Health service for diabetic foot ulcer patients during covid-19 pandemic

Abstract

In early 2020, the whole world was shocked by the COVID-19 pandemic, which impacted all aspects of life. One was changes in the service system and health care for patients with diabetic foot ulcers (DFU). Wound care in DFU patients should be routine but while minimizing hospital visits to reduce the risk of exposure to COVID-19. The objective of this study was to explore the health services provided to DFU patients during the COVID-19 pandemic at the hospital. This study used a literature review approach with six electronic databases, namely National Library, PubMed, Science Direct, ProQuest, Springer Nature, and Wiley, in 2019-2021. The keyword used were health service, diabetic foot ulcer and COVID-19. around 669 articles identified, 12 articles met the inclusion. The articles reviewed were obtained from the result of discussion and validations between researcher and supervisors following the Prisma Guideline. Health services for DFU patients during the COVID-19 pandemic may be conducted through several stages including a) online consultation or telemedicine as the first stage, b) continued with triage process, and c) screening for individual patients needs. Health services for DFU patients during the COVID-19 pandemic have changed according to the following conditions. The first procedure was to conduct an online consultation (telemedicine) to assess the client’s condition related to complaints, then proceed with the triage process to prioritize care and service needs. The health of each patient and screening to check for symptoms of COVID-19 as well as carried out additional screening, CT Thorax and Swab if the patient had to go to the hospital.

Developing integrated care: Treating foot wounds in people with diabetes mellitus exposed by Covid-19

“…For example, the first procedure is to conduct an online consultation (telemedicine) to assess the client's condition regarding complaints, then proceed with a triage process to prioritize treatment and service needs. The health of each patient and screening to check for symptoms of COVID-19 as well as additional screening, CT Thorax and Swabs if the patient has to go to the hospital (Hermawati, Tiranda, & Sukron, 2021).…”

Analisis Asuhan Keperawatan Intervensi Cadexomer Iodine Powder dan Zinc Cream untuk Biofilm pada Pasien Ny. E & Ny. D Diagnosa Diabetic Foot Ulcer di Wocare Center Bogor

“…Diabetic Foot Ulcer mudah berkembang menjadi infeksi karena masuknya kuman atau bakteri dan adanya gula darah yang tinggi menjadi tempat yang strategis untuk pertumbuhan kuman. (Hermawati et al, 2021). Masalah kaki diawali adanya hiperglikemia pada penyandang diabetes melitus yang menyebabkan kelainan neuropati dan kelainan pada pembuluh darah.…”

Efectiveness of Using a Combination of Hydrogel and Hydrocellular Foam in the Process of Autolytic Debridement in Healing Diabetic Ulcers

“…Menurut The International Diabetes Federation atau IDF menyatakan bahwa prevalensi ulkus diabetikum secara global pada tahun 2021 sebesar 6,3% atau sekitar 40-60 juta orang. Sedangkan di Indonesia, prevalensi ulkus diabetikum pada tahun 2021 sebanyak 15% atau sekitar 2,91 juta orang (Hermawati et al, 2021). Tingginya prevalensi ulkus diabetikum ini, dapat dipengaruhi oleh beberapa faktor, seperti: usia, perubahan pola hidup tidak sehat, tidak terkontrolnya kadar gula dalam darah, ketidakpatuhan minum obat, serta penggunaan alas kaki yang tidak nyaman dan sempit (Pitocco et al, 2019).…”