Penggunaan Dressing Alternatif Pada Luka Kaki Diabetik Meningkatkan Residu Klorin
Keywords:
Penyembuhan luka, residu klorin;, luka kaki diabetik;, dressing alternative
Abstract
Penggunaan dressing modern yang lama membutuhkan biaya yang besar, sehingga praktisi luka menggunakan
dressing alternatif (pembalut wanita). Mengidentifikasi penggunaan dressing alternatif terhadap residu klorin dan
proses penyembuhan Luka Kaki Diabetik (LKD). Desain penelitian quasi eksperimental dengan pendekatan one
grup pre dan post, 10 sampel diintervensi dengan pembalut alternatif berupa pembalut wanita yang digunakan
setelah perawatan luka. Pembalut digunakan pada satu luka untuk satu jenis pembalut yang berdasarkan luas luka.
Intervensi selama 12 hari dengan penggantian balutan per 2 hari. Pemeriksaan residu klorin (Spectrophotometry
UV-Vis) didasar luka dengan teknik swab dihari 1, 6 dan 12, sedangkan proses penyembuhan dengan instrument
baku yaitu Diabetis Foot Ulcer Assesment Scale (DFUAS). Residu klorin hari 1, 6 dan 12 yaitu 0.6837, 2.4477
dan 2.7927 ppm dengan nilai p=0.001. Skor rata-rata DFUAS hari 1, 6 dan 12 adalah 29.6, 27.7 dan 24.6 dengan
nilai p=0.005. Dengan demikian peningkatan signifikan residu klorin pada dasar luka namun skor DFUAS tetap
menurun. Terjadi peningkatan residu klorin pada hari 6 dan 12 perawatan dengan menggunakan dressing alternatif
jenis pembalut wanita dan skor DFUAS menurun. Disaranakan bagi praktisi luka untuk mengevaluasi Luka
Kaki Diabetik pada saat penggunaan dressing alternatif (pembalut wanita).
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To Develop Foot Ulcers. Diabet Foot Ankle [Internet]. 2015 Jun 17;6:27593. Available from:
https://www.ncbi.nlm.nih.gov/pubmed/26087865
21. Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global Epidemiology Of Diabetic Foot Ulceration:
A Systematic Review And Meta-Analysis. Ann Med [Internet]. 2016/11/03. 2017
Mar;49(2):106–116. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27585063
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https://www.ncbi.nlm.nih.gov/pubmed/28865989
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https://www.ncbi.nlm.nih.gov/pubmed/26353821
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58. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26869502
25. Duarte B, Cabete J, Formiga A, Neves J. Dakin’s Solution: Is There A Place For It In The 21st
Century? Int Wound J. 2017 Dec;14(6):918–920.
26. Georgiadis J, Nascimento VB, Donat C, Okereke I, Shoja MM. Dakin’s Solution: “One Of The
Most Important And Far-Reaching Contributions To The Armamentarium Of The Surgeons.”
Burns [Internet]. 2018;1–9. Available from: https://doi.org/10.1016/j.burns.2018.12.001
27. Yingsakmongkol N. Clinical Outcomes of WF10 Adjunct To Standard Treatment Of Diabetic
Foot Ulcers. J Wound Care. 2013;22(3):130–136.
28. Ungke D. Analysis of Wound Care Management in the Case of Diabetic Injury at Emergency
Installation (IGD) Arifin Nu’mang Hospital of Sidrap Regency. Window of Health : Jurnal
Kesehatan [Internet]. 25Apr.2018 [cited 23Jul.2020];:116-24. Available from:
http://jurnal.fkmumi.ac.id/index.php/woh/article/view/28
29. Rasyid N, Yusuf S, Tahir T. Study Literatur: Pengkajian Luka Kaki Diabetes. 2018;4(1):16-26.
30. Rasyid N, Yusuf S, Tahir T. Interrater Reliability Dan Internal Consistency Pengkajian Luka Kaki
Diabetik the New Diabetic Foot Ulcer Assessment Scale (Dfuas) Berbasis Foto. J Kesehat
Manarang. 2019;5(1):19-29.
2. Tsang KK, Kwong EWY, To TSS, Chung JWY, Wong TKS. A Pilot Randomized, Controlled Study of Nanocrystalline Silver, Manuka Honey, and Conventional Dressing in Healing Diabetic Foot Ulcer. Evidence-based Complement Altern Med. 2017;20(1):7-14.
