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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS Jurnal Pengabdian Pada Masyarakat Journal Of Bionursing Journal of Telenursing (JOTING)
Yunita Sari
Fakultas Ilmu-Ilmu Kesehatan, Universitas Jenderal Soedirman
Religion Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Engineering Health Professions Nursing Public Health Other

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The Effect of Vibration Therapy on Reduction of Matrix Metalloproteinase-9 in Diabetic Ulcer Sari, Yunita; Sutrisna, Eman; Hartono, Hartono; Paes, Camila Quinetti
Jurnal Keperawatan Soedirman Vol 11, No 3 (2016)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2016.11.3.701

Abstract

One important reason why diabetic ulcer fails to heal is an increase of collagen degradation by matrix metalloproteinase-9 (MMP-9). Vibration therapy is one of complementary therapies which can reduce inflammation and improve reepithelialization. However, up to present, there is no study that investigate the effect of vibration on reduction of MMP-9 in diabetic ulcer. Therefore, the effect of vibration on reduction of collagen degradation in diabetic ulcer is still unknown. If vibration can reduce collagen degradation in diabetic ulcer, nurse can recommend patients to apply vibration not only during inflammation and proliferation phase, but also during maturation phase since MMP-9 also contributes to collagen degradation during maturation phase.The purpose of this study was to investigate the effect of vibration on reduction of MMP-9 in diabetic ulcer. Diabetic rats were divided into two groups, vibration and control groups. The intensity of polymorphonuclears cells (PMNs) and fibroblast, collagen appearance, and the presence of positive cells for MMP-9 were compared. Fibroblast, PMNs and collagen appearance were stained with H and E staining, and MMP-9 was stained by immunohistochemistry method. The difference in the intensity of fibroblast and PMNs was analyzed by Mann-Whitney U test. The result showed that the intensity of PMNs was significantly lower, and the intensity of fibroblast was higher in vibration group than in control. Collagen alignment in the vibration group was more organized in a more regular fashion than in control group. The intensity of positive cells for MMP-9 was lower in the vibration group than in control group. This study showed that vibration could reduce MMP-9, therefore it could be concluded that vibration could reduce collagen degradation of diabetic ulcer. This study bring implication in the clinical setting that vibration therapy should also be applied during maturation phase since MMP-9 is also released in the maturation phase.
Implementasi Telehealth pada pasien Diabetes melitus saat pandemi Covid-19: Tinjauan sistematis Vidi Ahmad Raafi; Saryono Saryono; Yunita Sari
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 7, No 1 (2021): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.7.1.53-60

Abstract

Pendahuluan:Banyak pasien Diabetes Mellitus (DM) yang tidak mendapatkan perawatan akibat dari kebijakan rumah sakit yang melakukan pengurangan kunjungan dan konsultasi untuk menghindari penularan Covid-19. ImplementasiTelehealth sudah banyak dilakukan.  Review ini bertujuan untuk mengetahui model implementasiTelehealthpada pasien Diabetes Melitus saat pandemi Covid-19. Metode:Pencarian artikel menggunakan databaseelektronik seperti Pubmed, Science direct, dan Google Scholar.Pencarian artikel yang digunakan yaitu 5 tahun terakhir. Kata kunci yang digunakan diantaranya, “Telehealth” AND “Diabetes Mellitus” AND “Pandemic Era” OR “Covid-19”. Hasil:Berdasarkan 6 artikel yang didapatkan bahwa Telehealthmerupakan implementasi yang dapat diterapkan pada masa Pandemi Covid-19 khususnya pada penderita Diabetes Melitus. Telehealth mampu menggantikan metode konsultasi tatap muka dengan mengurangi ketidakhadiran pasien (dari 21% menjadi 4%), dibandingkan sebelum pandemi, dan mampu memenuhi kebutuhan fisik maupun psikis. Selama pandemi Covid-19, estimasi waktu pelayanan kesehatan yang diberikan 75 menit berbeda saat sebelum pandemi (pasien membutuhkan waktu 175 menit. Simpulan:sistem Telehealth sebagai solusi terbaik untuk merawat pasien DM dalam mencegah tertularnya covid-19.
Modification of Breast Pump as a Negative Pressure Wound Therapy for Accelerating Wound Healing of Diabetic Ulcer Yunita Sari; Iwan Purnawan; Hartono Hartono
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1640.153 KB) | DOI: 10.20473/jn.v10i1.2037

