Abstract :
Low Back Pain (LBP) merupakan salah satu gangguan
muskuloskeletal yang paling sering dialami masyarakat dan dapat menurunkan
aktivitas fungsional serta kualitas hidup. Penanganan non-farmakologis seperti
metode McKenzie terbukti efektif dalam mengurangi intensitas nyeri melalui
prinsip gerakan berulang dan perbaikan postur tubuh yang membantu
meningkatkan mobilitas tulang belakang, menurunkan spasme otot, serta
memperbaiki fungsi.
Tujuan: Mengetahui efektivitas penerapan metode McKenzie terhadap
penurunan intensitas nyeri pada pasien LBP di Instalasi Gawat Darurat RSUP Dr.
Tadjuddin Chalid Makassar.
Metode: Penelitian ini menggunakan desain laporan kasus pada pasien Ny. S
dengan keluhan nyeri punggung bawah menjalar ke pinggang. Intervensi
keperawatan dilakukan dengan latihan McKenzie, meliputi prone on elbows,
prone press-up, dan standing extension, di bawah pengawasan perawat. Skala
nyeri diukur menggunakan Numeric Rating Scale (NRS) sebelum dan sesudah
intervensi.
Hasil: Sebelum dilakukan latihan McKenzie, skala nyeri pasien mencapai 7
(nyeri berat). Setelah dua kali sesi latihan, skala nyeri menurun menjadi 5 (nyeri
sedang) dan pasien menunjukkan peningkatan mobilitas serta tampak lebih
rileks. Tanda vital stabil dan tidak ditemukan efek samping selama terapi.
Kesimpulan: Penerapan metode McKenzie efektif menurunkan nyeri dan
meningkatkan mobilitas pada pasien dengan LBP. Metode ini dapat dijadikan
alternatif intervensi keperawatan non-farmakologis yang sederhana, aman, dan
efisien dalam manajemen nyeri punggung bawah.
Low Back Pain (LBP) is one of the most common musculoskeletal
disorders experienced by the community, which can decrease functional activity
and quality of life. Non-pharmacological management such as the McKenzie
Method has been proven effective in reducing pain intensity through repetitive
movements and posture correction that help improve spinal mobility, decrease
muscle spasms, and restore function.
Objective: To determine the effectiveness of the McKenzie Method in reducing
pain intensity among LBP patients in the Emergency Department of Dr. Tadjuddin
Chalid General Hospital Makassar.
Method: This study used a case report design on a patient, Mrs. S, who
complained of lower back pain radiating to the waist. The nursing intervention
involved McKenzie exercises, including prone on elbows, prone press-up, and
standing extension, performed under nurse supervision. Pain intensity was
measured using the Numeric Rating Scale (NRS) before and after the
intervention.
Result: Before the McKenzie exercises, the patient's pain scale was 7 (severe
pain). After two sessions, the pain scale decreased to 5 (moderate pain), with
improved mobility and a more relaxed appearance. The patient’s vital signs
remained stable, and no adverse effects were observed during therapy.
Conclusion: The McKenzie Method is effective in reducing pain and improving
mobility in patients with LBP. This method can serve as a simple, safe, and
efficient non-pharmacological nursing intervention for managing lower back pain.