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Sudirman
Poltekkes Kemenkes Semarang, Semarang, Indonesia.
Education Health Professions Medicine & Pharmacology Nursing Public Health

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Effect of red fruit oil soap (Pandanus conoideus LAM) as wound cleansing on wound healing and the number of bacterial colonies among Grade II Diabetic Ulcer Patients at Griya Qound Care Clinic Kudus, Indonesia Hevny Kartika Dewi; Mardiyono; Sudirman; Djenta Saha
GHMJ (Global Health Management Journal) Vol. 3 No. 2 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-32542

Abstract

Background: Diabetic ulcer is an open wound on the skin layer to the dermis due to hyperglycemia and neuropathy. This condition often causes infection and becomes an inhibitor in the wound healing process. Red fruit oil soap can be used as an alternative cleansing to reduce the number of bacterial colonies and accelerate the wound healing process. This present study aimed to observe the effect of red fruit oil soap in the cleansing process to reduce the number of bacterial colonies and the wound healing process in grade II Diabetic ulcer patientsMethods: This is a quasi-experimental study with the pre-test post-test non-equivalent control group design. Wound cleansing in the intervention group used 0.9% NaCl solution and red fruit oil soap with a pH of 5.74, while the wound cleansing in the control group used 0.9% NaCl solution. Bacterial colonies were assessed and the type of bacteria was observed by the swab method. The wound healing was assessed with Bates-Jensen Wound Assessment Tool (BWAT) instrument for 14 days with observations every 3 days. Analysis test used Mann Whitney and Repeated Measure ANOVA.Results: There was no difference in the mean of the number of bacterial colonies between the wounds that were cleansed with 0.9% NaCl solution and red fruit oil soap and the wounds which were cleansed by using 0.9% NaCl solution (p> 0.05). The mean of the number of colonies in the intervention group until the 14th day reduced by 3.14x106 and in the control group was reduced h 1.40x106. There was a significant decrease in the wound healing scores in each group, in each assessment for 14 days.Conclusion: This study found that the wound cleansing using red fruit oil soap and 0.9% NaCl solution could reduce the number of bacterial colonies on the wound surface and accelerate the wound healing process among patients with grade II diabetic ulcer. Keywords: Red fruit oil soap, Wound cleansing, Wound healing, Diabetic ulcerReceived: 25 August 2018; Reviewed: 4 September 2018; Revised: 24 June 2019; Accepted: 28 June 2019 DOI: 10.35898/ghmj-32542
Gargling with Aloe vera extract is effective to prevent the Ventilator-Associated Pneumonia (VAP) Mita Agustina; Bedjo Santoso; Sudirman
GHMJ (Global Health Management Journal) Vol. 2 No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-23558

Abstract

Background: Long-term use of a mechanic ventilator may cause Ventilator- Associated Pneumonia (VAP) infection, nosocomial pneumonia that occurs after 48 hours in patients using mechanical ventilation either through the endotracheal tube or the tracheostomy tube. To prevent the occurrence of VAP, antiseptic liquid (mouthwash) such as chlorhexidine 2% maybe recommended. However, gargling using chlorhexidine may also cause allergies, thus, Aloe vera extract could be an alternative.Aims: The purpose of this study was to determine the effectiveness of Aloe vera extract as mouthwash to prevent the occurrence of Ventilator-associated pneumonia.Methods: This research is a quasi-experiment case-control study with a preposttest control group design. The sample size in this study was 30 respondents who were equally distributed into two groups; intervention group was administered using Aloe vera extract, while chlorhexidine was practiced for the control group. To determine the occurrence of VAP, Clinical Pulmonary Infection Score (CPIS) for Ventilator-Associated Pneumonia was measured on the first day of intubation and the fourth day, enumerated by nurses in the emergency room. CPIS is a set of indicators comprised of temperature, leucocyte, trachea secretion, oxygenation (PaO2/FiO in mm Hg), and thorax photo. CPIS value below than five will be regarded non-VAP, while CPIS scored 6-9 will be diagnosed as VAP.Results: Oral hygiene with Aloe vera extract was able to prevent the occurrence of VAP (p-value = 0.001), but there was no significant difference between the control group and intervention in the CPIS component temperature, leukocytes, tracheal secretions, FiO2, and the thoracic component.Conclusions: Oral hygiene with Aloe vera extract effectively prevented the occurrence of Ventilator-Associated Pneumonia (VAP) compared to chlorhexidine. Keywords: Aloe vera extract, Ventilator-Associated Pneumonia, Clinical Pulmonary Infection Score Received: 25 August 2018, Reviewed: 30 August 2018, Received: in revised form 22 October 2018, Accepted: 31 October 2018 DOI: 10.35898/ghmj-23558
Co-Authors Bedjo Santoso Djenta Saha Hevny Kartika Dewi Mardiyono, Mardiyono Mita Agustina