Intervensi Perawatan Luka dengan Irigasi pada Pasien DM Tipe II
Abstract
The research aims to determine the effectiveness of wound care interventions using the irrigation method in type 2 DM patients at Al-Ihsan Hospital Bandung. This research method uses a Quasy Experiment one group pretest and posttest design approach using a random sample of 7 respondents and following operational standards. The results of the study, before and after the intervention, were assessed using the BJWAT Bates-Jensen wound assessment tool to assess whether there was a decrease in the degree of injury or not, from the first session and the second assessment session. The intervention was carried out during 2 wound treatments. From the results of statistical tests, it was found that there was a significant difference in the results of the first assessment and the second assessment before and after wound treatment with irrigation with a p-value of 0.001 (P<0.05). In conclusion, the implementation of wound care interventions in type 2 diabetes patients with irrigation has proven to be effective in helping speed up wound healing, this is proven by reducing the degree or scale of wounds after the intervention.
Keywords: Diabetes Mellitus, Wound Care Intervention, Irrigation.
References
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Moore, G. E. (1995). Lithography and the future of Moore’s law. Integrated Circuit Metrology, Inspection, and Process Control IX, 2439, 2–17. https://doi.org/10.1117/12.209195
Nikitara, M., Constantinou, C. S., Andreou, E., Latzourakis, E., & Diomidous, M. (2022). Non-Specialized Nurses Roles in Diabetes Inpatient Care in Cyprus: An Interpretive Phenomenological Analysis. Social Sciences, 11(10), 464. https://doi.org/10.3390/socsci11100464
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Noviani, W., Chong, M.-C., & Tang, L.-Y. (2023). Socialization in professional reality integration for nursing student transition (SPRINT) to improve professional competence: A quasi-experimental study. Heliyon, 9(3). https://doi.org/ 10.1016/j.heliyon.2023.e13433
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Setiawan, H., Mukhlis, H., Wahyudi, D. A., & Damayanti, R. (2020). Kualitas hidup ditinjau dari tingkat kecemasan pasien penderita Ulkus Diabetikum. Majalah Kesehatan Indonesia, 1(2), 33–38. https://doi.org/10.47679/makein.20207
Setyawati, R. (2022). NURSCOPE Pengaruh Modern Wound Irrigation Device (MWID) terhadap penyembuhan ulkus diabetik. Jurnal Penelitian Dan Pemikiran Ilmiah Keperawatan, 8(1), 31–36. http://dx.doi.org/10.30659/nurscope.8.1.31-36
Sharp, D. B., & Monsivais, D. (2014). Decreasing barriers for nurse practitioner social entrepreneurship. Journal of the American Association of Nurse Practitioners, 26(10), 562–566. https://doi.org/ 10.1002/2327-6924.12126
Tinsley, G. M., & La Bounty, P. M. (2015). Effects of Intermittent Fasting on Body Composition and Clinical Health Markers in Humans. Nutrition Reviews, 73(10), 661–674. https://doi.org/10.1093/nutrit/nuv041
Vesa, C. M., Popa, L., Popa, A. R., Rus, M., Zaha, A. A., Bungau, S., Tit, D. M., Corb Aron, R. A., & Zaha, D. C. (2017). Current data regarding the relationship between type 2 diabetes mellitus and cardiovascular risk factors. Diagnostics (Basel). 2020; 10 (5): 314.. Banerjee S, Panas R. Diabetes and cardiorenal syndrome: Understanding the" Triple Threat. Hellenic J Cardiol, 58(5), 342–347. https://doi.org/10.3390/diagnostics10050314
Zhu, J., Li, Z., Zou, Y., Lu, G., Ronca, A., D’Amora, U., Liang, J., Fan, Y., Zhang, X., & Sun, Y. (2022). Advanced application of collagen-based biomaterials in tissue repair and restoration. Journal of Leather Science and Engineering, 4(1), 30. https://doi.org/10.1186/s42825-022-00102-6
Alfaqih, N. M. R., Kep, M., & Ns Bayu Akbar Khayudin, M. K. (2021). Manajemen Penatalaksanaan Diabetes Mellitus. Jakarta: Guepedia.
