Article Per Year (5 Year)
p-Index From 2020 - 2025
2.59
P-Index
This Author published in this journals
All Journal Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement) Jurnal Kreativitas PKM INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Jurnal Sehat Mandiri Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Journal of Health and Nutrition Research
Arifin Triyanto
Departemen Keperawatan Medikal Bedah, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada
Humanities Decision Sciences, Operations Research & Management Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Other

Published : 16 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 16 Documents
Search

 1   2 
Intervensi Keperawatan pada Pasien Terkonfirmasi COVID-19 dengan Komorbid DM Tipe 2 dan Hipertensi: Studi Kasus Alif Khanifudin; Arifin Triyanto; Dwi Asih Rohmawati
Jurnal Sehat Mandiri Vol 16 No 2 (2021): Jurnal Sehat Mandiri, Volume 16, No.2 Desember 2021
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.424 KB) | DOI: 10.33761/jsm.v16i2.433

Abstract

Comorbidities in COVID-19 patients with the highest percentage are hypertension and diabetes mellitus. Patients with comorbid hypertension and DM have high morbidity and mortality. This study aims to determine the interventions in COVID-19 patients with comorbid DM and hypertension. The method used is a case study with data collection through patient and family interviews, medical record studies and direct observation or through CCTV. The studies showed that the patient was diagnosed with severe COVID-19 by oxygen therapy (NRM 15 L/min), treating COVID-19 and managing comorbid hypertension and DM with medication and monitoring and reducing anxiety. During treatment, the patient was desaturated, blood pressure and blood sugar level had not been controlled, and the anxiety was quite high. It can be said that interventions that can be given to COVID-19 patients with comorbid hypertension and DM are oxygen therapy, medication, anxiety reduction, and comorbid management. Comorbid hypertension and DM were controlled with medication and regular monitoring. the patient's blood pressure and blood sugar level had not been controlled, it is possible that the patient's anxiety is still experienced. So that as health workers in providing care are expected to pay attention to the biopsychosociospiritual aspects so that the patient's problems are resolved.
EDUCATION TO IMPROVE QUALITY OF LIFE OF PATIETS WITH STOMA: A LITERATURE REVIEW Arifin Triyanto
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 5 No 1 (2021): VOLUME 5 ISSUE 1 APRIL 2021
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2021/Vol5/Iss1/338

Abstract

Several conditions or disease may necessitate the formation of stoma as a treatment. However, stomas has a negatif effect on physical, psychological, social and spiritual aspects that can reduce the quality of life. Education is an effort to improve the quality of life of patients with stoma. The aim of this study was to describe the education of patients with stoma to improve quality of life. A review of the literature by searching in sciencedirect, EBSCO, and pubmed. Four relevant articles include in syntesis. Three studies conclude that education can improve quality of life and one study did not show significant results, but there were positive changes in the quality of life value. Education is provided through a variety of methods, the topic covers various aspects of life, delivered by a team of health care, given at least 2 sessions. Education in patients with stomas can improve quality of life. Although each article has a different method of education, it has a positive effect on improving the quality of life.
Penggunaan Terapi Komplementer dalam Meningkatkan Outcome Perawatan Pasien dengan Kanker Payudara: Scoping Review Surya Wahyuni; Ainur Rahma; Slamet Aminanto; Arifin Triyanto
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 1 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.79810

