Manajemen Perawatan Luka Akut
Abstract
This study aims to prevent complications after laparotomy surgery and provide an overview of the education needed for patients and families. The method used is a case report of a patient after laparotomy on day 8 of treatment with colon cancer with a stoma attached. The results showed that the patient had a better quality of life with the comfort of the dressing provided and a decrease in the pain scale. In conclusion, the importance of involving the family in care, education, and interprofessional collaboration is the key to successful treatment to prevent the further impact of acute wounds becoming chronic wounds, resulting in longer patient days.
Keywords: Education, Acute Wound Management, Wound Healing Process
References
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Chaudhari, M., Parikh, D., Aagja, J., & Wankhede, V. (2021). Prospective Study of 30 Cases of Temporary Ileostomy and Their Complication. International Surgery Journal, 8(3), 831. https://doi.org/10.18203/2349-2902.isj20210912
Cole, J., Hughey, S., Metzger, A., Geiger, P., Fluke, L., & Booth, G. J. (2021). Machine Learning to Predict Fascial Dehiscence after Exploratory Laparotomy Surgery. Journal of Surgical Research, 268, 514–520. https://doi.org/10.1016/j.jss.2021.06.068
Gatta, F. G., & Ahmad, S. M. (2019). Clinics in Surgery Post-Laparotomy Pain : How to Achieve a Satisfactory. Remedy Publications LLC, 4, 1–3. http://www.clinicsinsurgery.com/open-access/post-laparotomy-pain-how-to-achieve-a-satisfactory-control-5485.pdf
Ghaly, P., Iliopoulos, J., & Ahmad, M. (2021). The Role of Nutrition in Wound Healing: An Overview. British Journal of Nursing, 30(5), 38–42. https://doi.org/10.12968/bjon.2021.30.5.S38
Gibson, S. L., & Lillie, A. K. (2020). Erratum: Effective Drain Care and Management in Community Settings. Nursing Standard (Royal College of Nursing (Great Britain) : 1987). https://doi.org/10.7748/ns.2020.e11389
Gowd, A. K., Bohl, D. D., Hamid, K. S., Lee, S., Holmes, G. B., & Lin, J. (2020). Longer Operative Time is Independently Associated with Surgical Site Infection and Wound Dehiscence Following Open Reduction and Internal Fixation of the Ankle. Foot and Ankle Specialist, 13(2), 104–111. https://doi.org/10.1177/1938640019835299
Hu, Y., McArthur, A., & Yu, Z. (2019). Early Postoperative Mobilization in Patients Undergoing Abdominal Surgery: A Best Practice Implementation Project. JBI Evidence Synthesis, 17(12), 2591–2611. https://doi.org/JBISRIR-D-19-00063
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Keil, C., Hübner, C., Richter, C., Lier, S., Barthel, L., Meyer, V., Subrahmanyam, R., Gurikov, P., Smirnova, I., & Haase, H. (2020). Ca-Zn-Ag Alginate Aerogels for Wound Healing Applications: Swelling Behavior in Simulated Human Body Fluids and Effect on Macrophages. Polymers, 12(11), 1–17. https://doi.org/10.3390/polym12112741
Kovalenko, О. М. (2020). Patient Care after Surgery: Suture Care and Wound Care Process. Infusion & Chemotherapy, (3.2), 138–140. https://doi.org/10.32902/2663-0338-2020-3.2-138-140
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Mujagic, E., Zeindler, J., Coslovsky, M., Hoffmann, H., Soysal, S. D., Mechera, R., von Strauss, M., Delko, T., Saxer, F., Glaab, R., Kraus, R., Mueller, A., Curti, G., Gurke, L., Jakob, M., Marti, W. R., & Weber, W. P. (2019). The Association of Surgical Drains with Surgical Site Infections – A Prospective Observational Study. American Journal of Surgery, 217(1), 17–23. https://doi.org/10.1016/j.amjsurg.2018.06.015
