Innovation in Accelerating Diabetic Ulcer Wound Healing Using a Combination of Moist Wound Healing and Modern Dressing Methods Based on Buloh Bee Honey Ointment
DOI:
https://doi.org/10.35451/6584a226Keywords:
: Diabetic ulcer, Moist Wound Healing, Modern dressing, Buloh bee honey, Wound healingAbstract
Background: Buloh honey possesses antibacterial and anti-inflammatory properties, as well as the ability to accelerate tissue regeneration. The innovative combination of Moist Wound Healing (MWH) and modern dressing based on Buloh bee honey provides an effective, safe, and affordable solution for managing diabetic foot ulcers. This approach can improve patients’ quality of life and reduce both the economic and public health burdens caused by poorly managed diabetic complications. Objective: To analyze the acceleration of diabetic ulcer wound healing before and after the intervention using the combination of MWH and modern dressing based on Buloh bee honey. Method: This study employed a quasi-experimental research design with a control time series comparison group. Results: Wound healing was assessed using the Bates-Jensen Wound Assessment Tool, which evaluates parameters such as wound size, depth, edge condition, tunneling, necrotic tissue type and area, exudate type and amount, surrounding skin condition, peripheral edema, granulation tissue size, peripheral induration, and epithelialization area. The results showed that the combination of Moist Wound Healing (MWH) and Buloh bee honey ointment accelerated the healing of diabetic ulcers compared to conventional treatment. In the first week, the intervention group began to show healthy granulation tissue formation and reduced exudate, while the control group demonstrated slower improvement. By the fourth week, 73.1% of participants in the intervention group reached near-complete epithelialization, compared to 41.8% in the control group. Conclusion: The combination of MWH and Buloh bee honey ointment proved to be more effective in accelerating diabetic ulcer healing than conventional care. This intervention promotes faster new tissue formation, reduces exudate, and enhances wound epithelialization. The approach is safe, natural, and recommended as an alternative therapy for chronic wounds in diabetic patients.
Downloads
References
[1] Nursa G, Fauzi Y, Habibi J, Studi P, Masyarakat K, Kesehatan I. Faktor-Faktor Yang Mempengaruhi Kejadian Diabetes Melitus Di Puskesmas Bintuhan Kabupaten Kaur Tahun 2022 Factors Affecting The Event Diabetes Mellitus In Bintuhan Puskesmas Kaur District Year 2022. J Hygea Public Heal [Internet]. 2022;1(1):1–6. Available from: https://jurnal.unived.ac.id/index.php/jhph/article/view/3378/2791
[2] Natasia SM, A E. Prevalensi dan karakteristik pasien retinopati diabetik pada pasien Prolanis di RSI Gondanglegi Tahun 2021. Syntax Lit J Ilm Indones. 2022;7(4):3928–34.
[3] Kasim J, Jl A, Bunga T, Jawa S, Mamajang K, Makassar K. Upaya Preventif Lansia pada Penyakit Diabetes Melitus Preventive Efforts for the Elderly in Diabetes Mellitus Sekolah Tinggi Ilmu Kesehatan Gema Insan Akademik , Indonesia Sekolah Tinggi Ilmu Kesehatan Bina Bangsa Majene , Indonesia akibat dari insufisien. J Pengabdi Masy dan Transform Kesejaht. 2024;1(November):183–90.
[4] Purwandari CAA, Wirjatmadi B, Mahmudiono T. Faktor Risiko Terjadinya Komplikasi Kronis Diabetes Melitus Tipe 2 pada Pra Lansia. Amerta Nutr. 2022;6(3):262–71.
[5] Listrikawati M, Indah Minarti S, Panji Azali LM, Prastiwi F, Kesehatan I, Kusuma Husada Surakarta U. Analisa Karakteristik Luka Diabetes Melitus Pada Pasien dm Tipe 2 di RSUD Karanganyar. J Kedokt. 2023;4(2):2601–7.
