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All Journal The Journal of Palembang Nursing Studies Jurnal Keperawatan 'Aisyiyah
Putri Noor Kholisoh Purnama Wati
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Health Professions Medicine & Pharmacology Nursing Public Health Other

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Zinc oxide–chitosan dressing for grade IV pressure ulcers post-debridement with complications: A case report Putri Noor Kholisoh Purnama Wati; Nursiswati; Hasniatisari Harun
The Journal of Palembang Nursing Studies Vol. 3 No. 3 (2024): September 2024
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns138

Abstract

Background: Pressure ulcers require appropriate management to prevent complications and reduce mortality. Several factors can delay wound healing, including diabetes mellitus, malignancies, inadequate nutrition, hypoalbuminemia, anemia, and immobility. Therefore, selecting the appropriate wound dressing is crucial. Zinc oxide and chitosan dressings have been shown to enhance wound healing and promote tissue epithelialization.Objective: To evaluate the outcomes of zinc oxide and chitosan dressing application in a patient with a grade IV pressure ulcer following surgical debridement and presenting with multiple complicating factors.Case: This case study involved the application of zinc oxide and chitosan dressings in a patient with a grade IV pressure ulcer post-surgical debridement. During the first month, the treatment was combined with antimicrobial dressings. Dressings were changed every 2 to 3 days. Ulcer severity was assessed using the National Pressure Ulcer Advisory Panel criteria, and healing progress was measured with the Pressure Ulcer Scale for Healing.Conclusion: The pressure ulcer showed progressive improvement over 8 months. However, complete healing was not achieved due to several complicating factors that delayed the healing process, including comorbidities, immobility, inadequate nutrition, urinary catheter use, the severity of the ulcer, anemia, and hypoalbuminemia
Self-Care Profile pada Pasien Hipertensi Putri Noor Kholisoh Purnama Wati; Nursiswati, Nursiswati; Eka Afrima Sari
Jurnal Keperawatan 'Aisyiyah Vol. 11 No. 1 (2024): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33867/f7nhr503

Abstract

Hipertensi merupakan penyakit yang dapat menyebabkan kerusakan pada organ vital dan bahkan dapat mengancam jiwa. Hipertensi perlu dikontrol secara rutin untuk mencegah komplikasi yaitu dengan menerapkan self-care. Self-care profile terdiri dari tiga domain yaitu motivasi, self-efficacy, dan perilaku self-care. Tujuan penelitian ini yaitu mengetahui gambaran motivasi, self-efficacy, dan perilaku self-care pada pasien hipertensi. Jenis penelitian ini yaitu deskriptif kuantitatif. Sampel dalam penelitian ini sebanyak 219 responden yang diambil menggunakan teknik purposive sampling. Kriteria inklusi yaitu pasien hipertensi dengan kondisi umum baik, mampu berkomunikasi, membaca, dan menulis dengan baik. Instrumen yang digunakan yaitu High Blood Pressure Self-Care Profile (HBP-SCP). Hasil penelitian menunjukkan rata-rata usia responden yaitu 57,38 tahun, mayoritas berjenis kelamin perempuan (79%), dan pendidikan terakhir SD (40,2%). Domain motivasi, self-efficacy, dan perilaku self-care tergolong dalam kategori sedang. Skor rata-rata pada domain motivasi 55,35, kemudian diikuti skor domain self-efficacy 51,37 dan skor domain perilaku self-care 48,56. Hal ini menunjukkan bahwa skor domain motivasi paling tinggi dibandingkan dengan domain self-efficacy dan perilaku self care. Self-monitoring tekanan darah, aktivitas fisik, diet rendah lemak merupakan indikator dengan skor terendah, sehingga tenaga kesehatan diharapkan dapat memberikan promosi kesehatan untuk meningkatkan motivasi dan self-efficacy, terutama perilaku self-care terhadap self-monitoring tekanan darah, aktivitas fisik, dan diet rendah lemak.
Co-Authors Eka Afrima Sari Hasniatisari Harun Nursiswati Nursiswati Nursiswati