Jati, Puspa Silvia
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Cairan Hidrogen Peroksida (H2O2) sebagai Pencuci Luka pada Tindakan Debridemen Ulkus Diabetik: Studi Kasus Jati, Puspa Silvia; Triyanto, Arifin; Ruswati, Anita
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 2 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.107667

Abstract

Background: Debridement is a part of diabetic ulcers management through removing dead tissue to prevent infection. Wound irrigation is common in debridement. Hydrogen peroxide (H2O2) is used as wound irrigation as it is effective in cleaning and minimising contamination.Objective: To identify the use of H2O2 as wound irrigation solution in surgical debridement.Case report: A 34-year-old woman with uncontrolled DM had an ulcer on her sinistra ankle that had not healed within 2 weeks. The wound was 10 cm in diameter with erythema, crusts, and signs of infection. Debridement was performed with wound irrigation using H2O2 mixed with Povidone iodine.Results: H2O2 effectively used as wound irrigation solution due to its benefits in cleansing the wound from dead tissue and preventing infection. In this case, 100 ml H2O2 was mixed with 400 ml Povidone iodine, then it was poured to the wound. Moreover, NaCl was used to rinse the mixture of H2O2 and Povidone iodine. After debridement procedure, the wound improved and there was not any adverse reaction occurred.Conclusion: The use of H2O2 solution as wound irrigation in debridement procedure can improve wound hygiene, prevent infection, and support healing.INTISARILatar belakang: Debridemen merupakan bagian dari manajemen prosedur penanganan ulkus diabetik dengan menghilangkan jaringan mati untuk mencegah infeksi. Prosedur debridemen umumnya diikuti dengan tindakan irigasi atau pencucian luka. Hidrogen peroksida (H2O2) digunakan sebagai irigasi luka karena efektif dalam membersihkan dan meminimalkan kontaminasi.Tujuan: Mengetahui penggunaan H2O2 sebagai pencuci luka pada debridemen bedah.Laporan kasus: Perempuan 34 tahun dengan diabetes melitus tidak terkontrol memiliki ulkus di ankle sinistra yang tidak sembuh dalam 2 minggu. Luka berdiameter 10 cm dengan eritema, krusta, dan tanda infeksi. Dilakukan debridemen dengan irigasi luka menggunakan H2O2 dicampur Povidone Iodine.Hasil: H2O2 dapat digunakan sebagai irigasi luka secara efektif dikarenakan manfaatnya dalam membersihkan luka dari jaringan mati dan mencegah infeksi. Pada kasus ini, H2O2 100 ml dicampur 400 ml Povidone Iodine kemudian diguyurkan pada luka. Selain itu, prosedur ini juga menggunakan NaCl untuk membilas irigasi luka dari campuran H2O2 dan Povidone Iodine. Kondisi luka pasien membaik pascaprosedur dan tidak ada efek samping yang muncul pada pasien.Simpulan: H2O2 sebagai cairan irigasi pada debridemen dapat meningkatkan kebersihan luka, mencegah infeksi, dan mendukung penyembuhan.
Issue of Adolescent Educational Needs on Reproductive Health in The Rural Area of Kulon Progo Yogyakarta: A Qualitative Study Nisman, Wenny Artanty; Parmawati, Ika; Lismidiati, Wiwin; Mulyani, Sri; Warsini, Sri; Widyasari, Anis; Sumekar, Lintang Ayu; Jati, Puspa Silvia; Zulfa, Azizah Tiara; Suryani, Saltsa Rahmalia
Journal of Health Education Vol. 10 No. 2 (2025)
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhealthedu.v10i2.26033

Abstract

Background: Adolescents in rural areas often face greater challenges with reproductive health problems than adolescents in urban areas, including more difficult access to health services, less access to reproductive health information, and limited social support. This affects the high prevalence of reproductive health problems such as teenage pregnancy, sexually transmitted infections (STIs), and limited understanding of sexual and reproductive health rights The objective of this study was to explore the educational needs The purpose of this study is to investigate more comprehensively the needs of adolescents about reproductive health education in rural areas of Kulon Progo, Yogyakarta. Method: This is a qualitative study with a phenomenological approach, and data collection methods with in-depth interviews. The research participants consisted of 10 adolescents who lived in a rural area and were analysed using thematic analysis. Result: Four major themes were found from the results of this research, among others: adolescents' experience of getting education about reproductive health, challenges faced by adolescents around reproductive health education, the most appropriate person to provide reproductive health education to adolescents, and the need for adolescent education on reproductive health. Conclusion:  The challenges faced by adolescents living in rural areas regarding reproductive health education:Adolescents feel uncomfortable discussing reproductive health with their parents, but feel comfortable discussing it with their peers, even though they cannot help them. The internet is still the main source for asking questions about reproductive health, but often they do not get the right answers.