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All Journal Jurnal Luka Indonesia Jurnal Perawat Indonesia Jurnal Keperawatan dan Kesehatan Community Empowerment Journal of Health Technology Assessment in Midwifery Jurnal Keperawatan dan Kesehatan (JKK)
Haryanto Haryanto
Dosen Program Studi Magister Keperawatan Institut Teknologi Dan Kesehatan Muhammadiyah Kalimantan Barat
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MEMULAI RISET BAHAN ALAM TERKAIT PERAWATAN LUKA Haryanto, Haryanto
in process
Publisher : ETN Centre Indonesia

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Indonesia merupakan negara yang memiliki beraneka ragam flora dan fauna yang terbentang luas baik darat maupun laut. Keanekaragaman ini belum semua teridentifikasi yang berkaitan dengan penyembuhan luka. Kita telah mengenal terlebih dahulu madu, lidah buaya, nenas, dan terakhir teripang. Perkembangan perawatan luka yang semakin maju dengan berbagai perkembangan teknologi dan “modern dressing”, namun perlu dipikirkan alternatif yang dapat dikembangkan untuk perawatan luka terutama negara-negara berkembang seperti Indonesia. Masih sedikitnya hasil-hasil penelitian yang mengembangkan bahan alam untuk perawatan luka, memberikan peluang yang besar bagi kita untuk meneliti lebih jauh. Penelitian-penelitian baik invivo maupun invitro sangatlah diperlukan untuk mengetahui efek dan signifikansi dari kandungan alam, sehingga penelitian-penelitian bersifat klinik dapat dilakukan dengan memperhatikan “adverse event”, hasilnya dapat menjadikan produk baru untuk perawatan luka.
RELATIONSHIP BETWEEN MACERATION AND WOUND HEALING ON DIABETIC FOOT ULCERS IN INDONESIA: A PROSPECTIVE STUDY Haryanto, Haryanto; Arisandi, Defa; Suriadi, Suriadi; Ogai, Kazuhiro; Sanada, Hiromi; Okuwa, Mayumi; Sugama, Junko
in process
Publisher : ETN Centre Indonesia

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Background: Maceration results in enhancement of the wound area and infection. This condition is caused by a breakdown of the skin resulting in an open wound so that the wound area is enhanced and contaminated by microorganisms. Consequently, wound healing is delayed and quality of life is negatively affected. The prevention of maceration is important, and exudate management offers a way to prevent maceration. Exudate management can reduce the healing time, exudate, and frequency of dressing changes, and improve patient quality of life. Aims: The aim of this study was to clarify the relationship between maceration and wound healing. Methods: A prospective longitudinal design was used in this study. The wound condition determined the type of dressings used and the dressing change frequency. A total of 62 participants with diabetic foot ulcers (70 wounds) were divided two groups: non-macerated (n = 52) and macerated wounds (n = 18). Each group was evaluated weekly using the Bates–Jensen Wound Assessment Tool with follow-ups until week 4. Results: The Mann–Whitney U test showed that the changes in the wound area in week 1 were faster in the non-macerated group than the macerated group (P = 0.02). The Pearson correlation analysis showed a moderate correlation between maceration and wound healing from enrolment until week 4 (P = 0.002). After week 4, the Kaplan–Meier analysis showed that the non-macerated wounds healed significantly faster than the macerated wounds (log-rank test = 19.378, P = 0.000). The Cox regression analysis confirmed that maceration was significant and independent predictor of wound healing in this study (adjusted hazard ratio, 0.324; 95% CI, 0.131–0.799; P = 0.014). Conclusion: The results of this study demonstrated that there is a relationship between maceration and wound healing. Changes in the wound area can help predict the healing of wounds with maceration in clinical settings. Keywords: Wound maceration; wound healing, diabetic foot ulcers.
IDENTIFIKASI BIOFILM DAN EFEKTIFITAS TOPIKAL KOMPLEMENTARI MENGGUNAKAN NEW METHOD TERHADAP PENYEMBUHAN LUKA KAKI DIBETIKUM DI INDONESIA Haryanto, Haryanto
Jurnal Luka Indonesia Vol 4, No 2 (2018)
Publisher : ETN Centre Indonesia

