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Journal : An Idea Nursing Journal

The Effect of Duration of Antiretroviral Drug Administration on CD4 Cells in HIV/AIDS Patients in Makassar Indonesia Hidayat, Rahmat; Amir, Haeril; Agus, Al Ihksan; Hisyam, Muhammad
An Idea Nursing Journal Vol. 2 No. 01 (2023)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (230.526 KB) | DOI: 10.53690/inj.v2i01.148

Abstract

Human Immunodeficiency Virus (HIV) merupakan virus yang menyerang sistem imun tubuh dengan menginfeksi dan menghancurkan sel CD4 yang akhirnya mengakibatkan Acquired Immune Deficiency Syndrome (AIDS). Cara penanganan yaitu dengan pemberian terapi obat antiretroviral (ARV) yang berefek pada peningkatan sel CD4. Tujuan penelitian untuk mengetahui efek lama pemberian ARV terhadap sel CD4 pada penderita HIV/AIDS. Metode penelitian yaitu survey analitik. Populasi penelitian yaitu 62 penderita HIV/AIDS, dengan jumlah sampel sebanyak 53 partisipan. Hasil penelitian didapatkan bahwa pemberian obat ARV selama 6, 12 dan 24 bulan meningkatkan CD4. Semakin lama pemberian obat ARV maka semakin bagus tingkat CD4 pasien HIV/ADS. Sebelum dan setelah pemberian ARV 6 bulan tingkat CD4 rata rata yaitu 248,08 sel/mm3 meningkat menjadi 367,70 sel/mm3, sebelum dan setelah pemberian ARV 12 bulan tingkat CD4 rata rata 224,69 sel/mm3 meningkat menjadi 365,44 sel/mm3, dan sebelum dan setelah pemberian ARV 24 bulan tingkat CD4 rata rata 162,58 meningkat menjadi 370,25. Hasil uji statistik menunjukkan nilai p<? = 0,05, yang berarti ada pengaruh yang signifikan antara pemberian terapi obat ARV selama 6, 12 dan 24 bulan terhadap peningkatan sel CD4 pasien HIV/AIDS.
Wound Care Management with Primary Dressing on Diabetic Foot Ulcers Patients: A Case Study Enjelia ibrahim, Resty; Amir, Haeril; Mappanganro, Andi; Armstrong, David G
An Idea Nursing Journal Vol. 4 No. 01 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i01.479

Abstract

Diabetic foot ulcers and diabetic ulcers are some of the consequences that diabetic patients often face. This study aimed to determine wound care using primary dressings on the feet of diabetic patients with tissue integrity problems. The method used in this study was a case study. This study utilized the intervention of treating diabetic foot ulcers of Mrs. J with primary dressings at the ETN Center Makassar Wound Care Home. This study was conducted with one respondent. After the diagnosis was established, the possible nursing intervention was to provide a primary dressing on the wound. After weekly patient wound care, I could see the changes. The visible changes were: The appearance of the scar will differ between the first and second visits. On the first visit, the wound looked like a thin serous exudate: 20%, epithelialized or pink: 70%. However, on the second visit, the wound looked like a thin serous exudate: 15%, epithelialized or pink: 85%. Based on the primary dressing wound care carried out, it can be concluded that primary epithelial cream wound care is effective in healing diabetic ulcers.
Wound Care Using 0.9% Cadexomer Iodine as a Primary Dressing in a Grade II Diabetic Ulcer: A Case Study Rosare, Salvatika; Amir, Haeril; Mappanganro, Andi
An Idea Nursing Journal Vol. 4 No. 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i02.459

Abstract

Diabetic ulcers are wounds that arise as a complication of microangiopathy and macroangiopathy. Peripheral neuropathy leads to a loss of sensation in the distal areas of the feet. This study aims to evaluate wound care using modern dressing with 0.9% Cadexomer Iodine in a Grade II diabetic foot ulcer with the nursing problem of impaired tissue integrity. The research method used was a case study, conducted at the Griya Afiat Makassar independent wound care clinic on October 14th, 16th, and 18th, 2024. The diabetic ulcer wound was assessed and monitored for healing progress using the Bates-Jensen Wound Assessment Tool (BWAT). Wound progression was also documented using an Android camera to visually compare the condition from the initial treatment to the final visit. The results of this study, based on wound care implementation three times a week, showed noticeable changes. These changes were observed in both the appearance and size of the wound across the three visits. On the first visit, granulation tissue covered 75% of the wound and epithelial tissue 25%, with a wound depth of 2.4 cm and dimensions of 1.5 × 0.9 cm. On the second visit, granulation increased to 80% and epithelial tissue decreased to 20%, with a depth of 2.2 cm and size of 1.3 × 0.7 cm. On the third visit, granulation further improved to 85% and epithelial tissue to 15%, with a wound depth of 1.6 cm and dimensions of 1 × 0.4 cm.Based on the wound care performed using modern dressing with 0.9% Cadexomer Iodine, it can be concluded that Cadexomer Iodine 0.9% is effective in promoting the healing of diabetic ulcers.
Modern Wound Care Using Cadexomer Iodine 0,9% Dressing in the Granulation Process of a Grade 4 Diabetic Foot Ulcer: Case Study Safitri, Della; Mappanganro, Andi; Amir, Haeril; Asnaniar, Wa Ode Sri
An Idea Nursing Journal Vol. 4 No. 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i02.462

