Monday, 20 April 2009

THE DIFFERENCE IN EFFECTIVENESS OF CHRONIC WOUND CARE BETWEEN MODERN AND CONVENTIONAL TECHNIQUE AT SLEMAN REGIONAL GENERAL HOSPITAL YOGYAKARTA

ABSTRACT

Background: Wound Treatment Care has an important function as a part of the professional nursing care. Nowadays, Wound care that is based on the humid condition has been followed by any kind of modern wound bandage care. The research has a purpose to observe The difference between the Effectiveness of chronic wound care by modern and conventional techniques at Sleman Regional General Hospital Yogyakarta viewed by the period to reach granulation including epythelization, medication frequency and regular using material.
Method: The research is using quasi design experiment that is a group of treatment by giving a modern technique and a group of control treatment by giving the conventional technique. The wound care should be completed until the granulation and epythelization are appeared with the longest period of 15 days. The data collection should be done by an observation technique, taken by cohort prospective. Meanwhile, the research population may whole of the hospitalize patients with chronic wound. Furthermore, the sample withdrawal, taken by purposive sample has the amount of 30 samples. Finally, groups of both treatment and control are determined by randomization.
Result: By a significant rate 5% (P=0,05) it is known that a wound care by modern technique is significantly different by point p =0,000 in reaching the granulation comparing with a conventional technique, which is clinically gained that there is a 5 days faster treatment of granulation to the group with modern technique. The difference of medication frequency is significantly different with point p =0,000, that is medication which is doing 19 times more frequently by conventional technique. Wound care with modern technique is significantly different with point p =0,021 in line with the regular using material although the regular using material by using modern technique 55% more than a conventional one. Epythelization to group of treatment is generally happen on the 8th day, meanwhile to the control group may not be founded until the 15th day of wound treatment.
Conclusion: Finally, it can be concluded that modern technique is more effective than conventional one in order to conduct a chronic wound care at Sleman Regional General Hospital Yogyakarta viewed by the period of time in granulation and epythelization, the medication frequency and cost of regular using material as well.

Keywords: effectiveness, modern technique, conventional technique

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