Alkundi, A., Mahmoud, I., Musa, A., Naveed, S., & Alshawwaf, M. (2020). Clinical characteristics and outcomes of COVID-19 hospitalized patients with diabetes in the United Kingdom: A retrospective single centre study. Diabetes Research and Clinical Practice, 165, 108263. https://doi.org/10.1016/j.diabres.2020.108263
Arowojolu, O. A., & Wirth, G. A. (2021). Sacral and ischial pressure ulcer management with negative-pressure wound therapy with instillation and dwell. Plastic and Reconstructive Surgery, 147(1S-1), 61S-67S. https://doi.org/ 10.1097/PRS.0000000000007613
Baron, J. M., Glatz, M., & Proksch, E. (2020). Optimal support of wound healing: New Insights. Dermatology, 236(6), 593–600. https://doi.org/10.1159/000505291
Böttrich, J. G., Braunwarth, H., Dissemond, J., Münter, K. C., Schümmelfeder, F., & Wilken, P. (2019). Best Practice Recommendations for Silver Wound Dressings: Results of an Expert Survey Aiming to Reach a Consensus. Wound Medicine, 27(1), 100167. https://doi.org/10.1016/j.wndm.2019.100167
Bus, S. A., Lavery, L. A., Monteiro‐Soares, M., Rasmussen, A., Raspovic, A., Sacco, I. C. N., van Netten, J. J., & Foot, I. W. G. on the D. (2020). Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019 update). Diabetes/Metabolism Research and Reviews, 36, e3269. https://doi.org/10.10002/dmrr.3269
Chen, T., Yu, J., Ye, J., Mu, Q., Chang, Q., Wu, R., & Qian, C. (2023). Infection Characteristics and Drug Susceptibility of Multidrug-Resistant Bacteria in Patients with Diabetic Foot Ulcers. Clinical Laboratory, 69(9). https://doi.org/10.7754/clin.lab.2023.230309
De Cabo, R., & Mattson, M. P. (2019). Effects of intermittent fasting on health, aging, and disease. New England Journal of Medicine, 381(26), 2541–2551. https://doi.org/10.1056/NEJMra1905136
Deschasaux, M., Huybrechts, I., Julia, C., Hercberg, S., Egnell, M., Srour, B., Kesse-Guyot, E., Latino-Martel, P., Biessy, C., & Casagrande, C. (2020). Association between nutritional profiles of foods underlying Nutri-Score front-of-pack labels and mortality: EPIC cohort study in 10 European countries. Bmj, 370. https://doi.org/10.1136/bmj.m3173
Gardezi, M., Roque, D., Barber, D., Spake, C. S. L., Glasser, J., Berns, E., Antoci, V., Born, C., & Garcia, D. R. (2021). Wound irrigation in orthopedic open fractures: a review. Surgical Infections, 22(3), 245–252. https://doi.org/10.1089/sur.2020.075
Hailu, F. B., Moen, A., & Hjortdahl, P. (2019). Diabetes self-management education (DSME)–Effect on knowledge, self-care behavior, and self-efficacy among type 2 diabetes patients in Ethiopia: A controlled clinical trial. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 2489–2499. https://doi.org/10.2147/DMSO.S223123
Janssen, J. A. (2021). Hyperinsulinemia and its pivotal role in aging, obesity, type 2 diabetes, cardiovascular disease and cancer. International Journal of Molecular Sciences, 22(15), 7797. https://doi.org/10.3390/ijms22157797
Katikireddi, S. V., Cerqueira-Silva, T., Vasileiou, E., Robertson, C., Amele, S., Pan, J., Taylor, B., Boaventura, V., Werneck, G. L., & Flores-Ortiz, R. (2022). Two-dose ChAdOx1 nCoV-19 vaccine protection against COVID-19 hospital admissions and deaths over time: a retrospective, population-based cohort study in Scotland and Brazil. The Lancet, 399(10319), 25–35. https://doi.org/10.1016/S0140-6736(21)02754-9
Lathifah, M. (2023). The Effect of a Combination of Effleurage Massage and Lavender Aromatherapy on Back Pain in Third-Trimester Pregnant Women. Archives of The Medicine and Case Reports, 4(3), 432–436. https://doi.org/10.37275/amcr.v4i4.355
