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All Journal Jurnal Keperawatan Sriwijaya Belitung Nursing Journal Jurnal Ilmu Keperawatan Medikal Bedah Jurnal Sehat Mandiri Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan JURNAL PENELITIAN PERAWAT PROFESIONAL Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Inovasi Penelitian Khatulistiwa Nursing Journal Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat Kolaborasi Jurnal Pengabdian Masyarakat Jurnal Pengabdian Masyarakat Bhinneka Populer: Jurnal Penelitian Mahasiswa SEMINAR NASIONAL PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT Jurnal Kegawatdaruratan Medis Indonesia Al Makki Health Informatics Journal Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia Jurnal Pengabdian Sosial Jurnal Inovasi Global Compromise Journal : Community Proffesional Jurnal Intelek Insan Cendikia NMI THE JOURNAL OF Nursing Management Issues Jurnal Pengabdian Kepada Masyarakat Indonesia Journal of Wound Research and Technology Borneo Nursing Journal

Septian Mixrova Sebayang

Universitas Harapan Bangsa

Author-ID : 5660910

Religion Agriculture, Biological Sciences & Forestry Humanities Astronomy Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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The Combination of Polyhexamethylene Biguanide and Cadexomer Iodine in Healing Chronic Venous Leg Ulcers: A Case Report Asmat Burhan; Septian Mixrova Sebayang
Viva Medika Vol 16 No 1 (2022): VOLUME 16 / Nomor 01 /SEPTEMBER/ 2022
Publisher : Universitas Harapan Bangsa Purwokerto

Chronic Venous Leg Ulcers (CVLUs) are vascular diseases and require complex wound care from a patient, wound, health personnel and dressing factors. Cadexomer Iodine (CI) and Polyhexamethylene Biguanide (PHMB) are antimicrobial and broad-spectrum wound washing fluids. The uncontrolled infection will complicate wound healing due to bacteria or plankton from the biofilm stage to infection, which causes a long healing time. Purpose: to determine the effectiveness of the combination of Polyhexamethylene biguanide and Cadexomer Iodine on venous leg ulcer wound healing. Methods: This study is a case study using CVLUs as a sample, with pre-test and post-test designs, patients with CVLUs received topical antimicrobial CI and PHMB interventions on wounds for 7 weeks. The sample in this study used one sample with a pre-post treatment design for seven days.. The instrument uses the Bates Jensen Wound Assessment Tool. Results: The combination of CI and PHMB was shown to improve the healing of CVLUs by controlling bacterial infection in wounds. In the 2nd week, the wound was 26cm x 15cm, the slough was reduced, and the red base wound increased. In the 3rd week, the wound was stage 4, and the granulation increase was 75%. In the 7th treatment, the wound size scale increased 7cmx4cm, the wound became stage 2, and a significant increase in epithelialization was 75%. Conclusion: The combination of PHMB and CI has been shown to control infection at the biofilm stage to critical colonization, reduce odour and significantly control infection, and increase granulation and epithelialization in CVLUs

ASUHAN KEPERAWATAN KELEBIHAN VOLUME CAIRAN PADA TN W DENGAN GAGAL GINJAL KRONIK DI RSUD DR R GOETENG TAROENADIBRATA PURBALINGGA Bagas Arya Wibawa; Made Suandika; Septian Mixrova Sebayang
Jurnal Inovasi Penelitian Vol 3 No 6: Nopember 2022
Publisher : Sekolah Tinggi Pariwisata Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47492/jip.v3i6.2125

Gagal ginjal kronik terjadi apabila kedua ginjal sudah tidak mampu mempertahankan lingkungan dalam yang cocok untuk kelangsungan hidup. Kerusakan pada kedua ginjal bersifat irreversible. Masalah keperawatan yang didapat pada klien CKD ditinjau dari gangguan kebutuhan dasar yaitu kebutuhan cairan dan elektrolit. Hilangnya jaringan ginjal fungsional merusak kemampuan untuk mengatur keseimbangan cairan elektrolit dan asam basa. Kerusakan filtrasi dan reabsorpsi menyebabkan penumpukan cairan pada tubuh, sehingga tubuh mengalami kelebihan cairan. Tujuan penulis adalah memberikan asuhan keperawatan pada pasien gagal ginjal yang mengalami kelebihan volume cairan. Tindakan dengan memberikan implementasi keseimbangan cairan dalam tubuh dihitung dari keseimbangan antara jumlah cairan yang masuk dan jumlah cairan yang keluar adalah memberikan transfusi darah selama 3 hari perawatan. Masalah kelebihan volume cairan berhubungan dengan gangguan mekanisme regulasi yang dilakukan selama 3 hari belum tercapai. Intervensi terus dilakukan Intervensi yang direncanakan yaitu monitor vital sign, monitor indikasi kelebihan cairan (oedema), kaji lokasi dan luar oedema, kolaborasi kepada tim medis lain apabila oedema pasien semakin memburuk, monitor hasil laboratorium yang sesuai dengan retensi cairan (hematokrit, osmolaritas urin), monitor asupan cairan dan makanan yang tertelan

