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<![CDATA[MANAJEMEN PERAWATAN LUKA DEHISENSI PASIEN CA RECTI DENGAN CALCIUM ALGINATE DI RSUP DR M DJAMIL PADANG 2015 ]]>
<![CDATA[Febrianti, Lina]]>
<![CDATA[ Jurnal Luka Indonesia Vol 2 No 2 Juni 2016 ]]>
Publisher : <![CDATA[ETN Centre Indonesia ]]>
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DOI: 10.32538/jli.v0i0.21
<![CDATA[Pendahuluan: Manajemen perawatan luka dehisensi merupakan suatu tantangan bagi perawat dalam proses penyembuhan luka. Luka dehisensi adalah salah satu komplikasi bedah abdominal yaitu terpisahnya lapisan fasia. Luka dehisensi merupakan kasus yang jarang terjadi tetapi dapat menyebabkan kematian, memperpanjang hari perawatan dan meningkatkan biaya. Studi kasus ini merupakan inovasi dari manajemen perawatan luka dehisensi pada pasien dengan diagnosa kanker rectum post kolostomi usia 49 tahun. Metode: Skala Bates Jensen digunakan sebagai pedoman observasi dalam pengkajian luka pasien. Pencucian luka dilakukan dengan menggunakan larutan NaCl 0.9%. Balutan primer yang digunakan pada perawatan luka adalah calcium alginate. Observasi dilakukan hanya 7 hari karena pasien hecting sekunder. Hasil: Hasil observasi selama 7 hari didapatkan berkurangnya ukuran luka, kedalaman luka, jumlah slough, serta jumlah eksudat. Total skor skala Bates Jensen pada awal perawatan luka 29 dan setelah perawatan luka dengan calcium alginate adalah 25. Adanya pengurangan frekuensi pergantian balutan dan jumlah balutan sekunder yang digunakan. Faktor resiko infeksi luka, penyakit kronis dan hipo albumin menjadi penyebab terjadinya dehisensi pada pasien ini. Kesimpulan: Pengkajian merupakan hal penting yang harus dilakukan secara berkesinambungan untuk melihat perkembangan luka. Perkembangan luka yang mengarah pada regenerasi luka dengan balutan luka calcium alginate yang berfungsi mengabsorbsi exsudat, sebagai autolisis debridemen pada jaringan nekrotik dan slough. Calcium alginate juga mencegah perdarahan, mempertahankan kelembaban luka dalam proses penyembuhan. Pemilihan balutan yang tepat mempengaruhi proses penyembuhan luka, meningkatkan kenyamanan pasien serta kepuasan kerja perawat. Perkembangan luka yang baik dapat meningkatkan motivasi pasien untuk mempertahankan kualitas hidupnya. Kata Kunci: dehiscence, skala Bates Jensen, calcium alginate]]>
<![CDATA[SUITABILITY TEST OF WAGNER SCALE AND BATES-JENSEN IN EVALUATING THE HEALING GRADE OF DIABETIC ULCER PATIENTS ]]>
<![CDATA[Asbaningsih, Febrianti]]>;
<![CDATA[Gayatri, Dewi]]>
<![CDATA[ Jurnal Luka Indonesia Vol 2 No 2 Juni 2016 ]]>
Publisher : <![CDATA[ETN Centre Indonesia ]]>
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DOI: 10.32538/jli.v0i0.22
<![CDATA[Background : Diabetic ulcer is one of the complications of diabetes mellitus which require appropriate wound evaluation instruments to determine the proper treatment in order to avoid more severe condition. The study objective was to identify the relationship between the Wagner scale wound assessment instruments and Bates- Jensen Wound Assessment Tool (BWAT) in patients with diabetic ulcers. Methods: The study design was descriptive cross sectional study. The samples of this study were 43 patients with diabetic ulcer. The instrument used was the Wagner scale to measure the severity of the diabetic ulcers patient's wound and the BWAT used to measure the severity of the patient's decubitus ulcer wounds. Results: The result of statistical tests showed that there was a strong correlation between the Wagner scale instrument and the BWAT in assessing diabetic ulcer wounds (r = 0.789, p = 0.0005). Conclusions: The results of the study showed that the BWAT can be used to evaluate diabetic ulcer wounds. Therefore it could be recommended to use BWAT for evaluating wound healing in patients with diabetic ulcer is clinical setting. Keywords: Bates-Jensen Wound Assessment Tool, diabetic ulcer, Wagner scale]]>
<![CDATA[THE EFFECT OF PHERETIMA ASPERGILLUM EXTRACT ON THE INCREASE OF HAIR FOLLICLES NUMBER IN DIABETIC ULCER GRADE II IN WISTAR RAT ]]>
<![CDATA[Kristianto, Heri]]>;
<![CDATA[Sari, Dwi Astika]]>
<![CDATA[ Jurnal Luka Indonesia Vol 2 No 2 Juni 2016 ]]>
