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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Jurnal NERS Jurnal Penelitian Kesehatan Suara Forikes Health Notions EMBRIO : Jurnal Kebidanan Media Keperawatan Indonesia Manuju : Malahayati Nursing Journal International Journal of Nursing and Health Services (IJNHS) Journal of Applied Nursing (Jurnal Keperawatan Terapan) Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Poltekita : Jurnal Ilmu Kesehatan Medica Hospitalia Health Information : Jurnal Penelitian AloHA International Journal of Health Advancement (AIJHA) Jurnal Rumpun Ilmu Kesehatan Jurnal Vokasi Kesehatan Jurnal Pendidikan Kesehatan (e-Journal) Poltekita: Jurnal Ilmu Kesehatan Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Strada Jurnal Ilmiah Kesehatan (SJIK) Jurnal Info Kesehatan
Tri Johan Agus Yuswanto
Poltekkes Kemenkes Malang
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Edukasi Perawatan Diri Orem Meningkatkan Kebersihan Luka Post Operasi Fraktur Ekstremitas Balqis, Janessa Fatiha Bisma; Anjaswarni, Tri; Yuswanto, Tri Johan Agus
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 4 (2025): Oktober-Desember 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16415

Abstract

Postoperative wound hygiene for lower extremity fractures is a key factor in preventing infection and accelerating healing. Self-care education based on Orem's Theory designed to empower patients is expected to improve independence and wound hygiene. The purpose of this study was to analyze the effect of self-care education based on Orem's Theory on postoperative wound hygiene for lower extremity fractures. This study used a pretest-posttest approach with a control group. This study involved 100 randomly selected postoperative lower extremity fracture patients. The intervention group received self-care education based on Orem's Theory, while the control group received conventional education. The research instrument was a wound hygiene observation sheet applied to both groups. The wound hygiene of the two groups was then compared. The Wilcoxon test results showed a p-value of 0.000 in the intervention group, indicating a significant improvement in wound hygiene. The proportion of patients with improved wound hygiene in the intervention group (42%) was significantly higher than in the control group (8%). The Mann-Whitney test showed a p-value of 0.000, with a mean rank of 62.00 for the intervention group and 39.00 for the control group. This study concluded that self-care education based on Orem's Theory significantly improved wound hygiene in patients with postoperative lower extremity fractures and was more effective than conventional education.Keywords: self-care education; Orem's Theory; wound hygiene; postoperative; lower extremity fractures ABSTRAK Kebersihan luka pasca operasi fraktur ekstremitas bawah merupakan faktor kunci dalam mencegah infeksi dan mempercepat penyembuhan. Edukasi perawatan diri berbasis Teori Orem yang dirancang untuk memberdayakan pasien diharapkan dapat meningkatkan kemandirian dan kebersihan luka. Tujuan penelitian ini adalah menganalisis pengaruh edukasi perawatan diri berbasis teori Orem terhadap kebersihan luka pasca operasi fraktur ekstremitas bawah. Penelitian ini menggunakan pendekatan pretest-posttest with control group. Studi ini melibatkan 100 pasien pasca operasi fraktur ekstremitas bawah yang dipilih secara acak. Kelompok intervensi menerima edukasi perawatan diri berbasis Teori Orem, sedangkan kelompok kontrol menerima edukasi konvensional. Instrumen penelitian ini adalah lembar observasi kebersihan luka yang diterapkan pada kedua kelompok. Selanjutnya kebersihan luka kedua kelompok dibandingkan. Hasil uji Wilcoxon menunjukkan nilai p 0,000 pada kelompok intervensi, yang menunjukkan adanya peningkatan kebersihan luka secara signifikan. Proporsi pasien dengan peningkatan kebersihan luka pada kelompok intervensi (42%) secara signifikan lebih tinggi dibandingkan kelompok kontrol (8%). Uji Mann-Whitney menunjukkan nilai p 0,000, dengan mean rank 62,00 untuk kelompok intervensi dan 39,00 untuk kelompok kontrol. Penelitian ini menyimpulkan bahwa edukasi perawatan diri berbasis Teori Orem secara signifikan dapat meningkatkan kebersihan luka pada pasien fraktur ekstremitas bawah pasca operasi dan lebih efektif dibandingkan edukasi konvensional.Kata kunci: edukasi perawatan diri; Teori Orem; kebersihan luka; pasca operasi; fraktur ekstremitas bawah
Salep Daun Pegagan dan Karamunting Terbukti Mempercepat Penyembuhan Luka Sayat pada Mencit Lestari, Mimin; Supriandi, Supriandi; Utama, Nang Randu; Yuswanto, Tri Johan Agus
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 4 (2025): Oktober-Desember 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16400

