scholarly journals Studi Perbandingan Modern Dressing (Salep Tribee) dan Konvensional Terhadap Proses Penyembuhan Luka PADA PASIEN POST OPERASI APENDIKTOMI

2020 ◽  
Vol 4 (1) ◽  
pp. 9
Author(s):  
Vega M. Tusyanawati ◽  
Marlin Sutrisna ◽  
Tonika Tohri

ABSTRAKPenelitian ini merupakan studi perbandingan modern dressing (salep tribee) dan konvensional terhadap proses penyembuhan luka pada pasien post operasi apendiktomi. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh jenis perawatan luka terhadap penyembuhan luka post operasi apendiktomi. Metode: Desain yang digunakan pada penelitian ini adalah Quasy Experiment posttest-only design. Jumlah sampel sebanyak 18 orang dengan teknik accidental sampling. Pengambilan data dilakukan di Rumah Sakit Dustira Cimahi pada tanggal 19 April 2017–19 Mei 2017. Instrumen penelitian ini adalah lembar observasi penyembuhan luka. Ijin etik untuk penelitian dari STIKes Rajawali. Data dianalisis secara univariate dan bivariate. Hasil: rerata usia kelompok intervensi 29,6 tahun (SD 3,5) sedangkan pada kelompok kontrol 31,1 tahun (SD 3,4). Nilai median penyembuhan luka kelompok intervensi adalah 1,00 dan pada kelompok kontrol 3,00. Hasil analisis lebih lanjut didapatkan nilai p-value 0,001. Kesimpulan: Terdapat perbedaan yang bermakna pada proses penyembuhan luka dengan menggunakan perawatan luka konvensional dan modern.Kata kunci: Jenis perawatan luka; post operasi apendektomiA Comparative Modern Pressing (Tribee Ointment) and Conventional Pressing of Postoperative Wound Healing in Appendectomy ABSTRACTThe research is comparative study between modern dressing (salep tribee) and conventional toward healing process in post appendectomy patients. Objective: This study was to investigate the effect of treatment of postoperative wound healing appendectomy. Method: The design used in this research is Quasi Experiment, with posttest-only design approach. The number of samples were 18 selected with using accidental sampling technique. Collecting data in Dustira Hospital Cimahi between 19 April and 19 May 2017. The instrument of this research is observation form of wound healing. The ethical clearance from STIKes Rajawali Bandung. Data was analyzed with univariate and bivariate analysis. Result: The result shows the mean age of the intervention group was 29.6 years (SD 3.5) whereas in the control group 31.1 years (SD 3.4). The median value of wound healing in the intervention group was 1.00 and in the control group 3.00. Further analysis resulted in a p-value of 0.001. Conclusion: There is a significant difference in the wound healing process using conventional and modern wound care.Keywords: type of wound care; post-operative appendectomy

