EFEKTIVITAS PERAWATAN DIABETIC FOOT ULCER DENGAN MENGGUNAKAN MODERN DRESSING : HYDROFIBER DI PRAKTIK MANDIRI GRIYA AFIAT KOTA MAKASSAR
Keywords:
Diabetic Foot Ulcer, Modern Dressing, Hydrofiber, Wound CareAbstract
Background: 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
References
Berrit, P., Li, Q., Luo, Y., Luo, F., Che, Q., Lu, Z., Yang, S., Yang, Y., Chen, X., & Cai, Y. (2025). Current Status And Progress In Research On Dressing Management For Diabetic Foot Ulcer. Frontiers In Endocrinology, 14, 1–28. Https://Doi.Org/10.3389/Fendo.2023.1221705
Efendi, P., Heryati, K., & Buston, E. (2020). Pasien Diabetes Mellitus Di Klinik Alfacare Jurusan Keperawatan , Poltekkes Kemenkes Bengkulu , Jalan Indragiri Nomor 03 Diabetes Mellitus Merupakan Peringkat Keempat Terbesar Dengan Pertumbuhan Sebesar 152 % Atau Dari Menurut Laporan United Kingdom Prosp. 2(7), 286–297.
Fitria, M. (2020). (Cost Comparisons Of Treatment In Diabetes Mellitus General Inpatients And Patients On Social Insurance Administration Organisation In One Of Hospital Den Pasar. 6(2), 100–105.
Hidayat, Saepul, M., & Puji, P. (2021). Literature Review Efektivitas Modern Dressing Hydrocolloid Terhadap Penyembuhan Luka Pada Paien Diabetes Mellitus Stikes Bani Saleh , Jawa Barat , Indonesia. Jurnal Keperawatan Merdeka, 1(Perawatan Luka), 81–92. Https://Jurnal.Poltekkespalembang.Ac.Id/Index.Php/Jkm/Article/Download/987/413/
Hinchliffe Rj. (2023). Management Of The Diabetic Foot. Java Nursing Journal, 1(2), 90–100.
Jundapri, K., Purnama, R., & Suharto, S. (2023). Perawatan Keluarga Dengan Moist Wound Dressing Pada Ulkus Diabetikum. Pubhealth Jurnal Kesehatan Masyarakat, 2(1), 8–21. Https://Doi.Org/10.56211/Pubhealth.V2i1.319
Kim, J. (2023). The Pathophysiology Of Diabetic Foot: A Narrative Review. Journal Of Yeungnam Medical Science, 40(4), 328–334. Https://Doi.Org/10.12701/Jyms.2023.00731
Latief. (2022). Perawatan Luka Dfu. Jurnal Ilmah, 22(26), 89–95. Https://Www.Bps.Go.Id/Id/Publication/2021/12/22/0f207323902633342a1f6b01/Profil-Statistik-Kesehatan-2021.Html
Leiblein, M., Wagner, N., Adam, E. H., Frank, J., Marzi, I., & Nau, C. (2020). Clostridial Gas Gangrene - A Rare But Deadly Infection: Case Series And Comparison To Other Necrotizing Soft Tissue Infections. Orthopaedic Surgery, 12(6), 1733–1747. Https://Doi.Org/10.1111/Os.12804
Maghfuli, A. (2023). Buku Pintar Perawatan Luka. 2023. Https://Penerbitsalemba.Com/Buku/08-0250-Buku-Pintar-Perawatan-Luka-Diabetes-Melitus
Monteiro-Soares, M., Hamilton, E. J., Russell, D. A., Srisawasdi, G., Boyko, E. J., Mills, J. L., Jeffcoate, W., & Game, F. (2024). Guidelines On The Classification Of Foot Ulcers In People With Diabetes (Iwgdf 2023 Update). Diabetes/Metabolism Research And Reviews, 40(3). Https://Doi.Org/10.1002/Dmrr.3648
Antonio G. Richetta, Carmen Cantisani, Vincent W. Li, Carlo Mattozzi, Luca Melis, Federico De Gado, Simona Giancristoforo, E. S. And S. C. (2021). Hydrofiber Dressing And Wound Repair: Review Of The Literature And New Patents. Jurnal Article, 5(3), 150–154. Https://Www.Eurekaselect.Com/Article/39408
Queen, D. (1997). Technology Update : Understanding Hydrofiber ® Technology. In Vitro, 14–19.
Ramsey, H. A. (2025). National Library Of Madicine. Jurnal Article, 12(13), 44–50. Https://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk441914/?Utm_Source=
Rasyid. (2022). Pressure Ulcer Staging Guide. 2200.
(Riskesdas). (2018). Riset Kesehatan Dasar. Jurnal Article, 5(8), 1–4. Https://Archive.Org/Details/Laporanriskesdas2018nasionalpromkes.Net
Schaper, N. C., Van Netten, J. J., Apelqvist, J., Bus, S. A., Fitridge, R., Game, F., Monteiro-Soares, M., & Senneville, E. (2024). Practical Guidelines On The Prevention And Management Of Diabetes-Related Foot Disease (Iwgdf 2023 Update). Diabetes/Metabolism Research And Reviews, 40(3). Https://Doi.Org/10.1002/Dmrr.3657
Shi, S., Li, Y., Ye, S., & Yang, C. (2023). Interpretation Of Guidelines On Interventions To Enhance Healing Of Foot Ulcers In People With Diabetes (Iwgdf 2023 Update). Chinese Journal Of Diabetes Mellitus, 15, 1061–1067. Https://Doi.Org/10.3760/Cma.J.Cn115791-20230914-00127
Vika, T. (2020). Studi Eksperimental Potensi Efek Hemostasis Hydrofiber Pada Luka Dermis Dalam = The Role Of Hemostasis Property Of Hydrofiber Dressing In Deep Dermal Wound Compared To Alginate Dressing. Jurnal Article, 31(36), 77–82. Https://Lib.Ui.Ac.Id/Detail?Id=20405229&Lokasi=Lokal
Vincent. (2025). Efektivitas Pakaian Modern Pada Ulker Diabetes. 1(1), 10–15.
Witri. (2024). Keperawatan Kode Etik (Etika Dalam Perawatan ). Journal Article, 6(1), 244–253. Https://Doi.Org/Https://Doi.Org/10.31539/Joting.V6i1.8886 Pentingnya
World Health Organization. (2025). World Health Organization. 12(16), 1–2. Https://Www.Who.Int/Health-Topics/Diabetes#Tab=Tab_1




