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All Journal Jurnal Penelitian Keperawatan Kontemporer (JPKK)
Nadia Meilanda Intriani
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Health Professions Nursing

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Cryotherapy-Based Interventions to Enhance Recovery After Total Knee Arthroplasty: A Systematic Review Fayza Eka Zhafirah; Nadia Meilanda Intriani; Sekar Arum Firdausi; Herdina Mariyanti; Adelvia Nabunome; Agun Arya Wijaya
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 3 (2026): Vol. 6 No. 3 (2026): Juli 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i3.1414

Abstract

Background: Cryotherapy is used as a non-pharmacological adjunctive intervention to support recovery after total knee arthroplasty (TKA). It helps reduce postoperative pain, edema, inflammation, and limited knee movement, which commonly occur during the early recovery phase. Optimal postoperative symptom management is important to support early mobilization, improve functional recovery, reduce analgesic or opioid use, and increase patient satisfaction. Methods: A systematic review of quantitative studies published from 2021 to 2026 was conducted across six databases: PubMed, Scopus, Web of Science, SAGE Journals, ProQuest, and ScienceDirect. Study selection followed PRISMA guidelines, eligibility criteria were structured using the PICOS framework, and methodological quality was assessed using Joanna Briggs Institute (JBI) critical appraisal tools. Results: Twelve studies met the inclusion criteria. The interventions included ice packs, compressive cold therapy, computer-assisted cooling, motorized cold-compression, preoperative hypothermia, and cryoneurolysis. Most studies showed that cryotherapy reduced postoperative pain and swelling, improved knee range of motion, and supported early functional recovery. Several studies also reported reduced opioid consumption, blood loss, and length of hospital stay. Conclusion: Cryotherapy is a promising adjunctive intervention to enhance recovery after TKA, especially when delivered through structured nurse-led protocols. Further studies with standardized protocols and longer follow-up are needed. Keywords: Cryotherapy, Total Knee Arthroplasty, Postoperative Pain, Edema, Functional Recovery, Nursing Intervention.
Closed-Incision Negative Pressure Therapy and Abdominal Donor-Site Outcomes in DIEP Flap Breast Reconstruction: A Review of Current Evidence Fayza Eka Zhafirah; Adelvia Nabunome; Agun Arya Wijaya; Herdina Mariyanti; Nadia Meilanda Intriani; Sekar Arum Firdausi
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 3 (2026): Vol. 6 No. 3 (2026): Juli 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i3.1415

Abstract

Background: ciNPT is used to reduce abdominal donor-site complications in autologous breast reconstruction. Optimizing donor-site management is essential to prevent wound dehiscence, surgical site infection, seroma, hematoma, and delayed healing, which may prolong recovery and negatively affect postoperative outcomes. Methods: Systematic review of comparative studies (2020–2026) across six databases (PubMed, Scopus, Web of Science, SAGE Journals, ProQuest, ScienceDirect); methodological quality assessed using Joanna Briggs Institute (JBI) critical appraisal tools. Eight full-text studies evaluating ciNPT on abdominal donor-site incisions in adult patients undergoing autologous breast reconstruction were included. Results: ciNPT was consistently associated with reduced wound dehiscence and improved wound stability versus conventional care. Trends toward lower surgical site infection, seroma, hematoma, and complication-related re-intervention were observed, particularly in high-risk patients with elevated BMI or comorbidities. Some heterogeneity in study design and outcome definitions was noted. Conclusion: ciNPT is a promising adjunct for reducing abdominal donor-site complications in autologous breast reconstruction. Further high-quality randomized controlled trials with standardized outcomes and long-term follow-up are needed. Keywords: ciNPT, DIEP flap, donor site, breast reconstruction
Co-Authors Adelvia Nabunome Agun Arya Wijaya Fayza Eka Zhafirah Fayza Eka Zhafirah Herdina Mariyanti Sekar Arum Firdausi