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All Journal Nurse Media Journal of Nursing Jurnal Kesehatan Bina Generasi Jurnal Ilmiah Ilmu Keperawatan Indonesia (Indonesian Nursing Scientific Journal) Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Jurnal Smart Keperawatan Healthcare Nursing Journal Jurnal Kesehatan: Jurnal Ilmu- Ilmu Keperawatan, Kebidanan, Farmasi dan Analis Kesehatan Jurnal Pengabdian Masyarakat Saga Komunitas GENIUS JOURNAL (General Nursing Science Journal) Kolaborasi Jurnal Pengabdian Masyarakat INDOGENIUS Jurnal VNUS (Vocational Nursing Science) KIAN Journal Jurnal Sahabat Keperawatan Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat
Dadi Hamdani
Sekolah Tinggi Ilmu Kesehatan (STIKes) Muhammadiyah Ciamis
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Case Study: Topical Tribee Ointment Application with Moist Dressings in a Postoperative Diabetic Foot Ulcer Amputation Patient Firmansyah, Andan; Hamdani, Dadi; Suhanda, Suhanda
JURNAL KESEHATAN STIKes MUHAMMADIYAH CIAMIS Vol. 12 No. 1 (2025): Jurnal Kesehatan (April 2025)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jurkes.v12i1.804

Abstract

Diabetic foot ulcers are one of the most common and severe complications in patients with Diabetes Mellitus, often resulting in infections and amputations. Optimal wound care is crucial to accelerate healing and prevent further complications. a herbal ointment containing tea tree oil (Melaleuca alternifolia), vitamin E, and honey, has demonstrated antimicrobial, anti-inflammatory, and wound-healing properties. This case study aims to evaluate the effectiveness of topical Tribee ointment application using moist dressings in promoting wound healing in a postoperative diabetic ulcer amputation patient with a high risk of infection. This case study applied a nursing care process including assessment, diagnosis, intervention, implementation, and evaluation over four sessions with two-day intervals at the patient’s home. The nursing diagnosis was established using the Indonesian Nursing Diagnosis Standards (SDKI), with interventions guided by the Indonesian Nursing Intervention Standards (SIKI), and outcomes assessed through the Indonesian Nursing Outcome Standards (SLKI). The SOAPIER format was used for documentation. The patient was diagnosed with a high risk of infection (D.0142) related to post-amputation wounds. After receiving wound care with topical Tribee ointment and moist dressings for four sessions (30 minutes each), the patient's wound condition improved significantly, as measured by the Bates-Jensen Wound Status Continuum, with a score decrease from 35 to 28. Topical Tribee ointment combined with moist dressings is effective in enhancing wound healing in patients with diabetic foot ulcers, particularly those at high risk of infection.
Foot Exercise Implementation in a Patient with Physical Mobility Impairment due to Diabetes Mellitus Aulia, Adinda; Fitriani, Ade; Hamdani, Dadi
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.551

Abstract

Introduction: : Diabetes Mellitus (DM) is a non-communicable disease that continues to show an increase globally, including in Indonesia. According to WHO data in 2016, as many as 422 million adults in the world have diabetes. This disease is caused by insulin deficiency, either relatively or absolutely, and often causes complications such as peripheral neuropathy which causes decreased sensation in the feet. One of the steps to prevent these complications is through foot exercises. Foot exercises are special physical exercises for diabetics that aim to prevent wounds, improve blood flow, strengthen small muscles in the feet, and prevent deformities due to nerve disorders and muscle weakness. Objective: This case study aims to implement foot exercises in patients with impaired physical mobility with diabetes mellitus. Method: This research uses a descriptive method in the form of a case study with a nursing approach which includes assessment, nursing diagnosis, nursing care plan, nursing implementation, and nursing evaluation. Data collection was done by interview, observation, physical examination, and documentation. Result: After the assessment, it is known that Mrs.D obtained a nursing diagnosis of impaired physical mobility associated with decreased muscle strength with diagnosis number D.0054, after being given implementation in the form of foot exercises for 3 days with a duration of 5-7 minutes a day, the nursing problem of impaired physical mobility of the client is partially resolved which is characterized by increased muscle strength with muscle strength values on the right lower extremity 4 and the left 5. Conclusion: The implementation of foot exercises has proven to be useful for reducing movement limitations and increasing muscle strength in all extremities, the benefits of this foot exercise will be maximized if done gradually and periodically.
Implementation of Modern Wound Care Hydrogel Dressing in Patients with Diabetic Ulcers Haerani, Salsya; Fitriani, Ade; Hamdani, Dadi
KIAN JOURNAL Vol 3 No 1 (2024): KIAN JOURNAL (March 2024)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v3i1.554

