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GAMBARAN KARAKTERISTIK LUKA DAN PERAWATANNYA DI RUANGAN POLIKLINIK LUKA DI RS DR. WAHIDIN SUDIROHUSODO MAKASSAR Huddu, Risma; Tahir, Takdir; Yusuf, Saldy
Jurnal Luka Indonesia Vol 4 No 3 (2018)
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v4i3.128

Abstract

Background: Injuries is something circumstances Where network continuity disconnected effect injury or surgery . The wound is divided to be two that is wound I and wound chronic . Every year number incident wound increasingly increased to become wrong one problem biggest if knowledge about care wound limited along with it care about wound . Introduction characteristics wound comprising of 13 BJWAT items and maintenance that is type dressinf and cleansing could help nurse for increase his knowledge related handling wound .Purpose: To knowing picture characteristics wound and maintenance in Room Dr. Wound Hospital Polyclinic Wahidin Sudirohusodo Makassar.Method: design research quantitative with design Cohort studies retrospect tif. The sampling technique used namely consecutive sampling with a total sample as many as 43 respondents . Data collection is done based on secondary data that is note record medical patient on visit first and last in Room Dr. Wound Hospital Polyclinic Wahidin Sudirohusodo Makassar.Result: From results research found that mostly patients who visit to clinic care wound is man as much as 72.09% (31 people), with type wound mostly is wound chronic . Results research on visit early with visit end no too significant changes that occur . Type dressings used mostly is Anti microbial as Primary dressing 37.2% (16 people ) , Natural fiber dressing as dressing secondary 81.4% (35 people ), and hypafix as dressing tert ier with amount 62.8 % ( 27 people ).Conclusions and Suggestions: characteristics wound very important for in value to get is known condition wound increasingly getting better or even increasingly worsening . By because that important for a nurse understand way rate characteristics wound and care wound .
EFEK EKSTRAK BUAH NAGA MERAH (HYLOCEREUS POLYRHIZUS) TERHADAP PENYEMBUHAN LUKA AKUT DM DAN NON DM PADA WISTAR Tahir, Takdir; Bakri, Syakib; Patellongi, Ilhamjaya; Aman, Makbul; Miskad, Upik A.; Maryunis, Maryunis; Suryani, Ade Irma
Jurnal Luka Indonesia Vol 2 No 2 Juni 2016
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v0i0.26

Abstract

Pendahuluan: Penggunaan bahan alam sebagai penyembuhan luka merupakan alternatif yang banyak digunakan. Ekstrak Buah Naga Merah (EBNM) memiliki kandungan antioksidan dan anti-inflamasi yang dibutuhkan untuk mempercepat penyembuhan luka. Namun penelitian yang berhubungan dengan efek buah naga merah terhadap penyembuhan luka masih sangat terbatas. Tujuan penelitian ini adalah untuk mengetahui efek Ekstrak Buah Naga Merah terhadap penyembuhan luka DM dan luka Non DM pada wistar. Metode: Jenis penelitian ini adalah penelitian eksperimen dengan desain post test with control group design. Wistar jantan albino (n=30) berat badan (250-350 gr) dibagi menjadi 2 kelompok (kelompok A wistar DM + Eksisi dan kelompok B wistar Non-DM + Eksisi). Selanjutnya Wistar dilukai pada punggung kiri dan kanan dengan menggunakan punch biopsy 8 mm. Topikal krim EBNM 3.5%, 5% dan 7.5% dioleskan pada permukaan luka dengan menggunakan cotton bud. Jaringan diwarnai dengan Hematoksilin dan Eosin (HE) untuk mengetahui ketebalan granulasi, dan epitelisasi jaringan. Data dianalisis dengan menggunakan uji independent T test dan paired T test (SPSS 21, Chicago Inc.). Hasil: Skor granulasi lebih baik pada konsentrasi 7.5 % pada kelompok EBNM topikal dibandingkan dengan kelompok kontrol negatif untuk DM (p
ANALYSIS COLLAGEN DENSITY ON DIABETIC AND NON-DIABETIC ACUTE WOUND MODEL: ANIMAL TRIAL USING WISTAR RATS Maryunis, Maryunis; Bakri, Syakib; Patellongi, Ilhamjaya; Aman, Makbul; Tahir, Takdir; Rahayu, Ade Irma; Hasriyani, Hasriyani; Yusuf, Saldy
Jurnal Luka Indonesia Vol 2 No 3 Oktober 2016
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v0i0.29

