Jurnal Kegawatdaruratan Medis Indonesia

The Application of Hand Massage in Reducing Pain Intensity in Patients After Laparatomy Surgery in Flamboyan 5 Ward, Dr. Moewardi Regional General Hospital of Surakarta

2026-05-31T07:28:46+00:00

Background: Laparotomy is a major surgical procedure associated with significant postoperative pain. While pharmacological management remains standard, non-pharmacological therapies such as hand massage offer complementary benefits for pain reduction. Objective: This study aimed to evaluate the effectiveness of hand massage in reducing pain intensity among post-laparotomy patients. Methods: A descriptive case study design was employed involving two patients recovering from laparotomy at Flamboyan 5 Ward, Dr. Moewardi Regional General Hospital, Surakarta. The intervention consisted of a 10-minute hand massage session conducted daily for three consecutive days. Pain intensity was measured using the Numerical Rating Scale (NRS) before and after each intervention. Results: Both participants demonstrated a reduction in pain scores following the intervention. Patient A's pain level decreased from 6 (moderate) to 1 (mild), while Patient W's decreased from 6 (moderate) to 2 (mild). The average reduction in pain scale was 4.5 points. Conclusion: Hand massage is effective in reducing pain intensity in post-laparotomy patients. It represents a safe, simple, and non-invasive option for non-pharmacological pain management in nursing care.

Effectiveness of Video Method Training with Demonstration on the Competency of Basic Life Support Training Participants in the Gucialit Work Area

2026-05-31T07:28:42+00:00

Background: Basic Life Support (BLS) competency is critical for improving survival rates in cardiac arrest emergencies. However, the optimal instructional method for training public service employees remains a subject of debate. Objective: This study aimed to evaluate and compare the effectiveness of video-based training versus demonstration methods on BLS competency among public service employees. Methods: A quasi-experimental study with a pre-post test design was conducted in the Gucialit Community Health Center work area in July 2025. A total of 52 participants were selected using a total sampling technique and divided into two groups: video method (n=26) and demonstration method (n=26). Competency was assessed using a structured questionnaire before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test with a significance level of α=0.05. Results: Both training methods significantly improved BLS competency. In the video group, competent participants increased from 10 (38.5%) to 24 (92.3%) (p=0.000). In the demonstration group, competency rose from 14 (53.8%) to 23 (88.5%) (p=0.003). Descriptively, the video method yielded a slightly higher post-training competence rate compared to the demonstration method. Conclusion: Both video and demonstration methods are effective in enhancing BLS competency among public service employees. The video method demonstrated a marginally higher effectiveness, suggesting it as a viable, scalable alternative for community-based training programs.

The Implementation of Repositioning Interventions to Prevent Pressure Ulcers in ICU Patients at Pandan Arang Regional Hospital, Boyolali

2026-03-16T03:56:39+00:00

Background: Decubitus ulcers are tissue damage caused by prolonged pressure without position changes. To prevent this, both pharmacological and non-pharmacological interventions can be applied, including the use of anti-decubitus mattresses, massage, and repositioning or mobilization. Repositioning helps reduce pressure and friction on the skin, thus preventing pressure ulcers. Objective: To determine the effect of repositioning in preventing pressure ulcers in patients receiving care in the Intensive Care Unit (ICU) of Pandan Arang Regional Hospital Boyolali. Method: This study used a descriptive case study design. The intervention was conducted over four consecutive days, with repositioning performed three times daily for 15 minutes every two hours. The risk of pressure ulcers was assessed using the Braden Scale before and after the intervention. Results: After repositioning, the Braden score of Mr. J increased from 12 (high risk) to 14 (moderate risk), and Mrs. S from 13 (moderate risk) to 16 (low risk), indicating a decreased risk of pressure ulcers. Conclusion: There was a noticeable reduction in pressure ulcer risk in bedridden patients following repositioning. Therefore, repositioning can be considered an effective non-pharmacological technique to prevent pressure ulcers.

