Terapi Keperawatan Komplementer dan Alternatif dalam Mencegah Keterlambatan Penyembuhan Luka

Muflih Muflih, Falasifah Ani Yuniarti, Suwarsi Suwarsi

Abstract


Hasil penelusuran beberapa literatur menunjukkan bahwa (Complementary and Alternative Medicine - CAM) memiliki beragam manfaat dalam perawatan luka. CAM dapat digunakan sebagai terapi tambahan (adjuvant) untuk perawatan luka konvensional guna mempromosikan penyembuhan luka. Terapi CAM dapat membantu mengelola peradangan dan infeksi yang sering menjadi hambatan dalam proses penyembuhan luka. Selain itu, CAM juga dapat digunakan untuk mengelola rasa sakit dan peradangan yang terkait dengan luka, meningkatkan kesehatan dan kesejahteraan keseluruhan pasien, serta mempromosikan penyembuhan luka dengan menggunakan ramuan herbal dan nutraseutikal. Masa depan CAM dalam perawatan luka melibatkan penelitian lebih lanjut untuk menggali peran CAM dalam manajemen luka kronis. Seperti faktor spiritual dan faktor psikologis Mindfulness-Based Stress Reduction (MBSR) yang juga menjadi faktor pelengkap dalam mempercepat penyembuhan luka. Selain itu, penggunaan terapi komplementer berupa fitokimia dan produk alami lainnya dalam perawatan luka menjadi area penelitian yang sedang berjalan. Terapi masa depan mungkin akan fokus pada modulasi re-epitelisasi, pembentukan jaringan granulasi, dan angiogenesis. Pengembangan bahan dan teknologi perban baru juga menjadi fokus penelitian yang aktif. Kesimpulannya, CAM memiliki peran yang signifikan dalam perawatan luka, dan penelitian serta pengembangan lebih lanjut dalam bidang keperawatan dapat membawa manfaat besar bagi pasien dengan luka yang kompleks dan membutuhkan pendekatan yang holistik.


Keywords


Pengobatan Komplementer dan Alternatif (CAM), Perawatan luka, Penyembuhan luka, Terapi adjuvan, Manfaat CAM, Spiritual terapi, Psikologis faktor

Full Text:

PDF

References


Purnama, H., Sriwidodo, S., & Mita, S. R. Proses Penyembuhan dan Perawatan Luka : Review Sistematik. Farmaka. 2017;15(2): 251-258. https://doi.org/10.24198/jf.v15i2.13366

Rasik, A. M., & Shukla, A. Antioxidant status in delayed healing type of wounds. International journal of experimental pathology. 2000; 81(4): 257-263. 10.1046/j.1365-2613.2000.00158.x

Dhivya, S., Padma, V. V., & Santhini, E. (2015). Wound dressings–a review. BioMedicine.2015; 5(4): 22. 10.7603/s40681-015-0022-9

Purwaningsih, L. A. Perawatan Luka Modern di RSUP Dr Sardjito Yogyakarta. RSUP Dr Sardjito. 2018; May 2. Retrieved September 13, 2023, from https://sardjito.co.id/2018/05/22/perawatan-luka-modern-di-rsup-dr-sardjito-yogyakarta/

Budiawan, H., Nugroho, C., Inriyana, R., Rahayu, U., Ibrahim, K., & Aji, N. M. (2021). Studi Kasus: Observasi Perbaikan Luka Pada Pasien Wound Dehiscence Dengan Negative Pressure Wound Therapy (NPWT) Di Ruang Kemuning V RSUP Dr. Hasan Sadikin Bandung. Jurnal Perawat Indonesia. 2021; 5(1): 515-526. https://doi.org/10.32584/jpi.v5i1.580

Ruru, D. Bukan Luka Biasa 1 Penyebab Luka Anda Tak Kunjung Sembuh. RSUD Kabupaten Nunukan. 2020; Agustus 10. Retrieved September 13, 2023, from https://rsud.nunukankab.go.id/detailpost/bukan-luka-biasa-1-penyebab-luka-anda-tak-kunjung-sembuh

Schneider, M. Clinical Guidelines (Nursing) : Wound assessment and management. The Royal Children's Hospital. 2023; Februari 1. Retrieved September 13, 2023, from https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Wound_assessment_and_management/

Kliewer, S.P. Allowing spirituality into the healing process. The Journal of family practice. 2004; 53 8: 616-24.