THE RELATIONSHIP OF KNOWLEDGE ABOUT STROKE AND HEALTHY BEHAVIOR IN HYPERTENSION PATIENTS AT KARANGJAMBU HEALTH CENTER Septavianada Jihan Azhar; Adiratna Sekar Siwi; Septian Mixrova Sebayang
Jurnal Ilmu Keperawatan Medikal Bedah Vol. 5 No. 2 (2022): November 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jikmb.v5i2.1710

Hypertension or high blood pressure is a condition where the systolic blood pressure has increased above 140 mmHg and the diastolic blood pressure is above 90 mmHg with measurement twice in a calm body condition within a span of five minutes. One of the complications of hypertension that poses a threat is stroke. Attempts that can be done to reduce the rates of death and disability due to stroke, namely preventions by increasing knowledge of stroke and implementing healthy behavior for people with hypertension. This study was aimed to determine the relationship of knowledge about stroke with healthy behavior in patients with hypertension at Karangjambu Health Center. This study used quantitative methods with descriptive correlation design and used a cross sectional approach. The sampling technique used nonprobability accidental sampling with 66 respondents. Data were collected using the SRQ questionnaire for knowledge of stroke and HPLP II for the healthy behavior. Univariate analysis used descriptive correlation and bivariate analysis used the spearman rank test. Statistical test results obtained p value 0.001. It is concluded that there is a relationship between knowledge of stroke and healthy behavior in patients with hypertension at Karangjambu Health Center. The better the respondent's knowledge, the better the healthy behavior that is applied, thus the results of this study are important for Health Center officers in attempts to prevent stroke complications in patients with hypertension.

Faktor - Faktor yang Memengaruhi Kecemasan Perawat dalam Menghadapi Code Blue di RSUD Hj. Anna Lasmanah Banjarnegara Taat Agung Widodo; Feti Kumala Dewi; Septian Mixrova Sebayang
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2022: Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2022)
Publisher : Universitas Harapan Bangsa

Code blue merupakan tanda isyarat kegawatdaruratan di rumah sakit bilamana ada keadaan pasien yang mengalami henti jantung (cardiac arrest) atau berupa pemberitahuan adannya pasien yang kritis. Untuk mengurangi kecemasan perawat maka diperlukan kesiapan perawat dalam menghadapi situasi kegawatdaruratan dalam penanganan code blue. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi kecemasan perawat dalam menghadapi code blue. Desain penelitian ini menggunakan desain korelasi analitik dengan pendekatan cross sectional. Jumlah sampel sebanyak 56 responden. Terdapat hubungan usia perawat dengan terjadinya kecemasan perawat diperoleh p-value 0,00(<0,05). Tidak ada hubungan jenis kelamin terhadap terjadinya kecemasan perawat dengan p-value 0,154(>0,05). Terdapat hubungan tingkat pendidikan terhadap terjadinya kecemasan perawat dengan p-value 0,026(<0,05). Terdapat hubungan lama kerja / pengalaman perawat terhadap terjadinya kecemasan perawat dengan p-value 0,001(<0,05). Sehingga dapat disimpulkan ada hubungan usia, pendidikan dan lama kerja terhadap terjadinya kecemasan perawat di RSUD Hj. Anna Lasmanah Banjarnegara.

Hubungan Religious Coping dengan Resiliensi pada Pasien Stroke di Wilayah Kerja Puskesmas Purwokerto Selatan Muhammad Ghazy Setyaputra; Septian Mixrova Sebayang; Ema Wahyu Ningrum
Jurnal Sehat Mandiri Vol 18 No 1 (2023): Jurnal Sehat Mandiri, Volume 18, No.1 Juni 2023
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v18i1.800

