Iranian Journal of Nursing and Midwifery Research1735-906628220230416139143EN1. Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak, 2.School of Nursing, Faculty of Medicine, Tanjungpura UniversitySekolah Tinggi Ilmu Keperawatan Muhammadiyah PontianakSekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak,Sekolah Tinggi Ilmu Keperawatan Muhammadiyah PontianakSchool of Nursing, Faculty of Medicine, Tanjungpura University,Sekolah Tinggi Ilmu Keperawatan Muhammadiyah PontianakSekolah Tinggi Ilmu Keperawatan Muhammadiyah PontianakSekolah Tinggi Ilmu Keperawatan Muhammadiyah PontianakSekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak,Institute of Technology and Health Bali, Indonesia2023041620230416<p><strong>Background: </strong>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).</p><p><strong>Materials and Methods: </strong>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.</p><p><strong>Results: </strong>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 &gt;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, <em>p = </em>0.389), ankle‑brachial index (t29 = −1.05, <em>p = </em>0.144), and HbA1C (t26 = −0.35, <em>p </em>= 0.733).</p><p><strong>Conclusions: </strong>Prevention strategies combining examination and assessment, foot care, and educational programs can reduce ulcer recurrence in diabetic patients.</p>http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/1971http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/1971/70707545