Abstract

Background: Diabetes mellitus is a chronic metabolic disease that can cause various complications, one of which is diabetic ulcers. These ulcers occur due to impaired circulation and peripheral neuropathy, which causes wounds to be difficult to heal and increases the risk of amputation. One method of wound management that has proven effective in accelerating the healing of diabetic ulcers is the use of modern hydrogel dressings. Hydrogel functions as a moist dressing that is able to maintain optimal moisture in the wound area, accelerate the process of autolysis of necrotic tissue, and stimulate the growth of granulation tissue. With a moist and protected wound environment, the process of tissue regeneration is more effective and infection can be minimized. Objective: This case study is to evaluate the effectiveness of using modern hydrogel dressing as a moist dressing in accelerating wound healing in patients with diabetic ulcers through a nursing care approach. Methods: This research is a case study with a descriptive method, using a nursing care approach that includes assessment, nursing diagnosis, intervention, implementation, and evaluation. The patient's house is located in the Sinar Mawar Neighborhood Hamlet, RT.001 RW.008, Cigembor Village, Ciamis District. Nursing diagnoses refer to (SDKI), interventions based on (SIKI), and evaluation based on (SLKI), and all documentation is compiled using the SOAPIER method. Results: Interventions were carried out on one patient with grade 4 diabetic ulcers. Wound care using hydrogel as a moist dressing was performed for 3 visits. Wound evaluation was carried out using the Bates-Jensen Wound Assessment Tool as well as real-time blood sugar (GDS) checks. Results showed a decrease in wound score from 45 to 38, and a decrease in GDS from 518 mg/dl to 269 mg/dl. There were significant changes in the wound tissue, such as the reduction of slough tissue and the formation of healthy granulation tissue. Conclusion: The use of modern hydrogel dressing as a moist dressing in accelerating diabetic ulcer wound healing. This implementation can be an option for modern non-pharmacological wound care therapy that can be applied at home with a holistic nursing approach.
PEMBERIAN TERAPI MUSIK KLASIK MOZART DALAM MEREDAKAN NYERI PADA PASIEN YANG SEDANG MENJALANI PERAWATAN LUKA ULKUS DIABETES MELLITUS Nuraeni, Siti; Hamdani, Dadi
Jurnal Sahabat Keperawatan Vol. 7 No. 02 (2025): Jurnal Sahabat Keperawatan, Agustus 2025
Publisher : Program Studi Keperawatan, Universitas Timor Jln. Mgr. Sugyopranoto-Haliwen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32938/jsk.v7i02.10080