Application of Five Finger Hypnosis and Mozart Music Therapy Towards Reducing Pain Scale in Post-Surgery Ca-Mammae Patients

2026-05-31T07:28:44+00:00

Background: Breast cancer is a malignant tumor in the breast that invades the area around the breast and spreads throughout the body. Breast cancer is the second largest cause of death worldwide, with 2.3 million deaths in 2022. Pain is one of the many impacts experienced after breast cancer surgery. One way to reduce this pain is by non-pharmacological means. Therefore, it is necessary to apply the non-pharmacological technique of 5-finger hypnosis and Mozart music therapy. Purpose: To determine the results of the application of 5-finger hypnosis and Mozart music therapy on reducing the pain scale in post-operative breast cancer patients in the Flamboyan of Dr. Moewardi Surakarta Hospital. Method: This research method is a descriptive case study to address problems in patient nursing care. The number of respondents was 2. Results: The study found that pain levels increased from before to after the application. The development was measured using the NRS score. Conclusion: Pain levels decreased in patients in the Flamboyan 5 before and after 5-finger hypnosis with Mozart music.

Person–Environment–Occupation (PEO) Approach to Managing Sleep Disorders in Older Adults with Hypertension

2026-05-26T12:33:35+00:00

Hypertension and sleep disorders significantly impact older adults' quality of life and daily functioning. Sleep quality is influenced by physical health, environmental, and occupational factors. The Person–Environment–Occupation (PEO) model provides a comprehensive framework for exploring these interactions. This study examined the relationship between blood pressure and sleep quality in older adults and illustrated the application of the PEO approach in managing sleep disturbances among hypertensive elderly individuals. Using a quantitative analytic observational design with cross-sectional methods, research was conducted in Boyolali involving 30 older adults selected through purposive sampling. Data collection included demographic questionnaires, Pittsburgh Sleep Quality Index (PSQI), and blood pressure measurements using OMRON HEM-7121 digital sphygmomanometer. Data analysis utilized Pearson correlation and descriptive statistics guided by the PEO framework. Findings revealed 70% of participants had hypertension, and 63.3% experienced poor sleep quality. Significant positive correlations were observed between systolic blood pressure and PSQI scores (r=0.72; p=0.001) and between diastolic blood pressure and PSQI scores (r=0.65; p=0.002). Participants with hypertension demonstrated poorer sleep quality than those without hypertension. According to the PEO model, sleep disturbances were influenced by person-related factors (hypertension, stress, fatigue), environmental factors (lighting, noise, family support), and occupational factors (daily routines, sleep hygiene, activity balance). In conclusion, significant associations exist between blood pressure and sleep quality in older adults. The PEO approach serves as a holistic occupational therapy framework, enhancing sleep quality and overall well-being through interventions including sleep hygiene education, stress management, environmental adjustments, and activity regulation.

Medical Emergency Management in Dental Practice: Proactive Risk Stratification and Simulation-Driven Clinical Readiness

2026-05-31T07:28:41+00:00

The increasing prevalence of geriatric patients with complex comorbidities and polypharmacy has significantly elevated the incidence of chairside medical emergencies in dental practice. Although oral and maxillofacial surgeons possess comprehensive theoretical knowledge of the pathophysiology underlying emergencies such as vasovagal syncope and hypoglycemia, a critical "action gap" persists between academic understanding and real-time crisis management. This review aims to present a clinically actionable framework encompassing early detection, precision prevention protocols, and advanced stabilization strategies to optimize patient safety. A comprehensive literature search was conducted across PubMed, Scopus, and Google Scholar databases through early 2026, focusing on pre-procedural risk stratification, intraoperative Basic Life Support (BLS) competencies, and the measurable impact of high-fidelity simulation training. Findings demonstrate that formalized risk-matrix screening effectively prevents systemic crises through proactive treatment modifications. Importantly, evidence indicates that conventional didactic education is insufficient; only regular, simulation-based emergency drills successfully bridge this gap by enhancing stress-resilient psychomotor skills and team-based cardiopulmonary resuscitation performance. In conclusion, effective management of maxillofacial emergencies depends on proactive risk profiling and institutionalizing a culture of continuous simulation training. The transition from static theoretical knowledge to dynamic, simulation-driven clinical readiness represents the forefront of modern patient safety in dental practice prior to emergency medical services arrival.