2020 ◽  
Vol 7 (2) ◽  
pp. 85
Author(s):  
Rodi Widiantoro

Luka dan nyeri akibat dari pembedahan membuat pasien tidak mau bergerak sehingga banyak luka operasi yang mengalami gangguan proses penyembuhan luka, untuk membantu dalam proses penyembuhan luka operasi dapat dilakukan teknik ambulasi.  Ambulasi dini  adalah salah satu faktor yang dapat mempengaruhi penyembuhan luka pasca Operasi serta dapat mengurangi risiko komplikasi.  Tujuan  untuk  melihat  pengaruh program ambulasi dini  terhadap perubahan   proses  penyembuhan  luka  pada  pasien  paska  operasi. Rancangan penelitian quasi-eksperimental  dengan  jumlah sampel 99  responden, 75 responden (kelompok intervensi) dan 24 responden (kelompok control),  yang  diambil  secara  purposive  sampling  technique.  Data  dikumpulkan  melalui  kuesioner  dan  lembar  observasi, kemudian dianalisis dengan uji  regresi logistik ordinal. Hasil menunjukkan rata-rata usia 31 tahun (kontrol), 45 tahun (intervensi), jumlah pasien operasi pada laki-laki (58%), operasi mayor (78%), HB normal: (73,7%). Penyembuhan luka yang adekuat kelompok intervensi  sebanyak 50 responden (66,7%)   sedangkan pada kelompok kontrol sembuh dengan adekuat 6 responden (25%).  Uji beda independen pasien ambulasi dini dengan proses penyembuhan luka post operasi nilai (p=0,000). Disimpulkan bahwa  program ambulasi dini berpengaruh terhadap penyembuhan luka post operasi. Penelitian ini merekomendasikan penelitian lebih lanjut dan penggunaan latihan ini sebagai salah satu intervensi mandiri perawat dalam memberikan asuhan keperawatan pada pasien paska operasi. Kata kunci:  ambulasi dini;  proses penyembuhan luka; operasiINFLUENCE OF EARLY AMBULATION PROGRAM IN WOUND HEALING OF POST OPERATIVE PATIENTS IN RSUD dr. ADJIDARMO RANGKASBITUNG  ABSTRACT The wounds and pain resulting from surgery make the patient unable to move so that many surgical wounds experience interference with the wound healing process, to assist in the healing process of surgical wounds an ambulation technique can be used. Early ambulation is one of the factors that can affect postoperative wound healing and can reduce the risk of complications. The aim of the sudy was to determine the effect of early ambulation programs in the wound healing process of postoperative patients. A quasy-experimental research design was used with a sample size of 99 respondents, 75 respondents (intervention group) and 24 respondents (control group), which were taken by purposive technique sampling. The data were collected through questionnaires and observation sheets, and then analyzed using ordinal logistic regression test. The results showed that the mean age was 31 years (control), 45 years (intervention), the number of male patients with surgery is 58%, major surgery is 78%, and normal HB is (73.7%). The adequate wound healing in the intervention group is 50 respondents (66.7%) while the control group healed adequately for 6 respondents (25%). Independent difference test of early ambulation patients with postoperative wound healing process value (p = 0.000). It was concluded that the early ambulation program had an effect on postoperative wound healing. This study recommends further research and the use of this exercise as one of the nurses' independent interventions in providing nursing care to postoperative patients.Keywords: early ambulation; wound healing process; of surgery


Author(s):  
Marlin Sutrisna ◽  
Vega M Tusyanawati

ABSTRACTVega M. Tusyanawati1, Marlin Sutrisna2, Tonika Tohri3  Sekolah Tinggi Ilmu Kesehatan Rajawali Bandung IndonesiaEmail : [email protected]: Appendicitis is one of the emergency  cases in the abdominal area with a major complaint of persistent lower abdominal pain that develops and increased pain. An appendectomy is a surgical intervention that has the purpose of ablative surgery or removal of body parts that contain problems or have disease. One of the postoperative treatments of apendectomy is with wound care. The current wound care treatment is modern and conventional wound care. Objective: This study was to investigate the effect of treatment of postoperative wound healing apendectomy. Methodology: The design used in this research is Quasi Experiment, with posttest-only design approach. The number of samples taken is 18 respondent. Taking sampling with accidental sampling technique. Result: The result shows that p-value 0.001, with mean value in intervention group was 5.50 and in control group 13.50. Conclusion: There is a significant difference in the wound healing process using conventional and modern wound care.Keywords                    : type of wound care, post operative apendectomy 


2020 ◽  
Vol 2 (2) ◽  
pp. 52-67
Author(s):  
Anggi Vina Hariyati ◽  
Cahyaningrum ◽  
Adil Zulkarnain

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


2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Darmawati Darmawati ◽  
Cut Husna ◽  
Aida Fitri ◽  
Dahrul Munira

The prevalence of cesarean section (SC) continues to increase along with the quality of technical facilities improvement. Failure to recover the surgical wounds after cesarean section is one of the possible SC complications that should be taken seriously. Proper nutrition greatly affect to wound healing. This study aims to found the effectiveness of high protein nutrients intake for post SC wound healing process at dr. Zainoel Abidin Hospital Banda Aceh. Design: This study is an experimental research with post test for intervention and control group design and using purposive sampling with the observation format as the measuring instrument. A total of 30 mother with post sectio caesarea participated in this study. There was a significant difference between post-SC wound healing in the intervention group (46.7%) compare to the control group (6.7%) (0.000). The mean of wound healing in the proliferation phase in the intervention group was faster than the control group respectively (10.47; 7.93). The hospital should provide information and evaluate high protein intake especially in post-SC patients during the treatment time, so that the patient is able to apply the information until they are going back home.


2021 ◽  
Vol 3 (2) ◽  
pp. 78-85
Author(s):  
Givenchy Winarjo ◽  
◽  
Fransiscus Arifin ◽  
Dave Oenarta ◽  
◽  
...  

