scholarly journals Non Pharmacological Therapy in Case Study Obstacles to Physical Mobility Post Sectio Caesaria

2021 ◽  
Vol 1 (3) ◽  
pp. 119-222
Author(s):  
Sri Wahyuningsih ◽  
Nurul Hayati ◽  
Hesti Adi Safitri

Sectio Caesarea surgery causes pain and results in changes in tissue continuity due to surgery, earlymobilization can support the patient's wound healing process because moving the limbs will preventthe stiffness of muscles and joints, reducing pain and can accelerate blood circulation to parts thathave injuries that wound healing processes become faster. This study was to explore nursing care inpostoperative Sectio Caesarea with problems with physical mobility barriers through lavenderaromatherapy in the Teratai Room RSUD dr. Hayato Lumajang. Qualitative descriptively throughcase studies. The population in this study was postoperative mothers with Sectio Caesarea in theLotus Room at RSUD Dr. Haryoto, Lumajang Regency, with a total of 10 patients in June 2020. Theuse of aromatherapy dripped onto an oxygen mask for 3 minutes, after 3 hours of analgesicadministration. Both the inhalation method with an oxygen mask and directly inhaled prove thatlavender essential oil aromatherapy can reduce the pain scale of post-section Caesarea. Thisresearch is expected with this case study report to increase knowledge and insight in applying topatients and patients families about postoperative Sectio Caesarea in the implementation of earlymobilization, as well as innovations in giving lavender aromatherapy, can also be done to post SectioCaesarea patients. And it can be used as a new experience and information to reduce pain witharomatherapy.

2019 ◽  
Vol 2 (1) ◽  
pp. 14-17
Author(s):  
Nurul Aini Siagian ◽  
Syafira Nusaibah ◽  
Andayani Boang Manalu

Early mobilization includes factors that can affect the process of wound healing after surgery. Immediate mobilization in stages is very useful for the process of healing wounds and preventing infection and venous thrombosis. The purpose of this study was to determine whether there is a relationship between early mobilization and the process of healing wound post operative sectio caesarea at Sinar Husni General Hospital Medan Helvetia. The research design used was analytic survey with cross sectional approach. The sample in this study used the Consecutive Sampling method of data collection using a checklist sheet conducted on a sample of 19 respondents. The results of the study in this study are the majority of respondents who did early mobilization and who experienced rapid wound healing process as many as 4 people (21%) while the minority of respondents who did early mobilization and who experienced slow wound healing process were 1 person (5.3%). The majority of respondents who did not mobilize early and who experienced a slow wound healing process were 11 people (57.9%) and a minority who did not mobilize early and who experienced rapid healing as many as 4 people (21.1%). Statistical test results obtained p value = 0.046 <0.005. The conclusions of the results of this study indicate there is a relationship between early mobilization and the process of healing post operative sectio of caesarea. Suggestions The results of this study can be applied as a reference to improve nursing care services, especially in providing counseling and assistance to patients.