Abstract

Background: Breast cancer long-term treatment can cause side effect. Patients can use complementary treatment therapy which is causing gentler side effects and cutting treatment costs.Objective: To determine the effectiveness of complementary therapies in breast cancer patients according to scientific literature.Method: The literature search was conducted in four electronic data sources, namely PubMed, Sage Journal, Scopus, and Cochrane Library. The search used PCC with the keywords “Complementary Therapy” OR “Herbal Therapy” AND “Breast Cancer”. Inclusion criteria from the study were namely in English, in the year 2017-2022, a type of randomized controlled trial study, population of people with breast cancer. The selected literatures were analyzed using Arskey & O’Malley Framework and then data extraction were carried out.Result: The number of eligible’s articles to analyze were 6 of articles. Complementary therapy conducted in the articles were combination of Mantra meditation and listening to music, reflexology, mindful yoga, yoga, music therapy, and peppermint oil aromatherapy. The benefits of this therapy included overcoming cognitive disorders, reducing fatigue and anxiety, treating nausea, vomiting, and anorexia due to chemotherapy, increasing physical activity, and saving on treatment costs.Conclusion: The application of complementary interventions (such as combination of Mantra meditation and listening to music, reflexology, mindful yoga, yoga, music therapy, and peppermint oil aromatherapy) is effective in increasing outcome of the patient with breast cancer treatment.ABSTRAKLatar belakang: Efek samping dapat muncul akibat pengobatan jangka panjang kanker payudara. Dalam rangka mengatasinya dapat dilakukan terapi komplementer karena memiliki efek samping yang lebih sedikit dan biaya lebih murah. Terapi komplementer dapat mengurangi berbagai keluhan yang dirasakan oleh pasien kanker, seperti penurunan kemampuan kognitif, mengurangi kelelahan, kecemasan, mual dan muntah. Tujuan: Untuk mengetahui efektivitas terapi komplementer pada pasien kanker payudara dalam literatur ilmiah.Metode: Pencarian literatur dilakukan di empat sumber data elektronik, yaitu PubMed, Sage Journal, Scopus, dan Cochrane Library. Pencarian tersebut menggunakan PCC dengan kata kunci “Complementary Therapy” OR “Herbal Therapy” AND “Breast Cancer”. Kriteria inklusi dalam pencarian literatur, yaitu berbahasa Inggris dan tahun terbit 2017-2022, jenis penelitian randomized controlled trial, dengan populasi penderita kanker payudara. Literatur terpilih selanjutnya dianalisis menggunakan Arskey & O’Malley Framework, kemudian dilakukan ekstraksi data.Hasil: Jumlah artikel yang eligible untuk dianalisis sebanyak 6 artikel. Terapi komplementer yang digunakan dalam 6 artikel tersebut, yaitu kombinasi meditasi Mantra sambil mendengarkan musik, pijat refleksi, mindful yoga, yoga, terapi musik, dan aromaterapi menggunakan minyak daun mint. Manfaat yang diterima pasien, di antaranya mengatasi gangguan kognitif, mengatasi kelelahan dan kecemasan, mengobati mual muntah dan anoreksia akibat kemoterapi, meningkatkan aktivitas fisik, dan menghemat biaya perawatan.Simpulan: Penerapan intervensi komplementer (dalam bentuk kombinasi meditasi Mantra sambil mendengarkan musik, pijat refleksi, mindful yoga, yoga, terapi musik, dan aromaterapi menggunakan minyak daun mint) pada pasien kanker payudara, terbukti efektif dalam meningkatkan outcome perawatan pasien dengan kanker payudara.
Implementasi Telehealth dalam Meningkatkan Perawatan Paliatif pada Pasien Kanker di Era 4.0: Scoping Review Indy Susanti; Istiqomah Nur Khasanah; Arifin Triyanto
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 1 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.80140

