Application of Acacia Honey Dressing to Post-Debridement Wound Care in Type 2 Diabetes Patients

Authors

  • Dimas Dewa Darma STIKes Sapta Bakti
  • Istiqomah Rosidah STIKes Sapta Bakti
  • Wika Nurazizah STIKes Sapta Bakti

Keywords:

Diabetes Mellitus, Debridement, Honey Therapy

Abstract

Type 2 diabetes mellitus (DM) is a chronic disease whose prevalence continues to increase in Indonesia. One complication of DM is difficult-to-heal wounds due to chronic hyperglycemia, impaired tissue perfusion, decreased angiogenesis, and peripheral neuropathy. If the wound experiences necrosis or infection, debridement is often performed to support the healing process. Purpose to describe the application of honey therapy to the wound care process in patients with type 2 DM post-debridement. Methodology This study used a descriptive method with a treatment period of 12 months. Honey therapy was administered for three days, with a frequency of one treatment per day. Results showed improvement in wound condition. On the third day, Mr. Y showed improved skin integrity: Upgraded to level 4, reduced redness, moisturized skin, reduced peeling, and a feeling of comfort. Mr. T also showed similar improvements with improved skin texture, increased moisture, and reduced redness.

References

Ade Maharani, T. Dkk (2024). Faktor-Faktor yang Mempengaruhi Lama Penyembuhan Luka Diabetes Mellitus di Klinik Pratama Hanifah Kota Tangerang 2024. Jurnal Ilmu Kesehatan Umum, 3(1).

Agrawal, A., Dave, A., & Jaiswal, A. (2023). Type 2 Diabetes Mellitus in Patients With Polycystic Ovary Syndrome. Cureus, 15(10), 11–16. https:// doi.org/ 10.7759/ cureus.46859.

Anggun Rizkya Safitri, & Sri Hartutik. (2024). Penerapan Pemberian Topikal Madu Kaliandra terhadap Jaringan Nekrotik pada Luka Diabetes Mellitus di Puskesmas Pucangsawit. Calory Journal : Medical Laboratory Journal, 2(3), 73–82. https://doi.org/10.57213/caloryjournal.v2i3.360.

Anita. (2021). Asuhan Keperawatan pada Gangguan Integritas Kulit dengan Intervensi Luka menggunakan NaCl 0,9% dan Framycetin Sulfate. UIN Alauddin Makassar.

Arumsari, A., Herawati, D., & Afrizal, M. (2012). Uji aktivitas antibakteri beberapa jenis madu terhadap Pseudomonas aeruginosa dan Staphylococcus aureus dengan metode difusi agar. Jurnal Ilmiah Farmasi Farmasyifa, 2(1), 26–32.

Bus, S. A. Dkk. (2024). Guidelines on offloading foot ulcers in persons with diabetes (IWGDF 2023 update). Diabetes/Metabolism Research and Reviews, 40(3). https://doi.org/10.1002/dmrr.3647.

Cahyani, P. A. (2024). Pengaruh Kadar HbA1c Pada Penderita Diabetes Melitus Tipe 2 Dengan Komplikasi Makrovaskular dan Mikrovaskular di Rumah Sakit Ibnu Sina YW UMI Makassar. Jurnal Kesehatan Masyarakat, 8, 4274–4281.

Care, D., & Suppl, S. S. (2022). Diabetes Technology: Standards of Medical Care in Diabetes—2022. Diabetes Care, 45(January), S97–S112. https:// doi.org/ 10.2337/dc22-S007.

Ceriello, A., & Colagiuri, S. (2025). IDF global clinical practice recommendations for managing type 2 diabetes – 2025. In Diabetes Research and Clinical Practice (Vol. 222). https://doi.org/10.1016/j.diabres.2025.112152.

Chandrasekaran, P., & Weiskirchen, R. (2024). The Role of Obesity in Type 2 Diabetes Mellitus—An Overview. International Journal of Molecular Sciences, 25(3). https://doi.org/10.3390/ijms25031882.

