Early detection to prevent foot ulceration among type 2 diabetes mellitus patient: A multi-intervention review

I. Dewa Ayu Rismayanti, Nursalam, Virgianti Nur Farida, Ni Wayan Suniya Dewi, Resti Utami, Arifal Aris, Ni Luh Putu Inca Buntari Agustini

Research output: Contribution to journalReview articlepeer-review

8 Citations (Scopus)


Foot ulceration is one of the biggest complications experienced by type 2 diabetes patients. The severity and prevention of new wounds can be overcome through early detection interven-tions. This systematic review aims to explain and provide a com-parison of various interventions that have been developed to prevent the occurrence of Diabetes Foot Ulcers (DFU). We searched Scopus, Science Direct, PubMed, CINAHL, SAGE, and ProQuest for English, experimental studies, published between 2016-2021 that tested early detection for preventing diabetic foot ulcers in diabetic patients. The Joanna Briggs Institute guidelines were used to assess eligibility, and PRISMA quality and a checklist to guide this review. 25 studies were obtained that matched the specified inclusion criteria. The entire article has an experimental study design. Majority of respondents were type 2 diabetes patients who have not experienced ulceration. Based on the results of the review, there were 3 main types of interventions used in the early detection of DFU. The types of intervention used are 1) conven-tional intervention/physical assessment, 2) 3D thermal camera assessment system, and 3) DFU screening instrument. The three types of interventions have advantages and disadvantages, so their use needs to be adjusted to the conditions and needs of the patient. the development of DFU risk early detection intervention needs to be developed. Integration with modern technology can also be done to increase the accuracy of the results and the ease of examination procedures.

Original languageEnglish
Article number2752
JournalJournal of Public Health Research
Issue number2
Publication statusPublished - 3 Mar 2022


  • Foot ulceration
  • application
  • diabetes type 2
  • early detec-tion
  • foot disorder


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