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STUDI LITERATUR PENGGUNAAN TAP WATER UNTUK PENCUCIAN LUKA KAKI DIABETIK TERHADAP PENYEMBUHAN LUKA DAN KOLONISASI BAKTERI R, Risnawati; Yusuf, Saldy; Syam, Yuliana
Jurnal Luka Indonesia Vol 4, No 3 (2018)
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v4i3.96

Abstract

Introduction : Peningkatan prevelensi diabetes menimbulkan banyak penyakit penyerta yang muncul seperti luka kali diabetik. Luka kaki diabetik yang tidak ditangani dengan baik dapat mengakibatkan amputasi. penanganan komplikasi luka kaki diabetik membutuhkan manajemen perawatan luka yang baik. Salah satu aspek penting dari manajemen luka meliputi tindakan pencucian luka. Namun, minimnya perhatian berfokus pada jenis larutan yang digunakan dalam pembersihan luka. Terdapat banyak solusi yang tersedia untuk membersihkan luka misalnya normal saline, air, alkohol, chloehexidine, providone-iodine, dan sabun. Methode : Studi literatur dilakukan dengan mengumpulkan data pada database, penulis menggunakan database Pubmed, Science direct, Cochrane dan Google Schollar dengan menemukan literatur yang terkait. Hasil : mengidentifikasi artikel yang dipublikasi dari tahun 2007-2018. Dari 6 artikel Diskusi : pencucian luka dengan menggunakan air aman, tetapi tidak cukup bukti yang ada untuk mendukung pembersihan luka sama sekali untuk mengurangi infeksi atau meningkatkan penyembuhan luka. Kesimpulan : Kesimpulan dari meninjau beberapa literatur adalah bahwa penggunaan Tap water adalah sebagai pencucian luka merupakan pencucian luka yang efektif dan aman seperti salin normal membersihkan.
Penggunaan Smartphone dalam Pengkajian Luka Kaki Diabetes: Review Literatur Minhajuddin, Andi; Yusuf, Saldy; Syam, Yuliana
Jurnal Luka Indonesia Vol 4, No 3 (2018)
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v4i3.125

Abstract

Latar belakang: Luka kaki diabetes (LKD) adalah komplikasi terbanyak yang disebabkan oleh penyakit Diabetes Mellitus (DM). Penanganan LKD harus dilakukan secara tepat dan lintasprofesi. Pengkajian LKD yang tepat dapat memberikan gambaran luka yang tepat, sehingga penanganan dapat diberikan dengan tepat. Teknik pengkajian LKD yang dapat digunakan adalah paper base, atau penggunaan aplikasi pada smartphone. Tujuan dari literature revier ini adalah untuk mengidentifikasi penggunaan aplikasi smartphone pada pengkajian LKD. Metode: review artikel dilakuka pada data base Pubmed, Scence Direct, Cochrane, Google Scholar. Pencarian artikel dibatasi tahun 2007-2017. Dalam penyusunan literature review ini digunakan cheklist PRISMA 2009. Hasil: Didapatkan sebanyak 37 artikel penelitian yang dipublikasikan antara tahun 2010-2018 dari database yang digunakan. 29 artikel kemudian dieksklusi, dan menyisakan sebanyak 8 artikel penelitian yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan bahwa penggunaan smartphone pada penilaian LKD valid dan dapat digunakan. Kesimpulan: Pengkajian dengan menggunakan smartphone pada LKD valid, akuarat, mudah digunakan, dan konsisten. Hal ini menunjukkan bahwa pengembangan aplikasi smartphone untuk pengkajian LKD sangat memungkinkan untuk dilakukan
Evaluasi Penggunaan Pencuci Luka Terhadap Wound Healing: Literature Review Paridah, Paridah; Tahir, Takdir; Yusuf, Saldy
Jurnal Keperawatan Muhammadiyah Vol 4, No 1 (2019): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (516.915 KB) | DOI: 10.30651/jkm.v4i1.1855

