Prevention Strategy for Ulcer Recurrence in Patients with Type II Diabetes Mellitus: A Quasi Experimental Study

Suriadi Suriadi, Kharisma Pratama, Jerry Fahrain, Junaidi Junaidi, Herman Herman, Jaka Pradika, Tutur Kardiatun, Wida Kuswida Bhakti, Haryanto Haryanto, Putu Dharma Suyasa


Background: Many strategies exist to prevent diabetic ulcer recurrence, yet an effective method does not currently exist. This study evaluates the effectiveness of a prevention strategy to reduce ulcer recurrence in patients with Diabetes Mellitus (DM).

Materials and Methods: A quasi‑experimental, two group study was undertaken with 60 participants with type 2 DM. Two trained nurses participated in this study as study assistants. Participants were divided into two groups: the intervention group received preventive treatment, including examination and assessment, foot care, and an educational program; the control group received standard care using the five pillars of DM management in Indonesia.

Results: An equal number of men (n = 30) and women (n = 30) participated in this study. Neuropathy was noted in 76.70% and 56.70% of patients in the intervention and control groups, respectively. Furthermore, 63.30% of patients in the control group and 56.70% in the intervention group had foot deformities. The recurrence rate was lower in the intervention group (13.30%) than in the control group (33.30%). Moreover, 83.30% in the control group and 76.70% in the intervention group did not smoke. The duration of DM in both groups was >9 years (50% in the intervention and 43.30% in the control group). There were no significant differences between the two groups, with mean (SD) in age (t29 = −0.87, p = 0.389), ankle‑brachial index (t29 = −1.05, p = 0.144), and HbA1C (t26 = −0.35, p = 0.733).

Conclusions: Prevention strategies combining examination and assessment, foot care, and educational programs can reduce ulcer recurrence in diabetic patients.


Diabetic, foot ulcer, prevention, recurrence

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