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Empowering Natural Medicine: Combining Brotowali Extract (T.Crispa) with Lampung Natural Zeolite to Improve Diabetic Wound Healing Mulyati, Lia; Wulandari, Afni; Devi, Fitria Kusuma; Rahayuningrat, Nurunnisa
IJNP (Indonesian Journal of Nursing Practices) Vol 8, No 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.19586

Background: Diabetic ulcers are a serious complication that often occurs in people with diabetes mellitus. The complication leads to amputation and causes disability in about 30% of patients.Objective: The study aims to test the effectiveness of an ointment formulation containing brotowali extract with a combination of Lampung natural zeolite (ZAL) in the healing process of diabetic ulcers.Methods: The research method used is quasi-experimental with a control group. The sample of this study used mice, with a total of 6 in each group. Before the intervention, blood sugar levels in the samples were increased by injecting streptozotocin. The study was conducted for 14 days. The Mann-Whitney test was used to analyze the data obtained.Results: The results showed a significant difference in the percentage of wound closure between the control group and the intervention group with p=0.002.Conclusion: Based on these findings, it can be concluded that an ointment formulation containing brotowali extract with a combination of ZAL effectively accelerates the wound healing process in diabetic mice. Brotowali extract ointment with a combination of Lampung natural zeolites can be used as an alternative in wound care for patients with diabetes mellitus based on herbs and local wisdom so that it will be more easily accepted in the community.

The Application Of Medication And Strategies For The Implementation Of Hallucinations In Tn. S (Terra Neutral Separated) With A Nursing Diagnosis Of Sensory Perception Disorders (Hallucinations) Risdiyanto, Nugeraha; Wahyuni, Uni; Wulandari, Afni; Nur Azmi, Nadila; Puspita Sari , Melati
Indonesian Health Journal Vol. 3 No. 3 (2024): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v3i3.562

Hallucinations are sensory perception disorders that attack the five senses, where a person perceives an object or image and thoughts that do not occur or are not real. Hallucinations include sound, sight, taste, touch, or smell sensations without real stimulus. Treatment for patients with hallucinations is by identifying the type of hallucination, applying medication, and implementing strategies to distract or overcome the hallucinations experienced. The objectives of this study include (1) Describing problems regarding sensory perception disorders and (2) Describing and implementing nursing care in cases of mental disorders with a medical diagnosis of schizophrenia at Soerojo Hospital Magelang. This study uses a qualitative approach with case studies as the primary method, using observation sheets, interviews, and documentation studies. The subject of this study used one patient, Mr S, who had a nursing diagnosis of sensory perception disorders at RSD Soerojo Hospital Magelang. Nursing care for patient Mr S with a diagnosis of sensory perception disorder (hallucinations) in this case showed success as indicated by the signs and symptoms experienced by the patient decreasing. After four days of intervention, the patient was able to overcome hallucinations by scolding, interacting with the surrounding environment, and taking care of himself by bathing and dressing more neatly.

Pengaruh salep formulasi ekstrak brotowali dengan kombinasi zeolite alam lampung terhadap penyembuhan ulkus diabetik Wulandari, Afni; Rahayuningrat, Nurunnisa; Kusuma Devi, Pitria; Mulyati, Lia; Hermansyah, Heri
Jurnal Praktik Dan Pendidikan Keperawatan Vol 4 No 1 (2023): Journal of Nursing Practice and Education
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jnpe.v4i1.836

