Jais Suriadi, Pratama Kharisma
Department Medical - Surgical Nursing, Post Graduate School of Nursing, Institute of Technology and Health,Muhammadiyah Pontianak, Indonesia.
Heliyon. 2023 Apr 25;9(5):e15736. doi: 10.1016/j.heliyon.2023.e15736. eCollection 2023 May.
Indonesia faces a challenge in controlling the burden of diabetic foot ulcers, which necessitates a nursing care management approach to optimize the healing of complications by accurately monitoring wound healing progress using wound assessment tools.
This literature review, which is part of a scoping study framework, searched electronic databases including PubMed, ScienceDirect, EBSCOhost, and Google Scholar to find papers relevant to the Indonesian context. Five papers were chosen from a total of 463 papers discovered.
The diabetic foot ulcer wound assessment tools DFUAS (diabetic foot ulcer assessment scale), DMIST (deep, maceration, infection, size, and tunneling), and MUNGS (maceration, undermining, necrotic, granulation, and symptoms/signs) were identified in the literature review. For leg ulcers, LUMT (leg ulcer measurement tool) and RESVECH 2.0 (Results Expected from Chronic Wound Healing Assessment) were used. DMIST, DFUAS, and MUNGS are used to predict healed and non-healing wounds. LUMT determines the evaluation and documentation of leg ulcers, and RESVECH 2.0 is designed to shorten the duration of chronic wound occurrence. The psychometric properties of the DMIST scale were identified, including reliability, validity, and responsiveness.
Five tools for assessing chronic wounds were identified. The predictive validity and responsiveness of the DMIST tool were supported by a sufficient rating based on evidence quality. This scoping review provides an overview of the measurement properties of available assessment tools for diabetic foot ulcers.
印度尼西亚在控制糖尿病足溃疡负担方面面临挑战，这需要一种护理管理方法，通过使用伤口评估工具准确监测伤口愈合进展，以优化并发症的愈合。
本系统评价是一项范围界定研究框架的一部分，检索了包括PubMed、ScienceDirect、EBSCOhost和谷歌学术在内的电子数据库，以查找与印度尼西亚背景相关的论文。从总共发现的463篇论文中选出了5篇。
在文献综述中确定了糖尿病足溃疡伤口评估工具DFUAS（糖尿病足溃疡评估量表）、DMIST（深度、浸渍、感染、大小和窦道）和MUNGS（浸渍、潜行、坏死、肉芽组织和症状/体征）。对于腿部溃疡，使用了LUMT（腿部溃疡测量工具）和RESVECH 2.0（慢性伤口愈合评估预期结果）。DMIST、DFUAS和MUNGS用于预测伤口愈合和不愈合情况。LUMT用于确定腿部溃疡的评估和记录，而RESVECH 2.0旨在缩短慢性伤口发生的持续时间。确定了DMIST量表的心理测量特性，包括信度、效度和反应度。
确定了五种评估慢性伤口的工具。基于证据质量的充分评分支持了DMIST工具的预测效度和反应度。本范围界定综述概述了糖尿病足溃疡现有评估工具的测量特性。