Abstract

Diabetic foot ulcers are a serious complication of diabetes mellitus that require comprehensive management to prevent further adverse outcomes. This study aimed to evaluate the effect of modern wound management using 0.9% cadexomer iodine on the granulation process in a grade 4 diabetic foot ulcer. A case study was conducted involving a 54-year-old male patient, referred to as Mr. “Z,” who received 0.9% cadexomer iodine as part of his wound care intervention three times per week. The findings demonstrated an increase in granulation tissue of up to 75% as measured by the Bates-Jensen Wound Assessment Tool (BWAT) during the treatment period. The use of 0.9% cadexomer iodine was found to be effective in enhancing granulation tissue formation and promoting wound healing in diabetic foot ulcers.
Effectiveness of Metcovasin Modern Dressing on Grade II Diabetic Ulcers: A Case Study Ananda, Ribi; Amir, Haeril; Asnaniar, Waode Sri; Nurwahidah, Nurwahidah
An Idea Nursing Journal Vol. 4 No. 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i02.456

Abstract

Diabetic foot ulcers are among the most common complications experienced by individuals with diabetes mellitus, primarily caused by neuropathy (nerve cell damage). This study aimed to evaluate the effectiveness of modern alginate Metcovasin dressing in managing Grade 2 diabetic foot ulcers with impaired skin integrity. A case study design was employed. The intervention involved the application of modern alginate Metcovasin dressing for wound care in a patient with a Grade 2 diabetic ulcer at the ETN Centre Clinic in Makassar. The study was conducted on a single respondent. After establishing the nursing diagnosis, a wound care plan using modern alginate Metcovasin dressing was implemented once a week. Following the first week of treatment, notable improvements were observed, including reduced exudate (approximately 10%) and increased pink epithelial tissue (55%). By the second visit, the wound showed further improvement, with no exudate present and approximately 75% epithelialization. Based on the findings and nursing care provided, this study concludes that the use of modern alginate Metcovasin dressing is effective in promoting the healing process of diabetic foot ulcers.  
Application of Moist Wound Healing Technique in Post-Cesarean Section Patients: A Case Study Nur Israwati; Amir, Haeril; Mappanganro, Andi
An Idea Nursing Journal Vol. 4 No. 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i02.461

Abstract

Cesarean section is a surgical procedure involving an incision through the abdominal wall and uterus to deliver the baby. Although it is widely performed to ensure the safety of both mother and infant, this procedure often results in wounds that require specific care for optimal healing. This study aimed to explore the application of the Moist Wound Healing (MWH) technique in post- cesarean section wound management. A case study design was employed, focusing on a patient (Mrs.D) who underwent post-cesarean wound care using the MWH technique at Griya Afiat Gowa independent practice clinic. Following diagnosis, the planned nursing intervention involved wound care using theMWH approach. After three sessions of wound care, notable improvements were observed: during the first and second visits, the wound exhibited >25% serous exudate, 80% granulation tissue, and 20% slough. By the third visit, the wound showed 80% granulation, a reduction of slough to 15%, and the presence of 5% epithelial tissue. These findings indicate that the Moist Wound Healing technique is effective in promoting wound healing following cesarean section.  
Assessment of Early Pain Management in Fracture Cases in the Emergency Department: Evidence from Clinical Practice Yakut, Waode Ryanti; Amir, Haeril; Hidayat, Rahmat
An Idea Nursing Journal Vol. 4 No. 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i02.570

Abstract

Open fractures are serious injuries in which bone fragments are directly exposed to the external environment, resulting in a significantly higher risk of infection compared to closed fractures. Patients presenting with fractures to the emergency department (ED) are initially assessed using the airway, breathing, circulation, disability, and exposure (ABCDE) approach. This serves as one of the strategies to reduce the pain experienced by patients with fractures. This study employed a descriptive approach with a descriptive case study method, aiming to provide an overview of the initial management of a patient with an open fracture of the right tibia. General initial management of pain included immobilization techniques, hemorrhage control, and the administration of analgesics, which were found to reduce pain levels and prevent further complications. The study concludes that general initial management is an essential and effective approach in the early treatment of open fracture patients. This process not only focuses on medical aspects but also addresses the holistic nursing needs of patients. Further research is recommended to evaluate the long-term effectiveness of general initial management.
Implementation of Guided Imagery to Reduce Anxiety in Patients with Breast Cancer Irwansjah, Nurhasana; Amir, Haeril; Suharto Putri, Suci Hardianti; Marini , Erna
An Idea Nursing Journal Vol. 4 No. 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i02.603

Abstract

Anxiety is one of the most common psychological problems experienced by preoperative patients, particularly those with breast cancer (Ca Mammae). This condition can increase sympathetic responses, worsen physiological conditions, and reduce patient readiness for surgery. Guided imagery is a non-pharmacological intervention that can help reduce anxiety through directed visualization, promoting relaxation and emotional calmness. This study aims to describe nursing care for patients with preoperative anxiety using the SDKI, SIKI, and SLKI standards and to identify the effectiveness of guided imagery in reducing anxiety levels. This case study employed a descriptive approach involving one patient with Ca Mammae (Mrs. S) scheduled for Modified Radical Mastectomy (MRM). Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (SAS). Initial assessment showed moderate anxiety with a score of 45, accompanied by symptoms of restlessness, tension, difficulty concentrating, and increased motor activity. Nursing interventions followed the SIKI Anxiety Reduction (I.09314), including education, observation, emotional support, and guided imagery implementation. After the intervention, the anxiety score decreased to 35 (mild anxiety), and the patient appeared calmer, more cooperative, and able to better divert attention. The findings indicate that guided imagery is effective in reducing preoperative anxiety in Ca Mammae patients and can serve as a simple, safe, and beneficial complementary nursing intervention in clinical practice..