Prevalence and Risk Factor of Diabetic Foot Ulcers in a Regional Hospital, Eastern Indonesia

Yusuf, Saldy; Okuwa, Mayumi; Irwan, Muhammad; Rassa, Saipullah; Laitung, Baharia; Thalib, Abdul; Kasim, Sukmawati; Sanada, Hiromi; Nakatani, Toshio; Sugama, Junko

doi:10.4236/ojn.2016.61001

Cited by 82 publications

(87 citation statements)

References 28 publications

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“…In the UK, Greece, and India, the prevalence of DFUs is 1.7%, 4.8%, and 3.6%, respectively . In contrast, the prevalence of DFUs in eastern Indonesia is 12% …”

Section: Development Of the New Dfuasmentioning

confidence: 97%

Evaluation of validity of the new diabetic foot ulcer assessment scale in Indonesia

Arisandi

Yotsu

et al. 2016

Wound Repair Regeneration

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We developed a new assessment tool for diabetic foot ulcers because no such tool specifically for diabetic foot ulcer exists. The diabetic foot ulcer assessment scale (DFUAS) has 11 domain items. The minimum and maximum scores on this scale are 0 and 98, respectively; higher scores indicate more severe wounds. The aim of this study was to evaluate the concurrent validity, construct validity and predictive validity of DFUAS in Indonesia. A prospective cohort study was conducted on patients with diabetic foot ulcer at Kitamura wound clinic in Indonesia. A total of 62 patients with 70 diabetic foot ulcers were assessed with DFUAS tool, Bates-Jensen wound assessment tool (BWAT), and pressure ulcer scale for healing (PUSH). Concurrent validity was determined by correlation of the DFUAS total score with the external criterion (BWAT, PUSH, and wound surface area). A comparison between the total DFUAS score and chronic wound status was made to determine construct validity. We also analyzed 41 wounds that were followed for 4 weeks to evaluate predictive validity. The correlation coefficient total scores of the DFUAS against the BWAT, PUSH, and wound surface area were 0.92, 0.87, and 0.82, respectively. The comparison of the total DFUAS score with chronic wound status was p < 0.001. The predictive validity test indicated that a DFUAS cutoff score of 12 produced the best balance of sensitivity, specificity, positive predictive value, and negative predictive value (89%, 71%, 86%, and 77%, respectively). In conclusion, the newly developed DFUAS is a valid tool for assessing diabetic foot ulcers.

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“…In the UK, Greece, and India, the prevalence of DFUs is 1.7%, 4.8%, and 3.6%, respectively . In contrast, the prevalence of DFUs in eastern Indonesia is 12% …”

Section: Development Of the New Dfuasmentioning

confidence: 97%

Evaluation of validity of the new diabetic foot ulcer assessment scale in Indonesia

Arisandi

Yotsu

et al. 2016

Wound Repair Regeneration

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“…A previous study reported that 85% of lower limb amputations in the US are due to diabetic foot ulcer (Driver, Fabbi, Lavery, & Gibbons, 2010). A study by Yusuf et al (2016) reported a prevalence of diabetic foot ulcer in Sulawesi of 12%. This number is higher compared to other countries, even China, which has only a prevalence of about 5.9% (Yusuf et al, 2016).…”

mentioning

confidence: 99%

“…A study by Yusuf et al (2016) reported a prevalence of diabetic foot ulcer in Sulawesi of 12%. This number is higher compared to other countries, even China, which has only a prevalence of about 5.9% (Yusuf et al, 2016). Sulawesi's prevalence might be higher since many cases of diabetic foot ulcer in Indonesia have been unreported.…”

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confidence: 99%

Quality of Life and Associated Factors in Indonesian Diabetic Patients with Foot Ulcers