Meesters, A., et al. The effect of Mindfulness-Based Stress Reduction on wound healing: a preliminary study. Journal of Behavioral Medicine. 2018; 41: 385-397.

The Wound Pros. Common Causes of Wound Chronicity | Chronic Wound Management. The Wound Pros. 2023; January 31. Retrieved September 13, 2023, from https://www.thewoundpros.com/post/the-most-common-causes-of-wound-chronicity

Hwang, J. M. Time is tissue. Want to save millions in wound care? Start early: a QI project to expedite referral of high-risk wound care patients to specialised care. BMJ Open Quality. 2023, March 16; 12(1): 1-5. 10.1136/bmjoq-2022-002206

Guo, S., & DiPietro, L.A. Factors affecting wound healing. Journal of dental research. 2010; 89(3): 219-229. https://doi.org/10.1177/0022034509359125

Sivamani, R. K., Ma, B. R., Wehrli, L. N., & Maverakis, E. Phytochemicals and Naturally Derived Substances for Wound Healing. Advances in wound care. 2012; 1(5): 213-217. 10.1089/wound.2011.0330

Nova Scotia Health. Skin and Wound Care: Basics of Wound Healing. Nova Scotia Health Library. 2023; August 16. Retrieved September 13, 2023, from https://library.nshealth.ca/WoundCare/HealingBasics

Mount Sinai. Wounds Information. Mount Sinai. 2023; January 1. Retrieved September 13, 2023, from https://www.mountsinai.org/health-library/condition/wounds

Monika, P., Chandraprabha, M. N., Rangarajan, A., Waiker, P. V., & Murthy, K. N. C. Challenges in Healing Wound: Role of Complementary and Alternative Medicine. Frontiers in Nutrition. 2022; 8(791899): 1-13. 10.3389/fnut.2021.791899

Cardinal Health. Traditional Wound Care Products. Cardinal Health. 2023; January 1. Retrieved September 13, 2023, from https://www.cardinalhealth.com/en/product-solutions/medical/skin-and-wound-management/traditional-wound-care.html

Akopian, G., Nunnery, S. P., Piangenti, J., Rankin, P., Rinoie, C., Lee, E., & Alexander, M. Outcomes of Conventional Wound Treatment in a Comprehensive Wound Center. The American Surgeon. 2006; 72(4): 314-317. https://doi.org/10.1177/0003134806072004

Seidel, D., Diedrich, S., Herrle, F., Thielemann, H., Marusch, F., Schirren, R., Talaulicar, R.,Gehrig, T., Lehwald-Tywuschik, N., Glanemann, M., Bunse, J., Hüttemann, M., Braumann, C.,Heizman, O., Miserez, M., Krönert, T., Gretschel, S., & Lefering, R. Negative Pressure Wound Therapy vs Conventional Wound Treatment in Subcutaneous Abdominal Wound Healing Impairment The SAWHI Randomized Clinical Trial. JAMA Surgery. 2020; 155(6): 469-478.10.1001/jamasurg.2020.0414

Dorai, A. A. Wound care with traditional, complementary and alternative medicine. Indian Journal of plastic surgery. 2012; 45(2): 418–424. 10.4103/0970-0358.101331

Ehrlich, S. D. (2015, June 11). An introduction to CAM | Complementary and Alternative Medicine. St. Luke's Hospital. Retrieved September 13, 2023, from https://www.stlukes-stl.com/health-content/medicine/33/000346.htm

The Centre for Addiction and Mental Health. Complementary and Alternative Medicine Therapies (CAM). CAMH. 2023; January 1. Retrieved September 13, 2023, from https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/complementary-and-alternative-therapies

