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Identifikasi Jenis Bakteri pada Luka Kaki Diabetik berdasarkan Penyebab Luka di Rumah Perawatan Luka dan Poliklinik Luka di Kota Makassar Nurwahidah Nurwahidah; Saldy Yusuf; Takdir Tahir
Jurnal Kesehatan Manarang Vol 4 No 2 (2018): Desember 2018
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v4i2.70

Abstract

The high incidence of Diabetes Mellitus (DM) causes increased complications associated with DM. One is the Diabetic Foot Ulcer (DFU). Delayed healing in DFU is usually caused by infection. The infection of DFU contains many gram negative (-) and gram positive (+) bacteria, so it is important. To identify the type of bacteria present on the DFU based on the cause. This was an experimental cross sectional study conducted at ETN Center, Griya Afiat, Avaro, Isam Cahaya, RSUP DR. Wahidin Sudirohusodo Makassar and Microbiology Laboratory Hospital Unhas Makassar. There were 29 respondents who met the inclusion criteria. Specimens of wound fluid were taken by swabbing technique. The specimen was inoculated on NA (Nutrient Agar) and MCA (MacConcey Agar) then incubated at 37 ° C for ± 18-24 hours to see bacterial morphology. If a gram negative bacteria (-) is tested biochemically by bacteria is grown on TSI (Tripple Sugar Iron), SIM (Indole Motility Sulfide), citrate urea, kovacks. As for gram positive bacteria (+) in MSA medium (Manitol Salt Agar), catalase (H2O2), incubated for 18-24 hours at 37 ° C, record the results of identification and match the bacterial identification table based on gram properties. Based on morphological test, 29,5% gram negative (-) and Gram positive (+) bacteria were 8.8% in traumatic LKD, with the dominant gram negative (-) species being proteus vulgaris (8.8%) and staphylococcus aureus 8.8%) in the gram bacteria (+). While for non trauma LKD found gram negative bacteria (-) as much as 58.8% and gram positive bacteria (+) 2.9% with the dominant type of bacteria are S.Aureus (2.9%) and P. Mirabilis (17.6%) for gram negative bacteria (-). Identification of bacteria in DFU caused by trauma and non trauma is dominant gram negative bacteria (-). Further research is expected to identify the type of bacteria based on the Wagner and sensitivity of the bacteria.
Interrater Reliability dan Internal Consistency Pengkajian Luka Kaki Diabetik The New Diabetic Foot Ulcer Assessment Scale (DFUAS) Berbasis Foto Nurawaliah Rasyid; Saldy Yusuf; Takdir Tahir
Jurnal Kesehatan Manarang Vol 5 No 1 (2019): Juli 2019
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v5i1.82

Abstract

Diabetic foot ulcers have a high prevalence that requires good management of care. One of them is by assessing diabetic foot wounds. Currently, there has been a review of diabetic foot healing footage of New Diabetic Foot Ulcer Assessment Scale (DFUAS) which has been tested for validity and photo-based reliability. Nevertheless, in the DFUAS Assessment Reliability Test, there are still differences in perceptions on several DFUAS assessment variables on wound nurses. One reason is that there is no socialization given to the wound nurses on how to assess the DFUAS assessment. In addition, the previous DFUAS assessment reliability test is only performed on certified wound nurses whereas in health care services in patients with diabetic foot injuries are also performed by non-certified general nurses. This study aims to assess the interrater reliability and internal consistency of DFUAS-based on photo assessment on expert nurses and general nurses. The design of this study was cross sectional study. The samples in this study were certified nurses with ETN, CWCC, CWCCA and general non-certified Nurses with more than 2 years experience of wound care. The nurse as an observer evaluated 8 wounded images divided according to the wound stage (necrotic, slough, granulation and epithelial) using DFUAS assessment. Interrater reliability was assessed by spearman rho while internal consistency was assessed by cronbach's alpha. Interrater reliability shows good correlation with spearman rho> 0.60. Internal consistency shows good reliability between DFUAS assessment items and Cronbach's alpha 0.98. This study shows that the DFUAS assessment is reliable on different nurses both certified nurses and general nurses.
Penggunaan Dressing Alternatif Pada Luka Kaki Diabetik Meningkatkan Residu Klorin Bahtiar Yusuf; Takdir Tahir; Kadek Ayu 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

