PENGARUH ANKLE BRACHIAL INDEKS (ABI) DAN TERAPI KOMPRESI TERHADAP PROSES PENYEMBUHAN ULKUS KAKI DIABETIK

Background: Compression therapy is a non-invasive application in the treatment of lower leg wounds. Compression therapy that is not performed on Diabetic Foot Ulcer (DFU) patients will cause lower leg edema if the swollen exudate is retained on the wound surface which will result in maceration of the skin around the wound, in the case of veins there is a high risk of plasma leakage and venous thrombosis and cross infection factor. externally to prolong the healing of diabetic foot ulcers. Ankle-brachial index (ABI) examination is applied to determine the degree of severity of leg vein disorders. ABI and compression therapy improves the healing process of diabetic foot wounds which can stabilize venous pressure in the legs, accelerate the circulation of blood vessels so that the healing process of diabetic foot ulcers increases. Objectives: To determine the effect of pressure bandage therapy on the healing process of diabetic foot ulcers. Method: Quasi-experiment with a pretest-posttest form with control group design with purposive sampling and nonequivalent control group for 8 weeks or 16x DFU treatments. Participants at the wound care clinic Griya Husada Center, Global Indonesia Health Care, and Wound Center Madura province east java from December 2020 to February 2021. Inclusion criteria were patients diagnosed with diabetic foot ulcers with Pheryperal Artery Disease problems, diabetic foot ulcer patients aged> 18 years, the patient underwent wound care every 3 days, the ABI examination value was 0.6 - 1.3 mmHg, the intervention group received compression therapy and the control group was applied gauze for 16 treatments with statistical analysis using SPSS. Results: Healing of diabetic foot ulcers with ABI examination and administration of compression therapy proved that there was an increase in blood vessel flow and a decrease in the score for diabetic foot ulcers in the third week compared to the control group, which increased in the fifth week of good circulation of blood vessels to improve the healing process of diabetic foot ulcers.