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All Journal Journal of Community Nursing and Primary Care Indonesian Journal of Health Services
Joni Siahaan
Bachelor of Nursing Study Program, Mitra Keluarga College of Health Sciences, West Java, Indonesia
Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health

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Effectiveness of modern dressing in wound care for breast cancer patients: A systematic review Joni Siahaan; Dessy Syahfitri Pohan; Zulaika Harissya; Armi Armi; Yana Setiawan; Kharina Nurshadrina; Primaloya Septiavy Estiadewi
Indonesian Journal of Health Services Vol. 3 No. 1 (2026): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v3i1.142

Abstract

Background: Breast cancer patients frequently experience wound complications following surgery, radiotherapy, or disease progression, which may negatively affect healing outcomes, comfort, and quality of life. Modern dressing technologies have been developed to improve wound management through antimicrobial, hemostatic, protective, and moisture-balancing properties. Objective: This systematic review aimed to evaluate the effectiveness of modern dressings in wound care for breast cancer patients by synthesizing current clinical evidence on infection prevention, radiation dermatitis control, bleeding management, symptom relief, and patient-centered outcomes. Methods: This study employed a systematic literature review design following the PRISMA 2020 guidelines. A comprehensive search was conducted in PubMed, Scopus, ScienceDirect, ProQuest, and Google Scholar for studies published between 2013 and 2023 in English and Indonesian. Eligible studies included randomized controlled trials, quasi-experimental, and prospective clinical studies examining modern dressing or topical interventions in breast cancer wound care. Data extraction and risk of bias assessment were performed independently by two reviewers, and findings were synthesized narratively due to methodological heterogeneity. Results: Eleven studies met the inclusion criteria. Modern dressings demonstrated effectiveness in reducing surgical site infections, minimizing radiation dermatitis severity, controlling bleeding and exudate, reducing bacterial colonization, and improving patient comfort. Several interventions also showed positive effects on wound malodor reduction and quality of life improvement. Overall findings suggest that modern dressings provide multidimensional benefits in clinical and psychosocial aspects of wound management in breast cancer patients. Conclusion: Modern dressing strategies represent effective interventions for improving wound healing outcomes and patient well-being in breast cancer care. Integration of evidence-based dressing technologies into clinical practice may enhance both physiological recovery and holistic patient comfort, although further high-quality research is recommended to strengthen clinical guidelines.
Factors affecting the incidence of hypertension in the elderly: A literature review Tia Nur Annisa; Joni Siahaan; Achara Kan; Rattapong Sianwarta
Journal of Community Nursing and Primary Care Vol. 1 No. 2 (2024): July - Desember
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v1i2.38

Abstract

Background: Hypertension is one of the most prevalent chronic conditions among older adults and represents a major contributor to cardiovascular morbidity and mortality worldwide. The occurrence of hypertension in the elderly is influenced by a complex interaction of lifestyle, psychosocial, behavioral, and environmental determinants that may affect blood pressure control and overall health outcomes. Objective: This study aimed to identify factors influencing the incidence of hypertension among elderly individuals through a comprehensive literature review. Methods: This study employed a literature review design following the PRISMA 2020 guideline to systematically identify, evaluate, and synthesize relevant evidence regarding determinants of hypertension among elderly populations. A comprehensive search was conducted in several scientific databases, including PubMed, ScienceDirect, and Google Scholar, using combinations of keywords related to hypertension, elderly populations, and associated risk factors. Studies published in peer-reviewed journals were screened based on predefined inclusion and exclusion criteria. Eligible studies were critically appraised using the Critical Appraisal Skills Programme (CASP) tool and synthesized using a narrative and thematic approach to identify major determinants associated with hypertension among older adults. Results: The review revealed that several interconnected factors contribute to the development of hypertension in the elderly. Lifestyle determinants such as unhealthy dietary patterns, physical inactivity, and obesity were consistently reported as primary contributors to increased blood pressure. Psychosocial factors, including limited family support and insufficient knowledge about hypertension, were also associated with poor disease management. Additionally, inadequate self-care practices and unfavorable environmental conditions, such as limited access to healthcare services and environments that do not support physical activity, were identified as important determinants influencing hypertension outcomes among elderly individuals. Conclusion: Hypertension in the elderly is influenced by a multifactorial interaction of lifestyle, psychosocial, behavioral, and environmental determinants. Comprehensive prevention and management strategies that integrate lifestyle modification, health education, strengthening family and social support, and improving elderly-friendly healthcare environments are essential to reduce hypertension risk and improve the quality of life among older adults.
The level of independence of children with intellectual disabilities in maintaining dental and oral hygiene at home: A literature review Joni Siahaan; Yana Setiawan; Zulaika Harissya; Dessy Syahfitri Pohan; Primalova Septiavy Estiadewi; Kharina Nurshadrina; Zahfia Nadzwa Clarisa Hernando
Journal of Community Nursing and Primary Care Vol. 2 No. 1 (2025): January - June
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/jcnpc.v2i1.99

Abstract

Background: Limitations in cognitive and motor skills make these children more dependent on external support, particularly from their families. Family involvement is therefore considered an important factor in promoting independence and improving oral hygiene behaviors among children with intellectual disabilities. Objective: This study aimed to analyze the relationship between family support and the level of independence of children with intellectual disabilities in maintaining dental and oral hygiene at home. Methods: This study employed a literature review design following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. A systematic search was conducted in several scientific databases, including Google Scholar, ScienceDirect, and PubMed, using combinations of keywords related to family support, oral hygiene, intellectual disability, and children with special needs. Articles published between 2020 and 2025 were screened based on predefined inclusion and exclusion criteria. The quality of the selected studies was evaluated using the Critical Appraisal Skills Programme (CASP) tool. Results: Ten studies met the inclusion criteria and were included in the analysis. The findings consistently indicated a strong positive relationship between family involvement and the oral hygiene status of children with intellectual disabilities. Parental education, supervision, and training programs were shown to significantly improve children’s tooth-brushing behavior, reduce plaque accumulation, and enhance oral hygiene practices at home. However, several barriers were identified, including limited parental knowledge, inadequate supervision, and the motor and behavioral limitations experienced by children with intellectual disabilities. Conclusion: Family support plays a crucial role in improving the independence of children with intellectual disabilities in maintaining dental and oral hygiene at home. Strengthening family-based education, parental training, and supportive home-care interventions may enhance oral health outcomes and improve the overall quality of life of children with intellectual disabilities.
Co-Authors Achara Kan Armi Armi Dessy Syahfitri Pohan Kharina Nurshadrina Primalova Septiavy Estiadewi Primaloya Septiavy Estiadewi Rattapong Sianwarta Tia Nur Annisa Yana Setiawan Zahfia Nadzwa Clarisa Hernando Zulaika Harissya