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Application of Cadexomer Iodine Powder to Minimize Biofilms in Diabetic Foot Ulcer Patients (DFU) at Griya Afiat Wound Care Clinic Case Report Moh Gifari S; Uyunul Jannah; Takdir Tahir; Saldy Yusuf
Jurnal Keperawatan Respati Yogyakarta Vol 7 No 3 (2020): SEPTEMBER 2020
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/jkry.v7i3.461

Abstract

Every wound in diabetics has the potential to experience a setback in healing into a chronic wound so that the wound also has the potential to form into biofilm. One of the modern dressings commonly used to suppress the growth of biofilm is Cadexomer Iodine Powder. However, there is still limited research that addresses directly related to the effectivity of Cadexomer Iodine Powder towards wound healing. Therefore, this report aims to evaluate effectiveness Cadexomer Iodine Powder on wound healing with biofilm problems at Griya Afiat Makassar's wound care clinic. The study aimed to identify the effectiveness of Cadexomer Iodine Powder in minimizing biofilms in diabetic foot ulcer (DFU) patients. This study was conducted on one patient who was followed prospectively for 32 days from 10 July to 10 August 2019 with 10 treatments. The dressing used for wound care is Cadexomer Iodine Powder. To evaluate the reduction in the number of biofilms performed by the expert wound when treatment continues. Meanwhile, to evaluate the wound healing process, the modified Bates-Jensen Wound Assessment was used. This report shows a decrease in biofilm from the first treatment to the last treatment with the number of biofilms in the first treatment (+++) to a few (+) in the 10th treatment. The treatment also took a short period of time which is 32 days with a wound condition at the beginning of treatment which is 30% of slough and 70% of granulation experiencing a very swift healing in the 10th treatment to 40% of epithelium and 60% of granulation. Cadexomer Iodine Powder is very effective in the process of wound treatment which can be seen through the reduction of biofilms. In addition, wound healing is much better with shorter treatment time as a proof.
The effectiveness of complementary and alternative medicine therapy in reducing pain in diabetic neuropathy: A systematic review Syahriyani, St; Yusuf, Saldy; Syam, Yuliana
Public Health of Indonesia Vol. 7 No. 1 (2021): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v7i1.385

Abstract

Background: Pain is quite often felt in approximately 30 to 50% of people with diabetic neuropathy. As a result, the quality of life is low, indicated by the high morbidity and mortality rates. The availability of symptomatic pharmacological agents has the potential to have side effects and adverse effects in the elderly and in addition to the high risk of addiction. Complementary therapy and alternative medicine in chronic pain are clinically safe, cost-effective, and affordable. However, scientific evidence of its effectiveness is limited.Objective: This systematic review aims to evaluate the intervention modalities and the effectiveness of complementary and alternative medicine therapy in diabetic neuropathy pain.Methods: The searched literature databases included PubMed, ProQuest, ScienceDirect, EBSCO host, DOAJ, Clinical Key for Nursing, and Cochrane. The criteria for the article, among others, focus on complementary therapy and alternative medicine in diabetic neuropathy pain, publications in the last five years, full text, and in English. Results: Fifteen articles were identified in reporting the effectiveness of complementary therapy and alternative medicine in reducing diabetic neuropathy pain, including mindfulness-based stress reduction, mindfulness meditation, relaxation, whole-body vibration, Abzan, aerobic resistance training, nano curcumin, Citrullus colocynthis, dietary, acupuncture, laser, and reflexology.Conclusion: Most scientific evidence reports the effectiveness of complementary and alternative medicine therapies in reducing pain in diabetic neuropathy, thus strengthening its application as an adjunct to conventional medicine is needed.
Pengembangan Model Edukasi Pelaksanaan Discharge Planning Berbasis Telenursing untuk Meningkatkan Self Care Management Ostomate Etri Selpawani; Saldy Yusuf; Syahrul Syahrul; Elisa Sinaga
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6091

