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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Keperawatan Soedirman Interest : Jurnal Ilmu Kesehatan Jurnal NERS Public Health of Indonesia JURNAL TAMALANREA : Media Inspirasi Karya Mahasiswa Jurnal Luka Indonesia Indonesian Contemporary Nursing Journal (ICON Journal) Jurnal Keperawatan Silampari Jurnal Ilmu Kesehatan Jurnal Keperawatan Muhammadiyah Jurnal Kesehatan Manarang Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Journal of Health Science and Prevention Media Keperawatan Indonesia Journal of Islamic Nursing International Journal of Nursing and Health Services (IJNHS) Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Perawat Indonesia Jurnal Keperawatan Respati Yogyakarta Jurnal Kesehatan Karya Husada JURNAL PENELITIAN PERAWAT PROFESIONAL Journal of Telenursing (JOTING) JKMM Jurnal Ilmu Keperawatan dan Kebidanan STRADA Jurnal Ilmiah Kesehatan Jurnal Keperawatan
Saldy Yusuf
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Computer Science & IT Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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ANALYSIS COLLAGEN DENSITY ON DIABETIC AND NON-DIABETIC ACUTE WOUND MODEL: ANIMAL TRIAL USING WISTAR RATS Maryunis, Maryunis; Bakri, Syakib; Patellongi, Ilhamjaya; Aman, Makbul; Tahir, Takdir; Rahayu, Ade Irma; Hasriyani, Hasriyani; Yusuf, Saldy
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Publisher : ETN Centre Indonesia

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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
ENTEROSTOMAL THERAPY NURSE (ETN): MENUJU PERUBAHAN Yusuf, Saldy
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Sejarah Enterostomal Therapy Nurse (ETN) atau perawat luka, stoma dan kontinensia di dunia telah dimulai tahun 1958, namun di Indonesia starting point dimulai Tahun 2007 melalui program Indonesian Enterostomal Therapy Nurse Nursing Education Program (IndoETNEP) di WOCARE, Bogor atas lisensi World Council of Enterostomal Therapy Nursing (WCET) (Irma PA, 2010) (Carol Stott, 2010). Dukungan WCET juga diberikan dalam bentuk alokasi beasiswa NNGF bagi perawat Indonesia (Saldy Yusuf, 2011). Kebijakan ini berdampak positif dalam meningkatkan jumlah perawat ETN di Indonesia. Peningkatan jumlah perawat ETN di Indonesia mendapatkan lingkungan yang kondusif seiring dengan pengesahan Undang-Undang No 38 tahun 2014 tentang Keperawatan. Salah satu wujudnya adalah perawat Indonesia bisa melaksanakan praktik keperawatan mandiri termasuk perawat ETN. Riset kami menunjukkan pelayanan perawat ETN menurunkan durasi perawatan, frekuensi perawatan, dan meningkatkan laju penyembuhan luka (Saldy Yusuf, et al 2013). Sayangnya pertumbuhan praktik mandiri ini belum dibarengi implementasi standar. Oleh karena itu, tahun 2015 dirintis national consensus document tentang standar praktek perawatan luka, yang menghasilkan lima poin rekomendasi; standar dokumentasi, standar fasilitas, satandar perawatan luka, standar pelayanan dan standar peningkatan profesionalisme (Saldy Yusuf, 2016). Peningkatan profesionalisme yang dimaksud meliputi; Sertifikasi, kompetensi, legalitas, etika, komunikasi dan kredensialing (Saldy Yusuf, 2016). Hal ini bisa menjadi titik awal bagi perawat ETN untuk “berubah” dan bertransformasi. Transformasi bisa diawali dalam pemikiran dengan menciptakan visi dan mewujudkan ke dalam misi sehingga menjadi “passion” dalam hidup sehingga tidak hanya menjadi ETN sebagai atribut pelengkap status.
