FACTORS INFLUENCING THE PROCESS OF PERINEAL WOUND HEALING IN POSTPARTUM WOMEN IN SERUI HOSPITAL, PAPUA

Background: The process of giving birth has a risk of perineal rupture. The 4.9% incidence of delayed perineal wound healing resulted from non-fused perineal wounds and clinical infection. This process can be interrupted or recovery delayed due to various factors such as age, nutrition, pain, and poor hygiene. This study aims to analyze the factors that influence the healing process of perineal wounds in postpartum mothers. Method: analytic observational research method with cross sectional approach and analityc statistic Chi-Square. The samples are postpartum woman in Serui Hospital, Papua. The number of samples were 30 respondents with purposive sampling technique. The instrument used was the REEDA scale, the pain scale, the food consumption survey with the 24-hour recall method and the personal hygiene questionnaire. Results: The results of statistical tests showed a relationship between pain with the perineal wound healing process is p 0,017, age with the perineal wound healing process is p 0,000, nutrition with the perineal wound healing process is p 0,000, and personal hygiene pain with the perineal wound

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USIA DAN BUDAYA PANTANGMAKANAN MEMPENGARUHI PENYEMBUHAN LUKA PERINEUM PADA IBU NIFAS HARI KE 7

Journal of Health Sciences ◽

10.33086/jhs.v6i2.36 ◽

2015 ◽

Vol 6 (2) ◽

Author(s):

Sondang Sidabutar

Keyword(s):

Wound Healing ◽

Wound Care ◽

Healing Process ◽

Sampling Technique ◽

Perineal Wound ◽

Wound Healing Process ◽

Birth Canal ◽

Perineal Wound Healing ◽

Health Officer ◽

Long Time

Wound healing is a long time in there covery process because of damage to the skin or skin tissue disintegritas. According to Rustam Mochtar(1998), the injured in the birth canal when not accompanied by infection will heal within6-7days. Based on the results of a survey on BPS Ny. Arifin S. Surabaya, from as many as7 of 10 respondents (70%) found the wound is still wet. The purpose of this study was to determine age and cultural picture of incontinence on postpartum mother's perineal wound healing on the seventh day in the BPS Ny. Arifin S. Surabaya. In this research using descriptive method with the study population was all mothers with post natal on the seventh day stit chesin the perineum which controls BPS Ny. Arifin S. Surabaya period from July to August 2008 as many as 49 people. Sampling of non-probability sampling with a sampling technique is saturated. By using questionnaires and observation sheets as research instruments. Data created frequency tables and cross tabulations and then summed. Based on the results of research on maternal postnatal day 9 to 7, obtained the majority of postnatal mother saged <35 years of the perineal wound healed as many as 24 people (66.66%) and in postpartum mothers who do not abstain from the majority of the perineal wound healed as many as17 people (77.27%). By looking at these result it can be concluded that the perineal wound healing can be influenced byculture age and abstinence from food. Therefore, the provision of good information and right by the health officer of the perineal wound care will affect the success of the perineal wound healing process.

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GAMBARAN PENGETAHUAN IBU NIFAS TERHADAP PROSES PENYEMBUHAN LUKA PERINEUM DI RSUD KOTA SEMARANG

Jurnal Manajemen Asuhan Keperawatan ◽

10.33655/mak.v1i1.10 ◽

2017 ◽

Vol 1 (1) ◽

pp. 63-71

Author(s):

Sintayu Handayani ◽

Heny Prasetyorini

Keyword(s):