Abstract

Wound healing consists of the inflammatory, proliferation, and tissue remodeling phases. It is known that traditional plants such as pegagan (Centella asiatica) and karamunting (Rhodomyrtus tomentosa) contain active compounds triterpenoids, flavonoids, and tannins that can accelerate wound healing. The purpose of this study was to test the effectiveness of administering pegagan leaf ointment and karamunting leaf ointment for healing cuts in mice. This study was a laboratory experimental study with a post-test only design with a control group, which was conducted on 24 male mice, which were divided into 4 groups: negative control, positive control (10% povidone iodine), pegagan ointment treatment, and karamunting ointment treatment. A two-centimeter long cut wound was made on the back of the mice. After that, the healing was observed macroscopically to identify erythema, scabs, and wound closure, and the length was measured until the 10th day. Data were analyzed using the normality test, homogeneity test, and t-test. The analysis results showed that wounds in the treatment group (gotu kola and karamunting) healed faster than the positive control group, with an average time of ten days. According to the t-test results, there was no significant difference between the povidone iodine, gotu kola, and karamunting groups (p>0.05). However, there was a significant difference between the negative control group and all treatment groups (p<0.05). Furthermore, it can be concluded that the ointment of gotu kola and karamunting leaves has been proven to accelerate the healing of cuts in mice, even better than povidone iodine.Keywords: wound healing; Centella asiatica; Rhodomyrtus tomentosa; herbal ointment ABSTRAK Penyembuhan luka terdiri dari fase inflamasi, proliferasi, dan remodeling jaringan. Diketahui bahwa tanaman tradisional seperti pegagan (Centella asiatica) dan karamunting (Rhodomyrtus tomentosa) memiliki senyawa aktif triterpenoid, flavonoid, dan tanin yang dapat mempercepat penyembuhan luka. Tujuan penelitian ini adalah untuk menguji efektivitas pemberian salep daun pegagan dan salep daun karamunting untuk penyembuhan luka sayat pada mencit. Penelitian ini merupakan studi eksperimen laboratoris dengan desain post-test only with control group, yang dilakukan pada 24 ekor mencit jantan, yang dibagi menjadi 4 kelompok yaitu kontrol negatif, kontrol positif (povidone iodine 10%), perlakuan salep pegagan, dan perlakuan salep karamunting.  Luka sayat sepanjang dua sentimeter pada punggung mencit dibuat. Setelah itu, penyembuhannya diamati secara makroskopis untuk mengidentifikasi eritema, keropeng, dan penutupan luka, dan panjangnya diukur hingga hari ke-10.  Data dianalisis dengan uji normalitas, uji homogenitas, dan uji t. Hasil analisis menunjukkan bahwa luka pada kelompok perlakuan (pegagan dan karamunting) sembuh lebih cepat daripada kontrol positif dalam waktu rata-rata sepuluh hari.  Menurut hasil uji t, tidak ada perbedaan signifikan antara kelompok povidone iodine, pegagan, dan karamunting (p >0,05). Namun, ada perbedaan signifikan antara kelompok kontrol negatif dan seluruh kelompok perlakuan (p <0,05). Selanjutnya dapat disimpulkan bahwa salep daun pegagan dan karamunting terbukti mempercepat penyembuhan luka sayat pada mencit, bahkan lebih baik daripada povidone iodine.Kata kunci: penyembuhan luka; Centella asiatica; Rhodomyrtus tomentosa; salep herbal
Development of a Low-cost Simulator ORISIM (ORIF and OREF Simulator) as a Wound Care Learning Medium Rachmadita, Tiana -; Yuswanto, SKp.MKep., Dr. Tri Johan Agus Agus; Nihlahani, Auridsa -
Jurnal Penelitian Kesehatan SUARA FORIKES 2026
Publisher : FORIKES

