Penerapan Rebusan Daun Sirih Merah (Piper Crocatum) Terhadap Penyembuhan Luka Perineum Pada Ibu Post Partum Dengan Masalah Gangguan Integritas Kulit Di Puskesmas Aek Habil Kota Sibolga Tahun 2026

ABSTRACT APPLICATION OF RED BETEL LEAF (PIPER CROCATUM) DECOCTION ON PERINEAL WOUND HEALING IN POSTPARTUM WOMEN WITH IMPAIRED SKIN INTEGRITY AT AEK HABIL COMMUNITY HEALTH CENTER, SIBOLGA CITY, 2026 Anisah Mutiara Sari Hutagalung*, Ramlan Nasution**, Maria M. Saragih** Medan Health Polytechnic of the Ministry of Health, The Associate Degree of Nursing Study Program in Central Tapanuli Email: annisamutiarasari630@gmail.com Background: A perineal wound is an injury to the perineal area commonly experienced by postpartum women following vaginal delivery, either spontaneously or through episiotomy. WHO (2023) reported 2.7 million cases of perineal tears worldwide and projected an increase to 6.3 million cases by 2050. One nonpharmacological treatment is red betel leaf (Piper crocatum) decoction, which has antimicrobial and antiseptic effects. Objective: To describe the use of red betel leaf decoction to reduce impaired skin integrity and promote perineal wound healing in postpartum women at Aek Habil Community Health Center, Sibolga City. Methods: This study used a descriptive case study design involving two postpartum women with perineal wounds. Data were collected through interviews, observations, and documentation using the REEDA (Redness, Edema, Ecchymosis, Discharge, Approximation) scale. Red betel leaf decoction was administered twice daily, in the morning and afternoon, for seven days. Results: The initial assessment showed a REEDA score of 8 in the first client and 7 in the second client (severe category). After seven days of red betel leaf decoction administration, all REEDA components in both clients reached a score of 0, accompanied by reduced pain and improved skin approximation. The second client recovered more quickly, on the sixth day, while the first client recovered on the seventh day. Conclusion: Applying red betel leaf decoction effectively managed impaired skin integrity and accelerated healing of perineal wounds in postpartum women. Keywords: red betel leaf, perineal wound, postpartum women, impaired skin integrity. Literature: 29 references.