scholarly journals Penerapan Perawatan Luka Modern Dressing pada Lansia Penderita Diabetes Melitus

2021 ◽  
Vol 1 (1) ◽  
pp. 13-26
Author(s):  
Aliyyah Amanda ◽  
Ricky Riyanto Iksan ◽  
Sri Atun Wahyuningsih

ABSTRACT: APPLICATION OF MODERN DRESSING WOUND TREATMENT IN ELDERLY SUFFERERS DIABETES MELLITUS Introduction: Diabetes mellitus is a disease that is a health problem in the elderly. Diabetes mellitus is a chronic disease characterized by elevated levels of glucose in the blood. Purpose: This study aims to identify gangrene wound care with modern dressing methods in the elderly with diabetes mellitus. Method: The research method used is a case study design, which is a form of research (inquiry) or case studies and interventions about a problem that has a specific nature (particular arity). Result: The results of the research conducted on the first respondent a score of 33 on the BWAT scale did not regenerate, the second respondent experienced the healing process a score of 10, the third respondent did not regenerate with a score of 16, the fourth respondent did not regenerate with a score of 20. Conclusion: The conclusions of this study describe the Modern Dressing wound care intervention in three respondents who did not have a generation of wound healing processes and one respondent experienced the wound healing process. Keywords: Diabetes mellitus, Elderly, Modern Dressing, BWAT value ABSTRAK: PENERAPAN PERAWATAN LUKA MODERN DRESSING PADA LANISA PENDERITA DIABETES MELITUS Latar Belakang : Diabetes melitus merupakan penyakit yang menjadi masalah kesehatan pada lanjut usia. Diabetes melitus Merupakan suatu penyakit kronis yang ditandai dengan peningkatan kadar glukosa dalam darah. Tujuan: Penelitian ini bertujuan untuk teridentifikasi perawatan luka ganggren dengan metode modern dressing pada lansia dengan masalah diabetes melitus. Metode Penelitian : Metode penelitian yang digunakan case study design yaitu suatu bentuk penelitian (inquiry) atau studi kasus dan intervensi tentang suatu masalah yang memiliki sifat kekhususan (particul arity). Hasil : Hasil penelitian yang dilakukan pada responden pertama skor 33 skala BWAT tidak bergenerasi, pada responden kedua mengalami proses penyembuhan skor 10, pada responden ketiga tidak bergenerasi dengan skor 16,pada responden keempat tidak beregenerasi dengan skor 20. Kesimpulan : Simpulan dari penelitian ini menggambarkan Intervensi perawatan luka Modern Dressing pada tiga responden tidak bergenerasi proses penyembuhan luka dan satu responden mengalami proses penyembuhan luka. Kata Kunci : Diabetes melitus, Lansia, Modern Dressing, BWAT score

2018 ◽  
pp. 116-124
Author(s):  
Damsir Eni Ungke

Diabetic injury is one form of chronic complications. Diabetes mellitus is an open wound on the skin surface that can be accompanied by local tissue death. Diabetes mellitus patients at risk of 29 times the occurrence of diabetic injuries. Diabetic injury is an open wound on the skin surface caused by the presence of macroangiopathy resulting in vascular insusifiensi and neuropati. Organs most often affected by diabetes mellitus complications include the leg blood vessels. Disorders of blood vessels that often occur in diabetes that is on the legs and feet. This study aims to determine the effectiveness of wound care using modern bandage (Metcofazin) on diabetic wound healing process at Emergency Hospital (IGD) Arifin Nu'mang Hospital of Sidrap Regency, and to know the effectiveness of wound care using conventional dressing (normal saline saline NaCl 0 , 9% and gauze bandage) to diabetic wound healing process at Emergency Injury Installation (IGD) Arifin Nu'mang Hospital of Sidrap Regency. The type of research used by the researcher is qualitative research with case study approach. This research has been conducted on 21 November until December 21, 2014 at the Emergency Installation (IGD) Arifin Nu'mang Hospital, Sidrap Regency. Samples used in this study are patients with diabetic injuries at Arifin Nu'mang Hospital Sidrap District with sampling technique by puposive sampling. The results of this study indicate that the treatment of luk a using a modern bandage (metcofazine) is more effective than wound care using conventional dressing (normal saline 0.9% NaCl saline and gauze dressing) on ​​diabetic wound healing process at Arifin Nu'mang Hospital Sidrap Hospital.


