kota Depok. Intervensi keperawatan yang dijadikan intervensi unggulan adalah kompres hangat dan senam dismenore. Intervensi ini merupakan terapi non farmakologi untuk mengatasi dismenore pada remaja.Hasil evaluasi menunjukkan perubahan sikap dan perilaku keluarga terhadap perawatan dismenore dibuktikan dengan keluarga melakukan kompres hangat dan senam dismenore untuk mengatasi nyeri. Intervensi efektif mengurangi dismenore ditandai dengan penurunan skala nyeri dari 4 menjadi 2.

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A low of exercise habit is the lifestyle in urban community, which can be one of risk factor for the occurrence of dysmenorrhea in adolescents. The aim of this paper is to give a description about nursing care with the approach of Family Centered Nursing of Mr. Y's family with dysmenorrhea in adolescents. Nursing interventions that become the main intervention are warm compresses and exercises. This intervention is a non-pharmacological therapy for dysmenorrhea in adolescents.

Evaluation shows that family experiencing changes in attitude and behavior towards treatment of dysmenorrhea evidenced by families do warm compresses and exercises to relieve dysmenorrhea. These interventions are also effective in relieve dysmenorrhea characterized by a reduction of pain from scale 4 to 2."

"Posterior Sagittal Anorectoplasty (PSARP) merupakan salah satu prosedur pembedahan yang sering dilakukan pada pasien anak dengan malformasi anorectal. Seringkali nyeri menjadi salah satu manifestasi klinis yang ditimbulkan akibat insisi pembedahan. Masalah keperawatan nyeri akut pada umumnya terjadi pada anak pasca operasi PSARP. Salah satu cara yang dapat dilakukan untuk meminimalisir nyeri yang dirasakan adalah dengan melakukan manajemen nyeri non farmakologis. Pemberian intervensi manajemen non farmakologis dengan metode skin-to-skin dapat menurunkan nyeri yang dirasakan pada pasien bayi dibawah 1 tahun. Hasil intervensi yang diberikan pada pasien kelolaan utama paska pembedahan PSARP dengan nyeri akut mampu menurunkan rasa nyeri yang dirasakan FLACC scale 7/10 menjadi 0/10. Pemberian terapi non farmakologis perlu diikuti dengan terapi farmakologis untuk meningkatkan efektifitas intervensi yang dilakukan. Penggunaan terapi non farmakologis dengan metode skin-to-skin disarankan untuk mengurangi nyeri pada anak pasca pembedahan PSARP.

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The Posterior Sagittal Anorectoplasty (PSARP) is one of the most frequent surgical procedures in child patients with anorectal malformations. Often pain is one of the clinical manifestations caused by surgical incisions. The problem of acute pain treatment in general occurs in children postoperative PSARP. One way to minimize the pain that is felt is to do non-pharmacological pain management. Administration of non-pharmacological management with skin-to-skin method can reduce the pain felt inbayis under 1 year.

The results of the intervention given to the primary management patients after the PSARP surgery with acute pain are able to lower the pain felt by FLACC scale 7/10 to 0/10. The provision of non-pharmacological therapy should be followed by pharmacological therapy to improve the effectiveness of the intervention. The use of non-pharmacological therapy with skin-to-skin methods is advised to reduce pain in children postoperative PSARP."

"Nyeri dan kecemasan merupakan hal yang normal ketika ibu menghadapi persalinan, namun jika mengalami nyeri dan kecemasan yang berlebihan akan menimbulkan komplikasi selama proses persalinan. Penelitian ini bertujuan untuk mengetahui pengaruh paket Touching, Massage, Acupressure (T.M.A) oleh keluarga terhadap nyeri persalinan dan proses persalinan. Penelitian ini merupakan operasional research. Sampel dalam penelitian ini 94 ibu hamil yang dibagi menjadi dua kelompok yaitu 47 orang sebagai kelompok intervensi dan 47 kelompok kontrol yang diambil dengan teknik consecutive sampling. Pengumpulan data menggunakan kuesioner FPRS, FAS, lembar observasi proses persalinan dan wawancara. Hasil wawancara keluarga mengatakan bahwa pengetahuan keluarga bertambah dan adanya manfaat setelah penerapan paket T.M.A. Hasil uji statistik dengan menggunakan Chi Square menunjukan bahwa ada perbedaan yang bermakna pada proses persalinan (power, p=0,028); passanger p=0,006; passageway p=0,048; position p=0,048; psikologis p=0,000) dan nyeri persalinan (p=0,003) antara kedua kelompok intervensi dan kontrol. Hal ini menunjukan bahwa pendampingan keluarga dengan menggunakan paket T.M.A berpengaruh terhadap proses persalinan dan nyeri persalinan. Paket T.M.A diharapkan menjadi intervensi non farmakologis dalam keperawatan untuk menurunkan nyeri dan kecemasan pada ibu bersalin.