PERAWATAN LUKA DIABETES PADA DAERAH SUB SCAPULARIS DI UNIT PERAWATAN HOME CARE Sukmawati, Sukmawati; Laitung, Baharia; Yusuf, Saldy
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Background As one of top ten Diabetes Mellitus (DM) country, prevalence of diabetic foot ulcers (DFU) in Indonesia is high. However there is increasing number of diabetic ulcer non foot (DUNF) in clinical setting. Thus, the aim of this study is to describe the wound care process, healing process, and cost analysis of DUNF. Method A case report study based on retrospective data including; demography data, history of DM and history of DFU recorded by minimum data sheet (MDS). Ulcer pictures were taken by digital camera healing process evaluated by using Barbara Bates Jensen (BBJ) score. Results Patient 44 years, female, have been diagnosed as diabetic since 2013. DUNF located at sub scapularis sinistra with duration of treatment was 95 days and frequency of dressing changes was 15 times. Initial BBJ score was 27 and decreased to be 13 at the end of treatment (healing rate by BBJ score: 0.14/day). Cost of dressing (range Rp. 25.000 – Rp. 160.000) with mean cost Rp. 100.437. Proportion of cost was 53.3 % for dressing. Correlation between severity of ulcer and cost (R2 = 0.570 p = 0.024). Conclusion The occurrence and recurrence of diabetic ulcer can be any part of body including sub scapular region. Current study confirmed that wound care process takes three months until epitealization with mean cost relative expensive.
ANALISA BEBAN BIAYA DAN WAKTU PERAWATAN LUKA KAKI DIABETIK (LKD) GANGREN UNIT PELA Y ANAN HOME CARE: RETROSPECTIVE COHORT STUDY Sukmawati, Sukmawati; Laitung, Baharia; Irwan, Muhammad; Rassa, Syaiful; Yusuf, Saldy
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Background: Diabetic foot ulcer (DFU) gangrene is commonly chronic wound in home care setting, it takes high cost and long term care. Aim: The aims of this study was to evaluate burden time and cost of DFU gangrene. Method: This was a retrospective cohort study conducted from 2011-2014. Burden cost including material, nursing, and dressing cost. While burden time including duration, frequency , and interval of care. All participants categorized into DFU non gangrene and gangrene. Data analyzed using Chi Square or Fisher exact test using SPSS 16.0 (SPSS, Inc. Chicago, IL). Results: Forty eight participants included in this study (43 DFU non gangrene and 5 DFU gangrene) with mean age were (58.8 SD ± 9.7 vs 60 SD ± 11.3 years) respectively . Nursing cost (Rp. 123.412 vs Rp. 218.653) and dressing cost (Rp. 243.844 vs Rp. 711.558) were lower for DFU non gangrene. Wound care shorter for non gangrene (27.3 vs 91.8 days), dressing change less frequently (7.5 vs 21.6 times) and interval dressing change was equal (3.5 vs 3.2 days) respectively . Conclusion: There are different burden cost and burden time between DFU non gangrene and DFU gangrene clinically. Keywords: diabetic foot ulcers, gangrene, burden cost, burden time, home care.
Urgency Triage Kaki Diabetes Dalam Mencegah Kegawatan Kaki Diabetes Menjelang Tsunami Diabetes 2030 Yusuf, Saldy
Jurnal Luka Indonesia Vol 4, No 2 (2018)
Publisher : ETN Centre Indonesia

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Background Indonesia is one of the top ten Diabetes Mellitus (DM) countries. In 2030 it was predicted the number patients with DM will be 12.0 million. Therefore, Indonesia will experience tsunami DM. The aim of this perspective paper is to explore the urgency triage system to categorize both risk and Diabetic Foot Ulcers (DFU) status. Method This was a perspective articles in combination literature review and personal experience in clinical setting. Result There were limitations data regarding DM status in Indonesia compare other Asian countries including Japan. Interestingly Japan can be model regarding prevention approach. We also introduced a triage system to categorize both risk and DFUs status based on patient general symptoms and wound status. Conclusion The current triage system illuminate new horizon against DFU in Indonesian perspective
EVALUATION OF NATIONAL WOUND CARE CLINIC STANDARD IN INDONESIA: A PRE ELIMINARY STUDY Sari, Mutmainnah; Muhtar, Trini Andini; Yusuf, Saldy
