Penerapan Hydrogel dan Antimicrobial Dressing terhadap Penyembuhan Luka dan Sensasi Perifer pada Pasien Gangrene Pedis
DOI:
https://doi.org/10.59680/medika.v2i3.1226Keywords:
Antimicrobial Dressing, Gangrene, Hydrogel, Peripheral Sensation, Wound CareAbstract
Gangrene is one of Diabetes Mellitus (DM) complication causing tissue death in wound and decreased peripheral sensation. Priority management of gangrene is through tissue reperfusion and wound care with modern dressing to enhance healing and increase periphery circulation. This research aimed to report wound healing progress and peripheral sensation gangrene in a patient who was given hydrogel and antimicrobial dressing. Research design used a descriptive case study approach. Sample involved one inpatient in West Java regional public hospital who was diagnosed with gangrene, had necrotic wounds, and poor peripheral perfusion, currently treated with modern dressing hydrogel and antimicrobial dressing. The instrument used is Bates Jensen Wound Assessment Tools (BJWAT), lowest score shows significant wound healing progress. Decreasing wound healing score using BJWAT questionnaire from 41 to 29, peripheral sensation (+), and monofilament score from 0/9 to 5/9 after the intervention. Modern dressing improved wound healing and peripheral sensation in gangrene pedis patient. Thus, it is expected to examine effectiveness of hydrogel and antimicrobial dressings on healing scores and peripheral sensation in gangrene pedis patients more extensively.
References
Amanda, A., Iksan, R. R., & Wahyuningsih, S. A. (2021). Penerapan Perawatan Luka Modern Dressing pada Lansia Penderita Diabetes Melitus. Malahayati Nursing Journal, 1(1), 13–26. https://doi.org/10.33024/mnj.v1i1.5324
Aprilani, Y. dan. (2018). Perawatan Luka Kaki Diabetik Pada Pasien Diabetes Mellitus Di Cindara Wound Care Center Jepara. Jpk, 2, 55–65.
Broussard, K. C., & Powers, J. G. (2018). Wound Dressings: Selecting the Most Appropriate Type. American Journal of Clinical Dermatology, 14.
Brumberg, V., Astrelina, T., Malivanova, T., & Samoilov, A. (2021). Modern Wound Dressings: Hydrogel Dressings. Biomedicines, 9(9). https://doi.org/10.3390/biomedicines9091235
Buboltz, J. B., & Murphy-Lavoie, H. M. (2023). Gas Gangrene. StatPearls.
Buttolph, A., & Sapra, A. (2023). Gangrene. StatPearls.
Cahyono, A. D., Tamsuri, A., & Wiseno, B. (2021). Wound Care dan Health Education Pada Masyarakat Kurang Mampu Yang Mengalami Skin Integrity Disorders di Desa Asmorobangun, Kecamatan Puncu, Kabupaten Kediri. Journal of Community Engagement in Health, 4(2), 424–431. http://jceh.orghttps//doi.org/10.30994/jceh.v4i1.265
Da Porto, A., Miranda, C., Brosolo, G., Zanette, G., Michelli, A., & Ros, R. Da. (2022). Nutritional supplementation on wound healing in diabetic foot: What is known and what is new? World Journal of Diabetes, 13(11), 940–948. https://doi.org/10.4239/wjd.v13.i11.940
Dimantika, A., Sugiyarto, S., & Setyorini, Y. (2020). Perawatan Luka Diabetes Mellitus Menggunakan Teknik Modern Dressing. Interest?: Jurnal Ilmu Kesehatan, 9(2), 160–172. https://doi.org/10.37341/interest.v9i2.210
Elswaidy, N. ramadan, Ellatif, R., & Ibrahim, M. A. A. (2022). Ketogenic Diet Enhances Delayed Wound Healing in Immunocompromised Rats: A Histological and Immunohistochemical Study. The Egyptian Journal of Histology, 45(4).