Stroke is a disease condition caused by a sudden cessation of blood flow to the brain, either due to blockage or rupture of blood vessels and is the third most common non-communicable disease after hypertension and diabetes. Stroke has a psychological impact that causes the patient to be irresistible. Resilience affects the recovery process in stroke patients. Stroke sufferers who are not resilient are influenced by religious coping (spirituality) where spiritual strength and belief can increase resilience in individuals. The purpose of this study was to determine the relationship between religious coping and resilience in stroke patients in the Work Area of the South Purwokerto Public Health Center. Research design is correlation study survey with a cross sectional time approach. The sample of this research was 45 respondents using simple random sampling technique. Data analysis was determined by the spearman-rank test. The results showed that religious coping in stroke patients in the Work Area of the South Purwokerto Health Center was mostly positive (84.4%). The resilience of stroke patients in the Work Area of the South Purwokerto Health Center is mostly high (86.7%). The results of the Spearman rank correlation test showed that the p-value was 0.0001 (p-value < 0,05). The conclusion is that there is a correlation between Religious coping and Resilience in Stroke patients in work area at South Purwokerto Health Center.

Pengaruh Relaksasi Benson terhadap Kecemasan dan Tekanan Darah Pasien Pra Pembedahan Katarak Rifqi Pratama Wahyuaji; Septian Mixrova Sebayang; Noor Yunida Triana; Made Suandika; Agus Triyanto
Jurnal Penelitian Perawat Profesional Vol 6 No 2 (2024): April 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i2.2295

Katarak menyebabkan 33,4% kebutaan di seluruh dunia. Kebutaan akibat katarak dapat disembuhkan melalui pembedahanStres yang disebabkan oleh pembedahan dapat menyebabkan reaksi fisik dan mental. Terapi relaksasi Benson adalah salah satu dari terapi non-farmakologis, salah satu metode untuk mengurangi tekanan darah dan kecemasan. Tujuan dari penelitian ini adalah untuk menentukan seberapa efektif relaksasi benson untuk mengatasi tekanan darah dan kecemasan pasien sebelum operasi katarak. Jenis dari studi ini adalah pra-eksperimen dengan satu kelompok pre-eksperimen dan kelompok post-eksperimen. Pada studi ini, purposive sampling terdiri dari 39 pasien yang menderita katarak. Instrumen pengukuran kecemasan menggunakan APAIS dan pengukuran tekanan darah menggunakan sphygmomanometer sebelum maupun sesudah terapi benson. Hasil dari studi ini dapat diuraikan hasil dari uji wilcoxon dengan nilai (p) 0,000 ˂ 0,05 untuk kecemasan, hasil uji berpasangan tekanan darah sistol dengan nilai (p) 0,019 ˂ 0,05 dan hasil uji berpasangan tekanan darah diastol dengan nilai (p) 0,156 > 0,05. Hasil dari penelitian memberikan informasi bahwa tekanan darah dan kecemasan pasien sebelum operasi katarak berubah sebelum maupun sesudah penggunaan terapi benson.

Effectiveness of negative pressure wound therapy on chronic wound healing: A systematic review and meta-analysis Asmat Burhan; Nizam bin Ali Khusein; Septian Mixrova Sebayang
Belitung Nursing Journal Vol. 8 No. 6 (2022): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2220

Background: Negative Pressure Wound Therapy (NPWT) is considered an effective treatment in facilitating the healing of chronic wounds. However, its effect remains inconsistent, which allows for further investigation. Objective: This study aimed to assess the effectiveness of the NPWT program in improving the management of chronic wound healing. Design: Systematic review and meta-analysis was used. Data Sources: The search strategy ranged from 2016 to 2021 in PubMed, CINAHL, ProQuest, and ScienceDirect. Review Methods: Risk of bias was done based on the Risk of Bias 2.0 guideline using RevMan 5.4.1, and meta-analysis was done using Jeffreys’s Amazing Statistics Program (JASP) software version 0.16.3. Critical appraisal of the included articles was done according to Joanna Briggs Institute’s (JBI) appraisal checklist. Results: A total of 15 articles were included, with 3,599 patients with chronic wounds. There was no publication bias in this study seen from the results of the Egger’s test value of 0.447 (p >0.05), symmetrical funnel plot, and fail-safe N of 137. However, heterogeneity among studies was present, with I2 value of 66.7%, Q = 41.663 (p <0.001); thus, Random Effect (RE) model was used. The RE model showed a significant positive effect of the NPWT on chronic wound healing, with z = 3.014, p = 0.003, 95% CI 0.085 to 0.400. The observed effects include decreased rate of surgical site infection, controlled inflammation, edema, and exudate, as well as increased tissue with varying forest plot size, as demonstrated by the small effect size (ES = 0.24, 95% CI -0.26 to 0.79, p <0.05). Conclusion: The analysis results show that the standard low pressure of 80-125 mmHg could improve microcirculation and accelerate the healing process of chronic wounds. Therefore, applying the NPWT program could be an alternative to nursing interventions. However, it should be carried out by competent wound nurses who carry out procedure steps, implement general patient care, and give tips on overcoming device problems and evaluation. PROSPERO registration number: CRD42022348457

