Vol. 1 No. 1 (2018)
Articles

PENURUNAN NYERI DENGAN KOMPRES DINGIN DI LEHER BELAKANG (TENGKUK) PADA PASIEN POST HEMOROIDEKTOMI TERPASANG TAMPON

Rohmani Rohmani
Jurusan Keperawatan, Poltekkes Kemenkes Jayapura
Debi Dahlia
Keilmuan Keperawatan Medikal Bedah Fakultas Ilmu Keperawatn Universitas Indonesia

Published 2018-09-30

Keywords

  • Kompres dingin,
  • nyeri,
  • hemoroidektomi,
  • tampon

How to Cite

Rohmani, R., Dahlia, D., & Sukmarini, L. (2018). PENURUNAN NYERI DENGAN KOMPRES DINGIN DI LEHER BELAKANG (TENGKUK) PADA PASIEN POST HEMOROIDEKTOMI TERPASANG TAMPON. JURNAL KEPERAWATAN TROPIS PAPUA, 1(1), 8–12. https://doi.org/10.47539/jktp.v1i1.14

Abstract

Pasien post hemoroidektomi yang terpasang tampon mengalami nyeri akibat adanya spasme internal yang disebabkan oleh regangan dan tekanan syaraf perifer dikanalis analis. Penelitian ini bertujuan mengetahui pengaruh kompres dingin di leher belakang (tengkuk) terhadap penurunan nyeri pada pasien post hemoroidektomi yang terpasang tampon. Penelitian ini menggunakan quasi experiment pre test post test design with control group dengan jumlah responden yang didapat dengan teknik concecutive sampling. Pengukuran skala nyeri menggunakan visual analog scale (VAS) dengan skor nyeri maksimal 8. Hasil uji Friedman menunjukkan adanya perbedaan rerata penurunan nyeri yang diberikan kompres dingin ditengkuk dengan p-value 0,0001. Tindakan kompres dingin lebih efektif dibandingkan dengan terapi standar dalam menurunkan skala nyeri pasien post hemoroidektomi yang terpasang tampon. Penelitian ini bertujuan untuk mengukur penurunan nyeri dengan kompres dingin di leher belakang pada pasien post hemoroidektomi terpasang tampon.

Downloads

Download data is not yet available.

