Compression Therapy is a non-invasive application in the treatment of leg wounds. Bandage that is not done will cause lower leg edema when the swollen exudate is retained on the surface of the wound which will result in maceration of the skin around the wound, in cases of venous blood vessels there is a high risk of plasma leakage and venous thrombosis and cross infection of the factor. external so that healing can prolong the healing of diabetic foot wounds. Pressure dressings are implemented to improve the healing process of diabetic foot wounds which can stabilize venous pressure in the legs so that it can accelerate the circulation of blood vessels again, with a bandage pressure value . Objective: This study aims to determine how the effect of pressure dressing on the process of healing diabetic foot injuries. Methods: This study is a scooping review. Research sources were taken from several databases, with the keywords Compressions Bandage OR Diabetic Foot Ulcer OR ABI and Quantitative. From the PubMed, EBSCO, ProQuest and Elsevier databases found all 455,414 journals. Screening of all journals using PRISMA starting from identification, screening, eligibility and inclusion, obtained a whole database of 14 journals that meet the inclusion criteria. Result: The compression dressings have been shown to improve the healing process of diabetic foot wounds, improve venous blood flow, reduce leg edema and lower the ankle brachial index.
Background: Negative Pressure Wound Therapy (NPWT) is considered an effective treatment in facilitating the healing of chronic wounds. However, its effect remains inconsistent, which allows for further investigation. Objective: This study aimed to assess the effectiveness of the NPWT program in improving the management of chronic wound healing. Design: Systematic review and meta-analysis was used. Data Sources: The search strategy ranged from 2016 to 2021 in PubMed, CINAHL, ProQuest, and ScienceDirect. Review Methods: Risk of bias was done based on the Risk of Bias 2.0 guideline using RevMan 5.4.1, and meta-analysis was done using Jeffreys’s Amazing Statistics Program (JASP) software version 0.16.3. Critical appraisal of the included articles was done according to Joanna Briggs Institute’s (JBI) appraisal checklist. Results: A total of 15 articles were included, with 3,599 patients with chronic wounds. There was no publication bias in this study seen from the results of the Egger’s test value of 0.447 (p >0.05), symmetrical funnel plot, and fail-safe N of 137. However, heterogeneity among studies was present, with I2 value of 66.7%, Q = 41.663 (p <0.001); thus, Random Effect (RE) model was used. The RE model showed a significant positive effect of the NPWT on chronic wound healing, with z = 3.014, p = 0.003, 95% CI 0.085 to 0.400. The observed effects include decreased rate of surgical site infection, controlled inflammation, edema, and exudate, as well as increased tissue with varying forest plot size, as demonstrated by the small effect size (ES = 0.24, 95% CI -0.26 to 0.79, p <0.05). Conclusion: The analysis results show that the standard low pressure of 80-125 mmHg could improve microcirculation and accelerate the healing process of chronic wounds. Therefore, applying the NPWT program could be an alternative to nursing interventions. However, it should be carried out by competent wound nurses who carry out procedure steps, implement general patient care, and give tips on overcoming device problems and evaluation. PROSPERO registration number: CRD42022348457
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