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Effects of Massage and Acupressure On Relieving Labor Pain, Reducing Labor Time, and Increasing Delivery Satisfaction

1. A randomized controlled trial found that massage and acupressure at acupuncture points LI4 and SP6 can reduce labor pain and shorten labor duration compared to routine care. 2. The characteristics of patients in the study were similar to patients that may be seen in practice. Acupressure interventions could potentially be applied in most clinical settings given their low risk. 3. While the study results suggest benefits, patient values and preferences would need to be considered in deciding whether to recommend these interventions in a particular case.

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Nuryn Uridha
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29 views

Effects of Massage and Acupressure On Relieving Labor Pain, Reducing Labor Time, and Increasing Delivery Satisfaction

1. A randomized controlled trial found that massage and acupressure at acupuncture points LI4 and SP6 can reduce labor pain and shorten labor duration compared to routine care. 2. The characteristics of patients in the study were similar to patients that may be seen in practice. Acupressure interventions could potentially be applied in most clinical settings given their low risk. 3. While the study results suggest benefits, patient values and preferences would need to be considered in deciding whether to recommend these interventions in a particular case.

Uploaded by

Nuryn Uridha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Lembar Kerja EBM (Evidence Based Medicine) Terapi

Effects of Massage and Acupressure on Relieving Labor Pain, Reducing Labor Time,
and Increasing Delivery Satisfaction

1. Apakah hasil penelitian valid?

Apakah pasien pada penelitian dirandomisasi? Ya.


“This randomized controlled trial was carried
out in a women's health, education, and
research hospital between August 8,2012, and
March 8, 2013.”
Apakah cara melakukan randomisasi Tidak.
dirahasiakan? “The participants were assigned randomly to
the three intervention groups and one control
group. Those in the control group continued to
receive routine care from the hospital. The
simple full randomization method was used for
group assignments. To determine the order of
application, the names of the study groups
were written on a piece of paper 30 times by
the researcher and the groups were selected
randomly by drawing lots. The massage and
acupuncture interventions were conducted by a
single researcher to ensure uniformity.”
Apakah follow-up kepada pasien cukup Tidak.
panjang dan lengkap? Dalam penelitian tidak dijelaskan bagaimana
follow up pada pasien setelah dilakukan
intervensi.
Apakah pasien dianalisis di dalam grup di Ya.
mana mereka dirandomisasi? “Analyses were performed using IBM SPSS
Statistics Version 22.0 (IBM Inc., Armonk, N
Y, USA). All analyses of the research were
made based on a 95% confidence level and 5%
Type I error. Frequency and percentage
calculations, chi-square test,Tukey's honestly
significant difference (HSD) test , and one-way
variance analysis were used to analyze the
data.”

Apakah pasien, klinisi, dan peneliti blind Tidak.


terhadap terapi? Dalam jurnal tidak dijelasin apakah pasien,
klinisi dan peneliti mengetahui atau tidak
jalanya penelitiannya.
Apakah grup pasien diperlakukan sama, selain Ya.
dari terapi yang diberikan?
Apakah karakteristik grup pasien sama pada Ya.
awal penelitian, selain dari terapi yang “The participants had a mean age of 23.4 years
diberikan? and a mean marriage duration of 20.8 months.
More than three quarters(79.2%) had not
reached the 40th gestational week of
pregnancy, and 96.7% of the pregnancies were
planned. Almost all reported not attending any
antenatal preparatory training (98.3%) or
receiving education about how to deal with
labor (95%). Three quarters (76.7%) reported
being afraid of labor, 74.5% reported being
afraid of severe pain, 54.3% repo rted being a
fraid that their baby's he alth would deteriorate,
and 24.5% reported being afraid of the delivery
room. Although most participants stated a fear
o f l abor pain, 91.7% did not have a coping
plan. Oxytocin was used in 3 2.5% of the
participants in this tudy.”

2. Apakah hasil penelitian yang valid dan penting tersebut applicable (dapat diterapkan)
dalam praktek sehari-hari?

Apakah hasilnya dapat diterapkan kepada pasien kita?


Apakah karakteristik pasien kita sangat Ya.
berbeda dibandingkan pasien pada penelitian Kriteria pasien kita sama dengan yang ada pada
sehingga hasilnya tidak dapat diterapkan? penelitian yaitu ibu yang dalam fase aktif
persalinan dan mengalami hyeri persalinan.
Apakah hasilnya mungkin dikerjakan di tempat Mungkin.
kerja kita? Karena akupresur sangat mudah dilakukan dan
tidak memiliki efek yang berbahaya pada diri
ibu.

Apa kemungkinan benefit dan harm dari terapi tersebut?


Apakah value dan preferensi pasien dipenuhi dengan terapi ini?
Apakah kita dan pasien kita mempunyai Dengan adanya telaah jurnal ini, kita memiliki
penilaian yang jelas dan tepat akan value dan penilaian yang jelas bahwa dengan adanya
preferensi pasien kita? akupressure LI4 dan SP6 untuk menurunkan
intensitas nyeri yang dialami ibu bersalin.
Tetapi untuk value dan preferensi pasien
dikembalikan kepada pasien tersebut, karena
setiap pasien berbeda-beda.
Apakah value dan preferensi pasien kita Seperti yang telah di jelaskan, semua pilihan
dipenuhi dengan terapi yang akan kita berikan? dikembalikan lagi kepada pasien, apakah
pasien merasa nyaman jika dilakukan
rangsangan puting ataupun kurang menyukai
intervensi tersebut.

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