PERBEDAAN PENYEMBUHAN LUKA PERINEUM PADA IBU POST PARTUM YANG DIBERIKAN KOMPRES POVIDONE IODINE 10 % DENGAN KOMPRES NaCI 0,9 % DI WILAYAH KERJA PUSKESMAS SOSIAL PALEMBANG TAHUN 2016

Author(s):  
LENY LENY

  Persalinan sering kali mengakibatkan luka perineum, baik pada primigravida maupun pada multigravida, dengan perineum yang kaku perlu dilakukan penjahitan dan perawatan luka dengan baik agar mempercepat proses penyembuhan luka perineum. Tujuan penelitian ini untuk mengetahui perbedaan penyembuhan luka perineum pada ibu post partum yang diberikan kompres povidone iodine 10% dengan kompres NaCl 0,9% di Wilayah Kerja Puskesmas Sosial Palembang Tahun 2016. Penelitian ini menggunakan pra-eksperimen dengan metode postes only design (one shot case study). Populasi seluruh ibu post partum dengan luka perineum yang ada di Wilayah Kerja Puskesmas Sosial Palembang Tahun 2016. Sampelnya 20 orang responden, yaitu 10 responden diberikan kompres povidone iodine 10% dan 10 responden diberikan kompres NaCl 0,9%. Instrumen penelitian menggunakan lembar observasi. Teknik sampling yang digunakan yaitu sampling jenuh. Uji statistik bivariat menggunakan mann-whitney dan uji statistik univariat menggunakan deskriptif frekuensi. Hasil penelitian menunjukkan bahwa kesembuhan luka perineum dengan povidone iodine 10% sebesar 70,0%, sedangkan dengan NaCl 0,9% sebesar 30,0%. Ada perbedaan penyembuhan luka perineum yang diberikan kompres  povidone iodine 10% dengan NaCl 0,9% dengan nilai p = 0,029. Jadi dalam menangani pasien dengan perawatan luka perineum dapat menggunakan povidone iodine 10% karena dapat mempercepat proses penyembuhan luka.   ABSTRACT Labor frequently causes the tear perineum wound, especially in the case of solid perineum, either on primigravida or multigravida; with the case of solid perineum, it is necessary to perform sewing treatment and appropriate cure for the wound in order that process of the healing perineum wound may be accelerated. This research is aim to know the difference between perineum wound care with povidone iodine 10% compress and treatment with natrium chloride 0,9% compress on post-partum mother at Working Area Sosial Public Center Palembang 2016. The research used pre-experimental with post-test-only-design method (one short case-study). The population is all post-partum mothers with perineum care at Working Area Sosial Public Center Palembang 2016. The sample is 20 respondents; 10 respondents were treated with povidone iodine 10% compress, and 10 respondents were treated with natrium chloride 0,9% compress. The instrument for this research used observation sheet. Bivariate statistical analysis used Mann-Whitney formula, and univariate statistical analysis used descriptive frequency. Results of this research show that healing from perineum wound with povidone iodine 10% is 70,0%, whereas with natrium chloride 0,9% is 30,0%. Thus, it can be concluded perineum wound care that there is difference between treatment with povidone iodine 10% and treatment with natrium chloride 0,9%, where p equals 0,029. Therefore in dealing with patients with perineal wound care can use 10% povidone iodine because it can accelerate the wound healing process. .

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.


2020 ◽  
Vol 2 (2) ◽  
pp. 186-193
Author(s):  
Stefani Anastasia Sitepu ◽  
Vitrilina Hutabarat ◽  
Kristin Natalia

Abstrak Postpartum mothers who suffer from perineal injury if not properly maintained and improper care of the perineum can result in infection of the perineum. Care for perineal wounds is carried out by the Indonesian community, one of which is by using green betel leaf decoction water that has an antibiotic effect, based on the effect of this therapy, betel can also be used as material for wound care that is usually used by means of worms. Research to find out whether betel leaf water can accelerate the healing process of perineal wounds in post partum mothers. The research method is pre-experimental using a pretest and posttest design in one group. The sample in this study 31 respondents using non-likely sampling techniques using consecutive sampling method. The results of the study the effect of giving green betel leaf decoction to the healing of perineal wounds in post partum mothers pre-test post-test p-value 0.018 <α = 0.05 Ho is rejected, Ha Accepted which means there is an influence of perineal wound healing with green betel leaf decoction in pera simalingkar B clinic, Medan tuntung sub-district, Medan in 2019.