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Pain and anxiety is normal when a mother facing labor. Excessive pain and anxiety will cause complications during childbirth. This research aimed to know the effect of touching package, Massage, Acupressure (TMA) by the family to the pain of labor and delivery process. This research operasional research. The sample were 94 pregnant women that divided into two groups: 47 as intervention group and 47 control group that taken with consecutive sampling technique. Collection data using questionnaires FPRS, FAS and observation sheet delivery process.

The results obtained in the interview, participant said that family knowledge has increased and they feel the benefit of the TMA package. The quantitatif result showed there was a significant difference in labor process (power, p=0,028); passenger p=0,006; passageway p=0,048; position p=0,048; psychological response p=0,000) and pain (p=0,003) between the intervention and control groups. This shows that the family what used TMA package influence on labor process and pain. Touching package, Massage, Acupressure (TMA) is expected as an intervention non farmakologis in decreased pain and anxiety maternal."

"[ABSTRAKTindakan invasif yang didapat anak selama dirawat menimbulkan reaksi nyeri.Perawat perlu mengetahui faktor-faktor yang berhubungan dengan reaksi nyeri.Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungandengan reaksi nyeri akibat tindakan invasif. Desain penelitian adalah penelitianobservasional dengan pendekatan cross sectional dengan teknik pengambilansampel dilakukan secara non probability sampling melalui consecutive samplingdengan jumlah responden sebanyak 90 orang. Analisa data multivariatmenggunakan uji statistik regresi multinomial. Hasil analisis menunjukkanterdapat hubungan yang signifikan antara ketakutan dengan reaksi nyeri (p value= 0,018). Anak yang takut memiliki peluang 5 kali untuk terjadinya reaksi nyerikategori menghindar dibandingkan anak yang tidak takut. Perawat perlumelakukan intervensi keperawatan yang dapat mengurangi ketakutan pada anaksehingga reaksi nyeri kategori menghindar dapat diminimalkan.

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ABSTRACTInvasive treatments to the children during the period of hospitalization cause painreactions. The nurses need to know the factors related to pain reactions. Thestudy aims to identify the factors related with pain reactions related to invasivetreatments. The design of this study is observational research with cross sectionalapproach by using non probability sampling method through consecutivesampling with the amount of 90 children respondents. Multivariate data analysisuse multinomial regression statistic test. The result of the analysis indicated thatthere was a significant relationship between fear and pain reaction (p value =0,018). The emergence of pain reaction ?avoidance? from the children who are infear is as much 5 times greater than children who are not in fear. Nurses need toconduct nursing interventions that can reduce fear in the children behavior inorder to minimize pain reaction in form of avoidance.;Invasive treatments to the children during the period of hospitalization cause painreactions. The nurses need to know the factors related to pain reactions. Thestudy aims to identify the factors related with pain reactions related to invasivetreatments. The design of this study is observational research with cross sectionalapproach by using non probability sampling method through consecutivesampling with the amount of 90 children respondents. Multivariate data analysisuse multinomial regression statistic test. The result of the analysis indicated thatthere was a significant relationship between fear and pain reaction (p value =0,018). The emergence of pain reaction ?avoidance? from the children who are infear is as much 5 times greater than children who are not in fear. Nurses need toconduct nursing interventions that can reduce fear in the children behavior inorder to minimize pain reaction in form of avoidance., Invasive treatments to the children during the period of hospitalization cause painreactions. The nurses need to know the factors related to pain reactions. Thestudy aims to identify the factors related with pain reactions related to invasivetreatments. The design of this study is observational research with cross sectionalapproach by using non probability sampling method through consecutivesampling with the amount of 90 children respondents. Multivariate data analysisuse multinomial regression statistic test. The result of the analysis indicated thatthere was a significant relationship between fear and pain reaction (p value =0,018). The emergence of pain reaction “avoidance” from the children who are infear is as much 5 times greater than children who are not in fear. Nurses need toconduct nursing interventions that can reduce fear in the children behavior inorder to minimize pain reaction in form of avoidance.]"

