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Journal : Health Gate

Effect of Hemoglobin Levels on the Process of Healing Post Sectio Caesarea Wounds setiawan, Danis; Wulandari, Ning Arti; Arsa, Sandi Alfa Wega
Health Gate Vol 1, No 4 (2023): October 2023
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg1405

Abstract

The long healing of post sectio caesarea wounds has an impact on patients and their families.In addition to the additional burdensome costs, patients can experience trauma due to the wound healing process that lasts a long time.Hemoglobin is the main component that transports oxygen and nutrients needed for the wound healing process. This study aims to analyze the effect of hemoglobin levels on the healing process of post sectio caesarea wounds at Aminah Hospital Blitar.The research design uses a case control approach samples were taken using consecutive sampling techniques with research inclusion criteria of 89 respondents.Data on hemoglobin levels were taken from secondary data on preoperative hemoglobin levels of patients in medical record documents and data on the process of wound healing seen from the results of one-time observation when the patient controls the obstetric polyclinic between day 7 to day 10 post sectio caesarea.Data were analyzed using a simple linear regression test. The results showed that 62.9% of respondents had normal hemoglobin levels and 79.77% of respondents showed good wound healing processes.The results of the statistical test analysis showed a p value of 0.000 which was smaller than α of 0.05 with an R-square of 0.196.This means that there is an effect of hemoglobin levels on the wound healing process post sectio caesarea.So it is expected that pregnant women and their families pay attention to the value of hemoglobin levels during pregnancy and after delivery to ensure health and wound healing post sectio caesarea.Keywords:hemoglobin,wound,post sectio caesarea
Nursing Care for Patients with Animal Bites that Transmit Rabies Wulandari, Ning Arti; Romadhon, Wimar Anugerah; Lestari, Oni Puji
Health Gate Vol 3, No 3 (2025): July 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3303

Abstract

Rabies is a disease caused by the Ribonucleic Acid (RNA) virus from the Rhabdoviridae family, a neurotropic, highly contagious, bullet-shaped virus. Analyzing an overview of case studies in providing nursing care to patients with bites from animals that transmit rabies in the emergency unit of the Kepanjenkidul Health Center, Blitar City. This case study was carried out on 4 patients who were bitten by rabies-transmitting animals, who had received nursing care in accordance with Indonesian nursing care standards and were evaluated on the 7th day after the bite. The results of the case study show that from the four cases nursing diagnoses emerged of impaired skin/tissue integrity, acute pain, risk of infection with nursing interventions including pain management, wound care, and infection prevention. All implementations were carried out in accordance with planning, the results of the evaluation on the seventh day all nursing care goals were achieved and there were no further complications. There is a need to socialize standards for management of rabid animal bites and improve coordination between health workers and related agencies to immediately carry out mitigation
Family Medicinal Plants (TOGA) Self-Care as a Non-Pharmacological Therapy for Hypertension Control Aulia, Vebi Rizki; Wulandari, Ning Arti; Wega Arsa, Sandi Alfa
Health Gate Vol 3, No 4 (2025): October 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3401

Abstract

Hypertension is a non-communicable disease with a high prevalence that can cause serious complications and even death if not treated optimally. To prevent hypertension complications, hypertension control efforts are needed, one of which is with non-pharmacological therapies such as the use of Family Medicinal Plants (TOGA) as a natural alternative in controlling blood pressure. This research aims to increase the knowledge, skills, and independence of the community in managing hypertension through independent care of TOGA, especially in the Tera Gymnastics group in Blitar Village. The implementation of activities included health education, demonstrations, and blood pressure measurements, which were attended by 44 respondents. Evaluation was carried out through pretest and posttest knowledge, as well as blood pressure measurements before and after intervention. The results of the study used the Wilcoxon Signed Rank Test, which showed an increase in knowledge with a value of p < 0.005, which means that there is an influence on the knowledge of partners. In the post-test after being given herbal drinks, a decrease in systolic and diastolic blood pressure was obtained; the average results were that the systolic blood pressure value decreased by 7.95 mmHg and the diastolic by 2.43 mmHg. TOGA Independent Care has proven to be effective as a complementary therapy in efforts to control hypertension. It is hoped that this program can continue and be developed in other communities as a sustainable promotive and preventive effort.