scholarly journals Hubungan Mobilisasi Dini dengan Proses Penyembuhan Luka pada Pasien Pasca Laparatomi di Bangsal Bedah Pria dan Wanita RSUP Dr. M. Djamil Padang

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Wira Ditya ◽  
Asril Zahari ◽  
Afriwardi Afriwardi

Abstrak   Mobilisasi dini merupakan kebijakan untuk secepat mungkin membimbing penderita turun dari tempat tidur dan berjalan. Tatalaksana ini adalah salah satu faktor yang mempengaruhi penyembuhan luka pasca pembedahan serta dapat mengurangi risiko komplikasi. Tujuan penelitian ini adalah menentukan hubungan antara mobilisasi dini dengan proses penyembuhan luka pada pasien pasca laparatomi di bangsal bedah pria dan wanita RSUP Dr. M. Djamil Padang. Penelitian ini menggunakan rancangan cross sectional study dengan jumlah sampel 31 responden yang diambil secara consecutive sampling technique. Data dikumpulkan melalui kuesioner dan lembar observasi, kemudian dianalisis dengan uji chi-square dengan derajat kepercayaan 95%. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara mobilisasi dini dan proses penyembuhan luka pasca laparatomi (p = 0,003). Pasien mobilisasi dini dengan penyembuhan luka yang baik sebanyak 14 responden (77,8%) dan buruk 4 responden (22,2%). Responden tanpa mobilisasi dini dengan penyembuhan luka yang baik berjumlah 3 responden (23,1%), sedangkan yang buruk 10 responden (76,9%). Berdasarkan hasil penelitian, dapat disimpulkan bahwa terdapat hubungan antara mobilisasi dini dengan proses penyembuhan luka pasien pasca laparatomi di bangsal bedah pria dan wanita RSUP Dr M. Djamil Padang.Kata kunci: laparatomi, mobilisasi dini, proses penyembuhan luka AbstractEarly mobilization is policy to guide the patients out of their bed to walk as soon as possible. Early mobilization is one of the factors that affect post surgical wound healing and may reduce the risk of complications. The objective of this study was to determine the relationship between early mobilization and wound healing process for post laparatomy patients in men and women surgical ward of Dr. M. Djamil General Hospital Padang. The design of this study was a cross sectional to 31 respondents by consecutive sampling technique. Data were collected through questionnaire and observation, then analyzed by chi-square test with 95% confidence interval.The results show there was a significant relationship between early mobilization and wound healing process (p = 0.003). Patients of early mobilization with good wound healing were as many as 14 respondents (77,8%) and bad as many as 4 respondents (22,2%). Respondents without early mobilization who are in good wound healing were 3 respondents (23,1%) while bad ones are 10 respondents (76,9%). Based on the results of the study, it can be concluded that there is a relationship between early mobilization and wound healing process for post laparatomy patients in men and women surgical ward of Dr. M. Djamil General Hospital Padang.Keywords: laparatomy, early mobilization, wound healing process

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.


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).


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.


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.


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.


2020 ◽  
Vol 1 (3) ◽  
pp. 226-232
Author(s):  
Andi Siswandi ◽  
Mardheni Wulandari ◽  
Mizar Erianto ◽  
Azahrah Mawaddah Noviska

Appendicitis is part of the emergency cases that often occur in the abdominal area. Appendicitis is a prototype disease that takes place through inflammation due to obstruction and ischemia with the main symptoms which is pain that reflects the state of the disease. Appendicitis requires surgical appendectomy to reduce the risk of perforation. Apendectomy surgery is one type of wound that is an incision wound. The time of wound healing can be determined by the distinguishing between types of acute or chronic wounds. Appendectomy that does not have a post-surgical infection is categorized as an acute wound, physiologically the acute wound will heal ± 0-21 days. However, if the provision of nutrition is not fulfilled properly it will be almost the wound healing process. One factor that can influence the wound healing process is nutritional status. This study aim to determine the correlation of nutritional status with the wound healing process of post-appendectomy patients in RSUD Dr. H. Abdoel Moeloek, Bandar Lampung. This study used observational analytic with cross sectional approach. The sampling technique used was accidental sampling. The data were analyzed by using Chi-square test. From the Chi-square test found a relationship of nutritional status with a significant wound healing process (p <0.05) which is obtained p = 0.004, and the value obtained (OR = 10.5) can be said that adequate nutritional status is 10.5 times more likely to experience good wound healing when compared to undernourished nutritional status. There is a correlation between nutritional status and wound healing process in post-appendectomy patients.