Abstract

The purpose of this research is to develop an educational model for implementing discharge planning by utilizing telenursing through creating video content using the METHOD (Medication, Environment, Treatment, Health teaching, Outpatient referral, Diet) approach to improve ostomate self-care management. The research method used was the Delphi studi and this research was conducted in three phases, namely a literature review related to the content and educational model of discharge planning, video content development using the Delphi study accompanied by an evaluation of the validity of the video content by experts, and a pilot study to evaluate the ability of self care management ostomate using the Self Care Agency Scale (SCAS) questionnaire. The research result obtained 17 educational discharge planning items were obtained from the results of the literature review and the Delphi study which were used as video content. The results of the evaluation after the educational intervention showed that there was a significant increase in ostomate self-care management skills (p = 0.000). In conclusion, discharge planning education based on telenursing which is based on the METHOD approach, and provided in video form can be one of the recommendations for interventions in nursing practice to improve ostomate self care management. Keywords: Discharge Planning Education, Ostomate, Self Care Management
PERBANDINGAN EFEK ANTARA IRRIGATION DAN SWABBING TERHADAP KOLONISASI BAKTERI PADA LUKA KAKI DIABETIK : CROSS OVER Musdalifah Musdalifah; Ilhamjaya Patellongi; Saldy Yusuf
Jurnal Kesehatan Karya Husada Vol 8 No 1 (2020): Jurnal Kesehatan Karya Husada Yogyakarta
Publisher : Jurnal Kesehatan Karya Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jkkh.v8i1.370

Abstract

ABSTRAK Latar belakang : Manajemen luka kaki diabetik memiliki prinsip dan tujuan untuk membantu mempercepat terjadinya proses penutupan luka. Komponen penting dari manajemen luka kaki diabetik salah satunya yakni perawatan luka lokal, perawatan luka dilakukan untuk membantu mempercepat proses penyembuhan. Salah satu bagian dari perawatan luka kaki diabetik adalah pencucian luka. Tujuan dari penelitian ini adalah untuk mengetahui perbandingan efek tekhnik pencucian luka antara irrigation dan swabbing terhadap respon vaskularisasi dan kolonisasi bakteri pada luka kaki diabetik. Metode : Penelitian ini merupakan penelitian kuantitatif dengan experimental design, dengan rancangan cross over. Responden penelitian sebanyak 17 pasien luka kaki diabetik yang melakukan perawatan di rumah sakit dan klinik perawatan luka. Pencucian luka antara tekhnik irrigation dan swabbing dilakukan bergantian pada responden yang sama di waktu yang berbeda pada 17 responden. Kolonisasi bakteri dihitung dengan pemeriksaan kultur bakteri. Hasil : tidak terdapat perbedaan efek antara kedua tekhnik pencucian luka terhadap respon vaskularisasi dengan nilai p = 0.231, dan terdapat perbedaan efek antara kedua tekhnik pencucian luka terhadap kolonisasi bakteri dengan p = 0.001, dimana irrigation lebih efektif dalam menurunkan jumlah bakteri (p = 0.01 ; mean difference = -24.296.688). Kesimpulan : Tekhnik Irrigation lebih efektif dalam mereduksi bakteri dibandingkan tekhnik swabbing. Meskipun demikian, kedua tekhnik ini tetap dapat digunakan dalam pencucian luka kaki diabetik. Kata kunci : Irrigation, Swabbing, Kolonisasi Bakteri, Luka Kaki Diabetik ABSTRACT Background: Management of diabetic foot ulcer has principles and aims to help improve the wound resolution process. An important component of diabetic foot ulcer management is local wound care, wound care is carried out to help speed up the treatment process. One part of treatment for diabetic foot ulcer is wound cleansing. The purpose of this study was to study the effect of the wound washing effect between irrigation and swabbing on the response of vascularity and bacterial colonization in diabetic foot ulcer. Method: This research is a quantitative study with an experimental design, with a cross-over design. Research respondents were 17 diabetic foot ulcer patients who were treated in hospitals and wound care clinics. Wound cleansing between irrigation and swabbing were carried out alternately at the same respondent at different times to 17 respondents. The bacterial colonization count by examination of bacterial culture. Results: there was no difference in effect between the two cleansing technique on the vascularization response with a value of p = 0.231, and there were differences in the effect between the two wound cleansing techniques on bacterial colonization with p = 0.001, while irrigation was more effective in the number of bacteria (p = 0, 01; average difference = -24,296,688). Conclusion: Irrigation techniques are more effective in reducing bacteria than swabbing techniques. Nevertheless, both of these techniques can be used in washing diabetic foot wounds Key word : Irrigation, Swabbing, bacterial colonization, DFU
PELATIHAN PENCEGAHAN KEJADIAN LUKA KAKI PADA PASIEN DIABETES DI POLIKLINIK PENYAKIT DALAM RUMAH SAKIT UNIVERSITAS HASANUDDIN Elly Lilianty Sjattar; Saldy Yusuf; Yuliana Syam; Nurhaya Nurdin; Abdul Majid; Nur Ila; Zulfahmi
Panrita Abdi - Jurnal Pengabdian pada Masyarakat Vol. 8 No. 2 (2024): Jurnal Panrita Abdi - April 2024
Publisher : LP2M Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/pa.v8i2.31363