Abstract

Penggunaan dressing modern yang lama membutuhkan biaya yang besar, sehingga praktisi luka menggunakan dressing alternatif (pembalut wanita). Mengidentifikasi penggunaan dressing alternatif terhadap residu klorin dan proses penyembuhan Luka Kaki Diabetik (LKD). Desain penelitian quasi eksperimental dengan pendekatan one grup pre dan post, 10 sampel diintervensi dengan pembalut alternatif berupa pembalut wanita yang digunakan setelah perawatan luka. Pembalut digunakan pada satu luka untuk satu jenis pembalut yang berdasarkan luas luka. Intervensi selama 12 hari dengan penggantian balutan per 2 hari. Pemeriksaan residu klorin (SpectrophotometryUV-Vis) didasar luka dengan teknik swab dihari 1, 6 dan 12, sedangkan proses penyembuhan dengan instrument baku yaitu Diabetis Foot Ulcer Assesment Scale (DFUAS). Residu klorin hari 1, 6 dan 12 yaitu 0.6837, 2.4477 dan 2.7927 ppm dengan nilai p=0.001. Skor rata-rata DFUAS hari 1, 6 dan 12 adalah 29.6, 27.7 dan 24.6 dengan nilai p=0.005. Dengan demikian peningkatan signifikan residu klorin pada dasar luka namun skor DFUAS tetap menurun. Terjadi peningkatan residu klorin pada hari 6 dan 12 perawatan dengan menggunakan dressing alternatif jenis pembalut wanita dan skor DFUAS menurun. Disaranakan bagi praktisi luka untuk mengevaluasi Luka Kaki Diabetik pada saat penggunaan dressing alternatif (pembalut wanita).
The Effectivity of Chitosan Usage on The Improvements of Epithelialization in Diabetic Wounds Regio Anterior Cruris Dorsalis Pedis Sinistra A Case Report Uyunul Jannah; Moh Gifari S; Takdir Tahir; Saldy Yusuf
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.
Application of Cadexomer Iodine Powder to Minimize Biofilms in Diabetic Foot Ulcer Patients (DFU) at Griya Afiat Wound Care Clinic Case Report Moh Gifari S; Uyunul Jannah; Takdir Tahir; Saldy Yusuf
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.
Analisis Pelaksanaan Pendelegasian Kewenangan Klinis Perawat di Rumah Sakit Sitti Rahmatiah; Takdir Tahir; Kadek Ayu Erika
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6714

Abstract

This literature review aims to summarize the results of research regarding the implementation of delegation of clinical authority to nurses in hospitals. Literature search using five databases PubMed, ProQuest, ScienceDirect, Google Scholar and Wiley in the period 2013-2023. Nine studies were included in the review, where the effectiveness of the implementation of delegation of nursing authority could be hampered by three factors: 1) practice standards and policies (clarity of delegation standards, clarity of nurses' duties, transparent supervision); 2) delegation (delegator's fear of responsibility, burdensome delegation tasks, accountability, recognition of the delegate's efforts, education and learning opportunities, expertise, lack of positive incentives, communication and openness of information, trust); 3) situational obstacles (lack of resources, workload and fatigue, important tasks that are difficult to delegate). In conclusion, there are three factors inhibiting the effectiveness of delegation, namely: practice standards and policies, delegation, and situational obstacles. Keywords: Delegation, Clinical Authority, Implementation, Nurse, Hospital
Pendidikan Kesehatan Berbasis Budaya pada Orang dengan Diabetes Mellitus: Sebuah Scoping Review Nurfadhila Nurfadhila; Kusrini Semarwati Kadar; Takdir Tahir
Jurnal Kesehatan Komunitas Vol 9 No 2 (2023): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol9.Iss2.1467

Abstract

Self-management health education is considered an important element of treatment for all people with diabetes and those at risk of developing T2DM. A wide variety of diabetes self-management education (DSME) interventions are available in high-attenuation countries, whereas limited information on culture-based health education exists in Asian countries. The purpose of this scoping review is to map culture-based health education in terms of strategies, outcomes, and action interventions to improve health outcomes and adherence of people with diabetes mellitus. The PRISMA (preferred reporting items for systematic review and meta-analysis) method was used at all stages of the review. The databases used in this study were Medline (OVID), Pubmed, ProQuest, CINAHL, Scopus, Inform it Data, and Web of Science from 2010 to 2022. A manual search of the database yielded 197 pieces of data; 11 full-text included for review. Three forms of cultural integration in health education include using dual language (Spanish and English) ​​in the delivery of health education, creating guidelines books and questionnaires in local languages, and creating and modifying diabetes self-management programs or interventions that are adapted to local culture, for example by using food samples consumed. every day by the tribe. The conclusion of this study is that the development of family and culturally supported diabetes interventions integrated with health education is an integral part of maintaining self-management behavior and improving health outcomes for patients with T2DM.
Studi Literatur: Manfaat Cream Topical Extract Hylocereus Polyrhizus 7,5 % pada Penyembuhan Luka Sriwahyuni Sriwahyuni; Takdir Tahir; Yuliana Syam
Jurnal Kesehatan Manarang Vol 4 No 2 (2018): Desember 2018
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v4i2.73