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

Abstract

ABSTRACTPostoperative fracture wound care using Open Reduction Internal Fixation (ORIF) and Open Reduction External Fixation (OREF) methods is an important competency in medical–surgical nursing. However, the limited availability of simulators that represent ORIF and OREF wound conditions poses a challenge in clinical skills learning for students. This study aimed to develop and evaluate the feasibility of ORISIM (ORIF and OREF Simulator) as a low-cost wound care learning medium. This study employed a Research and Development (R&D) design encompassing the stages of needs identification, prototype design and construction, expert validation, product revision, and pilot testing. Validation was conducted by three expert and pilot testing involved 20 nursing students. Student evaluation used a modified version of the Michigan Standard Simulation Experience Scale (MiSSES). Quantitative data were analyzed descriptively, while qualitative data were analyzed using thematic analysis. Quantitative results showed that ORISIM has potential in improving students’ self-efficacy, with mean scores of 4.1 for competence, 4.2 for confidence, and 4.2 for the ability to perform wound care independently. Educational value was rated highly, particularly in ease of use (4.4), cognitive skill development (4.1), and support for psychomotor skills (4.2). Simulation realism demonstrated moderate to high scores, with anatomical correctness rated at 4.1, anatomical accuracy at 3.8, and simulator durability at 4.4. Qualitative analysis identified three main themes: wound realism, material characteristics, and educational value and ease of use. ORISIM provided a learning experience that supported improvements in self-efficacy and procedural skills. Further development is required to enhance anatomical realism and to test its effectiveness through an experimental research design.Keywords: Simulator; ORIF; OREF; Wound care; Nursing.
Co-Authors ABSELIAN, UMBU PUTAL Aida Nuriyanti Putri Alif Galih Pratama Aliya Fitri Rahmadina Andriani, Selfiyah Andriani, Wahyu Apriliani, Dyah Tri Arief Bachtiar Arief Bachtiar Arief Bahtiar Arif, Taufan Arif, Taufan Arifin, Hidayat Arslan Kamil Aries Asriani, Nilam Suci Auridsa Nihlahani Bachtiar, Arief Bachtiar, Arief . Bagas Iman Bahreisy Balqis, Janessa Fatiha Bisma Cahyani, Nadhifah Eka Cici Desiyani Cinta Septanium Krisno Putri Ciptaningtyas, Maria Diah Desy Rinawaty Dina Indrati Dyah Sulistyowati Diyah Fatmasari Djamaluddin Ramlan Djamaluddin Ramlan Djamaluddin Ramlan, Djamaluddin Dyah Widodo Eko Adi Putra Elfa Lailatul Izza Elfa Lailatul Izza Febrina Secsaria Handini Ferry Efendi Fiashriel Lundy Lundy Fransisca Mareta D A FRANSISKUS SALESIUS ONGGANG Gede Dalem Gilang Mahajaya Putra Gita Kostania Hariez, Tsalits Maulidah Heffy Maulidiyah Wardah Heru Santoso Wahito Nugroho I Ketut Gama I Ketut Sudiantara I Wayan Mustika Ikhsania Ikhsania Imam Subekti Intan Rizki Dwi Saputri Janah, Indra Ayu Miftakhul Jane Leo Mangi Joko Pitoyo Joko Wiyono Joko Wiyono Juwita Asfi Wibowo Kamilus Mamoh Kamso, Sudijanto Karuniriati , Tyas Alfi Kundarti, Finta Isti Kusnanto Kusnanto Kusnanto Kusnanto Lailiyatul Mufidah Lestari, Mimin Lukman Perdana Sofyan Luluk Mamluatul Ulumy Luthfiyuddin Musthofa Mardiyono, Mardiyono Maria Diah Ciptaning Tyas Marsaid, Marsaid Marsaid, Marsaid Martzarini, Virginia Matje Meriati Huru Mohammad Afandi Muh. Ainul Falihin Nadia Sari Nataliswati, Tri Naya Ernawati Naya Ernawati Ngesti W. Utami Ni Wayan Rusni Nihlahani, Auridsa - Ningsih, Rastia Nursalam, Nursalam Nurul Hikmatul Qowi Pertami, Sumirah Budi Prabawa, Artha Prakosa, Mira Melynda PRIMANINGSIH, DEWI Putro, Edi Utomo Rachmad Satriya Illahi Rachmadita, Tiana - Raihan, Moh Fadhil Reni Wahyu Triningsih Rita Yulifah Rochmawati, Dewi Roni Yuliwar Rudi Hamarno Rudi Hamarno Rudi Hamarno Sanglar Polnok Sari, Yunita Indah Sa’adah, Nabila Nida SEPTDIANTO, TRI CAHYO Shofiyah Karimah Sholehah, Ummatus Solikhah, Fitriana Kurniasari Sri Wahyuni Badjuka Sugianto Hadi Sujono, Annisa Juliani Sulastyawati, Sulastyawati Suparji Suparji Supono Supono Supono Supono Suprajitno Suprajitno, Suprajitno Suprapti, Suprapti Supriandi, Supriandi taadi, Ta'adi Tanjung Subrata Tanko Titus AUTA Tanto Hariyanto Tavip Dwi Wahyuni Tavip Dwi Wahyuni Tiana Rachmadita Tri Anjaswarni Tri Cahyo Sepdianto Tris Eryando Trisna Sumadewi Utama, Nang Randu Wardani, Retno Wisnu Widya, Fina Wiwin Martiningsih Wulandari, Elfitra Dwi Wulandari, Tri Lestari Zalena, Sarah