Abstract

Diabetes is one of the global health issues that can have severe consequences if left unmanaged. One of the long-term effects of untreated diabetes is the occurrence of diabetic foot ulcers that can lead to amputation. One effort to prevent diabetic foot ulcers in diabetic patients is by fulfilling their self-care needs through early detection education of the risk of diabetic foot ulcers. The purpose of this activity is to improve the knowledge of diabetic patients, thereby minimizing the risk of diabetic foot ulcers. The target of this community service is 53 diabetic patients and their families who visit the Internal Medicine Polyclinic at Hasanuddin University Hospital. The community service activities use presentation and Q&A methods, as well as demonstrations of each stage of physical activity training. The result of this activity is an increase in patient knowledge regarding the prevention of diabetic foot ulcers. Before the education, only 3 participants (5.7%) answered correctly, and there was an improvement at the end of the activity, with 12 participants (22.6%) answering correctly. The education on the prevention of the risk of diabetic foot ulcers went very smoothly, and diabetic patients and their families could learn ways to prevent complications, with the hope that they can apply this knowledge to their daily activities.   ||    Diabetes merupakan salah satu masalah kesehatan global yang memiliki dampak  buruk jika tidak tertangani. Salah satu efek jangka panjang dari diabetes yang tidak tertangani adalah terjadinya luka kaki yang berujung amputasi. Salah satu upaya untuk mencegah terjadinya luka kaki pada pasien diabetes adalah dengan pemenuhan kebutuhan self care melalui edukasi deteksi dini resiko terjadinya luka kaki diabetik. Tujuan kegiatan ini untuk meningkatkan pengetahuan pasien diabetes. Sehingga resiko terjadinya luka kaki diabetes dapat diminimalisir. Sasaran pengabdian ini adalah 53 orang pasien diabetes dan keluarganya yang berkunjung ke Poliklinik Penyakit Dalam RSP. Universitas Hasanuddin. Kegiatan pengabdian menggunakan metode presentasi dan tanya jawab, serta demontrasi tiap tahapan latihan aktifitas fisik. Hasil dalam kegiatan ini adalah adanya peningkatan pengetahuan pasien mengenai pencegahan kejadian luka kaki, dapat dilihat dari hasil analisis sebelum dilakukan penyuluhan hanya 3 orang peserta yang menjawab benar (5,7%) dan terjadi peningkatan diakhir kegiatan dengan menjawab benar sebanyak 12 orang (22,6%) menjawab dengan benar. Kegiatan penyuluhan tentang pencegahan resiko terjadinya luka kaki diabetes berjalan dengan sangat lancar, pasien diabetes dan keluarganya dapat mengetahui cara-cara pencegahan terjadinya komplikasi dan diharapkan dapat menerapkan pengetahuannya ke dalam aktifitas kesehariannya.
PENGEMBANGAN DAN UJI REABILITAS SKALA BRADEN BERBASIS ANDROID DALAM MEMPREDIKSI KEJADIAN PRESSURE INJURY PADA STROKE Nurhidayah, Irfanita; Syam, Yuliana; Yusuf, Saldy
E-Jurnal Medika Udayana Vol 13 No 5 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i05.P06