2021 ◽  
Vol 1 (1) ◽  
pp. 13-26
Author(s):  
Aliyyah Amanda ◽  
Ricky Riyanto Iksan ◽  
Sri Atun Wahyuningsih

ABSTRACT: APPLICATION OF MODERN DRESSING WOUND TREATMENT IN ELDERLY SUFFERERS DIABETES MELLITUS Introduction: Diabetes mellitus is a disease that is a health problem in the elderly. Diabetes mellitus is a chronic disease characterized by elevated levels of glucose in the blood. Purpose: This study aims to identify gangrene wound care with modern dressing methods in the elderly with diabetes mellitus. Method: The research method used is a case study design, which is a form of research (inquiry) or case studies and interventions about a problem that has a specific nature (particular arity). Result: The results of the research conducted on the first respondent a score of 33 on the BWAT scale did not regenerate, the second respondent experienced the healing process a score of 10, the third respondent did not regenerate with a score of 16, the fourth respondent did not regenerate with a score of 20. Conclusion: The conclusions of this study describe the Modern Dressing wound care intervention in three respondents who did not have a generation of wound healing processes and one respondent experienced the wound healing process. Keywords: Diabetes mellitus, Elderly, Modern Dressing, BWAT value ABSTRAK: PENERAPAN PERAWATAN LUKA MODERN DRESSING PADA LANISA PENDERITA DIABETES MELITUS Latar Belakang : Diabetes melitus merupakan penyakit yang menjadi masalah kesehatan pada lanjut usia. Diabetes melitus Merupakan suatu penyakit kronis yang ditandai dengan peningkatan kadar glukosa dalam darah. Tujuan: Penelitian ini bertujuan untuk teridentifikasi perawatan luka ganggren dengan metode modern dressing pada lansia dengan masalah diabetes melitus. Metode Penelitian : Metode penelitian yang digunakan case study design yaitu suatu bentuk penelitian (inquiry) atau studi kasus dan intervensi tentang suatu masalah yang memiliki sifat kekhususan (particul arity). Hasil : Hasil penelitian yang dilakukan pada responden pertama skor 33 skala BWAT tidak bergenerasi, pada responden kedua mengalami proses penyembuhan skor 10, pada responden ketiga tidak bergenerasi dengan skor 16,pada responden keempat tidak beregenerasi dengan skor 20. Kesimpulan : Simpulan dari penelitian ini menggambarkan Intervensi perawatan luka Modern Dressing pada tiga responden tidak bergenerasi proses penyembuhan luka dan satu responden mengalami proses penyembuhan luka. Kata Kunci : Diabetes melitus, Lansia, Modern Dressing, BWAT score


2021 ◽  
Vol 18 ◽  
Author(s):  
Xinchi Feng ◽  
Jinsong Hao

: Chronic wounds remain a significant public problem and the development of wound treatments has been a research focus for the past few decades. Despite advances in the products derived from endogenous substances involved in a wound healing process (e.g. growth factors, stem cells, and extracellular matrix), effective and safe wound therapeutics are still limited. There is an unmet need to develop new therapeutics. Various new pathways and targets have been identified and could become a molecular target in designing novel wound agents. Importantly, many existing drugs that target these newly identified pathways could be repositioned for wound therapy, which will facilitate fast translation of research findings to clinical applications. This review discusses the newly identified pathways/targets and their potential uses in the development of wound therapeutics. Some herbs and amphibian skins have been traditionally used for wound repairs and their active ingredients have been found to act in these new pathways. Hence, screening these natural products for novel wound therapeutics remains a viable approach. The outcomes of wound care using natural wound therapeutics could be improved if we can better understand their cellular and molecular mechanisms and fabricate them in appropriate formulations, such as using novel wound dressings and nano-engineered materials. Therefore, we also provide an update on the advances in the wound therapeutics from natural sources. Overall, this review offers new insights into novel wound therapeutics.


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

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


2019 ◽  
Vol 2 (2) ◽  
pp. 20-28
Author(s):  
Anita Sukarno ◽  
Nur Hidayah ◽  
Musdalifah Musdalifah