Abstract

Background: Sustainable palliative care toward advanced stadium cancer is provided by physical, mental, and psychosocial approach. In the 4.0 era along with recent COVID-19 pandemic, the use of telehealth for public service, including for patient with cancer, has increased.Objective: To identify the implementation of telehealth in improving the palliative care of patient with cancer in the 4.0 era.Method: This research was tracing the results of scientific publications using PRISMA flow diagrams. The article selection process was carried out by identification and screening. The searching keywords included Population (cancer patient), Intervention (telehealth OR e-health OR telemedicine OR telenursing OR digital health intervention), Comparison (not applicable), Outcome (improve palliative care in 4.0 era) in several databases, i.e. Google Scholar, Willey Online, Sage, PubMed, BMJ, and Science Direct. Then the articles were selected based on the title, type of article, abstract, and content according to the inclusion and exclusion criteria. Inclusion criteria included topic suitability, published in 2017-2022, in English, open access, and research article.Outcome: Most of the telehealth services were done through mobile applications and website-based consultations. The use of telepalliative showed a positive effect on improving patient self-efficacy, sense of security, patient involvement in care, effectiveness of symptom management, supporting remote care, facilitating access to health professionals. In emergency situations when there was a worsening condition, it was still necessary to carry out direct examination and/or treatment.Conclusion: Telehealth needs further development and research to determine its level of frequency and efficiency to support health services, especially in the field of palliative care.ABSTRAKLatar belakang: Perawatan paliatif berkelanjutan diberikan secara fisik, mental, dan psikososial pada pasien kanker dengan stadium lanjut. Di era 4.0 yang bersamaan dengan adanya pandemi COVID-19, telah meningkatkan penggunaan telehealth dalam pelayanan kesehatan, termasuk pada pasien kanker. Tujuan: Mengetahui implementasi telehealth dalam meningkatkan perawatan pasien kanker di era 4.0. Metode: Penelitian ini dilakukan melalui penelusuran hasil publikasi ilmiah, menggunakan alur diagram PRISMA. Proses pemilihan artikel dilakukan dengan identifikasi dan skrining. Penelusuran kata kunci yang dilakukan, meliputi: Population (cancer patient), Intervention (telehealth OR e-health OR telemedicine OR telenursing OR digital health intervention), Comparison (tidak ada), dan Outcome (improve palliative care in 4.0 era) pada Google Schoolar, Willey Online, Sage, PubMed, BMJ, dan Science Direct. Kemudian artikel diseleksi berdasarkan judul, jenis artikel, abstrak, dan konten sesuai dengan kriteria inklusi dan eksklusi. Kriteria inklusi meliputi kesesuaian topik, diterbitkan tahun 2017- 2022, berbahasa Inggris, open access, dan research article.Hasil: Mayoritas telehealth dilakukan melalui aplikasi seluler maupun konsultasi berbasis website. Pemanfaatan telepaliatif menunjukkan efek positif terhadap peningkatan efikasi diri pasien, rasa aman, keterlibatan pasien dalam perawatan, efektivitas manajemen gejala, pendukung perawatan jarak jauh, dan mempermudah akses kepada profesional kesehatan. Dalam situasi darurat, ketika kondisi memburuk yang membutuhkan konsultasi dan perawatan secara langsung, maka tetap perlu dilakukan pemeriksaan dan/atau perawatan secara langsung.Simpulan: Penggunaan telehealth perlu terus dikembangkan dan diteliti lebih lanjut, untuk mengetahui tingkat frekuensi dan efisiensi pemanfaatannya, dalam rangka mendukung pelayanan kesehatan, khususnya di bidang perawatan paliatif.
Increasing the capacity of health cadres to prevent and self-management of Osteoarthritis Arifin Triyanto; Heny Suseani Pangastuti; Diana Nurlita; Anisah Umami
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol 8, No 4 (2023): November 2023
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v8i4.11072

Abstract

Osteoarthritis (OA) is a clinical syndrome characterized by joint pain with varying degrees of functional limitations that impact quality of life. Data in Indonesia shows that the national prevalence of osteoarthritis is 7.3%. Several factors in the high prevalence of OA that can be modified require lifestyle modification to prevent OA. Self-management in OA can help maintain the individual's functional capacity, improve self-image, and improve the quality of life of the patients. This community service is health education for health cadres and the general public over the age of 35 years in one of the areas in Godean, Sleman, Yogyakarta. The team measured the level of participants' knowledge about osteoarthritis and self-screening for osteoarthritis in community service. Results obtained the majority of respondents were in the mild osteoarthritis category (36.5%). The results of the respondents' knowledge scores were the difference in average knowledge before and after providing education, there was an increase in knowledge scores of 17.87. Providing health education can increase public knowledge about osteoarthritis before and after health education about prevention and self-management of osteoarthritis.
Hubungan antara Tingkat Pengetahuan Perawat dan Kualitas Manajemen Nyeri Pasien Pascabedah di RSUP Dr. Sardjito Miftahul Jannah; Arifin Triyanto; Anita Kustanti
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 3 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.90826

