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All Journal Jurnal Riset Kesehatan JURNAL KEPERAWATAN MERSI Proceedings of the International Conference on Applied Science and Health INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Journal of Applied Health Management and Technology Indonesian Journal of Global Health research Journal Research of Social Science, Economics, and Management Jurnal Keperawatan Jurnal Ilmiah Kesehatan Mandira Cendikia Journal of Community Service for Health
Rahayu, Umi Margi
Poltekkes Kemenkes Semarang
Dentistry Education Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Other

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SENSITIVITY OF ANTIBIOTIC IN DIABETIC ULCER BACTERIA AND ITS MANAGEMENT IN INDONESIA. A LITERATURE REVIEW Rahayu, Umi Margi; Megasari, Anis Laela
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (410.737 KB)

Abstract

Introduction: Diabetic ulcer is one of the complications of Diabetes Mellitus (DM) which is characterized by an open wound on the skin layer up into the dermis. One of the inhibitors of wound healing process is infection. The bacteria that present in the ulcer are a combination of aerobic and anaerobic bacteria. Treatment of infection is closely related to the use of antibiotics. Methods: The method used in this paper is literature review and was conducted from 2010 – 2016. The research articles were reviewed from electronic databases including Science Direct, CINAHL, Pub Med, Pro Quest, and from relevant textbooks. The keywords used include diabetic ulcer, antibiotic, management ulcer, and wound care. Results: The entry of bacteria into the early occurrence of diabetic ulcers and high glucose levels become strategic places of bacterial development. The most common types of bacteria found in diabetic ulcers, Staphylococcus sp, Streptococcus sp, Pseudomonas sp, and E.Coli, are still sensitive to antibiotic class of balaktam (Imepenam and Meropenam) whereas antibiotics that are resistant to these bacteria are amoxicillin and penicillin. Provision of antibiotic therapy should still be combined with wound care with a dressing that has antimicrobial properties, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics. Conclusions: Many cases in diabetic ulcer are infection and many types of bacteria are resistant to antibiotic. Prevention of resistance can be done with the selection of specific antibiotics, the combination of aerobic and anaerobic antibiotics, and the regularity of antibiotics including the timeliness and dose. Management of diabetic ulcers should be carried out comprehensively, not just focusing on antibiotics, but also with wound care, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics. 
SENSITIVITY OF ANTIBIOTIC IN DIABETIC ULCER BACTERIA AND ITS MANAGEMENT IN INDONESIA. A LITERATURE REVIEW Umi Margi Rahayu; Anis Laela Megasari
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Diabetic ulcer is one of the complications of Diabetes Mellitus (DM) which is characterized by an open wound on the skin layer up into the dermis. One of the inhibitors of wound healing process is infection. The bacteria that present in the ulcer are a combination of aerobic and anaerobic bacteria. Treatment of infection is closely related to the use of antibiotics. Methods: The method used in this paper is literature review and was conducted from 2010 – 2016. The research articles were reviewed from electronic databases including Science Direct, CINAHL, Pub Med, Pro Quest, and from relevant textbooks. The keywords used include diabetic ulcer, antibiotic, management ulcer, and wound care. Results: The entry of bacteria into the early occurrence of diabetic ulcers and high glucose levels become strategic places of bacterial development. The most common types of bacteria found in diabetic ulcers, Staphylococcus sp, Streptococcus sp, Pseudomonas sp, and E.Coli, are still sensitive to antibiotic class of balaktam (Imepenam and Meropenam) whereas antibiotics that are resistant to these bacteria are amoxicillin and penicillin. Provision of antibiotic therapy should still be combined with wound care with a dressing that has antimicrobial properties, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics. Conclusions: Many cases in diabetic ulcer are infection and many types of bacteria are resistant to antibiotic. Prevention of resistance can be done with the selection of specific antibiotics, the combination of aerobic and anaerobic antibiotics, and the regularity of antibiotics including the timeliness and dose. Management of diabetic ulcers should be carried out comprehensively, not just focusing on antibiotics, but also with wound care, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics. 
MODERN COMBINATIONS DRESSING AND OZONE BAGGING TREATMENT REDUCES THE AMOUNT OF BACTERIA IN GRADE II DIABETICUM Mardiyono Mardiyono; Djamaluddin Ramlan; M. Choiroel Anwar; Rr. Sri Endang Pujiastuti; Umi Margi Rahayu
Journal of Applied Health Management and Technology Vol 1, No 1 (2019): Oktober 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.784 KB) | DOI: 10.31983/jahmt.v1i1.5308

