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Abstrak :
Nyeri dan kekakuan sendi merupakan gejala utama pada pasien Osteoarthritis (OA) lutut. Terapi komplementer dan alternatif diperlukan untuk menurunkan nyeri dan kekakuan sendi pada OA lutut tanpa efek samping. Penelitian ini bertujuan mengidentifikasi efektivitas Extra Virgin Olive Oil (EVOO) topikal terhadap nyeri dan kekakuan sendi pada pasien OA lutut di RS St Carolus Jakarta. Desain penelitian menggunakan quasi-experimental menggunakan pre-test and post-test. Jumlah sampel terdiri dari 15 responden pada masing-masing kelompok intervensi (EVOO topikal) dan kelompok kontrol (placebo) dengan teknik consecutive sampling. Uji statistik dilakukan menggunakan uji parametrik dan uji non parametrik sesuai hasil uji normalitas. Hasil penelitian menunjukkan terdapat efektivitas EVOO topikal menurunkan nyeri bangun pagi pada hari ke-7 (p 0,001) dan hari ke-14 (p 0,000), nyeri beraktivitas pada hari ke-7 (p 0,022) dan hari ke-14 (p 0,004), serta menurunkan kekakuan sendi pada hari ke-14 (p 0,040). Placebo efektif dalam menurunkan nyeri beraktivitas dan kekakuan sendi pada hari ke-7 dan hari ke-14. Namun, tidak efektif dalam menurunkan nyeri bangun pagi pada hari ke-14. Selisih nilai perubahan nyeri bangun pagi antara kedua kelompok secara signifikan menunjukkan ada efektivitas EVOO topikal dalam menurunkan nyeri dibandingkan placebo pada hari ke-14 (p 0,0002). EVOO topikal menunjukan sedikit lebih berefek dalam menurunkan nyeri beraktivitas dan kekakuan sendi pada hari ke-7 dan hari ke-14 dibandingkan placebo. Hasil ini menunjukkan bahwa EVOO topikal efektif secara bertahap menurunkan nyeri dan kekakuan sendi pada OA lutut. Oleh karena itu, EVOO topikal direkomendasikan sebagai terapi komplementer yang aman tanpa efek samping pada pasien OA lutut ......Joint pain and stiffness are the main symptoms in knee osteoarthritis (OA) patients. In order to avoid side effect, complementary and alternative therapies are needed to ease joint pain and stiffness. This study aims to identify the effectiveness of topical Extra Virgin Olive Oil (EVOO) against joint pain and stiffness in knee OA patients at St Carolus Hospital Jakarta. The research design uses quasi-experimental using pre-test and post-test. The total sample consisted of 15 respondents in each intervention group (topical EVOO) and control group (placebo) with consecutive sampling techniques. Statistical tests are carried out using parametric tests and non-parametric tests compliant to the results of normality tests. The results reveal there is an effectivity of topical EVOO in reducing the initial pain when waking up in the morning on the 7th day (p 0.001) and the 14th day (p 0.000), the highest pain (activity) occurs on the 7th day of smearing (p 0.022) and the 14th day (p 0.004), as well as reducing joint stiffness on the 14th day of smearing (p 0.040). Placebo also has the highest effectiveness in lowering pain during activities and joint stiffness on the 7th and 14th day of smearing. However, it is not effective in lowering the early pain when waking up early on the 14th day of smearing. When the value differences of pain during waking up in the morning are compared between two groups, it is revealed that topical EVOO is effective effectiveness in reducing the early pain compared to placebo on the 14th day of smearing (p 0.0002). In contrary with placebo, topical EVOO reveals slight effect in reducing the highest pain (activity) and joint stiffness on the 7th and day 14th day of smearing. The results of this study have shown that topical EVOO is effective in gradually lowering joint pain and stiffness in knee OA patients. Therefore, topical EVOO is recommended as a complementary therapy and safer alternative without side effects in knee OA patients

Abstrak :
Gangguan sistem muskuloskeletal dapat terjadi pada semua usia dan mempengaruhi kualitas hidup penderitanya. Masalah sistem ini dapat mengakibatkan peningkatan angka morbiditas dan mortalitas bila tidak ditangani dengan segera dan tepat. Intervensi keperawatan berdasarkan hasil telaah bukti dalam praktik keperawatan medikal bedah diperlukan dalam memperoleh pelayanan professional dan berkualitas. Praktik Ners Residensi Spesialis dilakukan untuk mengimplementasikan peran Ners Spesialis sebagai care giver, pendidik, pengelola pelayanan keperawatan, peneliti, pembaharu dan pelaksana tugas berdasarkan pelimpahan wewenang. Peran Ners Spesialis sebagai care giver dilakukan secara langsung pada 1 klien sebagai kasus kelolaan utama dengan Osteoarthritis genu bilateral dan 30 klien sebagai kasus resume dengan variasi penyakit menggunakan pendekatan teori self-care Orem. Peran Ners Spesialis sebagai edukator selain dilakukan terhadap pasien juga dengan rekan sejawat di tatanan pelayanan rumah sakit melalui kegiatan journal reading berdasarkan fenomena lapangan. Peran Ners Spesialis sebagai peneliti dengan penerapan EBN (Evidence Based Nursing) menggunakan chewing gum sebagai pencegahan postoperative ileus pada fraktur hip. Sedangkan, peran Ners Spesialis sebagai pembaharu dengan melakukan proyek inovasi berupa pengkajian awal risiko deep vein thrombus (DVT) menggunakan “Autar Scale” sebagai pemikiran dasar dalam melakukan asuhan keperawatan terhadap klien gangguan ekstremitas bawah. ...... Musculoskeletal system disorders can occur at any age and affect the quality of life of sufferers. If not treated promptly and appropriately, this disorder can lead to increased morbidity and mortality. Nursing interventions based on the results of evidence review in medical surgical nursing practice are necessary in order to obtain professional and quality services. The Specialist Nurse Residency Practice is carried out to implement the role of Specialist Nurse as a care giver, educator, manager of nursing services, researcher, reformer, and executor of duties based on delegation of authority. The role of the Specialist Nurse as a care giver is carried out directly to 1 client as the main case managed with bilateral genu Osteoarthritis and 30 clients as resume cases with a variety of diseases. Orem's self-care theory is utilized as an approach of the research. The role of Specialist Nurses as educators is carried out not only for patients but also with colleagues in the hospital service setting through journal reading activities based on the field phenomena. The role of the Specialist Nurse as a researcher with the application of EBN (Evidence Based Nursing) is using chewing gum as a prevention of postoperative ileus in hip fractures. Meanwhile, the role of the Specialist Nurse as a reformer is carrying out an innovative project in the form of initial risk assessment of deep vein thrombus (DVT) using the "Autar Scale" as the core idea in carrying out nursing care for patients with lower limb disorders.