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Analisis Asuhan Keperawatan Pada Biofilm di Luka Kaki Diabetik pada Ny. M dan Ny.L Dengan Penggunaan PHMB sebagai Cairan Pencuci Luka di Klinik Wocare Center Bogor Hidayat, Rizki; Naziyah, Naziyah; Sembiring, Tesalonika
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 1 (2024): Volume 7 No 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i1.12481

Abstract

ABSTRAK Luka kaki diabetik merupakan komplikasi dari diabetes mellitus. Biasanya  luka kaki dibetik disebabkan oleh kontrol glikemik yang buruk, neuropati yang mendasari, penyakit pembuluh darah perifer, atau perawatan kaki yang buruk. Prevalensi luka kaki diabetik di Indonesia diperkirakan sekitar 15% dan angka amputasi sebanyak 30%, dengan angka mortalitas 32%, selain itu angka kematian 1 tahun pasca amputasi sebesar 14,8%.Modern wound dressing dengan penggunaan PHMB sebagai cairan pencuci luka efektif mengatasi masalah biofilm pada luka kaki diabetik. Menganalisis Asuhan Keperawatan Pada Biofilm Di Luka Kaki Diabetik Pada Ny. M Dan Ny. L Dengan Penggunaan PHMB Sebagai Cairan Pencuci Luka Di Klinik Wocare Center Bogor. Tindakan keperawatan dimulai tanggal 24 Juli 2023 s/d 28 Juli 2023 Di Wocare Center Bogor. Implementasi pada diagnosa keperawatan gangguan integritas kulit dilakukan perawatan luka modern dressing yang difokuskan pada pencucian luka dengan PHMB. Penggunaan PHMB sebagai cairan pencuci luka sangat efektif untuk menangani biofilm di luka kaki diabetik dibuktikan dengan berkurangnya biofilm pada luka kaki Ny. M dan Ny. L sehingga dengan berkurangnya biofilm dapat dilihat bahwa pertumbuhan jaringan granulasi semakin cepat. Dalam mempercepat penyembuhan luka harus diseimbangi dengan pengontrolan gula darah dan nutrisi yang baik. Kata Kunci: Luka Kaki Diabetik, PHMB  ABSTRACT Diabetic foot sores are a complication of diabetes mellitus.Diabetic foot sores are usually caused by poor glycemic control, underlying neuropathy, peripheral vascular disease, or poor foot care.The prevalence of diabetic foot wounds in Indonesia is estimated to be around 15% and the amputation rate is 30%, with a mortality rate of 32%, besides that the mortality rate 1 year after amputation is 14.8%. biofilm in diabetic foot wounds. Analysis Of Nursing Care on Biofilm in Diabetic Foot Ulcers in Mrs. M Dan Mrs. L With the Use of PHMB as Wound Wash Liquid at Wocare Center Bogor.  Nursing actions begin on July 24 2023 to July 28 2023 at the Bogor Wocare Center. The implementation of nursing diagnoses of impaired skin integrity is carried out by modern wound dressings which are focused on washing wounds with PHMB. The use of PHMB as a wound washing fluid is very effective for treating biofilm in diabetic foot wounds as evidenced by the reduced biofilm in Mrs. M and Mrs. L so that with reduced biofilm it can be seen that the growth of granulation tissue is getting faster. In accelerating wound healing, it must be balanced with controlling blood sugar and good nutrition. Keywords: Diabetic Foot Ulcer, PHMB
Penyuluhan Pencegahan Komplikasi Diabetes Militus Type II pada Penyandang Diabetes di Puskesmas Cakung Jakarta Timur Hidayat, Rizki; Naziyah, Naziyah; Sahira, Adinda
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 10 (2024): Volume 7 No 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i10.15340

