scholarly journals EFFECTIVENESS OF VIRGIN COCONUT OIL TO XEROSIS IN HEMODIALYSIS PATIENTS AT RST III REKSODIWIRYO PADANG

2020 ◽  
Vol 9 (2) ◽  
pp. 226-232
Author(s):  
Ria Desnita ◽  
Vivi Syofia Sapardi

Background: Progressive and irreversible decline in renal function in chronic renal failure requires renal replacement therapy. The most commonly used renal replacement therapy is hemodialysis. Hemodialysis therapy can maintain patient survival and control uremia syndrome. However, uremic toxins cannot be completely resolved by hemodialysis. The uremic toxins that accumulate on the patient's skin can cause xerosis (dry skin). Xerosis can be overcome by providing a moisturizer that has emollient content. One of the natural ingredients that contain emollients and can be used for skin care for hemodialysis patients is virgin coconut oil (VCO).Objective: To determine the effectiveness of virgin coconut oil (VCO) administration against xerosis in patients undergoing hemodialysis.Research Method: This research is a quantitative study with a quasi experimental design approach using one group pre and post test approaches without control group design. The research was conducted in the hemodialysis room RST III Reksodiwiryo Padang. Sampling was done by consecutive sampling technique with a sample size of 11 people. VCO intervention was carried out for 12 days, 2 times a day. Score of xerosis degree before and after intervention was assessed by Overal Dry Skin Score (ODSS).Result: The mean score of degree of xerosis before VCO administration was 3.06 and after VCO administration was 1.39. Based on the t-dependent test statistical test, it was found that the p value = 0.001 (ρ<0.05), meaning that virgin coconut oil was effective in overcoming the problem of xerosis in patients undergoing hemodialysis at RST III Dr. Reksodiwiryo Padang.Conclusion: Virgin coconut oil can be used for skin care to treat xerosis problems in chronic kidney failure patients undergoing hemodialysis.Key words: Hemodialysis, xerosis, virgin coconut oil.

2020 ◽  
pp. 362-373
Author(s):  
Venny Vidayanti ◽  
Mae Sri Hartati Wahyuningsih ◽  
Akhmadi Akhmadi

Penundaan rawat gabung, rendahnya frekuensi menyusui dan kesulitan dalam posisi menyusui pada ibu pasca bedah cesar dapat menyebabkan keterlambatan laktogenesis II. Hal ini menyebabkan ketidaklancaran produksi ASI pada hari-hari pertama pasca pembedahan. Intervensi pijat punggung menggunakan Virgin Coconut Oil (VCO) merupakan terapi komplementer yang dapat membantu meningkatkan kelancaran produksi ASI pasca bedah cesar. Penelitian ini bertujuan untuk mengidentifikasi perbedaan kelancaran produksi ASI ibu pasca bedah cesar dengan intervensi pijat punggung menggunakan Virgin Coconut Oil. Desain penelitian menggunakan”quasi experiment post test-only with control group design”. Teknik pengambilan sampel menggunakan consecutive sampling yang melibatkan 50 ibu pasca bedah cesar dalam kelompok intervensi dan kelompok kontrol. Analisis yang digunakan dalam penelitian adalah uji chi-square untuk mengetahun perbedaan kelancaran produksi ASI dan uji regresi logistik berganda untuk mengidentifikasi variabel dominan yang berhubungan dengan kelancaran produksi ASI. Hasil uji chi-square menunjukkan bahwa terdapat perbedaan kelancaran produksi ASI pada kelompok intervensi dibandingkan dengan kelompok kontrol (p-value 0.023; OR=3.85). Hasil analisis regresi logistik menunjukkan frekuensi menyusui (p=0.028;OR=5.74) merupakan variabel dominan bersama dengan pijat punggung (p=0.030;OR=4.47) dan paritas (p=0.060;OR=3.59) dalam mempengaruhi kelancaran produksi ASI. Intervensi pijat punggung bersama dengan frekuensi menyusui dan paritas berpeluang meningkatkan kelancaran produksi ASI pada ibu pasca bedah cesar. Ibu yang diberikan intervensi pijat punggung menggunakan Virgin Coconut Oil berpeluang 3.85 kali mengalami kelancaran produksi ASI. Edukasi untuk ibu dalam meningkatkan frekuensi menyusui juga penting dalam upaya peningkatan produksi ASI pada ibu pasca bedah cesar.


