PENGARUH MOBILISASI DINI TERHADAP PENYEMBUHAN LUKA POST SECTIO CAESAREA

2017 ◽  
Vol 11 (1) ◽  
pp. 109
Author(s):  
Reni Heryani ◽  
Ardenny Denny

<p align="center"><strong>A</strong><strong>BSTRAK</strong><strong></strong></p><p align="center"> </p><p>Salah satu tujuan pembangunan era <em>Millenium Development goals (MDG’s)</em> 2015 adalah perbaikan kesehatan maternal. Salah satu cara di dalam persalinan atau mengeluarkan bayi secara patologis yaitu dengan sectio caesarea. Menurut  statistik 3.509 kasus sectio caesarea, indikasi terbanyak adalah disproporsi cephalo pelvik (21%), sedangkan indikasi lain adalah gawat janin (14%), plasenta previa (11%), pernah sectio caesarea (11%), incoordinate uterine action (9%), preeklamsi dan hipertensi (7%). Penelitian ini menggunakan desain penelitian <em>Quasy Experiment</em> dengan <em>post test only with control.</em> Hasil penelitian menunjukkan bahwa umumnya responden memiliki umur tidak berisiko terhadap tindakan operasi yati sebanyak 15 orang (75%), sebagian responden pertama kali dilakukan operasi caesarea yaitu sebanyak 10 orang (50,0%), sebagian responden mengalami penyembuhan luka yang normal yaitu sebanyak 13 orang (65,0%), dan sebagian responden responden melakukan mobilisasi dini yaitu sebanyak 14  orang (70,0%). Secara statistik terdapat pengaruh mobilisasi dini terhadap penyembuhan luka post sectio caesarea di RSUD Arifin Achmad Pekanbaru (p value = 0.007). Disarankan bagi respnden dapat meningkatkan kesadarannya dalam meningkatkan derajat kesehatan melalui latihan mobilisasi dini untuk mempercepat proses penyembuhan luka akibat operasi.</p><p><em> </em></p><p><em>Kata Kunci      : </em><em>sectio </em><em>caesarea, mobilisasi, penyembuhan luka</em></p><p><em> </em></p><p align="center"><strong><em>ABSTRACT</em></strong></p><p><em> </em></p><p><em>One of the goals of development era of Millennium Development Goals (MDG's) in 2015 is the improvement of maternal health.</em><em> </em><em>One way in the delivery or the baby out with the pathological ie sectio caesarea. According to 3509 statistics compiled case sectio caesarea, an indication of cephalo pelvic disproportion is the highest (21%), while the other is an indication of fetal distress (14%), placenta previa (11%), never sectio caesarea (11%), incoordinate uterine action (9%), preeclampsia and hypertension (7%).</em><em> </em><em>This study research design quasy Experiment with post test only with control. The results showed that respondents generally have a lifespan of no risk for surgery yati many as 15 people (75%), the majority of respondents were first performed caesarea operation as many as 10 people (50.0%), the majority of respondents experienced a normal wound healing as many as 13 people (65.0%), and the majority of respondents respondents did early mobilization as many as 14 people (70.0%). There is a statistically significant relationship between early mobilization on wound healing post sectio caesarea (p value = 0.007). Suggested for respnden can increase awareness in improving health status through early mobilization exercises to accelerate the wound healing process as a result of the operation.</em></p><p><em> </em></p><em>Keywords: sectio caesarea, mobilization, wound healing</em>

2019 ◽  
Vol 2 (1) ◽  
pp. 14-17
Author(s):  
Nurul Aini Siagian ◽  
Syafira Nusaibah ◽  
Andayani Boang Manalu

