scholarly journals Reduction of Staphylococcus aureus bacteria collaboration in diabetic ulcers by giving virgin coconut oil

2020 ◽  
Vol 7 (12) ◽  
pp. 4733
Author(s):  
Siti Aisyah Nur ◽  
Siska Sakti Anggraini ◽  
Putri Dafriani ◽  
Honesty Diana Morika
Keyword(s):  
Staphylococcus Aureus ◽  
Wound Care ◽  
Intervention Group ◽  
Coconut Oil ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Virgin Coconut Oil ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers

Background: Diabetic ulcers often result in amputations. The bacteria found in diabetic ulcers are Enterobacter sp, Staphylococcus aureus, Salmonella sp and Pseudomonas sp. Nursing management of ulcer patients has been attempted but nothing has been effective yet. Using virgin coconut oil (VCO) contains anti-inflammatory, antipyretic and has an analgesic effect to increase the formation of new blood vessels with faster wound healing. Aim was to study the effect of wound care by giving VCO on the colonization of Staphylococcus aureus bacteria in diabetic ulcers.Methods: Quasi-experimental research with the two-group pre-test and post-test design approach involved 36 diabetic ulcer patients with consecutive sampling by doing wound care for 4 days. The duration of treatment was 30-40 minutes. Data was taken by swab on wound fluid before and after the intervention. Bivariate analysis carried out t-independent test of DM ulcers.Results: The results showed the average number of colony staphylococcus in the intervention group before being given wound care with VCO 72.88, while after being treated with 38.88 wound VCO and the average results of the number of colony staphylococcus in the control group before being treated with NaCl 77.88, whereas after being treated with VCO 38.88 wound with NaCl 72.88 in the statistical test the p value is 0,000.Conclusions: There was a significant influence between the number of colony Staphylococcus in the control group and the intervention group.

scholarly journals MODERN WOUND IRRIGATION DEVICE (MWID) REDUCE THE NUMBER OF BACTERIA IN DIABETIC ULCER PATIENTS

2017 ◽  
Vol 2 (1) ◽  
pp. 105
Author(s):  
Suyanto Suyanto ◽  
Ahmad Ikhlasul Amal
Keyword(s):  
Wound Care ◽  
Intervention Group ◽  
Vascular Complications ◽  
Control Group ◽  
P Value ◽  
Wound Irrigation ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers ◽  
Significant Difference ◽  
Number Of Bacteria

Background and Purpose: One of the micro-vascular complications in patients with diabetes mellitus is a diabetic ulcer. One of he goals of care in diabetic ulcers is to reduce infection in the wound area by doing a cleansing method particularly utilizing irrigation techniques. Irrigation technique aims to reduce the number of bacteria in the wound, so that the inflammatory process is expected to be more quickly achieved. Many diabetic ulcer care-related research but researches on irrigation tools on diabetic ulcers are very minimal. This study aims to determine the effect of Modern Wound Irrigation Device (MWID) to decrease the amount of bacteria on patients with diabetic ulcers. Method: This study was utilized quasi-experimental post test only with control group design. A total of 20 respondents in this study were divided into 10 respondents for intervention group that was given wound care using MWID. 10 respondents as control group that was given manual irrigation wound care. Results: The average number of bacteria in intervention group is 30,4x109 colonies/ml, while the average number of bacteria for control group is 59x109 colonies/ml. Analysis with independent t test was found that there is no significant difference between the average number of bacteria on the intervention and control groups with p value of (0.001 < 0.005). Conclusion and recommendation: the use of MWID for current wound irrigation is proven can reduce the amount of bacteria on diabetic ulcers as compared with manual irrigation technique. Further developmental researches utilize MWID tool is to modify the output of irrigation to reduce anaerobic bacteria for gangrene wound.Key words: Diabetic Ulcer, Wound irrigation, amount of bacteria

scholarly journals Differences Exudates After Irrigation With Measured Pressure on Diabetic Ulcers