Abstract

Wound healing is a complex physiological response from living systems for physical, chemical, mechanical or thermal injury, where cells and matrix components act in rhythm to facilitate wound regeneration and restore tissue integrity. The skin is a complex organ consisting of the epidermis, dermis, and complementary skin, including hair follicles and sebaceous glands besides that the skin is also known as the largest organ in the body and plays several important roles ranging from regulating temperature, preventing infection and also a very dynamic organ which continually replaces cells, the depth of damage to the skin, both superficial and partial, can affect the length and amount of use of wound dressing material so that wound healing requires an appropriate environment and skill ability in selecting topical dressings to improve the healing process that is suitable for each type wounds, the right and innovative healing stage is estimated to heal within 2-8 weeks. This literature study aims to determine the benefits of topical cream extract of hylocereus polyrhizus 7.5% on wound healing. Search was done using pubMed, cochrane, google scholar and secondary search data published from 1990 to 2017. 7.5% red dragon fruit (EBNM) contains antioxidants, flavonoid phlyphenols which can increase collagen synthesis in wound healing besides seeds dragon fruit is able to relieve flasks and keep the skin moisture smooth due to the content of linoleic acid. Every 1 gram of Red Dragon Fruit contains 8.3 mg of total flavonoids and 10.8 mg of total phenol. Red Dragon Fruit (BNM) with high fiber, low in calories, and rich in antioxidants. Red Dragon Fruit Extract (EBNM) 7.5% is better at repairing granulation tissue and epithelial tissue, so it has the potential to be used as a wound healing therapy.
HUBUNGAN EVALUASI HASIL TRY OUT UJI KOMPETENSI NERS BERDASARKAN TINJAUAN BLUE PRINT DENGAN PREDIKSI KELULUSAN PESERTA DALAM UJI KOMPETENSI NERS Lestari, Ima Mustika Tri; Tahir, Takdir; Sjattar, Elly L.
Jurnal Berita Kesehatan Vol 16 No 1 (2023): JUNI 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Gunung Sari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58294/jbk.v16i1.112

Abstract

Uji Kompetensi merupakan proses pengukuran pengetahuan, keterampilan, dan perilaku peserta didik pada perguruan tinggi yang menyelenggarakan pendidikan tinggi bidang Kesehatan. Tujuan dilaksanakannya uji kompetensi untuk mencapai standar kompetensi lulusan yang memenuhi standar kompetensi kinerja, yang dalam hal ini adalah kompetensi Ners generalis. Tujuan penelitian ini melakukan identifikasinya hubungan evaluasi hasil try out uji kompetensi ners berdasarkan tinjauan blue print dengan prediksi kelulusan peserta dalam uji kompetensi ners di Regional Sulawesi. Metode penelitian menggunakan penelitian kuantitatif asosiatif, dengan pendekatan cross sectional. Dari total tinjauan yang ada, penelitian ini mengukur tinjauan 1 dan 2. Penelitian ini dilaksanakan di Institusi Pendidikan Tinggi Ners Regional Sulawesi. Populasi dalam penelitian ini adalah institusi perguruan tinggi ners di regional Sulawesi. Berdasarkan jumlah sampel dalam penelitian adalah 15 institusi perguruan tinggi ners. Pengukuran menggunakan lembar observasi dengan melihat hasil pengumuman ujian yan dikeluarkan Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI). Hasil uji statistik dengan menggunakan uji pearson diperoleh nilai p = 0,075 yang artinya lebih besar dari α (0,05). Dengan demikian kesimpulan pada penelitian ini . Berarti tidak ada hubungan blueprint pada tinjauan 1 dan 2 dengan prediksi kelulusan peserta dalam uji kompetensi ners di Regional Sulawesi
PENGGUNAAN CHLORHEXIDINE UNTUK PEMASANGAN DAN PERAWATAN KATETER URIN DALAM MENCEGAH CAUTI: A SCOPING REVIEW Rajab, M Alfian; Tahir, Takdir; Yusuf, Saldy; Risnah, Risnah
Jurnal Kesehatan Vol 16 No 2 (2023): : JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v16i2.28272

Abstract

Prevention of catheter-associated urinary tract infections (CAUTI) can be done with simple initiatives such as catheter insertion and care can contribute to preventing infection, chlorhexidine is one of the commonly used antiseptic agents due to its cationic molecular nature with various antimicrobial activities, however, until now the choice of the concentration of the use of chlorhexidine is still a polemic in its use. Therefore, the aim of this review is to evaluate the use of chlorhexidine before urinary catheter insertion and treatment in preventing CAUTI. Manual reference searches were carried out using the scoping review method, through the PubMED, DOAJ, Science direct, EBSCO, ProQuest, Garuda, and Gray Literature databases (google scholar). The study was included based on PCC criteria (Population: patients with urinary catheters, Concept: Chlorhexidine use, Context: urinary catheter insertion and care), published from 2011-2021. A total of 171 studies were screened, the remaining eleven articles that met the inclusion criteria and were included in this review. Based on the results of the study found the use of Chlorhexidine with various concentrations, namely 0.05%, 0.1%, 0.5%, 0.9%, 2%, and 4% with various intervention uses, namely, SRV (sustained-release varnishes), periurethral cleaning before catheterization , cleaning urine bag, and bathing Chlorhexidine. The application of the use of chlorhexidine with a concentration of 0.5% - 4% is one of the strategies to prevent CAUTI at the time of insertion and treatment of urinary catheters, especially in the intensive care room.
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 Musdalipah 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