Early mobilization includes factors that can affect the process of wound healing after surgery. Immediate mobilization in stages is very useful for the process of healing wounds and preventing infection and venous thrombosis. The purpose of this study was to determine whether there is a relationship between early mobilization and the process of healing wound post operative sectio caesarea at Sinar Husni General Hospital Medan Helvetia. The research design used was analytic survey with cross sectional approach. The sample in this study used the Consecutive Sampling method of data collection using a checklist sheet conducted on a sample of 19 respondents. The results of the study in this study are the majority of respondents who did early mobilization and who experienced rapid wound healing process as many as 4 people (21%) while the minority of respondents who did early mobilization and who experienced slow wound healing process were 1 person (5.3%). The majority of respondents who did not mobilize early and who experienced a slow wound healing process were 11 people (57.9%) and a minority who did not mobilize early and who experienced rapid healing as many as 4 people (21.1%). Statistical test results obtained p value = 0.046 <0.005. The conclusions of the results of this study indicate there is a relationship between early mobilization and the process of healing post operative sectio of caesarea. Suggestions The results of this study can be applied as a reference to improve nursing care services, especially in providing counseling and assistance to patients.


2019 ◽  
Vol 2 (1) ◽  
pp. 14-17
Author(s):  
Nurul Aini Siagian ◽  
Syafira Nusaibah ◽  
Andayani Boang Manalu

Early mobilization includes factors that can affect the process of wound healing after surgery. Immediate mobilization in stages is very useful for the process of healing wounds and preventing infection and venous thrombosis. The purpose of this study was to determine whether there is a relationship between early mobilization and the process of healing wound post operative sectio caesarea at Sinar Husni General Hospital Medan Helvetia. The research design used was analytic survey with cross sectional approach. The sample in this study used the Consecutive Sampling method of data collection using a checklist sheet conducted on a sample of 19 respondents. The results of the study in this study are the majority of respondents who did early mobilization and who experienced rapid wound healing process as many as 4 people (21%) while the minority of respondents who did early mobilization and who experienced slow wound healing process were 1 person (5.3%). The majority of respondents who did not mobilize early and who experienced a slow wound healing process were 11 people (57.9%) and a minority who did not mobilize early and who experienced rapid healing as many as 4 people (21.1%). Statistical test results obtained p value = 0.046 <0.005. The conclusions of the results of this study indicate there is a relationship between early mobilization and the process of healing post operative sectio of caesarea. Suggestions The results of this study can be applied as a reference to improve nursing care services, especially in providing counseling and assistance to patients.


2018 ◽  
Vol 6 (2) ◽  
pp. 175
Author(s):  
Hetty Maria Sihotang ◽  
Hernita Yulianti

ABSTRACT The high rate of labor sectio caesarea in Indonesia at this time, in the government hospital around 20-25% and a private hospital around 30-80% of the total amount of labor. Seen from the health impacts posed as an infection. The infection can inhibit the wound healing process causing the morbiditas and mortality to grow. The more patien also needs to be considered how the wound healing process the operation. The purpose of this study to know the factor that influence the wound healing process post sectio caesarea in RSUD Arifin Achmad Pekanbaru 2016. This research using the kind of research quantitative with design cross sectional using test chi-square. Collecting data used data secondary from the status of patien and sheets observations in the form of check listI.The population is 239 people with a sample of 150 people. The processing data done by the spss covering editing, coding, sorting, entry, skoring and tabulating. Analysis of the used is unuvariat and bivariat. The results of the chi-square test for maternal age, p value = 1,000 and α = 0,05 means there is no age relationship with the wound healing process. Anemia p value = 0,000 and α = 0,05 maens there is an anemia relationship with wound healing process. Early mobilization of p value = 0,000 and α = 0.05 means there is an early mobilization relationship with the wound healing process. The advice to the hospital, should be the hospital can provide information about the factors that influence the wound healing process post SC to patients and more attention to the wound healing process surgery patients. Keywords: Age, Anemia, Early Mobilization, The wound healing Process Post SectioCaesarea. ABSTRAK Tingginya angka persalinan Sectio Caesareadi Indonesiasaat ini, di rumah sakit pemerintah sekitar 20-25% dan rumah sakit swasta sekitar 30-80% dari total jumlah persalinan. Dilihat dari dampak kesehatan yang ditimbulkan seperti infeksi. Infeksi dapat menghambatproses penyembuhan luka sehingga menyebabkan angka morbiditas dan mortalitas bertambah besar. Maka semakin banyak juga pasien yang perlu diperhatikan bagaimana proses penyembuhan luka operasinya. Tujuan penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi proses penyembuhan luka post SC di RSUD Arifin Achmad Pekanbaru Tahun 2016. Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain cross sectional dengan menggunakan uji chi-square. Penelitian ini dilakukan di RSUD Arifin Achmad Pekanbaru pada bulan juni sampai juli tahun 2017. Pengumpulan data menggunakan data sekunder dari status pasien dan lembar observasi dalam bentuk check list. Populasi berjumlah 239 orang dengan sampel 150 orang. Pengolahan data dilakukan dengan cara SPSS meliputi editing, coding, sorting, entry, skoring dan tabulating. Analisa yang digunakan adalah univariat dan bivariat. Hasil penelitian dari uji chi-square untuk usia ibu, nilai p value = 1,000 dan α = 0,05 berarti tidak ada hubungan usia dengan proses penyembuhan luka. Anemia p value = 0,000 dan α = 0,05 berarti ada hubungan anemia dengan proses penyembuhan luka. Mobilisasi dini p value = 0,000 dan α = 0,05 berarti ada hubungan mobilisasi dini dengan proses penyembuhan luka. Saran untuk rumah sakit, sebaiknya rumah sakit dapat memberi informasi tentang faktor yang mempengaruhi proses penyembuhan luka post pada pasien dan lebih memperhatikan prosespenyembuhan luka operasi pasien.


