Download fulltext HTML
Adi Pamungkas, R., Mayasari Usman, A., Chamroonsawasdi, K., Khoirunisa, D., Nur Hamzah, A., & Hidayat, R. (2022). Challenges of Neuropathy Screening for Preventing Diabetic Foot Ulcers: Perspectives of Public Health Nurses in Indonesia. KnE Life Sciences, 7(2), 46–58. https://doi.org/10.18502/kls.v7i2.10287

https://doi.org/10.18502/kls.v7i2.10287

statistics

  • 489 Abstract Views
  • 324 PDF Views
  • 0 HTML Views

authors

  • Rian Adi Pamungkas

    Rian Adi Pamungkas

    Department of Nursing, Faculty of Health Sciences, Esa Unggul University
    https://orcid.org/0000-0002-3299-2820
  • Andi Mayasari Usman

    Andi Mayasari Usman

    Department of Nursing, Faculty of Health Science, Nasional University
  • Kanittha Chamroonsawasdi

    Kanittha Chamroonsawasdi

    Department of Nursing, Mahidol University
  • Dessy Khoirunisa

    Dessy Khoirunisa

    Department of Nursing, Faculty of Health Science, Nasional University
  • Arif Nur Hamzah

    Arif Nur Hamzah

    Department of Nursing, Faculty of Health Science, Nasional University
  • Rian Hidayat

    Rian Hidayat

    Politeknik Karya Husada Jakarta

Published Date

  • Feb 7, 2022

Challenges of Neuropathy Screening for Preventing Diabetic Foot Ulcers: Perspectives of Public Health Nurses in Indonesia

KnE Life Sciences / 5th International Conference in Nursing (IVCN) / Pages 46–58

Abstract

Foot ulcers are a complication of diabetes which reduce quality of life. This study aimed to explore the perspectives of public health nurses regarding obstacles to carrying out effective neuropathy screening practices to prevent diabetic foot ulcers in public health centers. A qualitative study with a phenomenological approach was carried out using in-depth interviews and focus group discussions. The results of this study indicated five key themes of challenges: 1) inadequate knowledge and lack of skills in neuropathy screening; 2) insufficiency of health facilities in primary health care services; 3) high workload and job demands; 4) lack of human resources; and 5) inaccessibility of health care services. The findings provided important information regarding the challenges and constraints of implementing neuropathy screening practices in community health centers. The public health nurses need to improve their capabilities in implementing neuropathy screening and need to negotiate with stakeholders for the implementation of this screening policy to prevent foot ulcers in patients with diabetes mellitus at the community level.


Keywords: challenges in neuropathy screening practice, foot ulcer, public health nurses, diabetes mellitus, qualitative study

References
[1] American Diabetes Association. Standards of medical care in diabetes: Response to position statement of the American Diabetes Association. Diabetes Care. 2020;29(2):476.

[2] International Diabetes Federation. International diabetes federation. Lancet. 2019;266.

[3] Arersa KK, Wondimnew T, Welde M, Husen TM. Prevalence and determinants of hyperuricemia in type 2 diabetes mellitus patients attending Jimma Medical Center, Southwestern Ethiopia, 2019. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2020;13:2059-67.

[4] Abrar EA, Yusuf S, Sjattar EL, Rachmawaty R. Development and evaluation educational videos of diabetic foot care in traditional languages to enhance knowledge of patients diagnosed with diabetes and risk for diabetic foot ulcers. Primary care diabetes. 2020;14(2):104-10.

[5] Cabeceira HDS, Souza D, Juliano Y, Veiga DF. Workability and productivity in patients with diabetic foot. Clinics (Sao Paulo). 2019;74:421.

[6] van Gent, W. B., Wilschut, E. D., & Wittens, C. Management of venous ulcer disease. BMC. 2010;341:6045.

[7] Sharma S, Kerry H, Atkins H, Rayman G. Short report: Care delivery the Ipswich touch test: A simple and novel method to screen patients with diabetes at home for increased risk of foot ulceration. Diabetic Medicine. 2014;31:1100–3.