Jurnal Luka Indonesia Vol 4, No 1 (2018)
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Background: There is increasing number wound care nurses in Indonesia, following increasing number of private wound care clinic with different standard. Currently, national wound care clinic standard has been developed Indonesia which consisted 5 main standards and 27 sub standards. However, the validity remain unclear. Objective: The objective of this study was to evaluated content validity regarding clarity and relevancy. Methods: This was a cross sectional study, involved wound care nurses using purposive sampling technique. Eligibility criteria of partisipants were wound care nurse. Results: 36 nurses participate in this study (20, 55.6% female), mayority graduated form university (23, 63.9%) with experience as wound care nurse (mean, ± SD; 9.00, 6.84) and daily working hours 4-8 hours (14, 38.9%). Content validity index focuss on clarity and relevance of national wound care clinic standard. From the result of content validity index (CVI) test can be concluded sub standard which has value
Studi Literatur Penggunaan Sabun Antiseptik untuk Pencucian Luka terhadap Penurunan Kolonisasi Bakteri pada Pasien dengan Luka Diabetik Hade, Nurwahidah; Yusuf, Saldy; Tahir, Takdir
Jurnal Luka Indonesia Vol 4, No 2 (2018)
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ABSTRAK Latar belakang : Komplikasi penyakit Diabetes mellitus (DM) yang kronis dan serius adalah luka kaki diabetes (LKD) serta merupakan penyebab utama terjadinya amputasi tungkai bawah. Pada dasarnya hal tersebut dapat dicegah dengan manajemen luka yang optimal. Salah satu komponen dasar dari manajemen luka adalah pencucian luka. terdapat banyak solusi yang tersedia untuk penccucian luka salah satunya adalah sabun antiseptik. Tujuan dari studi literatur ini adalah untuk mengetahui efek sabun antiseptik terhadap penurunan kolonisasi bakteri. Metode : Studi literatur ini dilakukan pada database PubMed, ScienceDirect dan Cochrane Hasil : Peneliti mengidentifikasi 156 artikel yang dipublikasikan dari tahun 2012 – 2017. Dari 156 artikel didapatkan 11 artikel yang memenuhi kriteria dan hasil penelitian menunjukkan bahwa sabun antiseptik memiliki efek mikrobicida yang kuat sehingga mampu menghambat pertumbuhan mikroorganisme pathogen dan efektif menurunkan jumlah koloni bakteri. Kesimpulan : sabun antiseptik efektif mengurangi jumlah koloni bakteri dibandingkan dengan sabun biasa dan memiliki daya hambat yang paling kuat terhadap pertumbuhan bakteri sthapylococcus aureus dan eschericia coli.
Gambaran Pengetahuan Perawat Tentang Pencegahan Dan Perawatan Luka Kaki Diabetik Di Rumah Sakit DR Wahidin Sudirohusodo Dan Rumah Sakit Pendidikan Universitas Hasanuddin Makkassar Makkaraka, Nurhidayah; Yusuf, Saldy; Malasari, Silvia
Jurnal Luka Indonesia Vol 4, No 2 (2018)
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ABSTRAK Nurhidayah M. C121 14 020. Gambaran Pengetahuan Perawat Tentang Pencegahan Dan Perawatan Luka Kaki Diabetik Di Rumah Sakit Dr Wahidin Sudirohusodo Dan Rumah Sakit Pendidikan Universitas Hasanuddin Makassar. Dibimbing oleh Saldy Yusuf dan Silvia Malasari. Latar Belakang : Kejadian penderita penyakit DM yang dari tahun ke tahun mengalami peningkatan. Salah satu komplikasi yang sering muncul pada penderita DM adalah munculnya luka kaki diabetik. Masalah luka kaki diabetik juga telah menjadi masalah di Rumah Sakit. Hal ini perlu dilakukan evaluasi terhadap tingkat pengetahuan perawat dalam melakukan pencegahan dan perawatan luka kaki diabetik di Rumah Sakit Tujuan : Mengidentifikasi gambaran pengetahuan perawat tentang pencegahan dan perawatan luka kaki diabetik di RSWS dan RSP Unhas Makassar Metode : Penelitian ini adalah penelitian kuantitatif menggunakan metode penelitian deskriptif. Penelitian ini mengembangkan instrumen menggumakan tehnik Delphi. Teknik pengambilan sampel dalam penelitian ini menggunakan Purposive Sampling dengan besar sampel yakni 100 orang. Hasil : Penelitian menunjukkan dari 100 responden ( 1 orang, 1.0 %) memiliki tingkat pengetahuan yang baik mengenai pencegahan luka kaki diabetik dan 92.0% memiliki pengetahuan kurang. Mengenai perawatan luka kaki diabetik (4 orang, 4.0 %) memiliki tingkat pengetahuan baik dan 60.0% responden memiliki pengetahuan kurang. Kesimpulan dan saran : Penelitian ini menunjukkan bahwa tingkat pengetahuan perawat tentang pencegahan dan perawatan luka kaki diabetik di Rumah Sakit masih kurang. Sehingga diharapkan bagi pihak Rumah Sakit agar memfasilitasi perawat dalam mengikuti pelatihan luka untuk meningkatkan pengetahuan perawat tentang pencegahan dan perawatan luka kaki diabetik. Kata Kunci : DM, Luka Kaki Diabetik, Pengetahuan, Pencegahan dan Perawatan Luka Kaki Diabetik Kepustakaan : 22 Literatur (2010-2017)
