Rismayanti I Dewa Ayu, Nursalam Nursalam, Farida Virgianti Nur, Dewi Ni Wayan Suniya, Utami Resti, Aris Arifal, Agustini Ni Luh Putu Inca Buntari
Faculty of Nursing, Universitas Airlangga, Surabaya, East Java.
J Public Health Res. 2022 Mar 22;11(2):2752. doi: 10.4081/jphr.2022.2752.
Foot ulceration is one of the biggest complications experienced by type 2 diabetes patients. The severity and prevention of new wounds can be overcome through early detection interventions. This systematic review aims to explain and provide a comparison of various interventions that have been developed to prevent the occurrence of Diabetes Foot Ulcers (DFU). We searched Scopus, Science Direct, PubMed, CINAHL, SAGE, and ProQuest for English, experimental studies, published between 2016-2021 that tested early detection for preventing diabetic foot ulcers in diabetic patients. The Joanna Briggs Institute guidelines were used to assess eligibility, and PRISMA quality and a checklist to guide this review. 25 studies were obtained that matched the specified inclusion criteria. The entire article has an experimental study design. Majority of respondents were type 2 diabetes patients who have not experienced ulceration. Based on the results of the review, there were 3 main types of interventions used in the early detection of DFU. The types of intervention used are 1) conventional intervention/physical assessment, 2) 3D thermal camera assessment system, and 3) DFU screening instrument. The three types of interventions have advantages and disadvantages, so their use needs to be adjusted to the conditions and needs of the patient. the development of DFU risk early detection intervention needs to be developed. Integration with modern technology can also be done to increase the accuracy of the results and the ease of examination procedures.
足部溃疡是2型糖尿病患者面临的最大并发症之一。通过早期检测干预可以克服新伤口的严重程度和预防问题。本系统评价旨在解释并比较已开发的各种预防糖尿病足溃疡（DFU）发生的干预措施。我们在Scopus、Science Direct、PubMed、CINAHL、SAGE和ProQuest中搜索了2016年至2021年间发表的英文实验研究，这些研究测试了糖尿病患者预防糖尿病足溃疡的早期检测方法。采用乔安娜·布里格斯研究所指南评估纳入标准，并使用PRISMA质量和清单来指导本评价。获得了25项符合指定纳入标准的研究。整篇文章采用实验研究设计。大多数受访者为未发生溃疡的2型糖尿病患者。基于评价结果，DFU早期检测中使用的干预措施主要有3种类型。所使用的干预类型为：1）传统干预/体格检查，2）三维热成像仪评估系统，3）DFU筛查仪器。这三种干预措施各有优缺点，因此其使用需要根据患者的情况和需求进行调整。需要开发DFU风险早期检测干预措施。还可以与现代技术相结合，以提高结果的准确性和检查程序的简便性。