[8] Pamungkas RA, Chamroonsawasdi K, Vatanasomboon P, Charupoonphol P. Barriers to effective diabetes mellitus self-management (DMSM) practice for glycemic uncontrolled type 2 diabetes mellitus (T2DM): A socio cultural context of Indonesian communities in West Sulawesi. European Journal of Investigation in Health, Psychology and Education. 2019;10(1):250-61.

[9] Pamungkas RA, Chamroonsawasdi K. Self-management based coaching program to improve diabetes mellitus self-management practice and metabolic markers among uncontrolled type 2 diabetes mellitus in Indonesia: A quasi-experimental study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020;14(1):53-61.

[10] Berihu H, Wubayehu T, Teklu T, Zeru T, Gerensea H. Practice on pressure ulcer prevention among nurses in selected public hospitals, Tigray, Ethiopia. BMC research notes, 13(1), 1-7. 2020;13(1):207.

[11] Saks M, Allshop J. Researching health: Qualitative, quantitative, and mixed methods: London: SAGE Publications Inc.; 2013.

[12] Pamungkas RA, Chamroonsawasdi K. Self-management based coaching program to improve diabetes mellitus self-management practice and metabolic markers among uncontrolled type 2 diabetes mellitus in Indonesia: A quasi-experimental study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2019;14(1):53-61.

[13] Kaya, Z., Karaca, A. Evaluation of nurses’ knowledge levels of diabetic foot care management. Nursing research and practice, 2018(3):1-12

[14] Al-Atiyyat NM, Banifawaz AZ. Oncology nurses’ knowledge, practice, and confidence toward chemotherapy-induced peripheral neuropathy in Jordan. Saudi medical journal. 2003;39(11):1158-63.

[15] Murata, GH, Shah JH, Adam KD, et al. Factors affecting diabetes knowledge in type 2 diabetic veterans. Diabetologia. 2003;46:1170–8.

[16] Pamungkas RA, Chamroonsawasdi K. Family functional-based coaching program on healthy behavior for glycemic control among Indonesian communities: A quasi-experimental study. Oman Medical Journal. 2020;35(5):173.

[17] Lee C-M, Chang C-C, Pan M-Y, Chang C-F, Chen M-Y. Insufficient early detection of peripheral neurovasculopathy and associated factors in rural diabetes residents of Taiwan: A cross-sectional study. BMC Endocrine Disorders. 2014;14(89):1-8.

[18] Williams DT, Harding KG, Price P. An evaluation of the efficacy of methods used in screening for lower-limb arterial disease in diabetes. Diabetes Care. 2005;28:2206– 10.

[19] Sendi AR, Mahrus AM, Saeed RM, Mohammed MA, Radman Al Dubai SA. Diabetic peripheral neuropathy among Saudi diabetic patients: A multicenter cross-sectional study at primary health care setting. Journal of Family Medicine and Primary Care. 2017;6(2):169–70.

[20] Aliasgharpour M, Nayeri ND. The care process of diabetic foot ulcer patients: A qualitative study in Iran. Journal of Diabetes & Metabolic Disorders. 2012;11(1):27.

[21] Jin Y, Zhu W, Yuan B, Meng Q. Impact of health workforce availability on healthcare-seeking behavior of patients with diabetes mellitus in China. International journal for equity in health. 2017;16(1):1-10.

[22] Kumar P, Khan AM. Human resources management in primary health care system. Health and Population: Perspectives and Issues. 2013;36(1&2):66-76.

[23] Dubois CA, Singh D. From staff-mix to skill-mix and beyond: Towards a systemic approach to health workforce management. Human resources for health. 2009;7(87):1-19.

[24] Rogers AE, Hwang W-T, Scott LD, Aiken LH, Dinges DF. The working hours of hospital staff nurses and patient safety. Health Affairs. 2004;23(4):202-12.

[25] Kanchanachitra C, Lindelow M, Johnston T, Hanvoravongchai P, Lorenzo FM, Huong NL. Human resources for health in southeast Asia: Shortages, distributional challenges, and international trade in health services. Lancet. 2011;377:9769–81.

[26] Pamungkas RA, Chamroonsawasdi K. HbA1c reduction and weight-loss outcomes: A systematic review and meta-analysis of community-based intervention trials among patients with type 2 diabetes mellitus. International Journal of Diabetes in Developing Countries. 2019;39(2):394-407.