Aplikasi mHEALTH dalam Manajemen Luka Diabetik
Abstract
This study aims to determine the use of mHealth in diabetic wound management. The research method uses a literature review approach through content analysis with a search method using an electronic database consisting of ProQuest, PubMed, Science Direct, Scopus, Sage, and SpringerLink with the keywords "telemedicine," "telehealth," "mobile health," "diabetic ulcer.", and "diabetic wound" published year 2018-2022. The search results obtained 612 articles, and 12 papers were reviewed after filtering. The results showed that there were four essential components in using health for diabetic wound management, namely counseling/consultation, use of wearable devices, routine foot temperature checks, and recommendations for diabetic wound care. In conclusion, mHealth positively and effectively impacts diabetic wound management.
Keywords: Diabetic Wounds, Management, mHealth, Telehealth, Telemedicine
References
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Bonnet, J. B., Macioce, V., Jalek, A., Bouchdoug, K., Elleau, C., Gras-Vidal, M. F., Pochic, J., Avignon, A., & Sultan, A. (2022). COVID-19 Lockdown Showed A Likely Beneficial Effect on Diabetic Foot Ulcers. Diabetes/Metabolism Research and Reviews, 38(4), 2–9. https://doi.org/10.1002/dmrr.3520
Bus, S. A., Stegge, W. B. A., Van Baal, J. G., Busch-Westbroek, T. E., Nollet, F., & Van Netten, J. J. (2021). Effectiveness of At-home Skin Temperature Monitoring in Reducing the Incidence of Foot Ulcer Recurrence in People with Diabetes: A Multicenter Randomized Controlled Trial (DIATEMP). BMJ Open Diabetes Research and Care, 9(1), 1–12. https://doi.org/10.1136/bmjdrc-2021-002392
Foong, H. F., Myint, B., Zee, K., & Car, L. T. (2020). Facilitators and Barriers of Using Digital Technology for the Management of Diabetic Foot Ulcers : A Qualitative Systematic Review. International Wound Journal, 17, 1266–1281. https://doi.org/10.1111/iwj.13396
Gamus, A., Keren, E., Kaufman, H., & Chodick, G. (2019). Synchronous Video Telemedicine in Lower Extremities Ulcers Treatment : A Real-world Data Study. International Journal of Medical Informatics, 124, 31–36. https://doi.org/10.1016/j.ijmedinf.2019.01.009
Gao, Y., Wang, C., Chen, D., Huang, H., Chen, L., Liu, G., Lin, S., Liu, M., Wen, X., Cho, J. H., Chen, Y., Li, Y., & Ran, X. (2021). Effects of Novel Diabetic Therapeutic Footwear on Preventing Ulcer Recurrence in Patients with A History of Diabetic Foot Ulceration: Study Protocol for An Open-label, Randomized, Controlled Trial. Trials, 22(151), 1–11. https://doi.org/10.1186/s13063-021-05098-8
Gordon, I. L., Rothenberg, G. M., Lepow, B. D., Petersen, B. J., Linders, D. R., Bloom, J. D., & Armstrong, D. G. (2020). Accuracy of A Foot Temperature Monitoring Mat for Predicting Diabetic Foot Ulcers in Patients with Recent Wounds or Partial Foot Amputation. Diabetes Research and Clinical Practice, 161, 108074. https://doi.org/10.1016/j.diabres.2020.108074
Hazenberg, C. E. V. B., de Stegge, W. B. A., Van Baal, S. G., Moll, F. L., & Bus, S. A. (2020). Telehealth and Telemedicine Applications for The Diabetic Foot: A Systematic Review. Diabetes/Metabolism Research and Reviews, 36(3), 1–11. https://doi.org/10.1002/dmrr.3247
Iversen, M. M., Igland, J., Smith-Strøm, H., Østbye, T., Tell, G. S., Skeie, S., Cooper, J. G., Peyrot, M., & Graue, M. (2020). Effect of A Telemedicine Intervention for Diabetes-related Foot Ulcers on Health, Well-being and Quality of Life: Secondary Outcomes from A Cluster Randomized Controlled Trial (DiaFOTo). BMC Endocrine Disorders, 20(1), 1–8. https://doi.org/10.1186/s12902-020-00637-x
