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All Journal Jurnal Ners Indonesian Journal of Global Health research Indonesian Journal of Global Health Research
Kiki Fajar Nurhidayah
Universitas Airlangga
Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health

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The Role of Nursing Intervention in Postoperative Pain Management: A Scoping Review Navy Sealsi Adinda Prisca Marina Marina; I Made Dwi Budhiasa Ari Serengga; Dwi Puji Lestari; Kiki Fajar Nurhidayah; Yulis Setiya Dewi
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5591

Abstract

Surgical or perioperative procedures are always followed by anesthesia, which is a state without pain sensation. Patients who undergo perioperative procedures experience moderate to severe postoperative pain. Therefore, postoperative pain management in addition to analgesics is needed to help stabilize pain intensity. The purpose of this study is to determine the role of nurses in the implementation of pain management programs in postoperative patients. Methods: This study used the ScR scoping reviews approach and used PRISMA-ScR for article identification and screening. The articles were obtained from several databases, include Scopus, PubMed, ScienceDirect, and ProQuest. Articles published in the last 5 years (2019-2024) and using keywords related to the role of nurses, pain management, and postoperative. The review of 12 articles was conducted systematically with a data extraction process to identify aspects of research objectives, methods, samples, results and to find gaps or new findings that can be used as recommendations. Results: From the findings of 5,175 initial articles, 12 articles were produced that met the inclusion criteria. The analysis obtained several points of the role of nurses in postoperative pain management: (1) Pain management with relaxation in the form of guided imagery, benson relaxation and a combination of aromatherapy relaxation in postoperative patients; (2) Pain management with simple physical exercise techniques on the bed and mabulation support and effective cough breathing exercises (3) Multidisciplinary and complementary collaboration for complementary therapy of pain management with acupuncture techniques, foot and hand massage; (4) Electrical stimulation therapy, namely TENS as a stimulus for pain relief. Conclusions: These findings confirm the importance of the role of nurses to ensure continuity of care in postoperative pain management and invasive measures.
Effectiveness of Continuous Nursing Care on Quality of Life and Management of Complications in Patients with Ostomy Surgery: A Systematic Review I Made Dwi Budhiasa Ari Serengga; Luh Gede Wirani Riskayanti Darmawan; Lisa Isdaryanti; Dwi Puji Lestari; Kiki Fajar Nurhidayah; Abu Bakar
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6153

Abstract

Individuals undergoing ostomy surgery frequently encounter various physical, emotional, and social challenges that may adversely affect their quality of life. Continuous Nursing Care (CNC) has been recognized for its potential in strengthening self-care skills and decreasing the incidence of postoperative complications. This review seeks to evaluate the influence of CNC on enhancing life quality and addressing complications among individuals with an ostomy. Objective to determine the effectiveness of Continuous Nursing Care (CNC) in improving quality of life and managing complications among patients undergoing ostomy surgery. This systematic review was conducted in accordance with the PRISMA 2020 guidelines. A comprehensive literature search was performed for studies published between 2019 and 2023, utilizing Boolean operators and MeSH terms: ("nursing" OR "nurse" OR "care") AND ("ostomy" OR "stoma") AND ("continuous") AND ("management") AND ("quality of life") AND "complication", across five electronic databases: Scopus, PubMed, Web of Science, ScienceDirect, and ProQuest. The initial search yielded 968 articles. After removing 28 duplicates, 940 articles remained for title and abstract screening. A total of 151 full-text articles were assessed for eligibility, and 13 studies met the inclusion criteria for the final synthesis. The included studies comprised randomized controlled trials (RCTs) and quasi-experimental designs evaluating Continuous Nursing Care (CNC) interventions among ostomy patients, with outcome measures including quality of life, self-care ability, psychological well-being, and complication management. Methodological quality was appraised using the Joanna Briggs Institute (JBI) critical appraisal tools for both RCTs and quasi-experimental studies. Only studies scoring above 65% were included in the final analysis. Thirteen studies fulfilled the inclusion criteria. CNC interventions including structured education, telehealth services, home-based care, and psychosocial support were shown to enhance quality of life, improve self-care abilities, and reduce complications after surgery. Furthermore, CNC demonstrated effectiveness in decreasing peristomal infections, psychological distress (e.g., anxiety and depression), and in promoting self-efficacy and emotional adjustment in ostomy patients. Continuous Nursing Care (CNC) has been identified as a promising strategy to enhance quality of life, psychological health, and self-care capacity, while also reducing the risk of complications in individuals with an ostomy. Nonetheless, the variability in intervention models highlights the necessity for additional research utilizing theory-based frameworks, larger sample sizes, and meta-analytic methods to determine the most effective care approaches.
Effectiveness of Cold Compress on Pain Management in Patients with Superficial Burn Injury: A Systematic Review Dwi Puji Lestari; Lisa Isdaryanti; Luh Gede Wirani Riskayanti Darmawan; I Made Dwi Budhiasa Ari Serengga; Kiki Fajar Nurhidayah; Herdina Mariyanti
Indonesian Journal of Global Health Research Vol. 7 No. 6 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i6.167

