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All Journal Jurnal Kesehatan Komunitas Indonesia Jurnal Kegawatdaruratan Medis Indonesia
Shodikin, Mohammad
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Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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Effectiveness of Chewing Gum Therapy as Prevention of Post-Operative Ileus (POI) in Post-Laparotomy Surgery Patients in the Mawar Room of RSD dr. Soebandi Jember Naili, Naila Khoirun; Hakam, Mulia; Siswoyo; Shodikin, Mohammad
Jurnal Kesehatan Komunitas Indonesia Vol 5 No 1: April 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v5i1.484

Abstract

Background: Post-operative ileus or POI is one of the most common problems found and disruptive after laparotomy or laparoscopy, both electively and emergency. Potential complications that can arise from POI with a prolonged period include increased post-operative pain, increased nausea and vomiting, complications in the lungs, worsening of the surgical wound healing process, inadequate oral intake, delayed post-operative mobilization, a long hospitalization period, and increased healthcare costs. Therefore, a non-pharmacological approach is needed to minimize the incidence of POI, including chewing gum therapy. Purpose: To determine the effectiveness of chewing gum therapy in preventing Post-Operative Ileus (POI) in post-laparotomy patients. Method: A case study involving two patients: intervention patients and comparison patients. Chewing gum therapy is given as much as two pieces with a chewing time of 10-15 minutes in a total of 3 times/day, and observations are carried out every 6 hours. Results: The average pain scale was lower in intervention patients, nausea occurred in comparison patients, the average bowel sounds were higher in intervention patients, and the time to the first fart after surgery was shorter in intervention patients compared to comparison patients. Conclusion: Chewing gum therapy can reduce symptoms of POI complications and accelerate the reactivation of gastrointestinal motility after surgery.
Nursing Care of Acute Pain in Multiple Fractures with Spiritual Therapy Quantum Touch and Finger Holding: A Case Study Dewi, Risma Eka Putri Arlyani Kusuma; Hakam, Mulia; Sutawardana, Jon Hafan; Shodikin, Mohammad
Jurnal Kegawatdaruratan Medis Indonesia Vol. 3 No. 1: February 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v3i1.140

Abstract

Background: Multiple Fractures or broken bones are a condition where the continuity of the bones is broken in a complex manner, this is caused by trauma caused by frequent traffic accidents. Objective: To analyze the effect of a combination of non-pharmacological therapies Quantum Spiritual Touch Therapy" (QST) and Finger Holding in multiple fraktur patients with acute pain at RSD dr. Soebandi Jember. Method: This research is an observational study with a case study design. Primary data obtained through anamnesis and physical assessment. Assessment of the effect of QST therapy and finger holding was carried out a total period of 35 minutes, 20 minutes for QST therapy and 15 minutes for finger holding therapy, based on initial, process, and final data. Results: The results showed a reduction in pain levels with a Numerical Rating Scale (NRS) was carried out for 6 meetings with the implementation of therapy once a day. Pain levels decreased in the pre-implantation measurements with an average of 5,4 to 4,7 at the time of post-implementation. Discussion: The combination of pharmacological therapy from QST therapy and finger holding aims to help the effectiveness of analgesic drugs by improving the psychological structure with implementations that contain spiritual elements.
Co-Authors Dewi, Risma Eka Putri Arlyani Kusuma Hafan Sutawardana, Jon Mulia Hakam Naili, Naila Khoirun SISWOYO