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"Klien luka diabetes dapat mengalami perubahan bentuk dan fungsi pada organ yang mengalami luka. Perubahan tersebut dapat menyebabkan gangguan citra tubuh pada klien tersebut jika klien menyikapinya secara negatif. Penelitian ini dilakukan untuk melihat gambaran citra tubuh klien tersebut. Desain penelitian ini deskriptif dengan teknik total sampling terhadap 13 klien Rumah Perawatan Luka Bekasi. Hasilnya sebanyak 53,8% klien mengalami gangguan citra tubuh. Perawat luka disarankan untuk memberikan asuhan keperawatan yang berhubungan dengan citra tubuh selain perawatan pada luka diabetes klien agar gangguan citra tubuh klien teratasi dengan baik sehingga klien dapat beradaptasi dengan perubahan yang terjadi pada tubuhnya.

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Clients with diabetic ulcer might experience changes of structure and function of damaged skin. The changes could cause body image disturbance of clients if they adapt negatively. This study aims to describe the body image of clients with diabetic ulcer. Design of this study is descriptive with total sampling to 13 clients in Rumah Perawatan Luka, Bekasi. The result was 53,8 % clients have body image disturbance. Ulcers nurses are recommended to give nursing intervention related to body image in order to resolve body image disturbance properly, so that the client can adapt better with the changes that in the body."

"Ulkus diabetik merupakan komplikasi dari diabetes melitus, lama sembuh dan terjadi berulang sehingga mempengaruhi kualitas hidup penderita. Penelitian ini bertujuan mengidentifikasi hubungan antara tingkat depresi dengan kualitas hidup pasien ulkus diabetes. Desain penelitian ini adalah deskriptif korelasi dengan pendekatan cross-sectional. Pemilihan sampel dengan cara purposive sampling yang melibatkan 30 responden. Hasilnya menunjukkan adanya hubungan yang signifikan antara nilai depresi dengan kualitas hidup dengan p-value 0,000. Hasil penelitian ini diharapkan merekomendasikan program pencegahan dan penanganan depresi pada pasien dengan ulkus diabetik.

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Diabetic ulcers is complications of diabetes mellitus, delayed healing and repeated that affect the quality of life patients. The purpose of this study was to identify the relationship between depression and quality of life patients with diabetic ulcer. The design of this study is a descriptive correlation cross-sectional approach. The selection of samples were done in purposive sampling method and involved 30 respondents. The result are a significant correlation value depression with quality of life with p-value 0,000. The results of this study are expected to recommendation a program of prevention and treatment of depression patients with diabetic ulcers."

"Latar Belakang: Surgical Site Infection (SSI) adalah infeksi sekitar luka operasi dalam kurun waktu 30 hari pascabedah. SSI merupakan 23,6% dari total infeksi nosokomial pascabedah abdomen di RSCM tahun 2009 – 2011. Tingginya angka morbiditas dan mortalitas dikarenakan SSI menyebabkan biaya penangganan SSI, sehingga pencegahan SSI akan mengurangi biaya pengobatan. Aquadest diketahui cairan yang efektif untuk irigasi luka, mudah didapatkan, murah dan aman untuk irigasi luka.Tujuan: Mengetahui pencucian luka dengan aquadest dibanding perawatan luka Standar.Metode: Penelitian ini merupakan penelitian eksperimental terandomisasi tersamar tunggal, yang dilakukan di departemen bedah, Fakultas kedokteran Universitas Indonesia, Rumah Sakit Cipto Mangunkusumo Mei – Juni 2018. Subyek berjumlah 80 orang setelah laparatomi mediana, dibagi menjadi grup kontrol (n=40) yang menerima perawatan standar dengan tulle setiap 2 hari dan grup eksperimental (n=40) yang menerima pencucian luka dengan aquadest setiap hari, dimulai hari kedua pascabedah. Pada hari ketujuh, dilakukan kultur mikrobiologi yang diambil dari benang jahitan. Parameter yang dievaluasi adalah pertumbuhan kuman, tanda infeksi, dan biaya per subyek antara 2 grup untuk mengetahui efisiensi dan efektivitas keduanya.Hasil: Positif kultur mikrobiologi 57,5% (n=23) pada grup kontrol dan 55% (n=22) pada grup eksperimental. Tidak ada perbedaan bermakna antara kolonisasi kuman di grup kontrol dan grup eksperimental (p=0,820) maupun insiden SSI (p=1,00). Selisih biaya Rp 27.500,00 (Rp 19.400,00 – Rp 40.990,00) lebih rendah pada grup eksperimental (Rp 385.500,00 (Rp 379.500,00 – Rp 385.960,00)) dibanding grup kontrol (Rp 413.000,00 (Rp 398.900,00–Rp 426.950,00))Kesimpulan: Pencucian luka dengan aquadest lebih efisien dibandingkan perawatan luka dengan teknik standar.