Latar Belakang: Komplikasi ini dapat menyebabkan amputasi dan kecacatan pada sekitar 30% penderita. Penelitian ini bertujuan untuk mengevaluasi pengaruh salep formulasi ekstrak brotowali dengan kombinasi zeolite alam Lampung (ZAL) terhadap penyembuhan ulkus diabetikum.Metode: Penelitian ini merupakan penelitian quasi eksperimen, one grup pre-post test, sampel penelitian adalah mencit berumur 2-3 bulan dengan BB 25-40 gram sebanyak 12 ekor yang sudah di suntik streptozotocin untuk membuat kondisi hiperglikemi. Hasil pengamatan di analisis dengan menggunakan tendensi central untuk data univariat dan uji wilcoxon untuk bivariat.Hasil: Menunjukkan adanya perbedaan signifikan pada luas luka sebelum dan setelah dilakukan perawatan dengan menggunakan salep ekstrak brotowali dengan kombinasi zeolite alam Lampung. Rata-rata luas luka sebelum perawatan adalah 1.00 mm dengan standar deviasi 0.16, sedangkan setelah perawatan luas luka menurun menjadi 0.02 mm dengan standar deviasi 0.03. Hasil analisis bivariat didapatkan p value 0.002 dengan mean negatif rank 6.50.Kesimpulan: Penggunaan salep ekstrak brotowali dengan kombinasi ZAL secara efektif berkontribusi dalam penyembuhan luka diabetes pada ulkus diabetikum.

Empowering Natural Medicine: Combining Brotowali Extract (T.Crispa) with Lampung Natural Zeolite to Improve Diabetic Wound Healing Mulyati, Lia; Wulandari, Afni; Devi, Fitria Kusuma; Rahayuningrat, Nurunnisa
IJNP (Indonesian Journal of Nursing Practices) Vol. 8 No. 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.19586

Background: Diabetic ulcers are a serious complication that often occurs in people with diabetes mellitus. The complication leads to amputation and causes disability in about 30% of patients.Objective: The study aims to test the effectiveness of an ointment formulation containing brotowali extract with a combination of Lampung natural zeolite (ZAL) in the healing process of diabetic ulcers.Methods: The research method used is quasi-experimental with a control group. The sample of this study used mice, with a total of 6 in each group. Before the intervention, blood sugar levels in the samples were increased by injecting streptozotocin. The study was conducted for 14 days. The Mann-Whitney test was used to analyze the data obtained.Results: The results showed a significant difference in the percentage of wound closure between the control group and the intervention group with p=0.002.Conclusion: Based on these findings, it can be concluded that an ointment formulation containing brotowali extract with a combination of ZAL effectively accelerates the wound healing process in diabetic mice. Brotowali extract ointment with a combination of Lampung natural zeolites can be used as an alternative in wound care for patients with diabetes mellitus based on herbs and local wisdom so that it will be more easily accepted in the community.

Asuhan Keperawatan Pada Tn. A Dengan Diagnosa Congestive Heart Failure (CHF) Di Ruang Igd Rumah Sakit Daerah Gunung Jati Kota Cirebon Puspita Sari, Melati; Wahyuni, Uni; Nur Azmi, Nadila; Wulandari, Afni; Risdianto, Nugeraha
MEJORA Medical Journal Awatara Vol 2 No 3 (2024): Juli
Publisher : Awatara Publisher

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

Congestive Heart Failure (CHF) is a medical condition in which the heart is unable to pump enough blood to meet the oxygen and nutrient requirements of all body tissues. CHF risks deviations in basic human needs such as ineffective airway clearance, decreased cardiac output, hypervolemia, and others. Patients with CHF became the second largest cause of death in Indonesia in 2019 after stroke, with a doctor-diagnosed prevalence of 1.5% or 1,017,290 residents. The purpose of this case study is to provide nursing care to patients with a diagnosis of CHF. Using a qualitative approach with case studies as the main method, using observation sheets, interviews, and documentation studies. The case study took a patient as the subject of study, namely a patient with a diagnosis of CHF in the Emergency Room, Gunung Jati Hospital, Cirebon City. Nursing care management is based on meeting the needs of patients carried out in 1x5 hours. The results of the case study showed that after being given nursing care there was an increase in the effectiveness of airway clearance, increased cardiac output, and improved fluid balance. The conclusion is that nursing care is effective for CHF patients in meeting patient needs.

