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Application of Moist Wound Healing Technique in Post-Cesarean Section Patients: A Case Study Nur Israwati; Haeril Amir; Andi Mappanganro
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.  
Modern Wound Care Using Cadexomer Iodine 0,9% Dressing in the Granulation Process of a Grade 4 Diabetic Foot Ulcer: Case Study Della Safitri; Andi Mappanganro; Haeril Amir; Wa Ode Sri Asnaniar
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.
Wound Care Management with Primary Dressing on Diabetic Foot Ulcers Patients: A Case Study Resty Enjelia ibrahim; Haeril Amir; Andi Mappanganro; David G Armstrong
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.
Assessment of Early Pain Management in Fracture Cases in the Emergency Department: Evidence from Clinical Practice Waode Ryanti Yakut; Haeril Amir; Rahmat Hidayat
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.
The Effectiveness of Tepid Sponge Therapy in Managing Hyperthermia among Patients with Typhoid Fever in the Emergency Department Ibna Humrah; Haeril Amir; Rahmat Hidayat; Safruddin Safruddin
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.v4i02.572

Abstract

Typhoid fever is an acute infectious disease caused by Salmonella enterica serovar Typhi (S. typhi), which primarily affects the human digestive system. It is transmitted through the consumption of food or water contaminated with the feces or urine of infected individuals, and can also spread through direct contact with bacterial carriers. One effective solution to reduce body temperature in patients with typhoid fever is the application of tepid sponge therapy, a non-pharmacological nursing intervention used to alleviate hyperthermia. This study aims to describe the application of water tepid sponge therapy in lowering body temperature among patients with typhoid fever. The results showed that after the implementation of tepid sponge therapy, the patient’s body temperature decreased from 39°C to 37.8°C, indicating the effectiveness of this therapy in reducing fever. In conclusion, tepid sponge therapy has a significant effect on lowering body temperature in patients with typhoid fever. It is expected that this finding can serve as a useful reference for improving nursing care, particularly for patients suffering from typhoid fever.
Hyperthermia Management Using Tepid Sponging to Reduce Body Temperature in Children With Typhoid Fever in the Emergency Department Kartini Abd Malik; Fitria Fitria; Haeril Amir; Rahmat Hidayat
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.v4i02.578

Abstract

Typhoid fever is a systemic infectious disease caused by Salmonella enterica serovar Typhi and remains a major public health concern in many developing countries, including Indonesia. The disease is primarily transmitted through the consumption of contaminated food or water. Management of fever involves both pharmacological and non-pharmacological approaches, one of which is tepid sponging. This paper aims to describe the effectiveness of tepid sponging in reducing body temperature among pediatric patients with typhoid fever. A case study was conducted on a pediatric patient (An. Z) diagnosed with typhoid fever. The non-pharmacological intervention—tepid sponging—was applied using a holistic nursing process, including assessment, diagnosis, intervention, implementation, and evaluation. The findings indicate that the patient’s initial body temperature was 39.0°C, which decreased to 37.8°C following the intervention. These results demonstrate the effectiveness of tepid sponging in lowering body temperature in children with typhoid fever. In conclusion, tepid sponging is an effective non- pharmacological nursing intervention for reducing fever in pediatric typhoid patients. These findings offer important clinical implications for nurses, particularly in emergency departments, as a supportive measure to improve patient comfort and facilitate recovery.
Benson Relaxation Technique for Pain Management in Patients Nurfadhillah Nurfadhillah; Haeril Amir; Idealriani Idealriani; Erna Marini
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i01.601

Abstract

Background : A fracture is defined as a disruption or loss of bone continuity caused by external forces that exceed the bone's ability to absorb them. Fractures may result from direct impact, crushing forces, sudden twisting movements, or even extreme muscle contractions. Fractures commonly cause pain, which varies among individuals and can affect thoughts, daily activities, and overall quality of life. Effective pain management is therefore crucial, and one of the non-pharmacological interventions that can be applied is the Benson Relaxation Technique. Method : This study used a case study design involving a patient with preoperative radius dextra fracture. The intervention was conducted by applying the Benson Relaxation Technique, in which the patient was guided to sit in a comfortable position, breathe slowly, and repeatedly recite words, phrases, or prayers according to their belief system for 20–30 minutes. Result : The initial assessment at 08:00 revealed that the patient experienced pain with an intensity of 7/10, characterized by facial grimacing, restlessness, and frequently holding the fracture site. After the Benson Relaxation intervention, evaluation at 09:00 showed a reduction in pain intensity to 6/10, and the patient appeared calmer, more relaxed, and less grimacing. Conclusion : The application of the Benson Relaxation Technique proved effective in reducing pain intensity in a preoperative patient with a radius dextra fracture. Before the intervention, the patient reported a pain score of 7, while after the intervention the score decreased to 6. Therefore, the Benson Relaxation Technique can be considered a beneficial non-pharmacological intervention in the management of pain among fracture patients.
Effect of Applying Ointment to Diabetic Ulcer before Modern Dressing : A Case Study Siti Maghfirah Juniar N Djafar; Wa Ode Sri Asnaniar; Haeril Amir; Nur Wahyuni Munir
An Idea Nursing Journal Vol. 5 No. 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i01.602

Abstract

Background: Diabetic ulcer is a chronic complication of diabetes mellitus,characterized by open wounds on the feet due to neuropathy, angiopathy, and decreased immunity, which impair healing and increase the risk of infection and amputation. Objective: This case study aims to describe the nursing care process and evaluate the effectiveness of ointment as a modern dressing in the healing of grade 1 diabetic ulcers. Methods: The study employed a case study approach using the nursing process (assessment, diagnosis, intervention, implementation, evaluation). The subject was a patient with a grade 1 diabetic ulcer at Clinic in Makassar City from August 6 to 11, 2025. Data were collected through interviews, direct observation, physical examination, and medical record review. The main intervention was wound care using epithelial ointment, patient education, blood glucose control, and wound monitoring. Evaluation was performed at each visit by assessing wound size, granulation, epithelialization, necrosis, exudate, and signs of infection. Results: On August 6, 2025, the wound measured 2.0 × 1.8 cm, with approximately 50% granulation, 20% epithelialization, 10% necrosis, and mild exudate. After care until August 11, 2025, granulation increased to ±70%, epithelialization to ±30%, necrosis decreased to <5%, exudate was minimal, and no signs of infection were observed. Conclusion: The patient also reported reduced pain and increased comfort during care.
Implementation of Guided Imagery to Reduce Anxiety in Patients with Breast Cancer Nurhasana Irwansjah; Haeril Amir; Suci Hardianti Suharto Putri; Erna Marini
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..