Abstract

Background: The escalating number of surgical procedures globally, including in Indonesia, has not been followed by quality improvement in postoperative pain management. Insufficient postoperative pain management quality creates new problems, i.e.: decreasing in patients’ quality of life, prolonging hospital stay, and impacting the family’s quality of life. Literature indicates that the quality of pain management is influenced by various factors, one of which is the nurse’s knowledge of postoperative pain management. Objective: To determine the correlation between nurse’s level of knowledge and the quality of postoperative pain management in RSUP Dr. Sardjito. Method: This study was a descriptive correlational design with a cross-sectional approach. There were 47 nurses from Cendana Wards 1-3 in RSUP Dr. Sardjito as respondents who were selected through total sampling. Likelihood Ratio test was employed to identify the relationship between the nurse’s knowledge level and the quality of postoperative pain management. Results: The majority of nurses demonstrated a satisfactory level of knowledge regarding postoperative pain management, comprising 45 respondents (95,7%). However, the quality of pain management remained low in 30 respondents (63,8%). Likelihood ratio analysis indicated that there was no significant relationship between the nurse’s knowledge level and the quality of pain management, with a significance level of 0,683 (p > 0,05). Conclusion: There is no significant correlation between nurse’s level of knowledge and the quality of postoperative pain management.ABSTRAKLatar Belakang: Peningkatan jumlah operasi di seluruh dunia, termasuk di Indonesia, tidak diiringi dengan peningkatan kualitas manajemen nyeri pascabedah. Kualitas manajemen nyeri pasca bedah yang tidak memadai, dapat menimbulkan masalah baru, seperti penurunan kualitas hidup pasien, perpanjangan masa tinggal di rumah sakit, dan dampak terhadap kualitas hidup keluarga. Literatur menyatakan bahwa kualitas manajemen nyeri dipengaruhi oleh beberapa faktor, salah satunya adalah pengetahuan perawat mengenai manajemen nyeri pascabedah. Tujuan: Menentukan hubungan antara tingkat pengetahuan perawat dan kualitas manajemen nyeri pada pasien pasca bedah di RSUP Dr. Sardjito. Metode: Penelitian ini adalah studi deskriptif korelasional dengan desain potongan lintang. Pengambilan sampel dengan metode total sampling yang melibatkan 47 perawat dari Bangsal Cendana 1-3 di RSUP Dr. Sardjito. Uji Likelihood ratio digunakan untuk mengidentifikasi hubungan kedua variabel. Hasil: Mayoritas perawat memiliki tingkat pengetahuan yang baik mengenai manajemen nyeri pascabedah (95,7%). Namun, kualitas manajemen nyeri masih rendah pada 30 responden (63,8%). Analisis menunjukkan bahwa tidak ada hubungan signifikan antara tingkat pengetahuan perawat dan kualitas manajemen nyeri dengan taraf signifikansi 0,683 (p > 0,05). Simpulan: Tidak terdapat hubungan signifikan antara tingkat pengetahuan perawat dan kualitas manajemen nyeri pascabedah. 
Pencegahan Hipotermia Intraoperatif selama Laparoskopi Apendiks pada Pasien Anak di IBS RSA UGM: Studi Kasus Andayani, Qory Nurulita; Triyanto, Arifin; Ruswanti, Anita
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 3 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.98512