Cornelis, M. C. Dkk. (2015). Genetic and environmental components of family history in type 2 diabetes. Human Genetics, 134(2), 259–267. https://doi.org/10.1007/s00439-014-1519-0.

Febriana, E. (2021). Asuhan Keperawatan pada Pasien Diabetes Melitus di Ruang Melati RSUD dr. M. Yunus Bengkulu [Poltekkes Kemenkes Bengkulu]. https://repository.poltekkesbengkulu.ac.id/2389/1/KIAN Erna Febriana.

Fitria, E., Nur, A., Marissa, N., & Ramadhan, N. (2017). Karakteristik Ulkus Diabetikum pada Penderita Diabetes Mellitus di RSUD dr. Zainal Abidin dan RSUD Meuraxa Banda Aceh Characteristics Of Ulcer Among Diabetes Mellitus Patient In Rsud Dr. Zainal Abidin And RSUD Meuraxa Banda Aceh. Buletin Penelitian Kesehatan, 45(3), 153–160.

Joseph, J. J., & Golden, S. H. (2017). Cortisol dysregulation: The bidirectional link between stress, depression and type 2 diabetes mellitus. Endocrine Reviews, 38(3), 172–186. https://doi.org/10.1210/er.2016-1045.

Kazi, A. A., & Blonde, L. (2001). Classification of diabetes mellitus. In Clinics in Laboratory Medicine (Vol. 21, Nomor 1). https:// doi.org/ 10.5005/ jp/books/12855_84.

Kelen, F. M. (2020). Asuhan keperawatan pada pasien diabetes melitus tipe ii di rsud abdul wahab sjahranie samarinda Oleh. In Penambahan Natrium Benzoat Dan Kalium Sorbat (Antiinversi) Dan Kecepatan Pengadukan Sebagai Upaya Penghambatan Reaksi Inversi Pada Nira Tebu.

KEMENKES. (2023). Laporan Kinerja Direktorat P2PTM Kota DKI Jakarta Tahun 2023 (Vol. 4, Nomor 3). https://www.scribd.com/document/796194441/Laporan-Kinerja-Direktorat-P2PTM-2023.

Lee, S. H., Park, S. Y., & Choi, C. S. (2022). Insulin Resistance: From Mechanisms to Therapeutic Strategies. Diabetes and Metabolism Journal, 46(1), 15–37. https://doi.org/10.4093/DMJ.2021.0280.

Lestari, (2021). Diabetes Melitus: Review Etiologi, Patofisiologi, Gejala, Penyebab, Cara Pemeriksaan, Cara Pengobatan dan Cara Pencegahan. UIN Alauddin Makassar, 1(2), 237–241. http://journal.uin-alauddin.ac.id/index.php/psb.

Munirah, S., Damayanti, S., & Hidayat, N. (2024). Hubungan kadar gula darah dengan penyembuhan luka pada pasien ulkus diabetikum di poliklinik bedah RSUD Sleman | 94 hubungan kadar gula darah dengan penyembuhan luka pada pasien ulkus diabetikum di poliklinik bedah rsud sleman. Jurnal Kesehatan Masyarakat, 17(2), 94–102.

Netter, F. H. (2010). Pancreas anatomy and histology [Ilustrasi]. Dalam J. T. Hansen (Ed.), Clinical Anatomy (2nd ed., h. 150). Elsevier.

Poltekkes. (2023). Manifestasi Klinis: Kram, kelelahan, dan kesulitan berjalan pada pasien Diabetes Mellitus.

Putri, A. C. (2024). Hubungan Lama Menderita DM Dan Perawatan Kaki Dengan Risiko Luka Kaki Diabetik Di Puskesmas Bangetayu Semarang. Jurnal Keperawatan1, 3, 35–38. http://repository.unissula.ac.id/id/eprint/34307.

