scholarly journals Empowerment e cura centrata sulla persona: un progetto d’educazione terapeutica dedicato al paziente affetto da ulcere venose. Studio p

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Katia Feliziani ◽  
Arianna Dichiara ◽  
Giovanna Faccenda ◽  
Marco Romanelli ◽  
Battistino Paggi
Keyword(s):  

Il progetto ha previsto lo sviluppo, la validazione e la sperimentazione di uno strumento formativo cartaceo dedicato al paziente seguito presso l’ambulatorio infermieristico per ulcere venose dell’arto inferiore. Un infermiere esperto in wound care ha progettato e, in seguito, sottoposto a validazione da parte di un team multiprofessionale un questionario composto da 5 domande concernenti la consapevolezza di malattia, la necessità di essere sottoposti a terapia e la verifica delle conoscenze di alcuni basilari concetti di fisiopatologia. Il questionario è stato somministrato ai pazienti arruolati prima e dopo l’intervento formativo attuato, al fine di testarne l’efficacia (studio pre-post test senza gruppo di controllo). L’analisi dell’efficacia dell’intervento formativo è stata effettuata testando la variazione della media dei punteggi pre (Pre-I) e post intervento (Post-I). Risultati: in base all’analisi statistica effettuata è possibile ritenere l’intervento formativo efficace per il campione selezionato con un buon livello di significatività (p<0,001): media dei punteggi Pre-I 6,22 (95% IC 5,22-7,21) e media Post-I 10,83 (95% IC 10,59-11,06). In linea con quanto presente in letteratura scientifica, lo studio condotto ha permesso all’infermiere esperto in wound care di sperimentare l’effetto della personalizzazione dell’intervento di cura e dell’empowerment sull’outcome. L’intervento formativo, così strutturato, pur risultando perfettibile, rappresenta un importante punto di partenza per ulteriori sviluppi futuri.

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.


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.


Author(s):  
Fahruddin Kurdi ◽  
Ratna Puji Priyanti

ABSTRAK Jumlah penderita DM (diabetes melitus) saat ini semakin meningkat. Salah satu komplikasi yang terjadi yaitu DFU (diabetic foot ulcers). Banyak cara yang dapat dilakukan untuk mencegah DFU, salah satunya dengan diabetic foot exercise. Penelitian ini bertujuan untuk mengetahui efektifitas diabetic foot exercise terhadap risiko dfu (diabetic foot ulcers) pasien diabetes mellitus. Penelitian menggunakan design pre-eksperimen dengan pendekatan one-group pra-post test design. Populasi penderita diabetes yang berjumlah 60 orang, besar sampel 40 orang yang diambil menggunakan teknik purposive sampling. Resiko DFU dinilai menggunakan inlow’s 60-second diabetic foot screening tool dengan metode observasi. Analisa data menggunakan uji statistik Wilcoxon. Hasil penelitian ini didapatkan bahwa sebelum dilakukan diabetic foot exercise sebagian besar reponden mempunyai risiko sedang sebanyak 30 orang (75%), sesudah dilakukan diabetic foot exercise diperoleh bahwa sebagian besar responden risiko rendah sebanyak 32 orang (80%). Uji statistik Wilcoxon diperoleh nilai p value = 0,001 dimana nilai p value<α (0,05) yang berarti ada pengaruh diabetic foot exercise terhadap risiko diabetic foot ulcers. Diabetes foot exercise sangat efektif untuk penderita diabetes dalam mencegah risiko DFU. Penderita diabetes dapat melakukan diabetic foot exercise 2 kali dalam seminggu secara teratur.  Kata Kunci : Diabetes mellitus, Diabetic foot ulcers, diabetic foot exercise


2020 ◽  
Vol 4 (1) ◽  
pp. 222-230
Author(s):  
I Dewa Ayu Rismayanti ◽  
I Made Sundayana ◽  
Putu Eka Pratama

This study aims to determine the effect of modern dressings on wound healing of grade 2 diabetes mellitus at Griya Utami Care Bali. The design used in the study was a real experiment with a one-group pre-post test approach. The results showed that the experimental group's average post value was 8.67, with a standard deviation of 2.024. In the control group, the average post value was 10.60, with a standard deviation of 2.874. Based on the results of statistical tests, it was found that the p-value was 0.042, meaning that there was a significant difference in the average post value between the experimental group and the control group. In conclusion, there is an effect of modern dressings on wound healing for grade 2 diabetes mellitus at Griya Utami care Bali. Keywords: Diabetes Mellitus, Grade 2 Diabetes Wounds, Modern Dressing