Abstract

Background: Children have a higher risk in experiencing intraoperative hypothermia (a body temperature below 36 ºC) compared to adults. This is due to an ineffective thermoregulation system, higher surface area compared to volume, and limited subcutaneous fat reserves.Objective: To determine effective management to prevent intraoperative hypothermia in pediatric patients.Case report: Pediatric patient A, 7 year old female with a diagnosis of acute appendicitis underwent appendix laparoscopy procedure. The patient's preoperative temperature was 36,9 ºC, the procedure took around 55 minutes, and the operating room temperature was between 18 - 20 ºC. Nurse gave active and passive mechanisms to prevent intraoperative hypothermia. The active mechanism was done by using a warming blanket with a temperature of 39 ºC. Passive management involved the use of 4 sterile draping, the draping process was carried out quickly to minimize the time patient's body was exposed to the cold air of the operating room, and in addition, blanket was applied over patient’s body while mobilized from the reception room to the pick-up room.Outcome: After intervention using active and passive mechanisms, it was found that the child did not shiver, the temperature was 36 ºC post-operatively, and no acral cyanosis was found.Conclusion: The application of active mechanisms in the form of using warming blankets and passive mechanisms using blankets and draping is effective in preventing intraoperative hypothermia in children.INTISARILatar belakang: Anak memiliki risiko lebih tinggi mengalami hipotermia intraoperatif (keadaan temperatur tubuh di bawah 36ºC) dibandingkan dewasa. Hal tersebut karena anak memiliki sistem termoregulasi yang belum efektif, luas permukaan tubuh yang lebih tinggi dibandingkan dengan volume, dan cadangan lemak subkutan yang terbatas.Tujuan: Mengetahui manajemen yang efektif untuk mencegah hipotermia intraoperatif pada pasien anak.Laporan kasus: Pasien An. A, anak perempuan berusia 7 tahun dengan diagnosis apendisitis akut dilakukan laparoskopi apendiks. Suhu pre-operatif pasien yaitu 36,9ºC, tindakan berlangsung sekitar 55 menit, dengan suhu kamar operasi antara 18 - 20 ºC. Perawat melakukan mekanisme aktif dan pasif untuk mencegah hipotermia intraoperatif. Mekanisme aktif dilakukan melalui penggunaan warming blanket dengan suhu 39 ºC. Manajemen pasif melalui penggunaan draping dengan 4 duk steril, proses draping dilakukan dengan cepat untuk meminimalkan waktu tubuh pasien terpapar udara dingin kamar operasi dan ditambah dengan penggunaan selimut pada tubuh pasien, saat dipindahkan mulai dari ruang penerimaan sampai dengan ruang penjemputan.Hasil: Setelah dilakukan intervensi aplikasi mekanisme aktif dan pasif pencegahan hipotermia intraoperatif, didapatkan hasil pasien anak tidak menggigil, suhu post-operatif 36 ºC, dan tidak ditemukan sianosis pada akral.Simpulan: Penerapan mekanisme aktif berupa penggunaan warming blanket dan mekanisme pasif dengan penggunaan selimut serta draping, terbukti efektif untuk mencegah terjadinya hipotermia intraoperatif pada anak.
Family-Based Education for Prevention and Management of Injuries in Vulnerable Populations Triyanto, Arifin; Wati, Suis Galischa; Maf'ula, Dluha; Partini, Partini; Umami, Anisah
Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement) Vol 10, No 4 (2024): December
Publisher : Direktorat Pengabdian kepada Masyarakat Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpkm.95381

Abstract

Injuries contribute to disability and morbidity in countries around the world. Among the elderly, falls are the most common type of injury, with an incidence rate of approximately 2.3–7% per 1,000 individuals. Injuries can lead to physical impairments, including reduced limb function. In the elderly population, particularly those aged 65 years and older, injuries are associated with a high risk of mortality and severe disability. Preventing injuries and falls is a critical public health concern. Families serve as essential support systems for addressing injuryrelated issues within households and the surrounding environment. This activity aimed to provide families with education on preventing and managing injuries in vulnerable populations. Health education sessions were delivered to health cadres and community members through lectures, discussions, and expert-led questionand-answer sessions. Educational materials included PowerPoint presentations and pocketbooks. At the conclusion of the sessions, a group demonstration was conducted on the management of splints in community settings. Knowledge was assessed using a questionnaire developed based on the health education materials. Fall risk screening was conducted using the First Time Injury Falls (FIF) instrument. The results revealed that among the 27 respondents, knowledge levels significantly improved after the educational sessions (p-value < 0.05). Fall risk screening outcomes indicated that 20 respondents (74.1%) were at low risk for falls, 5 respondents (18.5%) were at moderate risk, and 2 respondents (7.4%) were at high risk. Based on these findings, it can be concluded that health education is effective in enhancing family knowledge about injury prevention and management in vulnerable populations.
Manajemen Hemodialisis pada Pasien Gagal Ginjal Kronik Stadium V dengan Kehamilan Trimester Pertama: Studi Kasus Purbasari, Alfina Fitri; Triyanto, Arifin; Sukardi, Sukardi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 1 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.104747