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Prevalensi Diabetes Mellitus (DM) di Indonesia terus meningkat setiap tahunnya. Pada tahun 2015, penderita DM sebesar 10 juta, dan diperkirakan akan terus meningkat mencapai 16.2 juta pada tahun 2040 (IDF, 2017). Salah satu komplikasi paling sering pada DM adalah luka kaki diabetikum (Yusuf S, 2016, Haryanto, 2017). Luka kaki diabetikum merupakan salah satu luka kronis atau luka yang lama sembuh (nonhealing) (Haryanto et al, 2017). Salah satu faktor penyebab luka kaki diabetikum terjadi keterlambatan dalam penyembuhan atau tidak sembuh karena adanya biofilm. Diperkirakan sekitar 60% luka kronis terdapat biofilm (McCarty SM, Percival SL, 2013). Identifikasi adanya biofilm pada luka menjadi hal yang sangat penting untuk mengevaluasi efektifitas treatment yang diberikan. Biopsi merupakan salah satu metode konvensional yang sering dilakukan di klinis. Namun, metode ini terdapat keterbatasan yaitu kurang praktis dan menyebabkan nyeri bagi pasien.
Comparison Of Murotal And Music Therapy Against People With Hypertension In Elderly At Parlors Tresna Wherdha Mulya Dharma Pontianak Haryanto, Haryanto; Kardiatun, Tutur; Maulana, Andi
Jurnal Keperawatan dan Kesehatan Vol 5 No 2 (2014): Jurnal Keperawatan dan Kesehatan (JK2)
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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Background: The Elderly have high risk in hypertension, murrotal and music therapy have benefits to lower blood pressure in people with hypertension. Objective: This study aims to identified murrotal and music therapy in comparison to patients with hypertension in elderly at tresna wherdha mulyadharma Pontianak. Methods: This research used experimental pure design (Pure Experiment), a sample of 45 elderly people use the Systematic sampling and part into three groups, murrotal (intervention) therapy, music therapy (control +), non intervention (control-), the analysis used is one way anova test on systole with post hock bonferroni and krusskal wallis test and on diastole with post hock mann whitney test. Results: On the first day, there is no comparison of systole pressure using murrotal and music therapy against sufferers of hypertension on elderly p value = (0.177) > 0.05. Whereas, in the second and third day has comparison of systole pressure use murrotal therapy and music against sufferers of hypertension in the elderly (0.006, 0.001) < 0.05. On the first, second and thirdday has comparison of diastole blood pressure using music and murrotal therapy of patients with hypertension in elderly p value = (0000, 0.001, 0.001) < 0.05. Conclusion: Murrotal therapy and Music effectively was lower blood pressure in people with hypertension, but more effective murotal therapy in lowers blood pressure rather than music therapy.
Gambaran Tingkat Kecemasan Ibu Hamil Dengan Riwayat Sectio Caesarea Di Poliklinik Obstetri Rsud Dr. Soedarso Pontianak Wardani, Nuniek Setyo; Haryanto, Haryanto; Prihantini, Nia
Jurnal Keperawatan dan Kesehatan Vol 6 No 1 (2015): Jurnal Keperawatan dan Kesehatan (JK2)