Background: Diabetic foot ulcers were common diabetes complication that progressively growth globally. The effectivity of Manuka honey in wound healing process was huge published currently. Modern dressing and Manuka honey may not affordable and cost effective since these dressings were not produced originally in Indonesia. In addition, the published study of Indonesian honey is still lack. Therefore, we conducted this study to investigate the effectivity of Indonesian honey in diabetic foot ulcers healing process. Method: This study design was observational case study. This study was conducted among type 2 diabetes with diabetic foot ulcers in Griya Afiat Homecare and ETN Center in Makassar City, Indonesia from March to June 2014. The Bates Wound Assessment Tool (BWAT) were used to collect the score of diabetic foot ulcer healing process regarding wound size, depth, edges, undermining, necrotic tissue type, necrotic amount, granulation, epithelization, exudate type and amount, surrounding skin color, edema and induration. Descriptive, Independent t-test, Analysis of Variance (ANOVA) and Wilcoxon signed rank test were conducted appropriately. Results: In total, 10 type 2 diabetes patients with diabetic foot ulcers were participated. The factors associated with wound healing process were diabetes treatment (t= 2.44, p= 0.041) and primary dressing (t= -2.76, p= 0.025). The effect of honey primary dressing was in reducing wound size (p= 0.043), improving necrotic tissue type (p= 0.041), reducing necrotic tissue amount (p= 0.042), increasing granulation (p= 0.038) and epithelization (p= 0.042). In the counterpart, the effect of modern dressing was in improving necrotic tissue type (p= 0.046) and increasing granulation (p= 0.042). Conclusion: Indonesian honey is beneficial on diabetic foot ulcers healing process. Recommendation: Therefore, findings suggest that honey should be considered as the alternative, cost effective and beneficial wound dressing on the diabetic foot ulcers.


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


2019 ◽  
Vol 9 (19) ◽  
pp. 4172 ◽  
Author(s):  
Hina Sattar ◽  
Imran Sarwar Bajwa ◽  
Riaz Ul-Amin ◽  
Aqsa Mahmood ◽  
Waheed Anwar ◽  
...  

Skin wound healing is influenced by two kinds of environment i.e., exterior environment that is nearby to wound surface and interior environment that is the environment of the adjacent part under wound surface. Both types of environment play a vital role in wound healing, which may contribute to continuous or impaired wound healing. Although, different previous studies provided wound care solutions, but they focused on single environmental factors either wound moisture level, pH value or healing enzymes. Practically, it is insignificant to consider environmental effect by determination of single factors or two, as both types of environment contain a lot of other factors which must be part of investigation e.g., smoke, air pollution, air humidity, temperature, hydrogen gases etc. Also, previous studies didn’t classify overall healing either as continuous or impaired based on exterior environment effect. In current research work, we proposed an effective wound care solution based on exterior environment monitoring system integrated with Neural Network Model to consider exterior environment effect on wound healing process, either as continuous or impaired. Current research facilitates patients by providing them intelligent wound care solution to monitor and control wound healing at their home.


2021 ◽  
Vol 1 (3) ◽  
pp. 198-201
Author(s):  
Shinta Novelia ◽  
Rosmawati Lubis ◽  
Erma Sulistiyorini

Background: Perineum wound care is one of the factors to prevent infection during the puerperium. Because the perineum is a difficult area to keep dry and clean. Care and observation are needed during the puerperium to ensure that the perineum is healed by taking care of the perineum properly and correctly. During the Covid-19 pandemic, postpartum maternal visits to health facilities were very limited because it was to avoid transmitting infectious diseases to postpartum mothers.   Objective: To determine the knowledge of the post-partum women about the practice of perineal wounds during the Covid-19 pandemic at the Banjar Health Centre in 2021.   Methodology: this descriptive study used a cross sectional approach. The sample in this study was 102 respondents with accidental sampling technique. Data were analyzed using SPSS with Chi Square, which previously tested the validity and reliability.   Results: The practice of treating perineum wounds in the working area of the Banjar Health Centre obtained an average score of 73.5. Based on the knowledge obtained an average value of 89.2. The results of the Chi Square test showed that all independent variables had a relationship with perineum wound care practices, including knowledge (p = 0.001).   Conclusions and Suggestions: The practice of perineum wounds care in postpartum women has a relationship with the women’s level of knowledge. Postpartum women can expand their knowledge about wound care in the perineum during the puerperium through mass and electronic media and counseling provided by health personnel.       


Author(s):  
Edy Mulyadi ◽  
Nurrahmawati Nurrahmawati ◽  
Ajma'in Ajma'in

Introduction: The concept of moist wound care based (moisture balance) has long been known in the world, because it has advantages such as speeding up the re-epitalisasi, retain moisture, decrease infection, the wound bed moist spending can stimulate growth factors that accelerate the wound healing process. This research aims to produce modern wound care management protocols that will run on General Hospital Langsa Cut Nyak Dien, and can be a guide to wound care by nurses in RSUCND. Method: The design used in this study was action research with one cycle. The number of participants involved were 12 people assigned to the purposive sampling method. Data collection methods are focus groups discuss, self-report (questionnaire wound care nurses' knowledge about modern and caring, nurse and patient satisfaction levels), and observation (checklist). Data collection was conducted from 26 April to 28 September 2013. Data obtained were analyzed by analysis wilcoxon. Results: Result test conducted between the pre and post show significant changes. Discussion: The recommendations can be made based on the results of this study, which has been composed POS can be run by RSUCND and this research can be continued on the next cycle. Keywords: wound care with moisture balance concepts, operational procedures


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