Abstract

ABSTRACT Background : wound cleansing is part of wound management which performed to remove foreign bodies or pathogens that can cause infections in wounds to improve the wound healing process. Although it has been agreed that wound cleansing aims to reduce the incidence of infection but the reality is still debated among practitioners about the advantages and disadvantages of this implementation, so the selection of wound cleansers must be done wisely. This review literature aims to evaluate the use of available wound cleansers for wound healing. methods: Literatures was sourced from database Google scholar, PubMed, Proquest, ScienDirect, published from January 2011 to July 2018, there 14 articles were identified and after 9 filters were left. Results: from 9 articles that met the criteria, the results that showed the effect of wound cleansing use; Electrolyzed strong acid water, superoxidised, hydrogen peroxide, propylbetaine-polihesanide, povidine-iodine, chlorin dioxide, tap water with normal saline as a comparison group of the effectiveness in inhibiting infection, tissue toxicity, comfortably, timing and improvement of wound healing process. Based on the review results, it is generally stated that there is no significant difference between. Conclusions: There was no significant difference between wound cleanser. Based on this review it is recommended to pay attention to the type of wound before using wound Cleansing. Keywords: wound Cleansing, wound healing, literature review
Aktifitas Zat Aktif Berbasis Tanaman Tradisional Indonesia Dalam Penyembuhan Luka Nurfiah, Nurfiah; Tahir, Takdir; Yusuf, Saldy
Jurnal Keperawatan Muhammadiyah 2019: EDISI KHUSUS
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.467 KB) | DOI: 10.30651/jkm.v4i2.2121

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Background: Wound healing is a series of complex events that are interrelated and depend on one another. Wound healing can be accelerated using traditional medicine. Traditional medicine is one of the efforts to overcome health problems that have been passed down from generation to generation, the use of traditional plants in Indonesia is part of national culture and has been widely used by people since centuries ago. Purpose: Information about traditional plants that can be used in wound healing. Method: Literature obtained based on scientific databases such as Science direct, and Google Scholar with current pharmacological evidence. Result: Traditional medicine has the activity as an antioxidant, anti-inflammatory, antibacterial in wound healing reported from various studies at this time. Therefore, their research can be introduced as something natural and can be used as a remedy for wound healing. Conclusion: Traditional plants can heal wounds through a mechanism. 
Analisis Ekonomi Pencegahan Pressure Injury (Oral Nutrition, Repositioning, Skin Protection): Literature Review Tarigan, Sumiati; Yusuf, Saldy; Syam, Yuliana
Jurnal Keperawatan Muhammadiyah 2019: EDISI KHUSUS
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.397 KB) | DOI: 10.30651/jkm.v4i2.2202

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Introduction: Pressure injury is a major problem in patients with long bed rest. At least the pressure injury has an impact on patients, families and health workers, which is one of the causes of morbidity in patients both physically and mentally, resulting in high health expenses, and an increase in nurses' workload. So it is necessary to take precautionary measures that include oral nutrition, repositioning and skin protection that are fairly expensive. This literature review wants to describe the amount of costs needed to prevent pressure injury.Method: Data is collected since 2017, using 3 databases (Pubmed, science direct, goggle schollar) where the literature used is published internationally, additional references are taken from the bibliography of all relevant articles. Inclusion criteria refer to the modality of prevention of injury injury and the costs required.Result: The average cost required for oral nutrition is AU $ 33,687 compared to standard care, namely AU $ 425 in 1 year, the total cost incurred due to pressure injury was $ 96,552 for 10 months, with an average of $ 9655 / month, and use of skin protection assessed most cost effective. Conclusion: Although it is considered relatively expensive, prevention of pressure injury provides an economic benefit of 87% compared to treatment
ANALISA BEBAN BIAYA DAN WAKTU PERAWATAN LUKA KAKI DIABETIK (LKD) GANGREN UNIT PELA Y ANAN HOME CARE: RETROSPECTIVE COHORT STUDY Sukmawati, Sukmawati; Laitung, Baharia; Irwan, Muhammad; Rassa, Syaiful; Yusuf, Saldy
Jurnal Luka Indonesia Vol 2 No 1 Februari 2016
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v0i0.8

