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Prevention Strategy for Ulcer Recurrence in Patients with Type II Diabetes Mellitus: A Quasi-Experimental Study
Suriadi1,2, Kharisma Pratama1, Jerry Fahrain1
1Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak, Indonesia.
Iranian Journal of Nursing and Midwifery Research
|June 19, 2023
Summary
A comprehensive prevention strategy significantly reduced diabetic ulcer recurrence. This approach combined regular examinations, foot care, and patient education, offering a promising method for managing diabetes mellitus complications.
Area of Science:
- Diabetology
- Vascular Medicine
- Preventive Healthcare
Background:
- Diabetic ulcers pose a significant challenge due to high recurrence rates.
- Existing prevention strategies for diabetic ulcer recurrence lack proven effectiveness.
- This study addresses the need for an effective intervention to reduce diabetic ulcer recurrence.
Purpose of the Study:
- To evaluate the effectiveness of a multifaceted prevention strategy in reducing ulcer recurrence among patients with Diabetes Mellitus (DM).
- To compare outcomes between an intervention group receiving specialized care and a control group receiving standard DM management.
Main Methods:
- A quasi-experimental study involving 60 participants with type 2 Diabetes Mellitus.
- Intervention group received examination, assessment, foot care, and an educational program.
- Control group received standard care based on Indonesian DM management guidelines.
Main Results:
- The intervention group demonstrated a lower recurrence rate (13.30%) compared to the control group (33.30%).
- Prevalence of neuropathy and foot deformities was high in both groups, with no significant baseline differences.
- No significant differences were observed in age, ankle-brachial index, or HbA1C between the groups.
Conclusions:
- A combined strategy of examination, assessment, foot care, and education is effective in preventing diabetic ulcer recurrence.
- This approach offers a viable method to improve outcomes for diabetic patients at risk of foot ulcers.
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