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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."

"Wilayah perkotaan merupakan pusat segala aktivitas sosial, pemerintahan, maupun ekonomi yang dapat mempengaruhi perubahan gaya hidup seseorang. DM tipe 2 merupakan salah satu penyakit tidak menular yang banyak ditemukan di wilayah perkotaan. Seorang individu dengan DM memiliki risiko yang tinggi mengalami ulkus kaki diabetikum. Tanpa perawatan yang baik, ulkus kaki diabetikum dapat menyebabkan infeksi meluas dan dilakukan amputasi. Penggunaan madu dalam perawatan luka ulkus kaki diabetikum sudah banyak terbukti sangat baik karena madu memiliki berbagai sifat antara antimikroba, antioksidan, antiinflamasi, dan kadar osmotik tinggi sehingga baik untuk penyembuhan luka serta madu dapat meminimalisir bau yang muncul dari luka a. Evaluasi hasil intervensi pada luka klien tidak tercium aroma tidak sedang, jumlah slough berkurang, dan tanda-tanda inflamasi tidak menghilang.

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The urban area is the center of all governance, economic, and social activities, that may affect change a person's lifestyle. Type 2 diabetes is one of the non-communicable diseases that are found in urban areas. An individual with diabetes have an increased risk of diabetic foot ulcers. Without good care, diabetic foot ulcers can lead to widespread infection and amputation. The use of honey in wound care diabetic foot ulcer has been proven to be very good because honey has various components such as antimicrobial, antioxidant, anti-inflammatory, and high levels of osmotic, so honey be good for wound healing. Besides that, honey can minimize arising malodors from a wound. Evaluation of the results of the intervention on the client does not smell malodor of the wound, reduced the amount of slough, and no inflammatory signs disappeared."

"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."

"Perubahan-perubahan yang terjadi pada klien luka bakar akan menyebabkan perubahan body image. Penelitian ini dilakukan di Unit Luka Bakar RSUPN Cipto Mangunkusumo Jakarta, dengan tujuan untuk mengetahui persepsi klien luka bakar terhadap perubahan body image, dengan desain penelitian deskriptif eksploratif. Sampel yang dipergunakan sebanyak 10 (se13uIuh) responden berdasarkan kriteria yang sudah ditentukan.Hasil penelitian menunjukkan bahwa 30 % responden mempunyai persepsi yang positif terhadap luka bakar yang dialami ditandai dengan menerima keadaan, emosi stabil, percaya diri dan tidak menunjukkan keputusasaan. Sedangkan 70 % responden mempunyai persepsi yang negatif terhadap Iuka bakar yang dialami, ditandai dengan menolak keadaan, emosional, tidak percaya diri dan putus asa."

"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."