Author(s):  
Aakansha Giri Goswami ◽  
Somprakas Basu ◽  
Vijay Kumar Shukla

While “population aging” is an accomplishment that deserves acclamation, it is in itself a tremendous challenge. Age-related skin changes, impaired wound healing, and concurrent comorbidities are the deadly triad that contribute most to the development of nonhealing chronic wounds in the elderly. This imposes enormous medical, social, and financial burden. With the rising trend in the aging population, this problem is likely to exacerbate unless multidisciplinary, rapt wound care strategies are developed. The last decade was dedicated to understand the basic biology underlying the wound healing process but most in vitro and animal model studies translated poorly to human conditions. Forthcoming, the focus is on the development of diagnostic and therapeutic strategies to improve healing in this vulnerable age group. Further, understanding the complex pathobiology of cellular senescence and wound healing process is required to develop focused therapy for these “problem wounds” in the elderly.


Author(s):  
Davide Vincenzo Verdolino ◽  
Helen A. Thomason ◽  
Andrea Fotticchia ◽  
Sarah Cartmell

Chronic wounds represent an economic burden to healthcare systems worldwide and a societal burden to patients, deeply impacting their quality of life. The incidence of recalcitrant wounds has been steadily increasing since the population more susceptible, the elderly and diabetic, are rapidly growing. Chronic wounds are characterised by a delayed wound healing process that takes longer to heal under standard of care than acute (i.e. healthy) wounds. Two of the most common problems associated with chronic wounds are inflammation and infection, with the latter usually exacerbating the former. With this in mind, researchers and wound care companies have developed and marketed a wide variety of wound dressings presenting different compositions but all aimed at promoting healing. This makes it harder for physicians to choose the correct therapy, especially given a lack of public quantitative data to support the manufacturers’ claims. This review aims at giving a brief introduction to the clinical need for chronic wound dressings, focusing on inflammation and evaluating how bio-derived and synthetic dressings may control excess inflammation and promote healing.


Author(s):  
Windu Santoso ◽  
Joyo Purnomo

Diabetes mellitus causes a lot of various complaints and complications. One of the most serious and most common complications is diabetic ulcers. Prevention of diabetic ulcer complications can be done with comprehensive wound care. The Appropriate wound care management can prevent amputation. One of a method of wound care that can accelerate the wound healing process is modern dressing wounds. This researched aim to analyze the effectiveness of wound care using modern dressing method to the diabetes mellitus patients. The research design was pre-experimental one group pre-test post-test with 15 samples.  The data analyzed using Paired T-test. The result of data analysis using Paired T-test with significance level of 5% obtained ρ = 0,000 and the average value of wound development before and after wound treatment using modern dressing method has decrease from 39,67to  29,93 because wound care with modern dressing method make environment of wound is moist so that capitalization and granulation process growth up be faster. So it can be concluded that there is an effect of wound care using modern dressing method to the wound healing process with diabetes mellitus.


Author(s):  
Windu Santoso ◽  
Joyo Purnomo

Diabetes mellitus causes a lot of various complaints and complications. One of the most serious and most common complications is diabetic ulcers. Prevention of diabetic ulcer complications can be done with comprehensive wound care. The Appropriate wound care management can prevent amputation. One of a method of wound care that can accelerate the wound healing process is modern dressing wounds. This researched aim to analyze the effectiveness of wound care using modern dressing method to the diabetes mellitus patients. The research design was pre-experimental one group pre-test post-test with 15 samples.  The data analyzed using Paired T-test. The result of data analysis using Paired T-test with significance level of 5% obtained ρ = 0,000 and the average value of wound development before and after wound treatment using modern dressing method has decrease from 39,67to  29,93 because wound care with modern dressing method make environment of wound is moist so that capitalization and granulation process growth up be faster. So it can be concluded that there is an effect of wound care using modern dressing method to the wound healing process with diabetes mellitus.


