Abstract :
Abses merupakan salah satu bentuk infeksi kulit yang ditandai
dengan akumulasi pus akibat invasi bakteri dan respon imun tubuh. Pada pasien
dengan diabetes mellitus, proses penyembuhan luka sering terhambat karena
gangguan aliran darah dan fungsi imun, sehingga memerlukan pendekatan
perawatan luka yang lebih efektif. Perawatan konvensional terbukti memiliki
keterbatasan, sehingga diperlukan metode modern seperti penggunaan
hidrophobyc dressing dan salep Epitel Cream.
Tujuan : Untuk mengetahui Penerapan Hidrophobyc Dressing Dan Salep Epitel
Cream Untuk Penyembuhan Luka Pada Pasien Abses Di Praktik Mandiri Griya
Afiat Kota Makassar.
Metode : Studi kasus pada Ny. R, perempuan usia 56 tahun dengan abses pada
punggung kiri. Pengkajian luka dilakukan dengan Bates-Jensen Wound
Assessment Tool. Intervensi meliputi pembersihan luka, aplikasi primary dressing
(salep epitel, hydrophobic), secondary dressing berupa kasa steril, dan tertiary
dressing berupa plester.
Hasil : Setelah dua kali perawatan, terjadi penurunan luas luka dari 1,4 cm²
menjadi 0,49 cm², penurunan eksudat dari 25% menjadi 15%, peningkatan
jaringan granulasi dari 60% menjadi 65%, dan peningkatan epitelisasi dari 15%
menjadi 25% yang menandakan fase proliferasi aktif. Pasien juga melaporkan
peningkatan kenyamanan dan tidak ditemukan tanda infeksi.
Kesimpulan : Penerapan hidrophobyc dressing (Cutimed Sorbact) yang
dipadukan dengan Zinc Cream Epitel terbukti efektif mempercepat proses
penyembuhan luka abses. Hasil studi kasus ini diharapkan dapat menjadi referensi
dalam praktik keperawatan luka serta literatur tambahan untuk pengembangan
ilmu keperawatan di bidang wound care.
An abscess is a type of skin infection characterized by the
accumulation of pus resulting from bacterial invasion and the body’s immune
response. In patients with diabetes mellitus, the wound healing process is often
impaired due to poor blood circulation and immune dysfunction, thus requiring a
more effective wound care approach. Conventional wound care methods have
shown limitations; therefore, modern techniques such as the use of hydrophobic
dressing and Epitel Cream ointment are needed.
Objective : To identify the application of Hydrophobic Dressing and Epitel Cream
Ointment in wound healing for a patient with an abscess at Praktik Mandiri Griya
Afiat, Makassar City.
Method : A case study was conducted on Mrs. R, a 56-year-old female with an
abscess on the left upper back. Wound assessment was performed using the
Bates-Jensen Wound Assessment Tool. Interventions included wound cleansing,
application of a primary dressing (Epitel ointment and hydrophobic dressing),
secondary dressing with sterile gauze, and tertiary dressing with adhesive tape.
Results : After two wound care sessions, the wound area decreased from 1.4 cm²
to 0.49 cm², exudate reduced from 25% to 15%, granulation tissue increased from
60% to 65%, and epithelialization improved from 15% to 25%, indicating an active
proliferative phase. The patient also reported improved comfort, and no signs of
infection were observed.
Conclusion : The application of hydrophobic dressing (Cutimed Sorbact)
combined with Epitel Zinc Cream proved effective in accelerating the healing
process of abscess wounds. The results of this case study are expected to serve
as a reference for wound care nursing practice and as an additional resource for
the development of nursing science in the field of wound care.