"[ABSTRAKNeuroblastoma merupakan keganasan pada sistem saraf simpatik yang menimbulkan pembengkakanpada bagian tubuh tertentu. Pola hidup tidak sehat dari segi asupan nutrisi dan lingkungan menjadipenyebab utama munculnya neuroblastoma pada masyarakat perkotaan. Masalah nyeri kronikmerupakan komplikasi utama dari hampir semua jenis keganasan, termasuk neuroblastoma. Studi inibertujuan untuk menganalisis intervensi pemberian teknik distraksi dengan media video dan musikdalam mengurangi nyeri pada penderita neuroblastoma. Teknik distraksi memberikan hasil yangpositif berupa penurunan skala nyeri klien. Hasil karya ilmiah ini diharapkan dapat menjadi salah satupertimbangan bagi perawat ruangan untuk meningkatkan pemberian manajemen nyerinonfarmakologis, terutama teknik distraksi, sebagai salah satu intervensi yang telah terbukti efektifdalam menurunkan nyeri.

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ABSTRACTNeuroblastoma defined as a neoplasm of sympathetic nervous system which causes swelling in relatedpart of body. Unhealthy lifestyles such as nutritional and environmental factors are two main causesof neuroblastoma in urban population. Chronic pain is a major complication of any kind of cancers,including neuroblastoma. This study aimed to analyze the distraction technique as given interventionto reduce the pain scale in patients with neuroblastoma. The implementation of distraction techniqueshowed positive result in decreasing patient?s pain scale. The result can be considered as analternative nursing intervention to increase the usage of non pharmacological management of pain,mainly distraction technique, as an effective intervention to decrease pain scale.;Neuroblastoma defined as a neoplasm of sympathetic nervous system which causes swelling in relatedpart of body. Unhealthy lifestyles such as nutritional and environmental factors are two main causesof neuroblastoma in urban population. Chronic pain is a major complication of any kind of cancers,including neuroblastoma. This study aimed to analyze the distraction technique as given interventionto reduce the pain scale in patients with neuroblastoma. The implementation of distraction techniqueshowed positive result in decreasing patient?s pain scale. The result can be considered as analternative nursing intervention to increase the usage of non pharmacological management of pain,mainly distraction technique, as an effective intervention to decrease pain scale., Neuroblastoma defined as a neoplasm of sympathetic nervous system which causes swelling in relatedpart of body. Unhealthy lifestyles such as nutritional and environmental factors are two main causesof neuroblastoma in urban population. Chronic pain is a major complication of any kind of cancers,including neuroblastoma. This study aimed to analyze the distraction technique as given interventionto reduce the pain scale in patients with neuroblastoma. The implementation of distraction techniqueshowed positive result in decreasing patient’s pain scale. The result can be considered as analternative nursing intervention to increase the usage of non pharmacological management of pain,mainly distraction technique, as an effective intervention to decrease pain scale.]"

"ABSTRAKLuka kanker merupakan kerusakan integritas kulit yang disebabkan infiltrasi sel maligna. Luka kanker dapat menimbulkan gangguan ketidaknyaman fisik seperti nyeri dan malodor pada luka yang akan menimbulkan masalah psikologis bagi pasien. Tujuan penelitian ini untuk mengetahui hubungan ketidaknyaman fisik: nyeri dan malodor terhadap stres, ansietas dan depresi pada pasien luka kanker. Penelitian ini menggunakan desain penelitian cross-sectional pada 73 pasien. Hasil penelitian menunjukkan tidak adanya hubungan malodor dengan stres, ansietas dan depresi, namun ditemukan adanya hubungan nyeri sebelum minum obat, nyeri penggantian balutan serta nyeri umum dengan stres, ansietas dan depresi (p<0,05). Penelitian ini merekomendasikan untuk memperhatikan manajemen nyeri, stres, ansietas dan depresi pada pasien luka kanker.