Abstract

Diabetic ulcers are open sores on the skin layer to the dermis caused by hyperglycemia and neuropathy. Infection is a barrier to the wound healing process, the incidence of infection in wounds with modern treatments of hydrocolloid and hydrogel type dressings is still high. Ozone has high antibactericidal and antimicrobial properties, is able to penetrate bacterial capsid walls and is expected to kill bacteria on the wound surface.To find the right way to cure diabetic ulcers using a combination of modern methods of dressing and ozonetherapy bagging.Experimental, non-equivalent control group design pre test, post test, population and infinite sample of 25 respondents. Modern dressing used has antibacterial properties and ozone concentration of 60-100ug / ml for 15 minutes using a limb bag was carried out until the 13th day with five times the measurement of the number of bacterial colonies using themethod swab and colonicounter. Data processing using a computer system with the General Linear Model. There was an average difference in the number of bacterial colonies between groups (505.73 ± 172.069 vs 322.21 ± 132.778, p = 0.0061).A combination of modern dressing and ozonetherapy bagging can reduce the number of bacterial colonies and speed up the healing process of the inflammatory phase II diabetic ulcer so that it can be applied in nursing care for diabetic ulcer patients.
SENSITIVITY OF ANTIBIOTIC IN DIABETIC ULCER BACTERIA AND ITS MANAGEMENT IN INDONESIA. A LITERATURE REVIEW Umi Margi Rahayu; Anis Laela Megasari
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Diabetic ulcer is one of the complications of Diabetes Mellitus (DM) which is characterized by an open wound on the skin layer up into the dermis. One of the inhibitors of wound healing process is infection. The bacteria that present in the ulcer are a combination of aerobic and anaerobic bacteria. Treatment of infection is closely related to the use of antibiotics. Methods: The method used in this paper is literature review and was conducted from 2010 – 2016. The research articles were reviewed from electronic databases including Science Direct, CINAHL, Pub Med, Pro Quest, and from relevant textbooks. The keywords used include diabetic ulcer, antibiotic, management ulcer, and wound care. Results: The entry of bacteria into the early occurrence of diabetic ulcers and high glucose levels become trategic places of bacterial development. The most common types of bacteria found in diabetic ulcers, Staphylococcus sp, Streptococcus sp, Pseudomonas sp, and E.Coli, are still sensitive to antibiotic class of balaktam (Imepenam and Meropenam) whereas antibiotics that are resistant to these bacteria are amoxicillin and penicillin. Provision of antibiotic therapy should still be combined with wound care with a dressing that has antimicrobial properties, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics. Conclusions: Many cases in diabetic ulcer are infection and many types of bacteria are resistant to antibiotic. Prevention of resistance can be done with the selection of specific antibiotics, the combination of aerobic and anaerobic antibiotics, and the regularity of antibiotics including the timeliness and dose. Management of diabetic ulcers should be carried out comprehensively, not just focusing on antibiotics, but also with wound care, given the many types of bacteria found in diabetic ulcers with different types and sensitivity patterns to antibiotics.
Anxiety Level and Dialysis Adequacy of Patients Chronic Kidney Diseases During Covid-19 Pandemic in Indonesia Supriyadi; Umi Margi Rahayu; Maria Suryani
Jurnal Keperawatan Vol 15 No 2 (2023): Jurnal Keperawatan: Juni 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v15i2.781

