The Effect of Alternative Offloading Techniques on The Area of Diabetic Foot Ulcus towards The Duration of The Wound Healing Process
Keywords:
Diabetic foot ulcers, Wound healing, OffloadingAbstract
Diabetic foot ulcers that occur in the sole will get high pressure, so this pressure must be controlled because repeated pressure can delay the wound healing process. Nursing interventions that are carried out to reduce pressure on the soles of the feet are to perform pressure control management, namely offloading techniques using felt padding. The purpose of this study was to determine the effect of alternative offloading techniques (felt padding) in the area of diabetic foot ulcers on the length of the wound healing process. This research uses Quasi Experiment Design method. The sample used in this study were 15 respondents. The conclusion in this study is that by using the offloading technique, the average length of the wound healing process is a minimum of 24 days and a maximum of 52 days, but there is no difference in the length of the wound healing process between the three wound areas (phalanges, metatarsals and calcaneus) with a p-value. = 0.390 (>0.005). Recommendations for nursing services using the offloading technique with the felt padding type can be made a standard in the medical world, especially in treating diabetic foot ulcers located in the sole.
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References
Anderson, D. M., & White, R. A. (2000). Ischemic bandage injuries: a case series and review of the literature. Veterinary surgery, 29(6), 488-498.
Armstrong, D. G., Nguyen, H. C., Lavery, L. A., Van Schie, C. H., Boulton, A. J., & Harkless, L. B. (2001). Off-loading the diabetic foot wound: a randomized clinical trial. Diabetes care, 24(6), 1019-1022.
Baker, N., & Osman, I. S. (2016). The principles and practicalities of offloading diabetic foot ulcers. The Diabetic Foot Journal, 19(4), 172–181.
Barrientos, S., Stojadinovic, O., Golinko, M. S., Brem, H., & Tomic‐Canic, M. (2008). Growth factors and cytokines in wound healing. Wound repair and regeneration, 16(5), 585-601.
Bates‐Jensen, B. M., Cadogan, M., Jorge, J., & Schnelle, J. F. (2003). Standardized quality‐assessment system to evaluate pressure ulcer care in the nursing home. Journal of the American Geriatrics Society, 51(9), 1194-1202.
Bhattacharya, S., & Mishra, R. K. (2015). Pressure ulcers: current understanding and newer modalities of treatment. Indian Journal of plastic surgery, 48(01), 004-016.
Carville, K., & Smith, J. (2004). A report on the effectiveness of comprehensive wound assessment and documentation in the community. Primary Intention: The Australian Journal of Wound Management, 12(1).
Conceição, E. M., Utzinger, L. M., & Pisetsky, E. M. (2015). Eating disorders and problematic eating behaviours before and after bariatric surgery: characterization, assessment and association with treatment outcomes. European Eating Disorders Review, 23(6), 417-425.
Ebbeskog, B., & Ekman, S. L. (2001). Elderly persons’ experiences of living with venous leg ulcer: living in a dialectal relationship between freedom and imprisonment. Scandinavian journal of caring sciences, 15(3), 235-243.
Guo, S. A., & DiPietro, L. A. (2010). Factors affecting wound healing. Journal of dental research, 89(3), 219-229.
Heinen, M., Borm, G., van der Vleuten, C., Evers, A., Oostendorp, R., & van Achterberg, T. (2012). The Lively Legs self-management programme increased physical activity and reduced wound days in leg ulcer patients: Results from a randomized controlled trial. International journal of nursing studies, 49(2), 151-161.
Irion, G. (2010). Comprehensive wound management. Slack Incorporated.
Niinikoski, J. (1977). Oxygen and wound healing. Clinics in plastic surgery, 4(3), 361-374.
Pearson, R. D., Valenti, W. M., & Steigbigel, R. T. (1980). Clostridium perfringens wound infection associated with elastic bandages. JAMA, 244(10), 1128-1130.
Pickel, T., Schrader, L., & Scholz, B. (2011). Pressure load on keel bone and foot pads in perching laying hens in relation to perch design. Poultry Science, 90(4), 715-724.
Posthauer, M. E. (2006). The role of nutrition in wound care. Advances in skin & wound care, 19(1), 43-52.
Raspovic, A., Waller, K., & Wong, W. M. (2016). The effectiveness of felt padding for offloading diabetes-related foot ulcers, at baseline and after one week of wear. Diabetes Research and Clinical Practice, 121, 166–172. https://doi.org/10.1016/j.diabres.2016.09.018
Russell, L. (2001). The importance of patients' nutritional status in wound healing. British Journal of Nursing, 10(Sup1), S42-S49.
Seifert, A. W., Kiama, S. G., Seifert, M. G., Goheen, J. R., Palmer, T. M., & Maden, M. (2012). Skin shedding and tissue regeneration in African spiny mice (Acomys). Nature, 489(7417), 561-565.
WG Meijer, J. Trip, SMHJ Jaegers, TP Links, AJ Smits, JW Groothoff, WH Eisma, J. (2001). Quality of life in patients with diabetic foot ulcers. Disability and rehabilitation, 23(8), 336-340
