Potential of Honey Hydrogel Modern Dressing in Wound Healing of Patients with Grade II Diabetic Foot Ulcer
Keywords:
Diabetic Foot Ulcer, Honey Hydrogel, Modern DressingAbstract
Aims: To analyze the potential of honey hydrogel modern dressing in wound healing process in patients with grade II diabetic ulcers.
Methods: The research design used a true experiment with a randomized pretest posttest
control group design. This study had 36 respondents who were divided into 2 groups
through simple random sampling. The intervention group was given honey hydrogel with 4
measurements. The first measurement or pretest on day 1, the second measurement or
posttest 1 on day 7, the third measurement or posttest 2 on day 14, and the fourth
measurement or posttest 3 on day 21. The instrument used to measure patient wound
healing using the Bates-Jensen Wound Assessment Tool (BWAT).
Results: The increase in the mean wound healing score of patients who were given honey
hydrogel modern dressing from a score of 42.11 on day 1 to 34.56 on day 21 with p = 0.001
while the increase in the mean wound healing score of patients who were given
manufacturer hydrogel modern dressing from a score of 41.67 on day 1 to 37.17 on day 21
with p = 0.001. The effect size between the intervention group and the control group is quite
strong with a value of 0.78.
Conclusion: Honey hydrogel has the potential to promote wound healing in patients with
grade II diabetic ulcers. Further research is recommended to explore the use of honey
hydrogel by innovating the manufacturing process to ensure consistent dosing in the
treatment of grade II diabetic ulcers.
References
American Diabetes Association. (2020). Standards of Medical Care in Diabetes — 2020 Abridged for Primary Care Providers. https://doi.org/https://doi.org/10.2337/cd20-as01.
Bates-Jensen, B. M., McCreath, H. E., Harputlu, D., & Patlan, A. (2019). Reliability of the Bates-Jensen wound assessment tool for pressure injury assessment: The pressure ulcer detection study. Wound Repair and Regeneration, 27(4), 386–395. https://doi.org/10.1111/wrr.12714.
Djamanmona, R. F., Mardiyono, M., & Suwondo, A. (2019). Efektifitas Modern Dressing Dengan Hidrogel Nano Partikel Daun Afrika (Vernonia Amygdalina) Terhadap Jumlah Koloni Bakteri Dan Penyembuhan Luka Pada Pasien Luka Diabetik Grade II. http://repository.poltekkes-smg.ac.id/index.php?p=show_detail&id=19806&keywords=daun+afrika.
El-Kased, R. F., Amer, R. I., Attia, D., & Elmazar, M. M. (2017). Honey-based hydrogel: In vitro and comparative in vivo evaluation for burn wound healing. Scientific Reports, 7(1), 1–11. https://doi.org/10.1038/s41598-017-08771-8.
Fau, P., Tarihoran, D. M., Astuti, D., Manik, M., Evikea, C., Tobing, W. K., Marbun, E., D3, P., Stikes, K., Sibolga, N. H., Kader, J., No, M., Aek, K., & Pinang, M. (2021). Perawatan Luka Ulkus Diabetikum pada ny K. Tridarma: Pengabdian Kepada Masyarakat (PkM), 4(2), 218–227.
Gunawan, N. A. (2017). Madu : efektivitasnya untuk perawatan luka. Continuing Profesional Development, 44(2), 138–142.
Husada, S., Victoria, C., & Divandra, R. (2020). Madu Sebagai Dressing Pada Penyembuhan Ulkus Diabetikum Honey as Dressing Treatment for Diabetic Ulcer Healing. Jurnal Ilmiah Kesehatan, 11(1), 532–539. https://doi.org/10.35816/jiskh.v10i2.345.
Husen, S. H., & Basri, A. (2021). Faktor-Faktor yang Mempengaruhi terjadi Ulkus Diabetik pada Penderita Diabetes Melitus di Diabetes Center Kota Ternate. PROMOTIF: Jurnal Kesehatan Masyarakat, 11(Dm), 74–85.
