Perineal Wound Care Research Articles

The Efficacy of Educational Videos on Perineal Wound Care Using Red Betel Extract Salve in Enhancing the Knowledge and Attitudes of Postpartum Mothers for Improved Healing

The Efficacy of Educational Videos on Perineal Wound Care Using Red Betel Extract Salve in Enhancing the Knowledge and Attitudes of Postpartum Mothers for Improved Healing

Determinants of perineal wound healing in 2023

Normal labour can result in a perineal laceration due to pressure from the baby's bottom during delivery or from an episiotomy operation to open the birth canal. Perineal injuries will have an impact on the muscles in the pelvic floor. In the East Jakarta region, there will be numerous cases of perineal rupture in 2022, both spontaneous and due to episiotomy. Many postpartum women suffer from perineal lacerations that take longer than seven days to heal. This study aims to identify the factors that influence perineal wound healing in the Kramat Jati District Health Center's operational setting. This study used a cross-sectional design. Based on the sample formula, the research sample of 110 postpartum women with perineal wounds was chosen to test the hypothesis with a different percentage. Purposive sampling was used as the sample method. Chi-Square test study of a correlation test. A questionnaire and a checklist were employed as the data collection tools to track the healing of the perineum wound, which was assessed during the respondent's postpartum visit. The results showed that there was a significant association between age (P-value 0.003; OR 3.354), parity (P-value 0.001; OR 4.028), mobilization (P-value 0.007), personal hygiene (P-value 0.001; OR 3.611), body mass index (BMI) (P-value 0.012; OR 2.682), type of perineal injury (P-value 0.001; OR 0.251), treatment (P-value 0.0001; OR 5.262) on perineal wound healing. Postpartum mothers are advised to practice good hygiene, non-pharmacological therapies, engage in active mobilization, and maintain a normal BMI. Perineal wounds might heal more quickly depending on BMI. Health services require education for health workers and perineal wound care recommendations for postpartum women.

The Relationship of Postpartum Mother's Knowledge and Perineum Wound Care Behavior

Postpartum infections still play a role as one of the leading causes of maternal death, especially in developing countries like Indonesia. The main factor causing infection during the postpartum period is poor care of the perineum. Mothers do not know enough about caring for perineal wounds, such as washing hands before cleaning genitalia and drying genitalia after defecating and urinating. The research aimed to determine the relationship between postpartum mothers' knowledge and perineal wound care behavior at TPMB Kuswatiningsih. This research method is quantitative research using a cross-sectional approach. The sample was taken using the accidental sampling method with 39 respondents. The tool in this research was a questionnaire. The statistical test used the Kendall Tau test with a p-value <0.05. The statistical test results obtained a p-value of p- value= .015 (p-value=<0.05) and a correlation coefficient value of 0.925, so it can be concluded that the relationship between the variable Knowledge of Postpartum Mothers and Perineal Wound Care Behavior is solid. The suggestion for TPMB Kuswatiningsih is that it is hoped that health workers will be more active in providing health education to the community, especially mothers, regarding postpartum care and perineal wound care.

Asuhan Kebidanan Pada Ibu Nifas Dengan Perawatan Luka Perineum Di Klinik Pratama Medical Center Kota Batam

The puerperium is a period that will be passed by the mother after the delivery period, which starts after the birth of the baby and placenta, namely after the end of stage IV in labor and ends up to 6 weeks (42 days) which is marked by the cessation of bleeding. The puerperium is a period that is very vulnerable to infection for postpartum mothers if the treatment is not appropriate. Many postpartum mothers do not know how to maintain their hygiene, especially in the genital area. Mothers just clean it without caring about good and correct vulva hygiene, so that wound healing becomes slow (> 6 days). This type of research is descriptive by applying a case study approach. The implementation of this research was carried out at the Pratama Medical Center Clinic for Mrs. N by providing care for the implementation of genital cleansing and perineal wound care.
 