Publisher : <![CDATA[ETN Centre Indonesia ]]>
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DOI: 10.32538/jli.v0i0.23
<![CDATA[Background: Diabetic ulcer is the result of serious microvascular complication of diabetes mellitus that is caused by vascular insufficiency, resulting in dry skin, loss of taste, and a decrease in the number of hair follicles. Earthworm (Pheretima aspergillum) has a bioactive component of IGF-1 (insulin like growth factor 1), which can stimulate cell growth and survival. IGF-1 is involved in hair follicle growth by regulating cell proliferation and migration through the cellular mechanism of its receptor (IGF - 1R). This study aimed to determine the effect of earthworm extract on the increase of hair follicles number in rats induced diabetic ulcer stage II. Methods: This study used a true experimental posttest only controlled group design. Samples were randomly selected, divided into five groups: Normal Saline as a negative control group, Hydrogel as a positive control group, and the three treatment groups received earthworm extract via topical, oral, and topical-oral. Ulcer treatment is done for 21 days, on day 22, rats were euthanized. The numbers of hair follicles in skin tissue connecting to nervous fibers were identified using silver impregnation stain. Results: The results showed that the treatment groups that received earthworm extract had significantly higher number of hair follicles as compared to the control groups (p=0.000). The administration of earthworm extract via topical has an optimal effect on the increase of hair follicles numbers. Conclusion: It can be concluded that the extract of earthworm (Pheretima aspergillum) can increase the growth of hair follicles in rats diabetic models. Keywords: diabetic ulcer, earthworm (Pheretima aspergillum), hair follicles.]]>
<![CDATA[RELATIONSHIP BETWEEN MACERATION AND WOUND HEALING ON DIABETIC FOOT ULCERS IN INDONESIA: A PROSPECTIVE STUDY ]]>
<![CDATA[Haryanto, Haryanto]]>;
<![CDATA[Arisandi, Defa]]>;
<![CDATA[Suriadi, Suriadi]]>;
<![CDATA[Ogai, Kazuhiro]]>;
<![CDATA[Sanada, Hiromi]]>;
<![CDATA[Okuwa, Mayumi]]>;
<![CDATA[Sugama, Junko]]>
<![CDATA[ Jurnal Luka Indonesia Vol 2 No 2 Juni 2016 ]]>
Publisher : <![CDATA[ETN Centre Indonesia ]]>
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DOI: 10.32538/jli.v0i0.24
<![CDATA[Background: Maceration results in enhancement of the wound area and infection. This condition is caused by a breakdown of the skin resulting in an open wound so that the wound area is enhanced and contaminated by microorganisms. Consequently, wound healing is delayed and quality of life is negatively affected. The prevention of maceration is important, and exudate management offers a way to prevent maceration. Exudate management can reduce the healing time, exudate, and frequency of dressing changes, and improve patient quality of life. Aims: The aim of this study was to clarify the relationship between maceration and wound healing. Methods: A prospective longitudinal design was used in this study. The wound condition determined the type of dressings used and the dressing change frequency. A total of 62 participants with diabetic foot ulcers (70 wounds) were divided two groups: non-macerated (n = 52) and macerated wounds (n = 18). Each group was evaluated weekly using the Bates?Jensen Wound Assessment Tool with follow-ups until week 4. Results: The Mann?Whitney U test showed that the changes in the wound area in week 1 were faster in the non-macerated group than the macerated group (P = 0.02). The Pearson correlation analysis showed a moderate correlation between maceration and wound healing from enrolment until week 4 (P = 0.002). After week 4, the Kaplan?Meier analysis showed that the non-macerated wounds healed significantly faster than the macerated wounds (log-rank test = 19.378, P = 0.000). The Cox regression analysis confirmed that maceration was significant and independent predictor of wound healing in this study (adjusted hazard ratio, 0.324; 95% CI, 0.131?0.799; P = 0.014). Conclusion: The results of this study demonstrated that there is a relationship between maceration and wound healing. Changes in the wound area can help predict the healing of wounds with maceration in clinical settings. Keywords: Wound maceration; wound healing, diabetic foot ulcers.]]>