Abstract

There was a conflicting result of previous studies about the correlation between anxiety and dialysis adequacy. The aim of this study was to evaluate the association of anxiety level with dialysis adequacy and uncover the association of age, leucocyte, and hemoglobin with anxiety and dialysis adequacy in chronic kidney disease patients undergoing hemodialysis during the Covid-19 pandemic. A cross-sectional study was conducted on 139 patients with chronic kidney disease at a hospital in Semarang, Indonesia. The anxiety was measured by Hamilton Rating Scale for Anxiety. Urea reduction rate (URR) was calculated using a standard formula to measure dialysis adequacy. Hemoglobin and leucocyte were analyzed in the laboratory. The Pearson correlation test was used in the study. There was no significant correlation between age, hemoglobin, and leucocyte with anxiety (p>0.005) and dialysis adequacy (P>0.005). There was a significant correlation between anxiety and dialysis adequacy (r= -0.207; p=0.014).
Grief Of Families Left Behind By Family Members Due To Covide-19 In Semarang Sri Endang Windiarti; Ahmad Riyadi; Umi Margi Rahayu; Annisa Muliani Tangdilintin
Journal Research of Social Science, Economics, and Management Vol. 3 No. 3 (2023): Journal Research of Social Science, Economics, and Management
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jrssem.v3i3.616

Abstract

Background: Grieving is a response that arises as a result of an individual experiencing one of which is loss. Not only the grieving phase which includes denial, anger, bargaining, depression, acceptance which describes the condition of grieving but there is also a grieving response which includes cognitive, emotional, behavioral and physiological responses where these responses can be different in each individual, because humans are unique creatures, researchers use observational interview techniques in conducting this study, to find out the grieving response to one person and another. Objective: This study aims to determine the picture of grieving family members left behind by their families due to COVID-19 in Semarang Regency. Method: Qualitative descriptive research design with data analysis using Collaizi method. Results: the description of the participants' grieving response showed the results of cognitive responses including denial and acceptance, emotional: depression, anger, gaining, acceptance. Behavioral: depression, then on physiological responses: depression, gaining, acceptance. Conclusion: the grieving phase was irregular, but all four participants had similar cognitive, emotional, behavioral, physiological responses.
Soursop Leaf Nanoparticles On Blood Glucose Levels And Ankle Brachial Pressure Index (ABPI) Values In Type-2 Diabetes Mellitus Patients Taadi Samsuri; Mardiyono mardiyono; Umi Margi Rahayu; iken Anggraini Sri Saputri
Jurnal Riset Kesehatan Vol 12, No 2 (2023): NOVEMBER 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v12i2.9826

Abstract

Chronic hyperglycemia will cause legs and blood circulation disorders. Treatment with insulin is still quite expensive and with some side effects of oral hypoglycemic drugs. This experience made the management of DM switch to herbal treatment, namely soursop leaves (Annona muricata). The study used a pre and post test control group design with random allocation. Quasy experimental study with a two group pre tpost-testest – post tepost-testst design at 36type-2 DM patients in the Pekalongan City area. Blood glucose levels in the treatment group were measured before and after administration of soursop leaf nanoparticles500 ml/20 gBB 3 times a day for 6 days and 500 mg metformin. Giving soursop leaf nanoparticles at a dose of 500 ml/20 grBW 3 times a day for 6 days is effective on fasting blood glucose levels clinically with a change in value of 65 mg/dL, and has a statistically significant effect on reducing fasting glucose levels (p=0.035).
BLOOD STORAGE ANALYSIS OF HEMOGLOBIN ERYTHROCYTE AND PLATELET LEVELS IN WHOLE BLOOD COMPONENTS 0 DAYS 7 DAYS UP TO 15 DAYS AND 30 DAYS AT THE INDONESIAN RED CROSS (PMI) BLOOD DONATION UNIT (UUD) SEMARANG REGENCY Riadi, Ahmad Riadi; Kahar, Fitriani; widodo, Widodo; Aprianti, Dina; Margi Rahayu, Umi
Journal of Applied Health Management and Technology Vol 5, No 4 (2023): October 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v5i4.10626