3. Yazdanpanah L, Nasiri M, Adarvishi S. Literature Review On The Management Of Diabetic Foot
Ulcer. World J Diabetes. 2015;6(1):37–53.
4. Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global epidemiology Of Diabetic Foot Ulceration:
A Systematic Review And Meta-Analysis. Ann Med. 2017;49(2):106–116.
5. Ghosh P, Valia R. Burden of Diabetic Foot Ulcers in India: Evidence Landscape from Published
Literature. Value Heal. 2017;20(9):48-55.
6. Yusuf S, Okuwa M, Irwan M, Rassa S, Laitung B, Thalib A, et al. Prevalence and Risk Factor of
Diabetic Foot Ulcers in a Regional Hospital, Eastern Indonesia. Open J Nurs. 2016;6(1):1–10.
7. Surahio AR, Khan AA, Farooq M FI. Role of Honey In Wound Dressing In Diabetic Foot Ulcer.
J Ayub Med Coll Abbottabad JAMC Ayub Med Coll Abbottabad [Internet]. 2014;JulSep;26(3):304-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25671933
8. Hilton JR, Williams DT, Beuker B, Miller DR, Harding KG. Wound Dressings in Diabetic Foot
Disease. Clin Infect Dis. 2014 Aug;39(Supplement_2):100–103.
9. Jung JA, Yoo KH, Han SK, Dhong ES, Kim WK. Evaluation Of The Efficacy Of Highly
Hydrophilic Polyurethane Foam Dressing In Treating A Diabetic Foot Ulcer. Adv Ski Wound
Care. 2016;29(12):546–555.
10. Qu X, Liu H, Zhang C, Lei Y, Lei M, Xu M, et al. Electrofabrication Of Functional Materials:
Chloramine-Based Antimicrobial Film For Infectious Wound Treatment. Acta Biomater.
2018;73(6):190–203.
11. Ahmed N, Shahzad MN, Qureshi KH, Saeed MB, Waheed F, Ali A. Effectiveness of 0.025%
Dakin’s Solution Versus 1% Silver Sulphadiazine for Treatment of Partial Thickness Burns. Ann
Pak Inst Med Sci. 2011;7(3):127–132.
12. Verma N, Sangwan P, Tewari S, Duhan J. Effect of Different Concentrations of Sodium Hypochlorite on Outcome of Primary Root Canal Treatment: A Randomized Controlled Trial. J Endod [Internet]. 2019;45(4):357–363. Available from:
https://doi.org/10.1016/j.joen.2019.01.003
13. Levine JM. Dakin’s Solution: Past, Present, And Future. Adv Ski Wound Care. 2013;26(9):410– 414.
14. Cardile AP, Sanchez CJ, Hardy SK, Romano DR, Hurtgen BJ, Wenke JC, et al. Dakin Solution
Alters Macrophage Viability And Function. J Surg Res [Internet]. 2014;192(2):692–699.
Available from: http://dx.doi.org/10.1016/j.jss.2014.07.019
15. Yazdanpanah L, Shahbazian H, Nazari I, Arti HR, Ahmadi F, Mohammadianinejad SE, et al.
Prevalence and Related Risk Factors Of Diabetic Foot Ulcer In Ahvaz, South West of Iran.
Diabetes Metab Syndr Clin Res Rev. 2018;12(4):519–524.
16. M. Monteiro‐Soares E. J. Boyko J. Ribeiro I. Ribeiro M. Dinis‐Ribeiro. Predictive Factors For
Diabetic Foot Ulceration: A Systematic Review. Diabetes Metab Res Rev. 2012;28(9):3–12.
17. Mariam TG, Alemayehu A, Tesfaye E, Mequannt W, Temesgen K, Yetwale F, et al. Prevalence
of Diabetic Foot Ulcer and Associated Factors among Adult Diabetic Patients Who Attend the
Diabetic Follow-Up Clinic at the University of Gondar Referral Hospital, North West Ethiopia,
2016: Institutional-Based Cross-Sectional Study. J Diabetes Res [Internet]. 2017/07/16.
2017;2017:2879249. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28791310
18. Iwase M, Fujii H, Nakamura U, Ohkuma T, Ide H, Jodai-Kitamura T, et al. Incidence of Diabetic
Foot Ulcer In Japanese Patients With Type 2 Diabetes Mellitus: The Fukuoka Diabetes Registry.