Author(s):  
Nuh Huda ◽  
Dini Mei Widayanti

Increasing the number of patients with DM, complications are also increasing, one of them is ulceration of the lower limbs, with or without infection and cause damage to the underlying tissue, hereinafter referred to as diabetic foot (KD) or diabetic foot wound. In the world, the number of diabetic foot patients is expected to continue to rise. Diabetic wound care also creates difficulties for the nurse. The purpose of this study is to analyze the level of ease of simple foot elevator (SFE) tools in the treatment of diabetic wounds. This type of research is quasi experimental Pre and Post Test Without Control Design by creating a prototype called SFE. This tool was then tested on 12 diabetic patient nurses with diabetic ulcer complications in the lower extremity area. The variable of this study is to measure the degree of ease of nurses in performing the treatment of Diabetic Injuries through the questionnaire. Data processing research with Mann Withney test with significance level (α = 0,05) or CI = 95%. The result of statistical test by using Mann-Whitney test is 0.014, the result p is less than α, meaning that statistically shows that the use of SFE (Simple Foot Elevator) tool is easy to be used by nurses when performing diabetic foot ulcer treatment in Room 3 Rumkital Dr. Ramelan Surabaya. The use of SFE is easy to use. So it can be recommended as one alternative tool that can be used in wound care.Keyword : Diabetes Mellitus, Diabetic Foot Wounds, SFE


Author(s):  
Eka Yudha Chrisanto ◽  
Nur Afni

Background: The surgery in Indonesia ranks 11th out of 50 treatments for disease patterns in hospitals in Indonesia, which is an estimated 32% of them were laparotomy. The number of abdominal surgical cases in Lampung Province in 2017 was (28.95%) and increased in 2018 by (32.45%).Purpose: Know the effect of health training in knowledge and surgical wound management.Methods: This type of study was quantitative, with the Pre-Experiment design and the design one group pre test - post test. The populations were all of postoperative patients and samples of 34 people with a total sampling technique. Data collection uses questionnaire sheets and the statistical test used dependent t-test.Results: The average knowledge about postoperative wound care before being given health training of 14.18 and a standard deviation of 1.749. The average knowledge about postoperative wound care after being given health training of 17.06 and a standard deviation of 3.142, with p-value = (0,000 <0,05).Conclusion: There was the effect of health training in knowledge and surgical wound management. Health workers are expected to be able to apply the provision of health training to postoperative patients to improve patient knowledge in subsequent care and be used as a reference for making policies regarding the provision of health training to postoperative patients.


Author(s):  
Eni Kusyati ◽  
Ni Nyoman Martaningtyas

Introduction. The number of hernia sufferers in Ambarawa Government Hospital ( RSUD Ambarawa) increased into 1.2% within two decades, which were in 2012 and 2013. There were 14 people (4,2 %) were infected. The purpose of this research was to know the effect of wound care using honey toward leukocytes calculation value and leukocytes type in post-herniotomy patients in Ambarawa Government Hospital ( RSUD Ambarawa ).Method. This research used quantitative research method with quasi experiment design, and it used Post Test with control design. The population of this research was the post-herniotomy patients (The number of population was 20 people). The number of population was divided into two groups. 10 people were treated with honey, and the other 10 people were treated by using povidon iodine. Moreover, this research used incidental sampling technique. Result. The research result with independent t-test, it showed that there was difference between leukocytes calculation value with p-value 0,041 and there was no difference on monocytes, lymphocyte, and granulocytes calculation value between treatment group and control group with p-value 0.714; 0.222; and 1.00. Discussion. From the research result, It can be concluded that there was effect on leukocytes calculation value and there was no effect on monocytes, lymphocytes, and granulocytes calculation value in post-herniatomy patients who were treated with honey compared to those patients who were treated by using povidine iodine. Keywords: Wound care, honey, povidon iodine, leukocytes


2019 ◽  
pp. 10-17
Author(s):  
Kathleen Sankovich ◽  
Laura Ann Fenimore ◽  
Rose Hoffman ◽  
Dianxu Ren

Background: Pressure Injuries (PIs) are largely preventable. Accurate documentation of PI stage or progression is a key quality measure. Local Problem: Nurses frequently fail to accurately assess and document their findings in the electronic medical record. This project sought to increase nurses’ knowledge and accuracy of staging and documentation of PIs. Method: Educational interventions; direct observation of PI status; review of nurse documentation; feedback,;and referrals to wound, ostomy, and continence nurses (WOCNs). Interventions: Nurses completed a pre- and post-test and online training modules, and participated in training sessions. Clinical experts completed direct skin observations and provided feedback about PI staging. Results: There was a statistically significant improvement in nurses’ knowledge about PIs (p = 0.004). Skin assessments were conducted on 108 patients (13 PIs identified). The bedside nurse accurately assessed a PI stage in only 31% of these observations. Referrals to WOCNs increased by 18% compared to the baseline period. Conclusions: Educational interventions enhanced nurses’ knowledge; however, appropriate PI staging may require skills development and validation to build competency. Keywords: pressure injury, pressureulcer,wound care, prevention, evidence-based practice, prevalence, assessment, documentation, education