References

  1. Acheson, A.G & Scholefied J.H. (2008). Management of haemorrhoids. Clinical reveiw. Section of gastrointestinal surgery, University of Hospital Queens Medical Centre, Nottingham. Vol.336. DOI:10.1136/bmj.39465.674745.80.
  2. Battista, A., Novi, A., Giamundo, P., Alessia, B.R., Picheo, R., & Dionigi, P. (2011). Local hemostatic effect of cellulose tampon (tampax) after stapled hemorrhoidopexy. International Journal Colorectal.27, 545-546. DOI:10.1007/s00384-011-1251-3.
  3. Black, J.M., & Hawks, J.H. (2009). Medical Surgical Nursing: Clinical management for positive outcomes, Eight edition.Singapore: Sounders Elsiever.
  4. Cerato, M.M., Cerato, NL., Passos, P., Treiguer, A., & Damin, D.C. (2014). Surgical treatment of hemorrhoids: a critical appraisal of the current options. ABCD Arq Bras Cir Dig. Review article. 1, 66-70.
  5. Daily Nutrition News. (2016). Put an ice cube at this point on your head and witness the miracle. http://www.dailynutritionnews.com/put-an-ice-cube-at-this-point-on-your-head-and-witness-the-miracle/.
  6. Demir, Y. (2012). Non-pharmacological therapies in pain management, pain management- current issues and opinions. Dr. Gabor Racz (Ed). ISBN:978-953-307-813-7. In tech Available from: http://www.itenchopen.com/books/pain-management-current-issues-and-opinions/non-pharmacological-therapies-in-pain-management.
  7. Emmanuel, A & Inns, S. (2014). Gastroenterologi dan Hepatologi. Jakarta: Erlangga.
  8. Fiona, H., & Alexis, S. (2013). Assesment and treatment of patients with haemorrhoids. Nursing Standard.Vol.24, 18.57-58.
  9. Gebbenslaben, O., Hilger, Y., & Rohde, H. (2009). Etiology of Thrombosed External Hemorrhoid: Result from a Prospective Cohort Study. The International Journal of Gastroenterology.
  10. Heenan, A. (2013). Alginate: an effective primary dressing for exuding wound. Nursing standard. Art & science tissue viability supplement. Vol 22.27.53-60.
  11. Ingram. (2010). Study of calcium alginate (sorbsan) gauze packing following haemorroidectomy, The Royal College og Surgeons of Edinburgh, J.R coll surg Edin, 03, 508-511
  12. Jacobs, D. (2014). Hemorrhoids. clinical practice. The New England Journal of Medicine. 371, 944-51. DOI: 10.1056/NEJMcp1204188.
  13. Koda et al., (2009). Applied Therapeutics The Clinical Use of Drug. Lippincot William & Wilkins Philadephian.(8-2) – (8-33).
  14. Kozier, B. & Erb G. (2010). Kozier and Erb’s techniques in clinical nursing (5th Ed). Eni Meilya, dkk, penerjemah, Jakarta:EGC
  15. Langenbach, M.R,. Chondros, S., & Sauerland, S. (2013). Tamponade dressing may be unnecessary after haemorrhoidectomy: a randomised controlled clinical trial: International Journal Colorectal Dis. 29,395-400. DOI 10.1007/s00384-013-1800-z.
  16. Lohsiriwat, V. (2012). Hemorrhoid: From Basic Pathophyisiology to clinical management. World Journal of Gastroenterology. Mahidol University, Thailand. Vol.18. 17, 2009-2012. DOI: 10.3748/wjg.v18.i17.2012.
  17. Melzack, R., & Wall, P.D. (2005). Pain mechanisme: A New Theory Science; New Series. Vol. 150, No. 3699 (Nov.19,1965), 971-979
  18. Mutmainnah, A., Masrul & Zahari, A (2010). Peranan Diet Rendah Serat Terhadap Timbulnya Hemoroid di RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas. Universitas Andalas Padang.
  19. Ossipov, M.H., Dussor, G.O., & Porreca, F. (2010). Central modulation of pain. The Journal of Clinical Investigation. Vol.120, 3779-3787.
  20. Picchio, M., Greco, E., Di Fillipo, A., Marino, G., Stipa, F., & Spaziani, E. (2015). Clinical Outcome Following hemorrhoid Surgey : a narrative reveiw. Indian Journal Surgery. 77:S1301-S1307. DOI. 10.1007/s1226-014-1087-5.
  21. Pigot, F., Siproudis, L., & Allaert F.A. (2005). Risk factor associated with hemorrhoidal symptoms in specialized consultant. Gastroenterology clinical Biological.29 (12):1270-4.
  22. Potter P.A & Perry, A.G. (2009). Buku Ajar Fundamental Keperawatan: Konsep Proses dan Praktik (Yasmin Asih, dkk. Penerjemah). Edisi 4. Jakarta: EGC
  23. Price, & Wilson. (2005). Konsep Klinis Proses-proses Penyakit. Edisi 6 vol 2. Jakarta: EGC
  24. Rekozar, M.G. (2013). Penatalaksanaan nyeri pasca laparatomi perbandingan antara ketorolak dengan me too drug ketorolak. Perpustakaan Universitas Indonesia. Jakarta
  25. Rosen, L. (2013). Outcome of delayed haemorrhage following surgical haemorrhoidectomy.,Discolon Rectum 36 (8), 743-6.
  26. Simadibrata, dkk. (2006). Buku Ajar Ilmu Penyakit Dalam. Penerbit Departemen Ilmu Penyakit dalam Fakultas Kedokteran Universitas Indonesia; Jakarta
  27. Sjamsuhidayat & Jong. (2004). Buku Ajar Ilmu Bedah edisi revisi. Jakarta: EGC
  28. Smeltzer & Bare. (2010). Textbook Of Medical Surgical Nursing. Brunner & Suddart. Twelfth Edition. Lippincot Company.
  29. William, G.J. (2012). Hemorrhoids. Contemporary Coloproctology. @springer-verlag. London. DOI.10.1007/978-0-85729-889-8-2