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Background: Surgical Site Infection (SSI) is infection at or around the incision site within 30 days postoperative. SSI accounts for 23.6% of total nosocomial infections after abdominal surgery in Cipto Mangunkusumo General Hospital during 2009 – 2011. The high morbidity and mortality due to SSI causes high cost burden for SSI management, hence prevention of SSI will reduced the cost of treatment. Aquadest has known as an effective substance for wound irrigation, easy to obtain, low-cost and safe for wound irrigation.

Aim: The study objective was to know the efficiency of aquadest wound irrigation compared to standard wound care.

Methods: This was a single-blinded randomized experimental study, conducted at the Department of Medical Surgery, Faculty of Medicine University of Indonesia, Cipto Mangunkusumo General Hospital during May-June 2018. Subjects were eighty patients after median laparotomy, randomized into control group (n=40) which received standard wound care with tulle every other day and experimental group (n=40) which received aquadest wound irrigation every day, started on the second post operation day. On the seventh day, microbiological culture taken from surgical suture materials. Parameters evaluated were the bacterial growth, signs of infection and cost per subject between two groups to know the efficiency and efficacy of both treatment.

Result: The positive microbiological culture were 57,5% (n=23) in control group and 55% (n=22) in experimental group. There was no significant difference of bacterial colonization in the control and experimental group (p = 0,820) neither in SSI incidence (p = 1,00). The cost difference was Rp 27.500,00 (Rp 19.400,00 – Rp 40.990,00) lower for subject in experimental group (Rp 385.500,00 (Rp 379.500,00 – Rp 385.960,00)) compared with control group (Rp 413.000,00 (Rp 398.900,00–Rp 426.950,00)).

Conclusion: Surgical wound irrigation with aquadest was more efficient compared with standar surgical wound care."

"ABSTRAK Ulkus kaki diabetik mengakibatkan mortalitas yang semakin meningkat terutamapasca amputasi, beban yang signifikan pada pembiayaan kesehatan danmenyebabkan hilangnya produktivitas. Penelitian ini bertujuan untuk mengetahuiefektivitas terapi kombinasi dari laserpunktur dan perawatan luka konvensionaldibandingkan dengan laserpunktur sham dan perawatan luka konvensionalterhadap penyembuhan ulkus kaki diabetik. Uji klinis acak tersamar ganda denganpembanding dilakukan terhadap 36 pasien yang dialokasikan ke dalam kelompokkasus atau kelompok kontrol. Tindakan laserpunktur dilakukan pada titik LI4Hegu, ST36 Zusanli, SP6 Sanyinjiao, dan KI3 Taixi bilateral serta penyinaranpada ulkus dua kali seminggu, selama empat minggu. Rerata ukuran ulkus kakidiabetik sebagai keluaran primer diukur setiap minggu. Hasil penelitianmenunjukkan perbedaan yang bermakna antara penurunan luas luka akhir dikelompok laserpunktur dan perawatan luka konvensional dengan kelompoklaserpunktur sham dan perawatan luka konvensional (p=0,006). Dapatdisimpulkan bahwa terapi kombinasi laserpunktur dan perawatan lukakonvensional efektif mempercepat penyembuhan ulkus kaki diabetik denganfrekuensi terapi dua kali seminggu. ABSTRACT Diabetic foot ulcers result in mortality is increasing, especially after theamputation, a significant burden on health financing and lead to loss ofproductivity. This study aims to determine the effectiveness of the combinationtherapy between laserpuncture and conventional wound care compared withsham laserpuncture and conventional wound treatment for healing diabetic footulcers. Double-blind randomized clinical trial with a control carried out on 36patients allocated to the case group or control group. Laserpuncture actionsperformed on LI4 point Hegu, Zusanli ST36, SP6 Sanyinjiao and Taixi KI3bilateral as well as exposure to ulcers twice a week, for four weeks. The mean sizeof diabetic foot ulcers as the primary output is measured every week. The resultsshowed a significant difference between the reduction in wound area at the end ofthe group laserpuncture and conventional wound care compare withlaserpuncture sham group and conventional wound treatment (p = 0.006). It canbe concluded that the combination therapy laserpuncture and conventional woundcare effectively accelerate the healing of diabetic foot ulcers with frequencytherapy twice a week.;Diabetic foot ulcers result in mortality is increasing, especially after theamputation, a significant burden on health financing and lead to loss ofproductivity. This study aims to determine the effectiveness of the combinationtherapy between laserpuncture and conventional wound care compared withsham laserpuncture and conventional wound treatment for healing diabetic footulcers. Double-blind randomized clinical trial with a control carried out on 36patients allocated to the case group or control group. Laserpuncture actionsperformed on LI4 point Hegu, Zusanli ST36, SP6 Sanyinjiao and Taixi KI3bilateral as well as exposure to ulcers twice a week, for four weeks. The mean sizeof diabetic foot ulcers as the primary output is measured every week. The resultsshowed a significant difference between the reduction in wound area at the end ofthe group laserpuncture and conventional wound care compare withlaserpuncture sham group and conventional wound treatment (p = 0.006). It canbe concluded that the combination therapy laserpuncture and conventional woundcare effectively accelerate the healing of diabetic foot ulcers with frequencytherapy twice a week.;Diabetic foot ulcers result in mortality is increasing, especially after theamputation, a significant burden on health financing and lead to loss ofproductivity. This study aims to determine the effectiveness of the combinationtherapy between laserpuncture and conventional wound care compared withsham laserpuncture and conventional wound treatment for healing diabetic footulcers. Double-blind randomized clinical trial with a control carried out on 36patients allocated to the case group or control group. Laserpuncture actionsperformed on LI4 point Hegu, Zusanli ST36, SP6 Sanyinjiao and Taixi KI3bilateral as well as exposure to ulcers twice a week, for four weeks. The mean sizeof diabetic foot ulcers as the primary output is measured every week. The resultsshowed a significant difference between the reduction in wound area at the end ofthe group laserpuncture and conventional wound care compare withlaserpuncture sham group and conventional wound treatment (p = 0.006). It canbe concluded that the combination therapy laserpuncture and conventional woundcare effectively accelerate the healing of diabetic foot ulcers with frequencytherapy twice a week."