2021 ◽  
Vol 18 ◽  
Author(s):  
Xinchi Feng ◽  
Jinsong Hao

: Chronic wounds remain a significant public problem and the development of wound treatments has been a research focus for the past few decades. Despite advances in the products derived from endogenous substances involved in a wound healing process (e.g. growth factors, stem cells, and extracellular matrix), effective and safe wound therapeutics are still limited. There is an unmet need to develop new therapeutics. Various new pathways and targets have been identified and could become a molecular target in designing novel wound agents. Importantly, many existing drugs that target these newly identified pathways could be repositioned for wound therapy, which will facilitate fast translation of research findings to clinical applications. This review discusses the newly identified pathways/targets and their potential uses in the development of wound therapeutics. Some herbs and amphibian skins have been traditionally used for wound repairs and their active ingredients have been found to act in these new pathways. Hence, screening these natural products for novel wound therapeutics remains a viable approach. The outcomes of wound care using natural wound therapeutics could be improved if we can better understand their cellular and molecular mechanisms and fabricate them in appropriate formulations, such as using novel wound dressings and nano-engineered materials. Therefore, we also provide an update on the advances in the wound therapeutics from natural sources. Overall, this review offers new insights into novel wound therapeutics.


2015 ◽  
Vol 6 (2) ◽  
Author(s):  
Sondang Sidabutar

Wound healing is a long time in there covery process because of damage to the skin or skin tissue disintegritas. According to Rustam Mochtar(1998), the injured in the birth canal when not accompanied by infection will heal within6-7days. Based on the results of a survey on BPS Ny. Arifin S. Surabaya, from as many as7 of 10 respondents (70%) found the wound is still wet. The purpose of this study was to determine age and cultural picture of incontinence on postpartum mother's perineal wound healing on the seventh day in the BPS Ny. Arifin S. Surabaya. In this research using descriptive method with the study population was all mothers with post natal on the seventh day stit chesin the perineum which controls BPS Ny. Arifin S. Surabaya period from July to August 2008 as many as 49 people. Sampling of non-probability sampling with a sampling technique is saturated. By using questionnaires and observation sheets as research instruments. Data created frequency tables and cross tabulations and then summed. Based on the results of research on maternal postnatal day 9 to 7, obtained the majority of postnatal mother saged <35 years of the perineal wound healed as many as 24 people (66.66%) and in postpartum mothers who do not abstain from the majority of the perineal wound healed as many as17 people (77.27%). By looking at these result it can be concluded that the perineal wound healing can be influenced byculture age and abstinence from food. Therefore, the provision of good information and right by the health officer of the perineal wound care will affect the success of the perineal wound healing process.


2016 ◽  
Vol 5 (4) ◽  
pp. 359
Author(s):  
Rosdiana Rosdiana ◽  
Bhisma Murti ◽  
Mahendra Wijaya ◽  
Suwarto Suwarto

Appropriate counseling and education can be adopted to achieve a change in attitude, knowledge and perception. Still there is a wrong perception of a given intervention. Peer support through a process of social learning, the process of growing understanding of how to process information from experience, observational include: attention (attention), given (retention), reproduction of motion (reproduction), motivation (motivation), and communication. The purpose of this study was to analyze resident self-efficacy to regardless of drug addiction through family support. This study employed qualitative approach with case study design. Subjects in this study were residents, ex drugs user, peer support, and resident family. The results showed that peer support from fellow residents and the support of the major on duty (MOD) very meaningful and helpful for resident in the healing process.


