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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.
Jump Rope Play Therapy to Enhance Social Interaction in a Child with Gadget Addiction: A Case Study Renata Syaira Hasbillah; Andan Firmansyah; Dadi Hamdani
KIAN JOURNAL Vol 5 No 1 (2026): KIAN JOURNAL (March 2026)
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kian.v5i1.572

Abstract

Introduction: Excessive gadget use among school-age children has become a growing concern due to its negative impact on social and behavioral development. Children who spend prolonged periods using digital devices often exhibit reduced social engagement, limited verbal communication, emotional withdrawal, and decreased participation in peer interactions. These conditions may hinder the development of essential interpersonal skills during a critical stage of growth. Traditional play activities, such as jump rope, offer opportunities for physical movement, communication, cooperation, and social interaction, making them potential therapeutic interventions for children experiencing gadget-related social difficulties. Objective: This study aimed to evaluate the effectiveness of jump rope play therapy in improving social interaction among children with gadget addiction. Method: A descriptive case study design was employed involving a 10-year-old female child residing in Dayeuhmanggung Village, West Java, Indonesia. The intervention consisted of two structured jump rope play therapy sessions conducted over four consecutive days. Data were collected through semi-structured interviews with parents, direct observations using behavioral checklists, gadget usage logs, and field documentation. Behavioral changes before and after the intervention were analyzed descriptively. Results: Following the intervention, the child demonstrated notable improvements in social behavior. Daily gadget use decreased from more than 3 hours to approximately 1.5 hours. Increased eye contact, spontaneous verbal responses, initiation of conversations, active participation in outdoor play, and greater willingness to interact with family members and peers were observed. Parents also reported enhanced sociability, improved mood, and reduced dependence on digital devices. Conclusion: Jump rope play therapy appears to be a culturally appropriate, low-cost, and effective intervention for enhancing social interaction and reducing gadget dependency among school-age children. The findings suggest that integrating traditional play activities into community and family-based nursing interventions may support children's psychosocial development and social reintegration.
Kolaborasi Dosen dan Mahasiswa STIKes Muhammadiyah Ciamis dalam Program Khitanan Massal sebagai Upaya Promotif dan Preventif Kesehatan Anak Andan Firmansyah; Dadi Hamdani; Elis Roslianti; Ade Fitriani; Asep Gunawan; Suhanda Suhanda; Dedi Supriadi; Rudi Kurniawan; Nur Hidayat; Henri Setiawan; Irpan Ali Rahman; Ayu Endang Purwanti
Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 1 (2026): Daarul Ilmi: Jurnal Pengabdian Kepada Masyarakat (Januari-Juni 2026)
Publisher : LPPM STIKes Muhammadiyah Ciamis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52221/daipkm.v4i1.1057

Abstract

Introduction: Circumcision is one of the health interventions that provides medical, hygienic, and psychosocial benefits for children. However, not all families have adequate access to safe and affordable circumcision services. Community service activities conducted by higher education institutions represent a strategic effort to improve public health while implementing the Tri Dharma of Higher Education. Objective: This community service aimed to provide safe, free circumcision services for children while enhancing community access to quality healthcare through collaboration between lecturers and students of STIKes Muhammadiyah Ciamis. Method: This activity employed a community service approach involving the stages of planning, participant registration, health screening, circumcision procedures, health education, and post-circumcision follow-up. The program was implemented through collaboration between lecturers, nursing students, healthcare professionals, and local stakeholders. A total of 49 children from several villages and sub-districts in Ciamis Regency participated in the mass circumcision program. Result: The community service program was successfully implemented with all registered participants receiving circumcision services according to standard medical procedures. Participants originated from multiple areas in Ciamis Regency, indicating broad community participation and positive acceptance of the program. In addition to circumcision services, parents received education regarding wound care, infection prevention, nutrition, and post-circumcision activity restrictions. The collaboration between lecturers and students also provided valuable experiential learning in community nursing practice, communication, teamwork, and professional service delivery. Conclusion: he mass circumcision program effectively increased community access to safe circumcision services and demonstrated the important role of higher education institutions in improving community health. Collaboration between lecturers, students, healthcare workers, and local stakeholders represents an effective model for sustainable community service programs.
The Effectiveness of Coughing Effectively for Removing Secretions In Clients of Bronchial Asthma : Case study Andan Firmansyah; Shofi Nurwahidah; Dadi Hamdani; Ade Fitriani; Asep Gunawan
HealthCare Nursing Journal Vol. 5 No. 1 (2023): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v5i1.2825

