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ENDAH NESTITI URIP RAHAYU
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The Use of the Pressure Ulcer Scale for Healing (Push) in Patients with Pressure Ulcers and Multimorbidity: A Case Study Aulia, Syifa Nurul; Harun, Hasniatisari; Rahayu, Urip
Journal of Nursing Care Vol 8, No 3 (2025): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i3.64761

Abstract

Pressure ulcers are a complication that becomes more complex when experienced by patients with multimorbidity such as Congestive Heart Failure (CHF), Chronic Kidney Disease (CKD), and thrombocytopenia. These conditions can lead to prolonged healing, high risk of infection, systemic complications, and even death. Interventions must be accompanied by appropriate tools to evaluate wound healing optimally. The Pressure Ulcer Scale for Healing (PUSH) is a tool for accurately, practically, and simply assessing the progression of pressure ulcers. However, its use for evaluating pressure ulcers remains limited. The objective to describe the use of PUSH in patients with pressure ulcers and multimorbidity. Method: This study used a case study design involving a 56-year-old patient with a grade III pressure ulcer on the buttocks measuring 121.5 cm2 with granulation tissue, minimal necrosis tissue, pus, and active bleeding. Wound progression was evaluated using PUSH over 4 days during wound care. The results that the PUSH score increased to 16 with a wound size of 150 cm2 moderate exudate, and extensive necrosis tissue. This indicates that the wound condition has not improved, prompting an evaluation of the wound care and factors hindering wound healing. Although PUSH aids clinical decision-making, it has limitations in assessing wound depth and systemic conditions as it only evaluates three parameters. The PUSH instrument is a simple and efficient tool for monitoring the healing of pressure ulcers and has the potential to indicate changes in wound condition as a result of an intervention, thereby aiding clinical decision-making. PUSH is recommended for routine use in clinical practice, while continuing to evaluate systemic conditions comprehensively and involving a multidisciplinary team.
Gambaran Kualitas Tidur Korban Bencana Gempa Bumi Cianjur Gumelar, Heru Gugum; Rahayu, Urip; Pebrianti, Sandra
Medical-Surgical Journal of Nursing Research Vol. 4 No. 2 (2025): (in collaboration with STIKep PPNI Jawa Barat) Medical-Surgical Journal of Nurs
Publisher : Himpunan Perawat Medikal Bedah Indonesia (HIPMEBI) Regional Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70331/jpkmb.v4i2.61

Abstract

Latar Belakang : Bencana gempa bumi di Cianjur menjadi kejadian bencana yang traumatik bagi korban sehingga dapat menimbulkan dampak psikologis, yaitu gangguan kualitas tidur. Terganggunya kualitas tidur dapat mengganggu aktivitas di siang hari dan mengakibatkan penurunan kesehatan individu. Metode : Penelitian ini bertujuan untuk mengetahui gambaran kualitas tidur korban bencana gempa bumi di Cianjur. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan cross-sectional dan melibatkan 154 orang korban bencana gempa bumi di wilayah Desa Mangunkerta, Cianjur. Sampel yang diambil menggunakan teknik consecutive sampling. Metode pengumpulan data menggunakan kusioner Pittsburgh Sleep Quality Index (PSQI). Analisis univariat digunakan dengan hasil distribusi dan frekuensi. Hasil didapat bahwa korban bencana gempa bumi di Desa Mangunkerta, Cianjur memiliki kualitas tidur dalam kategori buruk (65,7%). Global PSQI rata-rata 8,17 dengan dimensi tidur yang paling berkontribusi dalam masalah ini adalah dimensi gangguan tidur yang dialami satu atau dua kali dalam seminggu. Adapun pada dimensi tidur lainnya, yaitu kualitas tidur subjektif dengan responden merasa kualitas tidur yang sangat baik, latensi tidur dengan tidak dapat tertidur dalam waktu 30 menit kurang dari sekali dalam seminggu, durasi tidur selama 6-7 jam setiap harinya, efisiensi tidur 74-84%, rata-rata responden mengkonsumsi obat kurang dari sekali dalam seminggu, dan sering terjadi disfungsi siang hari. Kesimpulan : gambaran kualitas tidur pada korban bencana gempa bumi Cianjur di Desa Mangunkerta dalam kategori buruk. Penelitian selanjutnya dapat meneliti lebih lanjut mengenai hal yang dapat mengatasi gangguan pada tidur yang dapat berpengaruh terhadap kualitas tidur korban bencana.
Application of Virgin Coconut Oil (VCO) Massage and Repositioning in Decubitus Ulcers of Patients with Multiple Complications: A Case Study Yasmine, Hanna Alya; Rahayu, Urip; Pahria, Tuti
Journal of Nursing Care Vol 9, No 1 (2026): Journal of Nursing care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v9i1.64868

