Achmad Fauji, Puji Sarwati, Nur Miladiyah Rahmah, Aluwi Sani Nirwana

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Introduction. Wound cleansing for diabetic wound care always used 0.9% of NaCl or other commercial solutions. Currently, the use of guavas leaves extract (Psidium guajava L) as an alternative wound cleansing solution has been started to be introduced as a part of complementary nursing. The aim of this study was to compare the effectiveness of commercially wound cleansing solution of 0.9% NaCl and guavas leaves extract in wound healing process of diabetes mellitus patients. Methods. This study used six respondents as a sample, by using quasi experiment methods of 4 times wound cleansing.  In this experiment, the control group used NaCl 0.9% while a group of sample used guavas leaves extract as wound cleansing solutions. Result. The experimental result revealed that there was a significant result between types of wound cleansing solution effectiveness in NaCl 0.9% with an extract guavas leaves for some wound characteristics (Presentation of wound slough P value: 0.043; presentation of wound granulation Pvalue: 0.037 (α=0.05)). However, There were no significant result of effectiveness comparison between wound cleansing solution (NaCl 0.9% and Guavas Leaves Extract) for wound dimension and epithelial tissue characteristics (Wound wide Pvalue:0.184; wound long Pvalue: 0.361; epithelial tissue presentation Pvalue:0.072 (α=0.05). Discussion. These results confirmed that guava leaves extract can serve as an alternative wound cleansing solution as commercial wound cleansing solution such as 0.9% NaCl.

Keywords: Guavas leaves extract, Diabetes mellitus, wound care, wound cleansing solution

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Barbalho, S. M., Farinazzi-Machado, F. M. V., De Alvares, G. R., Brunnati, A. C. S., Otoboni, A. M. & Nicolau, C. C. T., (2012). Psidium Guajava (guava): A plant of multipurpose medicinal applications. Med Aromat Plants 1:104. doi:10.4172/2167-0412.1000104

Dealey, C. (2005). The care of wounds: A guide for nurses. (3rd Ed). Oxford, UK. Blackwell Publishing Ltd.

Dowset, C. (2009). Use of TIME to improve community nurses’ wound care knowledgeand practice. Wound UK, Vol 5 No. 3 Hal 14-21.

Fernandes, K. P. S., Bussadori, S. K., Maques, M. M., Wadt, N. S. Y., Bach, E., & Martins, M. D., (2010). Healing and cytotoxic effects of psidium guajava (guava)leaf extracts. Brazilian Journal of Oral Science. Vol. 9., No. 4, 2010, Hal 449-454. EISSN: 1677-3225

Margolis, D. J., Allen-Tayler, L., Hoffstas, O. & Berlin, J. A., (2002). Diabetic neuropathic foot ulcer: The association of wound size, wound duration, and wound grade on healing. Diabetes Care, Vol. 25 No. 10. Hal. 1835-1907.

MIMS (2014). NaCl 0,9% diakses dari pada tanggal 20 Oktober 2014.

Oyibo, S. O., Jude E. B., Tarawneh, I., Nguyen, H. C., Armstrong, D, G., Harkless, L. B., & Boulton, A. J., (2001). The effects of ulcer size and site, patient’s age, sex and type and duration of diabetes on the outcome of diabetic foot ulcers. Diabet Med. Vol 18. No. 2. Hal. 133

Sardina, D. (2006). Skin and wound Resource manual. Lake Geneva WI: Wound Care Education Institute.


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