Wound Healing ◽

Healing Process ◽

Sampling Technique ◽

Perineal Wound ◽

Good Knowledge ◽

Wound Healing Process ◽

Fetal Head ◽

Probability Sampling ◽

Purposive Sampling ◽

Perineal Wound Healing

ABSTRAK Ibu nifas pada saat persalinan seringkali mengakibatkan robekan jalan lahir, untuk mencegah terjadinya robekan pada perineum akibat desakan kepala janin, seringkali perlu dilakukan tindakan episiotomi sehingga memudahkan pengeluaran bayi.Pengetahuan ibu nifas tentang perawatan masa nifas sangat menentukan lama penyembuhan luka perineum. Apabila pengetahuan ibu nifas kurang maka penyembuhan luka akan berlangsung lama. Tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan ibu nifas terhadap proses penyembuhan luka perineum di RSUD Kota Semarang. Desain dalam penelitian ini adalah penelitian deskriptif. Populasi dalam penelitian ini adalah seluruh ibu nifas yang mengalami luka perineum (rupture/episiotomi) di RSUD Kota Semarang. Teknik pengambilan sampling menggunakan teknik non probability sampling dengan pendekatan purposive sampling yaitu sebanyak 5 orang. Hasil dari penelitian ini dapat diketahui dari 5 ibu nifas yang bersalin di RSUD Kota Semarang menunjukkan bahwa ibu nifas dengan tingkat pengetahuan baik mengalami penyembuhan luka baik sebanyak 2 orang, ibu nifas dengan tingkat pengetahuan cukup mengalami penyembuhan luka baik sebanyak 2 orang, dan ibu nifas dengan pengetahuan baik mengalami penyembuhan luka sedang sebanyak 1 orang. Kesimpulan dari penelitian ini adalah gambaran pengetahuan ibu nifas terhadap proses penyembuhan luka perineum sebagian besar dalam kategori baik yaitu sebanyak 3 orang (60%). ABSTRACT Postpartum at the time of delivery often results in a tear in the birth canal, to prevent tears in the perineum due to fetal head impulse, episiotomy often needs to be done so as to facilitate the expenditure of babies. The postpartum knowledge about postpartum care greatly determines the duration of perineal wound healing. If the knowledge of postpartum is less then wound healing will last long. The purpose of this study is to know the description of knowledge of postpartum mother to the perineal wound healing process at RSUD Semarang City. Design in this research is descriptive research. The population in this study were all postpartum women who suffered perineal injury (rupture / episiotomy) at RSUD Kota Semarang. Sampling technique using non probability sampling technique with purposive sampling approach that is as much as 5 people. The results of this study can be seen from 5 postpartum maternity in hospitals Semarang City showed that postpartum mother with good knowledge level good healing wounds as much as 2 people, postpartum mother with level of knowledge enough experience good wound healing as many as 2 people, and mother of puerile with good knowledge experience healing wound was as much as 1 person. The conclusion of this research is description of knowledge of postpartum mother to perineum wound healing process mostly in good category that is as much as 3 person (60%).

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Perineal Wound Identification With Maternity Cool Gel Pad (MCGP) Care Interventions

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2020.8(4).279-285 ◽

2021 ◽

Vol 8 (4) ◽

pp. 279

Author(s):

Bina Melvia Girsang ◽

Eqlima Elfira ◽

Farida Linda Sari Siregar

Keyword(s):

Wound Healing ◽

Wound Repair ◽

Healing Process ◽

Perineal Wound ◽

Wound Healing Process ◽

Post Intervention ◽

Short Period ◽

Perineal Wounds ◽

Postpartum Mothers ◽

The Impact

Postpartum mothers with an indication of episiotomy will experience a higher level of pain. This birth canal trauma is acute and is expected to recover in a short period of time, can be measured, and without serious complications. The aim of this study was to identify the healing process of postpartum maternal perineal wounds. The intervention was carried out on 31 postpartum mothers with the selection using purposive sampling technique. Maternity cool gel pad (MCGP) which was applied to the perineal wound care intervention on the 2nd and 3rd day after delivery showed the wound healing process was observed using the REEDA measuring instrument and analyzed using the T one sample test. The repair of the wound repair scale from the mean REEDA score (10.81 ± 2.98) occurred in all wounds of the study respondents at post intervention (5.32 ± 1.73). Maternity cool gel pad intervention assisted the wound healing process in post intervention data (P <0.005). The results of this study can be indicative of an inflammatory response locally in perineal wounds, but further research is needed to observe the impact of perineal wound healing with a combination of methods that can help evaluate the perineal wound repair process that can be done by mothers independently at home.

