Efektifitas Debridemen Mekanik Pada Luka Bakar Derajat III Terhadap Kecepatan Penyembuhan Luka

  • Nurma Afiani STIKES Widyagama Husada Malang
  • Sanarto Santoso Universitas Brawijaya Malang
  • Tina Handayani N STIKES Widyagama Husada Malang
  • M. Fendi Nur Yahya STIKES Widyagama Husada Malang
Keywords: Mechanical debridement; healing acceleration; third degree burn

Abstract

Third degree burn is a special wound cause consist of eschar for a long time. Kept eschar in third degree burn will delay healing procces. That is why eschar should be disapper by debridement process. Mechanical debridement used in this research. The aim of this research is to know the differences between mechanical debridement 24 hour and 48 hour in healing acceleration. This research is a true experimental by using  post test only control group design. The samples was selected by simple random sampling and was divided into three groups, each group consist of six rats, they are 24 hour group, 48 hour group and control group. The data was analyzed by one-way ANOVA then followed by Post Hoc LSD. The one way ANOVA result  p = 0,018 (p < 0,05) so there was a significant difference between control group and experimental groups. But the Post Hoc LSD results p = 0,123 ( p > 0,05)  so there was no significant difference between 24 hour group and 48 hour group in healing acceleration. For further researchers, it is suggested to use microscopic technique to know the effect of mechanical debridement in healing acceleration.

References

Anggowarsito, Jose L. 2014. Luka Bakar Sudut Pandang Dermatologi. Jurnal Widya Medika Surabaya. 2(2): 115-120.

Barret, Juan P. and David R. Herndon. 2005. Priciples and Practice of Burn Surgery. New York: Marcel Dekker.

Farreell, Maureen. 2016. Smeltzer & Bare Textbook of Medical-Surgical Nursing. New Zealand: Wolters Kluwer.

Hudak dan Gallo. 2012. Keperawatan Kritis: Pendekatan Asuhan Holistik Vol. 1. Jakarta: EGC.

James H. Holmes., David M. Heimbach. 2005. Burns, in : Schwartz’s Principles of Surgery. 18th ed. McGraw-Hill. New York. p.189-216.

Kee, Gee E.L. R.M. Kimble. L. Cuttle. K.A. Stockton. 2016. Scar Outcome of Children with Partial Thickness Burns: A 3 and 6 month follow up. Burns 42(1): 81-90.

Moenadjat, Yefta. 2009. Luka Bakar: Masalah dan Tatalaksana. Jakarta: FKUI.

Morison, Moya. 2004. Seri Pedoman Praktik: Managemen Luka. Jakarta: EGC.

Rahayuningsih, Tutik. 2012. Penatalaksanaan Luka Bakar (Combustio). Profesi (8): 1-13.

Riskesdas. 2013. Hasil Utama Riset Kesehatan Dasar Tahun 2013. Balitbangkes: Kementerian Kesehatan Republik Indonesia.

Saaiq, M. Zaib S. Ahmad S. 2012. Early Excision and Grafting Versus Delayed Excision and Grafting of Deep Thermal Burns up to 40% Total Body Surface Area: A Comparison of Outcome. Annals of Burns and Fire Disasters. XXV(3): 143-147.

Sarimin. 2009. Evaluasi Kasus Luka Bakar di RS Wahidin Sudiro Husodo Periode Januari 2006 – Maret 2009. Bagian Ilmu Bedah Fakultas Kedokteran Universitas Hasanudin. Makasar.

Smeltzer SC, Bare BG, 2002. Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth, EGC, Jakarta, hal. 1911-1942.

Song, Guodong, Jun Jia, Yindong Ma, Wen Shi, Fang Wang, Peilong Li, Cong Gao, Haibin Zuo, Chunjie Fan, Naijun Xin, Qiuhe Wu, Yang Shao. 2016. Experience and Efficacy of Surgery for Retaining Viable Subcutaneous Tissue in Extensive Full-Thickness Burns. Burns. 42(1): 71-80.

Timby, Barbara and Smith, Nancy E. 2014. Introductory Medical-Surgical Nursing Eleventh Edition. China: Lippicont William & Wilkins.

Toussaint, Jimmy. Won Taek Chung. Steve Mc Clain. Vivek Raut. Adam J. Singer. 2017. Optimal Timing for Early Excision in a Deep Partial Thickness Porcine Burn Model. Journal of Burn Care and Research. 38(1): 352-35

Published
2019-11-27