Diabetes Res Clin Pract [Internet]. 2018;137:183–9. Available from:
http://dx.doi.org/10.1016/j.diabres.2018.01.020
19. Noor S, Zubair M, Ahmad J. Diabetic Foot Ulcer-A Review On Pathophysiology, Classification
And Microbial Etiology. Diabetes Metab Syndr [Internet]. 2015/04/29. 2015;9(3):192–199.
Available from: https://www.ncbi.nlm.nih.gov/pubmed/25982677
20. Tang UH, Zügner R, Lisovskaja V, Karlsson J, Hagberg K, Tranberg R. Foot Deformities,
Function In The Lower Extremities, And Plantar Pressure In Patients With Diabetes At High Risk
To Develop Foot Ulcers. Diabet Foot Ankle [Internet]. 2015 Jun 17;6:27593. Available from:
https://www.ncbi.nlm.nih.gov/pubmed/26087865
21. Zhang P, Lu J, Jing Y, Tang S, Zhu D, Bi Y. Global Epidemiology Of Diabetic Foot Ulceration:
A Systematic Review And Meta-Analysis. Ann Med [Internet]. 2016/11/03. 2017
Mar;49(2):106–116. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27585063
22. Shin JY, Roh S-G, Sharaf B, Lee N-H. Risk of Major Limb Amputation In Diabetic Foot Ulcer
And Accompanying Disease: A Meta-Analysis. J Plast Reconstr Aesthet Surg [Internet].
2017/08/05. 2017 Dec;70(12):1681–8. Available from:
https://www.ncbi.nlm.nih.gov/pubmed/28865989
23. Wang DD, Jamjoom RA, Alzahrani AH, Hu FB, Alzahrani HA. Prevalence and Correlates of
Lower-Extremity Amputation in Patients With Diabetic Foot Ulcer in Jeddah, Saudi Arabia. Int
J Low Extrem Wounds [Internet]. 2015/09/08. 2016 Mar;15(1):26–33. Available from:
https://www.ncbi.nlm.nih.gov/pubmed/26353821
24. Benkhadoura M, Alswehly M, Elbarsha A. Clinical Profile And Surgical Management Of
Diabetic Foot in Benghazi, Libya. Foot Ankle Surg [Internet]. 2015/05/14. 2016 Mar;22(1):55–
58. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26869502
25. Duarte B, Cabete J, Formiga A, Neves J. Dakin’s Solution: Is There A Place For It In The 21st
Century? Int Wound J. 2017 Dec;14(6):918–920.
26. Georgiadis J, Nascimento VB, Donat C, Okereke I, Shoja MM. Dakin’s Solution: “One Of The
Most Important And Far-Reaching Contributions To The Armamentarium Of The Surgeons.”
Burns [Internet]. 2018;1–9. Available from: https://doi.org/10.1016/j.burns.2018.12.001
27. Yingsakmongkol N. Clinical Outcomes of WF10 Adjunct To Standard Treatment Of Diabetic
Foot Ulcers. J Wound Care. 2013;22(3):130–136.
28. Ungke D. Analysis of Wound Care Management in the Case of Diabetic Injury at Emergency
Installation (IGD) Arifin Nu’mang Hospital of Sidrap Regency. Window of Health : Jurnal
Kesehatan [Internet]. 25Apr.2018 [cited 23Jul.2020];:116-24. Available from:
http://jurnal.fkmumi.ac.id/index.php/woh/article/view/28
29. Rasyid N, Yusuf S, Tahir T. Study Literatur: Pengkajian Luka Kaki Diabetes. 2018;4(1):16-26.
30. Rasyid N, Yusuf S, Tahir T. Interrater Reliability Dan Internal Consistency Pengkajian Luka Kaki
Diabetik the New Diabetic Foot Ulcer Assessment Scale (Dfuas) Berbasis Foto. J Kesehat
Manarang. 2019;5(1):19-29.
Published
2020-07-25
How to Cite
1.
Yusuf B, Tahir T, Kadek Ayu KA, Yuliati Y. Penggunaan Dressing Alternatif Pada Luka Kaki Diabetik Meningkatkan Residu Klorin. woh [Internet]. 2020Jul.25 [cited 2024Apr.28];3(3):202-10. Available from: https://jurnal.fkmumi.ac.id/index.php/woh/article/view/958
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