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ABSTRAK Diabetes adalah masalah kesehatan masyarakat yang penting, menjadi salah satu dari empat penyakit tidak menular prioritas yang menjadi target tindak lanjut oleh para pemimpin dunia. Kaki diabetik merupakan salah satu komplikasi kronik Diabetes Melitus yang paling ditakuti oleh para penderita Diabetes Melitus karena dapat mengakibatkan terjadinya cacat dan kematian. Banyak faktor yang berperan terhadap lama proses penyembuhan luka di antaranya usia, lama menderita diabetes, kontrol GDS, stadium luka, pemilihan balutan dan lama penyembuhan. Diperkirakan terdapat 463 juta orang dengan usia 20-79 tahun di dunia menderita diabetes atau setara dengan 9,3% dari seluruh penduduk di usia yang sama pada tahun 2019. Berdasarkan usia, pada orang dengan usia 65-79 diperkirakan terdapat 19,9% pada tahun 2019 dan diprediksi meningkat menjadi 20,4% pada tahun 2030 dan 20,5% pada tahun 2045 (International Diabetes Federation, 2019). Prevalensi diabetes di DKI Jakarta berdasarkan hasil riset kesehatan dasar (Riskesdas) 2018 meningkat dari 2,5% pada tahun 2013 menjadi 3,4% di tahun 2018. Berdasarkan Surveilans Dinas Kesehatan DKI Jakarta Tahun 2017. Prevalensi penderita DM di wilayah DKI sebanyak, 131.279 penderita. Dengan Jumlah terbanyak berada di wilayah Jakarta Selatan sebanyak 35.027 penderita dan Jakarta Timur sebanyak 32.400 penderita (Dinas Kesehatan DKI Jakarta, 2017). Komplikasi dari DM type II dapat mempengaruhi pembuluh darah, saraf, mata,  ginjal dan sistem kardiovaskular. Komplikasi termasuk serangan jantung dan stroke, infeksi kaki yang berat (menyebabkan gangren, dapat mengakibatkan amputasi), gagal ginjal stadium akhir dan disfungsi seksual. Kata Kunci: Komplikasi, Diabetes Type II  ABSTRACT Diabetes is an important public health problem, being one of four priority non-communicable diseases targeted for follow-up by world leaders. Diabetic foot is one of the chronic complications of Diabetes Mellitus that is most feared by Diabetes Mellitus sufferers because it can result in disability and death. Many factors play a role in the length of the wound healing process, including age, duration of diabetes, GDS control, wound stage, choice of dressing, and healing time. It is estimated that 463 million people aged 20-79 years in the world suffer from diabetes or the equivalent of 9.3% of the entire population of the same age in 2019. Based on age, it is estimated that there are 19.9% of people aged 65-79. in 2019 and is predicted to increase to 20.4% in 2030 and 20.5% in 2045 (International Diabetes Federation, 2019). The prevalence of diabetes in DKI Jakarta based on the results of basic health research (Riskesdas) 2018 increased from 2.5% in 2013 to 3.4% in 2018. Based on the 2017 DKI Jakarta Health Service Surveillance, the prevalence of DM sufferers in the DKI area was 131,279 sufferer. The largest number is in the South Jakarta area with 35,027 sufferers and in East Jakarta with 32,400 sufferers (DKI Jakarta Health Service, 2017). Complications from type II DM can affect the blood vessels, nerves, eyes, kidneys, and cardiovascular system. Complications include heart attacks and strokes, severe foot infections (causing gangrene, which may result in amputation), end-stage renal failure, and sexual dysfunction. Keywords: Complication, Diabetes Type II
Penyuluhan Perawatan Luka Kanker Pada Tenaga Kesehatan di Jakarta Selatan Hidayat, Rizki; Naziyah, Naziyah; Annisa, Riska Riyana
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 6 (2024): Volume 7 No 6 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i6.14401