[6] Wulandari TS, Kurniawati R, Sukma A, Indaryati. Gambaran Kualitas Hidup Pasien Dengan Luka Kronik Yang Melakukan Perawatan Luka Di Klinik Luka. J Ilm Keperawatan dan Kesehat Alkautsar. 2023;2(1):1–8.
[7] Nuutila K, Eriksson E. Moist Wound Healing with Commonly Available Dressings. Adv Wound Care. 2021;10(12):685–98.
[8] Nguyen HM, Ngoc Le TT, Nguyen AT, Thien Le HN, Pham TT. Biomedical materials for wound dressing: recent advances and applications. RSC Adv. 2023;13(8):5509–28.
[9] Prabowo DB, Risdiyanto. Studi Kasus: Perawatan Luka Pada Pasien Diabetic Foot Ulcer Menggunakan Madu. J Ners LENTERA. 2023;11(2):60–5.
[10] Khumaidi K, Fitra L, Isnayati I. Perawatan Luka dengan Madu dalam Penyembuhan Luka Diabetikum pada Pasien Diabetes Melitus. J Nurs Innov. 2022;1(1):1–4.
[11] Setyowati B, Wirawati MK. Penerapan Perawatan Luka Dengan Metode Moist Wound Healing Pada Pasien Diabetikum Tipe 2. J Ners Widya Husada. 2022;9(3).
[12] Alepandi M, Wahyudi JT, Tiranda Y. Efektivitas Pemberian Aloevera Pada Proses Penyembuhan Luka Bakar: Literature Review. JKM J Keperawatan Merdeka. 2022;2(1):15–29.
[13] Mataputun DR, Nurbani A. Efektifitas Perawatan Luka Modern dressing Dengan Metode Moist Wound Healing Pada Ulkus Diabetikum. J Kesehat STIKes Sumber Waras. 2022;4(1):1–8.
[14] Qin W, Wu Y, Liu J, Yuan X, Gao J. A Comprehensive Review of the Application of Nanoparticles in Diabetic Wound Healing: Therapeutic Potential and Future Perspectives. Int J Nanomedicine. 2022;17(November):6007–29.
[15] Siregar HK, Yenny Y, Butar S, Pangaribuan SM, Batubara K. Effectiveness of Modern Wound Treatment Using Wanding Techniques Moist Wound Healing in Healing Diabetic Ulcers in Clinic Rumat Jakarta. J Perawat Indones. 2023;7(3):1480–90.
[16] Rahmasari I, Musta’in M, Irawan. AM A. Pengaruh Modern dressing Terhadap Grade Luka Pada Pasien Dengan Ulkus Diabetikum. Nurs Sci J. 2023;4(1):95–102.
[17] W F, S H. Penerapan Perawatan Luka Modern dressing Dengan Metode Moist Wound Healing Pada Pasien Ulkus Diabetikum Di Puskesmas Sragen. J Kesehat Unggul Gemilang. 2024;8(9):58–69.
[18] Supriatin T, Rizki P, Anggraeni H, Adyaningsih N, Arifah C, Hidayani HT. Pengelolaan Terapi pada Pasien dengan Ulkus Diabetes Berkaitan dengan Gangguan Pembuluh Darah Perifer (Literature Review). Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF). 2025;3(1):55-69.
[19] Putri, D. A., Wahyuni, S., & Sari, M. (2020). Efektivitas madu terhadap penyembuhan luka ulkus diabetikum: studi literatur. Jurnal Ilmiah Kesehatan, 9(2), 101–108.
[20] Yusnidar, S., Fadillah, A., & Sari, R. (2021). Pengaruh penggunaan salep madu hutan terhadap percepatan penyembuhan luka pada pasien ulkus diabetikum. Jurnal Keperawatan Indonesia, 24(1), 1–9.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Arfah May Syara, Yuni Suharnida Lubis
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.