2020 ◽  
Vol 7 (1) ◽  
pp. 782-788
Author(s):  
Sri Lestari ◽  
Kunidah Kunidah

Penyembuhan luka merupakan suatu proses yang kompleks karena berbagai kegiatan bio-seluler, bio-kimia terjadi berkesinambungan. Sifat penyembuhan pada semua luka sama, dengan variasinya bergantung pada lokasi, keparahan, dan luasnya cedera. Tujuan penelitian ini untuk mengetahui efektifitas antara perawatan luka menggunakan NaCl 0,9% dengan betadin terhadap proses penyembuhan luka post operasi pada pasien sectio caesarea. Penelitian ini merupakan jenis penelitian Quaisy Experimen. Dengan populasi seluruh pasien perawatan luka post operasi sectio caesarea yaitu 26, dan menggunakan teknik sampel purposive sampling dengan jumlah 13 responden setiap kelompok. Penelitian ini dilakukan di Rumah Sakit Ciremai Kota Cirebon. Hasil penelitian ini adalah perawatan luka post operasi sectio caesarea menggunakan NaCl 0,9% sebanyak 13 responden dengan proses penyembuhan luka ≤ 3 hari di dapatkan rata-rata 7,07. Dan hasil bivariate menunjukkan bahwa ada perbedaan antara efektifitas proses penyembuhan luka pada perawatan luka pasien post operasi sectio caesarea menggunakan NaCl 0,9% dengan nilai p value = 0,000 < (a=0,05).Kata kunci     : Proses penyembuhan luka, perawatan luka, NaCl 0,9%, Betadin ABSTRACTWound healing is a complex process because of the various activies of bio-chemical, bio-cell occurs continuosly. Wound healing properties on the all the same, with variations depending on the location, saverity, and the extent of the injury. The purpose of this reseach was to determine the effectiveness of wound care using NaCl 0,9 % with using betadin to wound healing process post operation on patients sectio caesarea. This research is a kind of the quaisy experimental. With a population of whole patients wound care post operatition sectio caesarea which is 26, and using the tecnique of purposive sampling with a total of 13 respondents per-group. The research was conducted at the ciremai hospital of cirebon city.The results of this research are wound care post operation sectio caesarea using NaCl 0,9% as much 13 respondents with the healing process of wound ≤ 3 days obtained of average 7,07. Bivariate and result showed the there is between the effectiveness of the process of wound healing in wound care patient post operation sectio caesarea using NaCl 0,9% with a value p = 0,000 < (a=0,05).Keywords      :     The process of wound healing, wound care, NaCl 0,9%, betadin


