The Implementation Of Splinting To Reduce Pain Intensity in Patients With Closed Fractures at The Emergency Department Of Panembahan Senopati Hospital
Abstract
Background: Closed fractures are common injuries that often cause severe pain and require prompt management. One of the non-pharmacological interventions that can be implemented is splinting. Splinting aims to reduce bone fragment movement, decrease muscle spasms, and alleviate pain.
Objective: To determine the effectiveness of splint application in reducing pain intensity among patients with closed fractures in the Emergency Department of RSUD Panembahan Senopati Bantul.
Method: This study used a descriptive case study approach involving a 60-year-old female patient diagnosed with a Closed Intertrochanteric Femur Fracture Dextra. Pain intensity was measured using the Numeric Rating Scale (NRS) modified with the Wong-Baker Faces Pain Scale before and after a 10-minute splint application.
Results: Prior to splinting, the patient reported a pain score of 6 (moderate). After the 10-minute splint application, the pain score decreased to 4, indicating a reduction in pain intensity following the intervention.
Conclusion: Splinting is effective in reducing pain intensity in patients with closed fractures. This intervention can be integrated as an initial non-pharmacological pain management strategy in emergency care settings.
References
Amrulloh, M. (2023). The effect of splinting on the pain scale of fracture patients in the emergency department of Banjarnegara and RSUD Hj. Anna Lasmanah Banjarnegara (Undergraduate thesis, Universitas Muhammadiyah Purwokerto), 2–75.
Bahrudin, M. (2018). Pathophysiology of pain. Saintika Medika, 13(1), 7. https://doi.org/10.22219/sm.v13i1.5449
Devi, N. S., Maftuhah, M., Khasanah, U., Nurokhman, N. R., & Purbaningsih, E. S. (2024). Nursing care for Mr. S diagnosed with pulmonary tuberculosis (TB) in the emergency department of Gunung Jati Hospital, Cirebon City. Al Makki Health Informatics Journal, 2(4), 240–245. https://doi.org/10.57185/hij.v2i4.23
Dewi, N. P., Susanti, M., Vani, A. T., Nova, R., Widiastuti, W., & Baiturahmah, U. (2022). Right mandibular fracture in traffic accident patient. Jurnal Kewarganegaraan, 6(4), 7093–7099.
Dharmapala, E., & Puspitayani, I. G. A. M. (2022). Epidemiology, risk factors, and pre- and post-fracture counseling of distal radius fracture caused by low-energy trauma. Ganesha Medicine, 2(1), 57–65. https://doi.org/10.23887/gm.v2i1.47028
Dinas Kesehatan Daerah Istimewa Yogyakarta. (2020). Health Profile of Yogyakarta Special Region 2020.
Donny, N., Mataputun, R., & Waras, S. S. (2023). The effect of cold compresses on postoperative pain in fracture wounds. Journal of Nursing Science, 5, 53–63.
Elhawary, H., Baradaran, A., Abi-Rafeh, J., Vorstenbosch, J., Xu, L., & Efanov, J. I. (2021). Bone healing and inflammation: Principles of fracture and repair. Seminars in Plastic Surgery, 35(3), 198–203. https://doi.org/10.1055/s-0041-1732334
Faidah, N., & Alvita, G. W. (2022). The effect of splinting on pain levels in fracture patients in the emergency department of RSUD Dr. Loekmono Hadi Kudus. Jurnal Profesi Keperawatan, 9(1), 1–9. http://jurnal.akperkridahusada.ac.id
Febrina, T. Y., Permana, H. H., Aglusi, I., & Badri. (2023). Case study of a closed right clavicle fracture with acute pain. Ensiklopedia of Journal, 5(2), 376–383.
Geu, Y., Mardiyono, M., & Sudirman, S. (2024). Decrease in pain degree of lower extremity closed fracture patients using three-side splinting (Issue 22).
Jour, A., & Phar, H. (2024). Asian Journal of Hospital prospective cohort study, 1–6.
