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All Journal Jurnal Keperawatan Sriwijaya Journal Of Nursing Practice Jurnal Mitra Kesehatan The Journal of Palembang Nursing Studies
Nursiswati
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Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Zinc oxide–chitosan dressing for grade IV pressure ulcers post-debridement with complications: A case report Putri Noor Kholisoh Purnama Wati; Nursiswati; Hasniatisari Harun
The Journal of Palembang Nursing Studies Vol. 3 No. 3 (2024): September 2024
Publisher : Palembang MediRose Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55048/jpns138

Abstract

Background: Pressure ulcers require appropriate management to prevent complications and reduce mortality. Several factors can delay wound healing, including diabetes mellitus, malignancies, inadequate nutrition, hypoalbuminemia, anemia, and immobility. Therefore, selecting the appropriate wound dressing is crucial. Zinc oxide and chitosan dressings have been shown to enhance wound healing and promote tissue epithelialization.Objective: To evaluate the outcomes of zinc oxide and chitosan dressing application in a patient with a grade IV pressure ulcer following surgical debridement and presenting with multiple complicating factors.Case: This case study involved the application of zinc oxide and chitosan dressings in a patient with a grade IV pressure ulcer post-surgical debridement. During the first month, the treatment was combined with antimicrobial dressings. Dressings were changed every 2 to 3 days. Ulcer severity was assessed using the National Pressure Ulcer Advisory Panel criteria, and healing progress was measured with the Pressure Ulcer Scale for Healing.Conclusion: The pressure ulcer showed progressive improvement over 8 months. However, complete healing was not achieved due to several complicating factors that delayed the healing process, including comorbidities, immobility, inadequate nutrition, urinary catheter use, the severity of the ulcer, anemia, and hypoalbuminemia
HUBUNGAN ANTARA AKTIVITAS FISIK DENGAN TEKANAN DARAH PADA KOMUNITAS PENCINTA ANGGREK KABUPATEN KAPUAS DI KALIMANTAN TENGAH Cahyani, Eka Maulidya; Setiawan; Nursiswati
Jurnal Keperawatan Sriwijaya Vol. 10 No. 1 (2023): Vol 10, No 1 (2023)
Publisher : Bagian Keperawatan Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jks.v10i1.176

Abstract

Tujuan: Aktivitas fisik merupakan gerak tubuh yang meningkatkan kebutuhan energi dan membakar kalori tubuh. Seiring dengan perkembangan teknologi yang mempermudah pekerjaan manusia, sehingga terjadi penurunan aktivitas fisik pada masyarakat. Kurangnya aktivitas fisik menjadi salah satu faktor utama penyebab ketidakstabilan tekanan darah. Tujuan Penelitian ini dilakukan untuk mengetahui hubungan antara aktivitas fisik dengan tekanan darah pada anggota Komunitas Pencinta Anggrek Kabupaten Kapuas Di Kalimantan tengah. Metode: Penelitian menggunakan metode kuantitatif dengan jenis cross sectional dengan pendekatan korelasional. Populasi dalam penelitian ini yaitu anggota KOMPAK yang berusia 26-65 tahun dengan jenis sampel purposive sampling sejumlah 68 orang. Instrumen yang digunakan yaitu instrumen Global Physical Activity Questionnaire (GPAQ) versi 2 terjemahan dalam Bahasa Indonesia dan alat ukur tekanan darah. Hasil: 55 responden (80,9%) memiliki tingkat aktivitas fisik tinggi dan sebanyak 42 (61.8 %) responden memiliki tingkat tekanan darah normal. Hasil uji spearman rank menunjukkan bahwa terdapat hubungan positif dan signifikan antar variabel dengan nilai Sig. (2-tailed) = 0,003 < 0,005. Masing-masing variabel memiliki nilai Sig. (2-tailed)  0,003. Simpulan: Terdapat hubungan yang positif dan signifikan antara aktivitas fisik dengan tekanan darah.
MANAJEMEN HIPOGLIKEMIA PADA PASIEN DENGAN GAGAL GINJAL KRONIS STAGE V: SEBUAH STUDI KASUS: MANAGEMENT OF HYPOGLYCEMIA IN PATIENTS WITH CHRONIC KIDNEY DISEASE STAGE V: A CASE REPORT Rizkiani, Agni; Pahria, Tuti; Nursiswati
Jurnal Mitra Kesehatan Vol. 7 No. 2 (2025): Jurnal Mitra Kesehatan
Publisher : STIKes Mitra Keluarga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47522/jmk.v7i2.378

Abstract

Introduction: Glucose homeostasis greatly affects CKD patients, who are at high risk for hyperglycemia and hypoglycemia. The risk of hypoglycemia is increased due to several factors, namely renal gluconeogenesis failure, impaired renal insulin breakdown, imperfect insulin degradation due to uremia, increased erythrocyte glucose uptake during hemodialysis, impaired counterregulatory hormone responses, nutritional deficiencies, and variability in exposure to antihyperglycemic agents and the effects of exogenous insulin. This study aims to identify the effect of hypoglycemia management in patients with chronic kidney disease who experience decreased blood glucose. Method: This study uses a case report method with a nursing care approach with interventions for unstable blood glucose levels, namely hypoglycemia management to overcome hypoglycemia. Result: Hypoglycemia management is evaluated by the results of the GDS examination and increased meal portions. After the intervention, there was an improvement in the GDS value on the second day of treatment, the increase in meal portions increased on the third day of treatment and signs of hypoglycemia were gone. Conclusion: In this case study indicate that hypoglycemia management intervention in the form of collaboration of 40% dextrose fluid administration in CKD patients experiencing hypoglycemia is an effective option to prevent further complications due to hypoglycemia.
Towards A Resilient Healthcare: Experiential Insights on Vaccination Importance among Rural Communities in Indonesia and Philippines Hamidah; Joel A Roy; Deasy Silvya Sari; Nursiswati
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.877

Abstract

Background: People's perceptions of the need for COVID-19 vaccine boosters are influenced by a variety of psychosocial, demographic, and informational factors. Indonesia and Philipines data might be show difference people’s perception to response the important of booster vaccinations. Purpose: This study aims to describe the differences between two difference population from two countries namely Indonesia and the Philipines. This is descriptive study with two datasets from respondents in Indonesia anad the Philipines. Methods: This research explore perceptions on vaccination and the willingness to get second shoots of covid-19 vaccination. A total 101 respondent from Indonesia and 400 respondents from the Philipines included in this study. Sample method was consecutive. Results: The result showed that 57% received covid-19 booster, while 43 43% have not received the Covid 19 booster vaccine. From the Philipines’data, 29% of respondents have received the Covid 19 booster vaccine, while 71% have not received the Covid 19 vaccine. Indonesian data shows that 76% think that booster vaccines can increase body immunity, extend the period of protection against the virus and help reduce the spread of the Covid 19 virus. Conclusion: Meanwhile, Filipino data shows various perceptions underlying the willingness to do the covid-19 booster vaccine, namely the existence of local government policies in providing vaccines as much as 93%, the adequacy of vaccine supply 76%, It is concluded that percentage of covid 19 booster participation among two countries quiet difference and the perception show based on people perception on resilience during pandemi and support from health care system.
Co-Authors Cahyani, Eka Maulidya Deasy Silvya Sari HAMIDAH Hasniatisari Harun Joel A Roy Putri Noor Kholisoh Purnama Wati Rizkiani, Agni Setiawan Tuti Pahria