The effectiveness of wound care in preventing infection risk in patients with distal radius fracture post-orif at RSUD Wates
Keywords:
fracture, infection risk, wound careAbstract
A fracture is defined as the disruption of the continuity of bone or cartilage structure, either completely or partially,
with distal radius fracture being one of the common types. Distal radius fractures are often referred to as wrist
fractures. Management of this fracture frequently requires surgical intervention, such as Open Reduction and
Internal Fixation (ORIF). Following ORIF, one of the significant concerns is the risk of infection, which can
impede the wound healing process, prolong hospitalization, and lead to more severe complications. One of the
measures to prevent infection risk is through effective wound care, which involves cleaning, treating, and dressing
the wound. This study aims to evaluate the effectiveness of wound care in preventing infection risk among patients
in the Menorer Lor Ward at RSUD (Regional General Hospital) Wates, specifically those diagnosed with distal
radius fracture post-ORIF. This research employed an observational case study design with a cross-sectional
approach, focusing on patients at risk of infection, particularly those with a medical diagnosis of right distal radius
fracture post-ORIF. Nursing care provided included wound care to prevent infection resulting from invasive
procedures, along with collaborative medication administration. The result indicated a reduction in pain levels,
with wounds appearing clean and moist, and no signs of infection such as redness, swelling, or purulent discharge.
Additionally, no necrotic tissue was observed. Wound care utilizing sterile techniques and standard operating
procedures has proven effective in preventing infection risk, as evidenced by significant improvements in wound
appearance, reduced pain, and the absence of infection or necrosis following the intervention.
References
Abduh, M., Ihza, B., & Tekwan, G. (2022). Characteristics of Digital Radius Fractures at Abdul Wahab
Sjahranie Regional Hospital, Samarinda, 2017-2019. Journal of Science and Health, 4(2), 161–
Arisdiani, T., & Arifin, N. (2024). The Role of Nurses in Wound Care in Medical-Surgical Patients:
Strategies and Best Practices. Journal of Nursing and Health Sciences, 1(2), 24–28.
Bustan, M., & P, DP (2023). Descriptive Study of Documentation of Mental Health Nursing Care by
Nurses at the Mental Hospital of Southeast Sulawesi Province. Nursing Journal 1, 6(3), 1–8.
Chairani, F., Puspitasari, I., & Asdie, RH (2019). Incidence and Risk Factors of Surgical Wound
Infections in Obstetrics and Gynecology Surgery in Hospitals. Journal of Management and
Pharmacy Practice, 9(4), 274. https://Doi.Org/10.22146/Jmpf.48024
Eric Winarno, & Chintami Octavia. (2025). Health Education on Nosocomial Infection Prevention at
Mitra Medika Tanjung Mulia Hospital. Jurnal Nusantara Berbakti, 3(1), 191–198.
https://Doi.Org/10.59024/Jnb.V3i1.577
Hidayanti, N. (2023). Nursing Care for Patient Mrs. N with a Medical Diagnosis of Post-Operative
Open Reduction Internal Fixation Close Fracture of Radius Ulna Sinistra Day 0 in Room C1
RSPA Dr. Ramelan Surabaya.
Jannah, M. (2022). Comparison of the Number of Bacterial Colonies in Preoperative and Postoperative
Open Fracture Patients Operations. 4(8/5/2017), 2003–2005.
Kartikasari, R., & Apriningrum, N. (2020). Determinants of Post-Caesarean Section Surgical Site
Infection (SSI). Faletehan Health Journal, 7(3), 162–169. https://Journal.LppmStikesfa.Ac.Id/Index.Php/Fhj/Article/Download/195/67/ Kawiyana, I., Astawa, P., Ridia, K.,
Dusak, I., Suyasa, I., Karna, M., & Aryana, I. (2020). Orthopedic Traumatology Guidebook. In
Paper Knowledge. Toward A Media History Of Documents (Vol. 7, Issue 2).
Mafruchati, M. (2024). Radial and Ulnar Metaphyseal and Articular Fractures, Joint Diseases (Wisnu
(Ed.); First). Zifatama Jawara.
Manalu, NFS, Olivia, N., & Syafrinanda, V. (2023). Nursing Care with Wound Care Actions in PostORIF Patients at Putri Hijau Class II Hospital, Medan. Sentri: Scientific Research Journal, 2(11),
–4592. https://Doi.Org/10.55681/Sentri.V2i11.1723
(Nita Paradila, Rosiana Nur Imallah – The effectiveness of wound care in preventing infection risk....) 703
Proceedings International Conference on Nursing Relateded to Palliative Care
Vol. 1 (2025): 21 November 2025
(Nita Paradila, Rosiana Nur Imallah – The effectiveness of wound care in preventing infection risk....) 704
Mina, W., & Isa, L. (2021). The Effect of Treatment Using 0.9% NaCl and Lavender Oil on Epsiotomy
Wound Healing. Jimpk: Student Scientific Journal & Research …, 1, 557–
Http://Www.Jurnal.Stikesnh.Ac.Id/Index.Php/Jimpk/Article/Download/630/617
Nadialista Kurniawan, RA (2021). Nursing Care for Mr. S with Post-Op Orif Right Cruris Fracture in
Baitussalam 2 Ward, Sultan Agung Islamic Hospital, Semarang. Industry and Higher Education,
(1), 1689–1699.
Http://Journal.Unilak.Ac.Id/Index.Php/Jieb/Article/View/3845%0ahttp://Dspace.Uc.Ac.Id/Handle
/123456789/1288
Nathania, J., Jaya, SS, & Yauwono, A. (2024). The Role of Topical Sucralfate in Reducing PostHemorrhoidectomy Pain. Cdk-328, 51(5), 288–291.