Abstract

Pressure Injury dapat menyebabkan komplikasi bagi individu dirawat di rumah sakit, memperpanjang pengobatan dan rehabilitasi, mengurangi kualitas hidup, menyebabkan rasa sakit dan meningkatkan angka kematian. Berdasarkan hal tersebut sangat penting untuk mengunakan suatu skala dalam menilai risiko Pressure Injury dan menentukan risiko kerusakan integritas kulit dan intervensi pencegahan yang sesuai. Salah satu instrument yang umum digunakan adalah Skala Braden. Salah satu alat yang sudah diuji validitas dan reliabilitasnya adalah skala Braden, namun di Indonesia belum diimplementaikan pada smartphone. Tujuan dari penelitian ini adalah mengembangkan skala Braden berbasis android dan melakukan uji validitas skala Braden berbasis android dalam memprediksi kejadian Pressure Injury pada pasien stroke. Penelitian ini menggunakan metode kuantitatif dengan pendekatan cohort Prospektif. Tehnik sampling yang digunakan dalam penelitian ini adalah dengan menggunakan cara non probability sampling jenis Consecutive Sampling. Sampel penelitian berjumlah 42 orang responden untuk uji validitas dan 6 responden untuk uji reabilitas antara obeserver dengan expert. Pada penelitian menggunakan pendekatan Test-Retest dengan uji korelasi spearman. Dari hasil penelitian didapatkan nilai p< 0.001 yang menunjukkan bahwa korelasi antara skor skala braden android pada hari perawatan ke- 2 dan skor skala braden android pada hari perawatan ke – 3 bermakna. Nilai korelasi Spearman sebesar 0.901 menunjukkan korelasi positif dengan kekuatan korelasi yang kuat. Hasil penelitian dengan menggunakan pendekatan Intra Rater reliability dengani analisis Intraclass Correlation Coeffient (ICC) antara observer dan expert untuk skala braden paper 0.94 (95%CI; 0.895 – 0.976) dan untuk skala braden berbasis android adalah 0.94 (95% CI 0.895 – 0.976). Skala braden berbasis aplikasi android reliabel dalam memprediksi risiko pressure injury pada pasien stroke. Dari Uji Analisis Intraclass Correlation Coeffient (ICC) tersebut dapat disimpulkan tidak ada perbedaan persepsi antara observer dengan expert mengenai skala braden paper dan skala braden berbasis android.
GAMBARAN PENGGUNAAN BALUTAN LUKA KRONIS BERDASARKAN KARAKTERISTIK LUKA Hidayat, Taufiq; Yusuf, Saldy; Nur Isnah, Wa Ode
Journal of Islamic Nursing Vol 8 No 2 (2023): Journal of Islamic Nursing
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/join.v8i2.41899

Abstract

Currently, wound dressings consist of many types and have different functions. However, the many types of dressings available make it challenging to select the dressing used for wounds (Mustamu et al., 2020). This study aims to determine the description of the use of chronic wound dressings based on wound characteristics. This research design uses a quantitative research design with a retrospective approach. The instrument used in this research was the DMIST observation sheet. The primary dressing used most often at the beginning of wound care is wound half: The first primary dressing in 19 cases (26.0%) and the second primary dressing in 44 cases (60.3%). Meanwhile, the secondary dressing most often used at the beginning of the visit was gauze, as the first secondary dressing in 27 cases (37.0%) and the second secondary dressing in 42 cases (57.5%). Meanwhile, at the end of the treatment process, the first primary dressing was dominated by half of the wounds in 30 cases (41.1%) and the second primary dressing in 28 cases (38.4%). Meanwhile, the most frequently used secondary dressing was gauze in 18 cases (24.7%). In conclusion, the primary dressing widely used in wound care is wound zalf. The secondary dressing is dominated by gauze. Keywords: Wound Dressing, Wound Care, Wound Characteristics, Chronic Wound
MODEL EDUKASI PELAKSANAAN DISCHARGE PLANNING PADA PASIEN DENGAN STOMA (OSTOMATE): A SYSTEMATIC REVIEW Fredy, Etri Selpawani; Yusuf, Saldy; Syahrul, Syahrul
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 8, No 3 (2023)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v8i3.463