Abstract

Introduction: Negative Pressure Wound Therapy (NPWT) is considered as the best treatment for accelerating wound healing, including diabetic ulcer. However, this device is still not available in Indonesia. Therefore, the purpose of this study were to make NPWT by using modifi cation of breast pump, and to elucidate the effect of this device on acceleration of wound healing in diabetic ulcer.Methods: NPWT was made by using digital breast pump. Wounds were divided into two groups; wound-treated by NPWT (experimental group) and wound-untreated by NPWT (control). The negative pressure used for this study was 85 mmHg. Rats were sacrifi ced on day 7, and wound samples and surrounding skin were stained with Hematoxylin and Eosyn. Infl ammation, intensity of necrotic tissue, and wound closure were observed.Results: The device could deliver a negative pressure at a range of 85–140 mmHg. Wound size in the experimental group was smaller than in control group. Infl ammation was also less in the experimental group than control group.Conclusion: The modifi cation of breast pump could be used as a negative pressure therapy for wounds, and has effect on reducing infl ammation and necrotic tissue. Further study is needed to elucidate the effect of this device on human subject.
A Comparative Study of the Effects of Vibration and Electrical Stimulation Therapies on the Acceleration of Wound Healing in Diabetic Ulcers Yunita Sari; S. Saryono; Eman Sutrisna; H. Hartono
Jurnal Ners Vol. 12 No. 2 (2017): October 2017
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (675.654 KB) | DOI: 10.20473/jn.v12i2.4460

Abstract

Introduction: Diabetic ulcers accompanied by ischemia is difficult to treat. Such ulcers require therapy that can improve the blood flow. Previous studies have revealed that two therapies could improve blood flow and accelerate the healing of diabetic ulcers; vibration and electrical stimulation (ES). However, it is unknown which of these two therapies is best at accelerating wound healing in diabetic ulcers. The purpose of this study was to compare both therapies in relation to accelerating the wound healing of diabetic ulcers.Methods: This study was an experimental study involving diabetic rats. The rats were divided into two groups: vibration and ES. Vibration and ES were applied for 10 minutes per day for 7 days. Wound size, inflammation, intensity of fibroblast infiltration, area of necrosis and degree of re-epithelialisation were compared. The difference in wound size was analysed using an independent t-test, while the histological data were analysed using a Mann-Whitney U-test.Results: On day 5 onwards, there was a thin slough in the ES group which was not present in the vibration group. Day 4 onwards and the wound size was significantly smaller in the vibration group than in the ES group. The intensity of inflammation was significantly less, and the degree of fibroblast infiltration was significantly higher in the vibration group compared with the ES group. Re-epithelialisation was more advanced in the vibration group than the ES group.Conclusion: Our study revealed that wound healing in diabetic ulcers following vibration was better than after ES. We suggest that nurses should use vibration rather than ES in clinical settings.
Pemberdayaan Kader Posyandu Lansia Untuk Pencegahan Hipertensi dan Komplikasinya di Purwokerto Yunita Sari; Made Sumarwati; Eman Sutrisna
Jurnal Pengabdian Pada Masyarakat Vol 3 No 1 (2018)
Publisher : Universitas Mathla'ul Anwar Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (829.633 KB) | DOI: 10.30653/002.201831.49

Abstract

EMPOWERMENT OF ELDERLY POSYANDU CADRES FOR PREVENTING HYPERTENSION AND ITS COMPLICATION IN PURWOKERTO. The highest prevalence of degenerative diseases in Banyumas regency is hypertension. The prevention of hypertension in elderly could be done by Elderly Posyandu. However, there are many problems which occur in Elderly Posyandu of Soka Nirmala III and Sejahtera II in preventing hypertension and its complication, such as the limitation of materials for blood pressure measurement, lack of knowledge for hypertension management, lack of knowledge about self-treatment for reducing blood pressure. The purposes of this programme were to give kits for hypertension measurement to elderly posyandu, to conduct training of hypertension prevention, training about diet management, training about elderly exercise, training about self-treatment for reducing blood pressure. This community service was done through health education, training, and simulation. This community service could improve the knowledge of cadres and elderly in managing hypertension, improve knowledge in conducting exercise for reducing hypertension, improve knowledge in diet management, and improve the knowledge about self-treatment for reducing hypertension. It is expected that the prevalence of hypertension and its complication could be reduced and the quality of life of elderly could be improved.
Nurses’ Perceived Barriers to The Prevention of Pressure Injury and Related Factors in Indonesia Yunita Sari; Arif Setyo Upoyo; Annas Sumeru; Wastu Adi Mulyono; Akhyarul Anam
Journal of Bionursing Vol 5 No 2 (2023): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.bion.2023.5.2.204

