School of Nursing, Health Faculty, University of Harapan Bangsa, Banyumas, Indonesia.
Lecture Master of Nursing Post Graduate Study Universitas Muhammadiyah Yogyakarta, Karihan, Indonesia.
Curr Diabetes Rev. 2024;20(1):e310323215277. doi: 10.2174/1573399819666230331083420.
Knowing the effect of compression therapy on the value of the Ankle Brachial Index in the healing process of Diabetic Foot Ulcer.
This study used a quasi-experimental method with pretest-posttest with control group design with purposive sampling and non-equivalent control groups for eight weeks of treatment.
Patients diagnosed with Diabetic Foot Ulcer have and have Peripheral Artery Disease, patient characteristics are homogenized, age >18 years, wound care every three days, Ankle Brachial Index values between 0.6-1.3 mmHg, research three clinics in Indonesia in February 2021.
The population with Diabetic Foot Ulcer was screened by inclusion criteria with Ankle Brachial Index and Bates-Jensen Wound Assessment Tool instruments, a total of n=140; in the study, thirteen samples were excluded, the intervention group was given Compression Therapy n= 68, and the control group was compression stockings for eight weeks n=59, the data were statistically analyzed non-parametric test using Wilcoxon and Mann-Whitney U.
Statistical analysis showed that the mean difference in paired group means was 26.4%. Meanwhile, in the mean analysis, the difference in the post-test healing of diabetic foot ulcers was 2.83%; p=0.000 and improvement of peripheral microcirculation was 33.02%; p=0.000 in the eighth week. Thus, compression therapy intervention in diabetic foot ulcer patients can improve peripheral microcirculation and increase Diabetic Foot Ulcers healing compared to the control group.
Compression therapy tailored to the patient's needs and according to standard operating procedures can improve peripheral microcirculation, so that blood flow in the legs becomes normal; it can speed up the healing process of Diabetic Foot Ulcers.
了解加压治疗对糖尿病足溃疡愈合过程中踝肱指数值的影响。
本研究采用准实验方法，使用前后测和对照组设计，采用便利抽样和非等效对照组，治疗时间为 8 周。
患有糖尿病足溃疡和外周动脉疾病的患者，患者特征均匀，年龄>18 岁，伤口每三天护理一次，踝肱指数值在 0.6-1.3mmHg 之间，研究在 2021 年 2 月在印度尼西亚的三个诊所进行。
通过踝肱指数和 Bates-Jensen 伤口评估工具筛选出糖尿病足溃疡的人群，共有 n=140 人；在研究中，排除了 13 个样本，干预组给予加压治疗 n=68 例，对照组给予压缩袜治疗 8 周 n=59 例，数据采用非参数检验进行统计分析，采用 Wilcoxon 和 Mann-Whitney U 检验。
统计分析显示，配对组均值的平均差异为 26.4%。同时，在均值分析中，糖尿病足溃疡愈合的后测差异为 2.83%；p=0.000，第八周时外周微循环的改善为 33.02%；p=0.000。因此，与对照组相比，糖尿病足溃疡患者的加压治疗干预可以改善外周微循环，提高糖尿病足溃疡的愈合率。
根据患者的需求和标准操作程序定制的加压治疗可以改善外周微循环，使腿部的血流恢复正常；它可以加速糖尿病足溃疡的愈合过程。