Abstract

Patients with peritoneal abscesses who are immobilized are at risk of decubitus ulcer. Various complications in patients such as malnutrition and anaemia in patients cause a decrease in body immunity, causing a high risk of decubitus ulcers and difficulty in wound healing. Massage using Virgin Coconut Oil (VCO) and repositioning are combined interventions to reduce the risk and healing of decubitus ulcers. The study aims to determine the results of massage using VCO and repositioning patients with decubitus ulcers in healing and efforts to prevent decubitus ulcer effectively. The study is a case report of the application of massage using VCO and repositioning in a patient with decubitus ulcer with intraperitoneal abscess, pneumonia, malnutrition, and anaemia at Sumedang Regional Hospital. The patient is a 33-year-old woman with grade 2 decubitus ulcers in the sacrum area which appeared red, serum, skin peeling, and shallow holes. The patient was selected for treatment due to the decubitus ulcers, high risk of decubitus ulcers, and the absence of any interventions. Massage with VCO and repositioning were performed twice daily for 6 days. The interventions were carried out consistently by researchers, nurses, patients, and their families. There were a decrease in degree 2 to degree 1 in the patient’s sacrum decubitus ulcers after massage using VCO and repositioning.
Co-Authors Abdul Rahman Adi Nur Cahyono Aditya, Bambang Afrilia, Ghea Ali Shodiqin Amalia, Sabrina Nur Amelia Hayati Anita Setyawati Arhustia, Hesti Dina Arifin, Hidayat Asep Robby Asep Robby, Asep Asri Nurkarimah Atlastieka Praptiwi Aulia, Syifa Nurul Ayuningsih, Risna Azwadina, Aliffa Bambang Aditya Nugraha Cahyani, Eka Maulidya Cahyo Nugroho, Cahyo Cecep Eli Kosasih Chandra Isabella Hostanida Purba Cindy Puspita Sari David Firmansyah Dedi Kurnia Dendy Kharisna Ermiati Ermiati Ermiati Ermiati Etika Emaliyawati Fazriyyah, Yuni Fuji Frana Andrianur Gumelar, Heru Gugum Harun, Hasniatisari Hasniatisari Harun Helwiyah Ropi Helwiyah Ropi Heri Budiawan Hesti Platini Hikmat, Rohman Inriyana, Ria islami, asmi dinul Iwan Shalahuddin Kafil, Raisa Farida Khairunnisa, Chandra Kirana Kosasih, Cecp E. Kurniawan Yudianto Kusman Ibrahim Laili Rahayuwati Leni Handayani M De Is Rizal Chaidir M De Is Rizal Chaidir, M De Is Rizal Manumara, Theophylia Melisa Margianti, Dina Maria komariah Mawar Eka Putri Merdekawati, Rahayu Muhtarom Mulyana, Aep Maulid Mulyono Mulyono Mustari Aji, Nandang Nauli, Yolanda Erica Nur Oktavia Hidayati Nuraeni, Fauziah Nurkarimah, Asri Nurohmah, Indah Syaidah Putri, Mawar Eka Putri, Nabila Aulia Ramdhani, Muhammad Zaky Restuning Widiasih Risgian Putra, Juli Riskyani, Umy Rizal Chaidir, Rizal Rusmana, Hera Prafitri Safitri, Dewin Sally Syamima Sandra Pebrianti Sarjono, Kalih Septiany, Maulidya Seviya Gani Maisyaroh Siti Noor Sya'fa Siti Nurjanah Siti Ulfah Rifa’atul Fitri Siti Yuyun Rahayu Fitri Sri Hartati Pratiwi Titin Sutini Tuti Pahria Usnadi, Udi Wadhanti, Dewa Ayu Puspa Yanti Hermayanti Yasmine, Hanna Alya Yulianita, Henny Yuriszkah, Duti Yusshy Kurnia Herliani Yusshy Kurnia Herliani, Yusshy Kurnia Zahra Siti Hanifah