Jorgetto, J. V., Gamba, M. A., & Kusahara, D. M. (2019). Evaluation of the Use of Therapeutic Footwear in People with Diabetes Mellitus – A Scoping Review. Journal of Diabetes and Metabolic Disorders, 18(2), 613–624. https://doi.org/10.1007/s40200-019-00428-9
Kavitha, K. V, Deshpande, S. R., Pandit, A. P., & Unnikrishnan, A. G. (2020). Application of Tele-podiatry in Diabetic Foot Management : A Series of Illustrative Cases. Diabetes India, 14, 1991–1995. https://doi.org/https://doi.org/10.1016/j.dsx.2020.10.009
Khan, U., Ahmad, K., Yadlapalli, S. S., Haseeb, M., Kabir, B., Khemani, D., Ghulam Moosa, P., & Khan, S. (2022). Effectiveness of Telemedicine for the Management of Foot Ulcers in People with Diabetes: A Meta-Analysis. Cureus, 14(10). https://doi.org/10.7759/cureus.30634
Killeen, A. L., Brock, K. M., Dancho, J. F., & Walters, J. L. (2020). Remote Temperature Monitoring in Patients with Visual Impairment Due to Diabetes Mellitus: A Proposed Improvement to Current Standard of Care for Prevention of Diabetic Foot Ulcers. Journal of Diabetes Science and Technology, 14(1), 37–45. https://doi.org/10.1177/1932296819848769
Lazzarini, P. A., Pacella, R. E., Armstrong, D. G., & van Netten, J. J. (2018). Diabetes-Related Lower-Extremity Complications Are A Leading Cause of the Global Burden of Disability. Diabetic Medicine : A Journal of the British Diabetic Association, 35(9), 1297–1299. https://doi.org/10.1111/dme.13680
Lieneck, C., Garvey, J., Collins, C., Graham, D., Loving, C., & Pearson, R. (2020). Rapid Telehealth Implementation during the COVID-19 Global Pandemic : A Rapid Review. Healthcare, 8(517), 1–15. https://doi.org/doi:10.3390/healthcare8040517
López-Moral, M., GarcÃa-Morales, E., Molines-Barroso, R. J., GarcÃa-Madrid, M., Ãlvaro-Afonso, F. J., & Lázaro-MartÃnez, J. L. (2022). Effects of Wear and Tear of Therapeutic Footwear in Patients Remission. A 5-Year Follow-Up Study. Diabetes Research and Clinical Practice, 189(May). https://doi.org/10.1016/j.diabres.2022.109971
Mahoney, M. F. (2020). Telehealth, Telemedicine, and Related Technologic Platforms Current Practice and Response to the COVID-19 Pandemic. Journal Wound Ostomy Continence Nurse, 47(5), 439–444. https://doi.org/10.1097/WON.0000000000000694
McDermott, K., Fang, M., Boulton, A. J. M., Selvin, E., & Hicks, C. W. (2023). Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers. Diabetes Care, 46(1), 209–211. https://doi.org/10.2337/dci22-0043
Obilor, H. N., Achore, M., & Woo, K. (2022). Use of Information Communication Technology Tools in Diabetic Foot Ulcer Prevention Programs: A Scoping Review. Canadian Journal of Diabetes, 46(5), 535-548.e5. https://doi.org/10.1016/j.jcjd.2021.11.009
Paisey, R. B., Abbott, A., Paisey, C. F., & Walker, D. (2019). Diabetic Foot Ulcer Incidence and Survival with Improved Diabetic Foot Services: An 18-Year Study. Diabetic Medicine : A Journal of the British Diabetic Association, 36(11), 1424–1430. https://doi.org/10.1111/dme.14045
Rastogi, A., Hiteshi, P., Anil Bhansali, A., & Jude, E. B. (2021). Virtual Triage and Outcomes of Diabetic Foot Complications During COVID-19 Pandemic: A Retro-Prospective, Observational Cohort Study. PLoS One, 16, 1–11. https://doi.org/10.1371/journal.pone.0251143
