Cold Compresses As An Intervention To Reduce Post Tonsillectomy Pain Intensity
Abstract
Introduction:Tonsillectomy is the most common procedure performed to treat tonsillitis. One of the clinical manifestations of this procedure is pain which occurs mediator released during surgery stimulates pain nerve endings, so pain management is necessary.Objectives: The aims of this study to analyzed cold compresses to reduce pain intensity in post-tonsillectomy patients
Methods: This research design was used a pre experiment with a one group pre test post test design approach, that conducted for months. July -August 2024, involving 17 post-operative patients in Room H2 RSPAL dr. Ramelan Surabaya, using purposive sampling. Data were analyzed using Friedman Test.
Results: The results showed that in the first 3 hours after tonsillectomy, the intensity of pain which was in range of 5-7 (median 6) decreased to 3-5 (median 3) after being given cold compress therapy for 10-15 minutes, with a p-value of 0.001 which indicated that this decrease is statistically significant. 3 hours after first intervention, pain intensity decreased again to 1-4 (median 3) after being given cold compress therapy, with a p-value (0.001).
Conclusions: This indicates that cold compresses are effective in reducing pain consistently at different times after surgery. The use of cold compresses as a non-pharmacological pain management method may be considered as part of the post-operative care protocol
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References
Anggraini, Ovi, and R. .. Fadila. 2021. “Pengaruh Pemberian Kompres Dingin Terhadap Penurunan Skala Nyeri Pada Pasien Post Operasi Fraktur Di Rs Siloam Sriwijaya Palembang Tahun 2020.” Jurnal Kesehatan Dan Pembangunan 11(21):72–80. doi: 10.52047/jkp.v11i21.101.
Arifin, Isni Azizah, Abdul Aziz, and Quirina Sumariyem. 2022. “Implementasi Kompres Dingin Terhadap Penurunan Intensitas Nyeri Pada Pasien Fraktur Patella Post Operasi Orif Ruang Cendana 1 Rsup Dr. Sardjito Yogyakarta.” Prosiding STIKES Bethesda 1(1):670–78.
Damanik, Erida, Rahayu Lubis, and Erna Mutiara. 2019. “Relatıonshıp Between Famıly Support And Qualıty Of Lıfe Among Type 2 Dıabetes Mellıtus Patıents At Hospıtal Pematangsıantar North Sumatera.” International Journal of Public Health and Clinical Sciences 6(6):50–61.
Handayani, Dewi Putri, Ida Nur Imamah, and Yani Indrastuti. 2024. “Penerapan Kompres Ice Gel Pack Untuk Penurunan Nyeri Pasien Pasca Operasi Fraktur Di Ruang Mawar RSUD Dr. Soehadi Prijonegoro Sragen.” Antigen : Jurnal Kesehatan Masyarakat Dan Ilmu Gizi 2(3):65–95. doi: 10.57213/antigen.v2i3.306.
Hardianto, Trio, Sapti Ayubbana, and Anik Inayati. 2022. “Penerapan Kompres Dingin Terhadap Skala Nyeri Pada Pasien Post Operasi Fraktur.” Jurnal Cendikia Muda 4(2):590–94.
Kandhi, Putu Wijaya, and Tissa Asabella Prihandini. 2023. “Hubungan Antara Usia Dengan Kualitas Hidup Penderita Tonsilitis Kronik.” Plexus Medical Journal 1(6):224–33. doi: 10.20961/plexus.v1i6.507.
Malorung, Anggarita, Anik Inayati, and Senja Atika Sari. 2022. “Penerapan Kompres Dingin Untuk Mengurangi Intensitas Nyeri Pada Pasien Post Operasi Di Rsud Jend. Ahmad Yani Metro.” Cendikia Muda 2:162–67.
Piko, Sari Octarina, Tuti Elyta, and Nurul Karomah. 2024. “Penatalaksanaan Kompres Dingin Terhadap Intensitas Nyeri Pada Asuhan Keperawatan Tonsilitis Kronis Dengan Tonsilektomi.” Vitamin : Jurnal Ilmu Kesehatan Umum 2(1):118–30. doi: 10.61132/vitamin.v2i1.78.
Shin, J. M., J. .. Byun, B. J. Baek, and J. Y. Lee. 2014. “Effect Of Cold-Water Cooling Of Tonsillar Fossa And Pharyngeal Mucosa On Post-Tonsillectomy Pain.” American Journal of Otolaryngology 35(3):353–56. doi: https://doi.org/10.1016/j.amjoto.2014.01.005.
Terkawi, A. .. 2017. “Cold Therapy In Pain Management: An Overview Of Its Benefits And Limitations In Post-Operative Care.” Journal of Pain Management 104:227–35. doi: https://doi.org/10.1007/s12170-017-9842-9.