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All Journal Jurnal Keperawatan Priority International Journal of Medicine and Health
Rafika Nur Siregar
Sekolah Tinggi Ilmu Kesehatan Malahayati Medan
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Application of Moist Wound Healing with Hydrogel on Diabetic Wounds at Asri Wound Care Center Medan Rafika Nur Siregar; Fajar Ari Gemilang
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7708

Abstract

Diabetic foot ulcer is a common and serious complication of diabetes mellitus that requires effective wound management to accelerate healing and prevent further complications. Objective: This study aimed to evaluate the effectiveness of moist wound healing using hydrogel in improving wound healing outcomes among patients with diabetic foot ulcers at Asri Wound Care Center Medan. Methods: This study employed a case study design with purposive sampling. A total of five patients with diabetic foot ulcers stage 4 were included, consisting of three patients in the treatment group and two patients in the control group. Wound healing outcomes were assessed using the Bates-Jensen Wound Assessment Tool (BWAT) over seven wound care sessions. Results: The treatment group demonstrated a more significant improvement in wound healing compared to the control group. BWAT scores in the treatment group decreased from 43 to 24 (R1), 40 to 20 (R2), and 39 to 20 (R3), indicating marked reductions in necrotic tissue, slough, biofilm, and exudate, along with improved wound base and granulation tissue formation. In contrast, the control group showed smaller reductions in BWAT scores, from 40 to 34 (R4) and 41 to 33 (R5), reflecting a slower healing process with residual necrotic tissue and exudate. Conclusion: Moist wound healing using hydrogel was more effective than conventional wound care in accelerating the healing of diabetic foot ulcers, as evidenced by greater BWAT score reductions and improved wound characteristics. These findings support the use of hydrogel as an effective dressing in diabetic wound management.
Application of Zinc Cream as an Adjunct Therapy to Enhance Wound Healing in Diabetic Foot Ulcers Lily Putri Marito; Rafika Nur Siregar; Rostini Rostini
Jurnal Keperawatan Priority Vol. 9 No. 1 (2026)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v9i1.7727

Abstract

Diabetic foot ulcer is one of the most serious complications in individuals with diabetes mellitus, resulting from peripheral neuropathy, impaired vascularization, and chronic infection, which collectively delay the wound healing process. Proper wound management is essential to prevent severe outcomes such as amputation. Methods: This study employed a case study design to provide an in-depth clinical description of wound healing progression in patients with stage 4 diabetic foot ulcers. Purposive sampling was used to select three patients treated at Asri Wound Care Center Medan. Zinc cream was applied as an adjunct therapy for six weeks, with treatment administered twice weekly. Wound healing was evaluated using the Bates-Jensen Wound Assessment Tool (BWAT) and clinical observations. Results: All patients demonstrated observable improvements in BWAT scores, with reductions from 37 to 22, 40 to 26, and 39 to 24, respectively. Clinical observations indicated improved wound healing indicators, including increased granulation tissue, reduced exudate, and enhanced epithelialization. Conclusion: The application of zinc cream as an adjunct therapy may support the wound healing process in patients with stage 4 diabetic foot ulcers. However, due to the limited sample size and the absence of a control group, the findings should be interpreted cautiously, and further studies with larger samples and comparative designs are recommended.
Modern And Classic Wound Dressing Comparison In Wound Healing Rafika Nur Siregar
International Journal of Medicine and Health Vol. 3 No. 2 (2024): June : International Journal of Medicine and Health (IJMH)
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v3i2.3092

Abstract

Wound care has also developed rapidly after the dissemination of the concept of TIME (Tissue, Infection, Moisture, and Wound Edge) in modern dressing (MD). The aim of this study was to compare modern dressings (MDs) and classic dressings (CDs) in terms of patient comfort, cost effectiveness and wound healing. A prospective study design with total of 25 participants. The sampling technique used was consecutive sampling. Patient comfort was assessed through the frequency of wound care and pain scale using the Visual Analogue Scale (VAS). Cost-effectiveness was assessed using direct and indirect costs. Wound healing was assessed using the Bates-Jensen Wound Assessment Tool (BWAT) score. The data was analyzed using the independent t and Mann-Whitney tests. The application of MD has the same cost-effectiveness as CD with a more satisfactory outcome for the wounds in terms of comfort and healing.
Co-Authors Fajar Ari Gemilang Lily Putri Marito Rostini Rostini