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

Hermawati Hermawati(1), Yulius Tiranda(2*), Sukron Sukron(3)


(1) Program Studi Ilmu Keperawatan, Fakultas Ilmu Kesehatan, Institut Ilmu Kesehatan dan Tekonologi Muhammadiyah Palembang
(2) Departemen Keperawatan Medikal Bedah, Fakultas Ilmu Kesehatan, Institut Ilmu Kesehatan dan Teknologi Muhammadiyah Palembang
(3) Departemen Keperawatan Medikal Bedah, Fakultas Ilmu Kesehatan, Institut Ilmu Kesehatan dan Teknologi Muhammadiyah Palembang
(*) Corresponding Author

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.


Keywords


health service; diabetic foot ulcer; covid-19

Full Text:

PDF

References


Shin L, Bowling FL, Armstrong DG, Boulton AJM. Saving the diabetic foot during the COVID-19 pandemic: A tale of two cities. Diabetes Care 2020;43:1704–9. https://doi.org/10.2337/dc20-1176.

IDF. IDF Diabetes Atlas Ninth Edition 2019. 9th ed. 2019.

IWGDF. IWGDF Guidelines on the Prevention and Management of Diabetic Foot Disease. 2019.

Purwanti LE, Maghfirah S. Faktor Risiko Komplikasi Kronis (Kaki Diabetik) Dalam Diabetes Mellitus Tipe 2. Indones J Heal Sci 2016;7:26–39.

Harahap DR, Utami TN. Persepsi Masyarakat Terhadap Kualitas Pelayanan Kesehatan pada Masa Pandemi COVID-19 di Kota Binjai. J Penelit Kesehat Suara Forikes 2021;12:162–5. https://doi.org/http://dx.doi.org/10.33846/sf12211.

Meloni M, Izzo V, Giurato L, Gandini R, Uccioli L. Management of diabetic persons with foot ulceration during COVID-19 health care emergency: Effectiveness of a new triage pathway. Diabetes Res Clin Pract 2020. https://doi.org/https://doi.org/10.1016/j.diabres.2020.108245.

KEMENKES RI. Panduan Teknis Pelayanan Rumah Sakit Pada Masa Adaptasi Kebiasaan Baru. Jakarta: Direktorat Pelayanan Kesehatan Rujukan Direktorat Jenderal Pelayanan Kesehatan Kementerian Kesehatan RI; 2020.

Caruso P, Longo M, Signoriello S, Gicchino M, Maiorino MI, Bellastella G, et al. Diabetic foot problems during the COVID-19 pandemic in a tertiary care center: The emergency among the emergencies. Diabetes Care 2020. https://doi.org/https://doi.org/10.2337/dc20-1347.

Liu C, Shi WL, You JX, Li HY, Li L. An internet-based algorithm for diabetic foot infection during the COVID-19 pandemic. J Foot Ankle Res 2020;13. https://doi.org/10.1186/s13047-020-00405-z.

Kelahmetoglu O, Camlı MF, Kirazoglu A, Erbayat Y, Asgarzade S, Durgun U, et al. Recommendations for management of diabetic foot ulcers during COVID-19 outbreak. Int Wound J 2020;17:1424–7. https://doi.org/10.1111/iwj.13416.

Jaly I, Iyengar K, Bahl S, Hughes T, Vaishya R. Redefining diabetic foot disease management service during COVID-19 pandemic. Diabetes Metab Syndr Clin Res Rev 2020:833–8. https://doi.org/https://doi.org/10.1016/j.dsx.2020.06.023.

Ratliff CR, Shifflett R, Howell A, Kennedy C. Telehealth for wound management during the Covid-19 pandemic: Case studies. J Wound, Ostomy Cont Nurs 2020;47:445–9. https://doi.org/10.1097/WON.0000000000000692.

Atri A, Kocherlakota CM, Dasgupta R. Managing diabetic foot in times of COVID-19: time to put the best ‘foot’ forward. Int J Diabetes Dev Ctries 2020;40:321–8. https://doi.org/10.1007/s13410-020-00866-9.

Schmidt BM, Munson ME, Rothenberg GM, Holmes CM, Pop-Busui R. Strategies to reduce severe diabetic foot infections and complications during epidemics (STRIDE). J Diabetes Complications 2020;34. https://doi.org/https://doi.org/10.1016/j.jdiacomp.2020.107691.