2017 ◽  
Vol 11 (1) ◽  
pp. 109
Author(s):  
Reni Heryani ◽  
Ardenny Denny

<p align="center"><strong>A</strong><strong>BSTRAK</strong><strong></strong></p><p align="center"> </p><p>Salah satu tujuan pembangunan era <em>Millenium Development goals (MDG’s)</em> 2015 adalah perbaikan kesehatan maternal. Salah satu cara di dalam persalinan atau mengeluarkan bayi secara patologis yaitu dengan sectio caesarea. Menurut  statistik 3.509 kasus sectio caesarea, indikasi terbanyak adalah disproporsi cephalo pelvik (21%), sedangkan indikasi lain adalah gawat janin (14%), plasenta previa (11%), pernah sectio caesarea (11%), incoordinate uterine action (9%), preeklamsi dan hipertensi (7%). Penelitian ini menggunakan desain penelitian <em>Quasy Experiment</em> dengan <em>post test only with control.</em> Hasil penelitian menunjukkan bahwa umumnya responden memiliki umur tidak berisiko terhadap tindakan operasi yati sebanyak 15 orang (75%), sebagian responden pertama kali dilakukan operasi caesarea yaitu sebanyak 10 orang (50,0%), sebagian responden mengalami penyembuhan luka yang normal yaitu sebanyak 13 orang (65,0%), dan sebagian responden responden melakukan mobilisasi dini yaitu sebanyak 14  orang (70,0%). Secara statistik terdapat pengaruh mobilisasi dini terhadap penyembuhan luka post sectio caesarea di RSUD Arifin Achmad Pekanbaru (p value = 0.007). Disarankan bagi respnden dapat meningkatkan kesadarannya dalam meningkatkan derajat kesehatan melalui latihan mobilisasi dini untuk mempercepat proses penyembuhan luka akibat operasi.</p><p><em> </em></p><p><em>Kata Kunci      : </em><em>sectio </em><em>caesarea, mobilisasi, penyembuhan luka</em></p><p><em> </em></p><p align="center"><strong><em>ABSTRACT</em></strong></p><p><em> </em></p><p><em>One of the goals of development era of Millennium Development Goals (MDG's) in 2015 is the improvement of maternal health.</em><em> </em><em>One way in the delivery or the baby out with the pathological ie sectio caesarea. According to 3509 statistics compiled case sectio caesarea, an indication of cephalo pelvic disproportion is the highest (21%), while the other is an indication of fetal distress (14%), placenta previa (11%), never sectio caesarea (11%), incoordinate uterine action (9%), preeclampsia and hypertension (7%).</em><em> </em><em>This study research design quasy Experiment with post test only with control. The results showed that respondents generally have a lifespan of no risk for surgery yati many as 15 people (75%), the majority of respondents were first performed caesarea operation as many as 10 people (50.0%), the majority of respondents experienced a normal wound healing as many as 13 people (65.0%), and the majority of respondents respondents did early mobilization as many as 14 people (70.0%). There is a statistically significant relationship between early mobilization on wound healing post sectio caesarea (p value = 0.007). Suggested for respnden can increase awareness in improving health status through early mobilization exercises to accelerate the wound healing process as a result of the operation.</em></p><p><em> </em></p><em>Keywords: sectio caesarea, mobilization, wound healing</em>


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 2 (1) ◽  
pp. 14-17
Author(s):  
Nurul Aini Siagian ◽  
Syafira Nusaibah ◽  
Andayani Boang Manalu

Early mobilization includes factors that can affect the process of wound healing after surgery. Immediate mobilization in stages is very useful for the process of healing wounds and preventing infection and venous thrombosis. The purpose of this study was to determine whether there is a relationship between early mobilization and the process of healing wound post operative sectio caesarea at Sinar Husni General Hospital Medan Helvetia. The research design used was analytic survey with cross sectional approach. The sample in this study used the Consecutive Sampling method of data collection using a checklist sheet conducted on a sample of 19 respondents. The results of the study in this study are the majority of respondents who did early mobilization and who experienced rapid wound healing process as many as 4 people (21%) while the minority of respondents who did early mobilization and who experienced slow wound healing process were 1 person (5.3%). The majority of respondents who did not mobilize early and who experienced a slow wound healing process were 11 people (57.9%) and a minority who did not mobilize early and who experienced rapid healing as many as 4 people (21.1%). Statistical test results obtained p value = 0.046 <0.005. The conclusions of the results of this study indicate there is a relationship between early mobilization and the process of healing post operative sectio of caesarea. Suggestions The results of this study can be applied as a reference to improve nursing care services, especially in providing counseling and assistance to patients.


2019 ◽  
Vol 13 (2) ◽  
Author(s):  
Darmawati Darmawati ◽  
Cut Husna ◽  
Aida Fitri ◽  
Dahrul Munira

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.


