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

2017 ◽  
Vol 1 (1) ◽  
pp. 63-71
Author(s):  
Sintayu Handayani ◽  
Heny Prasetyorini

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

2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Sondang Sidabutar

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


2017 ◽  
Vol 3 (6) ◽  
pp. 778-783
Author(s):  
Dita Selvia Aditia ◽  
Syarief Thaufik Hidayat ◽  
Nur Khafidhoh ◽  
Suhartono Suhartono ◽  
Ari Suwondo

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.


2021 ◽  
Vol 5 (4) ◽  
pp. 398
Author(s):  
Yuli Triyani ◽  
Ivon Diah Wittiarika ◽  
Gatut Hardianto

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


2017 ◽  
Vol 3 (3) ◽  
pp. 265-271
Author(s):  
Herlina Ofiwijayanti ◽  
Syarief Thaufik Hidayat ◽  
Nur Khafidhoh

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%.


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


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


2019 ◽  
Vol 27 (1) ◽  
pp. 28
Author(s):  
Daini Zulmi ◽  
Leri Septiani ◽  
Suryani Soepardan

Objective: To analyze the effect of sitting and soaking therapy with the decoction of Anredera cordifolia on the perineal wound healing in postpartum period mothers.Materials and Methods: The research method used is the Quasi-Experiment with pretest-posttest control group design, a sample of 62 primiparous postpartum period mothers with 2nd-grade perineal rupture. The sampling technique used is purposive sampling to obtain 31 respondents treated by 31 respondents. The wound healing variable was observed using the REEDA scale. The characteristic analysis is tested using Mann-Whitney statistical test, while to test the effect analysis is tested using the Wilcoxon test.Results: The results of this study in the intervention group showed 52.71% was cured after getting treatment for perineal wounds sitting and soaking therapy with the decoction of Anredera cordifolia. On the other hand, in the control group, using only clean water shows 27.90% recovered. Analysis data effect of using the decoction of Anredera cordifolia 25% containing on perineal wound healing showed results with Wilcoxon Test with value (p<0.05).Conclusion: Based on this result there is an effect of sitting and soaking therapy with the decoction of Anredera cordifolia on perineal wound healing for postpartum mothers.


2021 ◽  
Vol 8 (4) ◽  
pp. 279
Author(s):  
Bina Melvia Girsang ◽  
Eqlima Elfira ◽  
Farida Linda Sari Siregar

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


2018 ◽  
Vol 14 (1) ◽  
pp. 115-125
Author(s):  
Nina Zuhana ◽  
Lia Dwi Prafitri ◽  
Wahyu Ersila

Labor often results in a tearing of the birth canal, either primigravida or multigravida with a rigid perineum. Approximately 85% of women who give birth spontaneously vaginal have 32-33% perineal trauma due to episiotomy and 52% are spontaneous lacerations. Perineal trauma may occure perineal infection due to poorly maintained perineal hygiene. This can be prevented by treating injuries. The research aims to know the effect of guava boiled water (psidium guajava linn) on the duration of wound healing of the postpartum nurse’s perineum. This research uses quasi-experimental research method with posttes control group design. Population used all postpartum with perineal sew wound in Pekalongan district in 2017 with sampling technique non probability sampling type consecitive sampling. Data analysis using un-paired t test showed that there was influence of guava leaf decoction (Psidium Guajava Linn) on the duration of wound healing of postpartum nurse perineum with significance value p 0,000 (<0,05).


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Indra Setiawan ◽  
Ni Wayan Mariati ◽  
Michael A. Leman

Abstract: Instruction after tooth extraction is about what to do and to avoid after tooth extraction which aims to prevent the disruption of wound healing process and any possible complications. This study aimed to know patients’ obedience to the instructions after tooth extraction implemented in RSGM FK Unsrat and at respondents’ houses. This study used mixed methods with a cross sectional design. There were 44 people as respondents obtained by using purposive sampling method. The results showed that some patients ignored instruction, as follows: drug use rules, bite the gauze for 30 minute-1 hour, avoid hot, spicy, hard textured food and not touching the surgery site with tounge. Conclusion: The most ignored instruction by patient was to follow the drug consuming rules.Keywords: instruction after tooth extraction, obediencedAbstrak: Instruksi setelah pencabutan gigi ialah instruksi mengenai hal hal yang sebaiknya dilakukan dan dihindari setelah pencabutan gigi yang bertujuan untuk mencegah terganggunya proses penyembuhan luka dan komplikasi yang mungkin dapat terjadi. Penelitian ini bertujuan melihat gambaran kepatuhan pasien melaksanakan instruksi setelah pencabutan gigi di RSGM FK Unsrat. Jenis penelitian ini ialah mixed method study dengan desain penelitian potong lintang. Penelitian dilakukan di RSGM FK Unsrat dan di rumah responden dengan jumlah responden 44 orang. Pengambilan sampel menggunakan metode purposive sampling. Data disajikan dalam bentuk diagram dan tabel berdasarkan distribusi frekuensi, serta beberapa pernyataan dari responden. Hasil penelitian menunjukan ditemukan beberapa instruksi yang diabaikan oleh pasien, seperti menaati aturan pakai obat, menggigit kapas atau kassa selama 30 menit-1 jam, menghindari makanan panas, keras, pedas dan tidak menyentuh-nyentuh luka dengan lidah. Simpulan: Instruksi yang paling banyak diabaikan oleh pasien ialah instruksi untuk menaati aturan pakai obatKata kunci: instruksi setelah pencabutan gigi, kepatuhan


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