Differences Exudates After Irrigation With Measured Pressure on Diabetic Ulcers

Mohammad Arifin Noor; Suyanto Suyanto

doi:10.26714/mki.2.2.2019.1-5

Differences Exudates After Irrigation With Measured Pressure on Diabetic Ulcers

Mohammad Arifin Noor^(1*), Suyanto Suyanto⁽²⁾

(1) Sultan Agung Islamic University
(2) Sultan Agung Islamic University
(*) Corresponding Author

Abstract

Diabetic ulcer is a further complication of the presence of diabetic ulcers that are not handled properly. Gangren ulcers are very difficult to cure. One of them is the characteristic of gangrene wounds that have a hollow (hard) that is very difficult to do cleansing. In addition, the types of bacteria that are in gangrene are anaerobic bacteria that are difficult to treat with antibiotics. The number of bacteria will also be proportional to the number of production of pus. One of the most possible actions is to irrigate the wound tunnel so that the wound is clean and anaerobic bacteria are reduced. The modern wound irrigation device, which is one of the developments of existing irrigation devices, is expected to be able to reach gangrenous wound tunnels with a modified form of output. This study aimed to determine the effect of modification of the output of the modern wound irrigation device (MWID) on the number of bacteria in diabetic gangrenous ulcer sufferers. The method used in this study was quasi-experimental without a control group. The intervention group was given wound irrigation using a modified MWID tool. The instrument was used to determine exudate production using the observation sheet Leg Ulcer Measurement Tool (LUMT). The results of the analysis by the Mc Nemar test showed that p value 0.67 (p value> 0.05) means that there is no difference in the amount of exudate production with modification of the MWID output. Further research is needed regarding the effect of irrigation angle on the number of bacteria in diabetic ulcers.

Keywords

exudate; irrigation; diabetic ulcer

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References

Asmorohadi, A., Gayatri, D., & Dahlia, D. (2013). Efektifitas alat irigasi arthripi terhadap penyembuhan ulkus diabetikum di rsu tugu semarang dan rsu kota semarang. Thesis tidak terpublikasikan.

Bianchi & Janice. (2000). The cleansing of superficial traumatic wounds. British Journal of Nursing. Pages 28

Black, J.M & Hawks,J.H. (2009). Medical surgical nursing clinical management for positive outcomes (8th ed). Singapore: Elsevier Pte Ltd

Boulton, A.J.M., Armstrong, D.G., Albert,S.F., Frykberg, R.G., Hellman, R., Kirkman, M.S. (2008). Comprehensive foot examination and risk assessment. Diabetes care journal, 31(8)

Boulton, A.J.M.,Kirsner, R.S., Vileikyte,L. (2004). Neuropathic diabetic foot ulcers. NEJM, 351: 48-55

Brookes,S., O’Leary, B. (2006). Feet first: a guide to diabetic foot services. British journal of nursing, 35 (3)

Clayton, W,Jr & Tom, A.E. (2009). A review of the pathophysiology: classification and treatment of foot ulcer in diabetic patient. Diakses dari http://www.clinical_dabetes_mellitus./article.htm

Dewi, A. (2006). Hubungan aspek-aspek perawatan kaki diabetes dengan kejadian ulkus kaki diabetes pada pasien Diabetes Mellitus. Thesis, Tidak dipublikasikan

Fauci, A.S., Kasper, D.L., Longo,D., Braunwald,E., Hauser, S.L, Jameson,J.L., et.al. (2008). Harrison’s: Principles od internal medicine (17th ed). New York Mc Graw Hill

Lavery, L.A., McGuire, J..B., Baranoski, S., & Ayello, E.A. (2008). Diabetic foot ulcer. Journal of diabetes and its complications, 16: 153-158

May, K. (2008). Preventing foot ulcers. Aust Prescr, 31: 94-96

Naicker, A.S., Ohnmar, H., Choon, S.K., Yee,K.L.C., Naicker, M.S., Das, S., et al. (2009). A study of risk factors associated with diabetic foot, knowledge and practice of foot care among diabetic patients. International Medical Journal, 16(3):189-193

National Diabetes Facts Sheet. (2011). Fast fact on diabetes. Diakses dari http:/www.cdc.gov/diabetes

Nicks, B.A., Vello, E.A., Woo, K., Nitzki-George, D., & Sibbald, R.G. (2010). Acute wound management: revisiting the approach to assessment, irrigation, and closure considerations. International Journal of Emergency Medicine, 3(4): 399-407

Norwood, D.V. (2011). Diabetic foot ulcer. EBSCO Publishing

Perkumpulan Endokrin Indonesia. (2011). Konsensus: Pengelolaan dan pencegahan Diabetes Melitus tipe 2 di Indonesia. Jakarta: PB. PERKENI

Rowland, K. (2009). Wound healing perpectives: diabetic foot ulcers. National healing coorporation, 6 (4)

Sabri, L., & Hastono, S.P. (2006). Statistik kesehatan. Edisi revisi. Jakarta: FKM UI.

Singh, N., Armstrong,D.G., & Lipsky, B.A. (2005). Preventing doot ulcers in patients with diabetes. JAMA, 293 (2)

Smeltzer, S.C., Bare, B.G., Hinkle, J.L., & Cheever, K.H. (2008). Brunner & Suddarth’s textbook of medical surgical nursing (11th ed.). Philadelphia : Lippincott Williams & Wilkins.

Suriadi. (2004). Perawatan luka, Edisi 1. Jakarta; Sagung Seto.

Suyono, S. (2006). Masalah Diabetes Mellitus di Indonesia. Buku Ajar Ilmu Penyakit Dalam edisi 3. Jakarta: Balai penerbit Fakultas Kedokteran Universitas Indonesia

Vancouver Costal Health. (2010). Diabetic foot care: You dan your feet. Vancouver Coastal Health. Diakses dari http://www.vch.eduhealth.ca