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INDONESIA
Indonesian Contemporary Nursing Journal (ICON Journal)
Published by Universitas Hasanuddin
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Nursing
Arjuna Subject : -
Articles 134 Documents
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Managements for Controlling Inflammation/ Infection in Diabetic Foot Ulcers: A Scoping Review Ifadah, Erlin; Yamada, Amika; Aminuddin, Muhammad; Mukai, Kanae; Oe, Makoto
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.46824

Abstract

Aims: This review summarizes the management strategies for controlling inflammation/infection in diabetic foot ulcers based on infection severity and identifies research gaps. Methods: This scoping review was conducted in accordance with the PRISMA-ScR guidelines. Three databases (PubMed, CINAHL, and Medline) were searched in October 2024 using combinations of keywords related to diabetic foot ulcers, inflammation, infection, osteomyelitis, and management. Two independent researchers screened and extracted data from studies meeting the inclusion criteria: original articles/case reports, studies involving patients with diabetic foot ulcers, and studies on inflammation/infection management. Results: The search yielded 11201 articles, of which 206 met the inclusion criteria. The included studies were published between 1993 and 2024. Among these, two studies focused on inflammation and reported the beneficial effects of antioxidant vitamin and mineral supplementation and glycemic control. A total of 124 studies addressed infection management strategies, demonstrating the effectiveness of debridement, systemic antibiotic therapy, and adjunctive or innovative therapies. However, quantitative evidence distinguishing interventions based on local and systemic infections remains limited. In addition, 80 studies focused on osteomyelitis, supporting the effectiveness of surgical intervention, systemic antibiotic therapy, and adjuvant therapy.  Conclusion: The management strategies for diabetic foot ulcers include nutritional intervention, antimicrobial treatments, adjuvant therapies, and surgery. While these approaches affect inflammation and infection control, no study has identified the best method for each infection condition. Further research is needed to develop specific recommendations based on the infection severity and skin layers in diabetic foot ulcers.
Climate change, migration, and refugee as triggers risk of leprosy spread Hisyam, Badrul Nurul; Susanto, Tantut
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.48535

Abstract

One of the challenges in controlling leprosy is the displacement of people and refugees, which has the potential to accelerate the spread of the disease to areas that were previously free of it (Hooij & Geluk, 2021). Migration, especially that triggered by conflict, climate instability causing natural disasters, or economic pressures, often triggers mass displacement of people (World Health Organization, 2016). Refugees and migrants often must live in densely populated areas with poor sanitation conditions and very limited access to health services (Feizi et al., 2023). This situation creates an ideal environment for the spread of infectious diseases such as leprosy, where close and repeated interactions between sufferers and healthy individuals can increase the risk of transmission (Mahardita et al., 2019; Susanto, 2020). Overcrowding in refugee camps and limited health facilities make early detection and treatment of leprosy difficult, allowing the disease to spread undetected (Bulstra et al., 2021).
Plasma medicine in Indonesian wound care: Clinical potential, implementation barriers, and practice recommendations Warsono, Warsono; Kamaruddin, Mudyawati; Ahmad, Rasheed
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.49821

Abstract

Both acute and chronic wounds remain significant challenges in Indonesian healthcare services. Postoperative wounds, diabetic ulcers, traumatic wounds, and infected wounds impose substantial clinical, financial, and psychosocial burdens on patients, families, and the healthcare system. The high incidence of non-communicable diseases, such as diabetes, limited availability of modern wound care facilities in many regions, and risk of nosocomial infections complicate the wound healing process and increase the length of hospital stay. Plasma medicine, particularly nonthermal plasma (cold atmospheric plasma), has emerged as an innovative approach to wound care. Nonthermal plasma can generate reactive oxygen and nitrogen species, electric fields, and low-dose UV radiation, all of which collectively contribute to antimicrobial effects, modulation of inflammation, and stimulation of tissue regeneration without causing thermal damage to healthy tissue (Kamaruddin et al., 2024). Various studies have shown that plasma-based wound therapy can reduce microbial load, improve granulation, and accelerate wound closure, particularly in chronic, hard-to-heal wounds.
Time to Care for Male Nurses: Confronting Stigma and Workforce Imbalance Yusuf, Saldy; Subu, Muhammad Arsyad
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 10 No. 2 (2026): Volume 10 Number 2 February 2026
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v10i2.49969

Abstract

Nursing remains predominantly female worldwide, even as the need for a diverse healthcare workforce grows. Nurses are the largest group of healthcare professionals; however, the profession faces an increasing shortage. Although nursing has expanded rapidly (Kouta & Kaite, 2011), it is often associated with traditional, female caregiving roles. In the Western world, Florence Nightingale is celebrated as a key figure in nursing (Turkowski & Turkowski, 2024), whereas Rufaidah Al-Aslamiyah is recognized in the Islamic world (Bodrick et al., 2022). Both are women, and their status as pioneers perpetuates the idea that nursing is a feminist profession. Historically, Indonesia has limited nursing education to female students, reinforcing this stigma. This perception has become a global issue (Subu et al., 2022), leading to fewer male nurses at all educational and professional levels in the field. For instance, a nursing school noted that a male student withdrew because he was the only male participant. Research indicated that male nurses often feel isolated or marginalized (Yip et al. 2021).

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