IMPLEMENTASI AIR OZON DALAM MENURUNKAN KOLONI BAKTERI PADA LUKA PASIEN DIABETIC FOOT ULCER
Abstract
Background: Diabetic foot ulcer (DFU) is a condition of infection, ulceration and or destruction of connective tissue caused by neuropathy, ischemic or whole (neuroiskemic). Wound Cleansing is an important initial step in cleaning the wound. Ozone water which contains bacterial activity is a suitable cleaning fluid to maximize the cleanliness of DFU. Objective: Knowing the effect of wound cleansing using Ozone Water in reducing bacterial colonies and wound healing in DFU. Methods: This study used a quasi-experimental method with pre-test post-test control group design. The total sample of 44 respondents who were divided into Ozone and NaCl were 0.9%. Each group cleansed the wound using ozone water and 0.9% NaCl. The sampling technique uses consecutive sampling and counting the number of bacteria using the Bacterial Counter tool and assessment score of wound healing used instrument of Bates Jensen Wound Assessment Tools (BJWAT). Results: The BJWAT score in the Ozone and NaCl 0.9% group had significance values (p = 0.018) and (p = 0.012). Conclusion: There was no significant difference in wound cleansing between ozone water and 0.9% NaCl in reducing the number of bacterial colonies and wound healing in DFU. Suggestion: Further research is needed with larger samples and other comparative fluids.
References
2. Benbow, M. and Stevens, J., 2010. Exudate, infection and patient quality of life. British Journal of Nursing, 19(20), p.30. Diakses pada 22 November 2015. http://www.hartmann.co.uk/images/BJN
3. Cavanagh, P.R., Lipsky, B.A., Bradbury, A.W. and Botek, G., 2005. Treatment for diabetic foot ulcers. The Lancet, 366(9498), pp.1725-1735
4. Boulton, A.J., Kirsner, R.S. and Vileikyte, L., 2004. Neuropathic diabetic foot ulcers. New England Journal of Medicine, 351(1), pp.48-55.
5. Isyuniarto, I., Usada, W., Suryadi, S., Purwadi, A., Mintolo, M. and Rusmanto, T., 2002. Identifikasi Ozon Dan Aplikasinya Sebagai Desinfektan. Jurnal Iptek Nuklir Ganendra, 5(1). Diakses pada 15 April 2016 https://scholar.google.co.id/scholar?q=terapi+air+ozon
6. Pemayun, T. G. D., Naibaho, R. M., Novitasari, D., Amin, N., & Minuljo, T. T., 2015. Risk factors for lower extremity amputation in patients with diabetic foot ulcers: a hospital-based case–control study. Diabetic foot & ankle, 6
7. PERKENI. 2009. Pedoman Penatalaksanaan Kaki Diabetik. Jakarta: Perkeni.
8. WIDA. 2010. Product Information. Branded Products with Rubber Caps: WIDA. Diakses pada 03 Agustus 2016. http://www.widatra.com
9. Kenine, E . 2011. Pengaruh Logoterapi Individu Terhadap respon Ketidakberdayan Klien Diabetes Mellitus di Rumah Sakit Provinsi Sulawesi Utara.
10. Atiyeh, B.S., Dibo, S.A. and Hayek, S.N., 2009. Wound cleansing, topical antiseptics and wound healing. International wound journal, 6(6), pp.420-430.
11. Handayani, T. N., 2010. Pengaruh Penegelolaan Depresi Dengan Latihan Pernafasan Yoga (Pranayama) Terhadap Perkembangan Proses Penyembuhan Ulkus Kaki Diabetikum Di Rumah Sakit Pemerintah Aceh. Tesis. Jakarta: Universitas Indonesia.
12. Ramadany, A. F., Pujarini, L. A., & Candrasari, A. (2013). Hubungan Diabetes Melitus Dengan Kejadian Stroke Iskemik Di RSUD Dr. Moewardi Surakarta Tahun 2010. Biomedika, 5(2). Diakses tanggal 25 juli 2016 dari http://journals.ums.ac.id.
13. International Diabetes Federation. 2014. Diabetes Atlas. 3rd edn. Brussels: International Diabetes Federation
14. American Diabetes Association. 2008. Standards of medical care in diabetes (Position Statement). Diabetes Care 31(Suppl. 1): S12–S54, 2008. http://care.diabetesjournals.org
15. Vahid, Z., Alehe, S.R. and Faranak, J., 2008. The Effect of Empowerment Program Education on Self Efficacy in Diabetic Patients in Tabriz University of Medical Science Diabetes Education Center. Res. J. Biol. Sci., 3, pp.850-855.
16. Pender, N., J .2011. The Health Promotion Model Clinical Assesment for Health Promotion Plan. Nursing Research
17. Notoatmodjo, S., 2010. Promosi Kesehatan: teori dan aplikasi. Jakarta: Rineka Cipta
18. Varghese, M., Lohi, H.S., Devi, M.P. and Anila, S., 2016. Influence of Smoking Cessation on Periodontal Health: A Strategic Review. International Journal of Current Research and Review, 8(2), p.7
19. PERKENI. 2009. Pedoman Penatalaksanaan Kaki Diabetik. Jakarta: Perkeni
20. Mogford, J.E., Sisco, M., Bonomo, S.R., Robinson, A.M. and Mustoe, T.A., 2008. Impact of aging on gene expression in a rat model of ischemic cutaneous wound healing. Journal of Surgical Research, 118(2), pp.190-196. Diakses pada 15 juli 2016. http://www.sciencedirect.com
21. Departemen Kesehatan RI. 2007. Rises Kesehatan Dasar (Riskesdas) 2007. Jakarta: Laporan Nasional.
22. Gitarja, Widasari., 2008. Perawatan Luka Diabetes. Edisi 2. Bogor : Wocare Publishing.
23. Joanna Briggs Institute., 2008. Solutions, techniques and pressure in wound cleansing. The JBI Database of Best Practice Information Sheets and Technical Reports, 10(2), 1-4. Diakses pada 3 Maret 2015. http://www.joannabriggslibrary.org
24. Usada, W. and Purwadi, A., 2007. Prinsip Dasar Teknologi Oksidasi Maju: Teknologi Hibrida Ozon Dengan Titania. Ganendra IPTEK Nuklir, 10(2). Diakses pada 15 juli 2016. http://jurnal.batan.go.id.
25. Dewiyanti, A., Ratnawati, H., dan Puradisastra, S. 2009. Perbandingan Pengaruh Ozon, Getah Jarak Cina (Jatropha Multifida L.) dan Povidone Iodine 10% terhadap Waktu Penyembuhan Luka pada Mencit Betina Galur Swiss Webster . Bandung: Universitas Kristen Maranatha.
26. Potter & Perry., 2005. Buku ajar fundamental keperawatan : Konsep, proses dan praktik. Edidi 4 Vol.2. Jakarta : EGC
27. Suparjono. 2011. Perbedaan Penyembuhan Luka Jahitan Antara Pem-berian Kompres Povidone Iodine 10% Dengan Kompres Nacl 0,9% Pada Pasien Post Operasi Herni-oraphy Di Ruang Bedah Rsud Krt Setjonegoro Wonosobo. Tesis. Semarang: Stikes Ngudi Waluyo Ungaran
28. Frykberg, R. G., 2006. Diabetic Foot Ulcers: Pathogenesis and Management. American Family Physician Journal Volume 66 (9): p. 1655-1622