2015 ◽  
Vol 2 (2) ◽  
pp. 103-107
Author(s):  
Dina Zakiyyatul Fuadah ◽  
Diana Rachmania ◽  
Novita Yudik

Wounds require a very effective treatment for example an open wound. Honey compress therapy is one method that can be used for wound healing process. The purpose of this study, to determine the effect of therapy on wound healing using honey compress full thicknes skin loss on Rattus norvegicus.Design for the research is True Experiments using post-test design with control group design. Samples were 18. Sampling using random sampling techniques. The independent variable is the honey compress therapy and the dependent variable is the process of wound healing of full thicknes skin loss. Data were analyzed using the Mann Whitney test (α = 0.05).The results of the statistical test on day 15, p value = 0.004 <α that’s meanthere are significant differences between the treatment group and the control group in wound healing of full thicknes skin loss on Rattus norvegicus.Honey compress therapy accelerates wound healing process full thicknes skin loss. It is recommended for people can take advantage of pure honey for wound healing due to the composition of honey that can help the healing process.


2018 ◽  
Vol 7 (09) ◽  
pp. 66-72
Author(s):  
Ny. Hikma

Sectio Caesaria (SC) is a labor with laparotomy and hysterotomy. Mothers who have had SC surgery, have the same postpartum care needs of mothers who have vaginal delivery. Post surgical care is necessary to prevent the occurrence of complications in the SCThis study aims to determine the factors associated with wound healing post sectio caesarea in RSUD Sawerigading Palopo 2016. The design of this study using analytical survey method with cross sectional study approach. The population in this study were all mothers who have given birth and sampling techniques of mothers who experienced cesarean delivery sectio sampling technique is the mother who experienced is accidental sampling as many as 45 people. Further data were analyzed by chi-square test.Conclusion: There is correlation between knowledge of mother with wound healing in post-cesarean mother in RSUD Sawerigading Palopo year 2017 based on chi square statistic test p value = 0,000 <0,05. There is a relation of mobilization form with wound healing to post-cesarean mother in RSUD Sawerigading Palopo year 2017 based on chi square statistic test p value = 0,003 <0,05.Suggestion: Provide health education on the importance of maintaining personal hygiene after SC surgery to avoid infection of wound surgery. Health education in post mobil mobilized mother can be done routinely in order to accelerate wound healing. Providing health education on wound care for post-cesarean mother. Health education about the importance of nutritional fulfillment to accelerate wound healing process with high-calorie high-protein diet.Keywords : Wound Healing, Sectio Caesaria, Knowledge, Early Mobilization


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Intan Nugraheni ◽  
Ari Kurniarum

Abstract: Mother Parturition, Sectio Caesarea, Wound Healing. To identify differences in the effectiveness of extracts of catfish and leaves binahong towards healing old wounds sectio Caesarea operation on postpartum mothers. There is a difference in the effectiveness of extracts of catfish and leaves binahong towards healing old wounds sectio Caesarea operation on postpartum mothers. The study design was a Quasi Experimental research design with a pretest-posttest nonequivalent control group. The sampling technique was an accidental sampling technique. The number of samples 60 puerperal women with puerperal women inclusion criteria prime and multiparous, type transverse incision, wound care treatment and the same. Statistical analysis using the Wilcoxon test with significant value in the study was p<0.05. The average length of the wound healing process operation sectio Caesarea in postpartum mothers who consume fish extract the cork is 8 days, binahong leaf extract is 12 days whereas the control group without treatment was 16 days. There are differences in the effectiveness of extracts of catfish and leaves binahong towards healing old wounds sectio Caesarea operation in puerperal women with p-value 0.013. There are differences in the effectiveness of extracts of catfish and leaves binahong towards healing old wounds sectio Caesarea operation at BPM puerperal women in the District of Tulung with p = 0.013 (p <0.05).