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Background: Diabetic foot ulcer (DFU) gangrene is commonly chronic wound in home care setting, it takes high cost and long term care. Aim: The aims of this study was to evaluate burden time and cost of DFU gangrene. Method: This was a retrospective cohort study conducted from 2011-2014. Burden cost including material, nursing, and dressing cost. While burden time including duration, frequency , and interval of care. All participants categorized into DFU non gangrene and gangrene. Data analyzed using Chi Square or Fisher exact test using SPSS 16.0 (SPSS, Inc. Chicago, IL). Results: Forty eight participants included in this study (43 DFU non gangrene and 5 DFU gangrene) with mean age were (58.8 SD ± 9.7 vs 60 SD ± 11.3 years) respectively . Nursing cost (Rp. 123.412 vs Rp. 218.653) and dressing cost (Rp. 243.844 vs Rp. 711.558) were lower for DFU non gangrene. Wound care shorter for non gangrene (27.3 vs 91.8 days), dressing change less frequently (7.5 vs 21.6 times) and interval dressing change was equal (3.5 vs 3.2 days) respectively . Conclusion: There are different burden cost and burden time between DFU non gangrene and DFU gangrene clinically. Keywords: diabetic foot ulcers, gangrene, burden cost, burden time, home care.
ENTEROSTOMAL THERAPY NURSE (ETN): MENUJU PERUBAHAN Yusuf, Saldy
Jurnal Luka Indonesia Vol 2 No 2 Juni 2016
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v0i0.18

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Sejarah Enterostomal Therapy Nurse (ETN) atau perawat luka, stoma dan kontinensia di dunia telah dimulai tahun 1958, namun di Indonesia starting point dimulai Tahun 2007 melalui program Indonesian Enterostomal Therapy Nurse Nursing Education Program (IndoETNEP) di WOCARE, Bogor atas lisensi World Council of Enterostomal Therapy Nursing (WCET) (Irma PA, 2010) (Carol Stott, 2010). Dukungan WCET juga diberikan dalam bentuk alokasi beasiswa NNGF bagi perawat Indonesia (Saldy Yusuf, 2011). Kebijakan ini berdampak positif dalam meningkatkan jumlah perawat ETN di Indonesia. Peningkatan jumlah perawat ETN di Indonesia mendapatkan lingkungan yang kondusif seiring dengan pengesahan Undang-Undang No 38 tahun 2014 tentang Keperawatan. Salah satu wujudnya adalah perawat Indonesia bisa melaksanakan praktik keperawatan mandiri termasuk perawat ETN. Riset kami menunjukkan pelayanan perawat ETN menurunkan durasi perawatan, frekuensi perawatan, dan meningkatkan laju penyembuhan luka (Saldy Yusuf, et al 2013). Sayangnya pertumbuhan praktik mandiri ini belum dibarengi implementasi standar. Oleh karena itu, tahun 2015 dirintis national consensus document tentang standar praktek perawatan luka, yang menghasilkan lima poin rekomendasi; standar dokumentasi, standar fasilitas, satandar perawatan luka, standar pelayanan dan standar peningkatan profesionalisme (Saldy Yusuf, 2016). Peningkatan profesionalisme yang dimaksud meliputi; Sertifikasi, kompetensi, legalitas, etika, komunikasi dan kredensialing (Saldy Yusuf, 2016). Hal ini bisa menjadi titik awal bagi perawat ETN untuk ?berubah? dan bertransformasi. Transformasi bisa diawali dalam pemikiran dengan menciptakan visi dan mewujudkan ke dalam misi sehingga menjadi ?passion? dalam hidup sehingga tidak hanya menjadi ETN sebagai atribut pelengkap status.
ANALYSIS COLLAGEN DENSITY ON DIABETIC AND NON-DIABETIC ACUTE WOUND MODEL: ANIMAL TRIAL USING WISTAR RATS Maryunis, Maryunis; Bakri, Syakib; Patellongi, Ilhamjaya; Aman, Makbul; Tahir, Takdir; Rahayu, Ade Irma; Hasriyani, Hasriyani; Yusuf, Saldy
Jurnal Luka Indonesia Vol 2 No 3 Oktober 2016
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v0i0.29