Abstract

ABSTRAKPembentukan stoma berisiko menimbulkan komplikasi. Untuk itu, pasien perlu mendapatkan edukasi melalui discharge planning. Namun, saat ini pelaksanaannya belum optimal. Tujuan: Untuk mengidentifikasi variasi model edukasi discharge planning pada ostomate serta pengaruhnya terhadap kemampuan perawatan diri dan penyesuaian ostomate terhadap kondisinya. Metode: Systematic review ini menggunakan pedoman ceklis PRISMA dan pencarian artikel menggunakan database PubMed, ProQuest, Science Direct, Wiley Online Library, dan EBSCO. Kata kunci yang digunakan ialah “Patient Education AND Stoma OR Ostomy OR Colostomy OR Ostomate AND Self-Care” dengan kriteria semua artikel tentang edukasi discharge planning, kemampuan perawatan dan penyesuaian diri ostomate (usia >18 tahun), studi randomized controlled trial (RCT) dan quasi-experiment. Strategi pencarian dengan penyaringan full text, artikel tahun 2017–2022, berbahasa Inggris. Kualitas artikel dinilai menggunakan Critical Appraisal Skills Programme (CASP). Hasil: Enam artikel yang diidentifikasi secara umum menunjukkan bahwa discharge planning berpengaruh terhadap peningkatan kemampuan perawatan diri pasien. Adapun variasi model edukasi discharge planning yang dapat digunakan ialah transtheoritical model (TTM), model NPET, model OMRE, edukasi dengan simulasi, model edukasi terstruktur, dan intervensi edukasi melalui prosedur FOCUS-PDCA. Diskusi: Intervensi edukasi dalam pelaksanaan discharge planning dapat diberikan secara langsung (face-to-face) ataupun melalui pemanfaatan telenursing, dan meskipun berbeda teknik maupun cara implentasinya namun semua model edukasi dari hasil tinjauan sistematik ini telah terbukti memberikan efek positif untuk ostomate. Kesimpulan: Discharge planning yang diimplementasikan secara terstruktur serta memperhatikan isi edukasi, bermafaat bagi peningkatkan kemampuan perawatan diri dan penyesuaian ostomate terhadap kondisinya.Kata kunci: discharge planning, edukasi, ostomate, stoma Educational Model for Implementing Discharge Planning in Patients with Stoma (Ostomate): A Systematic Review ABSTRACTFormation of a stoma poses risks of complications; hence, patients need education through discharge planning, yet its implementation is currently suboptimal. Objective: To identify variations in education models of discharge planning for ostomates and their impact on self-care ability and adjustment of ostomates to their condition. Methods: This Systematic Review followed PRISMA checklist guidelines, and article searches were conducted using PubMed, ProQuest, Science Direct, Wiley Online Library, and EBSCO databases. Keywords used were "Patient Education AND Stoma OR Ostomy OR Colostomy OR Ostomate AND Self-Care" with criteria of all articles on discharge planning education, ostomate self-care ability, and adjustment (age >18 years), Randomized Controlled Trial (RCT), and quasi-experiment studies. The search strategy included full-text screening, articles from 2017-2022, and English language. Article quality was assessed using the Critical Appraisal Skills Programme (CASP). Results: Six identified articles generally influenced the improvement of patients' self-care abilities. Various models of discharge planning education identified were transtheoretical model (TTM), NPET model, OMRE model, education with simulation, structured education model, and FOCUS-PDCA procedure education intervention. Discussion: Education interventions in implementing discharge planning can be provided directly (face-to-face) or through tele-nursing, and although different in techniques and implementation methods, all education models from this systematic review have been proven to affect ostomates positively. Conclusion: Structured implementation of discharge planning considering education content is beneficial for improving self-care abilities and the adjustment of ostomates to their condition.Keywords: discharge planning,education, ostomate,  stoma
PENGGUNAAN CHLORHEXIDINE UNTUK PEMASANGAN DAN PERAWATAN KATETER URIN DALAM MENCEGAH CAUTI: A SCOPING REVIEW Rajab, M Alfian; Tahir, Takdir; Yusuf, Saldy; Risnah, Risnah
Jurnal Kesehatan Vol 16 No 2 (2023): : JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v16i2.28272