Hubungan Pengetahuan, Sikap Dan Perilaku Ibu Tentang Perawatan Perineum Terhadap Lama Penyembuhan Luka Jahitan Perineum di Wilayah Kerja UPTD Puskesmas Campaka Cianjur Tahun 2023

Perineal wounds are injuries to the urogenital diaphragm and anal muscle during vaginal delivery, either normal delivery or instrumental delivery. Knowledge is a very important domain for the formation of a person's attitudes and behavior. The aim of the research was to determine the relationship between maternal knowledge, attitudes and behavior regarding perineal suture wound care and the healing time for perineal suture wounds. This type of quantitative research with a cross sectional design. The research was conducted in June-July 2023. The research population was postpartum mothers with perineal wounds in June-July 2023. The total was 30 people. The population in this study was 30 people. The sampling technique is the total sampling population. The research results obtained from 30 respondents showed that there were 22 mothers who had good knowledge (73.3%), 22 mothers who had a positive attitude (73.3%), 23 mothers who had good behavior (76%). .7%). The results of the Chi-Square analysis test for the knowledge category obtained a p value = 0.002 (p = <0.05), for the attitude category the p value = 0.002 < (0.05) while for behavior the p value = 0.001 < (0). .05). The conclusion is that there is a relationship between knowledge, attitudes and behavior regarding perineal wound care and the healing time for perineal wound sutures in the work area of the UPTD Campaka Community Health Center in 2023. The suggestion is that postpartum mothers should improve their behavior regarding wound care as an effort to speed up the healing of perineal wounds.

Perineal Wound Treatment with Wound Healing Process on Knowledge of Post Partum Mothers at the Bissappu Bantaeng Community Health Center

Maternal Mortality Rate is an important indicator in assessing health status. Maternal Mortality can be used in monitoring deaths related to pregnancy. This indicator is influenced by general health status, education and services during pregnancy and childbirth. The sensitivity of MMR to improvements in health services makes it an indicator of the success of health sector development. Cases of maternal death include deaths of pregnant women, giving birth and postpartum women. Perineal tears generally occur in the midline and can become extensive if the fetal head is born too early, the angle of the pubic arch is smaller than normal, the fetal head passes through the pelvic inlet with a size that is larger than the circumferential suboccipitobregmatica. A perineal wound is an injury to the urogenital diaphragm and leftator ani muscle, which occurs during normal delivery, or delivery with an instrument, and can occur without injury to the skin of the perineum or vagina, so it is not visible from the outside. The aim is to prove the relationship between post partum mothers' knowledge about perineal wound care and the wound healing process. This research method is an analytical survey with a cross sectional approach, the research population is all 32 post partum mothers at the Bissappu Community Health Center. The sampling technique in this research was carried out using a total population technique. The results of the study found that of the 32 respondents, the majority of respondents' knowledge about perineal wound care was sufficient, namely 15 people (46.9%) and the minority had good knowledge, namely 8 people (25%), normal wound healing, namely 12 people (37.5%) and the fast minority, namely 9 people (28.1%). Chi-Square test results (person Chi-Square) with a p value of 0.00 < α=0.05 where H0 is rejected and Ha is accepted. The conclusion is that there is a significant relationship between maternal knowledge about perineal wound care and the wound healing process.

HUBUNGAN VULVA HYGIENE DENGAN KECEPATAN PENYEMBUHAN LUKA PERINEUM DI TPMB Bd. DIENE SOFITASARI, S.Tr.Keb KOTA PROBOLINGGO

