Hotma Rumahorbo
Politeknik Kesehatan Kementerian Kesehatan Bandung

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Rancangan Standar Prosedur Operasional Perawatan Ulkus Pedis Diabetikum Grade 3 dan 4 Sri Atun; Blacius Dedi; Ria Sitorus; Asep Badrujamaludin; Hotma Rumahorbo
Jurnal Keperawatan Silampari Vol 6 No 1 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (227.163 KB) | DOI: 10.31539/jks.v6i1.4324

Abstract

This study aims to explore nurses' experience treating ulcers in grades 3 and 4 and make it a standard SOP. This research method is qualitative research with an action research approach. The results of the study resulted in five themes, namely the comprehensive treatment of grade 3 and 4 diabetic ulcers, X-ray examination of grade 3 and 4 diabetic ulcers, the role of infrared and ozone in the management of grade 3 and 4 diabetic ulcers, the culture of grade 3 and grade 3 diabetic ulcers. 4, and health education on the five pillars of diabetes mellitus, grade 3, and grade diabetic ulcers. In conclusion, the Operational Service Standards for grades 3 and 4 are expected to be able to make a comprehensive, scientific, and scientific ulcer treatment so that the quality of service is uniform and suitable, the healing process wound quickly, thus avoiding amputation. Keywords: Diabetes Mellitus, Pedis Ulcer Grade 3 and 4
Prone Positioning terhadap Status Oksigenasi pada Pasien COVID-19 Rohmat Rohwandi; Hotma Rumahorbo; Susilawati Susilawati; Linlin Lindayani; Asep Badru Djamaludin
Jurnal Keperawatan Silampari Vol 6 No 1 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.322 KB) | DOI: 10.31539/jks.v6i1.4363

Abstract

This study systematically reviews the effectiveness of Prone Positioning on the oxygenation status of COVID-19 patients from the existing literature. The research method uses a systematic literature review and meta-analysis obtained from the google scholar database. Proquest, Pubmed, Science Direct, and Semantic Scholar. The results showed that based on oxygenation parameters, Prone Positioning had an effect on changes in the ROX index value (Mean Difference 3.89, 95% CI 0.08 to 7.70, P = 0.05), P/F Ratio (Mean Difference 17.88, 95% CI 5.44 to 30.33 , P=0.05), SPO2 (Mean Difference 1.98, 95% CI 1.29 to 2.68, P<0.00001), and S/F Ratio (Mean Difference 23.04, 95% CI 15.89 to 30.19, P <0.00001), while the respiratory rate parameters (Mean Difference -0.79, 95% CI -1.76 to -0.18, P=0.11) and PaO2 (Mean Difference 7.75, 95% CI -22.80 to -38.31, P= 0.62) did not show a significant difference. In conclusion, Prone Positioning is considered to significantly affect changes in the oxygenation of COVID-19 patients. It is expected to be a reference in implementing nursing interventions for oxygenation disorders in patients. Keywords: COVID-19, Oxygenation, Positioning, Prone