Efektivitas Kompres Dingin dalam Menurunkan Intensitas Nyeri pada Pasien Fraktur: Scoping Review
DOI:
https://doi.org/10.62383/ikg.v3i1.2824Keywords:
Cold Compress, Effective Cryotherapy, Fracture Pain, Nursing Practice, Pain ManagementAbstract
Cold compresses or cryotherapy are one of the non-pharmacological therapies often used in nursing practice to help reduce pain, especially in patients with fractures. Fractures are often accompanied by acute pain that can inhibit mobilization, prolong recovery time, and reduce patient comfort. Therefore, a safe, effective, and easy-to-use pain management method is needed. This article was compiled with the aim of identifying and mapping scientific evidence regarding the effectiveness of cold compresses in reducing pain intensity in fracture patients. This study used the Arksey and O'Malley model in conducting the analysis, with articles searched through PubMed, ScienceDirect, and Google Scholar for the 2021–2025 publication period. The article selection process followed the PRISMA flow. A review of ten articles showed that most studies used quantitative designs, both experimental and quasi-experimental. The results of the analysis of 11 articles consisted of 8 quantitative articles with experimental and quasi-experimental designs, while 2 articles were case studies. These articles generally discuss the effectiveness of cold compresses in reducing pain intensity in fracture patients using various measurement instruments, such as NRS, VAS, Wong-Baker Faces Scale, and Bourbanis Pain Scale. In addition to reducing pain, several studies also reported that cold compresses can reduce edema, increase mobility, and improve patient comfort. However, variations in the duration, frequency, and method of cold compress application were still found, so there is a need to develop a more standardized protocol in nursing practice.
References
Akbaş, İ., Doğruyol, S., Koçak, A. O., Doğruyol, T., Koçak, M. B., Gür, S. T. A., & Çakır, Z. (2023). Effect of coolant spray on rib fracture pain of geriatric blunt thoracic trauma patients: A randomized controlled trial. Revista da Associação Médica Brasileira, 69(1), 30–36. https://doi.org/10.1590/1806-9282.20220048
Anggraini, O., & Fadila, R. A. (2021). Pengaruh pemberian kompres dingin terhadap penurunan skala nyeri pada pasien post operasi fraktur di RS Siloam Sriwijaya Palembang tahun 2020. Jurnal Kesehatan dan Pembangunan, 11(21), 72–80. https://doi.org/10.52047/jkp.v11i21.101
Artanti, S., & Haryatmo, S. (2020). Efektivitas pemberian terapi dingin terhadap nyeri pasien ortopedi: Literature review. Syntax Literate: Jurnal Ilmiah Indonesia, 5(10), 1204–1213. https://doi.org/10.36418/syntax-literate.v5i10.1687
Barra, H. A. de la, Opazo Cancino, J., Tapia, S., Pavez, I., Morales, T., Tapia, M., & Liebano, R. (2021). Effects of brief and prolonged cold application on maximal isometric handgrip strength. Physiotherapy Quarterly, 29(4), 1–8. https://doi.org/10.5114/pq.2021.105749
Borghate, P., Rudagi, B. M., Setiya, S., Sakhariya, S., & Shah, S. (2025). Comparative evaluation of use of face ice pack wrap and Romo-Vac drain in post-operative oedema and pain of mandibular fractures: A randomized controlled trial. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 51(5), 294–301. https://doi.org/10.5125/jkaoms.2025.51.5.294
Chareancholvanich, K., Keesukpunt, W., Pornrattanamaneewong, C., Narkbunnam, R., & Jarusriwanna, A. (2025). Comparison of three cryotherapy techniques for early post-TKA pain control in terms of efficacy and patient satisfaction: A randomized controlled trial. Arthroplasty, 7(1), Article 5. https://doi.org/10.1186/s42836-024-00287-7
Garcia, C., Karri, J., Zacharias, N. A., & Abd-Elsayed, A. (2021). Use of cryotherapy for managing chronic pain: An evidence-based narrative. Pain and Therapy, 10(1), 81–100. https://doi.org/10.1007/s40122-020-00225-w
Grzelak, S., Bérubé, M., Gagnon, M. A., Côté, C., Turcotte, V., Pelet, S., & Belzile, É. (2022). Pain management strategies after orthopaedic trauma: A mixed-methods study with a view to optimizing practices. Journal of Pain Research, 15, 385–402. https://doi.org/10.2147/JPR.S342627
Hardianto, T., Ayubbana, S., & Inayati, A. (2022). Penerapan kompres dingin terhadap skala nyeri pada pasien post operasi fraktur. Jurnal Keperawatan, 2(1), 1–7.