Asuhan Keperawatan Pada Pasien Tn. T Dengan Diagnosa Medis Stroke Hemoragik Nur Azmi, Nadila; Wahyuni, Uni; Wulandari, Afni; Puspitasari, Melati; Risdiyanto, Nugeraha
MEJORA Medical Journal Awatara Vol 2 No 3 (2024): Juli
Publisher : Awatara Publisher

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

Hemorrhagic stroke is caused by bleeding into the brain tissue (intracerebral hemorrhage) and the space around the brain. This condition causes sufferers to experience sudden severe headaches, decreased level of consciousness, increased intracranial pressure, and neurological deficits such as hemiplegia, hemiparesis, aphasia, and apraxia. The aim of this study was to describe nursing care for Mr. T patients with a medical diagnosis of hemorrhagic stroke in the Teratai room at Waled Hospital, Cirebon Regency. This type of research uses a qualitative approach with case studies as the main method. The subject is Mr. T. The case study was conducted in the Teratai Room at Waled Hospital, Cirebon Regency from 30 November 2023 to 02 December 2023. The data collection methods used were through observation, interviews and analysis of documents such as patient medical records. The nursing problems that arise in this case are ineffective breathing patterns, decreased intracranial adaptive capacity, impaired physical mobility, risk of impaired skin/tissue integrity. The conclusion of the research was that after 3 days of treatment, the nursing problem of ineffective breathing patterns, decreased intracranial adaptive capacity, and impaired physical mobility had not been resolved so the intervention was still continued, while the nursing problem of risk of skin/tissue integrity disorders was partially resolved so that the intervention was still continued as stated. has been planned.

The Application Of Medication And Strategies For The Implementation Of Hallucinations In Tn. S (Terra Neutral Separated) With A Nursing Diagnosis Of Sensory Perception Disorders (Hallucinations) Risdiyanto, Nugeraha; Wahyuni, Uni; Wulandari, Afni; Nur Azmi, Nadila; Puspita Sari , Melati
Indonesian Health Journal Vol. 3 No. 3 (2024): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v3i3.562

Hallucinations are sensory perception disorders that attack the five senses, where a person perceives an object or image and thoughts that do not occur or are not real. Hallucinations include sound, sight, taste, touch, or smell sensations without real stimulus. Treatment for patients with hallucinations is by identifying the type of hallucination, applying medication, and implementing strategies to distract or overcome the hallucinations experienced. The objectives of this study include (1) Describing problems regarding sensory perception disorders and (2) Describing and implementing nursing care in cases of mental disorders with a medical diagnosis of schizophrenia at Soerojo Hospital Magelang. This study uses a qualitative approach with case studies as the primary method, using observation sheets, interviews, and documentation studies. The subject of this study used one patient, Mr S, who had a nursing diagnosis of sensory perception disorders at RSD Soerojo Hospital Magelang. Nursing care for patient Mr S with a diagnosis of sensory perception disorder (hallucinations) in this case showed success as indicated by the signs and symptoms experienced by the patient decreasing. After four days of intervention, the patient was able to overcome hallucinations by scolding, interacting with the surrounding environment, and taking care of himself by bathing and dressing more neatly.

PENGARUH PEMBERIAN IMUNISASI DPT TERHADAP SUHU TUBUH BAYI PADA USIA 3- 12 BULAN DI PUSKESMAS SIATAS BARITA TAHUN 2023 Nababan, Tiarnida; Destaria, Agitha; Wulandari, Afni; Bancin, Adelina; Agustina, Agustina
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i1.25161

Imunisasi merupakan salah satu upaya preventif dalam mencegah penyakit sejak dini. Dimana bayi yang baru lahir memiliki imunitas yang belum sempurna sehingga akan meningkatkan resiko terjadinya infeksi. Salah satu imunisasi yang wajib diberikan pada bayi adalah DPT yang dapat mencegah penyakit difteri dan tetanus. Jika bayi terinfeksi penyakit tersebut, maka berisiko tinggi mengalami gangguan tumbuh kembang yang dapat mengakibatkan kematian. Namun imunisasi akan menimbulkan efek samping berupa demam pada bayi karena adanya proses pembentukan antibodi, sehingga bayi akan cenderung rewel saat setelah imunisasi. Tujuan dari penelitian ini adalah untuk mengetahui apakah ada pengaruh pemberian imunisasi terhadap kenaikan suhu tubuh bayi. Metode penelitian ini menggunakan desain eksperimen dimana variabel yang diteliti adalah imunisasi DPT sebagai variabel bebas dan peningkatan suhu tubuh. Populasi dalam penelitian ini adalah bayi yang mendapat imunisasi DPT sebanyak 30 bayi dengan teknik pengambilan sampel menggunakan metode cocecutive sampling. Instrumen yang digunakan adalah lembar observasi KMS bayi dan termometer. Peneliti melakukan analisis bivariat menggunakan uji berpasangan, menggunakan taraf signifikansi 95% atau dengan p-value ratio a = 0,05. Hasil penelitian diketahui bahwa ada pengaruh imunisasi DPT terhadap kenaikan suhu tubuh bayi diperoleh p-value yaitu 0,000 sehingga dapat disimpulkan bahwa p-value 0,000 < (0,05) dengan demikian Ha diterima. Diharapkan ibu tetap memberikan imunisasi kepada bayinya agar bayi terhindar dari infeksi penyakit dan dapat tumbuh dan berkembang secara optimal.