Wounds on the perineum due to episiotomy, rupture or laceration are areas that are not easy to keep clean and dry. Perineal wound care for postpartum mothers is focused on reducing discomfort, maintaining cleanliness, preventing infection and increasing perineal wound healing. Vulva hygiene is cleaning the vulva area in women who have given birth up to 42 days postpartum. This study used Correlational analytical research design with the Cohort method. The population of all postpartum women who experienced perineal stitches at Independent Midwife Practice Diene Sofitasari, S.Tr.Keb Probolinggo as many as 30 postpartum mothers. The sampling method uses Total Sampling. The independent variable is vulva hygiene and the dependent variable is the speed of perineal wound healing in postpartum mothers. Research data obtained through a closed questionnaire. Data were tabulated and analyzed using the Chi-Square Test. The results showed that as many as 18 people (60%) did wrong vulva hygiene and as many as 20 people (66.7%) experienced slow healing of perineal wounds. The results of the study using the Chi-Square test showed p = 0.000, α = 0.05 p <α where H1 is accepted, meaning that there is a significant relationship between vulva hygiene and the speed of healing of perineal wounds in postpartum mothers. It is hoped that this research will increase the role of health workers in providing KIE with vulva hygiene in the healing of perineal wounds in postpartum women.

Effect of Self-Care Guidelines on Women Awareness Regarding Post-Partum Perineal Wound Care

Effect of Self-Care Guidelines on Women Awareness Regarding Post-Partum Perineal Wound Care

Efektivitas Air Rebusan Sirih Merah (Piper crocatum) terhadap Penyembuhan Luka Perineum pada Ibu Post Partum di Praktik Mandiri Bidan Rica Merdekawaty Tahun 2023

The postpartum period (puerperium) is the period that begins after 2 hours postpartum and ends when the uterus returns to its pre-pregnancy state, lasting 6 weeks. The postpartum period is an important thing to pay attention to in order to reduce maternal mortality. Perineal rupture is a tear caused by spontaneous birth of a baby, either by using a tool or action. Perineal wound care is important to prevent infection of the reproductive organs, one method of perineal wound care is non-conventional therapy using red betel leaf (Piper crocatum) boiled water which contains flavonoids, alkaloids, polyphenolic compounds, tannins and essential oils which are known to has antibacterial activity. The purpose of this study was to determine the effectiveness of red betel (Piper crocatum) cooking water for perineal wound healing in postpartum mothers. This research is a quantitative study with a population of all postpartum mothers with perineal wounds at PMB Rica Merdekawaty with a total sample of 30 respondents consisting of the intervention group and the control group. The data that was collected was then analyzed using the chi square statistical test (p value = 0.029). Based on the chi square analysis, it showed that red betel leaf boiled water was effective in healing perineal wounds in postpartum mothers.

Green Betel Leaves Extract and Red Betel Leaves Extract South Kalimantan And Central Kalimantan Indonesia are the Best Combination to Inhibit Escherichia Coli and Staphylococcus Aureus