Abstract

Background: Chronic kidney disease in pregnancy is a medical disorder that can increase the mother and her fetal morbidity as well as mortality. The high risk of morbidity and mortality in pregnant woman undergoing hemodialysis requires the role of nurses as direct caregivers to patients.Objective: To determine the management of pregnant woman with chronic kidney disease undergoing hemodialysis.Case report: A patient, 30 years old G4P1A2 had undergone routine hemodialysis since 2018. The patient was currently pregnant with a gestational age of 7 weeks and there was an increase in the frequency of hemodialysis after her pregnancy was discovered. The patient started hemodialysis 3 times a week with a duration of 4,5 hours. The left femoral was used as dialysis access.Outcomes: After undergoing hemodialysis 3 times a week, the patient had an interdialysis weight gain of 1,3 to 2,8 kg, with a HD prescription of blood flow rate (QB) of 180-200 ml/min, QD of 500 ml/min, total fluid withdrawal (UF goal) of 2.000-3.500 ml, mini/free heparin dose and Kt/V achievement of 1,33 to 1,67 points. The patient said she felt lighter and more comfortable after undergoing hemodialysis frequency of 3 times a week.Conclusion: Interventions that need to be carried out on pregnant woman undergoing hemodialysis are dialysis intensification with increased hemodialysis frequency, UF adjusted to interdialysis weight gain, minimal use of heparin, and maternal nutritional support as the principles in supporting this high-risk pregnancy.INTISARILatar belakang: Penyakit ginjal kronis pada kehamilan adalah suatu kelainan medis yang dapat meningkatkan morbiditas dan mortalitas ibu dan janin. Dengan adanya risiko tinggi morbiditas dan mortalitas pada ibu hamil yang menjalani hemodialisis, maka dibutuhkan peran perawat sebagai pemberi asuhan langsung pada pasien.Tujuan: Mengetahui penatalaksanaan ibu hamil dengan penyakit ginjal kronis yang menjalani hemodialisis.Laporan kasus: Seorang pasien berusia 30 tahun G4P1A2 sudah menjalani hemodialisis rutin sejak tahun 2018. Pasien saat ini sedang hamil dengan usia kehamilan jalan 7 minggu dan terdapat peningkatan frekuensi hemodialisis setelah diketahui sedang hamil. Pasien mulai melakukan hemodialisis 3 kali seminggu dengan durasi 4,5 jam. Akses dialisis yang digunakan adalah femoral sinistra.Hasil: Setelah menjalani hemodialisis 3 kali seminggu, pasien mengalami kenaikan berat badan interdialisis 1,3-2,8 kg, dengan resep HD kecepatan aliran darah (QB) 180-200 ml/menit, QD 500 ml/menit, jumlah total penarikan cairan (UF goal) 2.000-3.500 ml, dosis heparin mini/ free dan capaian Kt/V 1,33-1,67. Pasien mengatakan merasa lebih ringan dan nyaman setelah menjalani hemodialisis dengan frekuensi 3 kali seminggu.Simpulan: Intervensi yang perlu dilakukan pada ibu hamil yang menjalani hemodialisis, yaitu intensifikasi dialisis dengan peningkatan frekuensi hemodialisis, UF yang disesuaikan dengan peningkatan berat badan interdialisis, penggunaan heparin seminimal mungkin, dan dukungan nutrisi ibu menjadi prinsip dalam mendukung kehamilan berisiko tinggi ini.
Cairan Hidrogen Peroksida (H2O2) sebagai Pencuci Luka pada Tindakan Debridemen Ulkus Diabetik: Studi Kasus Jati, Puspa Silvia; Triyanto, Arifin; Ruswati, Anita
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 2 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.107667

