Giving Extra Virgin Olive Oil To Wound Healing (Grade Of Inflammation) In Atopic Dermatitis Patients

Atopic dermatitis (AD) is a chronic and recurrent skin inflammation, accompanied by itching, occurs in certain predilection sites and is based on the presence of an inherited inherited hypersensitivity. This dermatitis is the most common form of dermatitis in infants and children. Other names are atopic eczema, dermatitis eczema, Besnier's prurigo and neurodermatitis. Dermatitis can occur for years, even for life, often recurring and interfering with daily activities due to intense itching. Knowing the effect of giving extra virgin olive oil on wound healing (degree of inflammation) in atopic dermatitis patients, the type of research used was pre-experimental because it revealed a cause-and-effect relationship involving only one group of subjects. so there's no control. strict on variables. The type of research design chosen was The One Group Pratest Posttest, which is an experimental design that was carried out in one group without a comparison group. This model has used a pre-test (pratest) then after being given treatment, a measurement (posttest) is carried out again to determine the consequences of the treatment, so that it can be seen the magnitude of the effect of the experiment. The results of the study can be interpreted that before being given olive oil most (75%) of the respondents had a severe degree of dermatitis and after being given olive oil half (50%) of the respondents had a mild degree of dermatitis, and half (50%) of the respondents had a moderate degree of dermatitis. It can be seen that the Z value is -4.916 with a significance of p = 0.000, so H0 is rejected so that H1 is accepted, which means that there is a difference in the degree of dermatitis before and after being given olive oil. Virgine Olive Oil Can Be Used As A Non-pharmacological Therapy In Overcoming The Degrees Of Atopic Dermatitis Both In Public Health Centers And Networks And In Hospitals


INTRODUCTION
Atopic dermatitis (AD) is a chronic, recurring skin inflammation, accompanied by itching, occurs at certain predilection sites and is based on the presence of hereditary inherited hypersensitivity. This dermatitis is the most common form of dermatitis in infants and children. Other names are atopic eczema, dermatitis eczema, Besnier's prurigo and neurodermatitis (Listyio, 2015). Dermatitis can occur for years, even for life, recurring frequently and interfering with daily activities due to intense itching.
This disorder mainly occurs in infants and children, disappears in 50% of cases during adolescence, but can persist or even begin in adulthood so that atopic dermatitis can cause a decrease in self-confidence, discomfort and very disturbing (Wahyuni, 2014 (Rahmaningtyas, 2016). Based on the results of a preliminary study on March 2, 2020 at the UPT Puskesmas kembangbahu, Lamogan Regency, there were 35 patients (infants, children and adults) who experienced dermatitis. Many factors influence the incidence of atopic dermatitis.
Genetic predisposition is one of the most risky risk factors. Other environmental factors such as allergens, hygienic and sanitary places of residence. Behavioral, lifestyle and psychological factors also increase the prevalence of atopic dermatitis (Suyanto, 2015). Atopic dermatitis is influenced by internal factors (genetic, age and gender) and external factors (cigarette smoke, pet dander, cotton mattress) (Namin, 2016). Another factor is the lack of utilization of natural ingredients that can heal dermatitis wounds, such as giving extra virgin olive oil or other ingredients. The impact if the healing of dermatitis wounds does not materialize immediately is a decrease in the welfare of sufferers, especially children, both physically and psychologically. Patients will experience difficulties in activities such as playing, going to school, sleeping and other normal activities, sufferers are often ridiculed and have difficulty getting along with friends and society (Brown, et al in Lawita, 2015) Based on the above problems, it is necessary to make efforts to accelerate the healing process of dermatitis wounds (Hardjito et al, 2012). Natural intervention with extra virgin olive oil or with coconut oil. Olive oil contains various nutrients that are good for skin care (Fajriyah, 2015). Apriza's research results (2017) state that olive oil is faster in healing wounds because it contains vitamin K which can help the wound drying process, vitamin C for the formation of red blood cells, oleochantal to reduce scars and vitamin E to regulate skin moisture and prevent infection. Olive oil also contains important wound healing compounds such as oleochantals, sterols, phenols, squalen, etc. Oleochantal is an antioxidant to reduce redness marks on the skin. The advantage of olive oil compared to coconut oil is that it contains phenols in olive oil and nothing in virgin coconut oil which only contains flavonoids (antioxidants). Antioxidants function to prevent skin damage. Meanwhile, olive oil antioxidants function to ward off free radicals and protect skin damage, cancer and other diseases (Jelita, 2015).      Based on the table above, it can be interpreted that after being given extra virgine olive oil half (50%) of the respondents had a mild degree of dermatitis, and half (50%) of the respondents had moderate degrees of dermatitis. Based on the results above, it can be seen that the Z score is -4.916 with a significance of p = 0.000, then H0 is rejected so that H1 is accepted, which means there is a difference between the degree of dermatitis before and after being given extra virgin olive oil.

DISCUSSION
In this study, the treatment was carried out by giving extra virgin olive oil to wound healing (degree of inflammation) in atopic dermatitis patients twice a day, morning and night for 14 days. It was interpreted that before being given olive oil most (75%) of the respondents had a severe degree of dermatism. It is interpreted that after being given olive oil half (50%) of the respondents have a mild degree of dermatitis, and half (50%) of the respondents have a moderate degree of dermatitis.
Based on the results, it can be seen that the Z score is -4.916 with a significance of p = 0.000, then H0 is rejected so that H1 is accepted, which means there is a difference between the degree of dermatitis before and after being given olive oil..

CONCLUSIONS AND SUGGESTION
Extra Virgine Olive Oil Can Be Used As A Non-pharmacological Therapy In Overcoming The Degrees Of Atopic Dermatitis Both In Public Health Centers And Networks And In Hospitals.

1.
For the working area of Pkm Kembangbahu and the community, the results of this study are expected to use the Pkm Institution for the treatment of atopic dermatitis.

2.
For educating the results of this study, it is hoped that the results of this research will serve as a reference for increasing knowledge about the pengaryh of giving Vigine Olive Oil to the healing of atopic dermatitis.

3.
For the Development of Research Science. The results of this study are expected to serve as reference materials for further researchers and additional information in carrying out more complex research in treating children with atopic dermatitis.