Hayani, N. (2023). The effect of cold compression on the reduction of pain intensity in patients with closed fractures at Kota Langsa Hospital, Indonesia. Path of Science, 9(4), 7006–7010. https://doi.org/10.22178/pos.91-19
Karam, K. M., Moussa, M. K., Noailles, T., Valentin, E., Grimaud, O., Lefèvre, N., Meyer, A., & Hardy, A. (2025). Postoperative cryotherapy in joints other than the knee: A systematic review of pain, edema, analgesic use, and blood loss in the shoulder, hand, hip, and ankle joints. Orthopaedic Journal of Sports Medicine, 13(3), 23259671251320132. https://doi.org/10.1177/23259671251320132
Kırıcı, D., & Oral, S. E. (2024). The effect of the timing of cold application on pain and satisfaction in patients with fractures. Orthopaedic Nursing, 43(2), 67–74. https://doi.org/10.1097/NOR.0000000000001004
Lee, Y., Shin, Y. S., Kim, H. J., & An, J. (2023). Effectiveness and methods of cryotherapy in reducing swelling after total knee arthroplasty: A systematic review on randomized controlled trials. Nursing Open, 10(9), 5989–5998. https://doi.org/10.1002/nop2.1906
Lubis, C. A., & Tanjung, D. (2021). The effect of cold compress on pain intensity in fractured patients. Jurnal Keperawatan Soedirman, 16(2), 85–91.
Murphy, P. B. (2024). Navigating pain management in orthopedic trauma: The unintended consequences of combined analgesic regimens. Trauma Surgery & Acute Care Open, 9(1), e001537. https://doi.org/10.1136/tsaco-2024-001537
Novita, Y., Kharisna, D., & Dewi, S. (n.d.). Journal of Healthcare Education.
(Catatan: tahun, volume, dan nomor belum tersedia)
Puluhulawa, N., Syamsuddin, F., & Mujaraha, R. A. (2025). Pengaruh pemberian cold pack terhadap penurunan nyeri pada pasien fraktur di ruang post-op RSUD Prof. Dr. Aloei Saboe Kota Gorontalo. Jurnal Keperawatan, 13(1), 1–8.
Rinawati, R., Harahap, A. A., Alfiansyah, D., Nurrahman, A., Ritonga, Y. S., & Azzam, R. (2021). Cold compresses on patient with fracture: Systematic review. STRADA: Jurnal Ilmiah Kesehatan, 10(1), 1320–1328. https://doi.org/10.30994/sjik.v10i1.794
Vicenti, G., Bizzoca, D., Nappi, V. M., Carrozzo, M., Miolla, M. P., Ottaviani, G., Solarino, G., & Moretti, B. (2020). Minimally invasive osteosynthesis technique in the treatment of transverse patellar fractures in the elderly. Injury, 51(Suppl. 3), S50–S55. https://doi.org/10.1016/j.injury.2020.01.012
Wang, Y., Lu, H., Li, S., Zhang, Y., Fanghong, Y., Huang, Y., Chen, X., Yang, A., Han, L., & Ma, Y. (2021). Effect of cold and heat therapies on pain relief in patients with delayed onset muscle soreness: A network meta-analysis. Journal of Rehabilitation Medicine, 54, jrm00233. https://doi.org/10.2340/jrm.v53.331
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