Abstract

Background: Debridement is a part of diabetic ulcers management through removing dead tissue to prevent infection. Wound irrigation is common in debridement. Hydrogen peroxide (H2O2) is used as wound irrigation as it is effective in cleaning and minimising contamination.Objective: To identify the use of H2O2 as wound irrigation solution in surgical debridement.Case report: A 34-year-old woman with uncontrolled DM had an ulcer on her sinistra ankle that had not healed within 2 weeks. The wound was 10 cm in diameter with erythema, crusts, and signs of infection. Debridement was performed with wound irrigation using H2O2 mixed with Povidone iodine.Results: H2O2 effectively used as wound irrigation solution due to its benefits in cleansing the wound from dead tissue and preventing infection. In this case, 100 ml H2O2 was mixed with 400 ml Povidone iodine, then it was poured to the wound. Moreover, NaCl was used to rinse the mixture of H2O2 and Povidone iodine. After debridement procedure, the wound improved and there was not any adverse reaction occurred.Conclusion: The use of H2O2 solution as wound irrigation in debridement procedure can improve wound hygiene, prevent infection, and support healing.INTISARILatar belakang: Debridemen merupakan bagian dari manajemen prosedur penanganan ulkus diabetik dengan menghilangkan jaringan mati untuk mencegah infeksi. Prosedur debridemen umumnya diikuti dengan tindakan irigasi atau pencucian luka. Hidrogen peroksida (H2O2) digunakan sebagai irigasi luka karena efektif dalam membersihkan dan meminimalkan kontaminasi.Tujuan: Mengetahui penggunaan H2O2 sebagai pencuci luka pada debridemen bedah.Laporan kasus: Perempuan 34 tahun dengan diabetes melitus tidak terkontrol memiliki ulkus di ankle sinistra yang tidak sembuh dalam 2 minggu. Luka berdiameter 10 cm dengan eritema, krusta, dan tanda infeksi. Dilakukan debridemen dengan irigasi luka menggunakan H2O2 dicampur Povidone Iodine.Hasil: H2O2 dapat digunakan sebagai irigasi luka secara efektif dikarenakan manfaatnya dalam membersihkan luka dari jaringan mati dan mencegah infeksi. Pada kasus ini, H2O2 100 ml dicampur 400 ml Povidone Iodine kemudian diguyurkan pada luka. Selain itu, prosedur ini juga menggunakan NaCl untuk membilas irigasi luka dari campuran H2O2 dan Povidone Iodine. Kondisi luka pasien membaik pascaprosedur dan tidak ada efek samping yang muncul pada pasien.Simpulan: H2O2 sebagai cairan irigasi pada debridemen dapat meningkatkan kebersihan luka, mencegah infeksi, dan mendukung penyembuhan.
Co-Authors Ainur Rahma Aisyiyah, Umi Alif Khanifudin Andayani, Qory Nurulita Anisah Umami Christantie Effendy Christaputri, Silvia Tri Wahyu Diana Nurlita Dwi Asih Rohmawati Hendriyanti, Yeni Heny Suseani Pangastuti Indy Susanti Istiqomah Nur Khasanah Jati, Puspa Silvia Jatira'ufani, Nefit Anugrah Kurniawati, Rizka Yudhit Kustanti, Anita Kusumawardhana, Feri Dini Liya Arista Maf'ula, Dluha Masfuri - Miftahul Jannah Mulyainuningsih, Wa Ode Saridewi Partini Partini, Partini Purbasari, Alfina Fitri Retnaningsih Retnaningsih Ruswanti, Anita Ruswati, Anita Septiani, Dila Slamet Aminanto Subagya, Ami Novianti Suis Galischa Wati Sukardi Sukardi Surya Wahyuni Tri Subekti Tsauroh, Salsabila Fiqrotu Umami, Anisah