ABSTRACT

IMPLEMENTATION OF WOUND CARE USING MODERN DRESSING
IN DIABETIC ULCER PATIENTS WITH NURSING PROBLEMS
OF SKIN INTEGRITY DISORDERS
(Case Study at Kismantoro Health Center)

By : APRILINA TRI KURNIASARI
NIM. 24650614

Post-debridement wound care requires routine wound care to prevent skin integrity disruption, including the use of modern dressing methods. These methods maintain a balanced, moist environment within the wound surface, and selecting the right dressing can help maintain moisture. The purpose of this study was to provide nursing care for patients with diabetic ulcers experiencing impaired skin integrity.
Nursing care for diabetic ulcer patients post debridement was carried out at the Kismantoro Community Health Center for 5 days starting from November 11 to November 19, 2025. The method used was a nursing process approach including assessment, determining diagnosis, nursing intervention, implementing and evaluating nursing.
The assessment results obtained subjective data that the patient complained of heat and itching in the abscess surgery wound on his back. While objective data showed a post-debridement wound on his back with a depth of about 1.5 cm and a width of 2.5 cm. The surrounding skin color was reddish, there was still bleeding in several points, pain with a scale of 4, there was damage to the skin layer. Nursing actions carried out were to treat the wound using the modern dressing method. Implementation was carried out for 5 days with the results of the evaluation the patient felt no longer hot and itchy in the wound on his back. The post-debridement wound was characterized by a clean wound, no pus, no bleeding, the skin around the wound was moist and clean, pain was no longer felt, granulation was expanding, the wound was starting to close. However, the wound dressing was still changed every 2 days until the wound closed completely.
The implementation of this intervention has been proven to be beneficial in reducing skin damage, but whether or not the nursing problem is resolved depends on several factors in the patient so that it is necessary to combine other interventions such as controlling blood sugar levels, administering antibiotics, and maintaining skin moisture around the wound by applying handbody or olive oil which can overcome the nursing problem of impaired skin integrity more optimally.

Keywords: Impaired Skin Integrity, Diabetic Ulcers, Modern Dressings