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Telehealth interventions on pain in postoperative orthopedic surgery patients: A systematic review Qothrunnadaa, Azka; Abidah, Aqmarina; Tisel, Yulmira Maria; Tabik, Albertina Dete; Dewi, Yulis Setiya; Mariyanti, Herdina
Science Midwifery Vol 13 No 3 (2025): August: 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.v13i3.2014

Abstract

This systematic review evaluates the effectiveness of telehealth interventions in managing pain among postoperative orthopedic surgery patients. The introduction highlights the transformative potential of digital health technologies, such as telemedicine and mobile health applications, in improving access, quality, and efficiency of healthcare, particularly for pain management and patient adherence. The methods section outlines a structured literature search across Scopus, PubMed, and Proquest databases, adhering to PRISMA guidelines, with inclusion criteria focusing on randomized controlled trials (RCTs) and quasi-experimental studies involving adult orthopedic patients aged 18–60 years. Ten studies met the criteria, demonstrating varied telehealth approaches, including mobile apps, video consultations, and remote monitoring. Results indicate significant pain reduction and improved clinical outcomes in telehealth groups compared to standard care, with enhanced patient adherence, functional recovery, and reduced opioid use. However, variability in intervention duration and pain measurement tools underscores the need for standardization. The conclusion affirms telehealth as a valuable tool for postoperative pain management, emphasizing its role in education, monitoring, and psychosocial support. Future research should explore combined interventions and economic impacts to optimize implementation.
Optimizing nutritional education to improve quality of life in cancer patients Sukartini, Tintin; Zamroni, Asroful Hulam; Marina, Navy Sealsi Adinda Prisca; Syahri, Alfi; Ismail, Fachril; Tadi, Tadi; Qothrunnadaa, Azka; Tisel, Yulmira Maria; Tabik, Albertina Dete; Dorman, Johanes Eban B.; Damayanti, Elvi Kurnia
Community Empowerment Vol 10 No 7 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.13077

Abstract

Cancer remains a major contributor to morbidity and mortality globally. The disease itself and its treatments often lead to significant challenges that negatively impact patients' quality of life. The objective of this community service initiative was to enhance the knowledge and understanding of cancer patients regarding their nutritional needs through a focused educational program. The method employed was a health education approach that included demonstrations. The activity involved 30 cancer patients, all over 18 years of age, who were undergoing radiotherapy or chemotherapy. The results showed a significant improvement in the participants' quality of life, specifically in their knowledge and understanding of nutrition. The pre-intervention score of 50% increased to 87.3% post-intervention, representing a 37.3% improvement. This demonstrates that the application of education on nutritional management can effectively improve patients' nutritional status. A good nutritional status is expected to enhance the overall quality of life for cancer patients undergoing medical treatment, as they are better equipped to implement nutritional management strategies in line with their health conditions and medical recommendations.
Non-pharmacological Interventions for Wound-related Pain in Chronic Lower Limb Ulcers: A Systematic Review Qothrunnadaa, Azka; Sukartini, Tintin; Pratiwi, Ika Nur
Jurnal Ners Vol. 9 No. 4 (2025): OKTOBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i4.50415

Abstract

Chronic lower extremity wounds impose significant physical, emotional, and socioeconomic burdens, with pain being a prevalent yet often neglected symptom. This systematic review examined the effectiveness of non-pharmacological interventions for wound-related pain in adults with chronic lower limb ulcers. A PRISMA-guided search was conducted across Scopus, PubMed, Web of Science, and ProQuest, including randomized controlled trials (RCTs) and quasi-experimental studies. Twelve RCTs published between 2011 and 2025 involving 1,078 participants were analyzed. Interventions ranged from single-session methods to multi-session therapies, behavioral programs, and modality-based treatments. Findings showed that stress balls and cold saline significantly reduced procedural pain, while electrical stimulation and motivational support provided sustained benefits. In contrast, virtual reality and heated saline offered limited pain relief but improved patient comfort. Overall, simple, low-cost approaches demonstrated promise for immediate relief, whereas structured behavioral and modality-based therapies supported longer-term pain management. These strategies, being safe and feasible, may complement standard wound care, particularly within nursing practice. Further high-quality, large-scale trials are warranted to refine their clinical application.