Nursing Care For Patients With Post Debridement Diabetic Ulcers With Moist Wound Healing Innovation Interventions At General Ahmad Yani Hospital, Metro City

Authors

  • Novi Hartanti Universitas Aisyah Pringsewu
  • Eko Wardoyo Universitas Aisyah Pringsewu
  • Sugiarto Sugiarto Universitas Aisyah Pringsewu

DOI:

https://doi.org/10.56359/igj.v4i1.465

Keywords:

Diabetic ulcer, Moist Wound Healing, Tissue Integrity Damage

Abstract

Background & Objective: Diabetes is one of the problems caused by chronic metabolic disorders characterized by high sugar levels accompanied by metabolic disorders of carbohydrates, lipids, and proteins as a result of insufficient insulin function. The purpose of this study was to determine the effect of moist wound healing on post debridement diabetic ulcers. Descriptive research with a case study approach in multiple cases.

Method: Data collection methods used surgical nursing care assessment sheets and Bates-Jensen Wound Assessment Tools (BWAT) wound assessment sheets. The study used 2 patients with the same criteria

Result: The results of nursing care obtained in patient 1 are tissue integrity disorders, instability of blood glucose levels, and knowledge deficits. Patient 2 had problems with tissue integrity disorders, physical mobility disorders, and knowledge deficits. After nursing care was carried out, it was found that in patient 1 there was a decrease in wound score from 40 to 37 after moist wound healing treatment. Instability of blood sugar levels has not been resolved, patients get insulin therapy. The knowledge deficit was resolved on the second day. In patient 2, there was a decrease in wound score from 37 to 35 after moist wound healing treatment. Physical mobility disorders have not been resolved and the knowledge deficit was resolved on the second day.

Conclusion: Suggestions for patients and families can use the booklet media made by researchers as a guide for wound care, wound observation, diabetic diets, and drug compliance.

Downloads

Download data is not yet available.

Author Biography

Eko Wardoyo, Universitas Aisyah Pringsewu

Dosen Universitas Aisyah Pringsewu

References

Alodokter. (2022). Hammer Toe. https://www.alodokter.com/hammer-toe. (Diakses pada 23 April 2023)

Aprelia, V., & Suhanda, S. (2023). Status Dignity pada Pasien Diabetes Melitus: Studi Kasus. INDOGENIUS, 2(2), 82-87.

Angkasa, M. P., Ta’adi, T., & Hartono, M. (2023). Pengaruh Rendam Air Garam Terhadap Proses Penyembuhan Ulkus Diabetikum. Jurnal SMART Keperawatan, 4. https://doi.org/10.34310/jskp.v4i2.99. (Diakses pada 27 Februari 2023)

Angriani, S., Hariani, H., & Dwianti, U. (2019). The effectivity of modern dressing wound care with moist wound healing method in diabetic ulcus at wound care clinic of etn centre makassar. Jurnal Media Kesehatan, 10(01), 19–24.

Ayu, N. M. D., Supono, & Rahmawati, I. (2022). Faktor-Faktor yang Mempengaruhi Terjadinya Ulkus Kaki Diabetik pada Pasien Diabetes Mellitus Tipe 2. Jurnal Keperawatan Dan Kesehatan Masyarakat STIKES Cendekia Utama Kudus, 11(2), 117–125.

Bandyk, D. F. (2018). The Diabetic Foot: Pathophysiology, Evaluation, and Treatment. Seminars in Vascular Surgery, 31(2–4), 43–48. https://doi.org /10.1053/j.semvascsurg.2019.02.001. (Diakses pada 27 Februari 2023)

Budiono. (2022). Konsep Dasar Keperawatan, Modul Bahan Ajar Cetak Keperawatan (Pusdik SDM).

Decroli, E. (2019). Diabetes Melitus Tipe 2 (A. Kam, E. Y. Pradwi, G. P. Decroli, & A. Rahmadi (eds.); 1st ed.). Pusat Penerbitan Bagian Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Andalas.

Detty, A. U., Fitriyani, N., Prasetya, T., & Florentina, B. (2020). Karakteristik Ulkus Diabetikum Pada Penderita Diabetes Melitus. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 258–264. https://doi.org/10.35816/jiskh. v10i2.261. (Diakses pada 27 Februari 2023)

Everett, E., & Mathioudakis, N. (2018). Update on management of diabetic foot ulcers. Annals of the New York Academy of Sciences, 1411(The year in diabetes and obesity), 153–165. https://doi.org/10.1111/nyas.13569. (Diakses pada 27 Februari 2023)

Fatmadona, R., & Oktarina, E. (2022). Aplikasi modern Wound Care pada perawatan luka infeksi Di RS Pemerintah Kota Padang. Ners Jurnal Keperawatan, 12(2).

Fitrah, M., & Luthfiyah. (2017). Metodologi Penelitian (Ruslan & M. M. Effendi (eds.); 1st ed.). CV Jejak. https://www.google.co.id/books/edition/ Metodologi_penelitian_penelitian_kualita/UVRtDwAAQBAJ?hl=id&gbpv=1&dq=STUDI+KASUS&printsec=frontcover

Goyal, R., & Jialal, I. (2022). Diabetes Mellitus Type 2. In National LIbrary of Medicine. Stat Pearls Publishing. https://www.ncbi.nlm.nih.gov/books /NBK513253/. (Diakses pada 27 Februari 2023)

Nurapandi, A., Rayasari, F., & Anggraini, D. (2023). Intervensi Perawatan Luka dengan Irigasi pada Pasien DM Tipe II. Journal of Telenursing (JOTING), 5(2), 3489-3498.

Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia. PPNI.

Tim Pokja SIKI DPP PPNI. (2018). Standar Intervensi Keperawatan Indonesia. PPNI.

Tim Pokja SLKI DPP PPNI. (2019). Standar Luaran Keperawatan Indonesia. PPNI.

University of California San Francisco. (2021). Debridement. https://surgery.ucsf. edu/conditions--procedures/debridement.aspx. (Diakses pada 27 Februari 2023)

Wulansari, S. (2016). Penanganan Kaki Charcot Diabetik (1st ed.). Pusat Humaniora Kebijakan Kesehatan dan Pemberdayaan Masyarakat Surabaya. https://media.neliti.com/media/publications/399466-penanganan-kaki-charcot-diabetik-f98eec29.pdf. (Diakses pada 27 Februari 2023)

Yusnanda, F., Rochadi, R. K., & Maas, L. T. (2018). Pengaruh Riwayat Keturunan terhadap Kejadian Diabetes Mellitus pada Pra Lansia di BLUD RSUD Meuraxa Kota Banda Aceh Tahun 2017. Journal of Healthcare Technology and Medicine, 4(1), 18–28.

Published

2025-01-31

How to Cite

Hartanti, N., Wardoyo, E., & Sugiarto, S. (2025). Nursing Care For Patients With Post Debridement Diabetic Ulcers With Moist Wound Healing Innovation Interventions At General Ahmad Yani Hospital, Metro City. INDOGENIUS, 4(1), 118–126. https://doi.org/10.56359/igj.v4i1.465

Issue

Section

Articles

Most read articles by the same author(s)