Abstract :
Ulkus kaki diabetik (Diabetic Foot Ulcer/DFU) merupakan
komplikasi kronis diabetes melitus yang sering menimbulkan kecacatan
bahkan amputasi. Perawatan luka yang tepat dengan modern dressing seperti
Hydrofiber penting untuk mempercepat penyembuhan, mengurangi risiko
infeksi, serta meningkatkan kenyamanan pasien.
Tujuan: Penelitian ini bertujuan mengevaluasi efektivitas perawatan luka DFU
dengan modern dressing jenis Hydrofiber. Secara khusus, penggunaan
Hydrofiber ditujukan untuk mengontrol eksudat, menjaga kelembapan luka,
mencegah infeksi, mengurangi nyeri, serta mempercepat pembentukan
jaringan granulasi dan epitelisasi pada pasien DFU di Praktik Mandiri Griya
Afiat Kota Makassar.
Metode: Studi kasus pada Ny. R, perempuan usia 51 tahun dengan DFU pada
punggung kaki kiri hingga tulang betis. Pengkajian luka dilakukan dengan
Bates-Jensen Wound Assessment Tool. Intervensi meliputi pembersihan luka,
aplikasi primary dressing (salep epitel, hydrophobic, hydrofiber silver,
alginate), secondary dressing berupa kasa steril, dan tertiary dressing berupa
perban elastis.
Hasil: Setelah berapa hari perawatan, ukuran luka menurun dari 104 cm2
menjadi 100 cm2. Terjadi peningkatan jaringan granulasi hingga ±60%,
epitelisasi mencapai 50%, jaringan nekrotik berkurang 25%, eksudat
terkontrol, dan tidak ditemukan tanda-tanda infeksi. Pasien juga melaporkan
penurunan nyeri selama perawatan.
Kesimpulan: Modern dressing Hydrofiber efektif mempercepat proses
penyembuhan luka DFU dalam waktu singkat melalui pengendalian eksudat,
peningkatan granulasi, epitelisasi, dan pencegahan infeksi.
Saran: Hydrofiber dapat direkomendasikan sebagai pilihan utama dalam
perawatan luka kronis terutama DFU, dan perlu dilakukan penelitian lebih
lanjut dengan jumlah kasus yang lebih besar se
Diabetic Foot Ulcer (DFU) is a chronic complication of
diabetes mellitus that can lead to disability or even amputation. The use of
modern dressings such as Hydrofiber plays an essential role in
accelerating wound healing, controlling exudate, preventing infection, and
improving patient comfort.
Objective: To evaluate the effectiveness of Hydrofiber dressing in DFU
wound care, specifically in controlling exudate, maintaining wound
moisture, preventing infection, reducing pain, and accelerating granulation
and epithelialization in a DFU patient treated at Griya Afiat Wound Care
Clinic, Makassar.
Method : A case study was conducted on Mrs. R, a 51-year-old female
with DFU on the dorsal side of the left foot extending to the calf. Wound
assessment was performed using the Bates-Jensen Wound Assessment
Tool. The intervention included wound cleansing, application of epithelial
ointment, hydrophobic dressing, hydrofiber silver, and alginate dressing,
followed by sterile gauze as a secondary dressing and an elastic bandage
as tertiary dressing.
Results: After two days of treatment, the wound size decreased from 104
cm² to 100 cm². Granulation tissue increased to approximately 60%,
epithelialization reached 50%, necrotic tissue decreased by 25%, exudate
was well-controlled, and no signs of infection were observed. The patient
also reported a reduction in pain intensity during the treatment period.
Conclusion: Wound care using Hydrofiber dressing proved effective in
promoting DFU healing by controlling exudate, enhancing granulation and
epithelialization, and preventing infection..
Recommendation: Hydrofiber can be recommended as a primary option
for chronic wound care, especially DFU. Further studies with larger
sample sizes and longer treatment periods are needed to strengthen
evidence of its effectiveness. Hydrofiber dressing is recommended as a
primary option for managing chronic wounds such as DFU. Further
research with larger sample sizes and longer observation periods is
needed to strengthen evidence of its effectiveness