Abstract

Prevention of catheter-associated urinary tract infections (CAUTI) can be done with simple initiatives such as catheter insertion and care can contribute to preventing infection, chlorhexidine is one of the commonly used antiseptic agents due to its cationic molecular nature with various antimicrobial activities, however, until now the choice of the concentration of the use of chlorhexidine is still a polemic in its use. Therefore, the aim of this review is to evaluate the use of chlorhexidine before urinary catheter insertion and treatment in preventing CAUTI. Manual reference searches were carried out using the scoping review method, through the PubMED, DOAJ, Science direct, EBSCO, ProQuest, Garuda, and Gray Literature databases (google scholar). The study was included based on PCC criteria (Population: patients with urinary catheters, Concept: Chlorhexidine use, Context: urinary catheter insertion and care), published from 2011-2021. A total of 171 studies were screened, the remaining eleven articles that met the inclusion criteria and were included in this review. Based on the results of the study found the use of Chlorhexidine with various concentrations, namely 0.05%, 0.1%, 0.5%, 0.9%, 2%, and 4% with various intervention uses, namely, SRV (sustained-release varnishes), periurethral cleaning before catheterization , cleaning urine bag, and bathing Chlorhexidine. The application of the use of chlorhexidine with a concentration of 0.5% - 4% is one of the strategies to prevent CAUTI at the time of insertion and treatment of urinary catheters, especially in the intensive care room.
EFEKTIVITAS PENGGUNAAN ALAS KAKI TERAPI UNTUK MENCEGAH LUKA KAKI DIABETIK PADA PASIEN DIABETES MELLITUS: A SYSTEMATIK REVIEW Hasni; Sjattar, Elly Lilianty; Yusuf, Saldy
Jurnal Kesehatan Vol 17 No 1 (2024): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v17i1.30162