Move Well, Live Well: A Preventive Epidemiology Approach to Musculoskeletal Health

2026-06-05T00:06:25+00:00

Background: Musculoskeletal disorders (MSDs) are among the leading causes of disability worldwide and continue to impose a substantial social and economic burden. Population aging, urbanization, and increasingly sedentary lifestyles have contributed to the increasing prevalence of MSDs. However, evidence on large-scale prevention strategies, particularly those applicable across diverse sociocultural contexts and low- and middle-income countries (LMICs), remains limited. Objective: This scoping review aimed to examine recent trends in the epidemiological burden of MSDs and identify effective community-based health promotion and prevention strategies reported in the contemporary literature. Methods: The scoping review was conducted following the PRISMA-ScR guidelines. Literature published between January 2020 and September 2025 was retrieved from Scopus, PubMed, and Google Scholar. After a systematic screening process, seven studies meeting the predetermined inclusion criteria were selected for descriptive and thematic analysis. Results: The reviewed evidence indicates a substantial and sustained increase in the global burden of musculoskeletal disorders (MSDs), reaching an estimated 1.686 billion cases in 2021 and projected to increase to 2.161 billion by 2035. Women of reproductive age and individuals in the productive working-age population (15–39 years) appear to be disproportionately affected. Key contributing factors include prolonged sitting, a sedentary lifestyle, and sustained static postures in educational and occupational settings. Interventions focused on ergonomics education, posture improvement, and physical activity promotion in schools and workplaces have consistently shown positive outcomes, including improved health literacy and healthier movement behaviors. Conclusion: The increasing burden of MSDs underscores the need to shift public health efforts from a treatment-oriented approach toward prevention and promotion strategies. The “Move Well, Live Well” framework emphasizes lifelong ergonomics education, workplace health promotion, and evidence-based policymaking. Early and interdisciplinary interventions in schools and workplaces can play a critical role in reducing future disability, increasing productivity, and supporting healthier communities.

Efficacy of Warm Ginger Water Foot Soak Therapy on Hemodynamic Parameters and Chronic Pain in an Elderly Patient with Hypertension: A Case Study

2026-06-11T23:30:35+00:00

Background: Hypertension remains a prevalent cardiovascular condition among the elderly, often accompanied by chronic pain and suboptimal medication adherence. Non-pharmacological interventions, such as relaxation therapy, serve as essential adjuncts to standard pharmacological management. Objective: This study aimed to analyze the efficacy of warm ginger water foot soak relaxation therapy on hemodynamic parameters and chronic pain in an elderly patient with hypertension. Methods: A single-case study design was employed involving a 78-year-old female with Grade 2 hypertension and chronic occipital headache. The participant exhibited baseline blood pressure of 170/90 mmHg and a Numeric Rating Scale (NRS) pain score of 5. The intervention consisted of warm ginger water foot soak therapy combined with deep breathing exercises, administered for 15–30 minutes twice daily over six sessions within two weeks. Outcome measures included systolic and diastolic blood pressure, pulse rate, and NRS pain scale assessed before and after each session. Results: Following six therapy sessions, the patient demonstrated a reduction in blood pressure from 170/90 mmHg to 140/80 mmHg and a decrease in pain intensity from NRS 5 to 1. The patient reported subjective improvement in headache symptoms and enhanced relaxation. Conclusion: Warm ginger water foot soak therapy combined with deep breathing relaxation is an effective, safe, and affordable non-pharmacological nursing intervention for reducing blood pressure and alleviating chronic pain in elderly patients with hypertension. This therapy can be integrated into comprehensive geriatric nursing care.