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BINAHONG LEAVES (ANREDERA CORDIFOLIA TENORE STEEN) EXTRACT AS AN ALTERNATIVE TREATMENT FOR PERINEAL WOUND HEALING OF POSTPARTUM MOTHERS

Belitung Nursing Journal ◽

10.33546/bnj.290 ◽

2017 ◽

Vol 3 (6) ◽

pp. 778-783

Author(s):

Dita Selvia Aditia ◽

Syarief Thaufik Hidayat ◽

Nur Khafidhoh ◽

Suhartono Suhartono ◽

Ari Suwondo

Keyword(s):

Wound Healing ◽

Health Center ◽

Alternative Treatment ◽

Healing Process ◽

Perineal Wound ◽

Control Group ◽

Wound Healing Process ◽

P Value ◽

Perineal Wound Healing ◽

Postpartum Mothers

Background: Perineal wounds are at risk for infection, without a good treatment, perineal wound can harbor sepsis and become a chronic, long-term problem. Binahong leaves is considered as an alternative to accelerate perineal wound healing process.Objective: To determine the effect of binahong leaf extract (anredera cordifolia (tenore) steen) on perineal wound healing process in postpartum mothers.Methods: This study employed a quasy experimental study with control group posttest-only design. The study was conducted in the working area of Telogosari Wetan Health Center and Health Center of Kulon Kota Semarang in January-February 2017. There were 36 respondents selected using purposive sampling assigned in the intervention group (Binahong leaves extract) and the control group (Povidon Iodine 10%). REEDA scale was used for assessing perineal healing. Data were analyzed using Mann Whitney, Chi Square and Kruskall Wallis test.Results: Findings showed that the average day of perineal wound healing process in the binahong leaves group was 6.11 days and in the povidon iodine group was 7.66 days. There was a statistically significant difference in the duration of wound healing between the experiment and control group with p-value 0,001 (p value <0.05).Conclusion: Binahong leaves extract is effective in healing perineal wound in postpartum mothers. Therefore, binahong leaves are recommended to use as an alternative treatment for the mothers.

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BIRD’S NEST EXTRACT CREAM: TREATMENT FOR PERINEAL WOUND IN RATTUS NORVEGICUS

Belitung Nursing Journal ◽

10.33546/bnj.100 ◽

2017 ◽

Vol 3 (3) ◽

pp. 265-271

Author(s):

Herlina Ofiwijayanti ◽

Syarief Thaufik Hidayat ◽

Nur Khafidhoh

Keyword(s):

Wound Healing ◽

Treatment Group ◽

Healing Process ◽

Perineal Wound ◽

Control Group ◽

Wound Healing Process ◽

P Value ◽

Laboratory Unit ◽

Perineal Wound Healing ◽

Accelerate Wound Healing

Background: Perineal rupture occurs almost in all the first labor and not infrequently in the next labor. Complex perineal wounds are at risk for non healing and infection.Objective: This study aims to determine the effect of bird’s nest extract on perineal wound healing on rattus norvegicus.Methods: This was a randomised posttest only group design conducted in October 2016 at Animal Laboratory Unit of Diponegoro University, Semarang. There were 30 samples recruited in this study, divided into three groups: 1) The control group (with providine iodine 10% solution), 2) The first treatment group with a bird’s nest 50% cream, and 3) The second treatment group with a bird’s nest 70% cream. The REEDA scale was used. Data were analyzed using descriptive statistics, frequency distribution, and one way anova.Results: There were statistically significant mean differences between the three groups with p-value 0.000 (< 0.05). The time of the wound healing was 5-6 days for Iodine 10% group, 4-5 days for bird’s nest 50% group, and 3 days for bird’s nest 70% group. The degree of perineal wound density in the bird’s nest 70% group (0.37) was also better than the bird’s nest 50% group (0.13) and iodine 10% group (0.02).Conclusion: Bird’s nest has a significant effect on wound healing process. Findings indicated that the bird’s nest 70% extract was very effective to accelerate wound healing than bird’s nest 50% extract and Iodine 10%.