Abstract

Background. Incidence of pressure injury (PI) in Indonesia is high. Therefore, Indonesian nurses should take measures to prevent PI from developing. Considering the high incidence of PI in Indonesia, there could be some barriers faced by Indonesian nurses in performing prevention of PI. However, to date, no study has assessed the perceived barriers and factors associated with perceived barrier of prevention of PI in Indonesian nurses. Therefore, this study aimed to assess perceived barriers to prevention of PI and associated factors in Indonesian nurses. Methods. A total of 521 nurses participated in the study. A pressure injury prevention barriers questionnaire was used to assess perceived barriers of prevention of PI. A multivariate logistic regression model was used to analyse factors associated with the perceived barriers. Results. The two most commonly perceived barriers in nurses were lack of preventive devices such as special mattresses, cushions, and skin care products, and a lack of training courses related to prevention of PI. Associated factors emerging from the results were working experience (AOR =1.74) and working unit (AOR =2.73).
Faktor-Faktor Yang Memengaruhi Kepatuhan Perawat terhadap Standar Operasional Prosedur (SOP) Perioperatif untuk Mencegah Infeksi Luka Post Operasi di RSUD Dr. R. Goeteng Taroenadibrata Purbalingga Yuni Sukma Panca Indrawati; Yunita Sari; Annas Sumeru
Journal of Bionursing Vol 5 No 2 (2023): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.bion.2023.5.2.205

Abstract

Background. In preventing the incidence of Surgical Site Infection (SSI), nurse compliance in carrying out perioperative care according to procedures is important. Knowledge, work period, workload, and role of the head of the room probably relate to nurse compliance. The purpose of this research is to analyze the relationship between knowledge, work period, workload, and role of the head of the room with nurse compliance and to know the dominant factor affecting nurse compliance in implementing perioperative SOP to prevent postoperative wound infections. Methods. The research design was correlated with cross-sectional approach. The population in this research is all nurses in the surgical and obstetric-gynecology wards of Dr. R. Goeteng Taroenadibrata Purbalingga Hospital. The total number of samples was 55 respondents. Collecting data using questionnaires. Results. Bivariate analysis showed that there was a significant correlation between knowledge, workload, and role of the head of the room with nurse compliance in implementing perioperative SOP. Meanwhile, there was no correlation between work period and nurse compliance in impelementing SOP. Conclusion. Workload is the most dominant factor related to nurse compliance in implementing perioperative SOP.
Evidence Based Nursing Penatalaksanaan Stroke melalui Penggunaan Mobile Health Terhadap Pengendalian Paska Stroke Frida Voliana; Yunita Sari
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5711

Abstract

This study aims to analyze the effectiveness of using the mHealth application in stroke patients in post-stroke control. The method used is an article search using electronic databases such as the Cochrane Library, Ebsco, Pubmed, Sage Journals, and Science Direct. The study results show that an indicator of effectiveness is that mHealth can prevent secondary strokes in stroke patients and prevent disability in post-stroke patients. Were 199 articles found, and then nine were selected for criticism/analysis. Among the nine articles found in this study, the patient characteristics were almost the same, and it was found that mHealth was effective in post-stroke control, namely secondary stroke prevention and post-stroke disability management. In conclusion, mHealth is the best tool for post-stroke control compared to traditional health counseling, community essential health services, conventional daily programs, or classic pamphlets. Keywords: Cellular Health, Disability Management, Secondary Prevention, Stroke
Co-Authors Akhyarul Anam Annas Sumeru Arif Setyo Upoyo Eman Sutrisna Eman Sutrisna Frida Voliana H. Hartono Hartono Hartono Hartono, Hartono Iwan Purnawan Made Sumarwati Paes, Camila Quinetti S. Saryono Saryono Saryono Sutrisna, Eman Vidi Ahmad Raafi Wastu Adi Mulyono Yuni Sukma Panca Indrawati