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All Journal Jurnal Ilmu dan Teknologi Kesehatan Jurnal Keperawatan (JKEP)
Nurma Afiani
STIKES Widyagama Husada Malang
Computer Science & IT Health Professions Nursing

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Efektifitas Debridemen Mekanik Pada Luka Bakar Derajat III Terhadap Kecepatan Penyembuhan Luka Nurma Afiani; Sanarto Santoso; Tina Handayani N; M. Fendi Nur Yahya
Jurnal Keperawatan Vol 4 No 2 (2019): Vol. 4 No. 2 (2019)
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (0.272 KB) | DOI: 10.32668/jkep.v4i2.254

Abstract

Third degree burn is a special wound cause consist of eschar for a long time. Kept eschar in third degree burn will delay healing procces. That is why eschar should be disapper by debridement process. Mechanical debridement used in this research. The aim of this research is to know the differences between mechanical debridement 24 hour and 48 hour in healing acceleration. This research is a true experimental by using post test only control group design. The samples was selected by simple random sampling and was divided into three groups, each group consist of six rats, they are 24 hour group, 48 hour group and control group. The data was analyzed by one-way ANOVA then followed by Post Hoc LSD. The one way ANOVA result p = 0,018 (p < 0,05) so there was a significant difference between control group and experimental groups. But the Post Hoc LSD results p = 0,123 ( p > 0,05) so there was no significant difference between 24 hour group and 48 hour group in healing acceleration. For further researchers, it is suggested to use microscopic technique to know the effect of mechanical debridement in healing acceleration.
Survival Rate Prediction of Head Injury Patients with Peripheral Oxygen Saturation Nurma Afiani; Abdul Qodir; Wiwit Widyawati; Intan Purnama
Jurnal Ilmu dan Teknologi Kesehatan Vol 8 No 2 (2021): Maret 2021
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v8i2.512

Abstract

Good management of head injuries can improve patient survival. Examination of peripheral oxygen saturation (SpO2) is a procedure performed at the primary survey. This study aims to predict the survival rate of head injury patients with the SpO2 value. The method used was a prospective study with a cohort design. Samples were head injury patients who came to the ER without comorbidities. The instruments used were the Revised Trauma Score (RTS) and Oximetry. Patients who arrived at the ER were measured for their SpO2 levels, treated according to SOP, and 6 hours later, the survival rates were assessed. The sampling technique used was purposive sampling. The statistical test used is Somers’d Correlation Test. The sample consisted of 46 head injury patients with SpO2 in a good category of 30 (65.2%) and good survival of 32 (69.6%). SpO2 had a strong correlation with survival (p = 0.00; r = 0.846; RR = 8.16). Patients with good SpO2 were 8.16 times more survive than others. Low SpO2 can be used as an early indicator of tissue hypoxia and related to mortality. The ER nurse should be concerned about the patient's oxygen saturation and ensure that the SpO2 level is in the 95% -100% range.
Co-Authors Abdul Qodir Intan Purnama M. Fendi Nur Yahya Sanarto Santoso Tina Handayani N Wiwit Widyawati