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Hubungan Status Gizi Dengan Proses Penyembuhan Luka Di Rsud H. Andi Sulthan Daeng Radja Kabupaten Bulukumba

Jurnal Kesehatan Panrita Husada ◽

10.37362/jkph.v2i1.147 ◽

2017 ◽

Vol 2 (1) ◽

pp. 20-28

Author(s):

Fitriani ◽

Tenriwati

Keyword(s):

Wound Healing ◽

Nutritional Status ◽

Healing Process ◽

Data Retrieval ◽

Observational Research ◽

Wound Healing Process ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test

At present, the incidence of injuries in Indonesia is quite high, as seen from data on traffic accidents in the general public. There are several factors that affect wound healing, one of which is nutritional status. Based on the preliminary data retrieval conducted by researchers in the seruni surgery room in the last 1 month namely in March, it was found that the number of wounded patients was 109 patients, where the number of men was 78 (71.56%) while the number of women was 31 ( 28.44%) The purpose of this study was to determine the relationship between nutritional status and the wound healing process in RSUD. H. Andi. Sulthan Daeng Radja Kab. Bulukumba. This research uses the type of design of this research is quantitative research. This type of research uses analytic observational research with cross sectional approach. The sample of this study were 41 respondents taken by purposive sampling method. Data analysis in this study used the chi-square test (chi square test). The results of the analysis used the chi-square statistical test with a confidence level (α = 0.05). Based on the results of this test, the p value is 0.001, thus p <α (0.001 <0.05), then Ho is rejected and Ha is accepted. The conclusion of this study is that there is a relationship between nutritional status and the process of wound healing in RSUD. H. Andi. Sulthan Daeng Radja Kab. Bulukumba. Researchers suggest that this study be used as a material consideration in the fulfillment of nutrition in wound care patients in RSUD.H.A. Sulthan Daeng Radja Kab. Bulukumba and this research can be continued by conducting research related to the wound healing process and linking it with other variables.

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PENGARUH PEMBERIAN REBUSAN DAUN SIRIH HIJAU TERHADAP PENYEMBUHAN LUKA PERINIUM PADA IBU POST PARTUM DI KLINIK PERA SIMALINGKAR B KECAMATAN MEDAN TUNTUNGAN KOTA MEDAN TAHUN 2019

JURNAL KEBIDANAN KESTRA (JKK) ◽

10.35451/jkk.v2i2.384 ◽

2020 ◽

Vol 2 (2) ◽

pp. 186-193

Author(s):

Stefani Anastasia Sitepu ◽

Vitrilina Hutabarat ◽

Kristin Natalia

Keyword(s):

Wound Care ◽

Post Partum ◽

Healing Process ◽

Perineal Wound ◽

P Value ◽

Betel Leaf ◽

Perineal Wound Healing ◽

Antibiotic Effect ◽

Post Test ◽

Perineal Wounds

Abstrak Postpartum mothers who suffer from perineal injury if not properly maintained and improper care of the perineum can result in infection of the perineum. Care for perineal wounds is carried out by the Indonesian community, one of which is by using green betel leaf decoction water that has an antibiotic effect, based on the effect of this therapy, betel can also be used as material for wound care that is usually used by means of worms. Research to find out whether betel leaf water can accelerate the healing process of perineal wounds in post partum mothers. The research method is pre-experimental using a pretest and posttest design in one group. The sample in this study 31 respondents using non-likely sampling techniques using consecutive sampling method. The results of the study the effect of giving green betel leaf decoction to the healing of perineal wounds in post partum mothers pre-test post-test p-value 0.018 <α = 0.05 Ho is rejected, Ha Accepted which means there is an influence of perineal wound healing with green betel leaf decoction in pera simalingkar B clinic, Medan tuntung sub-district, Medan in 2019.