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Background: Neuropathy and peripheral vascular disease are two major factors that lead to diabetic wounds. Additionally, diabetic wound healing process takes a long time. Collagen is one indicator to assess wound healing. Aim: This study aimed to compare the wound healing process DM and non-DM In Wistar with acute wounds modeling that uses the density collagen as indicators. Methods: This study used a randomized design Post Test Control Group who uses Wistar as research objects. Wistar rats were divided into 2 groups: Wistar DM and Non-DM groups. The total sample were 30 individuals that consisted of 15 rats each group. Wistar DM was induced by injection of Streptozotocin (STZ) intraperitoneal single dose of 40-50 mg / kg. The wound were created by using punch biopsy of each group. The wound were followed up for 14 days. Data analysis was done using the Kolmogorov - Smirnov test with a confidence level of 95%. All data were analyzed by SPSS version 21.0 software (SPSS, Inc. Chicago, IL). Results: The density of collagen in DM group (20%) was lower than in non DM group (40%). However there were no significant difference in collagen density in both groups (p=0,375). Nevertheless, the percentage of collagen density is higher in non DM group compared with DM group (20.0%). This shows the tendency of the wound healing process in the group of Non - DM is better than DM group. This shows the tendency of the wound healing process in the group of Non - DM is better than DM group. Conclusion : There is a tendency that the wound healing in non ?DM group is better than in DM groups. More studies are needed in the future to confirm this findings. Key Words: Collagen Density, Acute Wound Model, DM
PERAWATAN LUKA DIABETES PADA DAERAH SUB SCAPULARIS DI UNIT PERAWATAN HOME CARE Sukmawati, Sukmawati; Laitung, Baharia; Yusuf, Saldy
Jurnal Luka Indonesia Vol 2 No 3 Oktober 2016
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v0i0.32

Abstract

Background As one of top ten Diabetes Mellitus (DM) country, prevalence of diabetic foot ulcers (DFU) in Indonesia is high. However there is increasing number of diabetic ulcer non foot (DUNF) in clinical setting. Thus, the aim of this study is to describe the wound care process, healing process, and cost analysis of DUNF. Method A case report study based on retrospective data including; demography data, history of DM and history of DFU recorded by minimum data sheet (MDS). Ulcer pictures were taken by digital camera healing process evaluated by using Barbara Bates Jensen (BBJ) score. Results Patient 44 years, female, have been diagnosed as diabetic since 2013. DUNF located at sub scapularis sinistra with duration of treatment was 95 days and frequency of dressing changes was 15 times. Initial BBJ score was 27 and decreased to be 13 at the end of treatment (healing rate by BBJ score: 0.14/day). Cost of dressing (range Rp. 25.000 ? Rp. 160.000) with mean cost Rp. 100.437. Proportion of cost was 53.3 % for dressing. Correlation between severity of ulcer and cost (R2 = 0.570 p = 0.024). Conclusion The occurrence and recurrence of diabetic ulcer can be any part of body including sub scapular region. Current study confirmed that wound care process takes three months until epitealization with mean cost relative expensive.
INTEROBSERVER RELIABILITYOF NEW DIABETIC FOOT ULCER SCALE IN INDONESIA: A CROSS SECTIONAL BASED PICTURES STUDY Muhtar, Trini Andini; Sari, Mutmainnah; Yusuf, Saldy
Jurnal Luka Indonesia Vol 4 No 1 (2018)
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v4i1.68