Introduction: The incidence of acute and chronic injuries increases every year. Most injuries in the world population, as many as 48%, are caused by trauma or surgery. the highest incidence of wounds in the world based on the etiology was from surgery, which was 110.30 million cases. One of the handlings of wounds on the skin can be done by giving herbal medicines, which can be easily accessed by the public, such as binahong leaves and papaya leaves. Purpose: To analyze the effectiveness of giving 40% binahong leaf extract cream and 40% papaya leaf extract cream on the wound distance in the white rat wound healing process. Method: this study is an experimental study with post-test only control group design approach. The sampling technique used in this study was a random sampling method where the number of samples was calculated using the Federer formula, with a total sample of 28 white rats. The distance of the wound was measured using a micrometer. Results: Twenty-eight wound distance on rats were measured as subjects of the study and then treated with binahong leaf extract cream and papaya leaf extract cream, then the wound distance of each treatment was measured using a micrometer. According to the results, 40% binahong leaf extract cream and 40% papaya leaf extract cream showed better effectiveness in reducing the wound distance of white rat incision than the negative control group (cream base) and positive control group (gentamicin ointment). According to the Mann Whitney test comparing the P1 group (40% binahong leaf extract cream) and P2 (40% papaya leaf extract cream), p-value >0.05, which is 0.543, which means that P1 has no significant mean difference with P2. Conclusion: There was no significant difference in effectiveness between the treatment of 40% binahong leaf extract cream and 40% papaya leaf extract cream.


2008 ◽  
Vol 12 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Zulfa Zulfa ◽  
Elly Nurachmah ◽  
Dewi Gayatri

AbstrakPenelitian ini bertujuan mengidentifikasi perbedaan keefektifan penyembuhan luka menggunakan balutan madu dan balutan normal salin-povidone iodine pada pasien trauma dengan luka terbuka yang dirawat di salah satu RS di Bukittinggi. Desain penelitian ini adalah kuasi eksperimen, non-equivalent control group dengan pre dan post-test. Sampel berjumlah 6 responden (3 responden untuk masing-masing kelompok intervensi madu serta normal salin-povidone iodine). Hasil penelitian menunjukkan tidak ada perbedaan bermakna pada rerata skor perkembangan proses penyembuhan luka antara sebelum dan sesudah intervensi perawatan luka dengan madu (P = 0.076) dan dengan normal salin-povidone iodine (P = 0,057). Rerata skor perkembangan penyembuhan luka terbuka setelah intervensi tidak berbeda secara signifikan (P = 0,797) antara kelompok intervensi dengan madu dengan kelompok kontrol. Namun, penurunan skor perkembangan proses penyembuhan luka pada balutan madu (11,52%) lebih besar 6,67% dibandingkan balutan normal salin-povidone iodine (4,85%). Perawatan luka dengan madu membuat responden tidak merasa nyeri, tidak terjadi perlengketan serta perdarahan saat membuka balutan ketika dibersihkan, sedangkan dengan normal salin-povidone iodine, responden merasakan sebaliknya. Hasil penelitian ini merekomendasikan penggunaan balutan madu untuk pasien dengan luka terbuka. AbstractThe aim of this study was to compare the effectiveness of honey dressing and normal salin-povidone iodine dressing in the open wound healing process at a hospital in Bukittinggi. This was a non-equivalent control group quasi experimental study with pre & post test. The samples of this study were 6 respondents (3 respondents in each intervention and control group). The finding from this study showed that there was no significant difference on the mean score of wound healing process before and after wound care intervention using honey dressing (P = 0.076), and normal saline-povidone iodine dressing (P = 0.057). There was also no significant difference on the mean score of wound healing process on traumatic open wound patient after intervention on the control group using normal saline-povidone iodine dressing and intervention group using honey dressing (P = 0,797) However, the wound healing score on the honey intervention group was 6,67% higher (11,52%) than on the wound using normal saline-povidone iodine dressing (4,85%). Unlike patients in the control group, patients using honey dressing were not complaining about pain and bleeding when change dressing. Therefore, the study recommended the honey application for open wound.