Schmidt, B. M., Munson, M. E., Rothenberg, G. M., Holmes, C. M., & Pop-Busui, R. (2020). Strategies to Reduce Severe Diabetic Foot Infections and Complications During Epidemics (STRIDE). Journal of Diabetes and Its Complication, 34. https://doi.org/https://doi.org/10.1016/j.jdiacomp.2020.107691
Sima, D. I., Bondor, C. I., Vereşiu, I. A., Gâvan, N. A., & Borzan, C. M. (2021). Hospitalization Costs of Lower Limb Ulcerations and Amputations in Patients with Diabetes in Romania. International Journal of Environmental Research and Public Health, 18(5), 1–10. https://doi.org/10.3390/ijerph18052230
Smith-Strøm, H., Igland, J., Østbye, T., Tell, G. S., Hausken, M. F., Graue, M., Skeie, S., Cooper, J. G., & Iversen, M. M. (2018). The Effect of Telemedicine Follow-up Care on Diabetes- Related Foot Ulcers : A Cluster Randomized Controlled Noninferiority Trial. Diabetes Care, 3, 1–8. https://doi.org/10.2337/dc17-1025
Téot, L., Geri, C., Lano, J., Cabrol, M., Linet, C., & Mercier, G. (2020). Complex Wound Healing Outcomes for Outpatients Receiving Care via Telemedicine, Home Health, or Wound Clinic: A Randomized Controlled Trial. International Journal of Lower Extremity Wounds, 19(2), 197–204. https://doi.org/10.1177/1534734619894485
Wickström, H. L., Öien, R. F., Fagerström, C., Anderberg, P., Jakobsson, U., & Midlöv, P. J. (2018). Comparing Video Consultation with Inperson Assessment for Swedish Patients with Hard-to-heal Ulcers : Registry-based Studies of Healing Time and of Waiting Time. BMJ Open, 1–8. https://doi.org/10.1136/bmjopen-2017-017623
World Health Organization. (2022). Diabetes. https://www.who.int/news-room/fact-sheets/detail/diabetes
Yammine, K., & Estephan, M. (2022). Telemedicine and Diabetic Foot Ulcer Outcomes. A Meta-analysis of Controlled Trials. Foot, 50(June 2021), 101872. https://doi.org/10.1016/j.foot.2021.101872
Zhang, X., Wang, H., Du, C., Fan, X., Cui, L., Chen, H., Deng, F., Tong, Q., He, M., Yang, M., Tan, X., Li, L., Liang, Z., Chen, Y., Chen, D., Armstrong, D. G., & Deng, W. (2022). Custom-Molded Offloading Footwear Effectively Prevents Recurrence and Amputation, and Lowers Mortality Rates in High-Risk Diabetic Foot Patients: A Multicenter, Prospective Observational Study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 15, 103–109. https://doi.org/10.2147/DMSO.S341364
Bonnet, J. B., Macioce, V., Jalek, A., Bouchdoug, K., Elleau, C., Gras-Vidal, M. F., Pochic, J., Avignon, A., & Sultan, A. (2022). COVID-19 Lockdown Showed A Likely Beneficial Effect on Diabetic Foot Ulcers. Diabetes/Metabolism Research and Reviews, 38(4), 2–9. https://doi.org/10.1002/dmrr.3520
Bus, S. A., Stegge, W. B. A., Van Baal, J. G., Busch-Westbroek, T. E., Nollet, F., & Van Netten, J. J. (2021). Effectiveness of At-home Skin Temperature Monitoring in Reducing the Incidence of Foot Ulcer Recurrence in People with Diabetes: A Multicenter Randomized Controlled Trial (DIATEMP). BMJ Open Diabetes Research and Care, 9(1), 1–12. https://doi.org/10.1136/bmjdrc-2021-002392
Foong, H. F., Myint, B., Zee, K., & Car, L. T. (2020). Facilitators and Barriers of Using Digital Technology for the Management of Diabetic Foot Ulcers : A Qualitative Systematic Review. International Wound Journal, 17, 1266–1281. https://doi.org/10.1111/iwj.13396
Gamus, A., Keren, E., Kaufman, H., & Chodick, G. (2019). Synchronous Video Telemedicine in Lower Extremities Ulcers Treatment : A Real-world Data Study. International Journal of Medical Informatics, 124, 31–36. https://doi.org/10.1016/j.ijmedinf.2019.01.009