Sethi, R., Avetisyan, G. F., Shariff, S., & Kantawala, B. (2021). The Sojourn Drain Effects on Tissue Healing in Postoperative Patients in Abdominal Surgeries: A Correlation of Prophylactic Antibiotic Administration and Complications. Research and Advances in Pharmacy and Life Sciences, 3(1), 13–21. https://doi.org/10.46610/rapls.2021.v03i01.003
Söderbäck, H., Gunnarsson, U., Martling, A., Hellman, P., & Sandblom, G. (2019). Incidence of Wound Dehiscence after Colorectal Cancer Surgery: Results from a National Population-Based Register for Colorectal Cancer. International Journal of Colorectal Disease, 34(10), 1757–1762. https://doi.org/10.1007/s00384-019-03390-3
Song, Q. F, Yin, G., Guo, X., Lv, X., Yu, K., & Liu, C. (2021). Effects of a Self-Management Program for Patients with Colorectal Cancer and a Colostomy a Nonrandomized Clinical Trial. Journal of Wound, Ostomy and Continence Nursing, 48(4), 311–317. https://doi.org/WON.0000000000000779
Taylor, J. (2019). Service Improvement Study to Improve Care for Patients who Developed a Surgical Site Infection after Discharge. British Journal of Nursing, 28(15), 6-19. https://doi.org/10.12968/bjon.2019.28.15.s6
Vagholkar, K., Chandrashekhar, S., & Vagholkar, S. (2021). Comparison Between Suturing and Staple Approximation of Skin in Abdominal Incisions (Study of 150 Cases). International Journal of Medical Reviews and Case Reports, 5(7), 31-36. https://doi.org/10.5455/ijmrcr.suturing-and-staple-approximation-skin-abdominal-incisions
Yan, M. B., Lv, L. M., Zheng, M. B., Jin, Y. B., & Zhang, J. P. (2020). Quality of Life and Its Influencing Factors among Chinese Patients with Permanent Colostomy in the Early Postoperative Stage a Longitudinal Study. Cancer Nursing. https://doi.org/NCC.0000000000000893
Zhao, W. Y., Fang, Q. Q., Wang, X. F., Wang, X. W., Zhang, T., Shi, B. H., Heng, B., Zhang, D. D., Hu, Y. Y., Ma, L., & Tan, W. Q. (2020). Chitosan-Calcium Alginate Dressing Promotes Wound Healing: A Preliminary Study. Wound Repair and Regeneration, 28(3), 326–337. https://doi.org/10.1111/wrr.12789
Chaudhari, M., Parikh, D., Aagja, J., & Wankhede, V. (2021). Prospective Study of 30 Cases of Temporary Ileostomy and Their Complication. International Surgery Journal, 8(3), 831. https://doi.org/10.18203/2349-2902.isj20210912
Cole, J., Hughey, S., Metzger, A., Geiger, P., Fluke, L., & Booth, G. J. (2021). Machine Learning to Predict Fascial Dehiscence after Exploratory Laparotomy Surgery. Journal of Surgical Research, 268, 514–520. https://doi.org/10.1016/j.jss.2021.06.068
Gatta, F. G., & Ahmad, S. M. (2019). Clinics in Surgery Post-Laparotomy Pain : How to Achieve a Satisfactory. Remedy Publications LLC, 4, 1–3. http://www.clinicsinsurgery.com/open-access/post-laparotomy-pain-how-to-achieve-a-satisfactory-control-5485.pdf
Ghaly, P., Iliopoulos, J., & Ahmad, M. (2021). The Role of Nutrition in Wound Healing: An Overview. British Journal of Nursing, 30(5), 38–42. https://doi.org/10.12968/bjon.2021.30.5.S38
Gibson, S. L., & Lillie, A. K. (2020). Erratum: Effective Drain Care and Management in Community Settings. Nursing Standard (Royal College of Nursing (Great Britain) : 1987). https://doi.org/10.7748/ns.2020.e11389
Gowd, A. K., Bohl, D. D., Hamid, K. S., Lee, S., Holmes, G. B., & Lin, J. (2020). Longer Operative Time is Independently Associated with Surgical Site Infection and Wound Dehiscence Following Open Reduction and Internal Fixation of the Ankle. Foot and Ankle Specialist, 13(2), 104–111. https://doi.org/10.1177/1938640019835299
