The Validity and Efficacy of a Preventative Intervention Model for Reducing Ulcer Recurrence in Diabetic Patients in Indonesia

INTRODUCTION: It is important to reduce foot problems by preventing the recurrence of ulcers in diabetes mellitus (DM) patients. In Indonesia, interventions for the prevention of ulcer recurrence remain scarce. OBJECTIVE: The present study aimed to evaluate the validity and efficacy of a proposed in...

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Autores principales: Jais, Suriadi, Pratama, Kharisma, Pradika, Jaka, Haryanto, Haryanto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10272669/
https://www.ncbi.nlm.nih.gov/pubmed/37334064
http://dx.doi.org/10.1177/23779608231179549
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author Jais, Suriadi
Pratama, Kharisma
Pradika, Jaka
Haryanto, Haryanto
author_facet Jais, Suriadi
Pratama, Kharisma
Pradika, Jaka
Haryanto, Haryanto
author_sort Jais, Suriadi
collection PubMed
description INTRODUCTION: It is important to reduce foot problems by preventing the recurrence of ulcers in diabetes mellitus (DM) patients. In Indonesia, interventions for the prevention of ulcer recurrence remain scarce. OBJECTIVE: The present study aimed to evaluate the validity and efficacy of a proposed intervention model for preventing the recurrence of ulcers in DM patients. METHOD: Sixty-four DM patients were selected to participate in this quasi-experimental study and divided into two groups: intervention (n  =  32) and control (n  =  32). The intervention group received preventive treatment while the control group received standard care. Two trained nurses supported this study. RESULTS: Of the 32 participants in the intervention group, 18 (56.20%) were male, 25 (78.10%) were non-smokers, 23 (71.90%) had neuropathy, 14 (43.80%) had foot deformities, four (12.50%) had recurring ulcers, and 20 (62.50%) had a previous ulcer  < 12 months ago. Of the 32 participants in the control group, 17 (53.10%) were male, 26 (81.25%) were non-smokers, 17 (46.90%) had neuropathy, 19 (69.40%) had foot deformities, 12 (37.50%) had recurring ulcers, and 24 (75.00%) had a previous ulcer < 12 months ago. The mean (SD) age [62 (11.28) and 59 (11.11) years], ankle-brachial index [1.19 (0.24) and 1.11 (0.17)], HbA1C [9.18 (2.14%) and 8.91 (2.75%)], and DM duration [10.22 (6.71) and 10.13 (7.54)] of the intervention and control groups did not differ significantly. The content validity of the proposed intervention model was strong (I-CVI > 0.78). When the proposed screening tool for predicting the risk of ulcer recurrence in DM patients (NASFoHSkin) was used in the intervention group, its predictive validity, sensitivity, and specificity were 4, 100%, and 80%, respectively, while in the control group it was 4, 83%, and 80%, respectively. CONCLUSION: Inspection/examination, foot care, and blood glucose control can decrease ulcer recurrence in DM patients.
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spelling pubmed-102726692023-06-17 The Validity and Efficacy of a Preventative Intervention Model for Reducing Ulcer Recurrence in Diabetic Patients in Indonesia Jais, Suriadi Pratama, Kharisma Pradika, Jaka Haryanto, Haryanto SAGE Open Nurs Original Research Article INTRODUCTION: It is important to reduce foot problems by preventing the recurrence of ulcers in diabetes mellitus (DM) patients. In Indonesia, interventions for the prevention of ulcer recurrence remain scarce. OBJECTIVE: The present study aimed to evaluate the validity and efficacy of a proposed intervention model for preventing the recurrence of ulcers in DM patients. METHOD: Sixty-four DM patients were selected to participate in this quasi-experimental study and divided into two groups: intervention (n  =  32) and control (n  =  32). The intervention group received preventive treatment while the control group received standard care. Two trained nurses supported this study. RESULTS: Of the 32 participants in the intervention group, 18 (56.20%) were male, 25 (78.10%) were non-smokers, 23 (71.90%) had neuropathy, 14 (43.80%) had foot deformities, four (12.50%) had recurring ulcers, and 20 (62.50%) had a previous ulcer  < 12 months ago. Of the 32 participants in the control group, 17 (53.10%) were male, 26 (81.25%) were non-smokers, 17 (46.90%) had neuropathy, 19 (69.40%) had foot deformities, 12 (37.50%) had recurring ulcers, and 24 (75.00%) had a previous ulcer < 12 months ago. The mean (SD) age [62 (11.28) and 59 (11.11) years], ankle-brachial index [1.19 (0.24) and 1.11 (0.17)], HbA1C [9.18 (2.14%) and 8.91 (2.75%)], and DM duration [10.22 (6.71) and 10.13 (7.54)] of the intervention and control groups did not differ significantly. The content validity of the proposed intervention model was strong (I-CVI > 0.78). When the proposed screening tool for predicting the risk of ulcer recurrence in DM patients (NASFoHSkin) was used in the intervention group, its predictive validity, sensitivity, and specificity were 4, 100%, and 80%, respectively, while in the control group it was 4, 83%, and 80%, respectively. CONCLUSION: Inspection/examination, foot care, and blood glucose control can decrease ulcer recurrence in DM patients. SAGE Publications 2023-06-12 /pmc/articles/PMC10272669/ /pubmed/37334064 http://dx.doi.org/10.1177/23779608231179549 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
Jais, Suriadi
Pratama, Kharisma
Pradika, Jaka
Haryanto, Haryanto
The Validity and Efficacy of a Preventative Intervention Model for Reducing Ulcer Recurrence in Diabetic Patients in Indonesia
title The Validity and Efficacy of a Preventative Intervention Model for Reducing Ulcer Recurrence in Diabetic Patients in Indonesia
title_full The Validity and Efficacy of a Preventative Intervention Model for Reducing Ulcer Recurrence in Diabetic Patients in Indonesia
title_fullStr The Validity and Efficacy of a Preventative Intervention Model for Reducing Ulcer Recurrence in Diabetic Patients in Indonesia
title_full_unstemmed The Validity and Efficacy of a Preventative Intervention Model for Reducing Ulcer Recurrence in Diabetic Patients in Indonesia
title_short The Validity and Efficacy of a Preventative Intervention Model for Reducing Ulcer Recurrence in Diabetic Patients in Indonesia
title_sort validity and efficacy of a preventative intervention model for reducing ulcer recurrence in diabetic patients in indonesia
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10272669/
https://www.ncbi.nlm.nih.gov/pubmed/37334064
http://dx.doi.org/10.1177/23779608231179549
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