Noviyani, PSREP (2023). Post-Surgical Management in Cases of Open Segmental Cruris Fractures.
(4), 1275--1289.
Https://Www.Researchgate.Net/Publication/381100251_Hubungan_Motivasi_Ibu_Sukungan_Ke
luarga
a_Dan_Roan_Midwives_Terhadap_Kunjung_Postpartum_Di_Puskesmas_Maripari_Kabutaten_
Garut_Tahun_2023
Pramesti, LA, & Niam, S. (2025). Microorganisms Causing Nosocomial Infections and Risk Factors in
Intensive Care Patients: A Literature Review and Implications for Clinical Care. Prepotif: Journal
of Public Health, 9(1), 2246–2256. https://Doi.Org/10.31004/Prepotif.V9i1.44322
Putri Meliana, B., & Wahyu Setyo Budi, A. (2024). The Effect of Applying a Sprain and Deep Breathing
Relaxation on Reducing the Scale of Pain in Fracture Patients. Journal of Professional Nursing
Research, 6, 4–4.Http://Jurnal.Globalhealthsciencegroup.Com/Index.Php/Jppp
Radja, MLM, & Muskananfola, IL (2025). Correlation of Nurses' Knowledge and Compliance in
Postoperative Wound Care. Suaka Insan Nursing Journal (Jksi), 10(1), 53–59.
https://Doi.Org/10.51143/Jksi.V10i1.779
Rizal, LK (2021). Stages of Assessment in the Nursing Process. Indonesian Nursing Journal, 20(2), 35.
Safitri, R. (2019). Nursing Implementation as a Form of Nursing Planning to Improve Client Health
Status.
Sakdiyah, H., Rohmah, DN, Kristinawati, B., & Hartono, S. (2024). Application of Honey Wraps to the
Healing Process of Open Femur Wounds. 10(2), 2017–2020.
Sandra, R., Morika, HD, & Anggraini, SS (2022). Postoperative Wound Care in the Surgical Room of
Reksodiwiryo Hospital, Padang. Jurnal Abdimas Saintik, 4(2), 175–177.
Saputra, B., Batalipu, KH, Widayanti, LS, Gusti, N., Ardianti, A., Mbeo, N., Sintia, NA, Samad, PN,
Amas, PK, Luka, P., & Healing, MW (2024). Wound Care Education Using the Moist Wound
Healing Method in the Saluraya Hamlet Community. Journal of Community Service, 5(4), 7973–
Sari, DP, & Soebyakto, BB (2023). Nursing Care in Post-Operative Wound Management. Journal of
Health Akper Kesdam, 12(1), 14–27.
Setyowati, B., & Wirawati, MK (2020). Application of Wound Care Using the Moist Wound Healing
Method in Type 2 Diabetic Patients. Pharmacoeconomics: Theory and Practice, 5(1), 84–84.
https://Doi.Org/10.30809/Phe.1.2017.21
Shabrina, A., Lubis, P., & Wintoko, R. (2024). Helmi Ismunandar, Indri Windarti | Medullary Surgical
Site Infection | Volume 14 | Number 2 | February 14(Cdc), 213.
Sianturi, WA (2021). Diagnosis in Nursing. Scientific Journal of Health 2021, 21(1).
Susanti, N., & Rindang Trie Damayanti. (2023). Physiotherapy Management of Post-Op Left Distal
Radius 13 Fracture with Infrared (Ir) Modalities and Exercise Therapy. Muhammadiyah
Physiotherapy Scientific Journal, 3(I), 18–27.
Ummah, MS (2019a). Application of Modern Hydrocolloid Dressing to Postoperative Wound Care of
Femur Orif in Teratai Room 2, Kartini Regional Hospital, Karanganyar. Sustainability
(Switzerland), 11(1), 1–14. H ttp : / / S cioteca . C af . C om / B itstream / H andle / 1 2 3 4 5 6 7
9 / 1 0 9 1 / R ed 2 0 1 7 - E ng -
ene.Pdf?Sequence=12&Isallowed=Y%0ahttp://Dx.Doi.Org/10.1016/J.Regsciurbeco.2008.06.00
%0ahttps://Www.Researchgate.Net/Publication/305320484_sistem_Pembetungan_Terbesar_Str
ategi_Mel estari
Proceedings International Conference on Nursing Relateded to Palliative Care
Vol. 1 (2025): 21 November 2025
Ummah, MS (2019b). Nursing Process: A Theoretical and Practical Approach. In Sustainability
(Switzerland) (Vol. 11, Issue
.http://Scioteca.Caf.Com/Bitstream/Handle/123456789/1091/Red2017-Eng-
ene.Pdf?Sequence=12&Isallowed=Y%0ahttp://Dx.Doi.Org/10.1016/J.Regsciurbeco.2008.06.00
%0ahttps://Www.Researchgate.Net/Publication/305320484_sistem_Pembetungan_Terbesar_Str
ategi_Mel estari
Windyastuti, Widyastuti, N., & Kustriyani, M. (2022). The Relationship between Compliance with SixStep, Five-Moment Handwashing and the Incidence of Nosocomial Infections in the Ward. 118–
Yadnya, IGNK, & Wijaya, IMAS (2022). Epidemiology and Therapy of Colles' Fractures. Ganesha
Medicine, 2(1), 9–15. https://Doi.Org/10.23887/Gm.V2i1.47041
Yanti, DAM, Anggraini, S., & Yatmi, S. (2021). The Relationship between Sterile Wound Care
Techniques and Post-Cesarean Section Infections. Panca Bhakti Lampung Health Journal, 9(2),
–91. https://Doi.Org/10.47218/Jkpbl.V9ino
Yanto, A. (2023). Nursing Research Data Analysis for Basic and Advanced Levels (Vol. 19, Issue 5).