Gao, Y., Wang, C., Chen, D., Huang, H., Chen, L., Liu, G., Lin, S., Liu, M., Wen, X., Cho, J. H., Chen, Y., Li, Y., & Ran, X. (2021). Effects of Novel Diabetic Therapeutic Footwear on Preventing Ulcer Recurrence in Patients with A History of Diabetic Foot Ulceration: Study Protocol for An Open-label, Randomized, Controlled Trial. Trials, 22(151), 1–11. https://doi.org/10.1186/s13063-021-05098-8
Gordon, I. L., Rothenberg, G. M., Lepow, B. D., Petersen, B. J., Linders, D. R., Bloom, J. D., & Armstrong, D. G. (2020). Accuracy of A Foot Temperature Monitoring Mat for Predicting Diabetic Foot Ulcers in Patients with Recent Wounds or Partial Foot Amputation. Diabetes Research and Clinical Practice, 161, 108074. https://doi.org/10.1016/j.diabres.2020.108074
Hazenberg, C. E. V. B., de Stegge, W. B. A., Van Baal, S. G., Moll, F. L., & Bus, S. A. (2020). Telehealth and Telemedicine Applications for The Diabetic Foot: A Systematic Review. Diabetes/Metabolism Research and Reviews, 36(3), 1–11. https://doi.org/10.1002/dmrr.3247
Iversen, M. M., Igland, J., Smith-Strøm, H., Østbye, T., Tell, G. S., Skeie, S., Cooper, J. G., Peyrot, M., & Graue, M. (2020). Effect of A Telemedicine Intervention for Diabetes-related Foot Ulcers on Health, Well-being and Quality of Life: Secondary Outcomes from A Cluster Randomized Controlled Trial (DiaFOTo). BMC Endocrine Disorders, 20(1), 1–8. https://doi.org/10.1186/s12902-020-00637-x
Jorgetto, J. V., Gamba, M. A., & Kusahara, D. M. (2019). Evaluation of the Use of Therapeutic Footwear in People with Diabetes Mellitus – A Scoping Review. Journal of Diabetes and Metabolic Disorders, 18(2), 613–624. https://doi.org/10.1007/s40200-019-00428-9
Kavitha, K. V, Deshpande, S. R., Pandit, A. P., & Unnikrishnan, A. G. (2020). Application of Tele-podiatry in Diabetic Foot Management : A Series of Illustrative Cases. Diabetes India, 14, 1991–1995. https://doi.org/https://doi.org/10.1016/j.dsx.2020.10.009
Khan, U., Ahmad, K., Yadlapalli, S. S., Haseeb, M., Kabir, B., Khemani, D., Ghulam Moosa, P., & Khan, S. (2022). Effectiveness of Telemedicine for the Management of Foot Ulcers in People with Diabetes: A Meta-Analysis. Cureus, 14(10). https://doi.org/10.7759/cureus.30634
Killeen, A. L., Brock, K. M., Dancho, J. F., & Walters, J. L. (2020). Remote Temperature Monitoring in Patients with Visual Impairment Due to Diabetes Mellitus: A Proposed Improvement to Current Standard of Care for Prevention of Diabetic Foot Ulcers. Journal of Diabetes Science and Technology, 14(1), 37–45. https://doi.org/10.1177/1932296819848769
Lazzarini, P. A., Pacella, R. E., Armstrong, D. G., & van Netten, J. J. (2018). Diabetes-Related Lower-Extremity Complications Are A Leading Cause of the Global Burden of Disability. Diabetic Medicine : A Journal of the British Diabetic Association, 35(9), 1297–1299. https://doi.org/10.1111/dme.13680
Lieneck, C., Garvey, J., Collins, C., Graham, D., Loving, C., & Pearson, R. (2020). Rapid Telehealth Implementation during the COVID-19 Global Pandemic : A Rapid Review. Healthcare, 8(517), 1–15. https://doi.org/doi:10.3390/healthcare8040517
López-Moral, M., GarcÃa-Morales, E., Molines-Barroso, R. J., GarcÃa-Madrid, M., Ãlvaro-Afonso, F. J., & Lázaro-MartÃnez, J. L. (2022). Effects of Wear and Tear of Therapeutic Footwear in Patients Remission. A 5-Year Follow-Up Study. Diabetes Research and Clinical Practice, 189(May). https://doi.org/10.1016/j.diabres.2022.109971