2014 ◽  
Vol 04 (04) ◽  
pp. 039-041
Author(s):  
Elizabeth Rajan ◽  
Sabitha Nayak

AbstractThe study was conducted on Effectiveness of self instructional module on knowledge of post operative self care for mothers undergoing elective caesarean section in selected hospitals, Mangalore. The research design was a one group pre test post test design which was a pre experimental research design. 40 mothers undergoing elective caesarean section by purposive sampling.The pretest knowledge questionnaire was administered to the mothers two days prior to caesarean section, followed by a self instructional module on post operative self care. Post test was conducted after 5 days using the same tool. The collected data were analyzed using descriptive and inferential statistics. The mean knowledge score was 14.98 whereas maximum possible score was 30. Among the 11 areas, the mean percentage knowledge score in the area of caesarean section and self care was 77.50% bladder and bowel care was 60% breast feeding was 58.40% diet was 52.50% pain management was 47.50% post operative complications and home care was 46% baby care was 44.33% early ambulation and exercise was 44% perineal hygiene was 41% wound care was 40.67% and deep breathing and coughing was 40.67%.The 't' value showed significant in the post test ('t' calculated value of pretest and post test knowledge scores = 18.000, p<0.001) which showed that self-instructional module was effective in improving the knowledge of mothers on post operative self care after caesarian section.There was significant association between the level of knowledge and demographic variables namely age parity, education, occupation, monthly income, exposure to health awareness and history of caesarean section.


2019 ◽  
Vol 13 (3) ◽  
pp. 249-254
Author(s):  
Eka Yudha Chrisanto ◽  
Nur Afni ◽  
Andoko Andoko

Impact of health educational program upon nurses' knowledgeTowards postoperative wounds care in Lampung-Indonesia Background: The surgery in Indonesia ranks 11th out of 50 treatments for disease patterns in hospitals in Indonesia, which is an estimated 32% of them were laparotomy. The number of abdominal surgical cases in Lampung Province in 2017 was (28.95%) and increased in 2018 by (32.45%).Purpose: Know the effect of health training in knowledge and surgical wound management.Methods: This type of study was quantitative, with the Pre-Experiment design and the design one group pre test - post test. The populations were all of postoperative patients and samples of 34 people with a total sampling technique. Data collection uses questionnaire sheets and the statistical test used dependent t-test.Results: The average knowledge about postoperative wound care before being given health training of 14.18 and a standard deviation of 1.749. The average knowledge about postoperative wound care after being given health training of 17.06 and a standard deviation of 3.142, with p-value = (0,000 <0,05).Conclusion: There was the effect of health training in knowledge and surgical wound management. Health workers are expected to be able to apply the provision of health training to postoperative patients to improve patient knowledge in subsequent care and be used as a reference for making policies regarding the provision of health training to postoperative patients. Keywords: Health educational program; Nurses; Knowledge; Postoperative wounds care Pendahuluan: Tindakan operasi di Indonesia menempati urutan ke-11 dari 50 pertama penanganan pola penyakit di rumah sakit se-Indonesia yang diperkirakan 32% diantaranya merupakan tindakan bedah laparatomi. Jumlah kasus bedah abdomen di Provinsi Lampung pada tahun 2017 sebesar (28,95%) dan meningkat pada tahun 2018 sebesar (32,45%).Tujuan: Diketahui pengaruh pelatihan kesehatan terhadap pengetahuan tentang perawatan luka pasca operasi.Metode: Jenis penelitian kuantitatif, dengan rancangan penelitian Pra Experiment dan pendekatan one group pre test - post test design. Populasi seluruh pasien post operasi dan sampel sebanyak 34 orang dengan teknik total sampling. Pengumpulan data menggunakan lembar kuesioner dan menggunakan uji dependent t-test.Hasil: Rata–rata pengetahuan tentang perawatan luka pasca operasi sebelum diberikan pelatihan kesehatan sebesar 14,18 dan standar deviasi sebesar 1,749. Rata–rata pengetahuan tentang perawatan luka pasca operasi sesudah diberikan pelatihan kesehatan sebesar 17,06 dan standar deviasi sebesar 3,142, dengan p-value = (0,000 < 0,05).Simpulan: Ada pengaruh pelatihan kesehatan terhadap pengetahuan tentang perawatan luka pasca operasi. Diharapkan petugas kesehatan dapat mengaplikasikan pemberian pelatihan kesehatan kepada pasien pasca operasi untuk meningkatkan pengetahuan dalam perawatan selanjutnya dan dijadikan referensi untuk membuat kebijakan mengenai pemberian pelatihan kesehatan kepada pasien pasca operasi.


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