Pengaruh Perawatan Luka terhadap Pertumbuhan Jaringan Granulasi pada Luka Diabetikum di Rumah Sakit Umum Pekerja Indonesia Medan
Abstract
Diabetes mellitus is a disease caused by a disruption of changes in glucose metabolism due to a decrease in insulin work. The impact is very broad and will affect the quality of life of patients, especially in patients with complications of diabetic foot injury. In 2017, people with diabetes mellitus in the Imelda General Hospital of Indonesian Medan Hospital increased by 5.9% compared to 2016. Of those with diabetes 23% of them had diabetic wounds, of which 32.1% of diabetic wounds died. The data shows that the high number of diabetic wounds at the Indonesian Imelda General Workers Hospital in Medan, because the treatment of wounds that are still using techniques not yet in accordance with the SOP requires a considerable amount of time. This study aims to determine the effect of wound care on the growth of granulation tissue in diabetic wounds at the Indonesian Workers' Hospital Imelda Medan. This type of research is Quasi Experiment with a Time Series Design design model. The population in this study were patients with diabetes mellitus with diabetic wounds and the study sample was 9 people, the sampling technique was consecutive sampling, the method of collecting data with intervention directly using the observation sheet. Data analysis using t-test then the value of p = 0.003 <α =0.05, it can be concluded that there is an influence of the use of modern dressing on the growth of granulation tissue in diabetic wounds. For this reason, it is expected that nurses can apply wound care by using a modren dressing to accelerate the growth of granulation tissue in the wound.
References
American Diabetes Association, 2013. Recomendation For the Diagnosis and Classification of Diabetes Mellitus. Vol. 35 Supplement 1 S11-S63: Compliment of Diabetes Education Services. http://www.diabetesed.net/page/_files/CRITERIA-2013a.pdf diakses pada hari kamis, 4 September 2014
Arikunto, Suharsimi. 2011. Prosedur Penelitian Suatu Pendekatan Praktik. Jakarta : PT Asdi Mahasatya
Arisanty, Irma Puspita. 2013. Konsep Dasar :Manajemen Perawatan Luka. Jakarta : Penerbit buku kedokteran EGC
Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI. 2013. Riset Kesehatan Dasar. Jakarta : Menkes RI. http://www.litbang.depkes.go.id/sites/download/rkd2013/Laporan_Riskesdas2013 .PDF diakses pada hari kamis, 4 September 2014
Centers for Disease Control and Prefention. 2011. National Diabetes Fact Sheet.http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf diakses pada hari senin, 13 oktober 2014
Dauton C, et.al. 2012. A History of Material and Practices For Wound Management. Journal Wound Practise and Research. Vol. 20. No. 4. http://www.awma.com.au/journal/2004_01.pdf, diakses pada hari kamis, 4 September 2014
Ekaputra, Erfandi. 2013. Evolusi : Manajemen Luka. Jakarta : CV Trans Info Media
Gitarja, Widasari Sri. 2014. Perawatan Luka CWCCA. Bogor : Wocare Center
Hidayat, Azis Alimul. 2009. Metode Penelitian Keperawatan Teknik Analisis Data. Jakarta: Salemba Medika
International Diabetes Federation. 2013. IDF Diabetes ATLAS. Sixth Edition. http://www.idf.org/sites/default/files/EN_6E_Atlas_Full_0.pdf diakses pada hari kamis, 4 September 2014
Ismail, dkk. 2009. Penggunaan Balutan Modern Memperbaiki Proses Penyembuhan Luka Diabetik. Jurnal Kedokteran Brawijaya, Vol. XXV, No.1, http://jkb.ub.ac.id/index.php/jkb/article/viewFile/196/190 diakses pada hari kamis, 4 September 2014
Laporan. 2016. Diabetes Melitus. RSUD Deli Serdang Lubuk Pakam
Laporan. 2017. Diabetes Melitus. RSUD Deli Serdang Lubuk Pakam
Maryunani, Anik. 2013. Perawatan Luka Modern Praktis pada Wanita dengan Luka Diabetes. Jakarta : CV Trans Info Media
Morison, Moya J. 2013. Manajemen Luka. Jakarta. Penerbit Buku Kedokteran: EGC
Notoatmodjo, Soekidjo. 2012. Metodologi Penelitian Kesehatan. Jakarta : Rineka Cipta
Sastroasmoro, Sudigdo & Sofyan Ismael. 2011. Dasar-dasar Metodologi Penelitian Klinis. FKUI. Jakarta : CV. Sagung Seto
Soegondo, Sidartawan. dkk. 2013. Penatalaksanaan Diabetes Melitus Terpadu. Jakarta : FKUI
Suyono, Slamet. dkk. 2013. Patofisiologi Diabetes Melitus. Jakarta : FKUI
Tarwoto. 2012. Keperawatan Medikal Bedah : Gangguan Sistem Endokrin. Jakarta : CV Trans Info Media.