Abstract

Background: Neuropathy and peripheral vascular disease are two major factors that lead to diabetic wounds. Additionally, diabetic wound healing process takes a long time. Collagen is one indicator to assess wound healing. Aim: This study aimed to compare the wound healing process DM and non-DM In Wistar with acute wounds modeling that uses the density collagen as indicators. Methods: This study used a randomized design Post Test Control Group who uses Wistar as research objects. Wistar rats were divided into 2 groups: Wistar DM and Non-DM groups. The total sample were 30 individuals that consisted of 15 rats each group. Wistar DM was induced by injection of Streptozotocin (STZ) intraperitoneal single dose of 40-50 mg / kg. The wound were created by using punch biopsy of each group. The wound were followed up for 14 days. Data analysis was done using the Kolmogorov - Smirnov test with a confidence level of 95%. All data were analyzed by SPSS version 21.0 software (SPSS, Inc. Chicago, IL). Results: The density of collagen in DM group (20%) was lower than in non DM group (40%). However there were no significant difference in collagen density in both groups (p=0,375). Nevertheless, the percentage of collagen density is higher in non DM group compared with DM group (20.0%). This shows the tendency of the wound healing process in the group of Non - DM is better than DM group. This shows the tendency of the wound healing process in the group of Non - DM is better than DM group. Conclusion : There is a tendency that the wound healing in non ?DM group is better than in DM groups. More studies are needed in the future to confirm this findings. Key Words: Collagen Density, Acute Wound Model, DM
STUDI LITERATUR : PENGKAJIAN LUKA KAKI DIABETIK Rasyid, Nur Awaliah; Yusuf, Saldy; Tahir, Takdir
Jurnal Luka Indonesia Vol 4 No 2 (2018)
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v4i2.91

Abstract

Latar belakang : Luka kaki diabetik merupakan salah satu komplikasi yang ditimbulkan oleh penyakit Diabetes Melitus. Proses penyembuhannya akan menjadi rumit jika tidak dilakukan manajemen perawatan dengan baik. Salah satunya adalah dengan melakukan penilaian atau pengkajian terstandar dalam pengelolaan luka kaki diabetik. Beberapa penilaian luka kaki diabetik dilakukan dengan menggunakan sistem klasifikasi dan penggunaan instrumen pengkajian luka. Tujuan dari studi literatur ini adalah untuk mengidentifikasi pengkajian yang dapat digunakan dalam menilai luka kaki diabetik. Metode : Data base yang digunakan dalam pembuatan literatur review ini adalah Pubmed, Science Direct, Google Scholar dan Cochrane. Hasil : Terdapat 47 artikel yang diidentifikasi dan dipublikasikan dari tahun 2010-2018. Dari 47 artikel 7 artikel yang memenuhi kriteria inklusi. Beberapa hasil penelitian menunjukkan penilaian luka kaki diabetik baik dengan menggunakan sistem klasifikasi maupun menggunakan instrumen pengkajian luka kaki diabetik. Diskusi : Pengkajian merupakan salah satu komponen penting dalam proses keperawatan. Selain itu pengkajian merupakan salah satu komponen manajemen luka kaki diabetik. Dengan adanya penilaian atau pengkajian dapat membantu praktisi dan peneliti dalam mengkaji dan mengelola kesehatan pasien serta melakukan pengembangan dan penilaian terapi yang baru. Kesimpulan : Pengkajian merupakan kegiatan pertama dan fase penting dalam proses keperawatan yang akan mempengaruhi proses keperawatan yang lain yang dapat digunakan sebagai dasar dalam membuat pertimbangan klinis dan rencana tindakan selanjutnya.
STUDI LITERATUR PENGGUNAAN SABUN ANTISEPTIK UNTUK PENCUCIAN LUKA TERHADAP PENURUNAN KOLONISASI BAKTERI PADA PASIEN DENGAN LUKA DIABETIK Hade, Nurwahidah; Yusuf, Saldy; Tahir, Takdir
Jurnal Luka Indonesia Vol 4 No 2 (2018)
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v4i2.110