Edukasi dan Implementasi Teknik Relaksasi Benson dalam Mengurangi Nyeri pada Pasien Dewasa Post Operasi Muhammad Azra Razi; Septian Mixrova Sebayang; Arlyana Hikmanti
Jurnal Pengabdian kepada Masyarakat Indonesia (JPKMI) Vol. 5 No. 2 (2025): Agustus: Jurnal Pengabdian Kepada Masyarakat Indonesia (JPKMI)
Publisher : AMIK Veteran Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpkmi.v5i2.8283

Background: The number of surgical procedures has increased significantly from year to year. One of the complications that often occurs after surgery is postoperative pain. Postoperative pain will begin to be felt after the effects of anesthesia wear off. The management of this pain is divided into two categories: pharmacological drug management and non-pharmacological relaxation management. The use of analgesics as primary therapy has limitations and risks of side effects, so it needs to be combined with non-pharmacological relaxation methods, such as the Benson relaxation technique. The Benson relaxation technique is a simple method that combines breathing techniques with spiritual aspects, aiming to reduce the activity of the sympathetic nervous system that triggers pain and anxiety. To address these issues, a community service activity on Benson relaxation education was conducted to prevent patients from becoming dependent on antibiotics. Objective. This Community Service (PkM) aims to increase knowledge about Benson relaxation and reduce the pain scale of post-operative patients using Benson relaxation techniques. Methods. This Community Service includes audio-visual media-based education and the implementation of Benson relaxation on 30 adult post-operative patients in the Ar-rahman RSI Purwokerto inpatient ward. Evaluation was conducted through pain scale measurements using the Numeric Rating Scale (NRS), as well as assessments of patients' knowledge before and after education using pre-test and post-test questionnaires. Results. This activity demonstrated a significant improvement in patients' understanding of Benson relaxation techniques, with 86.7% of participants initially having insufficient knowledge, but after education, 93.3% improved to the “good knowledge” category. Additionally, the pain scale decreased by an average of 1.9 points, with the majority of patients experiencing severe pain (43.3%) before the intervention, which improved to moderate pain (60%) after implementation. Thus, education and training in Benson relaxation techniques were proven effective as a non-pharmacological intervention in reducing post-operative pain.

Comparison of Effectiveness of Hydropobic Cutimed Sorbact Versus Cadexomer Iodine 0.9% on Healing of Diabetic Foot Ulcer: A Randomized Control Trial Septian Mixrova Sebayang; Asmat Burhan
Journal of Wound Research and Technology Vol. 1 No. 1 (2024): November - May 2024
Publisher : Indonesian Science Media

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70196/jwrt.v1i1.5

Background: Diabetic foot ulcers have risen with DM. The IDF reports 15-25% of diabetics get foot ulcers, rising to 25% over time. Due to biofilm and bacteria growth, diabetic ulcers need advanced wound therapy using antimicrobial dressings. Modern antibacterial treatments include sorbact hydrophobic and 0.9% cadexomer iodine. Purpose: Analyse the effectiveness of cutimed sorbact hydrophobic with cadexomer iodine 0.9% on diabetic ulcer infection. Methods: A single-blind, fold-over, randomised controlled study. Patients with diabetes who developed foot ulcers between September 1 and December 1, 2023. One hundred sixty-two participants were randomly assigned to receive cutimed sorbact hydrophobic or cadexomer iodine 0.9%. After 120 days, both groups. Results: It was found that the two groups had similar body mass index (0.364), wound size (0.317), and baseline age (p=0.432). The mean difference in confidence value of -0.16 (OR -2.54 to 1.29; p=0.058) showed that diabetic foot ulcers in both groups had similar wound size on the thirtyth day. On day 60 of treatment, Sorbact Hydropobic showed a difference of 22.56±9.87 compared to Cadexomer Iodine 0.9%, with an MD-CI value of -6.75 (OR 5.19 to -0.34; p=0.039 At 90 days of treatment, cadexomer iodine showed a significant difference from sorbact hydropobic (9.73±2.14), with an MD-CI value of -12.29 (OR -9.19 to -4.26; p=0.016; R2=-0.417). Conclusion: Sorbact Hydropobic reduces wound size, infection, and bacterial resistance, speeding chronic wound healing. On chronic wounds, hydropobic sorbact can be used as a primary dressing.