Abstract

Pendahuluan:Luka diabetes (ulkus diabetikum) adalah salah satu komplikasi jangka panjang dari penyakit diabetes yang ditandai dengan luka terbuka di bagian kaki. Luka ini biasanya disertai rasa nyeri karena kerusakan saraf (neuropati) dan gangguan aliran darah. Rasa nyeri yang berlangsung lama bisa mengganggu kenyamanan hidup pasien dan memperlambat penyembuhan luka. Salah satu cara untuk membantu meredakan nyeri tanpa obat adalah dengan terapi musik klasik, seperti musik dari Mozart, yang diketahui bisa membuat tubuh lebih rileks dan membantu mengurangi rasa sakit. Tujuan:Dilakukan penelitian ini untuk memberikan asuhan keperawatan terapi musik klasik Mozart dalam meredakan nyeri pada pasien yang sedang menjalani perawatan luka ulkus diabetes mellitus Metode:Deskriptif penelitian ini menggunakan desain studi kasus pendekatan proses keperawatan, yaitu pengkajian,diagnosa, perencanaan, pelaksanaan, dan evaluasi. Hasil:Dari pengkajian, ditemukan bahwa pasien atas nama Ny. I mengalami nyeri akut karena cedera fisik. Terapi dilakukan selama dua hari dengan menggunakan pedoman intervensi keperawatan (SIKI). Setelah sesi pertama terapi musik, tingkat nyeri pasien turun dari skala 6 menjadi 5. Pada pertemuan kedua, nyerinya menurun lebih banyak lagi, dari skala 5 menjadi 3 (dari total skala 0–10). Menunjukkan bahwa terapi musik Mozart membantu meredakan nyeri dan bisa digunakan sebagai terapi tambahan untuk pasien dengan ulkus diabetikum. Kesimpulan:Terapi musik klasik Mozart yang diberikan selama 15 menit terbukti bisa mengurangi nyeri pada pasien luka diabetes. Tingkat nyeri diukur menggunakan Skala Numerik Nyeri (NRS) sebelum dan sesudah terapi. Hasilnya, pada pertemuan pertama rasa sakit turun dari skala 6 menjadi 5 (0-10), dan pada pertemuan kedua menurun lagi dari skala 5 menjadi skala 3 (0-10).
PEMBERIAN ANTISEPTIK PHMB (POLYHEXAMTHYLENE BIGUANIDE) DENGAN RESIKO INFEKSI PADA PENDERITA ULKUS DIABETES MELLITUS Aryanti, Ayu Sri; Hamdani, Dadi
Jurnal Sahabat Keperawatan Vol. 7 No. 02 (2025): Jurnal Sahabat Keperawatan, Agustus 2025
Publisher : Program Studi Keperawatan, Universitas Timor Jln. Mgr. Sugyopranoto-Haliwen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32938/jsk.v7i02.10084

Abstract

Background: Diabetic foot ulcers are a serious complication of Diabetes Mellitus (DM) that carry a high risk of infection Chronic hyperglycemia impairs the immune system, making wound healing slow and increasing susceptibility to microbial invasion An effective wound care strategy is essential to reduce the risk of complications One of the innovations used in wound treatment is the application of Polyhexamethylene Biguanide (PHMB), an antiseptic agent with strong antimicrobial properties that promotes tissue regeneration and infection control Objective: To evaluate the effectiveness of PHMB application in reducing infection risk and enhancing wound healing in patients with diabetic foot ulcers. Method: Case studies using a nursing care approach using descriptive methods include assessment, diagnosis, intervention, implementation, evaluation, and documentation. Data were collected through participatory observation, interviews, literature studies, and supporting examinations of patients with diabetic ulcers. Results: The use of dressings containing PHMB has been proven to reduce the amount of exudate, accelerate the process of tissue granulation, reduce pain, and significantly reduce the area of ​​the wound. After 2 treatments, the results of the wound assessment by Bettes Jensen showed a decrease from 32 to 30. Conclusion: Providing PHMB antiseptic is a diabetic ulcer treatment, can prevent the risk of infection, and accelerate the granulation process of new tissue
Case Study: Status of Nutritional Assessment of Wound Healing After Appendectomy Surgery in Appendicitis Patients Fitriani, Ade; Hamdani, Dadi; Rohimah, Risa Lutfiatul
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 1 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i1.307

