Elevasi 20 Derajat untuk Menurunkan Pembengkakan dan Nyeri Pasca Bedah Open Reduction and Internal Fixation Ekstremitas Bawah.

Translated title of the contribution: 20-DEGREE ELEVATION TO REDUCE SWELLING AND PAIN AFTER LOWER EXTREMITY OPEN REDUCTION AND INTERNAL FIXATION SURGERY

Eni Purwanty, Riri Maria, Masfuri

Research output: Contribution to journalArticlepeer-review

Abstract

Surgery for open reduction and internal fixation (ORIF) causes tissue swelling and pain in the surgical area. Swelling and pain can be reduced by performing distal elevation in the area of surgical ORIF. This study aimed to determine the effect of a 20° elevation on swelling and pain level of patients after surgery for ORIF of the lower extremities. A quasi-experi-mental design with one intervention group (pretest and posttest) and one control group was implemented. Thirty-four post-operative ORIF patients treated in one hospital in South Sumatera met the inclusion criteria and were divided into intervention and control groups. Swelling circumference was measured using tape meters, and pain level was assessed with a numeric rating scale. Dependent t-test, independent t-test, and Pearson correlation were applied for data analysis. Results showed that the average difference in swelling circumference and pain level between pre and post intervention was 1.93 ± 0.25 and 1.29 ± 0.35, respectively. Significant differences were found in the mean swelling circumference and pain level between the intervention and control groups (p = 0.000). Therefore a 20° elevation of lower extremity on the second day after ORIF for two days can be an alternative for nursing intervention to reduce swelling and pain.

Translated title of the contribution20-DEGREE ELEVATION TO REDUCE SWELLING AND PAIN AFTER LOWER EXTREMITY OPEN REDUCTION AND INTERNAL FIXATION SURGERY
Original languageIndonesian
Pages (from-to)131-139
Number of pages9
JournalJurnal Keperawatan Indonesia
Volume24
Issue number3
DOIs
Publication statusPublished - Nov 2021

Keywords

  • Elevation
  • Lower extremity
  • Open reduction and internal fixation
  • Pain
  • Swelling

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