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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Latar Belakang: Sectio caesarea adalah persalinan  melalui pembedahan. Ibu hamil dengan riwayat sectio caesarea seringkali merasa cemas dengan keadaan atau kondisi yang dialaminya. Ibu cenderung merasakan cemas, seperti takut akan kehamilan yang mengancam, takut mati, trauma kelahiran, proses  persalinan  yang akan dihadapi, dan lain-lain. Tujuan: Tujuan penelitian ini untuk  mendapatkan gambaran tingkat kecemasan ibu hamil dengan riwayat sectio caesarea di Poli Obstetri RSUD dr. Soedarso Pontianak Kalimantan Barat. Metode: Jenis penelitian deskriptif dengan rancangan cross sectional. Pengambilan sampel menggunakan teknik acidental sampling sebanyak 30 orang ibu hamil dengan riwayat sectio caesarea. Pengumpulan data menggunakan kuesioner yang berisi data demografi dan  alat ukur kecemasan Hamilton Rating Scale for Anxiety (HARS). Analisa menggunakan presentasi pada variabel tingkat kecemasan. Hasil: Hasil penelitian ini menunjukkan 36% responden mengalami kecemasan  dengan gejala ringan,  gejala sedang sebanyak  33,3%, tidak ada gejala sebanyak 23,3%, dan kecemasan berat sebanyak 6,7%. Kesimpulan: Peningkatan  upaya promotif melalui penyuluhan kesehatan ibu hamil dan proses persalinan perlu ditingkatkan pada ibu hamil dengan riwayat sectio caesarea agar tingkat kecemasan yang dialami ibu hamil bisa berkurang
Pengaruh Pola Asuh Ibu Dengan Verbal Abuse Terhadap Tumbuh Kembang Anak Usia Pra Sekolah (5-6 Tahun) Di Tk Mujahidin Pontianak Aspiyanti, Aspiyanti; Haryanto, Haryanto; Putra, Gusti Jhoni
Jurnal Keperawatan dan Kesehatan Vol 7 No 2 (2016): Jurnal Keperawatan dan Kesehatan (JK2)
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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Background: According to Terry e. Lawson (1998) psychiatrist of children, violence of children are divided into 4 (four) kinds included, emotional abuse, verbal abuse, physical abuse and sexual abuse. Many children  experienced verbal abuse from their parents that  related to their intelligence, physical appearance, and capabilities. The high violence on the children and less precisely parents in educating them at age 3 to 6 years while its time is the growing of a child where the most prominent influence is the lack of confidence and loss of the child's self image. Objective: To known the influence of mother?s parenting with Verbal Abuse against a Growing of pre School children (5-6 years) at Mujahidin kindergarten Pontianak. Methods: Observational analytic research with cross sectional research design. Results: The percentage of mother?s parenting with the verbal abuse of the largest number of respondents was 72 (72%) have a good parenting and  28 respondents (28%) have not good parenting (verbal abuse) and percentage of growing children with 70 respondents (70%) have a good growth and amount of 30 respondents (30%) have grown less well. Statistical analysis of the test results Influence of mother?s Parenting with Verbal Abuse against a Growing of pre School children (5-6 years) at Mujahidin kindergarten Pontianak used chi square test with a level of significance (Alpha) 0.05 obtained significant results (p = 0.000), which means that the pValue 0.05, then could be inferred that the Ha was accepted which means there was the influence of mother?s Parenting with Verbal Abuse against a Growing of pre School children (5-6 years) at Mujahidin kindergarten Pontianak. Conclusion: Mother?s Parenting with Verbal Abuse has a strong influence on the Growing of pre School children (5-6 years) at Mujahidin kindergarten Pontianak.
PENGARUH PENDIDIKAN KESEHATAN TERHADAP TNGKAT PENGETAHUAN SISWA KELAS 5 (LIMA) SD NEGERI 21 SUNGAI RAYA TENTANG JAJANAN SEHAT Usmayanti, Hadian Pat; Haryanto, Haryanto; Pratama, Kharisma
Jurnal Keperawatan dan Kesehatan Vol 11 No 1 (2020): Vol 11 No 1 2020
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