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Hubungan Vulva Hygiene Dengan Kecepatan Penyembuhan Luka Perineum Ibu Nifas Di BPM Yuliani S.ST

JURNAL KEBIDANAN ◽

10.30736/md.v11i2.110 ◽

2019 ◽

Vol 11 (2) ◽

pp. 149

Author(s):

Lilik Darwati

Keyword(s):

Wound Healing ◽

Health Workers ◽

Perineal Wound ◽

Perineal Wound Healing ◽

Perineal Tears ◽

Initial Survey ◽

Perineal Wounds ◽

Postpartum Mothers ◽

Relationship Of

ABSTRAKKejadian robekan perineum pada ibu nifas saat bersalin setiap tahunnya semakin meningkat dan mengalami penyembuhan luka yang lama. Hal ini dipengaruhi beberapa faktor salah satunya yaitu vulva hygiene. Berdasarkan survey awal yang dilakukan diBPM Yuliani S.ST di lakukan secara wawancara dan obserfasi dari 10 (100%) ibu nifas didapatkan 7 (70%) ibu nifas yang penyembuhan luka perineumnya lebih dari 7 hari, wawancara lebih lanjut diketahui ibu yang tidak melakukan vulva hygiene dengan benar karena takut akan menyentuh luka jahitan dan takut apabila terlalu sering terkena air jahitan akan sembuh semakin lama.Desain penelitian Analitik Korelasional dengan metode Cohort. Populasi seluruh ibu nifas yang mengalami luka jahitan perineum di BPM Yuliani S.ST sebesar 35 ibu nifas. Metode sampling menggunakan Consecutive Sampling.Variabel independen vulva hygiene dan variabel dependen kecepatan penyembuhan luka perineum pada ibu nifas. Data penelitian diperoleh melalui kuesioner tertutup dan lembar observasi luka perineum. Data ditabulasi dan dianalisis menggunakan uji Fisher’s Exact Test.Hasil penelitian menunjukkan p=0,000, α = 0,05 p < α dimana H1 diterima artinya ada hubungan vulva hygiene dengan kecepatan penyembuhan luka perineum pada ibu nifas ada hubungan yang signifikan. Diharapkan penelitian ini meningkatkan peran tenaga kesehatan memberikan KIE tentang vulva hygiene sehingga penyembuhan luka perineum ibu nifas. ABSTRACTThe incidence of perineal tears in postpartum mothers during childbirth is increasing every year and has a long wound healing. This is influenced by several factors, one of which is vulva hygiene. Based on the initial survey conducted at BPM Yuliani S.ST conducted by interview and observation of 10 (100%) puerperal mothers found 7 (70%) puerperal mothers who healing perineal wounds more than 7 days, further interviews known to mothers who did not do vulva hygiene correctly for fear of touching the suture wound and afraid that if it is too often exposed to water the stitches will heal for longer.Correlational Analytic research design with the Cohort method. The population of all postpartum mothers who suffered perineal suture injuries in BPM Yuliani S.ST was 35 postpartum mothers. The sampling method uses consecutive sampling. Valuable independent variables are hygiene and the dependent variable is the speed of perineal wound healing in postpartum mothers. The research data were obtained through a closed questionnaire and perineum wound observation sheet. Data were tabulated and analyzed using the Fisher's Exact Test.The results showed p = 0,000, α = 0.05 p <α where H1 was accepted meaning there was a relationship of vulva hygiene with the speed of healing of perineal wounds in postpartum mothers there was a significant relationship. It is hoped that this research will increase the role of health workers in providing IEC about vulva hygiene so that the healing of puerperal perineal wounds.

