Treatment of Gangrene Wounds with Hydrocolloid Dressing Methods for Diabetes Mellitus Type 2 in Educational Hospital, North Sumatera University

Wound care in a moist environment is superior to a dry environment.
Appropriate wound care methods can help accelerate the healing of
gangrenous wounds. This study aimed to determine diabetic wound healing
using the modern hydrocolloid dressing method. This experimental research
design utilized pre-test and post-test techniques to assess the difference in
the effect of gangrene wound care with modern hydrocolloid dressings on
gangrene wound healing in diabetic patients. The study was conducted at USU
Teaching Hospital Medan for 14 days, involving 20 respondents with Type II
DM patients experiencing gangrene wounds, obtained through non
probability sampling. Data analysis was performed using the independent t
test. The results showed a significant difference in gangrene wound care with
the modern hydrocolloid dressing method (p < 0.05). The modern
hydrocolloid dressing method led to faster healing of gangrene wounds.
Conclusion: respondents who used the modern hydrocolloid dressing
method experienced better wound status development and faster healing. It
is expected that hospitals will plan and establish SOPs for wound care in DM
patients with gangrene using modern hydrocolloid dressings and reduce the
use of conventional methods. These implications highlight the importance of
implementing modern methods in wound care protocols for patients with
diabetes mellitus with gangrene, mainly to prevent amputation and improve
patients' quality of life. Recommendations include the implementation of
modern wound care SOPs, training for health workers, patient and family
education, further research, and the procurement of modern dressings.