2019 ◽  
Vol 2 (2) ◽  
pp. 1
Author(s):  
Mohammad Arifin Noor ◽  
Suyanto Suyanto
Keyword(s):  
Anaerobic Bacteria ◽  
Intervention Group ◽  
Control Group ◽  
Measurement Tool ◽  
P Value ◽  
Wound Irrigation ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers ◽  
Quasi Experimental ◽  
Number Of Bacteria

Diabetic ulcer is a further complication of the presence of diabetic ulcers that are not handled properly. Gangren ulcers are very difficult to cure. One of them is the characteristic of gangrene wounds that have a hollow (hard) that is very difficult to do cleansing. In addition, the types of bacteria that are in gangrene are anaerobic bacteria that are difficult to treat with antibiotics. The number of bacteria will also be proportional to the number of production of pus. One of the most possible actions is to irrigate the wound tunnel so that the wound is clean and anaerobic bacteria are reduced. The modern wound irrigation device, which is one of the developments of existing irrigation devices, is expected to be able to reach gangrenous wound tunnels with a modified form of output. This study aimed to determine the effect of modification of the output of the modern wound irrigation device (MWID) on the number of bacteria in diabetic gangrenous ulcer sufferers. The method used in this study was quasi-experimental without a control group. The intervention group was given wound irrigation using a modified MWID tool. The instrument was used to determine exudate production using the observation sheet Leg Ulcer Measurement Tool (LUMT). The results of the analysis by the Mc Nemar test showed that p value 0.67 (p value> 0.05) means that there is no difference in the amount of exudate production with modification of the MWID output. Further research is needed regarding the effect of irrigation angle on the number of bacteria in diabetic ulcers.

scholarly journals Perbandingan Penyembuhan Ulkus Diabetik dengan Menggunakan Minyak Kelapa Murni, Madu, dan Produk Farmasi

2019 ◽  
Vol 10 (2) ◽  
pp. 231
Author(s):  
Lisa Suarni ◽  
Fitarina Fitarina
Keyword(s):  
Wound Healing ◽  
Wound Care ◽  
Group Analysis ◽  
Coconut Oil ◽  
T Test ◽  
Control Group ◽  
Virgin Coconut Oil ◽  
Diabetic Ulcer ◽  
Score Difference ◽  
Before And After

<p>The incidence rate of Diabetes in Indonesia is increasing every year. In as much as 8.7% of Diabetes sufferer, they suffer from diabetic ulcer, and 1,5% undergo body amputation. This condition reveals that the problem needs special attention to treatment. Some researches show benefit and effectivity of wound care with honey and virgin coconut oil (VCO) at some nursing clinics. Nurses and patients have a complaint on the high cost of pharmacy product for wound care available in the market. This research aims to compare 3 types of preparation for diabetic ulcer care. Those are VCO, honey, and pharmacy product, which the last is for group control. This research uses experimental quasi method to compare wound healing in 3 groups using 3 types of solution: honey, VCO, and pharmacy product. It involves samples, 11 respondents for VCO group, 10 respondents for the honey group, and 10 respondents for pharmacy product which serves as a control group. Analysis using dependent t-test proves that there is a score difference between wound care before and after treatment using all types of preparation. Analysis using independent t-test show that there is no difference in wound healing between using VCO and using pharmacy product, also, there is a difference among honey, VCO, and pharmacy product. This research recommends VCO preparation, which has benefit nearly equal to pharmacy product to be an alternative in wound care for rural residents with middle and lower-income.</p>

scholarly journals The Effect of Back Rolling Massage Method with Virgin Coconut Oil Extract Towards Breastmilk Production on Post Partum Mother in Pangkalpinang City, Indonesia

2021 ◽  
Vol 18 (22) ◽  
pp. 488
Author(s):  
Ade Devriany ◽  
Emmy Kardinasari ◽  
Harindra Harindra ◽  
Bohari Bohari
Keyword(s):  
Post Partum ◽  
Intervention Group ◽  
Coconut Oil ◽  
Control Group ◽  
P Value ◽  
Virgin Coconut Oil ◽  
Breast Milk Production ◽  
Significant Difference ◽  
Oil Extract ◽  
Postpartum Mothers

