Praktik Penanganan Ekstremitas Bawah di Fasilitas Kesehatan Tingkat Pertama Puskesmas Koeloda

Kanisius Emanuel Kaki; Ermelinda Rosena Ongge; Sofia Uge Nau; Robertus Lili Bile

doi:10.59059/mutiara.v4i1.2920

Authors

Kanisius Emanuel Kaki Sekolah Tinggi Keguruan dan Ilmu Pendidikan Citra Bakti
Ermelinda Rosena Ongge Sekolah Tinggi Keguruan dan Ilmu Pendidikan Citra Bakti
Sofia Uge Nau Sekolah Tinggi Keguruan dan Ilmu Pendidikan Citra Bakti
Robertus Lili Bile Sekolah Tinggi Keguruan dan Ilmu Pendidikan Citra Bakti

DOI:

https://doi.org/10.59059/mutiara.v4i1.2920

Keywords:

Extremity Injuries, Initial Handling, Koeloda Health Center, Medical Referral, Service Standards

Abstract

Lower extremity injuries are one of the health problems that are often encountered in first-level health care facilities, especially due to physical activity, sports, and accidents. This study aims to describe the practice of handling lower extremity injuries at the Koiloda Health Center. The research method uses a qualitative descriptive approach through direct observation and interviews with health workers. The results showed that the most commonly treated types of injuries included muscle strains, ankle ligament sprains, contusions, open wounds, and suspected fractures. Treatment is carried out according to the standards of first-level health services, namely through initial examinations, the application of RICE principles (Rest, Ice, Compression, Elevation), simple immobilization, pain management, wound care, and referral to advanced health facilities in severe cases. Although the handling practice has been carried out according to procedures, this study also found that there are limitations in facilities and supporting facilities that can affect the quality of service. The conclusion of the study emphasizes that the Koeloda Health Center has carried out the handling of lower extremity injuries according to standards, but it is necessary to improve facilities, training health workers, and support for the referral system so that services are more optimal and comprehensive.

References

Amin, M. Z. (2021). Penanganan cedera olahraga dengan metode RICE pada atlet daerah. Jurnal Kesehatan Olahraga, 9(2), 45–52.

Arikunto, S. (1998). Prosedur penelitian. Rineka Cipta.

Bachmann, L. M., Kolb, E., Koller, M. T., Steurer, J., & ter Riet, G. (2003). Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: Systematic review. BMJ, 326(7386), 417.

Bahr, R., & Engebretsen, L. (2018). Sport injury prevention. Wiley-Blackwell.

Bile, R. L. (2021). Pengembangan model latihan kebugaran jasmani berbasis permainan tradisional dalam pembelajaran PJOK. Jurnal Penjaskesrek, 8(1), 71–80.

Bile, R. L., & Tapo, Y. B. O. (2021). Efektivitas model latihan pernapasan terhadap pemeliharaan fungsi paru mahasiswa. IMEDTECH, 4(2), 54–65.

Bile, R. L. (2024). Transformasi etnoolahraga dalam tradisi tinju adat Sagi masyarakat So’a Kabupaten Ngada. Jurnal Pendidikan Olahraga, 13(1), 129–142.

Bleakley, C., Glasgow, P., & MacAuley, D. (2012). PRICE needs updating, should we call the POLICE? British Journal of Sports Medicine, 46(4), 220–221.

Brukner, P., & Khan, K. (2017). Clinical sports medicine injuries. McGraw-Hill Education.

Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches. Sage Publications.

Darwaman, A. (2020). Analisis pola cedera ekstremitas bawah pada pemain sepak bola amatir. Jurnal Pendidikan Jasmani, 8(3), 210–218.

Fitria, N. (2022). Efektivitas kompres dingin terhadap penurunan nyeri sprain. Jurnal Keperawatan, 10(1), 150–158.

Fong, D. T., Hong, Y., Chan, L. K., Yung, P. S., & Chan, K. M. (2007). A systematic review on ankle injury and ankle sprain in sports. Sports Medicine, 37(1), 73–94.

Gribble, P. A., Bleakley, C. M., Caulfield, B. M., Docherty, C. L., Fourchet, F., Fong, D. T., & Delahunt, E. (2016). Evidence review for the 2016 International Ankle Consortium consensus statement. British Journal of Sports Medicine, 50(24), 1496–1505.

Gunawan, I. (2008). Prosedur rujukan pada kasus fraktur di FKTP. Jurnal Manajemen Kesehatan, 6(4), 150–158.

Hall, J. E. (2016). Guyton and Hall textbook of medical physiology. Elsevier.

Hidayat, R. (2023). Keterampilan P3K mahasiswa pendidikan jasmani. Jurnal Sport Science, 11(2), 88–95.

Irwan, F. (2021). Manajemen cedera jaringan lunak pada pelayanan primer. Jurnal Kedokteran Indonesia, 12(3), 101–110.

Kementerian Kesehatan Republik Indonesia. (2019). Pedoman pelayanan kesehatan tingkat pertama. Kementerian Kesehatan RI.

Moore, K. L., Dalley, A. F., & Agur, A. M. R. (2018). Clinically oriented anatomy. Wolters Kluwer.

Neal, B. S., Griffiths, I. B., Dowling, G. J., Murley, G. S., Munteanu, S. E., & Smith, M. M. (2014). Foot posture as a risk factor for lower limb overuse injury. Journal of Foot and Ankle Research, 7(1), 55.

Smith, T. O., Drew, B. T., Meek, T. H., & Clark, A. B. (2019). The diagnostic accuracy of clinical tests for peripheral arterial disease. BMC Musculoskeletal Disorders, 20(1), 365.

van den Bekerom, M. P. J., Struijs, P. A., Blankevoort, L., Welling, L., van Dijk, C. N., & Kerkhoffs, G. M. (2012). Evidence for rest, ice, compression, and elevation therapy. Journal of Athletic Training, 47(4), 435–443.

Viva Medika. (2023). Pelatihan penggunaan air splint dalam penanganan fraktur ekstremitas. Viva Medika, 16(1), 45–58.

Waterman, B. R., Owens, B. D., Davey, S., Zacchilli, M. A., & Belmont, P. J. (2010). The epidemiology of ankle sprains in the United States. Journal of Bone and Joint Surgery, 92(13), 2279–2284.