Abstract

ABSTRAK Latar belakang : Komplikasi penyakit Diabetes mellitus (DM) yang kronis dan serius adalah luka kaki diabetes (LKD) serta merupakan penyebab utama terjadinya amputasi tungkai bawah. Pada dasarnya hal tersebut dapat dicegah dengan manajemen luka yang optimal. Salah satu komponen dasar dari manajemen luka adalah pencucian luka. terdapat banyak solusi yang tersedia untuk penccucian luka salah satunya adalah sabun antiseptik. Tujuan dari studi literatur ini adalah untuk mengetahui efek sabun antiseptik terhadap penurunan kolonisasi bakteri. Metode : Studi literatur ini dilakukan pada database PubMed, ScienceDirect dan Cochrane Hasil : Peneliti mengidentifikasi 156 artikel yang dipublikasikan dari tahun 2012 ? 2017. Dari 156 artikel didapatkan 11 artikel yang memenuhi kriteria dan hasil penelitian menunjukkan bahwa sabun antiseptik memiliki efek mikrobicida yang kuat sehingga mampu menghambat pertumbuhan mikroorganisme pathogen dan efektif menurunkan jumlah koloni bakteri. Kesimpulan : sabun antiseptik efektif mengurangi jumlah koloni bakteri dibandingkan dengan sabun biasa dan memiliki daya hambat yang paling kuat terhadap pertumbuhan bakteri sthapylococcus aureus dan eschericia coli.
GAMBARAN KARAKTERISTIK LUKA DAN PERAWATANNYA DI RUANGAN POLIKLINIK LUKA DI RS DR. WAHIDIN SUDIROHUSODO MAKASSAR Huddu, Risma; Tahir, Takdir; Yusuf, Saldy
Jurnal Luka Indonesia Vol 4 No 3 (2018)
Publisher : ETN Centre Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32538/jli.v4i3.128

Abstract

Background: Injuries is something circumstances Where network continuity disconnected effect injury or surgery . The wound is divided to be two that is wound I and wound chronic . Every year number incident wound increasingly increased to become wrong one problem biggest if knowledge about care wound limited along with it care about wound . Introduction characteristics wound comprising of 13 BJWAT items and maintenance that is type dressinf and cleansing could help nurse for increase his knowledge related handling wound .Purpose: To knowing picture characteristics wound and maintenance in Room Dr. Wound Hospital Polyclinic Wahidin Sudirohusodo Makassar.Method: design research quantitative with design Cohort studies retrospect tif. The sampling technique used namely consecutive sampling with a total sample as many as 43 respondents . Data collection is done based on secondary data that is note record medical patient on visit first and last in Room Dr. Wound Hospital Polyclinic Wahidin Sudirohusodo Makassar.Result: From results research found that mostly patients who visit to clinic care wound is man as much as 72.09% (31 people), with type wound mostly is wound chronic . Results research on visit early with visit end no too significant changes that occur . Type dressings used mostly is Anti microbial as Primary dressing 37.2% (16 people ) , Natural fiber dressing as dressing secondary 81.4% (35 people ), and hypafix as dressing tert ier with amount 62.8 % ( 27 people ).Conclusions and Suggestions: characteristics wound very important for in value to get is known condition wound increasingly getting better or even increasingly worsening . By because that important for a nurse understand way rate characteristics wound and care wound .
KONSEP, MODEL ATAU TEORI YANG EFEKTIF SEBAGAI PENDEKATAN EDUKASI DALAM MERUBAH PERILAKU PASIEN DIABETES MELITUS : LITERATUR REVIEW. Rosman, Anita; Yusuf, Saldy; Tahir, Takdir
Jurnal Ilmu Keperawatan dan Kebidanan Vol 12, No 1 (2021): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : STIKES Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v12i1.845

