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Introduction: Breast milk is a source of nutrients that are needed by the baby. Breast milk production&#13;
can be increased by breast care, one of them with a rolling massage. Health cadres as the spearhead&#13;
of health services have an important role in improving knowledge for postpartum mothers in the&#13;
rolling massage. The aim of this study was to determine the effectiveness of rolling massage training&#13;
&#13;
towards cadre skill at Puskesmas Multi Wahana Palembang 2016. Method: The study used pre-&#13;
experimental with pre-posttest only design and conduct at Puskesmas Multi Wahana Palembang on&#13;
&#13;
October 2016. Total population was all cadres and obtained 38 samples by using total sampling.&#13;
Independent variable was rolling massage training and dependent variable was cadre skill. Instrument&#13;
used observation sheet and analysis with Wilcoxon Signed Rank Test. Result: The result showed&#13;
there was influence of rolling massage training towards cadre skill (p=0.000). Discussion: Rolling&#13;
massage training can have a positive impact on the smooth of breast milk, so for health cadres who&#13;
are trained in the rolling massage can disseminate to postpartum mothers. Other researchers can be&#13;
combining the rolling massage therapy with other therapies.</text>
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                <text>Pengaruh Pemberian Kompres Dingin Terhadap Nyeri pada Pasien Fraktur&#13;
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                <text>Fraktur merupakan ancaman potensial maupun aktual terhadap integritas seseorang, sehingga akan mengalami&#13;
gangguan fisiologis salah satunya respon berupa nyeri. Nyeri pada pasien fraktur salah satunya disebabkan karena&#13;
spasme otot. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian kompres dingin terhadap nyeri pada&#13;
pasien fraktur ekstremitas tertutup. Penelitian ini merupakan jenis penelitian eksperimen dengan desain one group pre&#13;
test-post test yang dilaksanakan pada 31 Mei sampai 14 Juni 2012 dan bertempat di ruang Instalasi Gawat Darurat&#13;
RSUP Dr Mohammad Hoesin Palembang. Teknik pengambilan sampel dalam penelitian ini menggunakan non random&#13;
sampling dengan metode porposive sampling yaitu berjumlah 15 sampel. Dari hasil penelitian didapatkan nilai rata-rata&#13;
nyeri sebelum dilakukan kompres dingin adalah 6,40 dengan standar deviasi 0,99 dan rata-rata skala nyeri setelah&#13;
dilakukan kompres dingin adalah 3,53 dengan standar deviasi 1,30. Hasil analisis data yang dilakukan menggunakan uji&#13;
T berpasangan atau Paired T-test, ada perbedaan antara nyeri sebelum dan setelah pemberian kompres dingin pada&#13;
pasien fraktur ektremitas tertutup. Hasil ini menunjukkan adanya pengaruh pemberian kompres dingin terhadap nyeri&#13;
pada pasien fraktur ektremitas tertutup. Disarankan kepada perawat di Instalasi Gawat Darurat agar dapat&#13;
mengaplikasikan intervensi kompres dingin untuk mengurangi nyeri pada pasien fraktur ekstremitas tertutup.</text>
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