Committee on the Use of Complementary and Alternative Medicine by the American Public,Board on Health Promotion and Disease Prevention. Complementary and Alternative Medicinein the United States. 2005. National Academies Press.https://www.ncbi.nlm.nih.gov/books/NBK83799/pdf/Bookshelf_NBK83799.pdf

National Center of Biotechnology Information. Complementary and Alternative Medicine - Collection Development Guidelines of the National Library of Medicine. NCBI. 2018; March 26. Retrieved September 13, 2023, from https://www.ncbi.nlm.nih.gov/books/NBK518811/

National Health Service. Complementary and alternative medicine. NHS. 2022; March 1. Retrieved September 13, 2023, from https://www.nhs.uk/conditions/complementary-and-alternative-medicine/

Alderson, J. A. Efficacy and Cost Effectiveness of Three CAM Therapies on Wound Healing: Acupuncture, Probiotics, and Intentional Comfort Touch. The Grace Peterson Nursing Research Colloquium, Winter. 2019; (13), 1. https://via.library.depaul.edu/nursing-colloquium/2019/winter/13/

Laforet, K., Woodbury, G. M., & Sibbald, R. G. Wound Bed Preparation and Complementary and Alternative Medicine. Advances In Skin & Wound Care. 2011; 24(5): 226-236. https://nursing.ceconnection.com/ovidfiles/00129334-201105000-00008.pdf

Knight, S. Does complementary therapy have a place in wound care? British Journal of Community Nursing. 2011; 16(Sup3): S14-S22. https://doi.org/10.12968/bjcn.2011.16.Sup3.S14

Appleton, I. Wound healing: future directions. Idrugs: the Investigational Drugs Journal. 2003; 6(11): 1067-1072. https://pubmed.ncbi.nlm.nih.gov/14600839/

Ghomi, E. R., Khalili, S., Khorasani, S. N., Neisiany, R. E., & Ramakrishna, S. Wound dressings: Current advances and future directions. Journal of Applied Polymer Science. 2019; 136(27): 47738. https://doi.org/10.1002/app.47738

Frost, P. Wound Care. Miller School of Medicine. 2023; January 1. Retrieved September 13, 2023, from https://med.miami.edu/departments/dermatology/divisions-and-programs/wound-care

Vowden, K., & Vowden, P. Wound Bed Preparation. World Wide Wounds. 2002: 1-12 http://www.worldwidewounds.com/2002/april/Vowden/Wound-Bed-Preparation.html

Wound Source. Wound Bed Preparation: Definition and the TIMERS Model. Wound Source. 2022; June 30. Retrieved September 13, 2023, from https://www.woundsource.com/blog/what-wound-bed-preparation

Halim, A. S., Khoo, T. L., & Saad, A. M. Wound bed preparation from a clinical perspective. Indian Journal of Plastic Surgery. 2012; 45(02): 193-202. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495367/

Harries, R. L., Bosanquet, D. C., & Harding, K. G. Wound bed preparation: TIME for an update. International Wound Journal. 2016; 13(S3): 8-14. https://doi.org/10.1111/iwj.12662

Rogers, L. C. Current Concepts In Wound Bed Preparation. HMP Global Learning Network.2011; August 1. Retrieved September 13, 2023, from https://www.hmpgloballearningnetwork.com/site/podiatry/current-concepts-wound-bed-preparation

Reddy, K. K., Grossman, L., & Rogers, G. S. Common complementary and alternative therapies with potential use in dermatologic surgery: Risks and benefits. Journal of the American Academy of Dermatology. 2013; 68(4): e127-e135. https://doi.org/10.1016/j.jaad.2011.06.030

Subrata, S. A. Implementation of spiritual care in patients with diabetic foot ulcers: a literature review. British Journal of Nursing. 2020; 29(15): S24-S32.


Abstract View: 140, PDF Download: 96

Refbacks

  • There are currently no refbacks.




Prosiding Seminar Nasional

Universitas Respati Yogyakarta

Alamat : JL. Laksda Adisucipto KM 6,3 Depok Sleman Yogyakarta - Indonesia
Tel : 0274-488781
Fax : 0274-489780
Email : wahyurm@respati.ac.id


 
View My Stats
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.