Effectiveness of Banana Leaves (Musa Paradisiaca L) as A Bandage for Healing Diabetes Wounds
Abstract
Diabetes mellitus is a chronic degenerative disease characterized by increased blood glucose levels that exceed normal limits. Complications often experienced by patients with diabetes mellitus are wounds. Wounds that are difficult to heal can result in amputation. Banana leaves have antioxidant activity and biological functions including anti-diabetic and have been proven to be a source of bioactive compounds that function to stop or inhibit the growth of bacteria and fungi that can cause infection in wound tissue. Objective: to analyze the effectiveness of banana leaves as a dressing in the wound healing process in diabetic patients. The study was a quasi-experiment with a pre-post control design. Thirty-two were applied in this study, 16 were intervention group and 16 were control group. Data were collected using the Bates-Jensen Wound Assessment Tool and analyzed using the Wilcoxon signed-rank test. There is a significant difference in wound healing in the intervention group before and after the use of banana leaves as a dressing (p<0.001). The results of this study can be a basis for nurses in applying or implementing banana leaves as wound dressings for the healing process of diabetic wounds, both chronic and acute wounds, and these results can support nurses in carrying out independent nursing care.
References
Ahmad, F. & Joshi, S. H. (2023). Self-Care Practices and Their Role in the Control of Diabetes: A Narrative Review. Cureus, 15(7). https://doi.org/10.7759/cureus.41409
Akkus, G. & Sert, M. (2022). Diabetic foot ulcers: A devastating complication of diabetes mellitus continues non-stop in spite of new medical treatment modalities. World Journal of Diabetes, 13(12), 1106–1121. https://doi.org/10.4239/wjd.v13.i12.1106
Alligood, M. R. (2014). Nursing Theorist and Their Work (8th ed.). St. Louis, Missouri: Elsevier Mosby.
Antar, S. A., Ashour, N. A., Sharaky, M., Khattab, M., Ashour, N. A., Zaid, R. T., Roh, E. J., Elkamhawy, A. & Al-Karmalawy, A. A. (2023). Diabetes mellitus: Classification, mediators, and complications; A gate to identify potential targets for the development of new effective treatments. Biomedicine and Pharmacotherapy, 168, 115734. https://doi.org/10.1016/j.biopha.2023.115734
Asbaningsih, F. (2014). Uji kesesuaian antara perbandingan instrumen skala wagner dan bates jensen dalam evaluasi derajat kesembuhan luka pada pasien ulkus diabetikum. Universitas Indonesia.
Burgess, J. L., Wyant, W. A., Abujamra, B. A., Kirsner, R. S. & Jozic, I. (2021). Diabetic Wound-Healing Science. Medicine, 57, 2–24.
Chendake, S., Kale, T., Manavadaria, Y. & Motimath, A. S. (2021). Evaluation of Banana Leaves (Musa paradisiaca) as an Alternative Wound Dressing Material Compared to Conventional Petroleum Jelly Gauze Dressing in Contused, Lacerated and Sutured Wounds Over the Head, Neck and Face Region. Cureus, 13(10). https://doi.org/10.7759/cureus.18552
Cheng, Y. Z., Liu, I. M., Cheng, J. T., Lin, B. S. & Liu, F. (2024). Wound healing is promoted by Musa paradisiaca (banana) extract in diabetic rats. Archives of Medical Science, 20(2), 632–640. https://doi.org/10.5114/aoms.2020.92344
Ciarambino, T., Crispino, P., Leto, G., Mastrolorenzo, E., Para, O. & Giordano, M. (2022). Influence of Gender in Diabetes Mellitus and Its Complication. International Journal of Molecular Sciences, 23(16), 1–13. https://doi.org/10.3390/ijms23168850
Dilworth, L., Facey, A. & Omoruyi, F. (2021). Diabetes mellitus and its metabolic complications: The role of adipose tissues. International Journal of Molecular Sciences, 22(14). https://doi.org/10.3390/ijms22147644
Ismah, Z., Nst, C. C., Wahidah, Novita, E. & Susanti, N. (2022). Screening of Diabetes Mellitus and Physical Activity Analysis: A Stepwise WHO Approach. Unnes Journal of Public Health, 11(2), 116–124. https://doi.org/10.15294/ujph.v11i2.43809
Jouneghani, R. S., Castro, A. H. F., Panda, S. K., Swennen, R. & Luyten, W. (2020). Antimicrobial activity of selected banana cultivars against important human pathogens, including candida biofilm. Foods, 9(4). https://doi.org/10.3390/foods9040435
Khoerunisa, M. (2019). Validitas Format Pengkajian Luka “TIME” Modifikasi Bates-Jensen Metode Cheklist Pada Perawat di Puskesmas 1 Sokaraja 1 Cilongok dan Puskesmas 1 Wangon. Universitas Muhammadiyah Purwokerto.
