Penurunan Kompresi Balutan Pada Perawatan Ulkus Diabetikum Disertai Dengan Gangguan Pada Pembuluh Darah Arteri dan Vena

Nia Ratnasari; Rahma Ayu Muliawati; Farah Nibras Almira; Ida Maryati

doi:10.61132/corona.v2i3.470

Authors

Nia Ratnasari Universitas Padjadjaran
Rahma Ayu Muliawati Universitas Padjadjaran
Farah Nibras Almira Universitas Padjadjaran
Ida Maryati Universitas Padjadjaran

DOI:

https://doi.org/10.61132/corona.v2i3.470

Keywords:

Arteries, Compression dressings, Diabetic ulcers, Veins

Abstract

Diabetic ulcers are one of the complications of diabetes mellitus. Diabetic ulcers can be aggravated by the presence of vascular disorders, such as arteries and veins because they will give a painful sensation to the ulcer area. Therefore, proper wound care is needed to minimize the effects of these vascular disorders, namely by reducing the compression of the wound dressing. This study aims to look at the development of diabetic ulcers accompanied by arterial and venous vascular disorders by providing decreased dressing compression during wound care. The research design used is a single case study on a patient with grade IV diabetic ulcer accompanied by arterial and venous vascular disorders. The intervention was to decrease dressing compression for 10 days of wound care.. From the wound care, improvement was obtained with reduced slough, the firm boundaries of the wound began to appear, the wound area was reduced from 10 x 7 cm to 9.3 x 7 cm. Decreasing dressing compression during wound care is considered a positive development for diabetic ulcers with arterial and venous compromise.

Downloads

Download data is not yet available.

References

Cahyo, A. S. S., & Nadirahilah, N. (2023). Hubungan pengetahuan tentang pencegahan ulkus diabetik dengan sikap perawatan ulkus diabetik pada penderita diabetes mellitus di RW 04 Jatijajar Kota Depok. MAHESA: Malahayati Health Student Journal, 3(1), 92-105.

Chloranyta, S., Widyantari, K. Y., & Dayani, T. R. (2022). Penerapan balutan kompresi pada ulkus kaki: Literature review. Malahayati Nursing Journal, 4(3), 601-612.

Jundapri, K., Purnama, R., & Suharto, S. (2023). Perawatan keluarga dengan moist wound dressing pada ulkus diabetikum. PubHealth Jurnal Kesehatan Masyarakat, 2(1), 8-21. https://doi.org/10.56211/pubhealth.v2i1.319

Kemenkes RI. (2018). Diabetes: Penderita di Indonesia bisa mencapai 30 juta orang pada tahun 2030. Retrieved from https://p2ptm.kemkes.go.id/tag/diabetes-penderita-di-indonesia-bisa-mencapai-30-juta-orang-pada-tahun-2030

Kemenkes RI. (2022). Kaki diabetes bukan sembarang kaki biasa. Retrieved from Kemenkes RI website: https://yankes.kemkes.go.id/view_artikel/1835/kaki-diabetes-bukan-sembarang-kaki-biasa

Kemenkes RI. (2024). Diabetes melitus tipe 2. Retrieved from Kemenkes RI website: https://ayosehat.kemkes.go.id/topik-penyakit/diabetes--penyakit-ginjal/diabetes-melitus-tipe-2

Lim, S. L. X., Chung, R. E., Holloway, S., & Harding, K. G. (2021). Modified compression therapy in mixed arterial–venous leg ulcers: An integrative review. International Wound Journal, 18(6), 822-842.

Mosti, G., Cavezzi, A., Bastiani, L., & Partsch, H. (2020). Compression therapy is not contraindicated in diabetic patients with venous or mixed leg ulcer. Journal of Clinical Medicine, 9(11), 3709.

Packer, C. F., Ali, S. A., & Manna, B. (2023). Diabetic ulcer. Retrieved from National Library of Medicine website: https://www.ncbi.nlm.nih.gov/books/NBK499887/

Ramadani, A. P., Ekayanti, A. K., & Putra, F. M. (2024). Karakteristik pasien diabetes mellitus tipe 2 dengan ulkus diabetik dan non ulkus diabetik di Rumah Sakit Ibnu Sina Makassar tahun 2019-2021. Jurnal Pendidikan Tambusai, 8(1), 10898-10904.

Roza, R. L., Afriant, R., & Edward, Z. (2015). Faktor risiko terjadinya ulkus diabetikum pada pasien diabetes mellitus yang dirawat jalan dan inap di RSUP Dr. M. Djamil dan RSI Ibnu Sina Padang. Jurnal Kesehatan Andalas, 4(1).

Yip, W. L. (2015). Influence of oxygen on wound healing. International Wound Journal, 12(6), 620-624.

Zahra, F. A. (2017). Formulasi lotion ekstrak flavonoid daun kersen (Muntingia calabura L.) sebagai antibakteri pada luka ulkus diabetikum secara in-vitro (Doctoral dissertation, Universitas Muhammadiyah Purwokerto).