Objective: Know “Herbal Medicine Formulation Emulgel Preparation Combination of Red Betel Leaf Extract and Green Betel Leaf Extract Rawa South Kalimantan and Central Kalimantan Indonesiaas an inhibitor of Escherichia coli and Staphylococcus aureus bacteria. Theoretical framework: Postpartum infections are the second leading cause of maternal death in Indonesia after bleeding. This research was within the theoretical framework of perineal wound care to assess the effectiveness of betel leaves in treating wounds (Damarini et al, 2012). Betel leaves have a distinctive aroma because they contain 1−4.2% essential oil, water, protein, fat, carbohydrates, calcium, phosphorus, vitamins A, B, C, iodine, sugar and starch. Of these various contents, in there essential oils are natural phenols which have antiseptic power 5 times stronger than ordinary phenols (bactericides and fungicides) but not sporacids. Essential oil from betel leaves contains 30% phenol and several derivatives. (Chakraborty, 2011). Essential oils act as anti-bacterials by interfering with the process of forming membranes or cell walls so that they do not form or form imperfectly (Ajizah, 2008). Method: Type of true experimental research. The ingredients used are red and green betel leaves originating from South Kalimantan and Central Kalimantan. The leaves are dried, then extracted using the maceration method, then the extract is dried. The extract was made in emulgel dosage form, then the physical properties of the emulgel were tested. Data was analyzed statistically. Results and conclusion: The formulation was able to produce an emulgel preparation from a combination of green and red swamp betel leaf extracts from South Kalimantan and Central Kalimantan.Test results of the physical properties of the emulgel product, a combination of green and red swamp betel leaf extracts in South Kalimantan and Central Kalimantan, with formula 1 results, namely homogeneous, viscosity 3173 Centipoise (cps), adhesive power 7.70 seconds, spread ability 8.62 cm2, and pH 6.23. while formula 2 is homogeneous, viscosity 3259 cps, adhesion power 7.80 seconds, spread ability 8.30 cm2, and pH 6.33. The results of statistical tests on the physical properties of the emulgel product, a combination of green and red swamp betel leaf extracts in South Kalimantan and Central Kalimantan as inhibitors of Escherichia coli and Staphylococcus aureus bacteria, show that formula 2 has the best ability when compared to placebo and formula 1. Emulgel formulation of Green Betel leaves extract and Red Betel leaves South Kalimantan and Central Kalimantan as inhibitions to Escherichia coli and Staphylococcus aureus which fulfill the physical requirements emulgel and formula 2 have the best ability. Implications of the research: this research has implications for continuing (Damarini et al, 2012) to focus on preventing perineal wound in postpartum mother against bacteria.

HUBUNGAN PERAWATAN LUKA PERINEUM DENGAN PENYEMBUHAN LUKA PERINEUM IBU POST PARTUM

Labor often result in the birth canal laceration, laceration occurred in nearly all deliveries the first time and not infrequently in the next birth. Resulting in laceration injuries that lead to treatment and should be done so that the perineal wounds can heal normally. This study aimed to determine whether there is a relationship between the perineal wound care with perineal wound healing in post partum. The research design used in this research using correlational analytic methods to the type design Cohort. The population in this study were 27 post partum at BPS Mrs. Aida W., Amd.Keb Dlanggu Village near Lamongan District. Sample was used as many as 26 respondents in accordance with inclusion criteria, and were taken by Simple Random Sampling is, taking samples from members of the population conducted randomly without regard to strata that exist in this population, with a variable is a treatment depedennya perineal wound healing was the independent variable is perineal wound. Data obtained and processed using the Chi square test with α = 0.05. Results showed that respondents who do care very well and recovered to normal as much as nine respondents (90%), while the treatment is not good and slow recovery is nine respondents (56.2%). From the results of the chi-square test p value = 0.018 where p <0.05. This shows that H0 is rejected. It can be concluded from this study that there is relationship between the perineal wound care perineumnya with healing wounds, so in this case is expected for post partum mothers to be more better in the treatment of wounds can be healed wounds perineumnya supaya to normal.

Pengaruh Pemberian VCO Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di PMB Sri Suparti

Background: In Indonesia perineal lacerations are experienced by 75% of women giving birth vaginally due to spontaneous tearing. This can cause bleeding to not be stopped properly or infection to occur. To prevent infection of perineal wounds, perineal wound care can be done using virgin coconut oil (VCO) which has properties as an antiseptic, anti-infection and can reduce pain and provide comfort. Objective: To determine the effect of VCO administration on perineal wound healing in normal postpartum women at PMB Sri Suparti Karanganyar. Research method: The type of research used is quasi-experimental research. The research design used the post test only with control group design method with 30 samples, 15 were given VCO and 15 were not given VCO by processing the data using Mann Whitney. The results of the study: The results of the data analysis test with Mann Whitney obtained a value of p = 0.001, with a significant level of p <0.05 which means that there is an effect of VCO administration on perineal wound healing in normal postpartum mothers. Conclusion: There is an effect of VCO administration on perineal wound healing in normal postpartum women at PMB Sri Suparti Karanganyar.

