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Dudut Tanjung
Program Studi Magister Ilmu Keperawatan, Fakultas Keperawatan, Universitas Sumatera Utara
Health Professions Nursing Public Health

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Efektivitas mobilisasi dini terhadap nyeri punggung pada pasien pasca prosedur percutaneous coronary intervention Santi Ranti Lina Sihombing; Dudut Tanjung; Siti Saidah Nasution; Tasrif Hamdi; Siti Zahara Nasution
Hik Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3403

Abstract

Background: Back pain caused by prolonged bed rest is a common complication following Percutaneous Coronary Intervention (PCI) via femoral access, which can decrease patient comfort and delay recovery. Purpose: To determine the effectiveness of early mobilization in reducing back pain among post-PCI patiens. Method: This study employed a randomized controlled trial (RCT) design with a pretest-posttest control group approach and was conducted from March to April 2026 at Murni Teguh Hospital in Medan. The sampling technique used was random sampling, with a sample size of 66 participants divided into an intervention group and a control group. The independent variable in this study was early mobilization, while the dependent variable was the level of back pain. Data analysis included univariate analysis in the form of frequency distributions and bivariate analysis using the Wilcoxon Signed-Rank Test, the Mann-Whitney Test, and multiple linear regression. Results: The median pain score in the intervention group decreased from 6 to 0, whereas the control group remained at a median score ogf 6. There was a statiscally significant difference in pain reduction between the two groups (p=0.000) with a large effect size (r=0.800). Multivariate analysis identified early mobilization as the most influential factor associated with back pain reduction. Conclusion: Early mobilization is an effective and safe evidance-based nursing intervention for reducing back pain in post-PCI patients.   Keywords: Back Pain; Cardiovascular; Early mobilization; Percutaneous Coronary Intervention (PCI).
Pengaruh penerapan protokol rest, ice, compression, and elevation (RICE) terhadap intensitas nyeri pada pasien trauma ortopedi Nurul Huda Afifah; Dudut Tanjung; Rika Endah Nurhidayah; Andriandi Andriandi; Mula Tarigan
Hik Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3456

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Background: Orthopedic trauma is one of the leading causes of disability worldwide, with pain being the most common complaint requiring comprehensive management. The RICE protocol (rest, ice, compression, and elevation) is a non-pharmacological intervention that works through vasoconstriction, immobilization, enhanced lymphatic drainage, and tissue stabilization mechanisms to reduce pain intensity during the acute phase of injury. Purpose: To determine the effect of the RICE protocol on pain intensity among orthopedic trauma patients. Method: This study employed a quasi-experimental design using a pretest-posttest control group approach. A total of 60 participants were recruited through purposive sampling and divided into an intervention group (n=30) and a control group (n=30). Pain intensity was measured using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon test and Mann–Whitney test with a significance level of p < 0.05. Results: The findings showed a significant reduction in pain intensity in the intervention group after receiving the RICE protocol (p = 0.000), whereas the control group receiving standard therapy showed no significant change (p = 0.180). Furthermore, comparison between the intervention and control groups demonstrated a statistically significant difference in pain intensity (p = 0.000). Conclusion: The RICE protocol is effective in reducing pain intensity among orthopedic trauma patients and can be recommended as a non-pharmacological nursing intervention for pain management in orthopedic trauma care.   Keywords: Non-Pharmacological Intervention; Numeric Rating Scale; Orthopedic Trauma; Pain Intensity; RICE Protocol
Pengaruh contrast bath terhadap nyeri pada pasien diabetic neuropathy Shela Ajeng Prasiska; Diah Arruum; Dudut Tanjung; Siti Zahara Nasution; Mula Tarigan
Hik Vol. 20 No. 4 (2026): Volume 20 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i4.3492

Abstract

Background: Diabetic neuropathy is a chronic complication of diabetes mellitus that often causes neuropathic pain, impacting participants' quality of life. Pain management requires not only pharmacological therapy but also effective, safe, and easy-to-implement non-pharmacological interventions, one of which is contrast bath therapy. Purpose: To analyze the effect of contrast bath therapy on pain reduction in patients with diabetic neuropathy. Method: This study used a quasi-experimental design with a non-equivalent pretest-posttest control group design. The study sample consisted of 66 participants, 33 in the intervention group and 33 in the control group. This study was conducted at the Bhayangkara Hospital Class II Medan from September 2025 to April 2026. The intervention group received contrast bath therapy, a foot immersion technique involving warm water at 30°C for 3 minutes, followed by cold water immersion at 8–10°C for 1 minute. This was done in 5 cycles, with a total time of approximately 20 minutes. The control group received a 10-minute immersion in fresh water at 25°C. Pain was measured using the 4-question neuropathy instrument (DN4). Data analysis was performed using paired t-tests and independent t-tests. Results: This study showed a significant reduction in pain in the intervention group after contrast bath therapy (p < 0.05). The control group also showed significant changes, but the degree of change was smaller than the intervention group. Conclusion: Contrast bath therapy is effective in reducing neuropathic pain in patients with diabetic neuropathy. This therapy can be recommended as a simple, safe, and economical non-pharmacological nursing intervention to help improve the quality of life of patients with diabetic neuropathy. Suggestion: Future studies should involve a larger sample size and be conducted in different hospitals or healthcare facilities. Furthermore, intervention models that combine contrast baths with educational programs, physical exercise, or other self-management approaches should be developed.   Keywords: Contrast Bath; Diabetic Neuropathy Patients; Pain.
Co-Authors Andriandi Andriandi Diah Arruum Mula Tarigan Nurul Huda Afifah Rika Endah Nurhidayah Santi Ranti Lina Sihombing Shela Ajeng Prasiska Siti Saidah Nasution Siti Zahara Nasution Tasrif Hamdi