INTEROBSERVER RELIABILITYOF NEW DIABETIC FOOT ULCER SCALE IN INDONESIA: A CROSS SECTIONAL BASED PICTURES STUDY Muhtar, Trini Andini; Sari, Mutmainnah; Yusuf, Saldy
Jurnal Luka Indonesia Vol 4, No 1 (2018)
Publisher : ETN Centre Indonesia

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Background: Recently, Diabetic Foot Ulcer Assessment Scale (DFUAS) has been developed based on the characteristic of Diabetic Foot Ulcers (DFU) in Indonesia. DFUAS consist of 11 sub scales and its validity reported adequately. However, the reliability of DFUAS has not investigated. Therefore, application of DFUAS in clinical setting remains unclear. Objective: The aim of the current study was to evaluate interobserver reliability of DFUAS. Method: This was a cross sectional study, conducted in RUMAT (Rumah Perawatan) with the eligibility criteria of the observer as Wound Care Nurses. DFU’s status was scored using DFUAS based on 10 various pictures (Wagner I, II, III, IV and V) from Griya Afiat database. Interobserver reliability was calculated using Cronbach Alpha for each sub scales (SPSS 16.0). Results: Current study involved 44 wound care nurses (11 males, 32 females), nursing education background (vocational: 10 nurses, professional: 34 nurses) with experience as a wound care nurse (< 2 year, 31 nurses) and (> 2 years 11 nurses). Interobserver agreement confirmed by Cronbach Alpha for each sub scale, including depth (0.509), inflammation/infection (0.690), maceration (0.628), type of necrotic tissue (0.296), the proportion of necrotic tissue (0.530), the proportion of slough (0.467), the proportion of granulation (0.560), size (0.627), size score (0.177), tunneling (0.759) and type of wound edge (0.400). Overall Cronbach Alpha was 0.654. Conclusions: This study confirmed moderate reliability of DFUAS among different wound care nurse in Indonesia. Training how to use DFUAS is essential to increase its reliability.
PERBANDINGAN EMPAT JADWAL REPOSISI DALAM MENCEGAH PRESSURE INJURY Tarigan, Sumiati; Yusuf, Saldy; Syam, Yuliana
Jurnal Luka Indonesia Vol 4, No 2 (2018)
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Reposisi diketahui sebagai salah satu strategi yang efektif dan rendah teknologi dalam menurunkan kejadian pressure injury pada pasien tirah baring lama.Tujuan: Penelitian ini bertujuan untuk menentukan jadwal reposisi yang optimal dalam mencegah pressure injury. Metode: Data dikumpulkan sejak tahun 2017, dengan menggunakan 3 database (Pubmed, science direct, goggle schollar) dimana literatur yang digunakan dipublish secara international, reverensi tambahan diambil dari bibliografi semua artikel yang relevan. Kriteria inklusi mengacu pada jadwal reposisi yang berbeda dan efeknya pada kejadian pressure injury. Hasil: Dibandingkan dengan jadwal reposisi setiap 3 jam, 4 jam dan 6 jam, efek samping secara signifikan pada pasien yang menggunakan alat bantu pernafasan lebih sering pada kelompok dengan jadwal reposisi setiap 2 jam. Dibandingkan jadwal reposisi setiap 6 jam, reposisi setiap 3 jam mengurangi pressure injury sebesar 67%. Tidak ada perbedaan kejadian injury pada reposisi 2, 3 dan 4 jam, namun peralihan reposisi ini mengurangi beban kerja perawat, menguntungkan secara ekonomis dan mengurangi gangguan istirahat malam pasien. Kesimpulan: Reposisi dengan jadwal 3 atau 4 jam tidak secara signifikan menyebabkan kejadian pressure injury yang lebih parah dibandingkan jadwal reposisi lainnya, namun memberikan dampak positif baik bagi perawat atau pasien, sehingga dinilai sebagai jadwal reposisi yang optimal dalam mencegah berkembangnya pressure injury.
