BREAST MILK AS AN ALTERNATIVE FOR POSTPARTUM PERINEAL CARE

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.

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EFFECT OF WOUND CARE ON WOUND HEALING PROCESS OF POST OPERATION IN PATIENTS APENDEKTOMY IN RS DUSTIRA CIMAHI

Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) ◽

10.32419/jppni.v4i1.60 ◽

2021 ◽

Vol 4 (1) ◽

Author(s):

Marlin Sutrisna ◽

Vega M Tusyanawati

Keyword(s):

Wound Healing ◽

Wound Care ◽

Healing Process ◽

Intervention Group ◽

Lower Abdominal Pain ◽

Control Group ◽

Wound Healing Process ◽

P Value ◽

Ablative Surgery ◽

Significant Difference

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

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

Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) ◽

10.32419/jppni.v4i1.172 ◽

2020 ◽

Vol 4 (1) ◽

pp. 9

Author(s):

Vega M. Tusyanawati ◽

Marlin Sutrisna ◽

Tonika Tohri

Keyword(s):

Wound Healing ◽

Healing Process ◽

Intervention Group ◽

Sampling Technique ◽

Bivariate Analysis ◽

Control Group ◽

Wound Healing Process ◽

P Value ◽

Postoperative Wound ◽

Significant Difference

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

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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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Effect of Red Fruit Oil Soap (Pandanus Conoideus Lam.) as Wound Cleansing on Wound Healing and the Number of Bacterial Colonies among Grade II Diabetic Ulcer Patients at Griya Wound Care Clinic Kudus, Indonesia

GHMJ (Global Health Management Journal) ◽

10.35898/ghmj-32268 ◽

2019 ◽

Vol 3 (2) ◽

pp. 55

Author(s):

Hevny Kartika Dewi ◽

Mardiyono Mardiyono ◽

Diyah Fatmasari ◽

Sudirman Sudirman ◽

Djenta Saha

Keyword(s):

Wound Healing ◽

Healing Process ◽

Intervention Group ◽

Control Group ◽

Wound Healing Process ◽

Nacl Solution ◽

Diabetic Ulcer ◽

Grade Ii ◽

The Mean ◽

Fruit Oil

Background: Diabetic ulcer is an open wound on the skin layer to the dermis due to hyperglycemia and neuropathy. This condition often causes infection and becomes an inhibitor in the wound healing process. Red fruit oil soap can be used as an alternative cleansing to reduce the number of bacterial colonies and accelerate the wound healing process.Aims: This present study aimed to observe the effect of red fruit oil soap in the cleansing process to reduce the number of bacterial colonies and the wound healing process in grade II Diabetic ulcer patientsMethods: This is a quasi-experimental study with the pre-test post-test non-equivalent control group design. Wound cleansing in the intervention group used 0.9% NaCl solution and red fruit oil soap with a pH of 5.74, while the wound cleansing in the control group used 0.9% NaCl solution. Bacterial colonies were assessed and the type of bacteria was observed by the swab method. The wound healing was assessed with Bates-Jensen Wound Assessment Tool (BWAT) instrument for 14 days with observations every 3 days. Analysis test used Mann Whitney and Repeated Measure ANOVA.Results: There was no difference in the mean of the number of bacterial colonies between the wounds that were cleansed with 0.9% NaCl solution and red fruit oil soap and the wounds which were cleansed by using 0.9% NaCl solution (p> 0.05). The mean of the number of colonies in the intervention group until the 14th day reduced by 3.14x106 and in the control group was reduced h 1.40x106. There was a significant decrease in the wound healing scores in each group, in each assessment for 14 days.Conclusion: This study found that the wound cleansing using red fruit oil soap and 0.9% NaCl solution could reduce the number of bacterial colonies on the wound surface and accelerate the wound healing process among patients with grade II diabetic ulcer.

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Pengaruh Program Ambulasi Dini Terhadap Proses Penyembuhan Luka Pasien Post Operasi Di RSUD dr Adjidarmo Rangkasbitung

Jurnal Smart Keperawatan ◽

10.34310/jskp.v7i2.378 ◽

2020 ◽

Vol 7 (2) ◽

pp. 85

Author(s):

Rodi Widiantoro

Keyword(s):

Wound Healing ◽

Healing Process ◽

Intervention Group ◽

Sampling Technique ◽

Major Surgery ◽

Control Group ◽

Wound Healing Process ◽

Early Ambulation ◽

Postoperative Wound ◽

Surgical Wounds

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

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27. The Effectiveness Of High Protein Nutrient To The Post Sectio Caesarea Healing Process

Jurnal Medika Veterinaria ◽

10.21157/j.med.vet..v13i2.14090 ◽

2019 ◽

Vol 13 (2) ◽

Author(s):

Darmawati Darmawati ◽

Cut Husna ◽

Aida Fitri ◽

Dahrul Munira

Keyword(s):

Wound Healing ◽

Cesarean Section ◽

Treatment Time ◽

Healing Process ◽

Intervention Group ◽

High Protein ◽

Sectio Caesarea ◽

Control Group ◽

Wound Healing Process ◽

Significant Difference

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.

