Sri Utami Dwiningsih
Jurusan Keperawatan Poltekkes Kemenkes Semarang

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EFEKTIFITAS PENYEMBUHAN LUKA MENGGUNAKAN NaCl 0,9% DAN HYDROGEL PADA ULKUS DIABETES MELLITUS DI RSU KOTA SEMARANG

PROSIDING SEMINAR NASIONAL Vol 2, No 1 (2014): PROSIDING KONFERENSI NASIONAL PPNI JAWA TENGAH
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Latar belakang: Meningkatnya jumlah diabetes mellitus menyebabkan peningkatan pula kejadian  komplikasi diabetes, salah satunya yaitu luka pada kaki diabetes (diabetic foot ulcer). Ada tiga faktor yang menunjang timbulnya kaki diabetik yaitu gangguan persarafan (neuropati), infeksi, dan gangguan aliran darah. penelitian mengungkapkan tentang kemampuan hidrogel dalam melakukan debridement jaringan nekrotik dibandingkan dengan enzimatik debridemen, menunjukkan hydrogel lebih baik dalam mendebridemen dan jaringan granulasi dapat tumbuh lebih cepat. Tujuan dari penelitian ini adalah untuk mengetahui keefektifitasan penyembuhan luka dengan NaCl 0,9% dan hydrogel pada ulkusdiabetes mellitus. Metode: Jenis penelitian ini adalah kuantitatif dengan menggunakan desain eksperimental. Populasi adalah seluruh pasien diabetes yang mengalami ulkus. Teknik pengambilan sampel menggunakan Purposive Sampling sehingga diperoleh sampel masing-masing sebanyak 30 orang. Direncanakan menggunakan uji independen t-tes, namun ternyatadata penelitian tidak terdistribusi dengan normal sehingga dipilih uji alternative non parametrik Mann-Whitney U-test.Hasil: Dari hasil analisa data menggunakan Mann-Whitney U test dengan taraf signifikansi sebesar 5% diperoleh nilai = 0,000 dengan nilai Z hitung sebesar 6,482 dan mean rank 45,08:15,92 (3:1) artinya hydrogel lebih efektif dibandingkan NaCl 0,9% dalam penyembuhan luka ulkus DM di RSU Kota Semarang. Perbaikan luka ulkus dengan hydrogel mengalami penurunan mean 10-13 poin sedangkan penggunaan NaCl 0,9% hanya menurun mean 2-3 poin dalam 9 hari (Skala Bates-Jansen). Kesimpulan: Disimpulkan bahwa kompres hydrogel pada luka ulkus diabetikum 3x lebih efektif/baik daripada menggunakan NaCl 0,9%. Disarankan penggunaan hydrogel dalam perawatan ulkus DM atau luka kotor lain yang mengalami kesulitan dalam proses penyembuhan.

The Effectivence Of Healing Wound By Using Normal Saline (Nacl 0,9%) And Hydrogel For Diabetes Mellitus Patinets’ With Ulcer At District Of Semarang Hospital

Jurnal Riset Kesehatan Vol 2, No 3 (2013): September 2013
Publisher : UPPM Politeknik Kesehatan Kementrian Kesehatan Semarang

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Abstract

The raising of diabetes melitus has increased complication on diabetes, one of that occurence is the wound on patients’ foot (diabetic foot ulcer). There are three supporting factors to diabetic foot ulcer likes neurotic disturbance, infection, and flow of blood disturbance. Researchs showed the capability comparison of hydrogel in debridement on necrotic tissue with debridemen enzimatic, hydrogel has better result in debridement and granulation on the tissue grow faster. The purpose of this research is to find out the efectiveness of healing wound by using Normal Saline(NaCl 0,9%) and hydrogel for diabetes melitus patinets’ with ulcer.This research is a quantitave one with experimental design. Population of this research are all of the diabetes melitus patients’ with ulcer. Method of sampling is using purposive sampling which collected 30 respondent foe each group. This data prepared with independent t – test, but abnormality distribution of data, become use alternative analize is using Mann-Whitney U-test.The result of data analize by using Mann-Whitney U-test and 5% signification, with ρ = 0,000 with Z result : 6,482 and mean rank 45,08:15,92 (3:1) it means that hydrogel is more effective than normal saline in healing wound for diabetes melitus patinets’ with ulcer at District of Semarang Hospital. The mean repaired ulcer with hydrogel decrease mean 10-13 point and normal saline decrease 2-3 point on 9 days (Bates Jansen scale).Conclusion this woundcare with hydrogel 3 poit more effectiveness than normal saline on regenetaion tissues. This advice make hydrogel for woundcare diabetic ulcer or more ulcers.

Role of Nurse as Care Giver and Advocator In The Ward, Era National Health Insurance (NHI) Program

Journal Of Nursing Practice Vol 2 No 1 (2018): Journal Of Nursing Practice
Publisher : STIKes Surya Mitra Husada

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Abstract

Background: There are many National Health Insurance (NHI) participants who do not yet understand the mechanism of NHI services, including clients who are hospitalized.  The phenomena that exist on the field, that the client will enlist the help of health professionals who are always in the ward, especially nurses, to provide information on all matters, including NHI. On the other hand, nurses have a major role in caring for clients, based on their duties and functions. Purpose : This study aims to determine if there is expansion of the role of nurses  as care giver and advokator   in the inpatient unit, era NHI program. Methods : This research is a descriptive study of the role of nurses as care giver and advokator in inpatient era NHI program, employing triangulation method. Respondents were 64 inpatient clients registered as NHI participants in the Hospital Semarang assigned by proportional simple random sampling, and four nurses. Result : The results showed that there are expanding the role of nurses as care giver and advocator in the inpatient unit, era NHI program. Conclusion : With the implementation of NHI program, the roles of nurses as care giver and advokator has expanded in the inpatient unit. BPJS/NHI parties need to disseminate information relating to NHI to nurses, as well as the need to be given compensatory reward for nurses

Role of Nurse as Care Giver and Advocator In The Ward, Era National Health Insurance (NHI) Program

Journal Of Nursing Practice Vol 2 No 1 (2018): Journal Of Nursing Practice
Publisher : STIKes Surya Mitra Husada

Show Abstract | Original Source | Check in Google Scholar | Full PDF (632.566 KB)

Abstract

Background: There are many National Health Insurance (NHI) participants who do not yet understand the mechanism of NHI services, including clients who are hospitalized.  The phenomena that exist on the field, that the client will enlist the help of health professionals who are always in the ward, especially nurses, to provide information on all matters, including NHI. On the other hand, nurses have a major role in caring for clients, based on their duties and functions. Purpose : This study aims to determine if there is expansion of the role of nurses  as care giver and advokator   in the inpatient unit, era NHI program. Methods : This research is a descriptive study of the role of nurses as care giver and advokator in inpatient era NHI program, employing triangulation method. Respondents were 64 inpatient clients registered as NHI participants in the Hospital Semarang assigned by proportional simple random sampling, and four nurses. Result : The results showed that there are expanding the role of nurses as care giver and advocator in the inpatient unit, era NHI program. Conclusion : With the implementation of NHI program, the roles of nurses as care giver and advokator has expanded in the inpatient unit. BPJS/NHI parties need to disseminate information relating to NHI to nurses, as well as the need to be given compensatory reward for nurses