Fitri Wijayati
Program Studi Diploma Tiga Keperawatan, Jurusan Keperawatan, Poltekkes Kemenkes Kendari

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Perawatan luka dengan metode moist wound healing dan salep terhadap integritas kulit dan jaringan pada luka diabetes melitus tipe 2: studi kasus pada wanita lanjut usia Hikmawati Hikmawati; Jayatri Jayatri; Fitri Wijayati
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 1 No 4 (2024): Oktober-Desember
Publisher : PT Karya Inovasi Berkelanjutan

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Abstract

Type 2 diabetes mellitus is a chronic metabolic disease that carries a high risk of complications, including diabetic ulcers that compromise skin and tissue integrity. Appropriate wound management is essential to accelerate healing and prevent further infection. This case study aimed to evaluate the application of the moist wound healing method combined with Metcovazin ointment in improving skin and tissue integrity in a patient with a diabetic foot ulcer. The subject was a 52-year-old female diagnosed with type 2 diabetes mellitus and a diabetic ulcer, admitted to Baubau City General Hospital. The wound care intervention was conducted over four days, with treatments administered every two days. Observations revealed improvements in wound condition, as indicated by a reduction in wound length from 14 cm to 13.9 cm, a decrease in pain scale from 4 to 2, 80% granulation tissue formation, 20% epithelialization, and the absence of necrotic tissue. These findings suggest that the moist wound healing method combined with Metcovazin ointment supports optimal tissue regeneration by maintaining a moist wound environment. Nevertheless, this intervention should be integrated into a comprehensive therapeutic approach, including medical treatment and nutritional management, to achieve optimal outcomes.
Studi Kasus Keperawatan Terapi Bercerita pada Pasien Skizofrenia Rawat Jalan dengan Risiko Perilaku Kekerasan Hikmawati Hikmawati; Rasniati Razak; Fitri Wijayati
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 2 No 4 (2025): Oktober-Desember
Publisher : PT Karya Inovasi Berkelanjutan

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Abstract

Schizophrenia is a severe and systemic brain disorder that causes disturbances in psychotic behavior, concrete thinking, information processing, interpersonal relationships, and problem-solving abilities. Individuals with a risk of violent behavior are those who have the potential to harm themselves, others, or the environment physically, emotionally, sexually, or verbally due to an inability to control anger in a constructive manner. This nursing care aimed to apply storytelling therapy to improve self-control in patients with a risk of violent behavior at the UPTD Community Health Center of South Lasalimu District, Buton Regency. This study employed a descriptive case study design involving one outpatient schizophrenia patient with the primary nursing problem of risk of violent behavior who received storytelling therapy. The results of the case study demonstrated that the implementation of storytelling therapy contributed to an improvement in the patient’s self-control, as indicated by a reduction in the self-control score from 4 to 1. Self-control improvement in patient Tn. A was achieved through the provision of storytelling therapy conducted over 12 sessions. Based on the findings of this case study, it is recommended that nurses apply storytelling therapy as part of psychiatric nursing care for patients with a risk of violent behavior. Contribution to the Sustainable Development Goals (SDGs) This case study examines the application of storytelling therapy as a nonpharmacological nursing intervention to improve self-control in outpatient schizophrenia patients with a risk of violent behavior. The article contributes to Sustainable Development Goal (SDG) 3: Ensure healthy lives and promote well-being for all at all ages. Specifically, it supports Target 3.4, which aims to promote mental health and well-being through effective prevention and treatment strategies for mental disorders. By highlighting the role of therapeutic communication and psychosocial nursing interventions in managing violent behavior risk, this study underscores the importance of accessible, community-based mental health care in improving patient outcomes and overall well-being.