Author(s):  
Yadriati Maya Pesa

Caesarean section is a surgical procedure wherein the fetus is born through a surgical incision in the wall of the mother's abdomen or uterus that aims to save the life of both the mother and fetus. With early mobilization of uterine contractions will be good so that the hard uterine fundus, the risk of abnormal bleeding can be avoided. This research is a descriptive analytic study with cross sectional design. The subjects of the study were 90 post sc mothers in a hospital that was taken by systematic random sampling. Data collection uses medical records. Statistical tests using the chi square test. Of the 90 post-scanned mothers who mobilized early as many as 48 people (53.3%) while those who did not mobilize as many as 42 people (46.7%) while those who had a rapid wound healing process were 50 people (55.6%) while the healing process the wound was slow as many as 40 people (44.4%). In this study the results obtained that there is a relationship between early sc mobilization post sc with the process of wound healing operations with Chi-Square analysis results obtained P Value 0.001 <(0.05).


2017 ◽  
Vol 2 (1) ◽  
pp. 20-28
Author(s):  
Fitriani ◽  
Tenriwati

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.


2018 ◽  
Vol 4 (2) ◽  
pp. 109
Author(s):  
Mufimah Mufimah ◽  
Uti Rusdian Hidayat ◽  
Ichsan Budiharto

Abstract: Efectiveness Gel Extract Of White On The Process Of Healing Inflamation Phase Heating. The inflammatory phase is a favorable body response as a protection mechanism. In the process of wound healing becomes a very important phase. Management of inflammation that is often used Non-Steroid Anti-Inflammatory class of salicylates on the skin that have side effects. The content of allicin in garlic can be used for problems that begin with the inflammatory phase. The use of gel from garlic extract is also easier to use and easier to clean. The study aim to determine the effectiveness of garlic extract gel to process wound inflammatory phase healing. This research is an experimental research with pre and post test with control group method with 24 samples. Conducted injury to the back area of rat length of wound 1 cm, depth to dermis. Conducted wound care, given gel extract of garlic concentration of 20%, 40%, 80% of the control using 0.9% NaCl compress. Using Kruskal Wallis test and Anova oneway showed concentration of 20%, 40%, and 80% of sig <0,05 ie 0.00. It was concluded that 20%, 40%, 80% garlic extract gel was effective against inflammatory wound healing process. The use of garlic extract gel is more effective in the wound inflammatory wound healing process.Abstrak: Efektivitas Gel Ekstrak Bawang Putih  terhadap Proses Penyembuhan Luka Fase Inflamasi.  Fase inflamasi merupakan respon tubuh yang menguntungkan sebagai mekanisme perlindungan. Pada proses penyembuhan luka menjadi fase yang sangat penting. Penatalaksanaan inflamasi yang sering digunakan Anti-Inflamasi Non Steroid golongan salisilat pada kulit yang memiliki efek samping. Kandungan zat allicin pada bawang putih dapat dimanfaatkan untuk masalah yang diawali dengan fase inflamasi. Pemanfaatan gel dari ekstrak bawang putih pun dalam penggunaannya lebih mudah diabsorsi dan mudah dibersihkan. Penelitian ini bertujuan untuk mengetahui efektifitas gel ekstrak bawang putih terhadap proses penyembuhan luka fase inflamasi. Penelitian ini merupakan penelitian eksperiment dengan metode pre and post test with control grup dengan jumlah sampel sebanyak 24 ekor tikus. Dilakukan perlukaan pada daerah punggung tikus panjang luka 1 cm, kedalaman sampai dermis. Dilakukan perawatan luka, diberi gel ekstrak bawang putih konsentrasi berbeda yaitu 20%, 40%, 80%  kontrol menggunakan kompres NaCl 0,9%. Hasil uji Kruskal Wallis dan Anova oneway menunjukkan konsentrasi 20%, 40%, dan 80%  nilai sig <0,05 yaitu 0,00. Disimpulkan bahwa 20%, 40%, 80% gel ekstrak bawang putih efektif terhadap proses penyembuhan luka inflamasi. Penggunaan gel ekstrak bawang putih lebih efektif dalam proses penyembuhan luka inflamasi luka.   Disimpulkan bahwa 20%, 40%, 80% gel ekstrak bawang putih efektif terhadap proses penyembuhan luka inflamasi. Penggunaan gel ekstrak bawang putih lebih efektif dalam proses penyembuhan luka inflamasi luka.


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