Intervention of Providing Iron Consumption Education to Prevent the Risk of Bleeding in Mrs. I Spontaneous Postpartum with Anemia Wulandari, Afni; Wahyuni, Uni; Risdiyanto, Nugeraha; Nur Azmi, Nadila; Puspita Sari, Melati
Al Makki Health Informatics Journal Vol. 2 No. 2 (2024): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v2i2.24

Postpartum hemorrhage is one of the leading causes of 150,000 maternal deaths each year worldwide, and nearly 4 out of 5 such deaths occur within 4 hours of delivery. One of the factors that can cause postpartum hemorrhage is the presence of anemia in pregnant women, which can be caused by iron and vitamin B12 deficiency. If anemia is not treated during pregnancy, it can impact the postpartum period by increasing the risk of uterine atony and significant bleeding. The purpose of this study was to explain nursing care in postpartum mothers with anemia using an educational intervention of iron consumption to prevent postpartum hemorrhage. The research method used is a qualitative approach with case studies as the main method, using observation sheets, interviews, and documentation studies. The subject of this study was one postpartum maternal patient with anemia at RSUD Waled Cirebon. The results of the case study showed clinical success in the absence of signs and symptoms of bleeding, improvement in the mother's condition, although breast milk expenditure was still not optimal. The implication of this study is that effective nursing care delivery can meet patient needs and prevent further complications such as postpartum hemorrhage.

Analisis Yuridis Penghentian Tambahan Penghasilan Pegawai (TPP) di RSUD Padang Panjang dalam Perspektif Hukum Administrasi Negara Wulandari, Afni; Fatimah, Siti; Fitrisia, Azmi
Jurnal Administrasi Pemerintahan Desa Vol. 7 No. 1 (2026): Maret
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/villages.v7i1.369

Penelitian ini bertujuan untuk mengkaji legalitas, kewenangan, serta penerapan Asas-Asas Umum Pemerintahan yang Baik (AUPB) dalam tindakan administratif penghentian TPP oleh pemerintah daerah atau instansi terkait. Kebijakan penghentian TPP merupakan tindakan administrasi yang berdampak langsung pada hak kepegawaian dan tata kelola organisasi, sehingga perlu dianalisis secara komprehensif berdasarkan prinsip-prinsip Hukum Administrasi Negara. Penelitian ini menggunakan metode literatur review dengan menelaah berbagai sumber hukum, seperti undang-undang kepegawaian, peraturan tentang TPP, keputusan kepala daerah, literatur Hukum Administrasi Negara, jurnal ilmiah, serta penelitian terdahulu yang berkaitan dengan kebijakan kepegawaian dan tindakan administratif pemerintah. Hasil kajian menunjukkan bahwa penghentian TPP merupakan bagian dari kewenangan atributif pemerintah daerah, tetapi pelaksanaannya harus memenuhi unsur legalitas formal, prosedural, dan material. Berdasarkan analisis literatur, masih ditemukan potensi permasalahan administratif apabila penghentian TPP dilakukan tanpa dasar hukum yang jelas, tanpa sosialisasi yang memadai, atau tanpa memperhatikan asas kepastian hukum, keterbukaan, dan proporsionalitas.

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