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

2026-02-25T07:24:52+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

2026-03-01T08:02:26+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.