Abstract

During the storage process, blood will experience changes in blood components such as hemoglobin levels. The longer blood is stored, the more red blood cells will be destroyed because blood that is stored for too long will experience a shift in the oxygen dissociation curve to the left. The aim of this study was to determine the effect of blood storage on the levels of platelets, erythrocytes and hemoglobin in the whole blood component of blood for 0 days, 7 days, 15 days and 30 days at the blood donor unit (UUD) of the Indonesian Red Cross (PMI) Semarang Regency. The type of research used is descriptive research, where this research aims to describe or provide an overview of the effect of storing blood in whole blood components on changes in platelet, erythrocyte and hemoglobin levels in PMI Semarang Regency. The population and research samples are donors in PMI Semarang Regency. Data analysis: Data processing is carried out by: Editing, namely selecting and correcting hemoglobin level data collected from the measurement results during each experiment. Tabulating is the presentation of research data in the form of tables of Hemoglobin reading results or descriptive or analytical analysis results. Processing is the activity of processing data so that it can be analyzed by entering data on hemoglobin levels. Cleaning or data checking is checking the hemoglobin level data that has been entered again to see if there are errors or not
NURSING CARE FOR GRADE II DIABETIC ULCUS Margi Rahayu, Umi; Khoirul Huda, Kholis
Journal of Applied Health Management and Technology Vol 5, No 4 (2023): October 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v5i4.10651

Abstract

Background –Uncontrolled diabetes mellitus will cause various complications, one of which is diabetic ulcers. The incidence of diabetic ulcers in DM patients is still high, namely in 2020 it has reached 25% throughout their lives. Patients will be susceptible to severe infections if they do not understand how to properly care for wounds, so that patients with diabetic ulcers can experience problems in the form of impaired tissue integrity. The development of wound care with modern dressing methods has become a trend now, because this wound treatment uses the moist concept so that it speeds up the wound drying process.Objectives –The case study aims to provide nursing care to patients with grade III diabetic ulcers with the main problem being impaired tissue integrity.Method –This type of case study uses a qualitative research design with a case study approach. The sample in this study consisted of 2 diabetic ulcer patients with conventional wound care for 6 days.Results –The results of case management for 6x8 hours showed that the wound condition had decreased in the BJWAT assessment score, but the wound healing process had not been resolved, namely patient 1 on the first day the BJWAT score was 38 then the sixth day it became 28 , while patient 2 on the first day was 39 then days sixth to 27. The wound healing process does take quite a long time, which can reach 12-20 weeks.Conclusion– The conclusion of this scientific paper is that after treating the wound using 0.9% NaCl solution compressed with metronidazole and gentamicin ointment for 6x8 hours, the wound healing process has not been resolved, but the BJWAT wound assessment score has decreased
THE INFLUENCE OF SMOKING HABITS ON THE DIABETIC ULCER HEALING PROCESS Margi Rahayu, Umi; Khoirul Huda, Kholis
Journal of Applied Health Management and Technology Vol 6, No 1 (2024): April 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v6i1.11399

Abstract

Diabetic ulcers are a complication of impaired bodily function resulting from high blood glucose that occurs for a long time and is not well controlled. There is a close relationship between diabetes and an increased risk of arteriosclerosis and peripheral arterial disease. The risk increases in active smokers. Macrovascular disorders occur mainly in the infragenicular vessels (tibial and peroneal arteries). Quantitative research using cross sectional and observation on 14 grade II diabetic ulcer patients at the Kitamura Clinic Pontianak to see how smoking habits influence the wound healing process. The smoking habit is one of the main risk factors that can slow down or even inhibit the healing process of diabetic ulcers
Co-Authors Ahmad Riyadi Anis Laela Megasari Annisa Muliani Tangdilintin Aprianti, Dina Bagus Prayitno Budiyati Djamaluddin Ramlan, Djamaluddin Huda, Kholis Khoirul iken Anggraini Sri Saputri Isdiana, Dini Fitria Kahar, Fitriani Khoirul Huda, Kholis Kholis Khoirul Huda M. Choiroel Anwar Mardiyono Mardiyono Mardiyono Mardiyono, Mardiyono Maria Suryani Megasari, Anis Laela Mugi Hartoyo Riadi, Ahmad Riadi Rodhi Hartono Rr. Sri Endang Pujiastuti S. Eko Ch. Purnomo Sri Endang Windiarti Sudiarto Sudiarto Sudirman Sudirman Supriyadi Supriyadi Supriyadi Taadi Taadi Widodo Widodo Wulandari, Novita Kurnia