Author(s):  
Rizki Muliani ◽  
Vina Vitniawati ◽  
Denden Ardiyana Rakhman

Hemodialysis is an action taken to treat various problems caused by Chronic Kidney Disease (CKD). Pruritus is a complication that often occurs due to hemodialysis, can cause injury to the skin, and interfere with patient comfort. Emollients are recommended to treat pruritus, where Virgin Coconut Oil (VCO) and Olive Oil (OO) are effective emollients to treat pruritus because they are easy to obtain, natural, and without side effects. The purpose of this study was to assess differences in the effectiveness of reducing pruritus grade scores in hemodialysis patients using VCO and OO. This study used a quasi-experiment with two groups pre-post test design. Samples were taken using the purposive sampling technique involving 72 patients undergoing hemodialysis which were divided into two groups (VCO and OO). The instrument used the score of the degree of pruritus and the data were analyzed by the Mann-Whitney test. The results of the study obtained a p-value of 0.008 (<0.05) which means that there is a difference in the effectiveness of giving VCO with OO on the score of the degree of pruritus in patients, VCO is more effective in reducing the score of the degree of pruritus in patients. So that the use of VCO can be used as an alternative nurse intervention in the treatment of pruritus in hemodialysis patients. KEYWORDS: Chronic Kidney Disease, Hemodialysis, Olive Oil, Pruritus, Virgin Coconut Oil


2020 ◽  
Vol 4 (2) ◽  
pp. 105
Author(s):  
Sukhri Herianto Ritonga ◽  
Nanda Masraini Daulay

Intorduction:Incontinence was a problem that often occurs in the elderly and this condition can worsen the elderly situation with the appearance of severe damage to the integrity of the skin,Virgin Coconut Oil (VCO) contains medium chain saturated fat that easily enters deep skin layers and maintains skin elasticity and suppleness. The aim of this study was to determine the effect of virgin coconut oil on skin integrity in the elderly with incontinence.Methods: The design of  research was a quasi-experimental with non equivalent control group design. The population in this study were all elderly who experience incontinence. The sampling technique used was consecutive sampling with a total of 10 people in the experimental group and 10 people in the control group. To assess skin integrity before and after treatment is used was The Ghent Global IAD (GLOBIAD) tool. The using of virgin coconut oil is done every time after the stool incontinence episode and after bathing. Virgin coconut oil has been applied to the damaged skin and also to other vulnerable skin. Results: Based on the Wilcoxon test results obtained p value smaller than 0.05 which is 0.010 so that there was a significant difference in the value of skin integrity before and after the treatment. Conclusions:There was a significant effect on the use of virgin coconut oil on skin integrity in the elderly with incontinence.


Author(s):  
Siti Aisyah Nur ◽  
Siska Sakti Anggraini ◽  
Putri Dafriani ◽  
Honesty Diana Morika

Background: Diabetic ulcers often result in amputations. The bacteria found in diabetic ulcers are Enterobacter sp, Staphylococcus aureus, Salmonella sp and Pseudomonas sp. Nursing management of ulcer patients has been attempted but nothing has been effective yet. Using virgin coconut oil (VCO) contains anti-inflammatory, antipyretic and has an analgesic effect to increase the formation of new blood vessels with faster wound healing. Aim was to study the effect of wound care by giving VCO on the colonization of Staphylococcus aureus bacteria in diabetic ulcers.Methods: Quasi-experimental research with the two-group pre-test and post-test design approach involved 36 diabetic ulcer patients with consecutive sampling by doing wound care for 4 days. The duration of treatment was 30-40 minutes. Data was taken by swab on wound fluid before and after the intervention. Bivariate analysis carried out t-independent test of DM ulcers.Results: The results showed the average number of colony staphylococcus in the intervention group before being given wound care with VCO 72.88, while after being treated with 38.88 wound VCO and the average results of the number of colony staphylococcus in the control group before being treated with NaCl 77.88, whereas after being treated with VCO 38.88 wound with NaCl 72.88 in the statistical test the p value is 0,000.Conclusions: There was a significant influence between the number of colony Staphylococcus in the control group and the intervention group.


