Nurses’ Knowledge of Modern Wound Dressing in the Management of Diabetic Foot Ulcers

Background: Diabetic foot ulcer (DFU) represents one of the most debilitating complications of diabetes mellitus, often resulting in infection, gangrene, and amputation. Modern wound dressing, which maintains a moist healing environment, is increasingly used to accelerate granulation and epithelialization. However, the knowledge of nurses regarding modern dressing techniques remains inconsistent in developing countries, influencing wound healing outcomes. Objective: This study aimed to explore the level of knowledge among nurses regarding modern wound dressing in diabetic ulcer care at Andi Makkasau Regional Hospital, Parepare, Indonesia. Methods: A descriptive cross-sectional study was conducted from April to December 2025 involving 270 nurses selected through total sampling. Data were collected using a validated questionnaire (Cronbach’s α = 0.918) comprising 24 closed-ended items covering aspects of wound assessment, moisture balance, debridement, and infection control. Descriptive statistical analysis was used to determine the distribution of knowledge levels. Results: Among the 270 respondents, 68.9% demonstrated good knowledge of modern dressing, while 31.1% exhibited limited understanding. Areas with the highest correct responses included principles of moist wound healing (85%), proper wound cleansing solutions (NaCl 0.9%) (82%), and use of alginate dressings for exudative wounds (79%). Knowledge gaps were observed in identifying appropriate dressings for necrotic and ischemic wounds (42%). Conclusion: Most nurses demonstrated adequate knowledge of modern wound dressing in DFU management. Nevertheless, targeted training is needed to enhance understanding of wound staging and dressing selection in necrotic or infected wounds. Modern dressing’s molecular mechanism enhances fibroblast migration, collagen cross-linking, and angiogenesis, which collectively improve wound healing and reduce amputation rates.