2018 ◽  
Vol 4 (2) ◽  
pp. 109
Author(s):  
Mufimah Mufimah ◽  
Uti Rusdian Hidayat ◽  
Ichsan Budiharto

Abstract: Efectiveness Gel Extract Of White On The Process Of Healing Inflamation Phase Heating. The inflammatory phase is a favorable body response as a protection mechanism. In the process of wound healing becomes a very important phase. Management of inflammation that is often used Non-Steroid Anti-Inflammatory class of salicylates on the skin that have side effects. The content of allicin in garlic can be used for problems that begin with the inflammatory phase. The use of gel from garlic extract is also easier to use and easier to clean. The study aim to determine the effectiveness of garlic extract gel to process wound inflammatory phase healing. This research is an experimental research with pre and post test with control group method with 24 samples. Conducted injury to the back area of rat length of wound 1 cm, depth to dermis. Conducted wound care, given gel extract of garlic concentration of 20%, 40%, 80% of the control using 0.9% NaCl compress. Using Kruskal Wallis test and Anova oneway showed concentration of 20%, 40%, and 80% of sig <0,05 ie 0.00. It was concluded that 20%, 40%, 80% garlic extract gel was effective against inflammatory wound healing process. The use of garlic extract gel is more effective in the wound inflammatory wound healing process.Abstrak: Efektivitas Gel Ekstrak Bawang Putih  terhadap Proses Penyembuhan Luka Fase Inflamasi.  Fase inflamasi merupakan respon tubuh yang menguntungkan sebagai mekanisme perlindungan. Pada proses penyembuhan luka menjadi fase yang sangat penting. Penatalaksanaan inflamasi yang sering digunakan Anti-Inflamasi Non Steroid golongan salisilat pada kulit yang memiliki efek samping. Kandungan zat allicin pada bawang putih dapat dimanfaatkan untuk masalah yang diawali dengan fase inflamasi. Pemanfaatan gel dari ekstrak bawang putih pun dalam penggunaannya lebih mudah diabsorsi dan mudah dibersihkan. Penelitian ini bertujuan untuk mengetahui efektifitas gel ekstrak bawang putih terhadap proses penyembuhan luka fase inflamasi. Penelitian ini merupakan penelitian eksperiment dengan metode pre and post test with control grup dengan jumlah sampel sebanyak 24 ekor tikus. Dilakukan perlukaan pada daerah punggung tikus panjang luka 1 cm, kedalaman sampai dermis. Dilakukan perawatan luka, diberi gel ekstrak bawang putih konsentrasi berbeda yaitu 20%, 40%, 80%  kontrol menggunakan kompres NaCl 0,9%. Hasil uji Kruskal Wallis dan Anova oneway menunjukkan konsentrasi 20%, 40%, dan 80%  nilai sig <0,05 yaitu 0,00. Disimpulkan bahwa 20%, 40%, 80% gel ekstrak bawang putih efektif terhadap proses penyembuhan luka inflamasi. Penggunaan gel ekstrak bawang putih lebih efektif dalam proses penyembuhan luka inflamasi luka.   Disimpulkan bahwa 20%, 40%, 80% gel ekstrak bawang putih efektif terhadap proses penyembuhan luka inflamasi. Penggunaan gel ekstrak bawang putih lebih efektif dalam proses penyembuhan luka inflamasi luka.


2018 ◽  
Vol 10 (2) ◽  
pp. 146-151
Author(s):  
Nadya Putri Nabila

Diabetes mellitus (DM) is one of the most common chronic diseases experienced by the world population and ranks fourth cause of death in developing countries. Long-term complications of diabetes mellitus one of them is diabetic ulcer (15%) and is the most cause (85%) of amputation in patients with diabetes mellitus. Currently, more than 5,000 modern types of dressings are reported to be available to treat wounds, especially diabetic ulcers. To know the process of wound healing diabetic ulcer was done with the design of case study research with a sample of 2 people and this study was conducted for 4 weeks. The study was conducted at the Maitis Efrans Wound Care clinic in Bengkulu City. The result was obtained that the assessment of diabetic ulcer wounds before modern wound care on the respondents was a total score of 54 and the respondents two total score of 50 were stated wound regeneration. The healing process of the responder's second ulcers progressed, the total score of one respondent was 30 and the respondent two was 28. Respondents. Progress on the two respondents stated better influenced by wound healing factor that is, age factor.


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