Firlar, I., Altunbek, M., McCarthy, C., Ramalingam, M., & Camci-Unal, G. (2022). Functional Hydrogels for Treatment of Chronic Wounds. Gels (Basel, Switzerland), 8(2). https://doi.org/10.3390/gels8020127
Frykberg, R. G., & Banks, J. (2015). Challenges in the Treatment of Chronic Wounds. Advances in Wound Care, 4(9), 560–582. https://doi.org/10.1089/wound.2015.0635
Indrayati, N., Koto, Y., & Mulyadi, B. (2018). Penyembuhan Ulkus Diabetik dengan Aplikasi Antimikrobial Wound Dressing Silver (ActicoatTM). Jurnal Ilmiah Ilmu Keperawatan Indonesia, 8(04), 508–515. https://doi.org/10.33221/jiiki.v8i04.174
Ismail, K. B., Sukriyadi, Basri, M., Nasrullah, & Saini, S. (2023). Nursing Intervention "Enhanced Perfusion Of Peripheral Tissues In Diabetic Ulcer Patients: A Case Report. Media Kesehatan Politeknik Kesehatan Makassar, 182, 171–182.
Jia, B., Li, G., Cao, E., Luo, J., Zhao, X., & Huang, H. (2023). Recent progress of antibacterial hydrogels in wound dressings. Materials Today Bio, 19(December 2022), 100582. https://doi.org/10.1016/j.mtbio.2023.100582
Joret, M. O., Osman, K., Dean, A., Cao, C., van der Werf, B., & Bhamidipaty, V. (2019). Multidisciplinary clinics reduce treatment costs and improve patient outcomes in diabetic foot disease. Journal of Vascular Surgery, 70(3), 806–814. https://doi.org/10.1016/j.jvs.2018.11.032
Ko, A., & Liao, C. (2023). Hydrogel wound dressings for diabetic foot ulcer treatment: Status?quo, challenges, and future perspectives. BMEMat, 1(3). https://doi.org/10.1002/bmm2.12037
Kurnia, A. (2020). Diet Rendah Karbohidrat pada Pasien Diabetes Mellitus Tipe 2: Literature Review. Nurscope Jurnal Penelitian Dan Pemikiran Ilmiah Keperawatan, 5(2).
Liu, H., Wang, J., Deng, Y., Zou, G., & Xu, J. (2021). Effects of topical insulin on wound healing: A meta-analysis of animal and clinical studies. Endocrine Journal, 68(8), 969–979. https://doi.org/10.1507/endocrj.EJ20-0575
Maharani, A. O., Astuti, N. F. W., & Wahyuni, E. S. (2023). Tatalaksana Proses Asuhan Gizi Terstandar Pada Pasien Diabetes Melitus Tipe 2 Dengan Sepsis Pasca Operasi Gangren. Student Journal of Nutrition, 2(2), 68121.
Mahmood, A. H. (2021). Wet gangrene. Journal of Medicine.
Morilla-Herrera, J. C., Morales-Asencio, J. M., Gómez-González, A. J., Díez-De Los Ríos, A., Lupiáñez-Pérez, I., Acosta-Andrade, C., Aranda-Gallardo, M., Moya-Suárez, A. B., Kaknani-Uttumchandani, S., & García-Mayor, S. (2020). Effectiveness of a hydrophobic dressing for microorganisms’ colonization of vascular ulcers: Protocol for a randomized controlled trial (CUCO-UV Study). Journal of Advanced Nursing, 76(8), 2191–2197. https://doi.org/10.1111/jan.14412
Patrulea, V., Borchard, G., & Jordan, O. (2020). An update on antimicrobial peptides (Amps) and their delivery strategies for wound infections. Pharmaceutics, 12(9), 1–39. https://doi.org/10.3390/pharmaceutics12090840
Pena, G., Kuang, B., Cowled, P., Howell, S., Dawson, J., Philpot, R., & Fitridge, R. (2020). Micronutrient Status in Diabetic Patients with Foot Ulcers. Advances in Wound Care, 9(1), 9–15. https://doi.org/10.1089/wound.2019.0973
Pop-Busui, R. (2018). What Is Diabetic Neuropathy? NIDDK.