Putri, B. C., & Purwanti, O. S. (2024). Tingkat pengetahuan dan upaya pencegahan ulkus diabetikum pada pasien diabetes mellitus. Holistik Jurnal Kesehatan, 18(7), 925–931. https://doi.org/10.33024/hjk.v18i7.559.

Sabarinah. (2018). Prevalensi Penderita Diabetes Melitus Tipe-Ii Pada Pasien Di Puskesmas Kota Blangkejeren , Kabupaten Gayo Lues Skripsi Oleh : Sabarinah Fakultas Biologi Universitas Medan Area Medan. Skripsi.

Salati, S. A. (2021). Debridement: A review of current techniques. Journal of Pakistan Association of Dermatologists, 31(2), 262–272.

Santosa, A., Trijayanto, P. A., & Endiyono. (2017). Hubungan Riwayat Garis Keturunan Dengan Terdiagnosis Diabetes Melitus Tie II. The 6th University Research Colloquium 2017 Universitas Muhammadiyah Magelang Hubungan, 4, 1–6.

Sari, I. W. W., Ferianto, F., & Dewi, T. S. (2024). Edukasi Perawatan Kaki Diabetes Meningkatkan Pengetahuan Pasien Dan Family Caregiver Dengan Diabetes Melitus: Sebuah Pemberdayaan Berbasis Patient And Family-Centered Care. Jurnal Peduli Masyarakat, 6(3), 171–178. https:/ /jurnal. global health science group.com/index.php/JPM/article/view/2494.

Septiananda, D. R., & Wahyuni, E. S. (2023). Penerapan Perawatan Luka dengan Metode Dressing Madu terhadap Penyembuhan Luka Diabetes Mellitus. Indogenius, 2(1), 1–7. https://doi.org/10.56359/igj.v2i1.100.

Soelistijo, S. (2021). Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021. Global Initiative for Asthma, 46. www. ginasthma. org.

Sun, H. Dkk (2021). IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Research and Clinical Practice, 183, 1–23. https:// doi.org/ 10.1016/ j.diabres. 2021.109119.

Syam, Y., Misali, S., & Yusuf, S. (2020). Alas kaki yang tepat menurunkan risiko luka kaki diabetik: Literature review. Jurnal Keperawatan Muhammadiyah, 1(1), 114–121.

Tunny, H., & Wabula, L. R. (2023). Penyusunan Standar Asuhan Keperawatan Dan Panduan Asuhan Keperawatan Sebagai Standar Penerapan Asuhan Keperawatan Berbasis SDKI, SLKI Dan SIKI Di Rumkit TK. II Prof. Dr. J.A. Latumeten Ambon. Jurnal Mahasiswa Ilmu Kesehatan, 1(3), 249–256. https://doi.org/10.59841/jumkes.v1i3.193.

Yusnanda, F., Rochadi, R. K., & Maas, L. T. (2019). Pengaruh Riwayat Keturunan terhadap Kejadian Diabetes Mellitus pada Pra Lansia di BLUD RSUD Meuraxa Kota Banda Aceh Tahun 2017. Journal of Healthcare Technology and Medicine, 4(1), 18. https://doi.org/10.33143/jhtm.v4i1.163.

Zubir, M. Z. M., Holloway, S., & Noor, N. M. (2020). Maggot therapy in wound healing: A systematic review. International Journal of Environmental Research and Public Health, 17(17), 1–12. https://doi.org/10.3390/ijerph17176103.

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Published

2025-12-22

How to Cite

Dewa Darma, D., Rosidah, I., & Nurazizah, W. (2025). Application of Acacia Honey Dressing to Post-Debridement Wound Care in Type 2 Diabetes Patients. Jurnal Riset Media Keperawatan, 8(2), 189–196. Retrieved from https://ojs.stikessaptabakti.ac.id/jrmk/article/view/914

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