A quasi-experimental study with static-group comparison was done between (insert the interval of study) to identify the effect of back rolling massage with green coconut oil extract towards breastmilk production on postpartum mothers. The intervention group was the mothers that were given back rolling massage with virgin coconut oil (VCO). The control group was postpartum mothers that were given back rolling massage without green coconut oil extract. The 24 samples that were used for this study consisted of 2 sample groups; 12 samples in the intervention group and 12 samples in the control group. The average breastmilk production of the group with VCO extract in day 4 is 46.9 mL while the group without VCO extract is 42.9 mL until it shows no significant difference towards breastmilk production on day 4 with p-value = 0.794. On day 7 shows that the VCO extract group has breastmilk production 87.3 mL compared to the group without VCO only 49.2 mL until there is a significant difference with p-value = 0.046. The antioxidant analysis shows that VCO extract contained alkaloids and saponin. Back rolling massage with green coconut oil extract is effective in increasing breastmilk production at day 7. HIGHLIGHTS Alkaloid and Saponim in VCO can give benefits if applied as topical oil for therapy of back rolling massage Breast milk production increased significantly in respondents who were massaged using VCO compared to non-VCO Back rolling massage with green coconut oil extract is effective in increasing breastmilk production at day 7

EFEKTIVITAS PERAWATAN ULKUS DIABETIKUM TERHADAP PENERIMAAN DIRI PASIEN DIABETES MELITUS TIPE II DI ASRI WOUND CARE CENTRE MEDAN

2019 ◽  
Vol 4 (2) ◽  
pp. 178
Author(s):  
Elis Anggeria ◽  
Patimah Sari Siregar
Keyword(s):  
Diabetes Mellitus ◽  
Type Ii Diabetes ◽  
Wound Care ◽  
Type Ii Diabetes Mellitus ◽  
P Value ◽  
Type Ii ◽  
Diabetic Ulcer ◽  
Diabetic Ulcers ◽  
Self Acceptance ◽  
Ulcer Treatment

<p><em>Diabetes mellitus (DM) is a group of metabolic diseases characterized by high levels of glucose in the blood (hyperglycemia) that occurs due to impaired insulin secretion, decreased insulin action, or a result of both. Self-acceptance is the ability and desire of individuals to live with all the characteristics themselves against diabetes mellitus. This study aims to determine the effectiveness of diabetic ulcer treatment on self-acceptance of Type II Diabetes Mellitus patients at Asri Wound Care Center Medan. This study uses quantitative research methods with a quasi-experimental design through the one-group pretest-posttest design approach. The population in the study as many as 20 people, with sampling techniques using saturated sampling, the research sample amounted to 20 people. This study uses a nonparametric statistical test that is paired t-test. The results of research on self-acceptance of patients with type II diabetes mellitus before treatment of diabetic ulcers showed that the majority of self-acceptance was not good, and the self-acceptance of patients after treatment of diabetic ulcers obtained the majority of good self-acceptance. The effectiveness of diabetic ulcer treatment on self-acceptance of type II diabetes mellitus patients obtained significance value p-value = 0.00 (p-value &lt;0.05) then H0 was rejected. This means that there are differences in self-acceptance of type II Diabetes mellitus patients before and after diabetic ulcer treatment at Asri Wound Care Center Medan. Future researchers are expected to discuss more deeply about the factors that affect the self-acceptance of diabetes mellitus patients who are undergoing treatment for diabetic ulcers.</em></p>

scholarly journals Pengaruh Terapi Murrotal Terhadap Penurunan Tingkat Nyeri dan Kecemasan Saat Perawatan Luka Pasien Ulkus Dm Di Rsud K.R.M.T. Wongsonegoro Semarang