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Background : The snacking food is one kind of the food that is very famous among the children in the school age. It?s still really lack of attention in selection the snacking food especially for the children in school age, both in terms of safety and hygiene of that snacking food. The dangerous of snacking food has a very bad risk for the healthiness. It can be happen because of the lack of education for the children in choosing which one is the good snacking food that is safe to consume and which one has the bad risk for the healthiness. In other way, it?s required the education of healthiness to build the tradition of healthy life style toward the students. One of them is by counseling. Purpose : To identify the effect of health education towards the levels of student knowledge about the healthy snacking food in grade 5 at 21 Sungai Raya elementary school. Research Method : This research is a research using the quasi experiment by the design of pre and post without control. In this research, the sample is taken by using the purposive sampling. In this research, there are 60 (sixty) respondents and the analysis  that is used by the researcher is Wilcoxon. Result : Based on the statistic test, there are the differences of knowledge before and after given the health education. Conclusion : based on the result of the study, it can be taken the conclusion that there is the influence of health education towards the levels of student knowledge about  the healthy snacking food in grades 5 at 21 Sungai Raya, elementary school.           ABSTRAK Latar belakang: Makanan jajanan merupakan salah satu jenis makanan yang sangat dikenal oleh anak usia sekolah. Dalam hal pemilihan makanan jajanan untuk anak usia sekolah masih kurang memperhatikan segi keamanan dan kebersihan makanan jajanan tersebut. Makanan jajanan yang berbahaya mempunyai resiko terhadap kesehatan. Hal ini dapat terjadi karena kurangnya pengetahuan anak mengenai makanan jajanan yang aman untuk dikonsumsi. Diperlukan pendidikan kesehatan untuk menanamkan kebiasaan hidup sehat pada siswa yaitu salah satunya dengan penyuluhan. Tujuan: Untuk mengidentifikasi pengaruh pendidikan kesehatan terhadap tingkat pengetahuan siswa kelas 5 (lima) SD Negeri 21 sungai raya tentang jajanan sehat. Metode Penelitian: Penelitian ini merupakan penelitian menggunakan metode quasi eksperiment dengan rancangan pre and post test without ocntrol. Dalam penelitian ini, sampel yang diambil dengan metode purposive sampling, teknik yang digunakan dalam pengambilan sampel ini adalah nonprobability sampling. Sampel dalam penelitian ini sebanyak 60 responden dan analisis yang digunakan uji adalah wilcoxon. Hasil: Berdasarkan dari uji statistik terdapat perubahan pengetahuan sebelum dan sesudah diberikan pendidikan kesehatan ( P<0,05). Kesimpulan: Berdasarkan hasil penelitian diperoleh kesimpulan bahwa ada pengaruh pendidikan kesehatan terhadap tingkat pengetahuan siswa kelas 5 (lima) SD Negeri 21 tentang jajanan sehat.  
Evaluation of Indonesian and two types of Japanese honey on the acceleration of cutaneous wound healing: an experimental study in mice Haryanto Haryanto; Kanae Mukai; Nakajima Yukari; Mayumi Okuwa; Cau Kim Jiu; Junko Sugama; Toshio Nakatani
Journal of Health Technology Assessment in Midwifery Vol 2, No 2 (2019): November
Publisher : Universitas Aisyiyah Yogyakarta

