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Journal : Science Midwifery

Overview of patient responses to pain stimuli based on glasgow coma scale (GCS) scores Malik, Abdul; Huriani, Emil; Mailani, Fitri
Science Midwifery Vol 13 No 5 (2025): Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2155

Abstract

Decreased consciousness is a clinical condition that requires rapid and accurate assessment. One method used is the application of nail bed pressure pain stimulation to elicit a response from the patient. This study aims to determine the consistency of responses from patients with decreased consciousness when given pain stimulation based on the Glasgow Coma Scale (GCS) score in the emergency department of Dr. M. Djamil Hospital in Padang. This was a quantitative descriptive study with 70 respondents selected using purposive sampling. Consciousness levels were measured twice. Data were collected in July 2025 using the GCS assessment format, then analyzed descriptively and cross-tabulated using frequency distribution, percentages, means, standard deviations, and correlations. The nail bed pressure technique produced an average GCS score of 6.01 ± 0.625 on the first assessment and 6.04 ± 0.711 on the second assessment. Most scores were in the range of 6–7. The nail bed pressure technique provided an inconsistent picture of changes in GCS responses in patients with decreased consciousness.
Overview of patient responses to pain stimuli based on glasgow coma scale (GCS) scores Malik, Abdul; Huriani, Emil; Mailani, Fitri
Science Midwifery Vol 13 No 5 (2025): December: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i5.2155

Abstract

Decreased consciousness is a clinical condition that requires rapid and accurate assessment. One method used is the application of nail bed pressure pain stimulation to elicit a response from the patient. This study aims to determine the consistency of responses from patients with decreased consciousness when given pain stimulation based on the Glasgow Coma Scale (GCS) score in the emergency department of Dr. M. Djamil Hospital in Padang. This was a quantitative descriptive study with 70 respondents selected using purposive sampling. Consciousness levels were measured twice. Data were collected in July 2025 using the GCS assessment format, then analyzed descriptively and cross-tabulated using frequency distribution, percentages, means, standard deviations, and correlations. The nail bed pressure technique produced an average GCS score of 6.01 ± 0.625 on the first assessment and 6.04 ± 0.711 on the second assessment. Most scores were in the range of 6–7. The nail bed pressure technique provided an inconsistent picture of changes in GCS responses in patients with decreased consciousness.
Co-Authors Aba, Delta Meda Abdul Malik Abdullah, Khatijah Lim Affim, Yonna Agustin, Nia Mitra Aisya Rahmadhanty Arina Widya Murni Avit Suchitra Basmanelly Basnelly - Chan, Chong Mei Dally Rahman Darmawidyawati Darmawidyawati Debby Sinthania Dian Agusti Tanjung Dian Novita Putri Dian Novita Putri Didi Yunaspi Dini Tryastuti Dwi Novrianda Eka Rhestifujiayani, Eka Elvia Donny Harida Ema Julita Endang Sulistyowati Esi Afriyanti Fahmy, Rahmi Farma, Ritta Feki Surya Ardica Feri Fernandes Fety Septia Feronika Fitri Mailani Fitri, Tiya Rama Fitria, Yola Gusti Surmasih Hamzah Hamzah Harningsih, Nurfa Rahim Hema Malini Hema Malini, Hema Hendra - Hendra Hendra Hendria Putra Heni Pujiastuti Herien, Yelly Ilfa Khairina Indah Marzalia Putri Karmiza Karmiza Khatijah Binti Abdullah Khatijah Lim Abdullah Krisdianto, Boby Febri Kristanti Wahyuningtyas Lenggogeni , Devia Putri Lenggogeni, Devia Putri Leni Merdawati Lili Fajria Mahatir, Mahatir Maisa, Esthika Ariany Marza, Wirdhatul Vier Mery sepriani MISTATI NOVITASARI Muhammad Saleh Muharriza Muharriza Muharriza Muharriza, Muharriza Muliantino, Mulyanti Roberto Muthmainah Muthmainah Mutia Dwi Sagita Nasution, Salmi Dianita Neherta, Meri Nelwati Nelwati Nofrizon Nofrizon Nurfa Rahim Harningsih Nurul Huda Oktarina, Elvi P. Eko Prasetyo Putra, Ifon Driposwana Putri Suhaini R.Ade Sukarna Rachmania, Filosofie Rahmi Meilani, Fitria Rahmi Muthia Rahmi Muthia Rahmi, Hidayatul Rahmiwati Rahmiwati Rahmiwati Reni Prima Gusty Rika Fatmadona Rika Sabri Rika Sarfika Rike Gussanti Handayani Nasution Roni Eka Saputra Rosalina Primarta Mesuri Sari, Adliah Wulan Sari, Lina Manda Selvi Marcellia Setiawan Shinta Herlina Sidaria, Sidaria Siska Prima Olimviani Sovia Susianty Sri Idawati Sri Idawaty Suharizal, Suharizal Sumarsih, Gusti Susmiati Susmiati Tiurmaida Simandalahi Ucip Sucipto Vebby Fitri Nur'arita Vebby Fitri Nur’arita Vebby Fitri Nur’arita Wati, Afdalina Rahmida Yanti Puspita Sari Yanti Puspita Sari Yesni, Marnila Yevri Zulfiqar Yonrizal Nurdin Yunita, Amanda Rahma Yutika Jasvita Zulfiqar, Yevri Zulkarnain Edward