2018 ◽  
Vol 7 (09) ◽  
pp. 66-72
Author(s):  
Ny. Hikma

Sectio Caesaria (SC) is a labor with laparotomy and hysterotomy. Mothers who have had SC surgery, have the same postpartum care needs of mothers who have vaginal delivery. Post surgical care is necessary to prevent the occurrence of complications in the SCThis study aims to determine the factors associated with wound healing post sectio caesarea in RSUD Sawerigading Palopo 2016. The design of this study using analytical survey method with cross sectional study approach. The population in this study were all mothers who have given birth and sampling techniques of mothers who experienced cesarean delivery sectio sampling technique is the mother who experienced is accidental sampling as many as 45 people. Further data were analyzed by chi-square test.Conclusion: There is correlation between knowledge of mother with wound healing in post-cesarean mother in RSUD Sawerigading Palopo year 2017 based on chi square statistic test p value = 0,000 <0,05. There is a relation of mobilization form with wound healing to post-cesarean mother in RSUD Sawerigading Palopo year 2017 based on chi square statistic test p value = 0,003 <0,05.Suggestion: Provide health education on the importance of maintaining personal hygiene after SC surgery to avoid infection of wound surgery. Health education in post mobil mobilized mother can be done routinely in order to accelerate wound healing. Providing health education on wound care for post-cesarean mother. Health education about the importance of nutritional fulfillment to accelerate wound healing process with high-calorie high-protein diet.Keywords : Wound Healing, Sectio Caesaria, Knowledge, Early Mobilization


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


2018 ◽  
Vol 6 (2) ◽  
pp. 175
Author(s):  
Hetty Maria Sihotang ◽  
Hernita Yulianti

ABSTRACT The high rate of labor sectio caesarea in Indonesia at this time, in the government hospital around 20-25% and a private hospital around 30-80% of the total amount of labor. Seen from the health impacts posed as an infection. The infection can inhibit the wound healing process causing the morbiditas and mortality to grow. The more patien also needs to be considered how the wound healing process the operation. The purpose of this study to know the factor that influence the wound healing process post sectio caesarea in RSUD Arifin Achmad Pekanbaru 2016. This research using the kind of research quantitative with design cross sectional using test chi-square. Collecting data used data secondary from the status of patien and sheets observations in the form of check listI.The population is 239 people with a sample of 150 people. The processing data done by the spss covering editing, coding, sorting, entry, skoring and tabulating. Analysis of the used is unuvariat and bivariat. The results of the chi-square test for maternal age, p value = 1,000 and α = 0,05 means there is no age relationship with the wound healing process. Anemia p value = 0,000 and α = 0,05 maens there is an anemia relationship with wound healing process. Early mobilization of p value = 0,000 and α = 0.05 means there is an early mobilization relationship with the wound healing process. The advice to the hospital, should be the hospital can provide information about the factors that influence the wound healing process post SC to patients and more attention to the wound healing process surgery patients. Keywords: Age, Anemia, Early Mobilization, The wound healing Process Post SectioCaesarea. ABSTRAK Tingginya angka persalinan Sectio Caesareadi Indonesiasaat ini, di rumah sakit pemerintah sekitar 20-25% dan rumah sakit swasta sekitar 30-80% dari total jumlah persalinan. Dilihat dari dampak kesehatan yang ditimbulkan seperti infeksi. Infeksi dapat menghambatproses penyembuhan luka sehingga menyebabkan angka morbiditas dan mortalitas bertambah besar. Maka semakin banyak juga pasien yang perlu diperhatikan bagaimana proses penyembuhan luka operasinya. Tujuan penelitian ini untuk mengetahui faktor-faktor yang mempengaruhi proses penyembuhan luka post SC di RSUD Arifin Achmad Pekanbaru Tahun 2016. Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain cross sectional dengan menggunakan uji chi-square. Penelitian ini dilakukan di RSUD Arifin Achmad Pekanbaru pada bulan juni sampai juli tahun 2017. Pengumpulan data menggunakan data sekunder dari status pasien dan lembar observasi dalam bentuk check list. Populasi berjumlah 239 orang dengan sampel 150 orang. Pengolahan data dilakukan dengan cara SPSS meliputi editing, coding, sorting, entry, skoring dan tabulating. Analisa yang digunakan adalah univariat dan bivariat. Hasil penelitian dari uji chi-square untuk usia ibu, nilai p value = 1,000 dan α = 0,05 berarti tidak ada hubungan usia dengan proses penyembuhan luka. Anemia p value = 0,000 dan α = 0,05 berarti ada hubungan anemia dengan proses penyembuhan luka. Mobilisasi dini p value = 0,000 dan α = 0,05 berarti ada hubungan mobilisasi dini dengan proses penyembuhan luka. Saran untuk rumah sakit, sebaiknya rumah sakit dapat memberi informasi tentang faktor yang mempengaruhi proses penyembuhan luka post pada pasien dan lebih memperhatikan prosespenyembuhan luka operasi pasien.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Intan Nugraheni ◽  
Ari Kurniarum