Primadani, A. F., & Safitri, D. N. P. (2021). Proses Penyembuhan Luka Kaki Diabetik Dengan Perawatan Luka Metode Moist Wound Healing. Ners Muda, 2(1), 9. https://doi.org/10.26714/nm.v2i1.6255
Ramirez-GarciaLuna, J. L., Rangel-Berridi, K., Bergeron, A., Kolosovas-Machuca, E. S., Wang, S. C., Berry, G. K., & Martinez-Jimenez, M. (2023). Local Insulin Improves Wound Healing: A Systematic Review and Bayesian Network Meta-Analysis. Journal of the American Society of Plastic Surgeon, 152(6).
Rosa, S. K. Dela, Udiyono, A., Kusariana Nissa, & Saraswati Lintang Dian. (2019). Faktor-Faktor Yang Berhubungan Dengan Timbulnya Gangren Pada Pasien Diabetes Mellitus Di Rsud K.R.M.T. Wongsonegoro Semarang. Jurnal Kesehatan Masyarakat, 7(1), 2356–3346. http://ejournal3.undip.ac.id/index.php/jkm
Santoso, P., Rahayu, D., & Irawan, H. (2022). Analisa Penerapan Perawatan Luka Ganggren pada Penderita Ulkus Diabetes: Literatur Review. Jurnal Keperawatan, 14(1), 171–178. https://doi.org/10.32583/keperawatan.v14i1.40
Simamora, S., Sarmadi, Mona Rahmi Rulianty, & Ferawati Suzalin. (2021). Peduli Penggunaan Insulin. Dinamisia?: Jurnal Pengabdian Kepada Masyarakat, 5(3), 638–644. https://doi.org/10.31849/dinamisia.v5i3.4823
Stechmiller, J. K., Lyon, D., Schultz, G., Gibson, D. J., Weaver, M. T., Wilkie, D., Ferrell, A. V., Whitney, J., Kim, J., & Millan, S. B. (2019). Biobehavioral Mechanisms Associated With Nonhealing Wounds and Psychoneurologic Symptoms (Pain, Cognitive Dysfunction, Fatigue, Depression, and Anxiety) in Older Individuals With Chronic Venous Leg Ulcers. Biological Research for Nursing, 21(4), 407–419. https://doi.org/10.1177/1099800419853881
Sukmana, M., Sianturi, R., & Aminuddin, M. (2019). Pengkajian Luka Menurut Meggit-Wagner dan Pedis Pada Pasien Ulkus Diabetikum. Jurnal Kesehatan Pasak Bumi Kalimantan, 2(2), 79–88.
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Theivasigamani, K., & Palaniappan, S. (2023). Pharmaceutical Care in Type II Diabetes Mellitus Patients: Current Position and Prospects. Bentham Science, 20(2).
Ubaidi, M., & Sumedi, S. (2023). Effect of Hydrogel as Autolysis Debridement Media on Wound Healing in Diabetic Ulcer Patients in Holistic Homecare. Journal of Complementary Nursing, 2(1), 139–142. https://doi.org/10.53801/jcn.v2i1.98
Xiang, J., Wang, S., He, Y., Xu, L., Zhang, S., & Tang, Z. (2019). Reasonable Glycemic Control Would Help Wound Healing During the Treatment of Diabetic Foot Ulcers. Diabetes Therapy, 10(1), 95–105. https://doi.org/10.1007/s13300-018-0536-8
Xu, Y., Hu, Q., Wei, Z., Ou, Y., Cao, Y., Zhou, H., Wang, M., Yu, K., & Liang, B. (2023). Advanced polymer hydrogels that promote diabetic ulcer healing: mechanisms, classifications, and medical applications. Biomaterials Research, 27(1), 1–48. https://doi.org/10.1186/s40824-023-00379-6
Yunitamara, & Husain, F. (2022). Penerapan Modern Dressing terhadap Perubahan Kondisi Luka Ulkus Diabetikum pada Pasien Diabetes Mellitus Tipe II. Indogenius, 1(3), 113–119. https://doi.org/10.56359/igj.v1i3.131