Abstract

Background: Recently, Diabetic Foot Ulcer Assessment Scale (DFUAS) has been developed based on the characteristic of Diabetic Foot Ulcers (DFU) in Indonesia. DFUAS consist of 11 sub scales and its validity reported adequately. However, the reliability of DFUAS has not investigated. Therefore, application of DFUAS in clinical setting remains unclear. Objective: The aim of the current study was to evaluate interobserver reliability of DFUAS. Method: This was a cross sectional study, conducted in RUMAT (Rumah Perawatan) with the eligibility criteria of the observer as Wound Care Nurses. DFU?s status was scored using DFUAS based on 10 various pictures (Wagner I, II, III, IV and V) from Griya Afiat database. Interobserver reliability was calculated using Cronbach Alpha for each sub scales (SPSS 16.0). Results: Current study involved 44 wound care nurses (11 males, 32 females), nursing education background (vocational: 10 nurses, professional: 34 nurses) with experience as a wound care nurse (< 2 year, 31 nurses) and (> 2 years 11 nurses). Interobserver agreement confirmed by Cronbach Alpha for each sub scale, including depth (0.509), inflammation/infection (0.690), maceration (0.628), type of necrotic tissue (0.296), the proportion of necrotic tissue (0.530), the proportion of slough (0.467), the proportion of granulation (0.560), size (0.627), size score (0.177), tunneling (0.759) and type of wound edge (0.400). Overall Cronbach Alpha was 0.654. Conclusions: This study confirmed moderate reliability of DFUAS among different wound care nurse in Indonesia. Training how to use DFUAS is essential to increase its reliability.
Co-Authors Abdul Gaffar Abdul Majid Abdul Majid Abdul Majid Ade Irma Rahayu, Ade Irma Adhisty, Weny Anggraini Afelya, Titi Iswanti Amrullah, Fitria Andi Hastuti Andi Minhajuddin Andriana Arfah Anita Rosman Arafah, Masniati Arifuddin, Fitrawati Ariyanti Saleh Aswar Musakkir Awal Darmawan Baharia Laitung, Baharia Bambi, Adi Angriawan Burhanuddin Bahar Cahyono Kaelan Deliaty Bagenda Dirga Dijaya Mulyadi Elisa Sinaga Elly L. Sjattar Elly L. Sjattar Elly Lilianty Sjattar Elly Lilianty Sjattar Elly Lilianty Sjattar Erfina Erfina Etri Selpawani Etty Etty Eva Arna Abrar Fachry Abda El Rahman Fitria Amrullah Fredy, Etri Selpawani Hade, Nurwahidah Hade, Nurwahidah Halbina Famung Halmar Harbaeni, Harbaeni Hasdi, Hasdi Hasni Hasniati, Hasniati Hasriyani Hasriyani, Hasriyani Herman Priyono Luawo Huddu, Risma I Gusti Ngurah Antaryama Ilhamjaya Patellongi Indiriadi Indiriadi Irfanita Nurhidayah Irna Satriani Irwan Irwan Irwan, Andi Masyitha Jannah, Uyunul Jasmin, Muh juhelnita bubun Juhelnita Juhelnita Kadek Ayu Erika Kadek Erika Kaelan, Cahyono Kasma Yuliani KHOIRUL ANAM Kiki Rizky Aulina Kusrini Kadar Kusrini S. Kadar Liza Fauzia Lya Fitriyani M. Alfian Rajab Makbul Aman, Makbul Makkaraka, Nurhidayah Makkaraka, Nurhidayah Malasari, Silvia Maryunis Maryunis Maryunis Maryunis Masriadi, Masriadi Megawati Syam Minhajuddin, Andi Minhajuddin, Andi Moh Gifari S Moh. Syafar Sangkala Muh Hatta Muh. Syahrul Muhammad Darwis Muhrawi Yunding Muhtar, Trini Andini Muhtar, Trini Andini Mulyati Mulyati Musdalifah Musdalipa Kendeng Musfirah Ahmad Nur Febrianti Nur Ila Nur Isnah, Wa Ode Nurbaya Nurbaya Nurfiah, Nurfiah Nurhaya Nurdin Nurul Hidayah Nurwahidah Nurwahidah Nurwahidah Nurwahidah Paridah Paridah R, Risnawati R, Risnawati Rasnah, Rasnah Rasyid, Nur Awaliah Rice Mandowa Rini Angriani Rini Rachmawaty Risnah Risnah, Risnah Risnawati R Risnawati R Risnawati R Risnawati R Rosman, Anita Rosyidah Arafat Rosyidah Arafat, Rosyidah S, Moh Gifari Sabir, Nurfadillah Sari, Mutmainnah Sari, Mutmainnah Sarina Musdiaman Sarina Sukri Sarnida Sarnida Selvia, Heni Silvia Malasari Sintawati Majid Siska Misali Sitti Nurhadijah Sitti Salmawati Sjattar, Elly L St Syahriyani Subu, Muhammad Arsyad Suhirman Suhirman Sukmawati Sukmawati Sulaeha Sulaeha Syahriyani, St Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syaiful Rassa, Syaiful Syakib Bakri Syam, Yuliana Syam, Yuliana Syam, Yuliana Syam, Yuliana Takdir Tahir Tarigan, Sumiati Tarigan, Sumiati Ul Husna, Annisa Dirani Usman, Suharno Uyunul Jannah Wahyu Hidayat Wahyu Hidayat Wahyuna Sahmar Wawan Karniawan Yuliana Syam Yuliana Syam Zulfahmi