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All Journal International Journal of Public Health Science (IJPHS) NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Nurse Media Journal of Nursing Jurnal NERS Jurnal Luka Indonesia Nursing Current : Jurnal Keperawatan Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Nurse and Health: Jurnal Keperawatan International Journal of Nursing and Health Services (IJNHS) Journal of Health Sciences Community Development Journal Jurnal Keperawatan :Jurnal Penelitian Disiplin Ilmu Keperawatan Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Babali Nursing Research Ners Muda Jurnal Ilmu Kesehatan MAKIA Journal of Vocational Nursing Journal Nursing Research Publication Media (NURSEPEDIA) Makara Journal of Health Research Jurnal Ilmu Kesehatan MAKIA Jurnal Keperawatan Soedirman Jurnal Sinergi Kesehatan Indonesia Pena Nursing
Satriya Pranata
Faculty Of Nursing And Health Sciences, Universitas Muhammadiyah Semarang, Semarang City, Central Java, Indonesia
Humanities Education Health Professions Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Journal : NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan

 1 
Different Pain Level Of Diabetes Mellitus Patients With Peripheral Neuropathy Who Have Been Given Tens And Deep Breathing Interventions In Diabetic Foot Ulcer Treatment In Yogyakarta General Hospital SATRIYA PRANATA
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 3, No 2 (2017): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.3.2.11-19

Abstract

Introduction : Regular intervention of diabetic  foot ulcers is wound care. Patients often complain of pain when nurse performs wound care. If the pain is not resolved it will result in anxiety feeling. A routine intervention conducted so far is intra-breath in intervention to reduce pain, as it is expected by reducing the pain it will be followed by a decrease of patients’ anxiety. Intra-breath intervention has not been able to reduce pain quickly on a moderate scale, especially high-scale so it is necessary to find out other alternative interventions. The available comparative intervention is TENS. The purpose of this study is to know the difference between intra-breath and TENS intervention in the level of anxiety in diabetic patients with peripheral neuropathy in diabetic foot ulcer treatment. Method : This study used RCT method on 28 respondents divided into 14 intervention groups and 14 control groups. The anxiety of respondents was assessed using Hamilton Scale of Anxiety tools before and after conductin TENS intervention and intra-breath. TENS intervention was given for 15 minutes at a frequency of 100 Hz and intra-breath was given until the wound care intervention was completed. Result : The results showed that there was significant average difference of anxiety level between the use of TENS intervention and the use of intra-breath intervention in intervention group and the control group with value of P <0.05. TENS can reduce the level of anxiety with the value of P 0.000, while intra -breath is able to lower the level of anxiety with the value of P 0.006. Discussion : The respondents admitted the difficulty of experience maximum relaxation when wound care is done, this condition is related to the comfortable position of respondents. When wound care is done, the respondents can not relax maximaly because many of the foot that has ulcers should be padded with a pillow to maximize the treatment. Provision of TENS with a frecuency of 100 Hz is corresponding to the body’s bioelectricity, the patients that receive TENS intervention may become more rrelaxed with endorphine hormone release and decreasing of pain because the electricity blocks pain implans in the neural tube.
THE EFFECT OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) TOWARDS WOUND HEALING SATRIYA PRANATA
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 2, No 2 (2016): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.2.2.1-12

