IMPLEMENTATION OF HOT BATH HYDROTHERAPY AND MOIST WOUND HEALING INNOVATIONS IN NURSING CARE FOR SKIN INTEGRITY DISORDERS IN TYPE 2 DM PATIENTS IN THE ORCHID ROOM OF SUNGAILIAT REGIONAL GENERAL HOSPITAL IN 2026

Mega Artika; Shindi Hapsari

Authors

Mega Artika Nursing Professional Study Program, Faculty of Nursing and Health Sciences, Karya Husada University, Semarang
Shindi Hapsari Nursing Professional Study Program, Faculty of Nursing and Health Sciences, Karya Husada University, Semarang

Keywords:

Diabetes Mellitus, Diabetic Foot Ulcer, Moist Wound Healing, Nursing Care, Wound Healing

Abstract

Background: Type 2 Diabetes Mellitus often causes diabetic ulcers that cause impaired skin integrity and increase the risk of infection, amputation, and decreased quality of life. The combination of Hot Bath Hydrotherapy and Moist Wound Healing is a nursing innovation that has the potential to support wound healing. Objective: To describe the application of Hot Bath Hydrotherapy and Moist Wound Healing innovations in nursing care for type 2 Diabetes Mellitus patients with impaired skin integrity in the Anggrek Ward, Bakti Timah Hospital, Sungailiat in 2026. Method: The study used a descriptive design with a descriptive case study approach. The study subjects were 10 type 2 Diabetes Mellitus patients with diabetic ulcers who met the inclusion criteria. Data were collected using a nursing assessment format, wound development observation sheet, Bates-Jensen Wound Assessment Tool or Pressure Ulcer Scale for Healing, documentation, interviews, observations, and physical examinations. Data analysis was carried out descriptively by comparing the patient's condition before and after the intervention. Results: All patients showed improvement in wound condition in the form of reduced exudate and necrotic tissue, increased granulation tissue, decreased pain, reduced signs of infection, and increased mobility after 3 x 24 hours of intervention. Conclusion: The combination of Hot Bath Hydrotherapy and Moist Wound Healing has the potential to be an evidence-based nursing intervention that supports the healing of diabetic ulcers and improves the quality of nursing care.

Downloads

Download data is not yet available.

References

American Diabetes Association. (2022). Standards of medical care in diabetes—2022 abridged for primary care providers. Clinical Diabetes, 40(1), 10–38.

Astuti, D., Hidayah, K. H., & Puspasari, F. D. (2025). Aplikasi modern dressing: Hydrogel pada pasien dengan ulkus diabetik. Multidisciplinary Indonesian Center Journal (MICJO), 2(1), 220–226.

Bus, S., Sacco, I., Monteiro-Soares, M., Raspovic, A., Paton, J., Rasmussen, A., ... van Netten, J. (2024). Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2023 update). Diabetes/Metabolism Research and Reviews, 40(3), e3651.

Chen, K., Zhang, H., Wu, N., Li, B. L., & Mu, Y. (2025). Global risk factors, epidemiology, and disease burden of type 2 diabetes. Science China Life Sciences, 1–12.

Chen, Y., Wang, X., Tao, S., Wang, Q., Ma, P. Q., Li, Z. B., ... Li, D. W. (2023). Research advances in smart responsive-hydrogel dressings with potential clinical diabetic wound healing properties. Military Medical Research, 10(1), 37.

Cruz, C. X., Muñoz, J. J., de los Santos, V., & Domínguez, A. C. (2025). Intervención educativa para el autocuidado del pie diabético en el adulto de 40 a 59 años de la UMF 12. Ciencia Latina Revista Científica Multidisciplinar, 9(5), 17787–17800.

Deng, H., Li, B., Shen, Q., Zhang, C., Kuang, L., Chen, R., & Li, G. (2023). Mechanisms of diabetic foot ulceration: A review. Journal of Diabetes, 15(4), 299–312.

Dinas Kesehatan Kabupaten Bangka. (2025). Profil kesehatan Kabupaten Bangka tahun 2025. Dinas Kesehatan Kabupaten Bangka.

Febrianto, B. Y., Putra, E. P., Zulkarnaini, A., & Hasni, D. (2023). Ulkus kaki diabetik: Sebuah laporan kasus. Health and Medical Journal, 5(1), 75–79.

International Diabetes Federation. (2023). IDF Diabetes Atlas update. International Diabetes Federation.

Kementerian Kesehatan Republik Indonesia. (2023). Survei Kesehatan Indonesia 2023. Kementerian Kesehatan RI.

McDermott, K., Fang, M., Boulton, A., Selvin, E., & Hicks, C. (2023). Etiology, epidemiology, and disparities in the burden of diabetic foot ulcers. Diabetes Care, 46(1), 209–221.

Normalia, N., Ismail, I., Musaidah, M., Palembai, A., & Andrianys, I. (2025). Efektivitas perawatan luka modern dressing dengan metode moist wound healing berbasis home care terhadap penyembuhan luka pada klien ulkus diabetik. Jurnal Berita Kesehatan, 18(2), 238–245.

Primadani, A. F., & Nurrahmantika, D. (2021). Proses penyembuhan luka kaki diabetik dengan perawatan luka metode moist wound healing. Ners Muda, 2(1), 9–15.

Putri, R. N., Deliana, M., & Pusparianda, D. (2024). Kadar glukosa darah, diet, dan terapi antihiperglikemia pada pasien Diabetes Mellitus dengan ulkus diabetikum yang dirawat di rumah sakit. Jurnal Ilmu dan Teknologi Kesehatan Terpadu, 4(2), 79–84.

Rahmasari, I., Musta'in, M. I., & AM, A. I. (2023). Pengaruh modern dressing terhadap grade luka pada pasien dengan ulkus diabetikum. Nursing Science Journal, 4(1), 95–102.

Rumah Sakit Bakti Timah Sungailiat. (2025). Laporan kasus. Rumah Sakit Bakti Timah Sungailiat.

Schaper, N. C., van Netten, J. J., Apelqvist, J., Bus, S., Fitridge, R., Game, F., & IWGDF Editorial Board. (2024). Practical guidelines on the prevention and management of diabetes-related foot disease (IWGDF 2023 update). Diabetes/Metabolism Research and Reviews, 40(3), e3657.

Setiyana, N., & Susilo, T. (2025). Pengelolaan gangguan integritas kulit dengan perawatan luka modern moist wound healing pada Ny. S dengan Diabetes Mellitus tipe II di RSJ Prof. Dr. Soerojo Magelang. Jurnal Informatika dan Kesehatan, 2(2), 79–88.

Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B. B., ... Magliano, D. J. (2022). IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Research and Clinical Practice, 183, 109119.

Takahashi, Y., Okura, K., Kaga, M., & Yoshioka, M. (2022). Effects of half-body and foot baths on peripheral circulation in healthy adult males: A pilot study. Journal of Physical Therapy Science, 34(10), 652–656.

World Health Organization. (2023). Global report on diabetes. World Health Organization.