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Dyah Restuning Prihati ◽  
Maulidta Karunianingtyas Wirawati
Keyword(s):  
Wound Care ◽  
Stress Hormones ◽  
Sample Selection ◽  
Intervention Group ◽  
Wilcoxon Test ◽  
Control Group ◽  
Measuring Instruments ◽  
Diabetic Ulcer ◽  
Before And After ◽  
Quasi Experimental

Diabetic ulcer is caused by damage to the skin nerves due to reduced blood flow. Pain and anxiety when wound care begins when dressing and cleaning the wound. Murottal therapy is a distraction technique in the form of al-quran records, decreases stress hormones and provides a feeling of relaxation. The purpose of this study was to reduce the level of pain and anxiety during wound care in patients with DM ulcers after being given murrotal therapy in RSUD K.M.T. Wongsonegoro Semarang. The research method with quasi experimental pre-posttest control group. a sample of 17 people in the intervention group and 15 in the control group. Sample selection with total sampling. The murrottal listening intervention group played for 3 times for 15 minutes. Respondents were conducted pre and posttest with NRS pain measuring instruments and DASS anxiety. The results of the Wilcoxon test in the intervention group obtained p = 0,000, there were differences in the level of pain between before and after murotal therapy and p = 0.002 there was a difference in the level of anxiety between before and after murotal therapy. In the control group obtained p = 0.02, there were differences in the level of pain between before and after murotal therapy and the value of p = 1.00, there was no difference in the level of anxiety between before and after given murotal therapy. Conclusion: Murrotal therapy can reduce the level of pain and anxiety during wound care for DM ulcer patients.

scholarly journals The Effect of Virgin Coconut Oil (VCO) with Lotion On The Skin Moisture among Uremic Patients Undergoing Hemodialysis in Hospital Binjai City, Indonesia

2020 ◽  
Vol 3 (5) ◽  
pp. 560-568
Author(s):  
Siti Saodah ◽  
Imam Budi Putra ◽  
Cholina Trisa S
Keyword(s):  
Kidney Failure ◽  
Intervention Group ◽  
Coconut Oil ◽  
Chronic Kidney Failure ◽  
Control Group ◽  
Virgin Coconut Oil ◽  
Before And After ◽  
Post Test ◽  
Uremic Patients ◽  
Skin Moisture

Chronic kidney failure is a public health problem throughout the world, and the number of sufferers is increasing. Chronic kidney failure can cause clinical symptoms in various body systems, one of which is a disorder in the skin that becomes dry (uremic). This study aimed to examine the effect of Virgin Coconut Oil (VCO) on the skin moisture among uremic patients undergoing hemodialysis. This type of research is a quasi-experiment with pre-test and post-test equivalent control group. The study was conducted at the Regional General Hospital, Dr. RM. Djoelham Binjai. The study population was 80 people, divided into 2 sample groups of 40 people each. The results showed that there was a significant effect of skin moisture on the intervention group before and after being given Virgin Coconut Oil, p = 0.000<0.05; There was a significant effect of skin moisture in the control group before and after lotion (post-test), p = 0.000<0.05. There is no need for special emulsions such as VCO to moisturize the skin in uremic patients undergoing hemodialysis because using ordinary lotions can moisturize the skin. It must be used regularly, twice a day after bathing. The lotion used must also be a lotion that does not contain mercury and chemicals that can harm the skin. To increase the skin's moisture becomes normal, giving lotion is better than VCO because by providing lotion, more skin becomes normal, while using VCO, the skin becomes more oily. It is recommended to health workers (doctors, nurses) to practice correctly and appropriately how to administer Virgin Coconut Oil (VCO) to uremic patients undergoing hemodialysis to be done at home

scholarly journals Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang

2020 ◽  
Vol 2 (2) ◽  
pp. 52-67
Author(s):  
Anggi Vina Hariyati ◽  
Cahyaningrum ◽  
Adil Zulkarnain
Keyword(s):  
Intervention Group ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Merchant Marine ◽  
Purposive Sampling ◽  
The Public ◽  
Significant Difference ◽  
And Control