2021 ◽  
Vol 18 (22) ◽  
pp. 488
Author(s):  
Ade Devriany ◽  
Emmy Kardinasari ◽  
Harindra Harindra ◽  
Bohari Bohari

A quasi-experimental study with static-group comparison was done between (insert the interval of study) to identify the effect of back rolling massage with green coconut oil extract towards breastmilk production on postpartum mothers. The intervention group was the mothers that were given back rolling massage with virgin coconut oil (VCO). The control group was postpartum mothers that were given back rolling massage without green coconut oil extract. The 24 samples that were used for this study consisted of 2 sample groups; 12 samples in the intervention group and 12 samples in the control group. The average breastmilk production of the group with VCO extract in day 4 is 46.9 mL while the group without VCO extract is 42.9 mL until it shows no significant difference towards breastmilk production on day 4 with p-value = 0.794. On day 7 shows that the VCO extract group has breastmilk production 87.3 mL compared to the group without VCO only 49.2 mL until there is a significant difference with p-value = 0.046. The antioxidant analysis shows that VCO extract contained alkaloids and saponin. Back rolling massage with green coconut oil extract is effective in increasing breastmilk production at day 7. HIGHLIGHTS Alkaloid and Saponim in VCO can give benefits if applied as topical oil for therapy of back rolling massage Breast milk production increased significantly in respondents who were massaged using VCO compared to non-VCO Back rolling massage with green coconut oil extract is effective in increasing breastmilk production at day 7


2016 ◽  
Vol 1 (1) ◽  
pp. 22
Author(s):  
Nazli Zainuddin ◽  
Nurul Azira Mohd Shah ◽  
Rosdan Salim

Introduction: The role of virgin coconut oil in the treatment of allergic rhinitis is controversial. Thus, the aim of the present study is to determine the effects of virgin coconut oil ingestion, in addition to standard medications, on allergic rhinitis. We also studied the side effects of consumption of virgin coconut oil. Methods: Fifty two subjects were equally divided into test and control groups. All subjects received a daily dose of 10mg of loratadine for 28 days. The test group was given 10ml of virgin coconut oil three times a day in addition to loratadine. The symptoms of allergic rhinitis were scored at the beginning and end of the study. Results:, the symptom score were divided into nasal and non-nasal symptom scores. Sneezing score showed a significant difference, however the score was more in control group than test group, indicating that improvement in symptom was more in control group. The rest of the nasal symptom and non-nasal symptom score showed no significant difference between test and control groups. Approximately 58% of the test subjects developed side effects from consumption of virgin coconut oil, mainly gastrointestinal side effects. Conclusion: In the present study, ingestion of virgin coconut oil does not improve the overall and individual symptoms of allergic rhinitis, furthermore it has side effects.


2021 ◽  
Vol 1 (1) ◽  
pp. 1-6
Author(s):  
Hotman Adi Saputra

Gagal ginjal Kronik merupakan gangguan fungsi ginjal dalam melakukan penyaringan tubuh. Penumpukan ureum ini akan menyebabkan rasa gatal yang dirasakan dikulit pasien gagal ginjal kronik dengan hemodialisa. Salah satu cara untuk mengatasi masalah gatal dikulit adalah dengan menerapkan penggunaan Virgin Coconut Oil yang dioleskan ke kulit untuk mengatasi masalah gatal. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh Virgin Coconut Oil terhadap gatal dikulit pasien gagal ginjal kronik dengan Hemodialisa. Populasi dalam penelitian ini adalah seluruh pasien gagal ginjal kronik yang sedang menjalani terapi Hemodialisa yang berjumlah 44 orang. Sampel pada penelitian ini ditentukan dengan perhitungan rumus slovin yaitu 15 responden.  Desain penelitian menggunakan Quasi Eksperimen yaitu dengan rancangan pre test – post test dengan jumlah sampel berjumlah 15 responden. Uji Statistik yang digunakan adalah uji Wilcoxon. Hasil penelitian menunjukkan bahwa ada perbedaan yang signifikan terhadap penurunan rasa gatal yang dirasakan responden setelah intervensi dengan P –Value 0,001 hasil tersebut <0,05. Hasil penelitian ini dapat dijadikan sebagai terapi alternatif yang mengalami masalah kulit seperti rasa gatal dengan menggunakan Virgin Coconut Oil .