Abstract

Salah satu komplikasi yang paling sering terjadi pada pasien Diabetes Mellitus (DM) adalah luka kaki diabetik (LKD) Yang prevalensinya terus mengalami peningkatan setiap tahunnya yang dapat menimbulkan amputasi hingga kematian. LKD dapat diatasi dengan menggunakan alas kaki terapi yang dapat menurunkan tekanan puncak plantar, mengurangi sakit pada kaki dan mencegah terjadinya LKD. Tujuan penelitian ini untuk mengetahui keefektifan alas kaki terapi sebagai upaya untuk mencegah luka kaki diabetik pada pasien DM. Metode penelitian ini menggunakan tinjauan sistematik dengan menggunakan penelusuran hasil-hasil publikasi ilmiah, yang dipublikasikan antara tahun 2016 sampai 2021 melalui database dan website pencarian PubMed, Science Direct, Cochrane Library, Wiley online library, dan DOAJ, kemudian mengikuti pedoman PRISMA serta pertanyaan penelitian menggunakan PICO. Hasil penelitian ini menunjukkan jika 11 artikel yang memenuhi syarat terdapat delapan artikel yang cross Sectional Study, satu artikel prospective study, satu artikel case study, dan 1 artikel cohort study. Enam artikel menyatakan jika alas kaki memberikan efek untuk mencegah LKD yaitu jika menggunakan alas kaki terapi secara teratur dengan model alas kaki terapi perpaduan antara insole yang lunak dan outsole serta midsole keras dan tali yang bisa diatur posisinya merupakan desain untuk mengurangi tekanan pada kaki pasien DM dan waktu penggunaannya pagi,siang dan malam baik itu di dalam maupun di luar ruangan. Lima artikel mengenai kepatuhan pasien dalam menggunakan alas kaki terapi yang dipengaruhi oleh faktor iklim, ekonomi, tingkat pendidikan dan pendidikan perawatan kaki yang kurang. Kesimpulan dari penelitian ini menunjukkan jika alas kaki terapi mampu mencegah LKD dan alas kaki terapi dapat direkomendasikan pada pasien DM baik yang ada klinik maupun di komunitas.
Co-Authors Abdul Gaffar Abdul Majid Abdul Majid Abdul Majid Ade Irma Rahayu, Ade Irma Adhisty, Weny Anggraini Afelya, Titi Iswanti Amrullah, Fitria Andi Hastuti Andi Minhajuddin Andriana Arfah Anita Rosman Arifuddin, Fitrawati Ariyanti Saleh Aswar Musakkir Awal Darmawan Baharia Laitung, Baharia Bambi, Adi Angriawan Burhanuddin Bahar Cahyono Kaelan Deliaty Bagenda Dirga Dijaya Mulyadi Elisa Sinaga Elly L. Sjattar Elly L. Sjattar Elly Lilianty Sjattar Elly Lilianty Sjattar Elly Lilianty Sjattar Erfina Erfina Etri Selpawani Etty Etty Eva Arna Abrar Fachry Abda El Rahman Fitria Amrullah Fredy, Etri Selpawani Hade, Nurwahidah Hade, Nurwahidah Halbina Famung Halmar Harbaeni, Harbaeni Hasdi, Hasdi Hasni Hasniati, Hasniati Hasriyani Hasriyani, Hasriyani Herman Priyono Luawo Huddu, Risma I Gusti Ngurah Antaryama Ilhamjaya Patellongi Indiriadi Indiriadi Irfanita Nurhidayah Irna Satriani Irwan Irwan Irwan, Andi Masyitha Jannah, Uyunul Jasmin, Muh juhelnita bubun Juhelnita Juhelnita Kadek Ayu Erika Kadek Erika Kaelan, Cahyono Kasma Yuliani KHOIRUL ANAM Kiki Rizky Aulina Kusrini Kadar Kusrini S. Kadar Liza Fauzia Lya Fitriyani M. Alfian Rajab Makbul Aman, Makbul Makkaraka, Nurhidayah Makkaraka, Nurhidayah Malasari, Silvia Maryunis Maryunis Maryunis Maryunis Masniati Arafah Masriadi, Masriadi Megawati Syam Minhajuddin, Andi Minhajuddin, Andi Moh Gifari S Moh. Syafar Sangkala Muh Hatta Muh. Syahrul Muhammad Darwis Muhrawi Yunding Muhtar, Trini Andini Muhtar, Trini Andini Mulyati Mulyati Musdalifah Musdalipa Kendeng Musfirah Ahmad Nur Febrianti Nur Ila Nur Isnah, Wa Ode Nurbaya Nurbaya Nurfiah, Nurfiah Nurhaya Nurdin Nurul Hidayah Nurwahidah Nurwahidah Nurwahidah Nurwahidah Paridah Paridah R, Risnawati R, Risnawati Rasnah, Rasnah Rasyid, Nur Awaliah Rice Mandowa Rini Angriani Rini Rachmawaty Risnah Risnah, Risnah Risnawati R Risnawati R Risnawati R Risnawati R Rosman, Anita Rosyidah Arafat Rosyidah Arafat, Rosyidah S, Moh Gifari Sabir, Nurfadillah Sari, Mutmainnah Sari, Mutmainnah Sarina Musdiaman Sarina Sukri Sarnida Sarnida Selvia, Heni Silvia Malasari Sintawati Majid Siska Misali Sitti Nurhadijah Sitti Salmawati Sjattar, Elly L St Syahriyani Suhirman Suhirman Sukmawati Sukmawati Sulaeha Sulaeha Syahriyani, St Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syahrul Syaiful Rassa, Syaiful Syakib Bakri Syam, Yuliana Syam, Yuliana Syam, Yuliana Syam, Yuliana Takdir Tahir Tarigan, Sumiati Tarigan, Sumiati Ul Husna, Annisa Dirani Usman, Suharno Uyunul Jannah Wahyu Hidayat Wahyu Hidayat Wahyuna Sahmar Wawan Karniawan Yuliana Syam Yuliana Syam Zulfahmi