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ABSTRAK Kanker merupakan kumpulan sel abnormal yang terbentuk oleh sel-sel yang tumbuh secara terus menerus, tidak terkoordinasi dengan jaringan sekitarnya dan tidak berfungsi secara fisiologis. Kanker terjadi karena adanya sel yang bersifat mutagenik, pada sel somatik dan sel germinal. Hal tersebut terjadi karena beberapa faktor, baik faktor keturunan maupun faktor lingkungan. Sel mutagenik bersifat infiltratif (menginfiltrasi jaringan sekitarnya), serta destruktif (merusak jaringan sekitar), menyebabkan sel tersebut membelah secara tidak terkendali dan menyerang sel lainnya dan menyebabkan perubahan metabolisme yang pada akhirnya akan mengganggu fungsi-fungsi fisiologis tubuh. Jumlah penderita kanker payudara di Amerika Serikat dan beberapa negara maju lainnya menduduki peringkat pertama Data terbaru dari American Cancer Society telah menghitung bahwa di tahun 2013, terdapat 64.640 kasus kanker payudara. Sekitar 39.620 wanita meninggal dunia setiap tahunnya karena kanker payudara. Data Pathology Based Cancer Registry bekerja sama dengan Yayasan Kanker Indonesia, menunjukkan kanker payudara di Indonesia menduduki peringkat kedua dari semua jenis kanker yang sering diderita. Perawatan luka kanker sangat dibutuhkan perawatan luka kanker payudara mampu mengurangi jumlah dan jenis bakteri, menurunkan skor persepsi respon fisik, skor persepsi malodor oleh perawat, skor persepsi malodor oleh keluarga Kata kunci: Luka Kanker, Perawatan Luka  ABSTRACT Cancer is a collection of abnormal cells formed by cells that grow continuously, are not coordinated with the surrounding tissue, and do not function physiologically. Cancer occurs due to the presence of mutagenic cells, in somatic cells and germ cells. This occurs due to several factors, both hereditary and environmental factors. Mutagenic cells are infiltrative (infiltrate the surrounding tissue), as well as destructive (damage the surrounding tissue), causing the cells to divide uncontrollably and attack other cells and cause metabolic changes which will ultimately disrupt the body's physiological functions. The number of breast cancer sufferers in the United States and several other developed countries is ranked first. The latest data from the American Cancer Society has calculated that in 2013, there were 64,640 cases of breast cancer. Around 39,620 women die every year from breast cancer. Pathology Based Cancer Registry data in collaboration with the Indonesian Cancer Foundation, shows that breast cancer in Indonesia is ranked second among all types of cancer that are frequently suffered. Cancer wound care is really needed. Breast cancer wound care can reduce the number and type of bacteria, reduce the physical response perception score, malodor perception score by nurses, malodor perception score by the family. Keywords: Cancer Wound, Wound Care
Manajemen Luka Epibole Pada Pasien dengan Komplikasi Luka Kaki Diabetik Hidayat, Rizki; Masdiana, Masdiana
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 6 (2024): Volume 7 No 6 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i6.14399

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ABSTRACT The prevalence of treating chronic wounds with epibole is problematic, especially when the problem is not promptly identified or the patient is intolerant of modern dressing treatments, it is thought that the incidence of ulceration is increasing as a result of an aging population and increasing risk factors for atherosclerosis such as smoking, obesity, and diabetes. For a lifetime, almost 10% of the population will experience chronic wounds, with a wound-related death rate of 2.5%. In chronic wounds, problems with the epithelial edge healing process are disturbed so that the wound healing process takes longer, this is caused by a known clinical condition as epibole. Epiboles tend to be more different in color than the surrounding tissue, have an enlarged, rounded appearance, may feel hard, and are stiff. Goal to prevent and treat epibole injuries. Research Method Case Study. The prevalence of treating chronic wounds with epibole is a problem if the problem is not identified promptly or does not provide appropriate wound care, it is thought that the incidence of ulceration is increasing as a result of the aging population and increasing risk factors for atherosclerosis such as smoking, obesity, and diabetes. In dealing with epibole, several precautions and treatments can be carried out, including treating wounds with dressings and appropriate measures. Keywords: Epibole Wounds, Wound Care  ABSTRAK Prevalensi perawatan luka kronis dengan epibole menjadi  masalah, terutama bila masalahnya tidak segera diidentifikasi atau pasien tidak toleran terhadap perawatan modern dressing, diperkirakan bahwa kejadian ulserasi meningkat sebagai akibat dari populasi yang menua dan faktor risiko yang meningkat untuk aterosklerotik seperti merokok, obesitas, dan diabetes. Dalam perjalanan seumur hidup, hampir 10% populasi akan mengalami luka kronis, dengan tingkat kematian terkait luka sebesar 2,5% Pada luka kronis, masalah dengan proses penyembuhan tepi epitel  terganggu sehingga proses peyembuhan luka semakin lama, hal ini disebabkan oleh kondisi klinis yang dikenal sebagai epibole. Epibole cenderung warnanya lebih berbeda dari pada jaringan di sekitarnya, memiliki penampilan yang membesar, membulat, mungkin terasa keras, dan kaku.  Tujuan untuk mencegah dan menangani kejadian luka epibole. Metode Penelitian Case Study.  Kesimpulan Prevalensi perawatan luka kronis dengan epibole menjadi  masalah bila masalahnya tidak segera diidentifikasi atau tidak memberikan perawatan luka yang tepat, diperkirakan bahwa kejadian ulserasi meningkat sebagai akibat dari populasi yang menua dan faktor risiko yang meningkat untuk aterosklerotik seperti merokok, obesitas, dan diabetes. Dalam mengatasi epibole maka dapat dilakukan  beberapa pencegahan beserta penanganan, diantara nya dalam melakukan perawatan luka dengan dressing dan tindakan yang tepat. Kata Kunci: Luka Epibole, Wound Care
Effectiveness of Hydro Pressure Techniques on Biofilm Removal for Diabetic Ulcuses Patients at Wocare Indonesia Naziyah, Naziyah; Said, Mohamed Saifulaman Mohamed; Said, Faridah Mohd; Hidayat, Rizki
International Journal of Nursing Information Vol. 3 No. 1 (2024)
Publisher : Qualitative and Quantitative Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58418/ijni.v3i1.57