Abstract

Superficial burns often cause acute pain that interferes with patient comfort. One of the non-pharmacological methods used to reduce pain is cold compresses, but scientific evidence regarding their effectiveness is still mixed. To evaluate the effectiveness of cold compresses in reducing pain in patients with superficial burns. This systematic review was conducted by searching articles from the Scopus, PubMed, and ScienceDirect databases using the keywords: "cold compress", "burn injury", "pain management", "superficial burns", "RCT". The inclusion criteria were RCT articles published between 2015–2024, in English, and discussing the effects of cold compresses on pain in superficial burns. Selection was carried out through the PRISMA process. Of the 1,025 articles found, 14 articles met the inclusion criteria. Each article underwent title and abstract screening, followed by full-text assessment for eligibility. Methodological quality was then appraised using the JBI Critical Appraisal Tool, and only studies with moderate to high quality were included in the synthesis to ensure robust and reliable findings. The majority of studies showed that cold compresses significantly reduced the intensity of acute pain in the early phase of superficial burns (p < 0.05). This effect was reported to be effective especially in the first 24 hours after injury, with minimal side effects. Cold compress is an effective, safe, and easy-to-do nonpharmacological intervention to reduce pain in superficial burn patients. This intervention deserves to be part of standard care in emergency departments and primary health care.
Digital-Based and Telerehabilitation Interventions in Orthopaedic Postoperative Recovery: Literature Review Albertina Dete Tabik; Asroful Hulam Zamroni; Aqmarina Abidah; I Made Dwi Budhiasa Ari Serengga; Johanes Eban B. Dorman; Kiki Fajar Nurhidayah; Lisa Isdaryanti; Rizki Nur Azhadin; Nursalam Nursalam; Tintin Sukartini; Akhmad Ja'far; Hendra Kurnia Rakhma
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.320

Abstract

Orthopedic surgery aims to treat musculoskeletal disorders; however, postoperative recovery often presents functional limitations. Digital interventions and telerehabilitation are increasingly being applied in nursing, although evidence of their effectiveness remains limited. This systematic review evaluated the effectiveness of these technologies in supporting postoperative orthopedic recovery and identified their contributions to evidence-based nursing practice. A systematic review following the PRISMA guidelines was conducted using Scopus, PubMed, Web of Science, ScienceDirect, and SAGE databases. Randomized controlled trials and quasi-experimental studies published between 2015 and 2025 involving adult postoperative orthopedic patients were included. The interventions were compared with conventional rehabilitation. Six outcome domains were evaluated: physical function, quality of life, pain, psychosocial aspects, self-efficacy, patient compliance and satisfaction. A total of 1,508 articles were identified, of which 16 studies met the inclusion criteria. Digital-based interventions and telerehabilitation consistently improved physical function (e.g., Timed Up and Go, Functional Independence Measure), increased quality of life (EQ-5D, SF-36), and reduced postoperative pain more rapidly than conventional rehabilitation did. Improvements were also observed in anxiety, depression, self-efficacy, health literacy, patient satisfaction, and adherence to the rehabilitation program. Digital and telerehabilitation interventions effectively support orthopedic postoperative recovery, positively affecting physical, psychosocial, and behavioral outcomes. A multimodal model integrating education, exercise, occupational therapy, and psychosocial support based on self-efficacy and biopsychosocial approaches yielded optimal results. Integration into surgical nursing practice is recommended, with attention to technological infrastructure and clinician training.
Effectiveness of Comprehensive Nursing Education On Medication Adherence and Self-Care Management In Heart Disease Patients: A Quasi-Experimental Study Kiki Fajar Nurhidayah; Ninuk Dian Kurniawati; Arina Qona’ah
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60380

Abstract

Medication adherence and self-care management are essential components in improving clinical outcomes among patients with heart failure. However, inadequate adherence and poor self-care remain major challenges in nursing practice. Objective this study aimed to evaluate the effectiveness of comprehensive education in improving medication adherence and self-care management among patients with heart failure. Methods this study employed a quasi-experimental design with a pre-test–post-test control group approach. A total of 40 outpatients with heart failure were recruited using purposive sampling and proportionally assigned to intervention and control groups. The intervention group received comprehensive education consisting of educational booklets, videos, and teach-back sessions over two weeks, while the control group received standard care. Medication adherence was assessed using the Morisky Medication Adherence Scale (MMAS-8), and self-care was measured using the Self-Care of Heart Failure Index (SCHFI). Data were analyzed using the Wilcoxon Signed-Rank Test for within-group comparisons and the Mann–Whitney U Test for between-group comparisons, with a significance level of p < 0.05. Results the intervention group demonstrated a significantly greater improvement in medication adherence than the control group (p = 0.001). Significant improvements were also observed in all SCHFI dimensions, including self-care maintenance (p = 0.002), self-care management (p = 0.001), and self-care confidence (p = 0.003), compared with the control group. Conclusion comprehensive education significantly improves medication adherence and self-care management among patients with heart failure. Integrating educational booklets, audiovisual media, and teach-back techniques into nursing practice may enhance patients' self-management abilities and support better clinical outcomes.
Co-Authors Abu Bakar Akhmad Ja'far Albertina Dete Tabik Aqmarina Abidah Arina Qona’ah Asroful Hulam Zamroni Dwi Puji Lestari Hendra Kurnia Rakhma Herdina Mariyanti I Made Dwi Budhiasa Ari Serengga Johanes Eban B. Dorman Kurniawati, Ninuk Dian Lisa Isdaryanti Luh Gede Wirani Riskayanti Darmawan Navy Sealsi Adinda Prisca Marina Marina Nursalam, Nursalam Rizki Nur Azhadin Tintin Sukartini Sukartini, Tintin Sukartini Yulis Setiya Dewi