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Effect of Sea Cucumber on Reducing Periwound Maceration and Inflammation-Related Indicators in Patients with Diabetic Foot Ulcers Indonesia Haryanto Haryanto; Defa Arisandi; Makoto Oe; Kazuhiro Ogai; Suriadi Suriadi; Mayumi Okuwa; Junko Sugama
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 7, No 1 (2022): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (475.075 KB) | DOI: 10.24990/injec.v7i1.504

Abstract

Introduction: Maceration is one of the problems affecting the healing process of diabetic foot ulcers (DFUs).  In complementary therapies, sea cucumber is known to have higher absorbency. However, there are few studies on the reducing of periwound maceration and inflammation-related indicators in DFU.Methods: This was an observational study at a wound care clinic in Indonesia. Thirty-one DFU patients received treatment with sea cucumber were enrolled in the study. As control samples, 35 DFU patients treated with honey were also included. All were new occurrence DFU and had maceration at the baseline. The maceration area and inflammation-relate indicators including TNF-, MMP-2, and MMP were measured on baseline and week 4.Results: There were no significant differences between two groups at the baseline.  In the multiple linear regression model, sea cucumber significantly associated with the proportion of maceration reduction than honey at week 4 (β＝0.520, p=0.001). There were no significant differences between two groups in levels on TNF-α, MMP-2, and MMP at week 4.Conclusions: Our results demonstrated that sea cucumber might be appropriate for reducing DFU periwound maceration.
Co-Authors A.A. Ketut Agung Cahyawan W Agustiansyah, Tri Aan Alvi Roelanda Amarani, Anisa Amrullah, Syahid Anang Ihsan Apriyani Karyati1 Ardyan Wanto Hadi Argitya Righo Ariyani, Peni Asep Nugraha Kusdiana Bakti, Wida Kuswida Benedikta Mardewi Iswari Cau Kim Cau Kim Jiu Dahlia Dahlia Dedi Radhamudi Defa Arisandi Dewi Kusumaningrum, Raden Roro Djaswadi Dasuki Djoko Priyono Feranema Widyanti Fikri Syawal Fitriagustiani, Fitriagustiani Hadi, Ardyan Wanto Hairul Hanafi Hanafi Handayani1, Leni Wahyu Haryanto Haryanto Haryanto Haryanto Haryanto Haryanto Haryanto Hiromi Sanada, Hiromi Imran Imran Imran Imran Imran Imran Imran Imran Imran Zamzami Ismi Rahayani Jagad, Nur Jati Jaka Pradika Junaidi Junaidi Junko Sugama Junko Sugama, Junko Karyati1, Apriyani Kazuhiro Ogai Kazuhiro Ogai, Kazuhiro Khairillah, Yuyun Nisaul Kharisma Pratama Khoirillah, Fanni Kristiani Hutapea, Elpriede Leni Wahyu Handayani1 Lestari Makmuriana Lestari, Lilis Makoto Oe Mardiyani, Ridha Mayumi Okuwa Mayumi Okuwa, Mayumi Melky Sedeq Norman Ronaldo Miranti Miranti Muhammad Fadly Muhammad Fauzi Nuniek Setyo Wardani Nurmila Sari Peni Ariyani Pradika, Jaka Pratama, Kharisma Puji Mukti Hartani Rafita Ofti Sepilena Rahayani, Ismi Rahayu Rahayu Rahayu, Indah Dwi Ramadhaniyati, Ramadhaniyati Ramanda, Galih Dwiki Risma Amalia Safitri Rizal Mustakim Sukarni Sukarni Supriadi Supriadi Supriadi Supriadi Syahid Amrullah Syahid Amrullah Tamara, Sena Dwi Tamara Tri Aan Agustiansyah Tri Andari Tri Rina Febriyanti Tri Rina Febriyanti, Tri Rina Urai Zulfikar Wida Kuswida Bhakti Wiwik Handayani Wuriani, Wuriani Yani Sofiani Yenni Lukita Yoga Pramana Yuli Hidayati Yuli Hidayati Zainudin Zainudin