Indrayati, N., Koto, Y., & Mulyadi, B. (2018). Penyembuhan Ulkus Diabetik dengan Aplikasi Antimikrobial Wound Dressing Silver (Acticoat). Jurnal Ilmiah Ilmu Keperawatan Indonesia, 8(04), 508–515. https://doi.org/10.33221/jiiki.v8i04.174.
Kemenkes RI. (2018). RiskesdaS 2018, Vol. 10 : 126).
Meo, S. A., Al-Asiri, S. A., Mahesar, A. L., & Ansari, M. J. (2017). Role of honey in modern medicine. Saudi Journal of Biological Sciences, 24(5), 975–978. https://doi.org/10.1016/j.sjbs.2016.12.010.
Mohd Zohdi, R., Abu Bakar Zakaria, Z., Yusof, N., Mohamed Mustapha, N., & Abdullah, M. N. H. (2019). Gelam (Melaleuca spp.) honey-based hydrogel as burn wound dressing. Evidence-Based Complementary and Alternative Medicine, I, 187–195. https://doi.org/10.1155/2012/843025.
Nabila, N. P. (2018). Proses Penyembuhan Luka Ulkus Diabetikum Dengan Metode Modern Dressing Diklinik Maitis Efrans Wound Care. Jurnal Media Kesehatan, 10(2), 146–151. https://doi.org/10.33088/jmk.v10i2.336.
Nisak, R. (2021). Evaluasi Kejadian Dan Klasifikasi Ulkus Diabetikum Menurut Wagner Pada Penderita Diabetes Mellitus. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 7(2). https://doi.org/10.33023/jikep.v7i2.729.
Nurhanifah, D. (2017). Faktor-Faktor Yang Berhubungan Dengan Ulkus Kaki Diabetik Di Poliklinik Kaki Diabetik. Healthy-Mu Journal, 1(1), 32. https://doi.org/10.35747/hmj.v1i1.67.
Primadani, A. F., & Safitri, D. N. P. (2021). Proses Penyembuhan Luka Kaki Diabetik Dengan Perawatan Luka Metode Moist Wound Healing. Ners Muda, 2(1), 9. https://doi.org/10.26714/nm.v2i1.6255.
Purnama, H., Sriwidodo, & Ratnawulan, S. (2017). Review Sistematik: Proses Penyembuhan dan Perawatan Luka. Farmaka, 15(2), 251–256.
Rana, S. M. M., & Ashrafuzzaman, M. (2021). Development of ceramide and honey based biodegradable hydrogel dressing’s materials for the application to burn skin. Research Square, 1–31. https://doi.org/https://doi.org/10.21203/rs.3.rs-183628/v1.
Riani, & Handayani, F. (2017). Perbandingan efektivitas perawatan luka modern “Moist Wound Healing” dan terapi komplementer “NaCl 0,9% + madu asli” terhadap penyembuhan luka kaki diabetik derajat II di RSUD Bangkinang. Jurnal Ners Universitas Pahlawan Tuanku Tambusai, 1(2), 98–107. https://journal.universitaspahlawan.ac.id/index.php/ners/article/download/121/90.
Rohmayanti, & Handayani, E. (2017). Modern wound care application in diabetic wound management. International Journal of Research in Medical Sciences, 5(2), 702. https://doi.org/10.18203/2320-6012.ijrms20170178.
Tjahjono, H. D. (2020). Self Management Diabetes Pada Pasien Diabetes Melitus Dengan Ulkus Diabetikum Di Puskesmas Jagir Surabaya. Jurnal Keperawatan, 9(1), 33–38. https://doi.org/10.47560/kep.v9i1.212.
Widigdo, D. A. M., Supriyatno, H., & Rahmawati, W. R. (2022). Comparison of Non-Adhesive Hydrocolloid Dressing and Conventional Dressing Methods in Healing Process of Diabetic Ulcers. Journal of Research and Opinion, 9(1).
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