High-protein nutritional intake to accelerate the wound healing after laparotomy surgery
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Abstract
Post-laparotomy wound healing heavily relies on nutritional intake, especially protein, which is vital for tissue regeneration and immune function. However, a lack of understanding and prevailing myths often hinders adequate dietary provision, even though research shows good nutrition accelerates healing and reduces complications like surgical site infections (SSIs). Data from KRT. Setjonegoro General Hospital Wonosobo indicates a need to evaluate the implementation of high-protein nutritional intake to accelerate post-laparotomy wound healing. This study aims to describe the application of high-protein nutritional intake in accelerating the wound healing process following laparotomy surgery in the Bougenvil Ward of KRT. Setjonegoro General Hospital Wonosobo. This case study utilized a nursing process approach with one adult post-laparotomy patients as subjects in the Bougenvil Ward of KRT. Setjonegoro General Hospital Wonosobo. Samples were selected via accidental sampling. Data collection involved interviews, observation, and medical record documentation. Data analysis was descriptive and narrative. Patient Mrs. W, 37 years old, post-laparotomy, presented with a 16 cm wound with 50% granulation and <80% epithelialization, and pain score of 7. Interventions included sterile wound care, high-protein nutrition (eggs, milk, fruit), education, and antibiotics. After 4 days of implementation, pain decreased from a score of 7 to 4, wound epithelialization increased (>75%), exudate reduced, and nutritional intake improved. However, granulation remained stagnant at 50% and stiffness persisted, indicating that healing was not yet fully optimal. The application of nursing care and high-protein nutritional intake effectively supported post-laparotomy wound recovery, characterized by reduced pain and increased epithelialization. Nevertheless, the granulation process requires consistent nutritional support from the outset for optimal healing.
Keywords: Clinical practice, high protein nutrition, laparotomy, surgical nursing, wound healing
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