Author(s):  
Uni Hardika Rahayu ◽  
Ernawati . ◽  
Yuyun Tafwidhah

Latar Belakang: Komunikasi terapeutik merupakan komunikasi yang dilakukan perawat dalam upaya mempercepat proses penyembuhan pasien anak. Hambatan dalam komunikasi terapeutik yaitu kecemasan yang dirasakan orang tua pasien anak. Upaya untuk menurunkan kecemasan orang tua pasien anak dapat dilakukan melalui pelaksanaan teknik komunikasi terapeutik perawat. Tujuan: Mengetahui hubungan antara komunikasi terapeutik perawat terhadap tingkat kecemasan orang tua di Ruang Perawatan II Rawat Inap Anak RSUD Sultan Syarif Mohamad Alkadrie Kota Pontianak. Metode: Penelitian kuantitatif menggunakan desain observasional analitik dengan rancangan cross sectional terhadap 82 responden orang tua pasien anak dengan teknik consecutive sampling. Metode analisis data menggunakan uji chi-square. Hasil: Karakteristik responden berdasarkan usia sebagian besar berusia 26-35 tahun dalam kategori dewasa awal (53,7%), jenis kelamin yaitu perempuan (75,6%), dan tingkat pendidikan berpendidikan SMA (48,8%). Penerapan komunikasi terapeutik menunjukkan hasil kurang baik (62,2%), dan tingkat kecemasan orang tua pasien anak menunjukkan kecemasan ringan (46,3%) serta sedang (12,2%). Hasil uji statistik diperoleh nilai p value = 0,004 (p< 0,05). Kesimpulan: Terdapat hubungan antara komunikasi terapeutik perawat terhadap tingkat kecemasan orang tua di Ruang Perawatan II Rawat Inap Anak RSUD Sultan Syarif Mohamad Alkadrie Kota Pontianak. Kata Kunci: Komunikasi Terapeutik, Kecemasan Orang Tua Pasien Anak Referensi: 35 (2005-2017) ABSTRACT Background: Therapeutic communication is communication by nurses in an effort to accelerate the healing process of pediatric patients. Obstacles in therapeutic communication are anxiety felt by parents of pediatric patients. Efforts to reduce the anxiety of parents of pediatric patients can be done through the implementation of nurse therapeutic communication techniques. Purpose: Knowingthe relationship of nurse therapeutic communication on anxiety level of parent in the Care Room II Inpatient of the Children of Hospital Sultan Syarif Mohamad Alkadrie Pontianak. Methode: Quantitative research uses observational analytic design with a cross sectional design of 82 respondents parents of pediatric patients with consecutive sampling technique. Data analysis method uses chi-square test. Results: Characteristics of respondents based on the age of most respondents aged 26-35 years in the category of early adulthood (53.7%), sex, namely women (75.6%), and education level of high school education (48.8%). Application of therapeutic communication showed less results good (62.2%), and parents' anxiety level of children showed mild anxiety (46.3%) and moderate (12.2%). Statistical test results obtained p value = 0.004 (p <0.05). Conclusion: There is a relationship between the therapeutic communication of nurses on anxiety level of parent in the Care Room II Inpatient of the Children of Hospital Sultan Syarif Mohamad Alkadrie Pontianak. Keywords: Therapeutic Communication, Parents Anxiety of Pediatric Patients Referensi : 35 (2005-2017).