Co-Authors Abdul Gaffar Abdul Majid Abdul Majid Abrar, Eva Arna Ade Irma Rahayu, Ade Irma Adhisty, Weny Anggraini Amrullah, Fitria Andi Hastuti Andi Minhajuddin Andriana Arfah Anita Rosman Arifuddin, Fitrawati Ariyanti Saleh Aswar Musakkir Awal Darmawan Baharia Laitung, Baharia Bambi, Adi Angriawan Burhanuddin Bahar Cahyono Kaelan Deliaty Bagenda Dirga Dijaya Mulyadi Elisa Sinaga Elly L. Sjattar Elly L. Sjattar Elly Lilianty Sjattar Elly Lilianty Sjattar Erfina Erfina Etri Selpawani Etty Etty Eva Arna Abrar Fitria Amrullah Hade, Nurwahidah Hade, Nurwahidah Halbina Famung Halmar Harbaeni Hasdi Hasdi hasniati hasniati Hasriyani Hasriyani, Hasriyani Heni Selvia Herman Priyono Luawo Huddu, Risma I Gusti Ngurah Antaryama Ilhamjaya Patellongi Indiriadi Indiriadi Irna Satriani Irwan Irwan Irwan, Andi Masyitha Jannah, Uyunul Jasmin, Muh juhelnita bubun Juhelnita Juhelnita Kadek Ayu Erika Kadek Erika Kaelan, Cahyono Kasma Yuliani Kiki Rizky Aulina Kusrini Kadar Kusrini S. Kadar Liza Fauzia Lya Fitriyani Makbul Aman, Makbul Makkaraka, Nurhidayah Makkaraka, Nurhidayah Malasari, Silvia Maryunis Maryunis Maryunis Maryunis Masniati Arafah Masriadi Megawati Syam Minhajuddin, Andi Minhajuddin, Andi Moh Gifari S Moh. Syafar Sangkala Muh Hatta Muh. Syahrul Muhammad Darwis Muhrawi Yunding Muhtar, Trini Andini Muhtar, Trini Andini Mulyati Uly Musdalifah Musdalipa Kendeng Musfirah Ahmad Nur Febrianti Nurawaliah Rasyid Nurbaya Nurbaya Nurfiah, Nurfiah Nurhaya Nurdin Nurul Hidayah Nurwahidah Nurwahidah NURWAHIDAH NURWAHIDAH Paridah Paridah R, Risnawati R, Risnawati Rasnah, Rasnah Rasyid, Nur Awaliah Rice Mandowa Rini Angriani Rini Rachmawaty Risnawati R Risnawati R Risnawati R Rosman, Anita Rosyidah Arafat Rosyidah Arafat, Rosyidah S, Moh Gifari Sabir, Nurfadillah Sari, Mutmainnah Sari, Mutmainnah Sarina Musdiaman Sarina Sukri Sarnida Sarnida Silvia Malasari Sintawati Majid Siska Misali Sitti Nurhadijah Sitti Salmawati Sjattar, Elly L St Syahriyani Suhirman Suhirman Sukmawati Sukmawati Sulaeha Sulaeha Syahriyani, St Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syaiful Rassa, Syaiful Syakib Bakri Syam, Yuliana Syam, Yuliana Syam, Yuliana Syam, Yuliana Takdir Tahir Takdir Tahir Takdir Tahir Takdir Tahir Takdir Tahir Takdir Tahir Takdir Tahir Takdir Tahir Takdir Tahir, Takdir Tarigan, Sumiati Tarigan, Sumiati Titi Iswanti Afelya Titi Iswanti Afelya Usman, Suharno Uyunul Jannah Wahyu Hidayat Wahyu Hidayat Wahyuna Sahmar Wawan Karniawan Yuliana Syam