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Diabetic ulcer wounds that occur in patients with diabetes that involve disorders of the peripheral and autonomic nerves. Diabetic wounds are a significant complication of diabetes and a global public health problem. There has been no wound-washing intervention using the hydro pressure technique as a wound washer tool for diabetic ulcer Biofilm. The aim is to determine the effect of the hydro pressure technique as a wound washer on biofilm for diabetic foot ulcer patients. The methodology research in this study used the pre-experimental method with a pre-test and post-test approach. The sampling technique was carried out using total sampling. The total sampling of this study is 25 respondents in criteria inclusion in this area. The research instrument used was a biofilm observation sheet. The statistical tests used were univariate and bivariate, using paired sample t-tests. The results show that there is a significant difference between the values of the biofilm observation sheet before hydro pressure is performed and after hydro pressure is performed on diabetic ulcer patients. The hydro pressure technique can reduce the average value of biofilm in the wound healing process. This research contributes to recommending that diabetic ulcer sufferers use the hydro pressure technique to remove biofilm in the wound healing process.
Understanding of Islamic Business Fiqh and Accounting for Small and Medium Enterprises In Kedah Malaysia: Pemahaman Fiqih Bisnis dan Akuntansi Islam Untuk Usaha Kecil dan Menengah Di Negeri Kedah Malaysia Zulhelmy, Zulhelmy; Senasi, Vally; Hidayat, Rizki; Hidayat, Hidayat
Dinamisia : Jurnal Pengabdian Kepada Masyarakat Vol. 8 No. 2 (2024): Dinamisia: Jurnal Pengabdian Kepada Masyarakat
Publisher : Universitas Lancang Kuning

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31849/dinamisia.v8i2.18937

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In reality, there are still small and medium business actors who do not understand Islamicjurisprudence in business and accounting. For this reason, it is important to carry out education throughoutreach to SMEs. Because doing business is a form of worship. So that the business orientation carried out isnot just about getting profit, but also fallah (luck). The writing method uses a qualitative approach with adescriptive-explanatory model. From the activities that have been carried out, small and medium businesses inKedah have received education about the concepts of business jurisprudence and accounting in Islam.Conditions were different before they took part in these activities. The understanding they gain is such as theprohibition of maysir (speculation), gharar (unclarity), usury and various other violations in muamalah, sothat they are encouraged to practice the understanding gained from the socialization that follows
Kerentanan Seismik di Wilayah Telanaipura dan Kotabaru Kota Jambi Hidayat, Rizki; Kusmita, Tri
Jurnal Riset Fisika Indonesia Vol 1 No 1 (2020): Desember 2020
Publisher : Jurusan Fisika, Universitas Bangka Belitung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33019/jrfi.v1i1.2036