Abstract

ABSTRAKPenderita Diabetes Melitus (DM) tiap tahunnya mengalami peningkatan, apabila tidak tertangani dengan baik maka akan menimbulkan berbagai macam komplikasi. Komplikasi dan resiko dapat dicegah apabila perilaku terhadap pola hidup dan kebiasan pasien DM dapat berubah. Terdapat beberapa teori perubahan perilaku yang dapat di gunakan dalam melakukan edukasi kesehatan pada pasien DM. Meskipun demikian evaluasi terhadap konsep, model atau teori sebagai media edukasi dalam perubahan perilaku pasien DM belum diketahui. Tujuan dari literature review ini adalah untuk mengetahui konsep, model atau teori yang efektif digunakan untuk memberikan edukasi kesehatan kepada pasien DM dalam merubah perilaku mereka. Metode yang digunakan dengan cara melakukan pencarian beberapa studi yang diterbitkan melalui database PubMed, Science Direct, Wiley dan Google Scholar. Strategi pencarian menggunakan kombinasi istilah MeSH Terms. Pertanyaan penelitian dirancang dengan menggunakan prinsip PICO. Studi yang dipilih diterbitkan dari tahun 2015-2019. Setelah dilakukan pencarian artikel dengan kata kunci tersebut maka total artikel yang di review dalam tinjauan literatur ini sebanyak delapan artikel. Konsep, model atau teori PRECEDE PROCEED paling banyak digunakan dalam pencarian literatur ini dibandingkan dengan model yang lain dan salah satu penelitian mengatakan bahwa peningkatan yang signifikan sudah terjadi sejak bulan pertama setelah dilakukannya intervensi.Kata Kunci :  diabetes mellitus, theory, model, behaviorABSTRACTPatients with Diabetes Mellitus (DM) have increased every year, if not handled properly it will cause various kinds of complications. Complications and risks can be prevented if behavior towards the lifestyle and habits of DM patients can change. There are several theories of behavior change that can be used in health education for DM patients. However the evaluation of concepts, models or theories as educational media in changing the behavior of DM patients is unknown. The purpose of this literature review is to find out the concepts, models or theories that are effectively used to provide health education to DM patients in changing their behavior. The method used by searching several studies published through the PubMed, Science Direct, Wiley and Google Scholar databases. The search strategy uses a combination of MeSH Terms. Research questions were designed using PICO principles. Selected studies were published from 2015-2019. After searching for articles with these keywords, the total articles reviewed in this literature review were eight articles. The concept, model or theory of PRECEDE PROCEED is the most widely used in this literature search compared to other models and one of the studies says that a significant increase has occurred since the first month after the intervention.Keywords : diabetes mellitus, theory, model, behavior
Application of Cadexomer Iodine Powder to Minimize Biofilms in Diabetic Foot Ulcer Patients (DFU) at Griya Afiat Wound Care Clinic: Case Report S, Moh Gifari; Jannah, Uyunul; Tahir, Takdir; Yusuf, Saldy
Jurnal Keperawatan Respati Yogyakarta Vol 7 No 3 (2020): SEPTEMBER 2020
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v7i3.461

