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Journal : Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan

The Combination of Polyhexamethylene Biguanide and Cadexomer Iodine in Healing Chronic Venous Leg Ulcers: A Case Report Asmat Burhan; Septian Mixrova Sebayang
Viva Medika Vol 16 No 1 (2022): VOLUME 16 / Nomor 01 /SEPTEMBER/ 2022
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (461.449 KB) | DOI: 10.35960/vm.v16i1.832

Abstract

Chronic Venous Leg Ulcers (CVLUs) are vascular diseases and require complex wound care from a patient, wound, health personnel and dressing factors. Cadexomer Iodine (CI) and Polyhexamethylene Biguanide (PHMB) are antimicrobial and broad-spectrum wound washing fluids. The uncontrolled infection will complicate wound healing due to bacteria or plankton from the biofilm stage to infection, which causes a long healing time. Purpose: to determine the effectiveness of the combination of Polyhexamethylene biguanide and Cadexomer Iodine on venous leg ulcer wound healing. Methods: This study is a case study using CVLUs as a sample, with pre-test and post-test designs, patients with CVLUs received topical antimicrobial CI and PHMB interventions on wounds for 7 weeks. The sample in this study used one sample with a pre-post treatment design for seven days.. The instrument uses the Bates Jensen Wound Assessment Tool. Results: The combination of CI and PHMB was shown to improve the healing of CVLUs by controlling bacterial infection in wounds. In the 2nd week, the wound was 26cm x 15cm, the slough was reduced, and the red base wound increased. In the 3rd week, the wound was stage 4, and the granulation increase was 75%. In the 7th treatment, the wound size scale increased 7cmx4cm, the wound became stage 2, and a significant increase in epithelialization was 75%. Conclusion: The combination of PHMB and CI has been shown to control infection at the biofilm stage to critical colonization, reduce odour and significantly control infection, and increase granulation and epithelialization in CVLUs
The Overview Of Management Documentation Hypertension Patients: A Qualitative Study Indah Susanti; Paulus Subiyanto; Asmat Burhan
Viva Medika Vol 16 No 3 (2023): VOLUME 16 / Nomor 03 /JULI/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i3.1042

Abstract

Latar belakang: Hipertensi adalah terjadinya peningkatan tekanan darah diatas normal. Prevalensi hipertensi di kota Yogyakarta sebesar 25%. Tujuan: Untuk mengetahui prinsip-prinsip dokumentasi asuhan keperawatan pada pasien hipertensi. Metode penelitian: Desain penelitian yang digunakan dalam penelitian ini dengan pendekatan kualitatif dengan model multikasus terpancang. penelitian dilakukan di ruang Elisabeth Gruyter’s 3 Rumah Sakit Panti Rapih Yogyakarta pada bulan Januari- September tahun 2017 sebanyak 161 pasien hipertensi. Jumlah sampel yang di ambil pada penelitian ini adalah dua Rekam Medis pasien yang menderita hipertensi disertai komplikasi dan hipertensi tanpa komplikasi. Kesimpulan dan Saran: Pasien kasus 1 menderita hipertensi tanpa komplikasi dan terkontrol dengan riwayat CA Cerebri, sedangkan pasien kasus 2 menderita hipertensi disertai dengan komplikasi CKD (chronic kidney disease) dan tidak terkontrol. Prinsip-prinsip dokumentasi sudah sesuai dengan data yang ada pada pasien. Diharapkan hasil penelitian ini dapat menjadi referensi untuk meningkatkan pelayanan optimal tentang penatalaksanaan untuk penderita hipertensi.
A Cross-Sectional Study on the Relationship Between Age, Surgery Duration, and Post-Anesthesia Hypothermia Incidenc: English Gangsar Haryo Narendra; Wilis Sukmaningtyas; Asmat Burhan
Viva Medika Vol 16 No 4 (2023): VOLUME 16 / Nomor 04 /NOVEMBER/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1101

Abstract

Background: Hypothermia is a post-anesthesia complication commonly found in the recovery room after general and regional anesthesia. Patients undergoing surgery are at risk of hypothermia. Hypothermia can be defined as a body temperature of less than 36oC. Objective: to identify the relationship between age and length of surgery with the incidence of post-anesthesia hypothermia at Hospital dr.R.Goeteng Taroenadibrata Methods: This research method uses a quantitative approach with a cross-sectional approach. A sample of 86 post-anesthesia respondents with a purposive sampling technique and chi-square test to analyze the data. Results: This study shows a relationship between age and the incidence of hypothermia with a chi-square value with a probability value of 0.001 <0.05. This study also shows a connection between the length of surgery and the incidence of hypothermia at 69% with an X2 value with a probability value of p = 0.001. Conclusion: We confirmed that age and duration of surgery significantly affect patients' thermoregulation after general anaesthesia and regional anaesthesia, resulting in various signs and symptoms.
Overview Of Postoperative Nausea and Vomiting (Ponv) in Caesarean Section Patients with Spinal Anesthesia at Fatimah Islam Hospital, Cilacap. Tiara Octa Afrilya; Wilis Sukmaningtyas; Asmat Burhan
Viva Medika Vol 16 No 4 (2023): VOLUME 16 / Nomor 04 /NOVEMBER/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1220

Abstract

Spinal anesthesia has been established as the most effective and safest procedure for Sectio Caesarea. One of the most common side effects of spinal anesthesia is operative Nausea and Vomiting (PONV) or Nausea vomiting, which typically occurs within the first 24 hours after surgery. This study seeks to determine the description of Operative Nausea and Vomiting (PONV) based on age, surgery duration, and fasting duration in patients undergoing Caesarean section at RSI Fatimah Cilacap under spinal anesthesia. This research method employs quantitative analytic observation with a cross-sectional design and convenience sampling. The results revealed that the majority of respondents were between the ages of 20 and 35 (90.6%), with an incidence of PONV of 58.6%; the duration of surgery was between one and two hours (90.6%), with an incidence of 51.7%; and fasting duration was less than six hours (50%) with an incidence of 87.7%. This study found that 53.1% of participants experienced Operative Nausea and Vomiting (PONV).