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HUBUNGAN ANTARA TINGKAT KEPATUHAN PERAWAT TERHADAP SOP (STANDAR OPERASIONAL PROSEDUR) PERAWATAN LUKA DENGAN PROSES PENYEMBUHAN LUKA PASIEN PASCABEDAH DI RSUD dr. H. ANDI ABDURRAHMAN NOOR

Nursing Science Journal (NSJ) ◽

10.53510/nsj.v2i2.70 ◽

2021 ◽

Vol 2 (2) ◽

pp. 55-64

Author(s):

Farhandika Putra, Muhammad Suhada

Keyword(s):

Wound Healing ◽

Wound Care ◽

Statistical Tests ◽

Healing Process ◽

Wound Management ◽

Rank Test ◽

Wound Healing Process ◽

P Value ◽

Cross Sectional ◽

Operational Procedure

SOP is a procedure or stage that is standardized and must be passed to complete a particular work process and is part of the nurses' skills in applying their knowledge. Injuries are a break in the continuity of a tissue caused by an injury or surgical process. The wound healing process is influenced by several factors, one of which is wound management such as wound care. The aim of this study was to determine the correlation between the level of nurse obedience to SOP (Standard Operational Procedure) wound care with the wound healing process after surgery. This type of study was a correlation with using cross sectional design. The samples in this study were 20 nurses and 20 patients by using purposive sampling technique. This study was conducted in the RSUD dr. H. Andi Abdurrahman Noor Kabupaten Tanah Bumbu. The results of study indicated that the level of nurse obedience in the very obedient category was (40%) and the results of observations in the wound healing process were (55%) at the level of the category that was not good. After statistical tests by using the Spearman Rank test obtained P value of 0.032 <(0.05). The conclusion of this study, that there was correlation between the level of nurse obedience to SOP (Standard Operational Procedure) wound care with wound healing process after surgery.

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Metastasierender Morbus Crohn vielleicht häufiger als bisher angenommen

Karger Kompass Autoimmun ◽

10.1159/000513911 ◽

2020 ◽

pp. 1-2

Author(s):

Irina Blumenstein

Keyword(s):

Wound Healing ◽

Perineal Wound ◽

Skin Lesions ◽

Complete Healing ◽

High Rate ◽

Consecutive Series ◽

Perineal Wound Healing ◽

Wound Healing Problems ◽

Initial Improvement ◽

Perineal Wounds

Background: Metastatic Crohn’s disease (CD) is a rare manifestation of CD. It involves inflammatory skin lesions with histopathological findings (granulomas) similar to CD, without connection to the gastrointestinal tract. Hyperbaric oxygen therapy (HBO) has been suggested as a possible treatment option. Objective: This study aimed to identify and treat a consecutive series of patients with biopsy-proven metastatic CD and monitor wound healing using prospectively acquired outcomes. Methods: Pathology results of all patients with ongoing perineal wound-healing problems after proctectomy between 2005 and 2018 at the Amsterdam University Medical Centre were assessed for metastatic CD. Patients with a biopsy-proven diagnosis of perineal metastatic CD were offered HBO (40 daily sessions of 100% oxygen at 2.4 atmosphere absolute). Wound healing was monitored using photographs and standardised questionnaires (the Inflammatory Bowel Disease Questionnaire, EuroQol Visual Analogue Scale and the Female Sexual Function Index) at baseline and 1 and 3 months after HBO. Results: Out of 13 patients in the cohort with persisting perineal wounds after proctectomy, six (46%) had biopsy results consistent with metastatic CD. Of these, three accepted treatment with HBO. All three patients were female. One patient had complete healing of her perineal wound; another patient showed initial improvement but had a flare of luminal and perineal disease at the 3-month follow-up. The third patient showed improvement solely in the questionnaires, with higher scores on all three questionnaires. Conclusion: A high rate of metastatic CD was found in patients with ongoing wound-healing problems after proctectomy, implying that the disease might not be as rare in these selected patients as previously thought. HBO might be beneficial in the treatment of metastatic CD.

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