Abstract

Every wound in diabetics has the potential to experience a setback in healing into a chronic wound so that the wound also has the potential to form into biofilm. One of the modern dressings commonly used to suppress the growth of biofilm is Cadexomer Iodine Powder. However, there is still limited research that addresses directly related to the effectivity of Cadexomer Iodine Powder towards wound healing. Therefore, this report aims to evaluate effectiveness Cadexomer Iodine Powder on wound healing with biofilm problems at Griya Afiat Makassar's wound care clinic. The study aimed to identify the effectiveness of Cadexomer Iodine Powder in minimizing biofilms in diabetic foot ulcer (DFU) patients. This study was conducted on one patient who was followed prospectively for 32 days from 10 July to 10 August 2019 with 10 treatments. The dressing used for wound care is Cadexomer Iodine Powder. To evaluate the reduction in the number of biofilms performed by the expert wound when treatment continues. Meanwhile, to evaluate the wound healing process, the modified Bates-Jensen Wound Assessment was used. This report shows a decrease in biofilm from the first treatment to the last treatment with the number of biofilms in the first treatment (+++) to a few (+) in the 10th treatment. The treatment also took a short period of time which is 32 days with a wound condition at the beginning of treatment which is 30% of slough and 70% of granulation experiencing a very swift healing in the 10th treatment to 40% of epithelium and 60% of granulation. Cadexomer Iodine Powder is very effective in the process of wound treatment which can be seen through the reduction of biofilms. In addition, wound healing is much better with shorter treatment time as a proof.
The Effectivity of Chitosan’s Usage on The Improvements of Epithelialization in Diabetic Wounds Regio Anterior Cruris Dorsalis Pedis Sinistra: A Case Report Jannah, Uyunul; S, Moh Gifari; Tahir, Takdir; Yusuf, Saldy
Jurnal Keperawatan Respati Yogyakarta Vol 7 No 3 (2020): SEPTEMBER 2020
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v7i3.450

Abstract

Treatments of diabetic ulcer are very essential to prevent further ulceration damage. Insufficient treatment of the wound can consequence in an infection that will have an impact upon the amputation. One of the antimicrobial wound dressing in the treatment of ulcus diabetic is chitosan. Therefore, this report aims to assess the effectivity of the usage of chitosan gel as a primary dressing for epithelial progression in diabetic ulcer at the wound care clinic of ETN Center, Makassar. Methods, this study was conducted on one patient, a female, 38 years old with random blood glucose 239 mg/dl. The wound occurred in April 2019, the wound has been experienced about three months and then followed prospectively starting 8th July until 1st August 2019 with 8 treatments. Treating the wound uses chitosan gel as a primary dressing and looks at the development process of the wound, especially the progress of the epithelium using the modified Bates-Jansen Wound Assessment Tool. Results, the comparison of treatment results using chitosan in the first and eighth treatments (25 days) respectively slough 10% and 5%, granulation 75% and 60%, and epithelialization 15% and 35%. While the size of the wound 41 x 17 cm to 32 x 13 cm. Conclusion, chitosan gel as a primary dressing plays an important role in helping the wound healing process as indicated by an increase in epithelium and reduction in wound size.
Penggunaan Dressing Alternatif Pada Luka Kaki Diabetik Meningkatkan Residu Klorin Yusuf, Bahtiar; Tahir, Takdir; Erika, Kadek Ayu; Yuliati, Yuliati
Window of Health : Jurnal Kesehatan Vol. 3 No. 3 (Juli, 2020)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33368/woh.v0i0.264