2017 ◽  
Vol 3 (3) ◽  
pp. 238-245 ◽  
Author(s):  
Yuli Admasari ◽  
Bedjo Santoso ◽  
Titi Suherni ◽  
Imam Djamaluddin Mashoedi ◽  
Mardiyono Mardiyono

Background: Perineal laceration during childbirth is very common among mothers; however some of them may suffer from its complication if not treated properly.Objective: To prove the effectiveness of breast milk as an alternative topical ingredient in the treatment of perineal wound in postpartum mothers.Methods: This was a quasi-experimental study with non-equivalent control group posttest only design. There were 30 respondents selected in this study, with 15 assigned in the intervention and control group. Accidental sampling was used to select the samples with the criteria that the respondents had perineal laceration in level 1 and 2. Data were analzed using Mann Whitney test.Results: Effective wound healing process can be seen in the intervention group from 80% of poor category in 6-10 hours (1st period) of postpartum became 86.7% of good category in 7 days of postpartum (4th period). Different from the control group that showed the slow progress of wound healing, which was 86.7% of poor category in the 1st period to only 33.3% of good category in the 4th period. Mann Whitney test showed that there was a significant mean difference of the perineal wound healing process between the intervention group (11.23) and the control group (19.77) with p-value 0.002 (<0.05).Conclusion: Breast milk was more effective than povidone iodine in the treatment of perineal wound. It is suggested for health workers, especially midwife to apply this intervention to accelerate the healing of perineal wound in midwifery care.


2021 ◽  
Author(s):  
Sahar Taleb ◽  
Maryam Saeedi

Abstract Background: The pain and discomfort caused by episiotomy affect the quality of life of the mothers, so rapid and complete repair of the episiotomy is very important. Due to the effective ingredients of Verbascum Thapsus, it has been used since ancient times to treat wounds. Therefore, the aim of this study was to evaluate the effect of Verbascum Thapsus on episiotomy wound healing. Methods: The study was designed as a randomized, double-blind, controlled clinical trial. Ninety-three primiparous women who referred to Fatemeh Zahra Hospital in Saveh in 2015 were randomly divided into two groups of intervention (Verbascum Thapsus) and control (placebo). Both groups covered the episiotomy wound twice a day for 10 days with 2 cm of prescribed creams. Wound healing was assessed using the REEDA scale before the intervention and on days 1,3 and 10 after the intervention.Results: Before the intervention, there was no statistically significant difference in terms of demographic characteristics, obstetrics and REEDA scores between the two groups (p <0.05). The mean scores of REEDA on days 1 and 3 in the intervention group was better than the control group but was not statistically significant. However, on the tenth day after the intervention, the mean scores of REEDA were significantly better in the Verbascum group than the placebo (p = 0.01). Conclusions: According to the results of this study, it seems that Verbascum Thapsus is effective in repairing episiotomy wounds. The researchers hope that the results of this study can provide the clinical evidence for the use of this herbal medicine in the wound healing process. Trial registration: this study was registered in the Iranian Registry of Clinical Trials (IRCT) with the code “IRCT201404073106N15” on 02/12/2015


2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Khoiroh Umah ◽  
Meidiana Dwidiyanti ◽  
Megah Andriany

Self-reliance of TB patients has an effect on the adherence to treatment in the healing process. To achieve self-reliance, patients require supports from the family and community, as well as knowledge and skills to be able to take care of themselves independently. Healthcare cadres are one form of supports that the patients need to maintain self-care capabilities. The purpose of this study was to analyze the effects of health cadres’ supports on the physical self-reliance in pulmonary TB patients. This study was a quantitative research with a pretest-posttest quasi-experimental design with the control group. The samples were 44 patients recruited using purposive sampling technique with inclusion and exclusion criteria and were assigned to two groups: intervention group (n = 22) and control group (n = 22). Instrument used modified healty card owner by Dwidiyanti. The intervention given was in the form of health cadres’ supports given for six times in six weeks. A statistical analysis using paired t-test was performed to identify the effects of the intervention on the physical self-reliance in patients with pulmonary tuberculosis. The results showed that the intervention group obtained a p-value of 0.00 and α of 0.05, where p-value < α, or p-value <0.05, indicating that there was an effect of health cadres’ supports on physical self-reliance in patients with pulmonary TB. Meanwhile, in the control group, a p-value of 0.529 and α of 0.05 were found, where p-value >α or p-value > 0.05, indicating that there was no significant difference in the patients’ physical self-reliance after given supports from the health cadres. Support interventions of health cadres improved the physical self-reliance in patients with pulmonary TB.


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).


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