<![CDATA[ALTERNATIF MOISTURE BALANCE DRESSING DALAM PENYEMBUHAN LUKA BAKAR DI RSUP DR.SARDJITO YOGYAKARTA ]]>
<![CDATA[Purwaningsih, Lucia Anik]]>
<![CDATA[ Jurnal Luka Indonesia Vol 2 No 2 Juni 2016 ]]>
Publisher : <![CDATA[ETN Centre Indonesia ]]>
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DOI: 10.32538/jli.v0i0.25
<![CDATA[Latar Belakang: Luka bakar merupakan trauma yang berdampak paling berat terhadap fisik maupun psikologis. Hal ini disebabkan karena perawatannya masih sulit, dan penyembuhan lukanya membutuhkan waktu yang lama serta biaya yang mahal. Dengan masih terbatasnya jenis modern dressing untuk perawatan luka yang tersedia, maka RSUP Dr. Sardjito mengembangkan alternatif perawatan luka berbasis moisture balance dressing untuk mempercepat penyembuhan luka sejak pertengahan tahun 2007. Alternatif moisture balance dressing merupakan perawatan luka bakar tertutup dimana pemberian topikal terapi sesuai dengan tiga warna dasar luka, red, yellow, dan black. Sebelum tahun 2007, perawatan luka bakar masih menggunakan metode konvensional dimana pemberian topikal terapi tidak berdasarkan warna dasar luka. Tujuan: Membandingkan lama rawat inap pasien luka bakar yang dirawat dengan metode konvensional dengan metode moisture balance dressing Metode: Cross Sectional Study Hasil: Dari 305 pasien (2007-2014) dengan kedalaman luka derajat II -III dan luas antara 14-70% BSA, perawatan luka dengan alternatif moisture balance dressing diperlukan lama rawat inap rata-rata 14-28 hari untuk penyembuhan luka dan diizinkan pulang. Sedangkan tahun 2003-2006 dari 67 pasien dengan kedalaman luka derajat II-III dan luas antara 12-70% BSA perawatan luka secara konvensional diperlukan lama rawat inap rata-rata 31- 40 hari untuk penyembuhan luka dan diizinkan pulang. Kesimpulan : Perawatan luka bakar dalam suasana lembab mempercepat terjadinya epitelisasi sehingga mempercepat proses penyembuhan luka dan lama rawat inap (Length of stay) menjadi lebih pendek sehingga mengurangi biaya bagi pasien (cost effective) Kata Kunci: alternatif moisture balance, penyembuhan luka]]>
<![CDATA[EFEK EKSTRAK BUAH NAGA MERAH (HYLOCEREUS POLYRHIZUS) TERHADAP PENYEMBUHAN LUKA AKUT DM DAN NON DM PADA WISTAR ]]>
<![CDATA[Tahir, Takdir]]>;
<![CDATA[Bakri, Syakib]]>;
<![CDATA[Patellongi, Ilhamjaya]]>;
<![CDATA[Aman, Makbul]]>;
<![CDATA[Miskad, Upik A.]]>;
<![CDATA[Maryunis, Maryunis]]>;
<![CDATA[Suryani, Ade Irma]]>
<![CDATA[ Jurnal Luka Indonesia Vol 2 No 2 Juni 2016 ]]>
Publisher : <![CDATA[ETN Centre Indonesia ]]>
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DOI: 10.32538/jli.v0i0.26
<![CDATA[Pendahuluan: Penggunaan bahan alam sebagai penyembuhan luka merupakan alternatif yang banyak digunakan. Ekstrak Buah Naga Merah (EBNM) memiliki kandungan antioksidan dan anti-inflamasi yang dibutuhkan untuk mempercepat penyembuhan luka. Namun penelitian yang berhubungan dengan efek buah naga merah terhadap penyembuhan luka masih sangat terbatas. Tujuan penelitian ini adalah untuk mengetahui efek Ekstrak Buah Naga Merah terhadap penyembuhan luka DM dan luka Non DM pada wistar. Metode: Jenis penelitian ini adalah penelitian eksperimen dengan desain post test with control group design. Wistar jantan albino (n=30) berat badan (250-350 gr) dibagi menjadi 2 kelompok (kelompok A wistar DM + Eksisi dan kelompok B wistar Non-DM + Eksisi). Selanjutnya Wistar dilukai pada punggung kiri dan kanan dengan menggunakan punch biopsy 8 mm. Topikal krim EBNM 3.5%, 5% dan 7.5% dioleskan pada permukaan luka dengan menggunakan cotton bud. Jaringan diwarnai dengan Hematoksilin dan Eosin (HE) untuk mengetahui ketebalan granulasi, dan epitelisasi jaringan. Data dianalisis dengan menggunakan uji independent T test dan paired T test (SPSS 21, Chicago Inc.). Hasil: Skor granulasi lebih baik pada konsentrasi 7.5 % pada kelompok EBNM topikal dibandingkan dengan kelompok kontrol negatif untuk DM (p]]>
<![CDATA[PEARLS FOR PRACTICE - MANAGING ELDERLY PRESSURE ULCERS IN HOME CARE ]]>
