EFEKTIVITAS SALEP JINTAN HITAM (Nigella Sativa) PADA PROSES PENYEMBUHAN LUKA PERINEUM RUPTURE IBU NIFAS

YUNIARTI, Yuniarti and SUWONDO, Ari and KUNTJORO, Tjahjono (2016) EFEKTIVITAS SALEP JINTAN HITAM (Nigella Sativa) PADA PROSES PENYEMBUHAN LUKA PERINEUM RUPTURE IBU NIFAS. Masters thesis, Postgraduate Program .

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Abstract

Latar Belakang : Penyebab kematian maternal di Indonesia terkait persalinan adalah infeksi 11% berawal dari penatalaksanaan ruptur perineum yang kurang baik. Sekitar 85% wanita yang melahirkan spontan pervaginam mengalami trauma perineum, sebanyak 1% mengalami infeksi. Ruptur perineum perlu mendapatkan perhatian karena dapat menyebabkan disfungsi organ reproduksi wanita menyebabkan kematian karena perdarahan atau sepsis. Prosedur perawatan luka perineum saat ini masih menggunakan cairan desinfektan Povidon Iodin 10%, belum ada yang berbentuk obat herbal salep sebagai tambahan perlindungan luka dan mengurangi ketidaknyamanan luka perineum. Sehingga penulis tertarik untuk melakukan penelitian efektivitas Salep Jintan Hitam 5 % dan 10 % dalam penyembuhan luka perineum rupture ibu nifas di RSUD Puruk Cahu, Kabupaten Murung Raya, Kalimantan Tengah. Metode : 21 ibu nifas dengan luka Perineum rupture derajat II, dibagi menjadi 3 kelompok secara random menggunakan Rancangan penelitian Randomised pre-post test control group design. Salep jintan hitam 5% dan 10% dioleskan pada luka Perineum rupture setiap hari, selama 7 hari postpartum sesuai kelompok perlakuan. Penilaian luka menggunakan skala REEDA dilakukan pada hari 1 (pre test), hari 3, 5 dan 7 (post test). Hasil : Salep jintan hitam efektif mempercepat proses penyembuhan luka Perineum rupture pada ibu nifas sejak hari ke-3 dilihat dari penurunan nilai Redness, Oedema, Ecchymosis secara signifikan dibanding kelompok kontrol (p<0,05), selanjutnya hari ke-5 dan 7 dilihat dari penurunan nilai Discharge, Aprroximation dan Luka, secara signifikan dibanding kelompok kontrol (p<0,05). Tidak ada perbedaan efektivitas Salep jintan hitam 5% dan 10% (p>0,05), tetapi secara deskriptif Salep jintan hitam 10% lebih efektif dalam proses penyembuhan luka Perineum rupture pada ibu nifas dibandingkan Salep jintan hitam 5%. Kesimpulan : Salep jintan hitam berperan pada fase inflamasi dengan menghambat pembentukkan kinin dan prostglandin secara tidak langsung, sedangkan pada fase proliferasi Salep jintan hitam berperan dalam angiogenesis, sintesis kolagen, dan kontraksi luka. Salep jintan hitam 10% lebih efektif dibandingkan Salep jintan hitam 5%. Kata kunci : Salep jintan hitam 5% dan 10%, Redness, Oedema, Ecchymosis Discharge, Aprroximation, Luka. Background: The main cause of maternal mortality in Indonesia in the bearing process is infection. Eleven per cent of the infection come from bad treatment of perineum rupturee. There are about 85% women bearing through spontaneuous pervaginam experience perineum trauma and 1% of them are infected. Perineum rupture needs serious attention since it can cause woman reproduction organ disfunction and dead as the consequence of bleeding or sepsis. The procedure of perineum treatment still uses desinfectant lotion Povidon Iodin 10%, herbal oinment as additional wound protector and perineum pain killer. Because of this, the researcher is interested in studying the effectiveness of nigella sativa 5% and 10% in curing perineum rupture of postpartum mothers at General Hospital RSUD Puruk Cahu, Murung Raya District, Central Kalimantan Method: Using Randomised pre-post test control group design, the 21 women suffering from perineum rupture stadium II are grouped into three. The black cumin (nigella sativa) oinment is rubbed on the wound Perineum rupture everyday during seven days of postpartum ranging from treatment group. The evaluation is done in the day 1 (pre test), the day 3, 5 and 7 (post test) by using REEDA scale. Result: The black cumin (nigella sativa) oinment is effective in fastening wound healing of perineum rupture since the day 3. This can be seen from the significantly downgrading score of redness, Oedema, and Ecchymosis compared to control group (p<0,05). The day 5 and 7 show significantly downgrading score of Discharge, Approximation and wound compared to control group (p<0,05). Descriptively, black cumin (nigella sativa) 10% is more effective than 5% in the process of healing perineum rupture on postpartum mothers. Conclusion: The black cumin oinment (nigella sativa) functions in the phase of inflamation by postponing kinin and postglandin forming indirectly, this functions in the phase of proliferation by angiogenesis, collagen, and wound contraction. The black cumin oinment 10% is more effective than 5%. Key words: black cumin (nigella sativa) 5% and 10%, Redness, Oedema, Ecchymosis Discharge, Approximation, and wound.

Item Type:Thesis (Masters)
Subjects:R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:School of Postgraduate (mixed) > Master Program in Epidemiology
ID Code:51356
Deposited By:Mrs Ekana Perpus Pasca
Deposited On:06 Jan 2017 09:20
Last Modified:06 Jan 2017 09:20

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