Pengalaman Perawat Dalam Melakukan Perawatan Luka Diabetik Selama Pademi COVID-19

Rini Debora Silalahi(1*), Jenny Marlindawani Purba(2),

(1) Universitas Sumatera Utara
(2) Universitas Sumatera Utara
(*) Corresponding Author
DOI: https://doi.org/10.23917/bik.v15i1.17110

Abstract

 Pandemi COVID-19 menghambat praktik perawatan luka kaki diabetik sehingga dibutuhkan strategi baru yang aman untuk kelanjutan praktik klinis perawatan luka kaki diabetik selama pandemi COVID-19 agar perawatan luka tetap berlanjut. Pemberian perawatan dimodifikasi untuk untuk mencegah penyebaran COVID-19 dan mencegah resiko ulserasi kaki yang mengakibatkan infeksi lebih berat. Tujuan dari penelitian ini adalah untuk mengeksplorasi pengalaman perawatan luka sebelum dan selama pandemi COVID-19 di Kota Medan. Metode yang digunakan dalam penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Pengambilan sampel menggunakan purposive sampling, yaitu 10 perawat luka. Adapun kriteria inklusi dalam penelitian meliputi perawat luka tersertifikasi CWCCA, Perawat dengan lulusan Ners, berpengalaman minimal 1 tahun dan bekerja di klinik perawatan luka selama pandemi COVID-19.  Penelitian dilakukan di salah satu klinik perawatan luka di kota Medan. Hasil wawancara direkam terlebih dahulu, selanjutnya ditranskrip. Penelitian dianalisis dengan metode analisis Colaizzi. Hasil dari proses analisis tematik dalam penelitian ini didapatkan 6 tema, yaitu:  kecemasan menghadapi pandemi COVID-19, dampak pandemi COVID-19 terhadap perawatan luka, hambatan perawatan luka di masa pandemi, strategi perawatan luka di masa pandemi, mekanisme koping perawat menghadapi pandemi, dan 6) dukungan sosial yang diperoleh perawat selama pandemi. Adapun kesimpulannya yaitu terjadi penundaan perawatan luka kaki diabetik akibat adanya pandemi COVID-19 sehingga menyebabkan jumlah kunjungan pasien luka kaki diabetik menurun dan mempengaruhi jumlah pendapatan perawat yang berkurang di masa pandemi COVID-19.

Keywords

perawat, COVID-19, pengamalan, luka diabetik

Full Text:

PDF

References

Alnazly, E., Khraisat, O. M., Al-Bashaireh, A. M., & Bryant, C. L. (2021). Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PLoS ONE, 16(3 March). https://doi.org/10.1371/journal.pone.0247679

Atay, S., & Cura, Ş. Ü. (2020). Problems Encountered by Nurses Due to the Use of Personal Protective Equipment During the Coronavirus Pandemic: Results of a Survey. Wound Management & Prevention, 66(10), 12–16. https://doi.org/10.25270/wmp.2020.10.1216

Atkin, L., Géri, C., Horch, R. E., & Lázaro Martínez, J. L. (2021). Clinician expectations in wound care during the COVID-19 pandemic: March 2020 to January 2021. Wounds International, 12(2), 69–73. https://rosalindfranklin.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=150428667&site=ehost-live&scope=site

Atri, A., Kocherlakota, C. M., & Dasgupta, R. (2020). Managing diabetic foot in times of COVID-19: time to put the best ‘foot’ forward. International Journal of Diabetes in Developing Countries, 40(3), 321–328. https://doi.org/10.1007/s13410-020-00866-9

Black, J. (2020). COVID-19 and wound care in the US. Wounds International, 11(2), 6–7. http://ezproxy.lib.ryerson.ca/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=143369194&site=ehost-live

Bondini, C. M., Sage, S., Wilson, B. P., Hall, M. R., & Wallis, E. A. R. (2020). Modified telehealth for care of chronic wounds during the Coronavirus disease 2019 pandemic: A rapid literature review of alternative care modalities. International Wound Journal, 17(6), 1960–1967. https://doi.org/10.1111/iwj.13488

Bouillet Benjamin, P. J. M. (2020). Impact of the COVID‐19 Epidemic.pdf.

Caruso, P., Longo, M., Signoriello, S., Gicchino, M., Maiorino, M. I., Bellastella, G., Chiodini, P., & Dario Giugliano, and K. E. (2020). Diabetic Foot Problems During the COVID-19 Pandemic in a Tertiary Care Center: The Emergency Among the Emergencies. American Diabetes Association, 43(October), 123–125. https://doi.org/10.7547/20-051

Chen, S. C., Lai, Y. H., & Tsay, S. L. (2020). Nursing perspectives on the impacts of COVID-19. Journal of Nursing Research, 28(3), 1–5. https://doi.org/10.1097/NRJ.0000000000000389

Ersin, F., Havlioglu, S., & Gur, S. C. (n.d.). Mental well‐being and social support perceptions of nurses.pdf.

