PROPOSAL

EXAM
 THE EFFECT OF RED GINGER COMPRESS (ZINGIBER OFFICINALLE LINN
VAR.RUBRUM) ON THE INTENSITY CHANGE OF OSTEOARTRITIS IN AGRICULTURE
IN THE REGION OF THE SOUTHWEST CENTRAL PUSKESMAS IN 2018

CREATED BY :
NENI NUR’AENI
NPM: 213114123

STUDY PROGRAMME OF NURSING SCIENCES (S1)

SCHOOL OF HEALTH SCIENCES
JENDERAL ACHMAD YANI CIMAHI
2018
 CHAPTER II CHAPTER III
CHAPTER 1
BACKGROUND LITERATURE METODOLOGI
REVIEW RESEARCH
18.1 million people CHAPTER I Elderly population =
(7.6% of the total BACKGROUND Problems that occur:
population) Decrease in organ
TITLE
function is HERE
2014: Population osteoarthritis
the main signs
reaches 18.781 million and symptoms
people are joint pain

2025: the number will

reach 36 million
inhabitants (Abikusno,
2013).
Government
Policy in Law no Number of
13 of 1998 osteoarthritis
sufferers
Do you know the effect of Osteoarthritis disease???
NEXT
effect 1. Influence mobility and
activities that are vital to the
total health of the elderly.
2. Decline in quality of life such
as fatigue,
3. Decrease the range of
gestures  
4. Pain in movement, so its
systemic effect will result in
organ failure and
5. Death (Masyhurrosyidi,
2014).
 Pharmacological

Non pharmacological
pain management: red •Compress
ginger compers
(Zingiber Officinalle
the red
Linn Var.Rubrum ginger
Data of the
City Health Comparative Puskesmas Most Elderly
Office study Cimahi Selatan Population Age
Cimahi

Divided into 3 categories:

1. Midle age: age group 45-59 years with the number of
4 from • Joint pain in the 1.412 Elderly men as many as 7 people and women as many as 325
morning people.
10 • And feel so hard to 2. Elderly (elderly) between 60-69 years with the
patient do activity number of men as many as 221 people and women as
much as 424 people.
3. Old advanced age (old)> 70 years with the number of
3 from • Pain Difficulty in men as many as 200 people and women as many as
morning or 254 people.
10 afternoon
patien activities

• When the pain

arrives, the patient
2 from immediately takes
10
the medicine Disease Age Group
doctor
patien • Pain disappears as
Total
the effect of the 20-44th 45-54th 55-59th 60-69th >70th
drug is still present
1 from When the pain is felt, the Osteoarthr L P L P L P L P L P
10 mother immediately
patien provides heat therapy
with balm or freschcare itis 1 14 6 30 3 23 8 46 11 22
 General
Purpose Benefits
Knowing Theoretical
the
effect

Problem Benefits
Research Researc For the
formulation purposes h Elderly
Is there
any effect

Benefits
Special Practical
purpose For Puskesmas
:

For Further
Researchers
CHAPTER II
Element Three
Element One Element Two

LITERATURE OSTEOARTRITIS
REVIEW BASIC BASIC CONCEPTS
CONCEPTS PAIN
CONTINUE CONCEPT
AGE

Element Four Element Five Element Six

RESEARCH
COMPRES COMPRESS
S RED GINGER
THE CONCEPT GINGER RED
OF RED
GINGER

CONCEPTUAL FRAMEWORK
 CONCEPTUAL FRAMEWORK
Osteoarthritis

Pharmacological therapy
Non pharmacological
Main symptoms: Painful
joints.
Warm therapy: Red Ginger compress
(Zingiber Officinalle Linn Var.Rubrum)
Vasoconstriction in the
knee area
Content:
Gingerol
Vasodilation, improves
Pounded and mixed with hot water
with temperature 100'c
blood flow

Pain is
shogaol and
reduced
zingerol.
Hot and
spicy
Compress into the pain area
(Knee) for 30 minutes. Gambar 2 6 : Conceptual framework
Sumber : Yunita (2013), Puspaningtyas (2013) dan Masyhurrosyidi (2014)
 CHAPTER III
METODOLOGI RESEARCH
1. Research paradigm

Variabel Independen Variabel

Dependen
Non Pharmacological
Therapy:
1. Physical therapy
2. Spinting
3. Cool bundled apps,
4. Paraffin wax dips, and
5. Heat: Red ginger
compress (zingiber Decreased Intensity of
officinalle linn var.rubrum) Joint Pain in Osteoatritis

