Nursing Care For Diabetic Foot Ulcer (DFU) Patients With Skin Integrity Problems With The Application Of Modern Dressing Using Secondery Polyurethane Foam Dressing

Abstract

Diabetic foot ulcer (DFU) is a disease of the diabetic foot that is characterised by sensory, motor and autonomic neuropathy as well as macro- and microvascular dysfunction. Partial or complete loss of tissue integrity, commonly referred to as deformity, occurs in patients with diabetes mellitus (DM) who develop diabetic ulcers. The aim of this study is to determine and analyse the effect of the application of modern dressings using secondary polyurethane foam dressings on the healing rate of diabetic foot ulcers in patients with impaired skin integrity at the Lampung Wound Care Clinic. This research design uses a qualitative method using a case study approach with a total of 2 subjects. 4 sessions were conducted over 2 weeks at the Lampung Wound Care Clinic using the Winners Scale Observation Sheet instrument. The results of the study were obtained before the application of the advanced wound dresser on the first day for Mr E's score, which is 29, and Mr S's score, which is 29. Mr E is 29 and Mr S is 33. After the 4th session the Winners Scale Observation Sheet for Mr E is 24 and Mr S is 33. Mr E is 24 and Mr S is 28. Although the changes shown are not significant because they are influenced by the respondents' high blood glucose levels and lifestyle and diet, which are beyond the reach of the researchers, the intervention of modern dressing application using secondary polyurethane foam wraps shows quite visible changes in diabetic foot ulcers