2015 ◽  
Vol 1 (2) ◽  
pp. 29
Author(s):  
Anggun Hibah Jannah Tamara ◽  
Yayun Siti Rochmah ◽  
Rochman Mujayanto

Background: Wound healing is a complex biological process. Fibroblast is one of cell which is responsible for the wound healing process. Virgin Coconut Oil (VCO) have health benefit as antibacterial, antiinflamatory, antioxidant, and immunomodulatory. This research was purposed to know the influence use of VCO over the amount of fibroblast in wound healing after dental extraction.Method: Research quasi experimental with post test control group design and using 15 Rattus novergicus which were divided into three groups (control positive, VCO topical application, and VCO per oral application). Tooth removal was committed by using explorer, scalpel-blade, and arterial clamp. Then VCO applied everyday for 7 days. Day 7th Rattus novergicus were died, the socket after extraction were made into histological form, then the amount of fibroblast were counted with 5 field of views and made in average. Result: The number of fibroblast of the most numerous was VCO per oral ( 48,6 ± 49,8 ), VCO topical ( 36,2 ± 38,8 ), and control positive ( 33,4 ± 35,2 ). The results of the Saphiro Wilk test and Levene test acquired data normally distributed and homogeny, so it continued to One Way Anova and data showed there were significant difference among the groups of samples with value p<0,05.Conclusion: The conclusion of this research is VCO could increase the number of fibroblasts in wound healing after dental extractions


2020 ◽  
Vol 3 (5) ◽  
pp. 560-568
Author(s):  
Siti Saodah ◽  
Imam Budi Putra ◽  
Cholina Trisa S

Chronic kidney failure is a public health problem throughout the world, and the number of sufferers is increasing. Chronic kidney failure can cause clinical symptoms in various body systems, one of which is a disorder in the skin that becomes dry (uremic). This study aimed to examine the effect of Virgin Coconut Oil (VCO) on the skin moisture among uremic patients undergoing hemodialysis. This type of research is a quasi-experiment with pre-test and post-test equivalent control group. The study was conducted at the Regional General Hospital, Dr. RM. Djoelham Binjai. The study population was 80 people, divided into 2 sample groups of 40 people each. The results showed that there was a significant effect of skin moisture on the intervention group before and after being given Virgin Coconut Oil, p = 0.000<0.05; There was a significant effect of skin moisture in the control group before and after lotion (post-test), p = 0.000<0.05. There is no need for special emulsions such as VCO to moisturize the skin in uremic patients undergoing hemodialysis because using ordinary lotions can moisturize the skin. It must be used regularly, twice a day after bathing. The lotion used must also be a lotion that does not contain mercury and chemicals that can harm the skin. To increase the skin's moisture becomes normal, giving lotion is better than VCO because by providing lotion, more skin becomes normal, while using VCO, the skin becomes more oily. It is recommended to health workers (doctors, nurses) to practice correctly and appropriately how to administer Virgin Coconut Oil (VCO) to uremic patients undergoing hemodialysis to be done at home


2021 ◽  
Vol 38 (5) ◽  
pp. 115-122
Author(s):  
Kazim G. Gasanov ◽  
Viktor A. Zurnadzhyants ◽  
Eldar A. Kchibekov ◽  
M. I. Shikhragimov

Objective. To determine the blood serum 2-microglobulin and 2-macroglobulin concentration in patients undergoing renal replacement therapy (programmed hemodialysis) for the diagnosis of uremic pancreatitis and / or destructive pancreatitis. Materials and methods. The study involved 52 patients admitted to the Surgical Unit of Astrakhan "RZhD-Medicine" Hospital and City Clinical Hospital № 3. The blood serum 2-microglobulin and 2-macroglobulin concentration was analyzed in patients admitted on an emergency basis with suspicion of uremic pancreatitis and destructive pancreatitis, who receive renal replacement therapy (programmed hemodialysis). The control group included 50 outpatients undergoing renal replacement therapy (programmed hemodialysis). The study did not include patients with suspected pancreatitis who were not receiving renal replacement therapy. The period of the study is 20192021. Results. The concentration of blood serum 2-microglobulin is statistically higher than normal in all patients, who had received renal replacement therapy (programmed hemodialysis) in anamnesis. The most statistically high concentration of 2-microglobulin was revealed while studying patients with uremic pancreatitis (n = 34), and was (30.0 2.75 mg/l) compared with the blood serum concentration in patients with destructive pancreatitis (8 0.51 mg / l). The concentration of 2-macroglobulin was statistically lower in destructive pancreatitis (n = 18) and was 615 161 mg/l compared with uremic pancreatitis (980 216 mg/l). In the control group of outpatients (n = 50) receiving renal replacement therapy (programmed hemodialysis), no statistically significant blood serum concentrations of 2-microglobulin and 2-macroglobulin were found. Conclusions. A clear dependence of the concentration of 2-microglobulin and 2-macroglobulin on the severity of uremic pancreatitis and destructive pancreatitis was established. Statistically high values of 2-microglobulin concentrations were obtained in patients with uremic pancreatitis, and the 2-macroglobulin level was statistically low in destructive pancreatitis.


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