Fan, J., Jiang, Y., Hu, K., Chen, X., Xu, Q., Qi, Y., Yin, H., Gou, X., & Liang, S. (2020). Barriers to using personal protective equipment by healthcare staff during the COVID-19 outbreak in China. Medicine, 99(48), e23310. https://doi.org/10.1097/MD.0000000000023310

Kamran, A., Malekpour, A., & Naeim, M. (2021). The psychological impact of covid-19 outbreak on nurses working in iran. Addictive Disorders and Their Treatment. https://doi.org/10.1097/ADT.0000000000000269

Mills, E. C., Savage, E., Lieder, J., & Chiu, E. S. (2020). Telemedicine and the COVID-19 Pandemic: Are We Ready to Go Live? Advances in Skin and Wound Care, 33(8), 410–417. https://doi.org/10.1097/01.ASW.0000669916.01793.93

Milne, J., Searle, R., & Styche, T. (2020). The characteristics and impact of hard-to-heal wounds: Results of a standardised survey. Journal of Wound Care, 29(5), 282–288. https://doi.org/10.12968/jowc.2020.29.5.282

Najafi, B. (2020). Post the Pandemic: How will COVID-19 Transform Diabetic Foot Disease Management? Journal of Diabetes Science and Technology, 14(4), 764–766. https://doi.org/10.1177/1932296820930290

Oropallo, A., Lantis, J., Martin, A., Rubaiay, A. Al, & Wang, N. (2021). Wound care during the COVID-19 pandemic: Improving outcomes through the integration of telemedicine. Journal of Wound Care, 30(2), S12–S17. https://doi.org/10.12968/jowc.2021.30.sup2.s12

Polit, Denise F, Beck, C. T. (2018). Essentials of Nursing Research Appraising Evidence for Nursing Practice. In Journal of Materials Processing Technology (Ninth edit, Vol. 1, Issue 1). Wolters Kluwer Health. http://dx.doi.org/10.1016/j.cirp.2016.06.001%0Ahttp://dx.doi.org/10.1016/j.powtec.2016.12.055%0Ahttps://doi.org/10.1016/j.ijfatigue.2019.02.006%0Ahttps://doi.org/10.1016/j.matlet.2019.04.024%0Ahttps://doi.org/10.1016/j.matlet.2019.127252%0Ahttp://dx.doi.o

Que, J., Shi, L., Deng, J., Liu, J., Zhang, L., Wu, S., Gong, Y., Huang, W., Yuan, K., Yan, W., Sun, Y., Ran, M., Bao, Y., & Lu, L. (2020). Psychological impact of the covid-19 pandemic on healthcare workers: A cross-sectional study in China. General Psychiatry, 33(3), 1–12. https://doi.org/10.1136/gpsych-2020-100259

Rajesh Kesavan, Narayana Murthy, Ashu Rastogi4, A. B. (2020). Guidance for Diabetic Foot Management during COVID‑19 Pandemic. Journal of Endovascular Surgery, 5(2), 2017–2019. https://doi.org/10.4103/ijves.ijves

Robinson, R., & Stinson, C. K. (2021). The Lived Experiences of Nurses Working During the COVID-19 Pandemic. Dimensions of Critical Care Nursing : DCCN, 40(3), 156–163. https://doi.org/10.1097/DCC.0000000000000481

Shin, L., Bowling, F. L., Armstrong, D. G., & Boulton, A. J. M. (2020). Saving the diabetic foot during the COVID-19 pandemic: A tale of two cities. Diabetes Care, 43(8), 1704–1709. https://doi.org/10.2337/dc20-1176

Smeltzer, C, S., G, B., Bare, J. L., Hinkle, H, K., & Cheever. (2010). Brunner & Suddarth’s Textbook of Surgical Medical Nursing. In : Hilarie Surrena (Ed.), Lippincott Williams & Wilkins (Twelfth Ed, Vol. 75, Issue 3). Lippincott-Raven Publishers. https://doi.org/10.1016/s0920-5632(99)00316-3

Tatsuno, J., Unoki, T., Sakuramoto, H., & Hamamoto, M. (2021). Effects of social support on mental health for critical care nurses during the coronavirus disease 2019 (COVID‐19) pandemic in Japan: A web‐based cross‐sectional study. Acute Medicine & Surgery, 8(1), 1–7. https://doi.org/10.1002/ams2.645

Tinelli, G., Sica, S., Guarnera, G., Pitocco, D., & Tshomba, Y. (2020). Wound Care during COVID-19 Pandemic. Annals of Vascular Surgery, 68, 93–94. https://doi.org/10.1016/j.avsg.2020.06.044

Urbančič-Rovan, V. (2020). Diabetic Foot Care Before and During the COVID-19 Epidemic: What Really Matters? Diabetes Care, 44(October 2020), dc202650. https://doi.org/10.2337/dc20-2650

Varga, M. A., & Holloway, S. L. (2016). The lived experience of the wound care nurse in caring for patients with pressure ulcers. International Wound Journal, 13(2), 243–251. https://doi.org/10.1111/iwj.12279

Article Metrics

Abstract view(s): 241 time(s)
PDF: 394 time(s)

Refbacks

  • There are currently no refbacks.