Sari

Purnawan

Taufik

et al. 2018

Nurs. Med. J. Nursing

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Background: Diabetic foot ulcer will cause a reduction in quality of life (QOL), high care burden, and even mortality. An assessment of QOL and associated factors in patients with diabetic foot ulcer is important to provide evidence for establishing a care plan program for such patients. However, up to the present, there is no evidence of a published study that investigates the QOL and its associated factors in patients with diabetic foot ulcer in Indonesia. Purpose: The purpose of this study was to investigate the QOL in patients with diabetic foot ulcer in each domain and investigate the factors associated with this condition. Methods: The design of this study was a cross-sectional study. The total sample for this study was 55 patients. The QOL data were collected using a Diabetic Foot Ulcer Scale questionnaire. Statistical analyses were conducted using Mann-Whitney U-test and Kruskal-Wallis test. Results: The result showed that the QOL in the domains of emotions, positive compliance, family life, and friend were high, while the QOL in the domains of daily activities, physical health, leisure, finances, positive attitude, and treatment ranged from low to average. Significant differences were found between income (p=0.004), grade of the wound (p=0.047), number of wounds (p=0.029), and blood glucose (p=0.013) with QOL of patients. Other variables did not have a significant relationship with QOL, but marital status had a significant correlation with the domain of leisure (p=0.004) and duration of the ulcer had a significant correlation with the domain of emotions (p=0.001) Conclusion: There is a correlation between income, grade of the wound, the number of wounds, and blood glucose with QOL of patients with a diabetic foot ulcer. This study recommends to take into account economic status, grade and number of wound, and blood glucose level in order to improve the QOL of patients for an effective patient care plan.

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“…It is predicted that Indonesia will become number six by 2030 (Shaw, Sicree and Zimmet, 2010). Soewondo, Ferrario and Tahapary (2013) revealed that the prevalence of patients with DM in Indonesia had increased by 11 % over 19 years, although this figure is likely to be higher since there are many unreported cases (Yusuf et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of the Effects of Vibration and Electrical Stimulation Therapies on the Acceleration of Wound Healing in Diabetic Ulcers

Sari¹,

Saryono²,

Sutrisna³

et al. 2017

J. Ners

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Introduction: Diabetic ulcers accompanied by ischemia is difficult to treat. Such ulcers require therapy that can improve the blood flow. Previous studies have revealed that two therapies could improve blood flow and accelerate the healing of diabetic ulcers; vibration and electrical stimulation (ES). However, it is unknown which of these two therapies is best at accelerating wound healing in diabetic ulcers. The purpose of this study was to compare both therapies in relation to accelerating the wound healing of diabetic ulcers. Methods: This study was an experimental study involving diabetic rats. The rats were divided into two groups: vibration and ES. Vibration and ES were applied for 10 minutes per day for 7 days. Wound size, inflammation, intensity of fibroblast infiltration, area of necrosis and degree of re-epithelialisation were compared. The difference in wound size was analysed using an independent t-test, while the histological data were analysed using a Mann-Whitney U-test. Results: On day 5 onwards, there was a thin slough in the ES group which was not present in the vibration group. Day 4 onwards and the wound size was significantly smaller in the vibration group than in the ES group. The intensity of inflammation was significantly less, and the degree of fibroblast infiltration was significantly higher in the vibration group compared with the ES group. Re-epithelialisation was more advanced in the vibration group than the ES group. Conclusions: Our study revealed that wound healing in diabetic ulcers following vibration was better than after ES. We suggest that nurses should use vibration rather than ES in clinical settings.

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Prevalence and Risk Factor of Diabetic Foot Ulcers in a Regional Hospital, Eastern Indonesia

Cited by 82 publications

References 28 publications

Evaluation of validity of the new diabetic foot ulcer assessment scale in Indonesia

Evaluation of validity of the new diabetic foot ulcer assessment scale in Indonesia

Quality of Life and Associated Factors in Indonesian Diabetic Patients with Foot Ulcers

A Comparative Study of the Effects of Vibration and Electrical Stimulation Therapies on the Acceleration of Wound Healing in Diabetic Ulcers

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