Holistik Jurnal Kesehatan
Vol. 20 No. 6 (2026): Volume 20 Nomor 6

Pengaruh penerapan protokol rest, ice, compression, and elevation (RICE) terhadap intensitas nyeri pada pasien trauma ortopedi

Nurul Huda Afifah (Program Studi Magister Ilmu Keperawatan, Fakultas Keperawatan, Universitas Sumatera Utara)
Dudut Tanjung (Program Studi Magister Ilmu Keperawatan, Fakultas Keperawatan, Universitas Sumatera Utara)
Rika Endah Nurhidayah (Program Studi Magister Ilmu Keperawatan, Fakultas Keperawatan, Universitas Sumatera Utara)
Andriandi Andriandi (Program Studi Magister Ilmu Keperawatan, Fakultas Keperawatan, Universitas Sumatera Utara)
Mula Tarigan (Program Studi Magister Ilmu Keperawatan, Fakultas Keperawatan, Universitas Sumatera Utara)



Article Info

Publish Date
29 Aug 2026

Abstract

Background: Orthopedic trauma is one of the leading causes of disability worldwide, with pain being the most common complaint requiring comprehensive management. The RICE protocol (rest, ice, compression, and elevation) is a non-pharmacological intervention that works through vasoconstriction, immobilization, enhanced lymphatic drainage, and tissue stabilization mechanisms to reduce pain intensity during the acute phase of injury. Purpose: To determine the effect of the RICE protocol on pain intensity among orthopedic trauma patients. Method: This study employed a quasi-experimental design using a pretest-posttest control group approach. A total of 60 participants were recruited through purposive sampling and divided into an intervention group (n=30) and a control group (n=30). Pain intensity was measured using the Numeric Rating Scale (NRS). Data were analyzed using the Wilcoxon test and Mann–Whitney test with a significance level of p < 0.05. Results: The findings showed a significant reduction in pain intensity in the intervention group after receiving the RICE protocol (p = 0.000), whereas the control group receiving standard therapy showed no significant change (p = 0.180). Furthermore, comparison between the intervention and control groups demonstrated a statistically significant difference in pain intensity (p = 0.000). Conclusion: The RICE protocol is effective in reducing pain intensity among orthopedic trauma patients and can be recommended as a non-pharmacological nursing intervention for pain management in orthopedic trauma care.   Keywords: Non-Pharmacological Intervention; Numeric Rating Scale; Orthopedic Trauma; Pain Intensity; RICE Protocol

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Journal Info

Abbrev

hjk

Publisher

Subject

Health Professions Nursing Public Health

Description

Berisi kumpulan karya ilmiah dari peneliti diberbagai perguruan tinggi di Indonesia, di bidang ilmu kesehatan khususnya bidang ilmu keperawatan yang berdasarkan kepada kebutuhan pasien secara total meliputi: kebutuhan fisik, emosi, sosial, ekonomi dan spiritual. Adapun penelitiannya mencakup 4 aspek ...