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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

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.

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

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

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

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

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 : Postgraduate Program , Poltekkes Kemenkes Semarang

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

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 : Postgraduate Program , Poltekkes Kemenkes Semarang

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

Background â€“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 â€“The case study aims to provide nursing care to patients with grade III diabetic ulcers with the main problem being impaired tissue integrity.Method â€“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 â€“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.Conclusionâ€“ 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 : Postgraduate Program , Poltekkes Kemenkes Semarang

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

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

MODERN COMBINATIONS DRESSING AND OZONE BAGGING TREATMENT REDUCES THE AMOUNT OF BACTERIA IN GRADE II DIABETICUM Mardiyono, Mardiyono; Ramlan, Djamaluddin; Anwar, M. Choiroel; Pujiastuti, Rr. Sri Endang; Rahayu, Umi Margi
Journal of Applied Health Management and Technology Vol. 1 No. 1 (2019): Oktober 2019
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v1i1.5308

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 Â± 172.069 vs 322.21 Â± 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.

THE APPLICATION OF A COMBINATION OF WARM COMPRESSES AND SLOW STROKE BACK MASSAGE WITH OLIVE OIL IN REDUCING THE HEADACHE SCALE OF HYPERTENSIVE PATIENTS AT DR. GONDO SUWARNO HOSPITAL Setiawan, Iwan Sulis; Rizal Ginanjar; Umi Margi Rahayu; Alvina Listiyani
Journal of Applied Health Management and Technology Vol. 7 No. 2 (2025): October 2025
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

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

Background: The 2023 Indonesian Health Survey found that the prevalence of hypertension in the population aged >18 years was 30.8%. Hypertension is the leading cause of death worldwide. The initial symptoms of hypertension are asymptomatic, characterized only by an increase in blood pressure. Most people with hypertension complain of tight necks to headaches that create discomfort in the head area. Objective: To explain nursing care in hypertensive patients with warm compresses and slows stroke back massage in lowering the scale of headaches. Methods: This case study uses a descriptive method by applying an evidence-based practice that focuses on one of the nursing problems. Results: In a case study conducted on 3 respondents who experienced headaches due to hypertension by being given a combination of warm compresses and slow stroke back massage for 6 meetings, there was a decrease in pain scale. In Mrs. W, the initial pain scale was 4 after the intervention to a pain scale of 1. In Mr. K, the initial pain scale of 5 after the intervention became 1. In Mr. M, the initial pain scale was 4 after the intervention, the pain scale became 1. Conclusion: The application of a combination therapy of warm compresses and slow stroke back massage with olive oil is effective in reducing pain.Keywords: Warm Compress; Slow Stroke Back Massage; olive oil; headache; Hypertension.

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