Kepel, F. R., & Lengkong, A. C. (2020). Geriatric fractures. E-Clinic, 8(2), 203–210. https://doi.org/10.35790/ecl.v8i2.30179
Lemone, P. (2014). Medical-Surgical Nursing.
Mahartha, R. G., Maliawan, S., & Kawiyana, K. S. (2013). Management of musculoskeletal fracture trauma. OJS Unud, 1–13.
Permatasari, C., & Sari, I. Y. (2020). Benson relaxation therapy to reduce pain in patients with left femur fracture: A case study at Bethesda Yakkum School of Health, Yogyakarta. Jurnal Keperawatan Merdeka, 2(2), 216–220.
Platini, H., Chaidir, R., & Rahayu, U. (2020). Characteristics of lower extremity fracture patients. Jurnal Keperawatan ’Aisyiyah, 7(1), 49–53. https://doi.org/10.33867/jka.v7i1.166
Pobi, T., Thalib, A. H. S., & Korespondensi, A. (2024). Implementation of splinting on pain intensity in lower extremity fracture patients at Tk. II Pelamonia Hospital. Journal of Nursing Practice, 14, 520–525. https://journal.stikmks.ac.id/a
Putri Meliana, B., & Budi, A. W. S. (2024). The effect of splint application and deep breathing relaxation on pain reduction in fracture patients. Jurnal Penelitian Perawat Profesional, 6, 4–4. http://jurnal.globalhealthsciencegroup.com/index.php/JPPP
Rachman, T., Rahmadian, R., & Rusjdi, S. R. (2023). Fracture management pattern of femur fractures at Dr. M. Djamil Padang Hospital in 2020. Jurnal Ilmu Kesehatan Indonesia, 4(2), 81–87. https://doi.org/10.25077/jikesi.v4i2.624
Rahayu, S., Fauziah, S., Fajarini, M., Setiyaningrum, W., Wahyu, M., Puspa, K., Tiana, D. A., Hadawiyah, E., & Sinta, A. (2022). Application of murrotal therapy as a non-pharmacological intervention to reduce pain. JMM (Jurnal Masyarakat Mandiri), 6(4), 2903. https://doi.org/10.31764/jmm.v6i4.9236
Ramadhan, S., Irawati, D., Maria, R., & Arista, L. (2024). Effectiveness of hypnotherapy in pain management for musculoskeletal disorders. Journal of Telenursing (JOTING), 6(1), 1519–1526. https://doi.org/10.31539/joting.v6i1.10043
Septiani, T. A., Olivia, N., & Sayfrinanda, V. (2023). Nursing care of a closed fracture patient with comfort and pain disturbances through cold compress intervention at Tk II Putri Hijau Medan Hospital. SENTRI: Jurnal Riset Ilmiah, 2(5), 1401–1405. https://doi.org/10.55681/sentri.v2i5.820
Sudarta. (2022). No title. 16(1), 1–23.
Suswitha, D., & Arindari, D. R. (2020). The effect of first aid emergency simulation on fracture management knowledge. Jurnal Ilmiah Multi Science Kesehatan, 12(1), 97–109.
RSUD Panembahan Senopati. (n.d.). Splinting Standard Operating Procedure (SOP).
Yazid, B., & Sidabutar, R. R. (2024). The effect of splinting on pain scale reduction in fracture patients at Sundari General Hospital Medan. JINTAN: Journal of Nursing Science, 4(1), 36–45. https://doi.org/10.51771/jintan.v4i1.688
Yunus, P., & Umar, A. (2021). Knowledge and nurse roles in musculoskeletal trauma management at the emergency room of Dr. MM Dunda Limboto Hospital. Zaitun (Journal of Health Sciences), 8(2), 824. https://doi.org/10.31314/zijk.v8i2.1103
Zukhri, S., Kasuningrum, P. R., & Riyanto, B. (2018). The effect of splinting on pain reduction in closed fracture patients. The 1st Conference of Health and Social Humaniora, 1(1), 140–144.
