JOURNAL:

EFFECT OF ACUPRESSURE THERAPY POINT HT 6 AND LI 4 ON POST

CESAREAN SECTIOS PAIN

CRITICAL REVIEW

(Evidence Based Nursing)

BY:

FAJAR NUSANTARA (13 110 11082)

HERU NUR CAHYANTO (13 110 11083)

PROGRAM STUDI S-1 KEPERAWARAN

FAKULTAS ILMU KESEHATAN
UNIVERSITAS MUHAMMADIYAH JEMBER
2017
A. JOURNAL RESUME & CRITICAL APPRAISAL

Title : Effect of Acupressure Therapy Point HT 6 and LI 4

on Post Cesarean Sectios Pain
Authors :
Desiyani Nani, Susio Maryati, Rizka Rahmaharyanti
Medip Academy (International Journal of Research
Publisher and Licensee :
in Medical Sciences)
Years : 2015
Website : www.msjonline.org

Background: Stimulation at acupressure point can activate three centre of

body control, there are spinal cord, midbrain, and pituitary to release
neurochemical such as endorphin, serotonin, and norepinephrine effect to
blockage pain. Cesarean sectios pain begins since decreasing of the effect
from anesthetical medication. Acupressure therapy at point HT6 and LI4
can activate these three centre of body control. So it is possible to reduce
pain sensation when stimulated both. This study was carried out to identify
the effects of HT 6 and LI 4 acupressure on sectio cesareas pain in post-
partum periods.

Methods: A single blind randomized clinical trial is performed on seven

eligible women who are at the beginning of post-partum periods. The
participants are matched duration after sectio cesarean before 24 hours,
nulliparas and multiparas. There is no additional administration of
analgesics during the study period. The women receive acupressure at HT 6
and LI 4 for 20 minutes. The severity of pain is measured by using the Visual
Analogue Scale for pain. Intensity of pain are measured before and
immediately after the intervention. Statistical analyses are perform using
SPSS 20.

Results: the rate of pain intensitys scale before and after treatment are
( 84,29 15,65) and (64,57 15,80). There are significant differences
between both of groups. The pain intensity after the intervention was
significantly decrease than pain intensity before (p = 0.04). There are
significant differences between the groups in subjective pain scale before
intervention and immediately after intervention. The pain intensities after
the intervention are significantly decrease than pain intensities before the
intervention (p = 0.04).

Conclusions: Acupressure at HT6 and LI4 point reduced the severity of

pain at the beginning of post partum periods after cesarean sectio. These
findings show that combination HT6 and LI4 acupressure are effective for
reducing esarean sectios pain. HT6 and LI4 acupressure can be an
effective nursing management for women in post partum periods.

Keywords: Pain, Delivery, Abdominal surgery, Maternal, Childbirth

CRITICAL
POINT CRITICAL APPRAISAL
APPRAISAL
Does the title meet the rules of title
writing?
TITLE
Whether writing a little using
punctuation (?) (!) or hyphen (-) ?
Whether the name of the author is
listhed?
Whether the origin of the authors
AUTHOR
institution is listed?
Whether the origin of the authors
institution in accordance with the little
of the study ?
YES NO CRITICAL RESULT
Said in the title has been memnuhi requirements
namely consist of <20 said , composition a short ,
solid and clear
The title in the medical journal has been in line by
not using question mark because not a question
This journal include origin institutions exactly
under the name of peneliti.penulisan the name of
the writer is in line with include full name right in
the bottom of the title research
This journal include origin institutions exactly
under the name of researchers
The institution writer derived from intitusi
education health so fit and closely related to the
topic research included in the field of research
nursing
 This journal according to ethics research because
there were publisher it was outlined formally and
ETHICAL Wheter the journal meets research ethics responsibility for the issuance of this journal

RESEARCH in publication? namely the international journal of research in
medical sciences , a publicist and licensee by
medip academy
Writing said in the abstract have met rules writing
the sum said a number of 221 said ( normal & lt;
whether abstract writing in accordance
ABSTRACT 250 said ) , but its content in the abstract is rich
with the rules of writing and complete?
enough with include the background , methods ,
results , conclusions , & amp; keywords
Science researchers is the health sciences so that
SCIENCE Whether the field of science researcher
already matches the title of the research that
AREAS in accordance with the title of research ?
discusses the topic of health.
In a journal this research researchers include some
LITERATUR Whether researchers includes literature
literature review as a source of in determining the
REVIEW review in his research ?
theory research
Whether researchers flash conceptual Researchers not showing the framework of a
CONCEPT
framework in his research ? concept in journal his research.
DESIGN
OPERATIONAL Whether the researchers cite the Definition operational not in show in in a journal

DEFINITION definition of oprasional on his research? by researchers .
This journal mention the purpose of his research
Did research purposes mentioned?
in accordance with the title and research mean
Researchers used design a single blind
Did design research according to a
randomized clinical trial who according to a
model research?
RESEARCH model his research kind of quasi experiment
METHODS Whether it is appropriate level of Design research in use in accordance with how to

evidence ( fact ) of a design research? researchers apply in the field related the data
To research the number of getting representative
Whether it is appropriate sample
sample not because the samples from & it <30,
selection in the survey ?
and without mentioning population
Data analysis on the show in the table as a result
DATA Whether researchers attach analysis of of the univariate comparison table and data

ANALYSIS data on research ? control group with the Group's treatment as a
result of data bivariat.
In any form that the results of the study Researchers presents the results of research in

RESULT OF served? table form and description
RESEARCH The researchers included what kind of Researchers in this journal does not include a kind
statistical tests used ? of statistical tests force
 The results of research on this journal it can be

Did research results could be applied in the field of nursing with proven that
implemented in nursing ? therapy akupresur point ht 6 and li 4 efketif in
lowering pain post sc on the post partum.
Related to this research in rekomedasikan in
Is there any specific recommendations health care to improve health services by

related results ? providing a non pharmacological therapy such as
acupressure therapy in lower pain post SC.
To research this there are 15 list library most of
Whether the library used up to date? which literature riview of journals out of date
(<2010)
Writing list library is in accordance with rule of
REFERENCES Do the list library who used in
writing and list library used as literature riview is
accordance ?
in line with the contents of discussion in research
Most of the list library obtained from official
Whether the library used from its trusted
website and book trusted and entitled publish the
?
journal
Conclusion to research is rich enough and
CONCLUSION representing a whole this discussion of starting
from end until the results of the study.
 Researchers in the medical journal this provides
advice to health providers to be able to apply
SUGGESTION
accupresure therapy in the management of pain in
patients post sc .
B. CONCLUSION

Acupressure at HT6 and LI4 point reduced the severity of pain at the beginning of

post partum periods after cesarean sectio. These findings show that combination HT6

and LI4 acupressure are effective for reducing esarean sectios pain. HT6 and LI4

acupressure can be an effective nursing management for women in post partum

periods.