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Abstract

The purpose of this study is to evaluate and clarify the effect of Indonesian honey, two types of Japanese honey and hydrocolloid dressing on wound healing process. Four groups of male mice were treated to produce two circular full-thickness skin wounds on the dorsum. They were then randomly allocated to receive daily Indonesian honey, Japanese honey (Buckwheat and Acacia honey) or hydrocolloid dressing as a control for treatment application. Macroscopic findings were observed from day 0 to 14 after wounding. Microscopic evaluation was assessed using qualitative analysis. The ratios of wound areas for honey groups on day 3 and 7 were smaller than those of the control group. Wound areas of honey groups gradually decreased to almost the same wound area as the control group on day 14, while the wound area of the control group peaked on day 5 and rapidly decreased until day 14. Microscopic finding that Indonesian honey was different with Japanese honey especially Buckwheat honey.
First aid assistance for burns for students of Muhammadiyah 1 Senior High School of Pontianak City Haryanto Haryanto; Lestari Makmuriana; Junaidi Junaidi; Ledy Ervita; Maria Magdalena; Meli Shinta Aristy
Community Empowerment Vol 7 No 10 (2022)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.7176

Abstract

Burns are an emergency problem that can occur anywhere and anytime. An emergency is often a serious and sometimes dangerous situation that occurs suddenly and requires immediate action to save lives. Burns are tissue damage or loss caused by contact with heat sources such as fire, hot water, chemicals, electricity and radiation. Therefore, this activity aims to increase the knowledge of the students of SMA Muhammadiyah 1 Pontianak City in performing first aid on burns and to encourage the active role of students in handling burns. This service uses an action research method with a participatory action program approach. After conducting health education about the first treatment of burns, it was found that there was an increase in students' knowledge and understanding of the first treatment of burns.
A PENGARUH PEMBALUT WANITA TERHADAP TERJADINYA MASERASI PADA LUKA KRONIK DIABETIC FOOT ULCER Junaidi; Haryanto Haryanto; Tutur Kardiatun
Jurnal Perawat Indonesia Vol. 6 No. 3 (2022): November 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (446.983 KB) | DOI: 10.32584/jpi.v6i3.1901

Abstract

Penggunaan dressing menjadi sangat penting untuk mendukung penyembuhan luka. Dressing modern yang lama membutuhkan biaya yang mahal, sehingga perlu inovasi perawatan luka menggunakan pembalut wanita sebagai dressing.  Tujuan penelitian ini adalah mengetahui pengaruh pembalut wanita terhadap terjadinya maserasi, penyerapan eksudat , infeksi dan penyembuhan pada luka Desain Cohort Prospective Longitudinal, 29 sampel di observasi dengan menggunakan pembalut wanita sebagai secondary dressing. Aplikasi pembalut wanita digunakan pada satu luka untuk satu pembalut berdasarkan luas luka. Observasi selama 4 minggu dengan pergantian balutan per 2 hari dan follow up setiap minggu. Pemeriksaan maserasi dan penyembuhan luka menggunakan instrument baku DMIST Scale setiap minggu. Infeksi menggunakan teknik swab didasar luka pada awal dan minggu ke - 4, kemudian di ukur dengan alat ukur bacteri count. Eksudat di ukur dengan timbangan digital setiap minggu. Uji statistik Friedman Test menunjukkan adanya pengaruh pada maserasi (0,000), eksudat (0,035). Wilcoxon Signed Ranks menunjukkan tidak ada pengaruh pada infeksi (0,655). Repeated Measure Annova menunjukkan ada pengaruh pada penyembuhan luka (0,027). Manajemen eksudat menjadi sangat penting karena dapat menjadi maserasi dan peningkatan infeksi yang berdampak pada lama penyembuhan luka. Diharapkan praktisi luka dapat memperhatikan faktor penyembuhan luka. Kata Kunci: Pembalut wanita, Maserasi, Penyembuhan luka, Diabetic Foot Ulcer
Co-Authors Andi Maulana Andi Maulana, Andi Aspiyanti Aspiyanti Aspiyanti, Aspiyanti Cau Kim Jiu Gusmiah, Tisa Gusti Jhoni Putra, Gusti Jhoni Hadian Pat Usmayanti Hiromi Sanada, Hiromi Junaidi Junaidi Junaidi Junaidi Junko Sugama Junko Sugama, Junko Kanae Mukai Kardiatun, Tutur Kazuhiro Ogai, Kazuhiro Ledy Ervita Lestari Makmuriana Lestari Makmuriana Mardiyani, Ridha Maria Magdalena Mayumi Okuwa Mayumi Okuwa, Mayumi Meli Shinta Aristy Nakajima Yukari Nia Prihantini Nuniek Setyo Wardani Pratama, Kharisma Prihantini, Nia Suriadi Suriadi Toshio Nakatani Usmayanti, Hadian Pat Wuriani, Wuriani