Amputation-Free Survival and Time-to-Healing in Diabetic Foot Ulcers: A Multistate Competing-Risks Survival Analysis Asmat Burhan; Maria Angelica Dela Cruz; Grace Tan Wei Ling; Indah Susanti; Napat Kittisak; Eza Kemal Firdaus; Septian Mixrova Sebayang
Journal of Wound Research and Technology Vol. 2 No. 2 (2025): June - October 2025
Publisher : Indonesian Science Media

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70196/jwrt.v2i2.69

Background: Diabetes-related foot ulcers (DFUs) remain a major burden in low-resource services, with wide variation in healing and limb outcomes. Evidence using competing-risks or multistate methods to accurately estimate amputation-free survival (AFS) and time-to-healing, and to identify modifiable risks within routine care remains limited. Purposes: This study aimed to estimate AFS and time-to-healing and to test associations of peripheral arterial disease (PAD), kidney function, infection, glycemia, and off-loading with these endpoints among adults with DFUs. Methods: In a multicenter prospective cohort in Indonesia (October 1, 2022-September 30, 2023), we enrolled 620 adults with active DFUs meeting predefined criteria; exclusions included prior major amputation, non-diabetic ulcers, malignancy, incomplete dates, or day-0 loss to follow-up. Outcomes were AFS (first amputation or death) and time-to-healing (complete epithelialization), each under competing risks (amputation/death or healing). We estimated cumulative incidence with Aalen-Johansen and modeled transitions using cause-specific Cox and Fine-Gray sub-distribution hazards, adjusting for prespecified covariates; multiple imputation addressed missingness, proportional hazards diagnostics were performed, and subgroup/sensitivity analyses were prespecified. Results: Among 620 participants (PAD 41.9%, neuropathy 47.1%, infection 35.6%), the 12-month cumulative incidence was: healed 71%, minor amputation 14%, major amputation 4%, and death 8%. PAD, reduced eGFR (<60), infection, and higher HbA1c worsened AFS (sHR 1.78, 1.55, 1.42, and 1.09 per 1% respectively), while higher HbA1c and infection slowed healing (sHR 0.90 and 0.71); PAD reduced healing (0.79), and off-loading improved healing (1.22). Findings were consistent across sensitivity and subgroup analyses, indicating robustness. Conclusion: Most patients healed within 12 months, yet one in four experienced amputation or death. Results support routine vascular triage or revascularization, infection bundles, glycemic or renal optimization, and mandated off-loading within DFU pathways, and motivate further prospective evaluations of durability, safety, and cost-effectiveness.

Co-Authors Adiratna Sekar Siwi Agus Triyanto Amin Susanto Ar-Rahman Tanjung Ardi Nugraha Aslam Amanullah Asmat Burhan Asmat Burhan Asmat Burhan Audrey Alifia Sayekti Aura Yuba Bagas Arya Wibawa Bekti Kusumaning Tyas Budi Joko Santoso Danang Tri Yudono Danang Tri Yudono Dita Apriliani Ema Wahyu Ema Wahyu Ningrum Erni Erlina Feti Kumala Dewi Fikri Rizal NH Firdaus, Eza Kemal Grace Tan Wei Ling Hikmal Akbar Hikmanti, Arlyana Imas Setiani Indah Susanti Indri Heri Susanti Joti Tri Pena Kemas Dzaid Ahmad Feedayin Lailatul Nisa Lyna Lyvia Br.Hutagaol Made Suandika Magenda Bisma Yudha Maria Angelica Dela Cruz Martyarini Budi S Moh Firhan Bawafi Yulian Mualief Ainun Fissilmy Muhammad Azra Razi Muhammad Ghazy Setyaputra Muhammad Zidane Rifky Mulya Albar Ariga Murniati Murniati Nabila Nada Fauziyyah Namilawati Namilawati Napat Kittisak Niken Dewi Pangestu Nizam bin Ali Khusein Noor Yunida Triana Ns. Martyarini Budi Setyawati Panca Rizky Kharisma Ria Anggrina Rifqi Pratama Wahyuaji Roro Lintang Suryani Roro Lintang Suryani Salsabila Amanda Dwi Damayanti Septavianada Jihan Azhar Sumarno Taat Agung Widodo Tia Aprilia Rengen Tophan Heri Wibowo Viola Santesa Wahyu Dwi Prakoso Wilis Sukmaningtyas

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