Abstract

Background: Instead of reduce pain, TENS is also capable of stimulating the peripheral nerves to work optimally and improving blood circulation where the electrodes are applied. Having good blood circulation enhances good wound healing as well. The decrease in pain level will boost the immune system thus the wound healing can also be improved. It needs further studies on the effect of TENS on wound healing. Objective: The research aimed to explore specific effect of TENS on wound healing. Methodology: The research was conducted by using Science Direct article, Medline, Google Search and Pro Quest to find articles which are appropriate with inclusion and exclusion criteria to be reviewed. Results: The necrosis cases of the post-operative wound were higher in the control compared to the intervention group, there were no complications with significant p-value of (P <0.0001). There were differences in the provision of TEENS with additional of heat protocol before, during and after the intervention towards the blood circulation with the significance p value of (P, 0.05). Good granulation occurs, the hair follicle grew well and Pro-inflammatory declined (TNF-α) with the significance p-value of (P <0.05). The comparison of necrosis percentage in five groups were 43.88%, 39.20%, 38.57%, 32.14% and  44.13% in G1 to G5 respectively. The statistical tests proved the TEENS intervention in group G4 was more effective with the significance p value of  0.032. The TENS with frequency of 10 Hz is more effective compared to 100 Hz TENS and control groups who received placebo towards the adrenergic receptor. TENS intervention at a dose of 100 Hz can improve the reactivity of venous blood circulation well. The amount of oedema in the wound is reduced and capillary refills 2 seconds with the significance p-value of (P <0.001) significantly. Discussion: TENS at a frequency of 10 Hz to 100 Hz is the bioelectrical body frequency. At low frequencies, it will be able to stimulate the secretion of endorphin hormone so the patients who received TENS intervention can be more relaxed and feel better as the pain is relieved. The immune system works well and can help the wound heals properly by inhibition of inflammatory factor. Conclusions: TENS therapy is proven to help wound healing. TENS equipment is available everywhere, easy to use, economical, does not cause addiction, and can be given at any time with fewer side effects to the patients. The results of the study cannot be generalised yet. Further research is needed. Keywords: Transcutaneous Electrical Nerve Stimulation, wound healing, literature review.
Co-Authors Ade Jundy Fahri Prahastyo Adekutari Pratiwi Adelia Putri Nur Maharani Agung Subakti Nuzulullail Amin Samiasih Ananda Badi'atul Firdaus Anie Yuliastuti Anna Kurnia Aric Vranada Aric Vranada Aric Vranada Arief Yanto Breaden, Katrina Chanif Chanif Chanif Chen, Miao-Yen Chia-Jung Hsieh Dewa Gede Sanjaya Putra Dewa Gede Sanjaya Putra Difran Nobel Bistara Edy Soesanto Erien Luthfia Ernawati Ernawati Eva Berthy Tallutondok Evi Gustia Kesuma Farenzi Budi Setiaprabhawa Fathra Anis Nauli Fenia Hadi Kusuma Atmaja Hei-Fen Hwang Hendri Purwadi Hendri Purwadi Hendri Setiawan Herlina Wulandari Herlinda Wulandari Herlinda Wulandari Herlinda Wulandari Hidayat, Jufri Huang, Xuan-Yi Jiin-Ru Rong Jufri Hidayat Khani Fatul Khusna Khani Fatul Khusna Khoiriyah Khoiriyah Kuo-Cheng Lu Lin, Hung-Ru Linda Lisarni Losa Nia Pradana M. Aryan Tsaqif Marthiningsih Marthiningsih McCloud, Christine Miao-Yen Chen Mira Utami Ningsih Mohammad Fatkhul Mubin Muhammad Hasbi Ninin Irani Novita Andaresta Putri Novita Andaresta Putri Nur Fadlilah Nurul Huda Pashar, Imran Pratiwi Rahayu Priyo Sasmito Purwadi, Hendri Risnatun Hasanah Risnatun Hasanah Riza Umami Rong, Jiin-Ru Shofi Roossalina Mustikasari Shu-Fang Vivienne Wu Shu-Fang Vivienne Wu Shu-Yuan Liang Siti Juhro Siti Juhro Sri Rejeki Syafika Putri Alya Tsae-Jyy Tiffany Wang Vranada, Aric Wei, Shiow-Jing Xuan Yi Huang Ya-Ling Shih Yeu-Hui Chuang Yulia Dwi Prawinda Yunie Armiyati Yunie Armiyati Zamzam Fahlapi