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CRITICAL APPRAISAL (Telaah Kritis)

Munfaridah Amaliyah/20101660114

judul Effect of dry heat versus moist heat on Episiotomy pain and wound healing

critical appraisal :
judul terdiri atas 14 kata
judul sangat simpel dan tidak disebutkan tempat penelitiannya

1. ABSTRAK
Absrtak harus sesuai dengan IMRAD yakni introduction, method, result, analytic, dan
discussion.
Introduction : Perineal trauma is a frequent complication to vaginal delivery
especially with episiotomy. Pain and discomfort related to episiotomy interfere with
women's daily activities during postpartum period.
Trauma perineum adalah komplikasi yang sering pengiriman vagina terutama dengan
episiotomi . Rasa sakit dan ketidaknyamanan yang berhubungan dengan episiotomi
mengganggu kegiatan sehari-hari perempuan selama periode postpartum
Method : Keeping this in mind, present comparative study on effect of dry heat versus
moist heat was aimed at relieving pain and promoting wound healing at the
episiotomy site
penelitian ini menggunakan penelitian studi banding atau comparative study..
Result : Findings of study revealed a highly significant difference between the groups
in terms of pain scores and wound healing [p<0.001 on day 7 and p<0.01on day 14
for pain scores] and [p<0.001 on day 7 and p<0.05 on day 14 for wound healing
scores] .
Temuan penelitian menunjukkan perbedaan yang sangat signifikan antara kelompok
dalam hal skor nyeri dan penyembuhan luka [ p <0,001 pada hari ke 7 dan p < 0.01on
hari ke-14 untuk skor nyeri ] dan [ p <0,001 pada hari ke 7 dan p < 0,05 pada hari ke-
14 untuk skor penyembuhan luka ] .
Analytic : Tool for pain measurement was modified numerical pain rating scale and
for wound healing was modified REEDA (Redness, Ecchymosis, Edema, Discharge,
Approximation) scale
Alat untuk pengukuran nyeri telah dimodifikasi skala rating nyeri numerik dan untuk
penyembuhan luka dimodifikasi Reeda ( Kemerahan , Ekimosis , Edema , Discharge ,
Approximation ) skala

Discussion Research setting included Maternity ward, Gynae ward, Clean labor room
and Gynae OPD at PGIMER, Chandigarh. Eighty-six subjects were enrolled by purposive
sampling and later on allocated randomly into two groups (group 1- dry heat, group 2-
moist heat). Tool for pain measurement was modified numerical pain rating scale and for
wound healing was modified REEDA (Redness, Ecchymosis, Edema, Discharge,
Approximation) scale.

2. PENDAHULUAN
Pendahuluan berisi Masalah,skala,kronologi dan solusi
Masalah : Having an episiotomy may increase perineal pain during postpartum
recovery, resulting in trouble defecating, particularly in midline episiotomies. In
addition it may complicate sexual intercourse by making it painful and replacing
erectile tissues in the vulva with fibrotic tissue. In cases where an episiotomy is
indicated, a mediolateral incision may be preferable to a median (midline)
incision, as the latter is associated with a higher risk of injury to the anal sphincter and
the rectum
Skala : A study reveals that sutured damage to the perineum occurs in at least 39% of
women being delivered and perineal wound breakdown is associated with perineal
edema. Recommendations based on the findings include a careful emphasis on
perineal hygiene, cryotherapy, elevation of the foot of the bed in the presence of
perineal oedema and regularly performed pelvic floor exercises

Kronologi : According to a study by Mary et al,perineal healing was compared
between 181 women with episiotomies and 186 women without episiotomies (tears &
lacerations) at one to two weeks after delivery.The results suggest that women without
episiotomies exhibit better perineal healing than women with episiotomies

Solusi : Although, dry heat with a hair dryer is being used in some of the patients with
perineal wounds in wards at Nehru Hospital, PGIMER, Chandigarh but researcher
could not find any research studies related to this intervention. Hence, it is impor tant
that healthcare professionals, who attend to new puerperas, know how to assess and
treat perineal pain. Considering the high rates of perineal trauma following vaginal
deliveries, we need to offer patients treatment alternatives for perineal pain, based on
scientific evidence. The present study is an effort in this direction.

Pendahuluan terdiri dari 6 paragraf

3. Metodologi penelitian
present comparative study on effect of dry heat versus moist heat was aimed at
relieving pain and promoting wound healing at the episiotomy site. Eighty-six
subjects were posive sampling and later on allocated randomly into two groups (group
1- dry heat, group 2- moist heat). Tool for pain measurement was modified numerical
pain rating scale and for wound healing was modified REEDA(Redness, Ecchymosis,
Edema, Discharge, Approximation) scale.

4. Hasil dan pembahasan
Untuk hasil tidak dijelaskan pada abstrak dengan jelas


5. Kesimpulan
Tidak terdapat kesimpulan.