Lloyd-Jones, M. (2011). The role of Eclypse Adherent Sacral® in managing sacral pressure ulcers. British Journal of Community Nursing, 16(Sup9), S38–S42. https://doi.org/10.12968/bjcn.2011.16.Sup9.S38
Lu, J., Wang, C., Shen, Y., Chen, L., Zhang, L., Cai, J., Lu, W., Zhu, W., Hu, G., & Xia, T. (2021). Time in range in relation to all-cause and cardiovascular mortality in patients with type 2 diabetes: a prospective cohort study. Diabetes Care, 44(2), 549–555. https://doi.org/10.2337/dc20-1862
Moore, G. E. (1995). Lithography and the future of Moore’s law. Integrated Circuit Metrology, Inspection, and Process Control IX, 2439, 2–17. https://doi.org/10.1117/12.209195
Nikitara, M., Constantinou, C. S., Andreou, E., Latzourakis, E., & Diomidous, M. (2022). Non-Specialized Nurses Roles in Diabetes Inpatient Care in Cyprus: An Interpretive Phenomenological Analysis. Social Sciences, 11(10), 464. https://doi.org/10.3390/socsci11100464
Noor, M. A. (2022). Implementasi Digital Modern Wound Irigation Device (DMWID) di Bangsal Perawatan RS Islam Sultan Agung Semarang. Jurnal Pengabdian Kesehatan, 5(2), 130–136. https://doi.org/10.31596/jpk.v5i2.158
Noviani, W., Chong, M.-C., & Tang, L.-Y. (2023). Socialization in professional reality integration for nursing student transition (SPRINT) to improve professional competence: A quasi-experimental study. Heliyon, 9(3). https://doi.org/ 10.1016/j.heliyon.2023.e13433
Ouyang, P., Narayanan, M., Shi, X., Chen, X., Li, Z., Luo, Y., & Ma, Y. (2023). Integrating biochar and bacteria for sustainable remediation of metal-contaminated soils. Biochar, 5(1), 1–19. https://doi.org/10.1007/s42773-023-00265-3
Pribadi, E. W. (2021). Efektifitas Irigasi Luka Air Zam-Zam terhadap Jumlah Eksudat Pada Pasien Ulkus Diabetik Di Rsi Sultan Agung Semarang (Doctoral dissertation, Universitas Islam Sultan Agung Semarang).
Setiawan, H., Mukhlis, H., Wahyudi, D. A., & Damayanti, R. (2020). Kualitas hidup ditinjau dari tingkat kecemasan pasien penderita Ulkus Diabetikum. Majalah Kesehatan Indonesia, 1(2), 33–38. https://doi.org/10.47679/makein.20207
Setyawati, R. (2022). NURSCOPE Pengaruh Modern Wound Irrigation Device (MWID) terhadap penyembuhan ulkus diabetik. Jurnal Penelitian Dan Pemikiran Ilmiah Keperawatan, 8(1), 31–36. http://dx.doi.org/10.30659/nurscope.8.1.31-36
Sharp, D. B., & Monsivais, D. (2014). Decreasing barriers for nurse practitioner social entrepreneurship. Journal of the American Association of Nurse Practitioners, 26(10), 562–566. https://doi.org/ 10.1002/2327-6924.12126
Tinsley, G. M., & La Bounty, P. M. (2015). Effects of Intermittent Fasting on Body Composition and Clinical Health Markers in Humans. Nutrition Reviews, 73(10), 661–674. https://doi.org/10.1093/nutrit/nuv041
Vesa, C. M., Popa, L., Popa, A. R., Rus, M., Zaha, A. A., Bungau, S., Tit, D. M., Corb Aron, R. A., & Zaha, D. C. (2017). Current data regarding the relationship between type 2 diabetes mellitus and cardiovascular risk factors. Diagnostics (Basel). 2020; 10 (5): 314.. Banerjee S, Panas R. Diabetes and cardiorenal syndrome: Understanding the" Triple Threat. Hellenic J Cardiol, 58(5), 342–347. https://doi.org/10.3390/diagnostics10050314
Zhu, J., Li, Z., Zou, Y., Lu, G., Ronca, A., D’Amora, U., Liang, J., Fan, Y., Zhang, X., & Sun, Y. (2022). Advanced application of collagen-based biomaterials in tissue repair and restoration. Journal of Leather Science and Engineering, 4(1), 30. https://doi.org/10.1186/s42825-022-00102-6
Published
2023-12-09
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