Hu, Y., McArthur, A., & Yu, Z. (2019). Early Postoperative Mobilization in Patients Undergoing Abdominal Surgery: A Best Practice Implementation Project. JBI Evidence Synthesis, 17(12), 2591–2611. https://doi.org/JBISRIR-D-19-00063
Jones, E., Wainwright, T., Davies, S., Porter, P., & Francis, N. (2020). Barriers to Early Mobilisation within Musculoskeletal and Colorectal Enhanced Recovery. ScienceOpen Posters. https://doi.org/S2199-1006.1.SOR-.PPXJAXU.v1
Keil, C., Hübner, C., Richter, C., Lier, S., Barthel, L., Meyer, V., Subrahmanyam, R., Gurikov, P., Smirnova, I., & Haase, H. (2020). Ca-Zn-Ag Alginate Aerogels for Wound Healing Applications: Swelling Behavior in Simulated Human Body Fluids and Effect on Macrophages. Polymers, 12(11), 1–17. https://doi.org/10.3390/polym12112741
Kovalenko, О. М. (2020). Patient Care after Surgery: Suture Care and Wound Care Process. Infusion & Chemotherapy, (3.2), 138–140. https://doi.org/10.32902/2663-0338-2020-3.2-138-140
Kyaw, B. M., Järbrink, K., Martinengo, L., Car, J., Harding, K., & Schmidtchen, A. (2018). Need for Improved Definition of “Chronic Wounds†in Clinical Studies. Acta Dermato-Venereologica, 98(1), 157–158. https://doi.org/10.2340/00015555-2786
Mujagic, E., Zeindler, J., Coslovsky, M., Hoffmann, H., Soysal, S. D., Mechera, R., von Strauss, M., Delko, T., Saxer, F., Glaab, R., Kraus, R., Mueller, A., Curti, G., Gurke, L., Jakob, M., Marti, W. R., & Weber, W. P. (2019). The Association of Surgical Drains with Surgical Site Infections – A Prospective Observational Study. American Journal of Surgery, 217(1), 17–23. https://doi.org/10.1016/j.amjsurg.2018.06.015
Sethi, R., Avetisyan, G. F., Shariff, S., & Kantawala, B. (2021). The Sojourn Drain Effects on Tissue Healing in Postoperative Patients in Abdominal Surgeries: A Correlation of Prophylactic Antibiotic Administration and Complications. Research and Advances in Pharmacy and Life Sciences, 3(1), 13–21. https://doi.org/10.46610/rapls.2021.v03i01.003
Söderbäck, H., Gunnarsson, U., Martling, A., Hellman, P., & Sandblom, G. (2019). Incidence of Wound Dehiscence after Colorectal Cancer Surgery: Results from a National Population-Based Register for Colorectal Cancer. International Journal of Colorectal Disease, 34(10), 1757–1762. https://doi.org/10.1007/s00384-019-03390-3
Song, Q. F, Yin, G., Guo, X., Lv, X., Yu, K., & Liu, C. (2021). Effects of a Self-Management Program for Patients with Colorectal Cancer and a Colostomy a Nonrandomized Clinical Trial. Journal of Wound, Ostomy and Continence Nursing, 48(4), 311–317. https://doi.org/WON.0000000000000779
Taylor, J. (2019). Service Improvement Study to Improve Care for Patients who Developed a Surgical Site Infection after Discharge. British Journal of Nursing, 28(15), 6-19. https://doi.org/10.12968/bjon.2019.28.15.s6
Vagholkar, K., Chandrashekhar, S., & Vagholkar, S. (2021). Comparison Between Suturing and Staple Approximation of Skin in Abdominal Incisions (Study of 150 Cases). International Journal of Medical Reviews and Case Reports, 5(7), 31-36. https://doi.org/10.5455/ijmrcr.suturing-and-staple-approximation-skin-abdominal-incisions
Yan, M. B., Lv, L. M., Zheng, M. B., Jin, Y. B., & Zhang, J. P. (2020). Quality of Life and Its Influencing Factors among Chinese Patients with Permanent Colostomy in the Early Postoperative Stage a Longitudinal Study. Cancer Nursing. https://doi.org/NCC.0000000000000893
Zhao, W. Y., Fang, Q. Q., Wang, X. F., Wang, X. W., Zhang, T., Shi, B. H., Heng, B., Zhang, D. D., Hu, Y. Y., Ma, L., & Tan, W. Q. (2020). Chitosan-Calcium Alginate Dressing Promotes Wound Healing: A Preliminary Study. Wound Repair and Regeneration, 28(3), 326–337. https://doi.org/10.1111/wrr.12789