Information :
: Variable not examined
: Variable studied
Figure 3 1: Research Concept Framework
Source: Harmilah (2012), Utami & Pusoaningtyas (2013)
2. Research design
Praeksperimen One Group Pre test Post test Design Time Series

Pre test Intervention Post test

01 X1, X2, X3 02

(Pre test of pain scale) (Intervention with warm ginger compresses) (Pre test of pain scale)

Source : Notoatmojo (2012)

Information :
Before performing the action: 01
Treatment / Action / Intervention: Intervention done 3x namely: X1, X2, X3
After the action: 02
3. RESEARCH HYPOTHESIS
Ho: No influence of Red Ginger Compress
(Zingiber Officinalle Linn Var.Rubrum) on
changes in the intensity of osteoarthritis pain
in the elderly in the Working Area
of ​Puskesmas Cimahi Selatan
Research Hypothesis

Ha: There is the effect of Red Ginger

Compress (Zingiber Officinalle Linn
Var.Rubrum) to changes in the intensity of
osteoarthritis pain in the elderly in the
Working Area of ​Cimahi Selatan (Sugiono,
2017).
 Definition conseptual and operasional
Variable Conseptual Definition Operasional Definition Instrument Result Scale
Compress means giving a Provide heat therapy with the Standard - -
Independent warm feeling to the client by application of warm compresses in Operating
Red ginger using fluids or warm-hearted collaboration with herbs: red Procedure
compress apparatus on certain body partsginger (Zingiber Officinalle Linn (SOP)
(Zingiber that need it (Fanada, 2012). Var.Rubrum) on elderly joint pain
Officinalle Linn with temperature 40'C for 30
Var.Rubrum) minutes and done as much as 3x
intervention in 3 days, 1 day
interval.
Pain is a personal, subjective The degree of discomfort in Verbal Pain scale Ratio
Dependent experience, influenced by the joint, especially the knee descriptor (0-10)
pain intensity culture, one's perception, that is felt by someone who scale (VDS) With the
attention, and other lowest
is potential or actual due to score is 0
psychological variables,
sustained the occurrence of damage.
(zero) and
which disrupt
the highest
behavior and motivate Pain is usually felt in the score is 10
everyone to stop the taste morning and is doing the
(Andarmoyo, 2013). activity
 Information :
 
n= Zα: standard deviation alpha (Type I error of one-way hypothesis set 5%, so
Z = 1.645)
Zβ: standard deviate beta (Type II error set 1%, so Zβ = 2.57)
S: standardized 2,319 combined intersection taken from previous research
X1 - X2: minimum mean difference considered significant (2.6)
The calculation
results :
n = [(1.645 + 2.57) 2.319 / ((2.6))] ^ 2
n = [9.77 / 2.6] ^ 2
n = 14.06 n = 14 people

Dropout = 10% × number of Dropout = 10% x 14.06

samples = 1.406
= 1 person
Initial sample + dropout = 14 + 1 = 15 people
Inclusion criteria:
1. Elderly aged 60 and older, according to the age limit
according to Act No. 13 of 1998 on elderly welfare in Chapter I
Article I paragraph 2, which means elderly is someone who
reached the age of 60 years and above.
2. Elderly in a state of osteoarthritis joint pain Patients with pain
intensity 1-3: mild, and 4-6: weight, of scale (0-10)
3. Not taking analgesic drugs in the last 12 hours.
Exclusion criteria:
1. Elderly there are injuries to painful joints
2. Not willing to be a respondent (Sugiono, 2017)
 Data collection technique
Research instrument

Collecting respondents
indoor Verbal descriptor scale
Preliminary data collection (VDS)
•as a pre test of the scale of
pain felt by respondents
Red Ginger 20gr
with VDS tools

Intervention intervention
Small towels,
Second observation is grater,
measurement of post test
pain scale by using VDS sheet 100'c warm water
and a knife.
 a t a
D try
E n S cor i ng
.
PROCESSI
NG AND
ANALYSIS
OF DATA Cleaning
Editing
04
NEXT Data Analysis

Univariate Analysis According to

Riyanto (2011), in calculating the
mean using the formula:
Average (mean): Bivariate Analysis
Dependent T-Test:
ẋ = (Σ1▒ _ ) /

Information:
ẋ = Mean
Σ1▒ _ = Amount of each data
N = Amount of data
•Research ethics
•The principle of respect for human rights
•The principle of justice
•Principles of benefit
LOCATION AND TIME OF STUDY
The planned implementation of
the research will be carried out
at the Community Health
Center in the likes of the Cimahi
Selatan Community Health
Center. The data collection plan
will be implemented in March
2018.
ALHAMDULILLAH
THANKS