Abstract

Objective: This case study is intended to intervene and implement the nutritional status of appendicitis patients in improving the wound healing process with nausea after appendicectomy surgery. Method: In the nursing care research process, methods were used which included assessment, nursing diagnoses, planning, implementation and evaluation which were carried out for 3 days in the Anggrek BLUD room at the Banjar City Hospital. Enforcement of nursing diagnoses refers to the Indonesian Nursing Diagnosis Standards (IDHS). Indonesian Nursing Intervention Standards (SIKI), Indonesian Nursing Outcome Standards (SLKI), and nursing evaluations are documented using the SOAPIER method. Result: Nursing diagnosis of Deficit Nutrition related to postoperative nausea, nutritional status assessment for 3 days was carried out on the healing of surgical wounds. From the results of the data analysis, the researcher concluded that the nursing problems experienced by clients were nutritional deficits (D.0019) associated with postoperative nausea. The problem of excessive nutritional deficits for clients is partially resolved, marked by the loss of feelings of nausea when given food, being able to digest food properly, measuring the client's body mass index which is found to be normal, improving the client's nutrition is fulfilled by consuming high-calorie, high-protein foods. Conclusion: Conclusions can be drawn in the results of the nursing procedure commencing with evaluation, identification of nursing issues, actions, execution, and assessment of nursing. Concluded the problem of nutritional deficits related to postoperative nausea with an appendectomy with an assessment of nutritional status can improve the wound healing process as indicated by the response of clients who obtain changes in nutritional status with the wound healing process. Assessment of nutritional status is proven to be able to improve the postoperative wound healing process, the benefits of assessing nutritional status by fulfilling the client's nutrition are maximally implemented if done periodically and in stages.
Implementation of Giving Date Juice to Increase Hemoglobin Levels in Patients with Anemia Masluh Aziz, Iman; Hamdani, Dadi
Jurnal Vocational Nursing Sciences (VNUS) Vol 6 No 2 (2024): JURNAL VNUS (Vocational Nursing Science)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/jvnus.v6i2.661

Abstract

Introduction: Anemia is a disease characterized by a lack of red blood cells in the blood or what can be called hemoglobin (HB) levels in the blood that are lower than normal values. The diagnosis of anemia can be made if the hemoglobin level is <12g/dl in women and <13g/dl in men. Objective: This study was conducted to present the intervention of giving date palm juice to increase hemoglobin levels in anemia patients. Method: The reseach design used by the author is a case study with a nursing approach where this  research was carried out by collecting data starting from assessment, diagnosis, planning, implementation of activities and implementation of focused assessment. In this case study, a descriptive method was used with the main aim of problem exploration and an indepth analysis of anemia nursing was carried out to provide an overview of the case study. Result: The nursing diagnosis of ineffective peripheral tissue perfusion is related to decreased HB. The intervention of giving date palm juice was given for 10 days with 3 tablespoons a day. After the intervention was carried out, the nursing problem of ineffective peripheral tissue perfusion for the client was resolved, indicated by the HB value which was originally below the normal range. with an HB value of 10.8 gr/dl. After being given intervention, it increased to the normal range with HB results of 11.8 gr/dl. Conclusion: Giving date juice has proven to be useful in increasing Hemoglobin level.
Co-Authors - Anggorowati Ade Fitriani Ade Fitriani, Ade Ade Koswara Adi Nurapandi Akmal Rahayu Dasuki Rahmat Alfi Fadilah Alfirdaus, Alisa Fikri Aulia Nurul Hidayah Andika Abdul Malik Aryanti, Ayu Sri asep gunawan Aulia, Adinda Awal Prasetyo Deana Sulistiani Dedi Supriadi Delia Agustina Dhani Andriansyah Elis Roslianti Faisal Reza Muhammad Fauzia, Fuzti Fida’ Husain Firmansyah, Andan Fithriani, Annisa Fuzti Fauzia Fuzti Fauzia Gumelar Zati Rahayu H Setiawan Haerani, Salsya Henri Setiawan Iif Taufiq El Haque Ilma Nurbadiriyah Irma P. Arisanty Lilis Lismayanti Masluh Aziz, Iman Mohammad Haekal Muhammad Daffa Alifio Muhammad Syahrul Zain Navis Aulia Rahman Nur Hidayat Nur Hidayat Nurapandi, Adi Permatasari, Wulan Pipit Dwi Yuliana Rena Prizka Melia Risa Lutfiatul Rohimah Riza Nuraeni Putri Rohimah, Risa Lutfiatul Rohimah, Sri Nurul roslianti, elis Rostantia, Beti Rudi Kurniawan Safariani, Nur Sandriani Sari, Wiar Satria Dewantara Shofi Nurwahidah Siti Nuraeni, Siti Siva Khoerun Nisa Suhanda Suhanda Suhanda Sulistiani , Deana Sulistiani, Nendah Tiya Rizki Novianti VINA APRELIA Wina Wahyuningsih Wina Widianti Wulan Permatasari Yuda Nugraha