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ABSTRACTFungating malignant wound is caused by damage to skin integrity malignant cell infiltration. Fungating malignant wound will cause physical discomfort such as pain disorders and malodor in wounds that would cause psychological problems for patients. The purpose of this study to determine the relationship of physical discomfort: pain and malodor to stress, anxiety and depression in patients with cancer wound. Design of this study was cross-sectional with 73 patient. The results showed not correlation malodor with stress, anxiety and depression, meanwhile there is a correlation between pain before take medicine, pain during dressing changes and generally pain with stress, anxiety and depression (p<0.05). The research recommended to care and concern for management of pain, stress, anxiety, and depression in patients with malignant wound."

"ABSTRAKKarya ilmiah akhir ini bertujuan untuk memberikan gambaran asuhan keperawatan pada bayi dengan teratoma sakrokoksigeal paska operasi eksisi, dengan aplikasi terapi sentuhan untuk mengurangi nyeri. Teratoma sakrokoksigeal merupakan kelainan bawaan (kongenital), berupa terdapatnya benjolan atau massa di daerah tulang sakrokoksigeus.Perawatan paska oeprasi eksisi massa teratoma sakrokoksigeal seringkali menimbulkan rasa nyeri pada bayi. Salah satu intervensi yang dapat digunakan untuk meminimalkan nyeri tersebut adalah dengan menggunakan terapi sentuhan. Terapi sentuhan merupakan salah satu penatalaksanaan nyeri non-farmakologis. Nyeri paska operasi dan nyeri yang diakibatkan tindakan invasif perlu ditangani dengan baik untuk meminimalkan rasa sakit yang dirasakan bayi. Hasil dari penerapan intervensi terapi sentuhan yang telah dilakukan pada bayi paska operasi eksisi massa teratoma. Terapi sentuhan tersebut dilakukan selama 3 hari dan menunjukan hasil yang terbukti efektif dalam menurunkan nyeri klien. Hal tersebut ditunjukan dengan penurunan skala nyeri dari 4 menjadi 2 diukur menggunakan skala nyeri pada bayi (NIPS).

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ABSTRACTThis final scientific work aims to provide an overview of nursing care in children with post operative sacrococcygeal teratoma excision, with the application of gentle touch to reduce pain. Sacrococcygeal teratoma is a congenital disorder, the disorder marks with the presence of mass on bone sacrococcygeus area. Post operative care after the excision of sacrococcygeal teratoma often cause pain in infant. One of the interventions to minimize the pain is by using gentle touch. Gentle touch is one of the non-pharmacological pain management. Post operative pain and acute pain caused by invasive procedure is necessary to be treated well in order to minimize the pain felt by the infant. The results of the application of gentle touch interventions have been done in infant after surgical excision of the mass of teratoma. This method head for reduce pain and has been demonstrated for 3 days and showed that it effectively lower the pain from 4 to 2, measured by neonatal infant pain scale (NIPS);"

"ABSTRAKKolonoskopi merupakan standar penapisan neoplasia kolorektal. Salah satu komplikasi yang sering dirasakan adalah nyeri abdomen. Pemberian analgesi untuk mengurangi nyeri belum optimal sehingga berbagai modalitas terapi dikembangkan, salah satunya akupunktur telinga. Uji klinis acak tersamar dengan pembanding dilakukan pada 56 pasien yang menjalani kolonoskopi untuk mengetahui efek akupuntur terhadap nyeri. Hasil penelitian menunjukkan bahwa skor CPOT lebih rendah pada kelompok akupunktur namun tidak terdapat perbedaan bermakna terhadap skor VAS, perubahan frekuensi nadi dan rerata waktu menuju sekum. Kesimpulan penelitian ini, akupunktur telinga efektif untuk mengurangi nyeri pada kolonoskopi walaupun tidak terdapat perbedaan bermakna dengan plasebopunktur.

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ABSTRACT

Colonoscopy is the standard screening colorectal neoplasia.One of the common complication is abdominal pain. Randomized controlled trials carried out on 56 patients who underwent colonoscopy to determine acupuncture effect on pain during ciolonoscopy. The results showed CPOT was lower in the acupuncture group while there were no significant differences regarding VAS , changes in heart rate and the mean time to the cecum. Resulst suggested ear acupuncture combined with midazolam and pethidine was effective to reduce pain during colonoscopy while there were no significant differences compared to plasebopuncture."

