Suyanto suyanto, Ahmad Ikhlasul Amal

Abstract views = 464 times | views = 424 times


Background and Purpose: One of the micro-vascular complications in patients with diabetes mellitus is a diabetic ulcer. One of he goals of care in diabetic ulcers is to reduce infection in the wound area by doing a cleansing method particularly utilizing irrigation techniques. Irrigation technique aims to reduce the number of bacteria in the wound, so that the inflammatory process is expected to be more quickly achieved. Many diabetic ulcer care-related research but researches on irrigation tools on diabetic ulcers are very minimal. This study aims to determine the effect of Modern Wound Irrigation Device (MWID) to decrease the amount of bacteria on patients with diabetic ulcers. Method: This study was utilized quasi-experimental post test only with control group design. A total of 20 respondents in this study were divided into 10 respondents for intervention group that was given wound care using MWID. 10 respondents as control group that was given manual irrigation wound care. Results: The average number of bacteria in intervention group is 30,4x109 colonies/ml, while the average number of bacteria for control group is 59x109 colonies/ml. Analysis with independent t test was found that there is no significant difference between the average number of bacteria on the intervention and control groups with p value of (0.001 < 0.005). Conclusion and recommendation: the use of MWID for current wound irrigation is proven can reduce the amount of bacteria on diabetic ulcers as compared with manual irrigation technique. Further developmental researches utilize MWID tool is to modify the output of irrigation to reduce anaerobic bacteria for gangrene wound.

Key words: Diabetic Ulcer, Wound irrigation, amount of bacteria



Full Text:



Asmorohadi, A., Gayatri, D., & Dahlia, D. (2013). Efektifitas alat irigasi arthripi terhadap penyembuhan ulkus diabetikum di rsu tugu semarang dan rsu kota semarang. Thesis, tidak dipublikasikan.

Clayton, W,Jr & Tom, A.E. (2009). A review of the pathophysiology: classification and treatment of foot ulcer in diabetic patient. Diakses dari http://www.clinical_dabetes_mellitus./article.htm

Dahlan, S.M. (2011). Statistik untuk kedokteran dan kesehatan. Jakarta: Salemba Medika

Dewi, A. (2006). Hubungan aspek-aspek perawatan kaki diabetes dengan kejadian ulkus kaki diabetes pada pasien Diabetes Mellitus. Thesis, Tidak dipublikasikan

Fauci, A.S., Kasper, D.L., Longo,D., Braunwald,E., Hauser, S.L, Jameson,J.L., (2008). Harrison’s: Principles od internal medicine (17th ed). New York Mc Graw Hill

Lavery, L.A., McGuire, J..B., Baranoski, S., & Ayello, E.A. (2008). Diabetic foot ulcer. Journal of diabetes and its complications, 16: 153-158

Moffat, C., Martin, R., Smithdale, R. (2007). Leg ucer management. Publishing, Oxford.

National Diabetes Facts Sheet. (2011). Fast fact on diabetes. Diakses dari http:/

Nicks, B.A., Vello, E.A., Woo, K., Nitzki-George, D., & Sibbald, R.G. (2010). Acute wound management: revisiting the approach to assessment, irrigation, and closure considerations. International Journal of Emergency Medicine, 3(4): 399-407

Norwood, D.V. (2011). Diabetic foot ulcer. EBSCO Publishing

Riset Kesehatan Dasar (RISKESDAS) 2013, Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI, diakses:23/04/2016,

Rowland, K. (2009). Wound healing perpectives: diabetic foot ulcers. National healing coorporation, 6 (4)

Sabri, L., & Hastono, S.P. (2006). Statistik kesehatan. Edisi revisi. Jakarta: FKM UI.

Sastroasmoro, S & Ismael, S. (2010). Dasar – dasar metodologi penelitian klinis. (Ed.2). Jakarta : Sagung Seto.

Singh, N., Armstrong,D.G., & Lipsky, B.A. (2005). Preventing doot ulcers in patients with diabetes. JAMA, 293 (2)

Smeltzer, S.C., Bare, B.G., Hinkle, J.L., & Cheever, K.H. (2008). Brunner & Suddarth’s textbook of medical surgical nursing (11th ed.). Philadelphia : Lippincott Williams & Wilkins.

Suriadi. (2004). Perawatan luka, Edisi 1. Jakarta; Sagung Seto.

Suyono, S. (2006). Masalah Diabetes Mellitus di Indonesia. Buku Ajar Ilmu Penyakit Dalam edisi 3. Jakarta: Balai penerbit Fakultas Kedokteran Universitas Indonesia

Vancouver Costal Health. (2010). Diabetic foot care: You dan your feet. Vancouver Coastal Health. Diakses dari

Weil, C. & Shaw, J. (2011). IDF diabetes atlas: global estimates of prevalence of diabetes for 2011 and 2030. Diabetes research and clinicl practice, 94, 311-321.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:



Creative Commons License

Copyright of Indonesian Nursing Journal of Education and Clinic (INJEC) (e-ISSN:2527-8819, p-ISSN:2527-8800).

View My Stats