Salira Accelerates Perineal Wound Healing in Postpartum Mothers

Introduction: Bacterial infections during childbirth and puerperium are the leading causes of maternal death worldwide, accounting for about one-tenth of the global burden of maternal mortality; most of the 75,000 maternal deaths are estimated to occur worldwide each year; this is a direct cause of maternal mortality (WHO, 2015a). The incidence of infections that contribute to maternal mortality looks so concerning in Indonesia because Indonesia has the highest Maternal Mortality Rate (MMR) in ASEAN countries, namely 305 per 100,000 live births based on the 2015 Inter-Census Population Survey (SUPAS). This high maternal mortality rate makes the target of reducing MMR in Indonesia in the Sustainable Development Goals (SDGs) still very far from the target of 70 per 100,000 live births in 2030 (Achadi, 2019). Innovative efforts to reduce the incidence of infection during the puerperium need to consider the existing community structure in Indonesia. Problem-solving and the current situation of public health status in Indonesia are still based on a logical and rational approach, so health problems become increasingly complex. When a rational approach feels deadlocked in dealing with health problems, it is vital to raise local wisdom as a way to solve it, one of which is the use of herbal plants that are believed to be passed down by people in Indonesia, such as the use of red betel leaves. Researchers are interested in conducting innovative research using non-pharmacological methods for treating perineal wounds using (Salira), an ointment derived from red betel leaves formulated for wound healing; its use is only applied to the perineal wound. Besides the method, this technique is very cheap, easy, and safe to do. The red betel plant contains chemical compounds such as ß-flavonoids, alkaloids, saponins, tannins, and essential oils. This study aims to identify the relationship between the characteristics of the respondents (age, education, occupation, parity, and rupture rate) with the Perineum Wound Healing Time using Salira. Methods: The research method used in this study was quasi-experimental with a control group design. The independent variable in this study was red betel leaf ointment (Salira). In contrast, the dependent variable was the perineal wound healing time, as the confounding variable was the characteristics of postpartum mothers. The sample selection method used accidental sampling. The sample size in this study was 40 people for the intervention group and 40 for the control group. We collected data using questionnaires, checklist sheets, and observation sheets. Researchers also gave perineum care booklets to postpartum mothers and red betel ointment. Results: The results showed that red betel ointment was effective in accelerating the healing process of perineal wounds in postpartum mothers. Red betel ointment has anti-inflammatory and anti-bacterial properties, which can help reduce inflammation and infection of the perineal wound. In addition, red betel ointment can also help increase collagen production in wounds, an essential protein in the wound-healing process. The use of red betel ointment also does not cause significant side effects in postpartum mothers. This suggests that red betel ointment can be used as an alternative to perineal wound care that is safer and more effective than pharmacological drugs. Conclusion: Based on the results of existing research, it can be concluded that red betel ointment can help accelerate the healing process of perineal wounds in postpartum mothers. Red betel ointment has anti-inflammatory and anti-bacterial properties, which can help reduce inflammation and infection of the perineal wound. In addition, red betel ointment can also help increase collagen production in wounds, an essential protein in the wound-healing process.

Perawatan luka jahitan perineum pada ibu nifas Di PMB Emy Lestari Purworejo

Introduction : The postpartum period is an important thing to attention in order to reduce maternal and infant mortality in Indonesia. The direct causes of maternal death in Indonesia are currently, infection (10%), and other causes. others (15%). The cause of puerperal infection from injury to the birth canal which is development of germs because the mother's immune after giving birth is still low, poor care and poor hygiene (Prawirohardjo, 2008). The study was conducted for 6 weeks from 28 October to 9 December 2019 at PMB Emy Lestari Purworejo, 10 postpartum mothers were found, of these 7 postpartum mothers has perineal wound. So, the author interested to research on postpartum mothers at PMB Emy Lestari Purworejo.
 Purpose: Knowing the effectiveness of perineal wound care in perineal wound healing in postpartum mothers at PMB Emy Lestari Purworejo.
 Methods: The type of research method used is descriptive analytic method. This research instrument used the results of examinations, observations or observations of the author, interviews with clients and supporting data listed in the maternal and child health book owned by the client.
 Results : The results of perineal wound care in postpartum mothers, 2 patients were slightly dry wounds on the 4th day, while 3 patients received slightly dry wounds on the 4th day, while the wound was slightly dry on day 6 in 2 patients.Conclusions: Caring for perineal wounds by washing with soap and applying betadine is effective to accelerate perineal wound healing and increase the comfort of postpartum women

