Improving clinical outcomes of diabetic foot ulcers by the 3-month self- and family management support programs in Indonesia: A randomized controlled trial study

Subrata, Sumarno Adi; Phuphaibul, Rutja; Grey, Margaret; Siripitayakunkit, Apinya; Piaseu, Noppawan

doi:10.1016/j.dsx.2020.05.028

Cited by 30 publications

(106 citation statements)

References 22 publications

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“…The investigation found that all individuals without peripheral neuropathy accomplished straightforward ulcer healing [17][18]. This solid relationship of diabetic foot intricacies and peripheral neuropathy was additionally noted in a Saudi Arabian investigation where 33% of diabetic patients experience the ill effects of ceaseless nerve pressure [19][20]. Peripheral neuropathy opens the patient to rehashed foot wounds.…”

Section: Resultsmentioning

confidence: 95%

Study to Determine the Complications and Treatment of Diabetic Foot Ulcer

Shah

Keerio

Khanzada³

et al. 2021

JPRI

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Background: Diabetic foot ulcer is a solitary most costly and severe complication of diabetes mellitus. Foot ulcers are the after-effect of a combination of various causes, counting peripheral arterial disease and peripheral neuropathy. Patients with diabetic foot ulcers for the most part require lower limb amputation. Objective: The purpose of this examination is to survey the outcomes and complications of diabetic foot ulcers in diabetic patients and to explore the impacts of certain hazard factors on ulcer healing. Place and Duration: In the Orthopedic unit, Dow University Of Medical and Health Sciences, SMBBIT Karachi, for nearly a two-year duration from March 2018 to April 2020. Methods: This study was conducted on 120 patients. All patients with diabetes and DFU 18 to 90 of age were selected. 120 grown-up patients with DFUs were selected for the analysis. The diabetes duration and demographic data were recorded. Clinical proof of infection has been accounted for, as indicated by the American Association for Infectious Diseases. At that point debridement and careful treatment were begun to evacuate all the dead tissue. Follow-up was done week by week for two-year. SPSS 22 was utilized for data collection and statistical analysis. Data are introduced as a percentage and p < 0.05 was considered as the significance level. The Fisher’s test and χ2 test were utilized to test the variables relationship. Multivariate logistic regression analysis was utilized to change different variables when testing the impact of each risk factor on the outcome of DFU. Results: A sum of 120 patients with diabetic foot ulcers were selected. 60% of patients had relieved ulcers, 8% still not resolved; In 27% of patients, minimum amputation, 7% more protuberant amputation, 2% repetitive ulcer and mortality rate was 1%. The investigation indicated that there is a measurably noteworthy connection between the foot ulcers healing with diabetes and the accompanying factors: HbA1c level, patients’ age, diabetes duration, diabetes complications (ulcer size and peripheral neuropathy). Conclusion: The outcomes and complications of diabetic foot ulceration can be anticipated by a few factors, some of which can be changed. Changing compatible factors, for example, better diabetes control, peripheral neuropathy treatment and early treatment of ulcers can reduce complications and encourage healing of ulcers.

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Section: Resultsmentioning

confidence: 95%

Study to Determine the Complications and Treatment of Diabetic Foot Ulcer

Shah

Keerio

Khanzada³

et al. 2021

JPRI

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“…The review included 10 studies. Three of the studies came from the USA [ 39 – 41 ], two from China [ 42 , 43 ], two from Indonesia [ 44 , 45 ] and one each from Iran [ 46 ], Ireland [ 47 ], and India [ 48 ]. The total number of participants with diabetes was 5532.…”

Section: Results Of Reviewmentioning

confidence: 99%

“…The outcomes reported by studies consisted of DFU prevention and DFU management outcomes as presented in Tables 3 and 4 , respectively. Prevention outcomes reported by almost all studies included foot self-care behaviors/practices of participants, diabetes knowledge, and HbA1c [ 39 – 44 , 46 – 48 ]. Wound healing and limb amputations/surgical interventions were the DFU management outcomes indicated by four studies [ 42 , 44 , 45 , 48 ].…”

Section: Results Of Reviewmentioning

confidence: 99%

“…DFU management outcomes were assessed among participants who already had DFU problems. Healing of diabetic wounds was objectively assessed in three studies [ 44 , 45 , 48 ], and all of them reported clinically significant improvement in wound size. Limb amputations/surgical interventions prevalence was also recorded by two studies [ 42 , 48 ].…”

Section: Results Of Reviewmentioning

confidence: 99%

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Prevention and Management of Diabetes-Related Foot Ulcers through Informal Caregiver Involvement: A Systematic Review

Suglo

Winkley

Sturt

2022

Journal of Diabetes Research

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Background. The literature remains unclear whether involving informal caregivers in diabetes self-care could lead to improved diabetic foot outcomes for persons at risk and/or with foot ulcer. In this review, we synthesized evidence of the impact of interventions involving informal caregivers in the prevention and/or management of diabetes-related foot ulcers. Methods. A systematic review based on PRISMA, and Synthesis Without Meta-analysis (SWiM) guidelines was conducted. MEDLINE (Ovid), Embase (Ovid), PsycINFO, CINAHL, and Cochrane Central Register of Controlled Trial of the Cochrane Library databases were searched from inception to February 2021. The following MESH terms were used: diabetic foot, foot ulcer, foot disease, diabetes mellitus, caregiver, family caregiver ,and family. Experimental studies involving persons with diabetes, with or at risk of foot ulcers and their caregivers were included. Data were extracted from included studies and narrative synthesis of findings undertaken. Results. Following the search of databases, 9275 articles were screened and 10 met the inclusion criteria. Studies were RCTs ( n = 5 ), non-RCTs ( n = 1 ), and prepoststudies ( n = 4 ). Informal caregivers through the intervention programmes were engaged in diverse roles that resulted in improved foot ulcer prevention and/or management outcomes such as improved foot care behaviors, increased diabetes knowledge, decreased HbA1c (mmol/mol or %), improved wound healing, and decreased limb amputations rates. Engaging both caregivers and the person with diabetes in education and hands-on skills training on wound care and foot checks were distinctive characteristics of interventions that consistently produced improved foot self-care behavior and clinically significant improvement in wound healing. Conclusion. Informal caregivers play diverse and significant roles that seem to strengthen interventions and resulted in improved diabetes-related foot ulcer prevention and/or management outcomes. However, there are multiple intervention types and delivery strategies, and these may need to be considered by researchers and practitioners when planning programs for diabetes-related foot ulcers.

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“…A randomized controlled trial that was referenced as ongoing in this Cochrane review examined the effect of 3-month self and family management support programs and found statistically significant improvements in selfmanagement, family support, hemoglobin A1c, and wound size (P \ .05). 5 Despite the lack of conclusive evidence supporting psychological interventions for DFU, the link between mental health and DFU is undeniable. Practitioners should prioritize the patient's background and preferences before implementing any psychological interventions under current evidence.…”

mentioning

confidence: 99%