Abstract

The use of old modern dressings cost a lot, so wound practitioners use alternative dressings (sanitary napkins). Identify the use of alternative dressings for chlorine residues and the process of healing diabetic foot injury (LKD). Quasi experimental research design with one group pre and post approach, 10 samples were intervened with alternative pads in the form of sanitary napkins used after wound care. Sanitary pads are used on one wound for a type of dressing based on the area of ​​the wound. Intervention for 12 days with dressing changes per 2 days. Examination of residual chlorine (Spectrophotometry UV-Vis) based on the wound with swab techniques on days 1, 6 and 12, while the healing process with a standard instrument that is Diabetis Foot Ulcer Assessment Scale (DFUAS). Chlorine residues of days 1, 6 and 12 were 0.6837, 2.4477 and 2.7927 ppm with p = 0.001. The average DFUAS scores of days 1, 6 and 12 are 29.6, 27.7 and 24.6 with p = 0.005. Thus a significant increase in residual chlorine at the wound bed but DFUAS scores continued to decline. An increase in chlorine residue on days 6 and 12 of treatment using alternative dressings of sanitary napkins and DFUAS scores decreased. It is recommended for wound practitioners to evaluate Diabetic Foot Injuries when using alternative dressings (sanitary napkins).
Co-Authors Abdul Majid Ade Irma Rahayu, Ade Irma Ade Irma Suryani Afelya, Titi Iswanty Ahmad Mushawwir Ahmar, Hamdiah Ake, Julianus Alfian Mas'ud Alia Andriany Alia Andriany Andriany, Alia Anita Rosman Ardiansyah Rasyid Ariyanti Saleh Awal Darmawan Ayu Hartina Bahriah, Bahriah Bahtiar Yusuf Dian Ika Pertiwi Elieser Toding Mendila Elly Lilianty Sjattar Erfina Erfina Erwin Purwanto Fatamorgana Abdullah Fatimah Farah Nur Suci Shabir Fitria Amrullah Fitriani Sangkala Gala, Merry Hade, Nurwahidah Hade, Nurwahidah Harisa, Akbar Harni Harniati Hasanuddin Nuru Hasanuddin Nuru Hasriyani Hasriyani Hasriyani Hasriyani, Hasriyani Huddu, Risma I Kade Wijaya Ilhamjaya Patellongi Ilkafah Ilkafah, Ilkafah Irwan, Andi Masyitha Iskandar Zulkarnaen Ita Sulistiani Jannah, Uyunul Jarman Jarman Julianus Ake Julianus Ake Kadek Ayu Erika Kadek Ayu Erika Kadek Ayu Kadek Ayu Kadek Erika Kasmawati Khoirul Anam Krismayanti Kusrini Kadar Kusrini S. Kadar Kusrini Semarwati Kadar Lande'eo, Imelda Olviana Lestari, Ima Mustika Tri Lilian Arifka Juli Abdullah M. Alfian Rajab Makbul Aman, Makbul Maria Jeinny Regar Maryunis Maryunis Mas’ud, Alfian Midawati Djafar Moh Gifari S Moh Gifari S Muhammad Adjiz Zuhri Muhammad Hidayat Muhammad Idhan Muhrawi Yunding Musdalifah Musdalifah Musdalifah Musdalipah Musdalipah Najihah Najihah, Najihah Nofita Tudang Rombeallo Nur Febrianti Nur Isriani Nur Khalid Nurawaliah Rasyid Nurbaya Nurbaya Nurfadhila Nurfadhila Nurfiah, Nurfiah Nurhaya Nurdin Nurmaulid Nurmaulid Nurpa Masahude, Tendri Mariadjeng Nurwahidah Nurwahidah Nurwahidah Nurwahidah Paridah Paridah Putri, Egi Trisnayanti Ramla Wati Rasyid, Nur Awaliah Reni Astuti Risnah Risnah, Risnah Rosman, Anita Rosyidah Arafat, Rosyidah S, Moh Gifari Saldy Yusuf Saldy Yusuf Saldy Yusuf Sitti Rahmatiah Sitti Salmawati Sjattar, Elly L. Sri Bintari Rahayu Rahayu Sri Wahyuni Yunus Kanang Sriwahyuni Sriwahyuni Sriwahyuni St Syahriyani Suaib Suaib Suhirman Suhirman Sulistiani, Ita Suprataba Suprataba Suryadi Suryadi Suwardha Yunus Syahrul Ningrat Syahrul Ningrat Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul, Syahrul Syakib Bakri Syam, Yuliana Syam, Yuliana Tawil, Selviana Thalib, Abdul Titi Iswanty Afelya Upik A. Miskad, Upik A. Uyunul Jannah Uyunul Jannah Wafiq Aulia Ramadhani Wijaya, I Kade Yacoline Pailungan, Ferly Yodang Yodang Yuliana Syam Yuliana Syam Yuliati - Yuliati Yuliati Yusuf, Bahtiar