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Geologically the city of Jambi lies in the formation of Air Benakat, Muara Enim, Kasai, and alluvium deposits. The rock units that make up this formation were all composed by fine sediment. Based on these geological conditions, the Jambi City region has a high level of seismic priority. This research was conducted to study seismic vulnerability in this region, using the microtremor method. Microtremor is a ground vibration that can be produced by natural resources. This natural resource consists of wind and sea waves that have a long period of time or like traffic, factory machinery, and so on. Based on the results of the study obtained from the Kotabaru and Telanaipura regions have natural frequencies in the range 1.24 Hz - 4.35 Hz. The amplification factor was 1.13 - 3.34 and it was included in the low category. seismic vulnerability index in both regions was 0.50 - 8.58 x 10-6 cm / s2. seismic vulnerability index values were relatively high in Kelurahan Penyengat Rendah (Telanaipura). It was not recommended for skyscraper construction.
SPIRITUALITY'S ROLE IN WEAKENING INTENTIONS FOR ACCOUNTING FRAUD Siska, Siska; Zulhelmy, Zulhelmy; Hidayat, Rizki; Yusniawati, Erni
JRAK Vol 16 No 1 (2024): April Edition
Publisher : Faculty of Economics and Business, Universitas Pasundan, Bandung, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jrak.v16i1.11850

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Financial fraud in zakat institutions has the potential to erode public trust in zakat payment. The research aims at examining the role of spirituality in moderating the elements that affected accounting fraud intention. The method used was a quantitative research with 170 respondents with a focus on Zakat management entities in Riau Province. The research’s data analysis method used the Moderated Structural Equation Model (MSEM). The findings of this research suggested that spirituality could reduce the impact of opportunity on accounting fraud intention. However, spirituality could not reduce the impact of rationalization and ego on accounting fraud intention. This had implications for organizations to pay more attention to psychological components, particularly spirituality, to minimize accounting fraud.
The Effect Of Work Environment, Reward And Punishment On Employee Performance At Pt. Haleyora Powerindo Batam H, Harry Aulia; Hidayat, Rizki
Zona Manajerial: Program Studi Manajemen (S1) Vol 11 No 2 (2021): Zona Manajerial: Program Studi Manajemen
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.752 KB)

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The purpose of this study was to analyze the effect of work environment, reward and punishment on employee performance at PT. Haleyora Powerindo Batam. The dependent variable in this study is employee performance (Y). Meanwhile, the independent variables are work environment (X1), reward (X2) and punishment (X3). The population used in this study were employees of PT. Haleyora Powerindo Batam with a total of 172 employees, while the samplng technique was purposive sampling and obtained a sample of 120 respondents. The research method used is descriptive and quantitative methods for the data analysis method, the multiple linear regression analysis method uses the SPSS 25.0 program. The results showed that variables had a significant positive effect on employee pertormance at PT. Haleyora Powerindo Batam. The value of R Square on the reward and punishment variables affecting performance is 42.2%.
Influence of Product Quality, Price, Promotion and Place Regarding the Decision to Purchase from a Coffee House, Batam Rahmatullah, Muhammad Rizky; Hidayat, Rizki
Zona Manajerial: Program Studi Manajemen (S1) Vol 12 No 2 (2022): Zona Manajerial: Program Studi Manajemen
Publisher : Universitas Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37776/manajer.v12i2.1240

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Marketing is an important factor in the development of the business. Marketing must be continually upgraded and refurbished, of course it’s not be separated from the needs and desires of consumers. So dynamic or uncertainty in knowing the consumer desires, so in this case required every business must always be able to make changes such as product quality, price, promotion and place on purchase decisions Dari Rumah Coffee, Batam. The purpose of this study is to analyze the effect of product quality, price, promotion and place on purchase decisions Dari Rumah Coffee, Batam. The method used is multiple linear regression analysis. The study population of 216 consumers and samples used by 140 respondents. Research shows that the Product Quality, Price and Place partially significant effect on the Product Buying Decision. While Price partially not significant effect on the Product Buying Decision. Simultaneously Product Quality, Price, Promotion and Place have significant effect on the Product Buying Decision.