Mahoney, M. F. (2020). Telehealth, Telemedicine, and Related Technologic Platforms Current Practice and Response to the COVID-19 Pandemic. Journal Wound Ostomy Continence Nurse, 47(5), 439–444. https://doi.org/10.1097/WON.0000000000000694
McDermott, K., Fang, M., Boulton, A. J. M., Selvin, E., & Hicks, C. W. (2023). Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers. Diabetes Care, 46(1), 209–211. https://doi.org/10.2337/dci22-0043
Obilor, H. N., Achore, M., & Woo, K. (2022). Use of Information Communication Technology Tools in Diabetic Foot Ulcer Prevention Programs: A Scoping Review. Canadian Journal of Diabetes, 46(5), 535-548.e5. https://doi.org/10.1016/j.jcjd.2021.11.009
Paisey, R. B., Abbott, A., Paisey, C. F., & Walker, D. (2019). Diabetic Foot Ulcer Incidence and Survival with Improved Diabetic Foot Services: An 18-Year Study. Diabetic Medicine : A Journal of the British Diabetic Association, 36(11), 1424–1430. https://doi.org/10.1111/dme.14045
Rastogi, A., Hiteshi, P., Anil Bhansali, A., & Jude, E. B. (2021). Virtual Triage and Outcomes of Diabetic Foot Complications During COVID-19 Pandemic: A Retro-Prospective, Observational Cohort Study. PLoS One, 16, 1–11. https://doi.org/10.1371/journal.pone.0251143
Schmidt, B. M., Munson, M. E., Rothenberg, G. M., Holmes, C. M., & Pop-Busui, R. (2020). Strategies to Reduce Severe Diabetic Foot Infections and Complications During Epidemics (STRIDE). Journal of Diabetes and Its Complication, 34. https://doi.org/https://doi.org/10.1016/j.jdiacomp.2020.107691
Sima, D. I., Bondor, C. I., Vereşiu, I. A., Gâvan, N. A., & Borzan, C. M. (2021). Hospitalization Costs of Lower Limb Ulcerations and Amputations in Patients with Diabetes in Romania. International Journal of Environmental Research and Public Health, 18(5), 1–10. https://doi.org/10.3390/ijerph18052230
Smith-Strøm, H., Igland, J., Østbye, T., Tell, G. S., Hausken, M. F., Graue, M., Skeie, S., Cooper, J. G., & Iversen, M. M. (2018). The Effect of Telemedicine Follow-up Care on Diabetes- Related Foot Ulcers : A Cluster Randomized Controlled Noninferiority Trial. Diabetes Care, 3, 1–8. https://doi.org/10.2337/dc17-1025
Téot, L., Geri, C., Lano, J., Cabrol, M., Linet, C., & Mercier, G. (2020). Complex Wound Healing Outcomes for Outpatients Receiving Care via Telemedicine, Home Health, or Wound Clinic: A Randomized Controlled Trial. International Journal of Lower Extremity Wounds, 19(2), 197–204. https://doi.org/10.1177/1534734619894485
Wickström, H. L., Öien, R. F., Fagerström, C., Anderberg, P., Jakobsson, U., & Midlöv, P. J. (2018). Comparing Video Consultation with Inperson Assessment for Swedish Patients with Hard-to-heal Ulcers : Registry-based Studies of Healing Time and of Waiting Time. BMJ Open, 1–8. https://doi.org/10.1136/bmjopen-2017-017623
World Health Organization. (2022). Diabetes. https://www.who.int/news-room/fact-sheets/detail/diabetes
Yammine, K., & Estephan, M. (2022). Telemedicine and Diabetic Foot Ulcer Outcomes. A Meta-analysis of Controlled Trials. Foot, 50(June 2021), 101872. https://doi.org/10.1016/j.foot.2021.101872
Zhang, X., Wang, H., Du, C., Fan, X., Cui, L., Chen, H., Deng, F., Tong, Q., He, M., Yang, M., Tan, X., Li, L., Liang, Z., Chen, Y., Chen, D., Armstrong, D. G., & Deng, W. (2022). Custom-Molded Offloading Footwear Effectively Prevents Recurrence and Amputation, and Lowers Mortality Rates in High-Risk Diabetic Foot Patients: A Multicenter, Prospective Observational Study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 15, 103–109. https://doi.org/10.2147/DMSO.S341364