Abstract

Bronchial asthma is a chronic inflammatory disease that causes swelling and narrowing of the airways, causing increased hyperreactivity and airway hyperresponsiveness. The purpose of this case study is to gain real experience in providing direct nursing care to children suffering from bronchial asthma with a diagnosis of ineffective airway clearance. The method used by the author is descriptive analysis method in the form of case studies, with reports of nursing care through the nursing process approach. Subjects in children with bronchial asthma with ineffective airway clearance problems. Meanwhile, the data collection includes interviews, observations, physical examinations and documentation studies. The results of the case study at the assessment stage revealed that the client complained of shortness of breath accompanied by coughing up phlegm. The intervention and implementation used to overcome the accumulation of secretions is to practice effective coughing techniques which are carried out once a day. The conclusion of virginity care for children with bronchial asthma with ineffective airway clearance is partially resolved. Giving effective cough intervention is very efficient in removing secretions with the secretions being successfully removed.
Latihan Mobilisasi Untuk Meningkatkan Proses Pemulihan Pasca Operasi Laparatomi Pada Pasien Peritonitis Ade Fitriani; Wina Widianti; Lilis Lismayanti; Andan Firmansyah; Dadi Hamdani
HealthCare Nursing Journal Vol. 5 No. 1 (2023): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v5i1.2835

Abstract

Studi ini dilakukan untuk mempresentasikan intervensi latihan mobilisasi untuk meningkatkan proses pemulihan pada pasien dengan gangguan mobilitas fisik. Penelitian ini menggunakan metode asuhan keperawatan, mencakup pengkajian, merumuskan diagnosa keperawatan, intervensi, implementasi dan evaluasi yang dilakukan selama 2 hari di ruangan Anggrek BLUD RSU Kota Banjar dan 1 hari di rumah klien yang bertempatkan di Kecamatan Banjaranyar, Kabupaten Ciamis. Diagnosa keperawatan Gangguan Mobilitas Fisik berhubungan dengan Kelemahan Fisik Pasca Operasi dengan nomor diagnosa D.0054, diberikan intervensi mobilisasi selama 4 hari dengan durasi waktu 30 menit dalam sehari, setelah intervensi dilakukan, masalah keperawatan gangguan mobilitas fisik terhadap klien teratasi ditandai dengan peningkatan kekuatan otot yang semula kekuatan otot eksremitas atas 4 dan eksremitas bawah 3 menjadi 5 untuk kekuatan otot eksremitas atas dan 4 untuk kekuatan otot eksremitas bawah, serta meningkatnya pola aktivitas pada klien secara mandiri. Pemberian intervensi mobilisasi terbukti bermanfaat untuk meningkatkan proses pemulihan pasca operasi, manfaat terap akan maksimal apabila dilakukan secara berkala dan bertahap
The Effect Of Surah Waqiah Murotal Therapy On Anxiety Reduction In The Exit Exam Competency Test Dadi Hamdani; Andan Firmansyah; Ade Fitriani; Suhanda Suhanda; Henri Setiawan
HealthCare Nursing Journal Vol. 5 No. 1 (2023): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v5i1.2903

Abstract

Competency tests often make students vulnerable to experiencing stress, especially during the current Covid-19 pandemic. The coping mechanism used by students greatly determines the success of students in facing competency tests. Data for passing the national nurse competency test in the last 2 years 2020-2021 averaged only 79.67% passing which is still far from expectations. Murottal Al-Qur'an has a relaxing effect, reduces stress and anxiety. The purpose of this research is to prove the effect of waqiah letter murottal therapy in managing emotions when facing the nurse's exit exam competency test. Research design used a quasy-experiment pre and post-test design with 2 intervention and control groups with a sample of 60 people. Respondents' stress levels were measured quantitatively using research instruments before and after the recitation intervention using the DASS scale. Based on data analysis, it is known that the p-value is 0.001 or p-value <0.05, which means that there is an effect of waqiah recitation therapy on reducing stress in students who will carry out the nurse competency test.