Pengelolaan Gangguan Integritas Kulit dan Jaringan dengan Metode Modern Dressing pada Ulkus Diabetikum di RSUD Gunawan Mangunkusumo Management of Impaired Skin and Tissue Integrity Using Modern Dressing Methods for Diabetic Ulcers at Gunawan Mangunkusumo Regional Hospital
Article Sidebar
Main Article Content
Abstract
Diabetic ulcers are serious complications of diabetes mellitus, leading to infection, amputation, and even death. Proper wound management is essential for healing and preventing further complications.
This study employed a case study with a qualitative approach at Gunawan Mangunkusumo Regional Hospital. Data were collected through observation, interviews, and nursing documentation over 3 days using the nursing process (assessment, diagnosis, intervention, implementation, and evaluation).
Results: The subject was a 65-year-old female patient with a diabetic ulcer (grade 4) measuring 60 cm² on the left foot. The wound showed yellow-black tissue, exudate, and odor. Interventions included modern wound care using foam dressing and tulle gras. On day three, minimal granulation tissue appeared, exudate decreased, but impaired skin and tissue integrity remained unresolved.
Modern dressing helped reduce exudate, initiate granulation, and relieve pain. However, diabetic ulcer care requires long-term commitment, continuous education, and strict glycemic control to support optimal wound healing.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Dinas Kesehatan. (2021). Jawa Tengah Tahun 2021. Profil Kesehatan Provinsi Jawa Tengah Tahun 2021, i–123.
Faiqh, D., & Palmco, A. (2022). Perawatan Luka Dan Terapi Komlementer.
Fitriani. (2021). Faktor Faktor Yang Mempengaruhi Kejadian Ulkus Diabetik Pada Pasien Diabetes Melitus. Fitriani, 5(3), 248–253.
Hermawati, D., & Murharyati, A. (2024). Penerapan Perawatan Luka Modern Dressing Terhadap Penyembuhan Ulkus Diabetik Pada Pasien Diabetes Melitus Di Ruang Lavender RSUD Ir. Soekarno Kabupaten Sukoharjo. Jurnal Univeritas Kusuma Husada Surakarta, 1(2), 1–10...
Muhartono, I. R. N. S. (2017). Ulkus kaki diabetik kanan dengan diabetes mellitus tipe 2. J AgromedUnila, 4(1), 133–139.
Muna Lubis, S. A., Aminah, T. N. F., Pangestuty, S., Atika, R., Sembiring, S. P., & Aidha, Z. (2023). Faktor-Faktor yang Berhubungan dengan Kejadian Diabetes Melitus (DM) di Desa Kubah Sentang Kecamatan Pantai Labu. Jurnal Ilmiah Universitas Batanghari Jambi, 23(2), 2061. https://doi.org/10.33087/jiubj.v23i2.2968
Niu, F., Liu, W., Ren, Y., Tian, Y., Shi, W., Li, M., Li, Y., Xiong, Y., & Qian, L. (2024). β-cell neogenesis: A rising star to rescue diabetes mellitus. Journal of Advanced Research, 62, 71–89. https://doi.org/10.1016/j.jare.2023.10.008
Pratiwi et al., 2022. (2022). Asuhan Keperawatan Pada Ny K Dengan Intranatal. In Journal of Chemical Information and Modeling (Vol. 53, Issue 9).
Putri, R. C. (2024). Penerapan Perawatan Luka Modern. Jurnal Kesehatan, Teknologi, Dan Sains, 3, 42–49.
.
Risba, D., Z. Oktora, M., & Fionaliza. (2022). Gambaran Penderita Diabetes Mellitus Tipe 2 di Rsup Dr. M. Djamil Padang Tahun 2017. Scientific Journal, 1(1), 30–35. https://doi.org/10.56260/sciena.v1i1.22
Sari, Y. (2015). perawatan luka diabetes : Berdasarkan Konsep Luka Modern Dan Penelitian Terkini (1st ed.). Graha Ilmu.
SDKI PPNI. (2017). Standar Diagnosa Keperawatan Indonesia (1st ed., Vol. 3). Dewan pengurus pusat persatuan perawat nasional indonesia .
Sepia Putri Regina Prayoga, & Annisa Andriyani. (2024). Penerapan Perawatan Luka Ulkus Diabetik dengan Nacl 0.9% pada Pasien Diabetes Melitus di RS PKU Muhammadiyah Karanganyar. Protein : Jurnal Ilmu Keperawatan Dan Kebidanan. , 2(4), 179–187. https://doi.org/10.61132/protein.v2i4.725
Sepia Putri Regina Prayoga, & Annisa Andriyani. (2024). Penerapan Perawatan Luka Ulkus Diabetik dengan Nacl 0.9% pada Pasien Diabetes Melitus di RS PKU Muhammadiyah Karanganyar. Protein : Jurnal Ilmu Keperawatan Dan Kebidanan. , 2(4), 179–187. https://doi.org/10.61132/protein.v2i4.725.
SIKI PPNI. (2018). Standar Intervensi Keperawatan Indonesia. In Dewan pengurus pusat persatuan perawat nasional indonesia.
Siti Komariah. (2022). Pengaruh Perawatan Luka Dengan Metode Modern Dressing (Teknik Moist Wound Healing) Pada Pasein Ulkus Diabetikum (Literature Review). Jurnal Nurse, 5(2), 46–63. https://doi.org/10.57213/nurse.v5i2.122
SLKI PPNI. (2019). Standar Luaran Keperawatan Indonesia (1st ed., Vol. 2). dewan pengurus pusat persatuan perawat nasional indonesia..
Susanto, P. C., Yuntina, L., Saribanon, E., & Soehaditama, J. P. (2024). Qualitative Method Concepts : Literature Review , Focus Group Discussion , Ethnography and Grounded Theory. Siber Journal of Advanced Multidisciplinary, 2(2), 262–275.
Syafara, C. D., Meliana, J., Revialdi, Pangkey, B., & Panjaitan, M. A. (2023). Pengetahuan Perawatan Tentang Modern Dressing Pada Pasien Ulkus Diabetikum. Jurnal Ilmiah Keperawatan, 9(2), 261–267.
Wahyuni, S. (2022). Asuhan Keperawatan Ketidakstabilan Kadar Glukosa Darah Pada Pasien Diabetes Melitus Dengan Terapi Walking Exercise (Jalan Kaki). Laporan Tugas Akhir.
Webber, S. (2021). International Diabetes Federation. In Diabetes Research and Clinical Practice (Vol. 102, Issue 2). https://doi.org/10.1016/j.diabres.2013.10.013