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All Journal Nurse and Health: Jurnal Keperawatan Open Access Health Scientific Journal
Putra Ardhana
Universitas Katolik Santo Agustinus Hippo
Dentistry Health Professions Nursing Public Health Veterinary

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TRENDS IN THE USE OF NATURAL AGENTS FOR CHRONIC WOUND CARE IN DEVELOPING COUNTRIES: A SCOPING REVIEW Putra Ardhana; Lydia Moji Lautan
Nurse and Health: Jurnal Keperawatan Vol. 15 No. 1 (2026): Nurse and Health: Jurnal Keperawatan
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v15i1.919

Abstract

Background: Chronic wounds remain a major healthcare challenge in developing countries due to limited access to advanced wound care technologies and the high cost of treatment. These limitations have encouraged the use of natural agents as affordable alternatives for chronic wound management. Natural agents such as honey, Aloe vera, propolis, virgin coconut oil, Centella asiatica, and herbal extracts have demonstrated antimicrobial, anti-inflammatory, and tissue-regenerative properties. Purpose: This scoping review aimed to map trends in the clinical use of natural agents for chronic wound care in developing countries from 2010 to 2024, including the types of agents used, therapeutic outcomes, safety, cost-effectiveness, and emerging clinical applications. Methods: This review followed the Arksey and O'Malley methodological framework and the PRISMA-ScR guidelines. A systematic search of PubMed, ScienceDirect, Scopus, and Google Scholar identified studies published between January 2010 and October 2024. Eligible studies were screened, selected, and synthesized. Results: Of 2,876 records identified, 15 studies met the inclusion criteria. The findings showed a gradual evolution in the clinical use of natural agents. Honey and Aloe vera predominated in earlier studies, while more recent research explored propolis, virgin coconut oil, olive oil–honey combinations, Centella asiatica, and plant-based hydrogels. Most studies focused on diabetic foot ulcers. Overall, natural agents accelerated wound healing, enhanced granulation tissue formation, reduced wound size and infection, and provided cost-effective alternatives to conventional wound care. Conclusion: Natural agents have evolved from conventional single-agent therapies to diverse bioactive formulations integrated with modern wound care. Current evidence supports their effectiveness, affordability, and potential role in improving chronic wound management, particularly in developing countries and other resource-limited healthcare settings.
Effectiveness Of Video-Based Progressive Muscle Relaxation On Pain Intensity And Sleep Quality Among Patients With Osteoarthritis Putra Ardhana; Eben Haezar Kristian; Elisabeth Wahyu Savitri; Marsela Oktavia Yunita
Open Access Health Scientific Journal Vol. 7 No. 1 (2026): February 2026
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v7i1.166

Abstract

Background: Osteoarthritis is a degenerative joint disease commonly associated with chronic pain and sleep disturbances, which significantly reduce patients’ quality of life. Persistent pain and poor sleep quality often interact bidirectionally, leading to worsening physical and psychological conditions. Therefore, effective, feasible, and non-pharmacological interventions are needed to manage pain and improve sleep quality. This study aimed to evaluate the effectiveness of video-based progressive muscle relaxation on pain intensity and sleep quality among patients with osteoarthritis. Methods: A quasi-experimental study with a pretest–posttest control group design was conducted in healthcare facilities in Pontianak, Indonesia. A total of 50 patients with osteoarthritis were recruited using purposive sampling and assigned to an intervention group (n = 25) and a control group (n = 25). The intervention group performed video-based progressive muscle relaxation once daily for seven consecutive days in addition to standard care, while the control group received standard care only. Pain intensity was measured using the Numeric Rating Scale (NRS), and sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using the Mann–Whitney U test. Results: The intervention group showed significantly greater reductions in pain intensity and improvements in sleep quality compared with the control group (p < 0.001). The magnitude of change in both outcomes was substantially higher in the intervention group, indicating a strong effect of video-based progressive muscle relaxation. Conclusion: Video-based progressive muscle relaxation is effective in reducing pain intensity and improving sleep quality among patients with osteoarthritis. This intervention has important implications for nursing practice and health sciences, as it provides a practical, safe, and easily implemented non-pharmacological strategy to support self-care management in patients with chronic musculoskeletal conditions
Co-Authors Eben Haezar Kristian Elisabeth Wahyu Savitri Lydia Moji Lautan Marsela Oktavia Yunita