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COMPARISON OF THE EFFECTIVENESS OF GIVING BINAHONG LEAF (Anredera cordifolia (Ten) Steenis) AND PAPAYA LEAF (Carica papaya) ON SKIN WOUND HEALING IN WHITE RAT (Rattus novergicus)

Journal Widya Medika Junior ◽

10.33508/jwmj.v3i2.3181 ◽

2021 ◽

Vol 3 (2) ◽

pp. 78-85

Author(s):

Givenchy Winarjo ◽

◽

Fransiscus Arifin ◽

Dave Oenarta ◽

◽

...

Keyword(s):

Wound Healing ◽

Leaf Extract ◽

Healing Process ◽

Control Group ◽

Wound Healing Process ◽

P Value ◽

World Population ◽

White Rats ◽

Significant Difference ◽

The World

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.

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Effect of Family Empowerment on HbA1c Levels and Healing of Diabetic Foot Ulcers

The International Journal of Lower Extremity Wounds ◽

10.1177/1534734620930120 ◽

2020 ◽

pp. 153473462093012

Author(s):

Rasnah Appil ◽

Elly Lilianty Sjattar ◽

Saldy Yusuf ◽

Kasmawati Kadir

Keyword(s):

Wound Healing ◽

Diabetic Foot ◽

Healing Process ◽

Intervention Group ◽

Foot Ulcers ◽

Control Group ◽

Wound Healing Process ◽

Diabetic Foot Ulcers ◽

Family Empowerment ◽

Hba1c Levels

Objective. To evaluate the effectiveness of family empowerment through educational interventions against HbA1c level and healing progress of diabetic foot ulcers. Method. A quasi-experimental design was employed involving 33 participants from 4 wound care clinics in Makassar, eastern Indonesia. The intervention group consisted of 17 participants and their families; the control group was composed of 16 participants who received nonstructural education. Family empowerment was measured by the Indonesian version of the Family Empowerment Scale instrument. Glycemic control was evaluated with HbA1c levels, and the wound healing process was evaluated on the Diabetic Foot Ulcers Assessment Scale. Result. After 3 months, Family Empowerment Scale scores improved, particularly in the subdomain of family knowledge (16.59 ± 3.92 vs 13.38 ± 1.26; P = .005) and attitude (3.65 ± 0.93 vs 2.75 ± 0.45; P = .002). After 3 months of intervention, HbA1c decreased (from 10.47 ± 2.44% to 8.81 ± 1.83%), compared with the control group ( P = .048). Meanwhile, an independent t test further revealed that the wound healing process tended to be better with the intervention group (4.71 ± 7.74) compared with the control group (17.25 ± 17.06), with P = .010 at the third month. Conclusion. Family-based education intervention creates family empowerment to control HbA1c levels and accelerate wound healing of diabetic foot ulcer.

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The Effect Of Erythropoietin Administration In Experimental Burns Wound Healing: An Animal Study

Jurnal Plastik Rekonstruksi ◽

10.14228/jpr.v3i1.194 ◽

2016 ◽

Vol 3 (1) ◽

pp. 1-8

Author(s):

Afriyanti Sandhi ◽

Aditya Wardhana

Keyword(s):

Wound Healing ◽

Animal Study ◽

Low Dose ◽

Healing Process ◽

Control Group ◽

Wound Healing Process ◽

P Value ◽

High Dose ◽

Sprague Dawley ◽

Surface Areas

Background: The hematopoietic growth factor erythropoietin (EPO) attracts attention due to its all-tissue-protective pleiotropic properties. The purpose of this study is to investigate the effect of EPO in experimental burn wounds healing. Methods: Fifteen healthy Sprague-Dawley, strain of Rattus Novergicus weighing 300-350 grams, were prepared to achieve deep dermal burns. Animals were randomized to receive either low-dose EPO injection (600 IU/mL), high-dose EPO injection (3000 IU/mL) or nothing (control group). After 14 days of observations, quantitative and qualitative assessments of wound healing was determined. Results: The size of the wound area and re-epithelialization rate percentage was determined on Day-0, Day-5, Day-10, and Day-14. The average of raw surface areas measurement (p value: 0.012 in day-5; 0.009 in day-10 and 0.000 in day-14) and healing percentage of the lesions (p value: 0.011 in day-5; 0.016 in day-10 and 0.010 in day-14) were significantly best in the low-dose EPO grup compared to the control group and high-dose EPO grup. The histopathology evaluation revealed that the highest score for for re-epithelialization, granulation tissue and neo-angiogenesis were achieved by the low-dose EPO injection group than in both control and high-dose EPO injection groups. Conclusion: In this animal study using Sprague-Dawley rats, Recombinant Human EPO (rHuEPO) injection administration prompted the evidences of improved re-epithelialization and wound healing process of the skin caused by deep dermal burns. These findings may lead to a new therapeutic approach to improve the clinical outcomes for the management of burns wound healing.

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