Effect of Red Betel Infusion Perineal Care on Healing Time of Perineal Grade I Wounds Postpartum

Most women who give birth sustain perineal injuries, which can lead to postpartum infections. Red betel infusion is recognized as one of the simple, inexpensive, and risk-free perineal wound care therapies; it also promotes perineal wound healing and possesses potent antimicrobial properties. This study seeks to determine the effect of perineal care infusion of red betel on postpartum perineal wound healing time at the Duren Sawit District Health Center in East Jakarta in 2022. The study employed the Quasi-Experiment methodology in conjunction with the Nonequivalent Pretest-Posttest Control Group Design research design. A sample of 38 samples was collected using a non-probability sampling technique and an accidental sampling approach. Based on the results of the Mann Whitney test, the p-value was 0.001, indicating that there was a difference in perineal care administration of red betel infusion on the healing time of the postpartum perineal wound between the red betel infusion group and the control group. Other researchers are anticipated to use red betel infusion media by adding variables relating to pain, redness, symptoms of inflammation, and wound healing processes, as well as respondents.

ASUHAN KEBIDANAN PADA IBU NIFAS DENGAN PERAWATAN LUKA PERINEUM DI UPT PUSKESMAS TANJUNG BALAI

Postpartum period is a very important period because at that time it was very proneto complications including postpartum infection. One of the factors causing childbirthinfection can come from birth canal injury which is a good medium for developing germs.emergence of infection in the perineum can spread to the bladder or in birth canalwhich can result in complications of the birth canal infection so that treatment ofperineal wounds is needed. Perineal rupture occurs almost in all first labor and is not uncommon insubsequent labor. e perineal rupture generally occurs in the midline and may become widespread ifthe fetal head is born too soon, the pubic arch angle is smaller than usual, the fetal head passes through the pelvic door that is larger in size than the subregional subreglysia of bregmatika. Perineal wound is injury to the urogenital diaphragm and the leucator ani muscle, which occurs during normal labor, or labor with the device, can occur without injury to the skin of the perineum or to thevagina, so that it is not visible from the outside.This study aims to determine whether perineal wound care can accelerate perineal wound healing. This research study using the case study method conducted at Tanjung Balai Karimun Health Center in January until February 2023. data collection method is participatory observation, interviews, measurements, documentation. Research results show that good and correct perineal wound care can help speed up the healing of perineal wounds in Mrs “M” at the TgBalaiKarimun Health Center in 2023.

Analysis of Red Betel Leaf Tests As A Natural Anti-Infection In Post Partum Mothers

Background: Incidence of infection contributes to maternal mortality. Innovative efforts to treat infection in postpartum mothers continue to be made, including non-pharmacological techniques. The local wisdom of red betel leaves is believed by the community to be able to handle it. The true efficacy of this extraordinary red betel leaf deserves further investigation. The purpose of this study was to assess the effectiveness of red betel on perineal wound healing in postpartum mothers. Methods: This study used the Quasi Experiment with Control Group Design method. The study was conducted on 80 postpartum mothers with perineal wounds degrees 1 to 3. 40 women were included in the intervention group who were given red betel ointment made by researchers from 2 hours to 7 days postpartum. 40 people as the control group were given perineal wound care according to standard. Assessment of wound healing was carried out every day until the 7th day postpartum. Statistical tests used the dependent and independent t-tests to examine differences in healing scores in the two study groups. Results: There was an increase in the average perineal wound healing value in the intervention group which was higher and there was an increase in the average healing value every day, starting from the first day (mean = 9.25), the second day (mean = 11.55), and the seventh day (mean = 12.65) compared to the control group, p value <0.001. On the third day postpartum, the intervention group had the maximum healing value (100%) compared to the control group (52.5%)