Kesavan R, Murthy N, Rastogi A, Bal A. Guidance for Diabetic Foot Management during COVID‑19 Pandemic. Indian J Vasc Endovasc Surg 2020:116–20. https://doi.org/10.4103/ijves.ijves.

Oropallo A, Lantis J, Martin A, Al Rubaiay A, Wang N. Wound care during the COVID-19 pandemic: improving outcomes through the integration of telemedicine. J Wound Care 2021;30.

Tao F, Tang X, Tao H, Luo Y, Cao H, Xiang W, et al. Surgical treatment of diabetic foot ulcers during the COVID-19 pandemic in China. J Diabetes Complications 2020;34. https://doi.org/10.1016/j.jdiacomp.2020.107622.

Kavitha K V, Deshpande SR, Pandit AP, Unnikrishnan A. Application of tele-podiatry in diabetic foot management: A series of illustrative cases. Diabetes Metab Syndr Clin Res Rev 2020. https://doi.org/https://doi.org/10.1016/j.dsx.2020.10.009.

Orlando JF, Beard M, Kumar S. Systematic review of patient and caregivers’ satisfaction with telehealth videoconferencing as a mode of service delivery in managing patients’ health 2019:1–20. https://doi.org/https://doi.org/10.1371/journal.pone.0221848.

Tchero H, Noubou L, Becsangele B, Mukisi-mukaza M, Retali G, Rusch E. Telemedicine in Diabetic Foot Care : A Systematic Literature Review of Interventions and Meta-analysis of Controlled Trials 2017;16:274–83. https://doi.org/10.1177/1534734617739195.

Ohannessian R. Telemedicine : Potential applications in epidemic situations. Eur Res Telemed 2015:95–8.

Su D, Zhou J, Kelley MS, Michaud TL, Siahpush M, Kim J, et al. Does telemedicine improve treatment outcomes for diabetes ? A meta-analysis of results from 55 randomized controlled trials. Diabetes Res Clin Pract 2016:136–48. https://doi.org/10.1016/j.diabres.2016.04.019.

Garg SK, Rodbard D, Hirsch IB, Forlenza GP. Managing New-Onset Type 1 Diabetes During the COVID-19 Pandemic : Challenges and Opportunities. DIABETES Technol Ther 2020;22:431–9. https://doi.org/10.1089/dia.2020.0161.

Bates M, Edmonds M, Kavarthapu V, Manu C, Rashid H, Vas P. Diabetes Foot Care in the COVID-19 Pandemic. King’s Coll Hosp 2020:1–4.

Rogers LC, Lavery LA, Joseph WS, Armstrong DG. All Feet On Deck—The Role of Podiatry During the COVID-19 Pandemic: Preventing hospitalizations in an overburdened healthcare system, reducing amputation and death in people with diabetes. J Am Podiatr Med Assoc 2020:1–11. https://doi.org/https://doi.org/10.7547/20-051.

Adiputra PAT. Dampak Pandemi COVID-19 pada Pelayanan Pasien Kanker di Rumah Sakit Tersier di Indonesia: Serial Kasus. JBN (Jurnal Bedah Nasional) 2020. https://doi.org/10.24843/jbn.2020.v04.is01.p07.

Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Heal 2020;25:278–80. https://doi.org/10.1111/tmi.13383.

Hinchliffe RJ, Brownrigg JRW, Andros G, Apelqvist J, Boyko EJ, Fitridge R, et al. Effectiveness of revascularization of the ulcerated foot in patients with diabetes and peripheral artery disease : a systematic review. Diabetes Metab Res Rev 2016;32:136–44. https://doi.org/10.1002/dmrr.2705.


Article Metrics

Abstract view : 68 times
PDF - 1 times

DOI: https://doi.org/10.26714/mki.4.4.2021.311-322

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021 Hermawati Hermawati, Yulius Tiranda, Sukron Sukron

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:

             

 

View My Stats 

University of Muhammadiyah Semarang

Jl. Kedungmundu Raya No. 18 Semarang Gedung NRC University of Muhammadiyah Semarang

Phone: 02476740287
Fax: 02476740287
Email: mki@unimus.ac.id