Effectiveness of Hedon (Heel Donut) as an Effort to Prevent Pressure Ulcers on the Calcaneal of Tractioned Patients

  • Ikrima Rahmasari Universitas Duta Bangsa Surakarta
  • Endrat Kartiko Utomo Universitas Duta Bangsa Surakarta
  • Ilyas Syafiq Darul Ridzuan University Kuala Lumpur
  • Sukini Sukini Ortopedi Prof. Dr. Soeharso Surakarta Hospital
Keywords: hedon (heel donut), pressure ulcer, skeletal traction

Abstract

Fracture is a condition where the continuity of bone tissue and/or cartilage is completely or partially broken, caused by force trauma or osteoporosis. Fracture management includes conservative measures and surgical procedures. Conservative measures given include plaster casts, splints, skin traction, bone traction, as well as repairs by manipulation and repositioning to a position close to normal. One of the impacts of installing skeletal traction is pressure ulcers. Pressure ulcers are a problem that often occurs in prominent bony areas such as the heel (calcaneal). Objective: patients who are installed in skeletal traction. Method: using pre-experimental methods with One-group pre-post test design techniques. Results: Based on the occurrence of pressure ulcers before being given the heel donut, there were 8 patients who did not experience pressure ulcers with a percentage of 57.1% and 6 patients who experienced stage 1 pressure ulcers, 42.8%. After being given the heel donut, 14 patients did not experience pressure ulcers with a percentage of 100% and no respondents experienced stage 1 pressure ulcers after being given the heel donut. Conclusions: Hedon (heel donut) is effective in preventing pressure ulcers in the calcaneal of patients who are installed in skeletal traction.

References

Al Kharabsheh, M., Alrimawi, R., Al Assaf, R., Saleh, M. 2014. Exploring Nurses’ Knowledge and Perceived Barriers to Carry Out Pressure Ulcer Prevention and Treatment, Documentation, and Risk Assesment. American International. Journal of Contemporary Research, 4(4), 112 – 119

Kozier 2010. Buku Ajar Fundamental Keperawatan: Konsep, Proses dan Praktik. (Ed.7). Jakarta : Penerbit Buku Kedokteran EGC

Ningsih, Nurma & Lukman. 2011. Asuhan Keperawatan pada Klien dengan Gangguan Sistem Muskuloskeletal. Jakarta : Salemba Medika

Potter & Perry. 2016. Fundamental Of Nursing: Fundamental Keperawatan (Ed.7). Jakarta : Salemba Medika.

Noorisa R, Apriliwati D, Aziz A, Bayusentono S. The characteristics of patients with femoral fracture in Department of Orthopaedic and Traumatology RSUD Dr. Soetomo Surabaya 2013-2016. (2017). Journal of Orthopaedic & Traumatology Surabaya. 6(1):1-11.

Gusty, R.P dan Armayanti. (2014). Pemberian Latihan Rentang Gerak terhadap Fleksibilitas Sendi Anggota Gerak Bawah Pasien Fraktur Femur Terpasang Fiksasi Interna di RSUP Dr. M. Djamil Padang. Jurnal Vol 10 No 1. Diakses pada tanggal 26 Oktober 2023.

Marison, M.J. (2014). Manajemen Luka. Penerbit Buku Kedokteran : EGC.

Suratun & Heryati. (2018). Klien Gangguan Sistem Muskuloskeletal : Seri Asuhan Keperawatan. Jakarta : EGC.

AHCPR (1994) dalam Dewandono (2014). (2014). Treatment Of Pressure Ulcers Clinical Practice Guideline. No. 15. AHCPR. Publicaton number 95-0652. Rockville, MD: Agency For Healthy Care Policy And Research.

Dewandono. (2014). Asuhan Keperawatan Medikal Bedah Penyakit Dalam. Yogyakarta : Nuha Medika Evelyn C.

Perwiraputra RD, Priambodo A, Julianti HP. Hubungan Jenis Total Hip Arthroplasty Terhadap Derajat Fungsional Panggul dan Kualitas Hidup pada Pasien Fraktur Collum Femoris. (2017) Jurnal Kedokteran Diponegoro. 2017 April; 6(2):1116-25.

NPUAP. (2014). Prevention And Treatment Of Pressure Ulcer : Quick Reference Guide. First edition 2009. National Pressure Ulcer Advisory Panel;20- 26.

Smeltzer, S. C., & Bare, B. G. (2016). Buku Ajar Keperawatan Medikal Bedah. Jakarta: EGC.

Published
2024-03-01
How to Cite
Rahmasari, I., Utomo, E. K., Ridzuan, I. S. D., & Sukini, S. (2024). Effectiveness of Hedon (Heel Donut) as an Effort to Prevent Pressure Ulcers on the Calcaneal of Tractioned Patients. Proceedings of the International Conference on Nursing and Health Sciences, 5(1), 141-146. https://doi.org/10.37287/picnhs.v5i1.2855