Anemia is one of the public health problems that need more attention of the female because they experience menstruation and they are in the growth phase. From the data of Semarang City Health Office  in 2011, it is shown the incidence of anemia in adolescents aged 10-19 years old are 68.24%. The prevention effort of the case is by measuring hemoglobin and prescribing blood supplement. The objective of the study is to find out the effect of Fe tablets on Hemoglobin in Semarang Merchant Marine Polytechnique students. The objective of the study is to find out the effect of Fe tablets on Hemoglobin in Semarang Merchant Marine Polytechnique students. This research used pre-experimental design with the two group pretest posttest. The population in this Study were all Merchant Marine Polytechnique Semarang at the 4th semester of female students  amounting to 50 with the total respondents 34 respondents taken with purposive sampling technique. The data were collected by performing Hemoglobin examination. The results of the study show that the average Hemoglobin before being prescribed Fe on the intervention and control group was 11.29 g/dl. After being prescribed Fe to the intervention group, it is found the average increased to 13.69 g/dl, while in the control group it is found averaged 11.72 g/dl. Bivariate Analysis uses an independent t test, the value of t is 6.136 with a p-value of   0.000. It shows that the p-value is 0,000 <((0.05), this indicates that there is a significant difference in the decrease in Hemoglobin levels in the population after being prescribed blood supplement between the intervention and control groups in The Semarang Merchant Marine Politechnique Students. It is suggested that the female adolescents to consume more iron-containing foods or consume Fe supplements such as Fe, during menstruation. ABSTRAK  Anemia merupakan salah satu masalah kesehatan masyarakat yang perlu khusus nya pada remaja  putri yang perlu mendapatkan perhatian khusus karena remaja putri mengalami mestruasi tiap bulan dan dalam masa pertumbuhan . Hasil Data Dinas Kesehatan Kota Semarang tahun 2011.  Kejadian anemia pada remaja usia 10-19 sebanyak 68,24%. Untuk menangani masalah tersebut pencegahan yang dilakukan yaitu dengan cara mengukur hemoglobin dan pemberian suplemen tablet tambah darah . Penelitian ini bertujuan untuk melihat Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang. Penelitian ini bertujuan untuk melihat Pengaruh Pemberian Tablet Fe Terhadap Hemoglobin Pada Taruni Politeknik Ilmu Pelayaran Semarang. Jenis penelitian ini menggunakan  pre-eksperimen design dengan rancangan Two group pretest posttest. Populasi dalam penelitian iniadalah seluruh taruni politeknik ilmu pelayaran semarang semester 4 berjumlah 50 taruni dengan jumlah sempel 34 responden dengan tehnik pengambilan sempel purposive sampling. Pengambilan data dengan melakukan pemeriksaan Hemoglobin.  Penelitian menunjukan bahwa rata-rata Hemoglobin sebelum diberikan pada taruni kelompok intervensi  dan  kontrol sama yaitu  11,29 g/dl.  Dan setelah diberikan pada kelompok intervensi  rata-rata meningkat menjadi 13,69 g/dl, sedangkan  kelompok kontrol rata-rata sebesar 11,72 g/dl. Analisis bivariate Menggunakan uji t independen, didapatkan nilai t hitung 6,136 dengan p-value sebesar 0,000. Terlihat bahwa p-value 0,000 <a (0,05), ini menunjukkan bahwa ada perbedaan secara signifikan penurunan (selisih) kadar Hemoglobin b pada taruni sesudah diberikan tablet penambah darah antara kelompok intervensi dan kontrol pada taruni Politeknik Ilmu Pelayaran Semarang.  Hendaknya bagi remaja putri lebih banyak mengomsumsi makanan yang mengandung zat besi atau mengomsumsi suplemen yang mengandung besi seperti Fe terutama saat mestruasi

scholarly journals PENGARUH SENAM HIPERTENSI TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI

2019 ◽  
Vol 9 (02) ◽  
pp. 80-87
Author(s):  
Dewi Rury Arindari ◽  
Hendi Rifqi Alhafis
Keyword(s):  
Blood Pressure ◽  
Health Center ◽  
Blood Pressure Reduction ◽  
Intervention Group ◽  
World Health ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Average Value ◽  
Work Area

One in ten adults in the world has high blood pressure. World Health Organization (WHO) year (2016) called hypertension as "an epidemic that spreads beyond. Management of hypertension from it all can be prevented through nonpharmacological therapy that is by exercising regularly. According to data obtained from the Alang-Alang Lebar Public Health Center in Palembang it is known that the number of hypertensive sufferers in 2018 is 1,781 people. The purpose of this study was to determine the effect of hypertension exercise on blood pressure reduction in the Alang - Alang Lebar Puskesmas Work Area in 2019. This research method uses Quasy Experiment with a Non-Equivolent Control Group. The population of this study was all hypertension sufferers in the Work Area of Alang-Alang Lebar Health Center in Palembang in January - March 2019 as many as 84 people. The sample used in this study was a portion of the population, namely some patients with hypertension in the Alang-Alang Lebar Puskesmas Work Area in Palembang totaling 30 respondents. Data analysis uses univariate and bivariate analysis. The results showed an average value of blood pressure in the control group before hypertension was 160.56/100.56 mmHg and the intervention group averaged 159.4/96.6 mmHg. After hypertension gymnastics, the mean blood pressure in the control group was 160/99.44 mmHg and in the intervention group the average value was 136.11/93.89 mmHg. The results of the bivariate analysis revealed that there was an effect of hypertension exercise on the reduction of blood pressure in the Work Area of Palembang Alang-Alang Lebar Health Center in 2019 p value = 0,000. The results of this study can be used as one of the considerations in providing alternative non-pharmacological therapies in non-communicable disease (PTM) programs at the Alang-Alang Lebar Health Center in Palembang.

scholarly journals Manfaat Relaksasi Otot Progresif Bagi Klien DM Tipe II Untuk Mengurangi Gejala Fatigue

2021 ◽  
Vol 6 (2) ◽  
pp. 45-52
Author(s):  
Reny Sulistyowati
Keyword(s):  
Muscle Relaxation ◽  
Intervention Group ◽  
Progressive Muscle Relaxation ◽  
Wilcoxon Test ◽  
Bivariate Analysis ◽  
Control Group ◽  
P Value ◽  
Diabetic Patients ◽  
Significant Difference ◽  
Before And After

Fatigue is a widespread clinical complaint among adults with type 2 diabetes. Fluctuating glucose levels can cause fatigue. Several factors are associated with fatigue in diabetic patients, including physiological factors such as hypoglycemia or hyperglycemia, psychological factors such as depression associated with diabetes. Progressive muscle relaxation is a procedure to get relaxation in the muscles through two steps, namely by applying tension to a muscle group and stopping the tension then focusing on how the muscle relaxes, feeling the sensation of relaxation and fatigue is reduced. The aim of this study was to identify the effect of progressive muscle relaxation on fatigue symptoms in type II DM clients in 15 control groups and 15 intervention groups. The research method used a quasi-experimental design with a pretest-posttest control group design approach, consisting of one treatment (in the intervention group) and a control group. Data analysis was performed using univariate and bivariate analysis using t-independent and t-dependent tests. Wilcoxon test results in the intervention group and the control group showed a significant p-value of 0.002 (<0.05), meaning that there was a significant difference in fatigue symptoms in the intervention group before and after the intervention. This shows that there was a decrease in fatigue symptoms in the intervention group before and after combination OHO therapy and progressive muscle relaxation exercises (previously the average respondent in the intervention group experienced symptoms of severe fatigue, after intervention, the average value of fatigue symptoms turned into mild fatigue ). Conclusion: Progressive muscle relaxation combined with OHO therapy can reduce symptoms of fatigue compared to only OHO therapy.

Sign in / Sign up

Export Citation Format

Share Document