<![CDATA[Anisah, Siti]]>
<![CDATA[ Jurnal Luka Indonesia Vol 2 No 2 Juni 2016 ]]>
Publisher : <![CDATA[ETN Centre Indonesia ]]>
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DOI: 10.32538/jli.v0i0.27
<![CDATA[Background. Elderly people frequently have wounds such as pressure ulcers. These occured especially in frail elderly. Patients have pressure ulcers at home need special education and support of nurses or the other caregiver professional health. These patient also taken of efectiveness modern dressing so easier to use and less frequently follow up. The dressing has to be changed less frequently; this means longer periods of rest for the wound, promotes healing, and reduces the risk of potential maceration. It is very important to use modern dressings and methods that provide optimal exudate management and promote natural debridement and wound healing, while ensuring adequate control of bacteria. Aim. Finally, the patient's quality of life is thus improved. Methods. Share an experience reported of 3 cases study of elderly patient with extremely pressure ulcers on her bodies. Results. Modern dressing and approriate nursing wound care had a quality of life for elderly patients and succesfull healing. Conclusion. The foam dressings useful alternative in the treatment of wounds with excessively heavy exudation. The use of foam dressing for 3 weeks on a 4rd degree pressure ulcers with necrotic and a high level of exudate showed the following : foam dressing managed in an optimal way the high level of exudate in the first phases of treatment. There was no leakage from the dressing, and no maceration of the peri- ulcer skin was observed. The autolytic and osmotic debridement were promoted, and necrotic tissue was cleaned from the ulcers. During the next phases of healing, where the amount of exudate decreased, the wound bed did not dry out and granular tissue was given sufficient protection. Healing was promoted and the patient feel comfortable throughout. Family support, enough resources material modern dressing, control good level glucose with self monitoring blood glucose (SMBG) caring all. Family, caregivers and nutritional supported the whole healing procesed. Keywords: Pressure Ulcers, Elderly, Modern Dressing]]>
<![CDATA[ANALYSIS COLLAGEN DENSITY ON DIABETIC AND NON-DIABETIC ACUTE WOUND MODEL: ANIMAL TRIAL USING WISTAR RATS ]]>
<![CDATA[Maryunis, Maryunis]]>;
<![CDATA[Bakri, Syakib]]>;
<![CDATA[Patellongi, Ilhamjaya]]>;
<![CDATA[Aman, Makbul]]>;
<![CDATA[Tahir, Takdir]]>;
<![CDATA[Rahayu, Ade Irma]]>;
<![CDATA[Hasriyani, Hasriyani]]>;
<![CDATA[Yusuf, Saldy]]>
<![CDATA[ Jurnal Luka Indonesia Vol 2 No 3 Oktober 2016 ]]>
Publisher : <![CDATA[ETN Centre Indonesia ]]>
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DOI: 10.32538/jli.v0i0.29
<![CDATA[Background: Neuropathy and peripheral vascular disease are two major factors that lead to diabetic wounds. Additionally, diabetic wound healing process takes a long time. Collagen is one indicator to assess wound healing. Aim: This study aimed to compare the wound healing process DM and non-DM In Wistar with acute wounds modeling that uses the density collagen as indicators. Methods: This study used a randomized design Post Test Control Group who uses Wistar as research objects. Wistar rats were divided into 2 groups: Wistar DM and Non-DM groups. The total sample were 30 individuals that consisted of 15 rats each group. Wistar DM was induced by injection of Streptozotocin (STZ) intraperitoneal single dose of 40-50 mg / kg. The wound were created by using punch biopsy of each group. The wound were followed up for 14 days. Data analysis was done using the Kolmogorov - Smirnov test with a confidence level of 95%. All data were analyzed by SPSS version 21.0 software (SPSS, Inc. Chicago, IL). Results: The density of collagen in DM group (20%) was lower than in non DM group (40%). However there were no significant difference in collagen density in both groups (p=0,375). Nevertheless, the percentage of collagen density is higher in non DM group compared with DM group (20.0%). This shows the tendency of the wound healing process in the group of Non - DM is better than DM group. This shows the tendency of the wound healing process in the group of Non - DM is better than DM group. Conclusion : There is a tendency that the wound healing in non ?DM group is better than in DM groups. More studies are needed in the future to confirm this findings. Key Words: Collagen Density, Acute Wound Model, DM]]>