Abstract: Mother Parturition, Sectio Caesarea, Wound Healing. To identify differences in the effectiveness of extracts of catfish and leaves binahong towards healing old wounds sectio Caesarea operation on postpartum mothers. There is a difference in the effectiveness of extracts of catfish and leaves binahong towards healing old wounds sectio Caesarea operation on postpartum mothers. The study design was a Quasi Experimental research design with a pretest-posttest nonequivalent control group. The sampling technique was an accidental sampling technique. The number of samples 60 puerperal women with puerperal women inclusion criteria prime and multiparous, type transverse incision, wound care treatment and the same. Statistical analysis using the Wilcoxon test with significant value in the study was p<0.05. The average length of the wound healing process operation sectio Caesarea in postpartum mothers who consume fish extract the cork is 8 days, binahong leaf extract is 12 days whereas the control group without treatment was 16 days. There are differences in the effectiveness of extracts of catfish and leaves binahong towards healing old wounds sectio Caesarea operation in puerperal women with p-value 0.013. There are differences in the effectiveness of extracts of catfish and leaves binahong towards healing old wounds sectio Caesarea operation at BPM puerperal women in the District of Tulung with p = 0.013 (p <0.05).


2017 ◽  
Vol 2 (1) ◽  
pp. 20-28
Author(s):  
Fitriani ◽  
Tenriwati

At present, the incidence of injuries in Indonesia is quite high, as seen from data on traffic accidents in the general public. There are several factors that affect wound healing, one of which is nutritional status. Based on the preliminary data retrieval conducted by researchers in the seruni surgery room in the last 1 month namely in March, it was found that the number of wounded patients was 109 patients, where the number of men was 78 (71.56%) while the number of women was 31 ( 28.44%) The purpose of this study was to determine the relationship between nutritional status and the wound healing process in RSUD. H. Andi. Sulthan Daeng Radja Kab. Bulukumba. This research uses the type of design of this research is quantitative research. This type of research uses analytic observational research with cross sectional approach. The sample of this study were 41 respondents taken by purposive sampling method. Data analysis in this study used the chi-square test (chi square test). The results of the analysis used the chi-square statistical test with a confidence level (α = 0.05). Based on the results of this test, the p value is 0.001, thus p <α (0.001 <0.05), then Ho is rejected and Ha is accepted. The conclusion of this study is that there is a relationship between nutritional status and the process of wound healing in RSUD. H. Andi. Sulthan Daeng Radja Kab. Bulukumba. Researchers suggest that this study be used as a material consideration in the fulfillment of nutrition in wound care patients in RSUD.H.A. Sulthan Daeng Radja Kab. Bulukumba and this research can be continued by conducting research related to the wound healing process and linking it with other variables.


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