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Journal : Journal Of Nursing Practice

Sand based on Transcultural Nursing as a Non-Pharmacological Therapy to Increase Β-Endorphin Levels and Reduce Pain Osteoarthritis in Coastal Elderly Mujib Hannan; Hidayat, Syaifurrahman; Yulia Wardita; Abdul Muhith; Emdat Suprayitno
Journal Of Nursing Practice Vol. 8 No. 3 (2025): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i3.666

Abstract

Background: Culture Inability has an affect on the comes about of care, this may be done to supply consideration and welfare for the elderly. The marvel of inborn coastal communities with special traditions whose day by day propensities begin resting within the sand, playing within the sand, splashing on the shoreline, and giving birth within the sand. When the elderly sleep well on the sand and the HPA axis is suppressed, there is a decrease in ACTH and cortisol. Purpose: Decrease ACTH and cortisol, stimulate POMC synthesis, and increase production of β endorphins that prevents the release of substance P as a key factor in the transmission of pain signals. Methods: The study uses a quasi-experimental pre-post test control group design and includes a total of 82 elderly individuals aged 60-74 years, who experience osteoarthritis pain. The sample is divided into two groups, an experimental group of 41 individuals who sleep on the sand, and a control group of 41 individuals who sleep on mattresses. The implementation of sleeping on the sand was carried out for 30 days with a duration of 6-7 hours a day. data analysis with wilcoxon test and mann whitney test. Results: The results show that there is a significant difference with p-value (<0.05) of post-test measurements on the thirtieth day on the variable β-endorphine level and pain scale. The intervention group showed difference between the pre-test and post-test after the intervention was given, with a p-value of 0.000 (<0.05). Conclusion: The study concludes that sleeping on sand is an effective non-pharmacological therapy that can increase β-endorphin levels and reduce osteoarthritis pain in coastal elderly individuals. Transcultural nursing is able to maintain healthy behavior or sick behavior physically and psychoculturally according to cultural background. The study highlights the importance of considering the cultural background of the clients while providing nursing care.
Co-Authors Abd Wahid Abd Wahid Abd Wahid Abdul Muhith Abdul Muhith Abdul Muhith Muhith Akhmad Feri Fatoni Akhmad Feri Fatoni Alfi Laila Alvin Julian Andre Young Angeline Rivia Simanjuntak Apriyani Puji Hastuti Ari Christy Mulyono Chindy, Leviana Dea Chindy, Leviana Dea Citra Astri Aqnata Cory Nelia Damayanti Cory Nelia Damayanti Cory Nelia Damayanti da Costa Fernandes, Angelina Dewa Ayu Liona Dewi Dian Ika Puspitasari Dian Permatasari Dian Permatasari Dwi Helynarti S Ebit Abidillah Eka Meiri Kurniyati Eka Puspitasari, Dian Eko Mulyadi Elyk Dwi Mumpuningtias Emdat Suprayitno Emdat Suprayitno Emdat Suprayitno Emdat Suprayitno Erly Wahyuni Erlyn Wahyuni Eva Nurhidayati FX Himawan Jong Henry Ricardo Handoyo Hesti Yuliyana Irene Lingkan Parengkuan Ismawati S S Iva Gamar Dian Pratiwi Jeni Moudy Pujianti Lantin Sulistiyorini, Lantin Laura Wihanto Lutfi K M Himawan S Manuel da Silva, Adão Maria Fernandes Amaral, Manuela Marion Florentia Mayank Nirmala Sandi Mayank Nirmala Sandi Muhammad Rochman Muhammad Rochman, Muhammad Nailiy Huzaimah Nailiy Huzaimah Nailiy Huzaimah Nelia, Cory Nelyta Oktavianisya Nelyta Oktavianisya Niluh Suwasanti Nita Kurniawati Nur Aini Fahmiah Nurul Mawaddah Prameswari, Hellen Nindya Prestasianita Putri Rabbaniyah Hariyati Hidayah Ratna Indriyani Rochim, Nur Laily Rohmaningsih, Ida Sandu Siyoto Sianty Dewi Silvia Ratna Sari Dewi Sincihu, Yudhiakuari Soares, Domingos Sri Sumarni Steven Su&#039;udiyah Su&#039;udiyah Su'udiyah Su'udiyah Sugesti Aliftitah Suraying, Suraying Suudiyah, Suudiyah Syaifurrahman Hidayat Tatik Sutarti Tatik Sutarti tiyah, khomariyatul kip Ummi Afifah Wijayanti, Agnes Erida Yulia Wardita Yulia Wardita Zakiyah Yasin