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Analisis Perbandingan Perawatan Luka dengan Madu + NaCl 0,9% dan NaCl 0,9% terhadap Penyembuhan Luka: Studi Kasus Pasien Diabetes Melitus Tipe II Post Operasi Debridemen Tinidi, Deffy Anjani; Anam, Akhyarul; Upoyo, Arif Setyo
Jurnal Pendidikan Tambusai Vol. 9 No. 2 (2025): Agustus
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v9i2.30510

Abstract

Ulkus kaki merupakan salah satu komplikasi utama diabetes melitus yang memerlukan penatalaksanaan tepat, terutama pasca operasi debridemen. Salah satu masalah utama pasca debridemen adalah infeksi, sehingga pencegahan dilakukan melalui perawatan luka. Penelitian ini bertujuan menganalisis perbandingan perawatan luka dengan madu + Nacl 0,9% dan Nacl 0,9% terhadap penyembuhan luka pada pasien diabetes mellitus tipe II post operasi debridement. Metode penelitian ini menggunakan comperative study menggunakan pendekatan asuhan keperawatan pasien dengan diabetes mellitus melalui perawatan luka diabetic menggunakan madu + Nacl 0,9% dan Nacl 0,9%. Hasil yang di dapatkan perawatan luka dengan madu + Nacl 0,9% lebih baik dalam mengurangi tingkat eksudat lebih cepat menumbuhkan jaringan granulasi yang baru dibandingkan perawatan luka yang hanya menggunakan NaCl 0,9%. Perawatan luka dengan menggunakan madu + NaCl 0,9% selama 2 hari berturut-turut terbukti mampu menurunkan kadar eksudat dan menumbuhkan jaringan granulasi baru lebih cepat dibandingkan perawatan luka hanya menggunakan NaCl 0,9%.
THE RELATIONSHIP BETWEEN PSYCHOLOGICAL WELL-BEING AND SELF-CARE BEHAVIOR IN THE ELDERLY WITH HYPERTENSION Fina Chalimatus Sa'adah; Kusumawardani, Lita Heni; Anam, Akhyarul
Journal of Islamic Nursing Vol 10 No 1 (2025): Journal of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v10i1.52799

Abstract

Older adults are at risk of developing degenerative diseases such as coronary heart disease, hypertension, diabetes mellitus, and others. One of the problems that many older adults suffer from is hypertension. This study aimed to analyze the relationship between psychological well-being and self-care behavior in the elderly with hypertension. This quantitative research method used a cross-sectional design to analyze correlations with the Somer'd gamma test. One hundred seven elderly respondents with hypertension in Notog Village, Patikraja District, Banyumas Regency, used nonprobability sampling techniques. Data were taken using the Psychological Well-Being Scale (PWBS) and Hypertension Self Profile (HBP-SCP): Behavior Scale questionnaires. The research showed that most respondents had a moderate level of psychological well-being of 57.9% and a moderate level of hypertension self-care behavior of 64.5%. The results of this study showed that there was a significant relationship between psychological well-being and hypertension self-care behavior (p value=<0.001, p<0.05) with a moderate level of correlation (coefficient r=0.477). There was a significant relationship between psychological well-being and self-care behavior in older adults with hypertension.
Gambaran Tingkat Stres pada Penderita Diabetes Melitus di Prolanis Puskesmas Purwokerto Timur II Handayani, Titi Sayekti; Anam, Akhyarul; Taufik, Agis
Journal of Bionursing Vol 7 No 2 (2025): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2025.7.2.12765

Abstract

Background: Diabetes mellitus is a long-term chronic disease that requires regular blood sugar control and lifelong treatment. Stress can very easily occur in diabetes mellitus sufferers due to the disease they are experiencing. This study aims to determine the level of stress in diabetes mellitus sufferers. Method: Descriptive research with a cross sectional method involving 52 respondents and using simple random sampling techniques. Data was obtained using the Diabetes Distress Scale (DDS)-17 questionnaire which was filled in through a distributed questionnaire and processed using univariate analysis. Results: The majority of respondents were women, had at least elementary school education and were responsible for health financing independently, had suffered for ≥5 years, and were sufferers with complications, HbA1C level ≥7%, and mean age 61.94 years. The majority of diabetes mellitus sufferers who took prolanis experienced moderate levels of stress. Conclusion: Most respondents had a moderate level of stress with the emotional burden domain being higher than other domains. Efforts to reduce the stress experienced by diabetes mellitus sufferers need to be made.
Case Report of Cylindrical Grip on Improving Upper Limb Muscle Strength of SNH Patient Azizah, Rizkia Nurul; Anam, Akhyarul
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2513

Abstract

Non-hemorrhagic stroke patients who do not get optimal treatment will experience disability or physical weakness such as paralysis and weakened muscle strength, which results in a lack of joint range of motion, limb function, and decreased daily life activities. One of the ROM techniques to help recover the upper extremities to stimulate the hands, can be done with cylindrical grip exercises which are functional hand exercises by grasping a cylindrical object in the palm of the hand which aims to support the recovery of the ability to move and function of the hand. Objective: This case repost aims to determine the effect of giving cylindrical grip to stroke ptients to increase muscle strengt in the upper extremities. Method: The method used is a descriptive case report design based on Evidance Based Nursing (EBN) conducted on two subjects with non-hemorrhagic stroke. Results: After the implementation of ROM exercise nursing: cylindrical grip for 3 days in each patient starting from 18-22 September 2023 which was carried out for 5 minutes and repeated 7 times, changes were obtained in the muscle strength of Mrs.M's right hand which was originally 3 to 4 and Mr.W which was originally left hand muscle strength 2 to 4. Conclusions: ROM Exercise: Cylindrical grip can improve upper extremity muscle strength in non-hemorrhagic stroke patients.
Studi Kasus : Terapi Relaksasi Otot Progresif (ROP) Berpengaruh pada Lansia dengan Hipertensi Rahayuningsih, Sri; Anam, Akhyarul
Jurnal Pendidikan Tambusai Vol. 8 No. 2 (2024)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

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

Abstract

Hipertensi merupakan salah satu penyakit yang sering terjadi pada kalangan lansia. Hal tersebut terjadi karena adanya perubahan pada dinding pembuluh darah. Komplikasi yang dapat terjadi pada penderita hipertensi seperti stroke, penyakit jantung, hingga gagal ginjal. Oleh karena itu diperlukannya terapi yang dapat dilakukan untuk mengurangi terjadinya komplikasi yaitu dengan menggunakan terapi relaksasi otot progresif. Studi kasus ini untuk mengetahui pengaruh terapi relaksasi otot progresif (ROP) pada lansia dengan hipertensi. Desain studi ini adalah studi kasus dengan menggunakan rancangan studi perbandingan (Comperative study). Desain ini menggunakan pendekatan asuhan keperawatan. Jumlah sampel sebanyak 2 orang yaitu 1 orang klien intervensi dan 1 orang klien kontrol yang memenuhi kriteria inklusi. Lima menit sebelum pemberian terapi dilakukan pengukuran tekanan darah dan lima setelah pemberian terapi ROP dilakukan kembali pengukuran tekanan darah. Hasil penelitian ini menunjukan bahwa terdapat penurunan tekanan darah yang signifikan pada klien intervensi dibandingkan klien kontrol. Hal ini menunjukan bahwa terapi ROP dapat menurukan tekanan darah pada lansia dengan hipertensi