A Literature Review on Postpartum Perineal Wound Care: Epidemiology, Impact, and Future Interventions

BACKGROUND: Perineal injury is an injury to the urogenital diaphragm and levator ani muscle, which occurs during normal delivery, or vaginal delivery, can occur without injury to the perineal or vaginal skin. Perineal wounds become one of the breeding media for germs so that it becomes the cause of puerperal infection. Perineal infection can occur because the location of the perineum is moist so that it becomes a breeding ground for bacteria. Incidence of infection that occurs in the perineal wound can spread to the birth canal or urinary tract. Infectious conditions in the perineal wound will slow down the wound healing process, because it can increase the damage to the supporting tissues of the skin. AIM: This systematic review aims to see how postnatal perineal wound care: Epidemiology, impact, and future interventions. METHODS: Researchers searched for quantitative studies published between 2017 and 2021, using PubMed, Elsevier, and Google Scholar. Thirty studies in systematics review. RESULTS: The studies that have been collected that there are nine studies discussing the effect of therapies given to the treatment of perineal wounds in studies that discuss therapy two studies including discussing infrared lamp therapy, one study discussing the effects of mastic oleoresin, one study discussing betel leaf decoction, one study discussing the effectiveness of Aloe vera, one study discussing the effects of cinnamon, one study discussed the application of negative pressure sores, one study discussed the effect of pineapple fruit juice, and one other study discussed the effects of carvacrol, tymol, and olive oil. Then, two studies discussed the prevalence of perineal wound events and three studies discussed the characteristics of perineum wounds. CONCLUSION: This systematic review evaluates and synthesizes the effectiveness of intervention methods of perineal wound pain reduction and perineal wound healing (episiotomy) and improves comfort in consideration of the methodological evidence level of stud patients’ comfort.

Development of a web-based “Perineal Care Protocol” educational model as assistance for postpartum perineal wound care at home

Development of a web-based “Perineal Care Protocol” educational model as assistance for postpartum perineal wound care at home

Efektivitas Air Rebusan Biji Pinang Muda dan Asam Kandis terhadap Intensitas Nyeri dan Penyembuhan Luka Perineum pada Ibu Nifas

The perineal wound is a difficult area to keep clean and dry. Postpartum mothers with perineal wounds complain of pain in their sutures and difficulty in doing activities. Perineal wound care is important to accelerate wound healing, avoid infection, and repair tissue. This study aimed to determine the effectiveness of decoction water of young areca nut and Kandis acid on pain intensity and perineal wound healing in postpartum mothers. This study used a quasi-experiment with a pre-post test with a control group design approach with a sample of 22 postpartum mothers consisting of 11 people intervention group and 11 people control group which are selected by accidental sampling. The measuring instruments were using the NRS pain scale and the Southampton scale and the Bates-Jensen Wound Continuity Scoring. The statistical analysis of the study using the Kruskal-Wallis test on the pain variable obtained p-value=0.000 (p-value<0.05), and the Wilcoxon test on the wound healing variable obtained p-value=0.003 (p-value<0.05). The results of the Mann-Whitney statistical test showed a significant difference between the intervention group and control group with p-value=0.000. The results of this study showed that therapy using decoction water of young areca nut and Kandis acid for 4 days was effective in pain relief and accelerating perineal wound healing in postpartum mothers. The information on perineal care using decoction water of young areca nut and Kandis acid can be used to help accelerate wound healing and pain relief, and prevent infection in postpartum mothers with a perineal wound.