EFEKTIFITAS PENGGUNAAN KOMPRES METRONIDAZOL DAN NaCl 0.9% TERHADAP PROSES PENYEMBUHAN LUKA DIABETIK DI RSUD MARGONO SOEKARJO PURWOKERTO
Abstract: Diabetic wound needs
continous nursing intervention, therefore healing process can effectively
achieved There are some solutions used to care diabetic wound such as NaCL
0.9%, metronidazole, bee honey however until now there is no study shows
effectiveness of those solutions. This study aims to compare effectiveness of
Metronidazole and NaCL 0.9% to diabetic wound healing which include its wound
dimension, odor, secretion, and granulation growth.
This comparative study used Qusi Experimental Method and Non ¬Equivalent
Control Group Design. Population was patiens cared in Kenanga and Teratai
(Surgical Medical Ward) In-patient Department, Margono Soekarjo General
Hospital Purwokerto. This study recruited 20 people as sample from July to
September 2006 based on order of admission, odd numbers, were given
metronidazole compress and even numbers were given NaCL 0.9% compress on their
wound management. Prior to statistical test, data had been comprehensively
tested and had fulfilled normal distribution requirements with Leve'n test then
"t" test 2n non-correlated and Chi-square were applied
Statistical test shows that there was no difference between effectiveness
of Metronidazole and NaCL 0.9% use. There was no difference for wound dimension
reduction. Towards its granulation growth, on NaCL 0.9% was 2 respondents (20%)
meanwhile on Metronidazole cared wound showed 60% out of 5 patients. On wound
secretion reduction, 4 respondents cared with NaCL 0.9% still had "much"
secretion and the remaining 16 respondents cared with both solutions had "relative
much". Its effect to diabetic wound specific odor could be smelled from 1
meter distance (less odor) was 7 patients (70%) cared with NaCL 0.9% and 3
people used Metronidazole. For no odor had 8 respondents 7 people among them
treated with Metronidazole.
In conclusion for wound odor and wound secretion indicators show that
wound treated with Metronidazole have a better performance than those cared
with NaCL 0.9% although it is not statistically significant. On the other hand
wound dimension and granulation growth for wound managed by both solutions have
simply minor change.
Penulis: Supriyatin, Saryono Dimyati, Lutfatul Latifah
Kode Jurnal: jpkeperawatandd070022
