NURSING CARE FOR IMPAIRED SKIN INTEGRITY IN POSTOPERATIVE PATIENTS WITH DIABETES MELLITUS ULCER DEBRIDEMENT MODERN WOUND TREATMENT PROCEDURES DRESSINGS IN BAKTI TIMAH KARIMUN HOSPITAL

Abstract

Background: Diabetes mellitus ulcers are open wounds on the surface of the skin due to macroangiopathy complications resulting in vascular insufficiency and neuropathy and can develop into infections caused by aerobic and anaerobic bacteria (Hastuti in Supriyadi, 2017). Objective: to describe nursing care for impaired skin integrity in post-operative patients with debridement of diabetes mellitus ulcers using modern wound care dressings at RSBT Karimun. Method: This research design is descriptive in the form of a case study. The subjects used in this study were two patients after surgical debridement of diabetes mellitus ulcers. This research was conducted in March 2022. The results of providing modern wound care dressings carried out once a day for three days can overcome skin/tissue integrity disorders experienced by patients following diabetes mellitus ulcer debridement surgery. The effect is proven, namely that in patient 1 the problem was resolved partly because There are still open wounds so further action must be taken by the nurse or family themselves because in patient 1 the wound healing process has entered the proliferation or fibroplasia phase. Meanwhile, Patient 2's problem has not been resolved because there is still an open wound with the same area and depth as at the beginning because patient 2 is still in the inflammatory phase in the wound healing process. Conclusion: Providing modern wound care procedures, dressing is one of the wound treatments that can improve skin/tissue integrity disorders in patients following diabetes mellitus ulcer debridement surgery.