"ABSTRAKLuka kaki diabetik adalah komplikasi diabetes mellitus DM yang dapatmengakibatkan amputasi ekstremitas bawah. Pengetahuan tentang perawatan lukakaki diabetik berkaitan erat dengan keterampilan perawat dalam melakukanperawatan luka. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuanperawat tentang perawatan luka kaki diabetik di Kota Depok. Penelitian inimenggunakan consecutive sampling sebanyak 102 responden dari tiga rumah sakittipe C di Kota Depok. Penelitian menggunakan kuesioner Nurses rsquo; KnowledgeRegarding Prevention and Management of Diabetic Foot Ulcer NKPM-DFU yang terdiri dari 40 pertanyaan. Hasil penelitian menunjukkan bahwa sebagianbesar 92,2 perawat memiliki tingkat pengetahuan kurang dan sisanya memilikitingkat pengetahuan cukup. Hasil penelitian merekomendasikan perawat untuksecara aktif mengikuti pelatihan dan mencari informasi mengenai perawatan lukakaki diabetik. Selain itu, institusi layanan keperawatan dapat menyusun kebijakanberkaitan dengan upaya peningkatan pengetahuan perawat.

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ABSTRACTDiabetic foot wound is a complication of diabetes mellitus DM that can causeamputation of lower extremity. Nurses rsquo knowledge about diabetic foot woundcare is related to nurses rsquo wound care practice. This study aimed to identify thelevel of nurses rsquo knowledge regarding diabetic foot wound care in Depok. A totalsample of 102 nurses from three general hospitals of type C were involved byusing consecutive sampling method. Data was collected using Nurses rsquo KnowledgeRegarding Prevention and Management of Diabetic Foot Ulcer NKPM DFU questionnaire consisting of 40 question items. The result showed that the majorityof participants 92,2 have low level of knowledge regarding diabetic footwound care. This study recommends nurses to apply for wound care training andactively look up latest information about diabetic wound care. It is alsorecommended that the nursing service institutions consider establishing somepolicies in an effort to optimize nurses rsquo knowledge."

"ABSTRAKSalah satu dampak yang ditimbulkan dari perkembangan sel kanker yang menginfiltrasi kulit hingga menimbulkan luka. Luka kanker yang dialami penderita kanker menyebabkan ketidaknyamanan secara psikologis, diantaranya gangguan citra tubuh dan stres. Tujuan utama penelitian adalah untuk mengetahui hubungan gangguan citra tubuh dengan stres pada pasien luka kanker. Desain penelitian adalah cross-sectional dengan 73 sampel di RS Kanker Dharmais. Instrumen yang digunakan adalah Body Image Scale (BIS) dan Questionnaire on Stress in Cancer Patients (QSC-23). Hasil penelitian menunjukkan bahwa responden yang memiliki citra tubuh negatif mengalami stres yang berat, sedangkan sebaliknya, responden yang memiliki citra tubuh positif mengalami stres yang ringan. Hasil Uji chi square menunjukkan terdapat hubungan yang bermakna antara citra tubuh dengan stres (p:0,001; α:0,05). Berdasarkan hasil penelitian ini diharapkan bagi perawat yang memberikan asuhan keperawatan pada pasien luka kanker bisa memberikan edukasi terkait manajemen stres, sehingga pasien dapat meningkatkan kualitas hidupnya.