2021 ◽  
Vol 4 (1) ◽  
pp. 64-69
Author(s):  
Arfah May Syara ◽  
Anita Srigandaria Purba ◽  
Kuat Sitepu ◽  
Tiurma Siringo-ringo ◽  
Afeus Halawa ◽  
...  

One of the recovery processes for postoperative appendectomy patients can be attempted by planning and implementing early mobilization, namely the steps that are carried out immediately on postoperative patients starting from lifting the upper and lower extremities and doing right and left tilts, and sitting on the side of the bed until the patient get out of bed, stand up and begin to learn to walk with assistance according to the patient's condition. This study aims to determine the relationship between early mobilization and the duration of wound healing after appendectomy surgery at Grandmed Lubuk Pakam Hospital. This research is a quantitative research with a cross sectional design. The research population is the entire object of research or the object under study. The population in this study were all post-op appendectomy patients who were being treated at the GrandMed Lubuk Pakam Hospital in 2021 as many as 63 people. The sampling technique used is purposive sampling with a sample of 15 people. Data analysis was performed by univariate, bivariate with Chi-square test at 95% confidence level. The results of this study were 11 respondents (73.3%) with good wound healing, 10 (66.7%) who did not mobilize well, and 10 respondents (66.7%) who did not mobilize well. 4 people (26,7) with moderate wound healing as many as 5 people (33,3%). The results of data analysis showed that there was a relationship between early mobilization and the duration of wound healing in appendectomy patients at Grandmed Lubuk Pakam Hospital in 2021 with p value = 0.001. Respondents who have an early mobilization rate are likely to have faster wound healing. It is recommended to post-op appendictomy patients to mobilize early for better wound healing.


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 5 (3) ◽  
pp. 207-211
Author(s):  
Livana PH ◽  
Triana Arisdiani

ABSTRAK: Pasien post operasi akan mengalami ansietas setelah prosedur pembedahan dilakukan. Ansietas yang terjadi atas tindakan pembedahan dapat menyebabkan kesehatan pasien dan keluarga. Ansietas tersebut ditandai dengan pernyataan pasien tidak mau melakukan pergerakan secara dini karena takut menimbulkan nyeri, khawatir jahitannya akan lepas, dan khawatir lukanya tidak segera sembuh. Tujuan penelitian adalah untukuntuk mengetahui hubungan dukungan keluarga dengan ansietas pasien post operasi dalam melakukan mobilisasi dini. Desain yang digunakan adalah cross sectional dengan jumlah sampel 167 responden. Teknik sampling yang digunakan secara consecutive sampling. Analisa data menggunakan uji chi-square. Hasil analisa menunjukkan nilai p value = 0,575 artinya tidak ada hubungan antara dukungan keluarga dengan tingkat ansietas pasien post operasi dalam melakukan mobilisasi dini. Perawat diharapkan lebih sering memotivasi pasien untuk melakukan mobilisasi dini demi membantu mempercepat proses penyembuhan.Kata kunci : Ansietas, Mobilisasi Dini, Dukungan Keluarga, Post OperasiABSTRACT: Postoperative patients will experience anxiety after surgical procedure. Anxiety that occurs during surgery can lead to the health of patients and families. The anxiety is marked by the statement that the patient will not move early because of fear of causing the pain, worry that the seam will be loose, and worried that the wound does not heal immediately. The purpose of this study was to determine the relationship of family support with postoperative patient anxiety in early mobilization. The design used was cross sectional with 167 respondents. The sampling technique used consecutive sampling. Data analysis using chi-square test. The result of analysis shows that p value = 0,575 means that there is no relation between family support and postoperative patient anxiety level in early mobilization. Nurses are expected more often to motivate patients to mobilize early to help speed up the healing process.Key words : Anxiety, Early Mobilization, Family Support,Post Operative


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