Kumari, P., Gaur, S. S. & Tiwari, R. K. (2023). Banana and its by‐products: A comprehensive review on its nutritional composition and pharmacological benefits. EFood, 4(5), e110. https://doi.org/https://doi.org/10.1002/efd2.110
Luna, R., Talanki Manjunatha, R., Bollu, B., Jhaveri, S., Avanthika, C., Reddy, N., Saha, T. & Gandhi, F. (2021). A Comprehensive Review of Neuronal Changes in Diabetics. Cureus, 13(10). https://doi.org/10.7759/cureus.19142
Mansour, A., Mousa, M., Abdelmannan, D., Tay, G., Hassoun, A. & Alsafar, H. (2023). Microvascular and macrovascular complications of type 2 diabetes mellitus: Exome wide association analyses. Frontiers in Endocrinology, 14(March), 1–11. https://doi.org/10.3389/fendo.2023.1143067
Markovič, R., Grubelnik, V., Vošner, H. B., Kokol, P., Završnik, M., Janša, K., Zupet, M., Završnik, J. & Marhl, M. (2022). Age-Related Changes in Lipid and Glucose Levels Associated with Drug Use and Mortality: An Observational Study. Journal of Personalized Medicine, 12(2), 1–18. https://doi.org/10.3390/jpm12020280
Modarresi, M., Gholami, S., Habibi, P. & Ghadiri-Anari, A. (2020). Relationship between Self Care Management with Glycemic Control in Type 2 Diabetic Patients. International Journal of Preventive Medicine, 11, 127. https://doi.org/10.4103/ijpvm.IJPVM
Nugroho, P. S. & Musdalifah. (2020). Hubungan Jenis Kelamin dan Tingkat Ekonomi dengan Kejadian Diabetes Melitus di Wilayah Kerja Puskesmas Palaran Kota Samarinda Tahun 2019. Borneo Student Research (BSR), 1(2), 2020. https://journals.umkt.ac.id/index.php/bsr/article/view/483
Ojo, O. A., Ibrahim, H. S., Rotimi, D. E., Ogunlakin, A. D. & Ojo, A. B. (2023). Diabetes mellitus: From molecular mechanism to pathophysiology and pharmacology. Medicine in Novel Technology and Devices, 19(February), 100247. https://doi.org/10.1016/j.medntd.2023.100247
Oktora, S. I. & Butar, D. B. (2022). Determinants of Diabetes Mellitus Prevalence in Indonesia. Kemas, 18(2), 266–273. https://doi.org/10.15294/kemas.v18i2.31880
Pang, Q., Yang, F., Jiang, Z., Wu, K., Hou, R. & Zhu, Y. (2023). Smart wound dressing for advanced wound management: Real-time monitoring and on-demand treatment. Materials and Design, 229, 111917. https://doi.org/10.1016/j.matdes.2023.111917
Perveen, W., Ahsan, H., Rameen Shahzad, Fayyaz, S., Zaif, A., Paracha, M. A., Nuhmani, S., Khan, M. & Alghadir, A. H. (2024). Prevalence of peripheral neuropathy, amputation, and quality of life in patients with diabetes mellitus. Scientific Reports, 14(1), 1–10. https://doi.org/10.1038/s41598-024-65495-2
Shamsudin, N. F., Ahmed, Q. U., Mahmood, S., Shah, S. A. A., Khatib, A., Mukhtar, S., Alsharif, M. A., Parveen, H. & Zakaria, Z. A. (2022). Antibacterial Effects of Flavonoids and Their Structure-Activity Relationship Study: A Comparative Interpretation. Molecules, 27(4). https://doi.org/10.3390/molecules27041149
Singh, T., Singh, P., Pandey, V. K., Singh, R. & Dar, A. H. (2023). A literature review on bioactive properties of betel leaf (Piper betel L.) and its applications in food industry. Food Chemistry Advances, 3(November), 100536. https://doi.org/10.1016/j.focha.2023.100536
Sugandh, F., Chandio, M., Raveena, F., Kumar, L., Karishma, F., Khuwaja, S., Memon, U. A., Bai, K., Kashif, M., Varrassi, G., Khatri, M. & Kumar, S. (2023). Advances in the Management of Diabetes Mellitus: A Focus on Personalized Medicine. Cureus, 15(8). https://doi.org/10.7759/cureus.43697
Widoyanti, A. A. E., Chaikong, K., Rangsinth, P., Saengratwatchara, P., Leung, G. P. H. & Prasansuklab, A. (2023). Valorization of Nam Wah Banana (Musa paradisiaca L.) Byproducts as a Source of Bioactive Compounds with Antioxidant and Anti-inflammatory Properties: In Vitro and In Silico Studies. Foods, 12(21). https://doi.org/10.3390/foods12213955
Zulkefli, N., Che Zahari, C. N. M., Sayuti, N. H., Kamarudin, A. A., Saad, N., Hamezah, H. S., Bunawan, H., Baharum, S. N., Mediani, A., Ahmed, Q. U., Ismail, A. F. H. & Sarian, M. N. (2023). Flavonoids as Potential Wound-Healing Molecules: Emphasis on Pathways Perspective. International Journal of Molecular Sciences, 24(5). https://doi.org/10.3390/ijms24054607.
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