Individual responses to diabetic foot ulcers can be impacted by the disease process and healing. The response depends on one's perception of the severity of the disease and environmental/family support factors. Common responses include fear and anxiety due to the stress experienced. Physiological stress responses help the body adapt but prolonged exposure can negatively impact health and wound healing. Perceptions of quality of life and coping styles for dealing with daily stress vary among diabetics and influence disease management and ability to overcome complications. Studies link coping mechanisms to healing of diabetic ulcers, with the majority of patients experiencing stress, depression, and anxiety.

1. THE EXPERIENCE OF DIABETIC
FOOT ULCERS
A SYSTEMATIC REVIEW
1. Mohamad Roni Alfaqih
2. Kusnanto
3. Padoli

2. Diabetic foot ulcers can have an impact on individual responses related to
the disease process and healing.
The response depends on the perception of the disease, severity and
environmental factors and family support. The response that often occurs
is the existence of fear and anxiety which is due to the stress experienced
by the individual himself.

3. The Power of PowerPoint | thepopp.com 3
• MICROVASKULER • MAKROVASKULER
DIABETES MELITUS COMPLICATION

4. 3
METHODE
A systematic review research design resulting from the
latest article for the last 10 years.
This study used the Preffered Reporting Items for
Systematic Reviews and Meta-Analyses (PRISMA)
approach. All studies found relating the experience of
patient with diabetic foot ulcers only

5. 4
3
2
1
METHODE
Identificatio
n of
Intervention
Identication
Of Relevant
Literature
LITERATURE
FULL TEKS
Analysis of
results from
the
intervention

6. SOURCH LITERATURE
LITERATU
R
Experience
DIABETES
MELLITUS
Stress
SCOPUS
GOOGLE
SCHOLAR
PUBMED
DIABETIC
FOOT ULCER
Anxiety
ProQuest

7. DISCUSSION
The Experience of DFU
A SYSTEMATIC REVIEW
Perceptions
DFU
Impact
Individual
Response

8. Individual
Response
INDIVIDUAL
RESPONSE
Diabetic ulcers Complications can have an impact on
individual responses related to the disease process and
healing. The response depends on the perception of the
disease, the severity and environmental and support factors.
The response that often occurs is the existence of fear and
anxiety which is due to the stress experienced by the
individual himself.

9. DFU
Impact
DFU Impact
Physiological stress is a systematic response to stressors that
facilitates adaptation to meet challenges. Autonomic responses
involved in the modulation of physiological stress include activation
of the sympathetic and parasympathetic nervous system, which
work together to keep the body in a state of homeostasis. During
tense events, the sympathetic nervous system dominates,
producing fight-or-flight responses
However, the body cannot maintain this state for a long time,
the parasympathetic system returns the physiological condition
of the body to a rested and normal state.
Although sympathetic physiological responses are very important to
protect the body and adapt to stressors, prolonged exposure to
stress, which is referred to as episodic acute stress, can have
adverse effects on psychological and physiological health and can
affect the wound healing process

10. Perception
PERCEPTIONS
Diabetus Mellitus patients vary in their perceptions of their
quality of life and coping styles used when dealing with daily
stress. Coping in DM patients is a process and is a major factor
influencing a patient's assessment of the disease, the ability to
perform adaptive tasks and the ability to learn and use skills to
overcome the problems of the disease

11. CONCLUTION
REDUCE THE
DURATION OF
THE WOUND
HEALING PROCESS
The majority of patients who have DM with
complications of Diabetic Ulcer experience stress,
depression, and anxiety
One of the 16 studies on coping styles and depression
affecting the healing of diabetic ulcers states that
healing of diabetic ulcers is determined by coping
confrontation or coping mechanisms

12. Thanks