<![CDATA[FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TERJADINYA MASERASI STOMA PADA PASIEN YANG TERPASANG KOLOSTOMI DI RSUP DR WAHIDIN SUDIROHUSODO MAKASSAR ]]>
<![CDATA[Maryunis, Maryunis]]>;
<![CDATA[Hastuti, Hastuti]]>
<![CDATA[ Jurnal Luka Indonesia Vol 2 No 3 Oktober 2016 ]]>
Publisher : <![CDATA[ETN Centre Indonesia ]]>
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DOI: 10.32538/jli.v0i0.30
<![CDATA[Background: Colorectal cancer is highly prevalent cancer. Colostomy may affect the changing role of self-esteem, body image, and sexual and social relationships. Post-colostomy problem is the maceration of the skin surrounding the stoma. Aim: This study aimed to determine the factors associated with the occurrence of maceration of the stoma in patients who underwenta colostomy in Dr Wahidin Sudirohusodo Hospital of Makassar. Methods: This study used observational analysisby cross-sectional study. The sampling technique was a purposive sampling with 32 ??respondents. Data analysis was done using the Chi Square test with a confidence level of 95%. All data were analyzed by SPSS software,version 21.0 (SPSS, Inc. Chicago, IL). Results: There are relationships between stoma site (p = 0.000), frequency of stoma care (p = 0.018), and nutritional status (p=0.030) with the maceration of the stoma. There was no association betwen age and maceration of the stoma (p = 0.212). Conclusion: This study shows that the factors that affect the skin maceration around the stoma can be modified (frequency of stoma care and nutritional status), while the location factor can be minimized through the stoma sitting. Thus, the nurses have an important role in the prevention of maceration both at pre and post operative Keywords: stoma site, frequency of stoma care, nutritional status, maceration of stoma.]]>
<![CDATA[GAMBARAN NEUROPATI PERIFER DI SEMARANG: STUDI CROSS-SECTIONAL ]]>
<![CDATA[Rosyida, Khana]]>;
<![CDATA[Dyan Kusumaningrum, Niken Safitri]]>
<![CDATA[ Jurnal Luka Indonesia Vol 2 No 3 Oktober 2016 ]]>
Publisher : <![CDATA[ETN Centre Indonesia ]]>
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DOI: 10.32538/jli.v0i0.31
<![CDATA[Latar Belakang: Neuropati perifer merupakan salah satu komplikasi mikrovaskuler dari Diabetes Mellitus (DM) yang terjadi pada bagian perifer dan menimbulkan kerusakan fungsi saraf. Kerusakan fungsi saraf tersebut dapat mengenai saraf sensorik, motorik, dan otonom. Tujuan: Tujuan penelitian ini adalah untuk mengetahui gambaran neuropati perifer di wilayah kerja Puskesmas Kedungmundu Semarang. Metode: Penelitian ini merupakan penelitian deskriptif kuantitatif dengan pendekatan cross sectional. Teknik sampling yang digunakan yaitu total population sampling. Pengambilan data dilakukan dengan lembar pemeriksaan neuropati perifer yang merupakan modifikasi dari Michigan Neuropathy Screening Instrument (MNSI) dan Michigan Diabetic Neuropathy Score (MDNS) terdiri atas 38 item. Analisis data yang digunakan yaitu analisis univariat. Hasil: Sebanyak 113 responden berpartisipasi dalam penelitian ini. Mayoritas responden berusia dewasa tengah (73.5%), sebagian besar perempuan (61.9%), telah menderita DM >5 tahun (50.4%), dan memiliki kadar GDS ?200 mg/dL (52.2%). Sebagian kecil responden memiliki riwayat amputasi dan riwayat Diabetic Foot Ulcer (DFU) (3.5% dan 5.3%). Mayoritas kerusakan fungsi saraf adalah kerusakan otonom baik kaki kanan maupun kaki kiri (89.9%;85%). Lebih banyak responden yang memiliki neuropati ringan (55.8%) daripada neuropati sedang ataupun berat (28.3%;9.7%). Kesimpulan: Hasil penelitian ini menunjukkan bahwa sebagian besar responden mengalami neuropati perifer. Oleh karena itu, diperlukan pemeriksaan dini untuk mencegah neuropati yang lebih berat Kata kunci: Diabetes Melitus, Neuropati Perifer]]>