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ABSTRACTOne impact of the development of cancer cells that infiltrate the skin to cause injury. Malignant wound experienced by patients with cancer causing psychological discomfort, such as body image disturbance and stress. This study?s aim was to determine the relationship of body image disturbance with stress in patients with malignant wound. Its design was cross-sectional with 73 samples Dharmais Cancer Hospital. The instrument used was the Body Image Scale (BIS) and the Questionnaire on Stress in Cancer Patients (QSC-23). The results showed that the respondents have a negative body image experiencing severe stress, while in contrast, respondents who have a positive body image experience mild stress. Chi square test results show there was a significant relationship between body image distress (p: 0.001; α: 0.05). Based on the results of this study are expected for nurses who provide nursing care in patients with cancer lesion can provide education related to stress management, so that patients can improve their quality of life."

"Background. Periodontal therapy for treatment of periodontitis jnvolves the elimination of anatomic defect. There are two primary approaches to eliminating these anatomic defects : resective (gingivectomi, osseous resection, and apically positioned flaps), and regenerative surgery (osseous graft, guided tissue regeneration, resorbable barriers, coronally position flap). Aims. The dentist know the outcomes after periodontal surgery. References. Periodontal regeneration means healing after periodontal surgery that results in the formation of a new attachment apparatus. Consisting of cementum. Periodontal ligament, and alveolar bone. Periodontal repair implies healing without restoration of the normal attachment apparatus. Histologic evaluation is the only reliable method to determine the true efficacy of periodontal therapies. Discussion. The variables involved in periodontal wound healing to solve how to achieve periodontal regeneration are manipulation of progenitor cell, alteration of pathologically exposedroot surfaces, exclusion of gingival epithelium, and wound stabilization. Conclusions. Periodontal surgery usually do not result in periodontal regeneration. Gingival epithelium that proliferates apically can be enhibited by stabilization of the flap margin and regenerative surgery."

"Rumah Sakit Haji Jakarta mengalami penurunan jumlah kunjungan rawat inap sebanyak 5096 orang dari tahun 2010 sampai tahun 2011. Berdasarkan hasil survei pasar yang dilakukan unit pemasaran pada 45 responden, sebagian besar memilih Rumah Sakit Haji untuk berobat, namun tingkat ketercapaiannya belum 50% dari responden. Penelitian ini bertujuan untuk menganalisis bauran pemasaran Poli Perawatan Luka di Rumah Sakit Haji Jakarta. Komponen bauran pemasaran yang akan diteliti terdiri dari 4P yaitu product, price, place, dan promotion yang akan dilihat di Poli Perawatan Luka Rumah Sakit Haji Jakarta. Penelitian ini merupakan penelitian kualitatif dengan metode wawancara, telaah dokumen, dan observasi. Penelitian ini dilaksanakan selama 3 bulan yaitu Oktober sampai Desember. Informan dari penelitian ini terdiri dari 9 orang yaitu 3 orang staff unit pemasaran, 3 orang staff unit keperawatan, dan 3 orang perawat poli perawatan luka. Hasil dari penelitian ini menunjukkan bahwa Poli Perawatan Luka merupakan produk unggulan Rumah Sakit Haji Jakarta yang dapat dipopulerkan di masyarakat, kegiatan bauran pemasaran Poli Perawatan Luka masih belum efektif, dan analisis bauran pemasaran Poli Perawatan Luka terbukti dapat melihat kekuatan dan kelemahan produk.

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Jakarta Hajj Hospital has decreased the number of inpatient visits as many as 5096 people from 2010 to 2011. Based on the result of the market survey conducted marketing unit in 45 respondents, the majority chose Jakarta Hajj Hospital for treatment, but the level of successful yet 50% of respondents. This research was aimed to analyze the marketing mix Wound Care Clinic at Jakarta Hajj Hospital. Component of the marketing mix that will be examined consists of 4Ps, namely product, price, place, and promotion to be seen in Poly Wound Care Jakarta Hajj Hospital. This research was a qualitative approach with interviews, document review, and observation. This research was conducted in three months, October until December. Informant of this research consists of 9 is 3 person marketing staff, 3 person nursing staff, and 3 nurses wound care clinic. The research result showed that Wound Care Clinic at Jakarta Hajj Hospital is an excellent product that can be popularized in community, activities marketing mix wound care clinic yet effective, and analysis of the marketing mix wound care clinic can see the strengths and weaknesses of the product."