The Influence Of Diabetic Ulcus Treatment Methods With Larva Therapy On The Healing Process Of Diabetic Ulcus In Patients Post-Hospital Treatment

Abstract

Diabetic ulcers are a complication of diabetes mellitus. Diabetic ulcers tend to be chronic and difficult to treat because the patient has metabolic disorders. Larvae therapy is an alternative treatment for diabetic ulcers because larvae can eat necrotic tissue while larval enzymes increase granulation tissue. This study aims to determine the effect of treating diabetic ulcers with larval therapy on the healing process of diabetic ulcers in patients with diabetes mellitus at Wisma Rini Pringsewu General Hospital, Lampung.

This study uses a pre-experimental design with a pre-post test without control. The sample of this study were patients with grade 3-5 diabetic ulcers and was willing to be respondents. The number of pieces is 20 people with the Simple Random Sampling technique. The study was conducted in June 2020 using larval therapy for 12-14 days. Data analysis using Paired T-test

The results of the study obtained an average age of 56.7 (7.34) years; most of the respondents were female (55%), most of the respondents worked (70%), while the rest did not work 30%. The average score of injuries was 51,7 (2.17) before the study, and the average wound score after the study was 30.7 (1.74). Statistical test results obtained a p-value of 0.000, which means that there is an effect of treating diabetic ulcers with larval therapy on the healing process of diabetic ulcers in patients with diabetes mellitus at Wisma Rini Pringsewu General Hospital, Lampung. The conclusion is that there is an effect of treating diabetic ulcers with larval therapy on the healing process of diabetic ulcers; larval therapy can be an alternative for wound healing in patients with diabetes mellitus who have diabetic ulcers.