"Nyeri sendi merupakan salah satu gangguan pada sistem muskuloskeletal yang mengalami perubahan akibat proses penuaan. 66 % lansia yang tinggal di komunitas mengalami nyeri sendi. Nyeri kronis memiliki implikasi besar bagi kesehatan, fungsi, dan kualitas hidup lansia. Penelitian ini bertujuan mengetahui pengaruh latihan yoga ringan terhadap nyeri sendi dan status kesehatan lansia di Kota Depok. Desain penelitian ini menggunakan quasi experimental dengan pendekatan pre and post with control group. Intervensi yang diberikan berupa latihan yoga ringan. Pengambilan sampel dengan cara multistage random sampling dengan jumlah sampel 74 lansia. Instrumen penelitian yang digunakan adalah indeks WOMAC nyeri dan survey kesehatan Short Form-12 (SF-12). Analisis bivariat menunjukkan latihan yoga ringan berpengaruh terhadap tingkat nyeri (p=0,000) dan status kesehatan (p=0,0000). Latihan yoga ringan layak dijadikan sebagai salah satu intervensi keperawatan untuk menurunkan nyeri sendi dan meningkatkan status kesehatan lansia.

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Joint pain is one of the problems in musculoskeletal system associated with aging process. Approximately 66% older person in the community experiencing joint pain. Chronic pain has a big impact on older person health, function, and quality of live. The aim of this study was to identify the effect of gentle yoga exercise on joint pain and health status of elderlies at Depok's City. The design of this study was quasi experimental with pre and post with control group. Gentle yoga exercise was used as the intervention of this study. A total number of 74 older person was taken using multistage random sampling. The instruments used were WOMAC pain and health survey Short Form-12 (SF-12). Bivariate analysis showed pointing out gentle yoga exercises affected the level of pain (p = 0.000) and health status (p = 0.0000). Gentle yoga exercises could be one of the nursing intervention to decrease joint pain and improve health status in older person."

"ABSTRAKNyeri punggung bawah merupakan keluhan umum pada pekerja danmembutuhkan biaya besar. Penggunaan tenaga manusia di dunia industriIndonesia masih dominan. Salah satu intervensi yaitu latihan fisik. Telaah artikeldiperlukan untuk mengetahui efektifitas latihan fisik terhadap nyeri punggungbawah. Tujuan yang ingin dicapai yaitu memperoleh bukti bahwa latihan fisikdapat mengurangi terjadinya nyeri punggung bawah pada pekerja. Pencarianartikel dilakukan dengan menggunakan PubMed. Kriteria inklusi yaitu artikeldiatas tahun 2000, berbahasa Inggris, berkaitan dengan office work, danmenggunakan systematic review dari randomized controlled trial atau beruparandomized controlled trial itu sendiri. Kriteria eksklusi yaitu bila artikel lengkaptidak bisa didapatkan. Artikel ditelaah kritis berdasarkan kriteria penilaianvaliditas, kepentingan, dan aplikatif/kemamputerapan dari Critical AppraisalSystematic reviews, PICO-FAST Analysis. Sebagai hasil didapatkan tiga artikelsystematic review dari randomized controlled trial dengan hasil baik dan bisadipercaya. Latihan fisik terbukti efektif dan berdampak positif terhadap nyeripunggung bawah di tempat kerja, seperti mengurangi gangguan aktivitas,mengurangi ijin sakit, dan menghemat biaya. Kesimpulan yang bisa diambil yaitulatihan fisik mengurangi intensitas dan insiden nyeri punggung bawah di tempatkerja.

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ABSTRACTLow back pain has been a common complaint found in workers, which made ahigh cost to cure. Man power used in Indonesia is dominant. One of theintervention is physical exercise. Article review is needed to know physicalexercise effectivity to low back pain. The aim for this article is to gain evidencethat physical exercise can decrease the onset of low back pain in workers. Studiesselected by using PubMed. Inclusion criterias are year 2000 and above articles,English written, office work, and using systematic review of randomizedcontrolled trial or randomized controlled trial itself. Exclusion criteria is whenthe complete article cannot be found. The articles were analyzed by using criteriaof validity, importance, dan applicability from Critical Appraisal Systematicreviews, PICO-FAST Analysis. The result is three articles systematic review ofrandomized controlled trial with good and trustable result. Physical exercise iseffective and have positive impact to prevent low back pain in the workplace, suchas decreasing the activity disturbance, decreasing sick leave, and cost saving. Theconclusion is physical exercise can reduce intensity and insidence of low backpain in workplace."