Predictors of Foot Care Behavior among Patients with Diabetes Mellitus: A Cross-Sectional Study
DOI:
https://doi.org/10.59784/glosains.v7i3.769Keywords:
Diabetes Mellitus, Family support, Foot careAbstract
Background: Diabetes mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia and glucose intolerance, which may lead to various complications, including diabetic foot ulcers. Inadequate foot care practices among patients with DM remain a significant concern and may increase the risk of foot injuries and infections.
Objective: This study aimed to identify factors associated with foot care behavior among patients with DM at the Bakauheni Health Center, South Lampung.
Methods: This study employed a quantitative, descriptive observational analytic design with a cross-sectional approach. The sample consisted of 91 respondents selected through a purposive sampling technique. Data collection was conducted at the Bakauheni Health Center. The research instrument used was the HDFSS & NAFF questionnaire to measure family support and foot care behavior.
Results: The results showed that the majority of respondents were female (60.4%), in the late elderly group (41.8%), and had a basic level of education (84.6%). Most respondents reported high family support (51.6%) and demonstrated good foot care behavior (79.1%). Bivariate analysis using Kendall’s Tau-b test revealed a significant correlation between duration of illness and family support with foot care behavior in DM patients (p < 0.05). Furthermore, ordinal logistic regression analysis indicated that family support was the most influential factor affecting foot care behavior (p = 0.037; OR = 4.039).
Conclusion: In conclusion, family support plays a crucial role in improving foot care behavior among patients with DM. It is recommended that healthcare teams, particularly community nurses, involve family members to enhance adherence to foot care practices and prevent diabetic foot complications.
References
Alligood, M. R. (2025). The structure and analysis of specialized nursing knowledge. Nursing Theorists and Their Work-E-Book: Nursing Theorists and Their Work-E-Book, 48.
Apituley, F., Prabawati, D., & Supardi, S. (2024). Effectiveness of Mindfulness Based Intervention: Open Heart Prayer in Diabetic Ulcer Patients at X Bekasi Hospital. Al Makki Health Informatics Journal, 2(5), 274–289.
Biagetti, B., & Puig-Domingo, M. (2023). Age-related hormones changes and its impact on health status and lifespan. Aging and Disease, 14(3), 605.
Black, J. M., Hawks, J. H., & Keene, A. M. (2009). Medical-surgical nursing: Clinical management for positive outcomes. (No Title).
Galuh, L., & Prabawati, D. (2021). Hubungan Dukungan Keluarga Terhadap Self-Management dan Kadar Gula Darah Pasien Diabetes. Jurnal Keperawatan BSI, 9(1), 49–55.
Ginting, E. J., Prabawati, D., & Novita, R. V. T. (2024). Hubungan tingkat pengetahuan dan lama menderita DM dengan perilaku perawatan kaki di Puskesmas Aren Jaya Bekasi Timur. Jurnal Keperawatan Cikini, 5(2), 180–191.
Hensarling, J. (2009). Development and psychometric testing of Hensarling's Diabetes Family Support Scale (Doctoral dissertation, Texas Woman's University).
Hossain, M. J., Al‐Mamun, M., & Islam, M. R. (2024). Diabetes mellitus, the fastest growing global public health concern: Early detection should be focused. Health Science Reports, 7(3), e2004.
Khunti, K., Chudasama, Y. V, Gregg, E. W., Kamkuemah, M., Misra, S., Suls, J., Venkateshmurthy, N. S., & Valabhji, J. (2023). Diabetes and multiple long-term conditions: a review of our current global health challenge. Diabetes Care, 46(12), 2092–2101.
Lin, C., Liu, J., & Sun, H. (2020). Risk factors for lower extremity amputation in patients with diabetic foot ulcers: A meta-analysis. PloS One, 15(9), e0239236. https://doi.org/10.1371/journal.pone.0239236
Mullan, L., Wynter, K., Driscoll, A., & Rasmussen, B. (2020). Preventative and early intervention diabetes-related foot care practices in primary care. Australian Journal of Primary Health, 26(2), 161–172.
Narmawan, N., Syahrul, S., & Erika, K. A. (2018). The behavior of foot care in patients with type 2 diabetes mellitus: Applying the theory of planned behaviour. Public Health of Indonesia, 4(3), 129–137.
Prabawati, D., & Natalia, L. (2024). Pemberdayaan Kader Kesehatan: Pencegahan Komplikasi Diabetes dengan Pengelolaan Makan dan Perawatan Kaki. Prosiding Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat, 2(1), 247–251.
Prabawati, D., & Ratnasari, P. A. (2023). Efektifitas Pendidikan Kesehatan terhadap Pengetahuan Perawatan Kaki pada Pasien Diabetes Mellitus di Rumah Sakit X, Bekasi. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(8), 1592–1598.
Shatnawi, N. J., Al-Zoubi, N. A., Hawamdeh, H. M., Khader, Y. S., Garaibeh, K., & Heis, H. A. (2018). Predictors of major lower limb amputation in type 2 diabetic patients referred for hospital care with diabetic foot syndrome. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 313–319. https://doi.org/10.2147/DMSO.S165967
Silalahi, L. E., Prabawati, D., & Hastono, S. P. (2021). Efektivitas edukasi self-care terhadap perilaku manajemen diri pada pasien diabetes melitus di wilayah Puskesmas Sukapura Jakarta. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 4(1), 15–22.
Sinurat, A. J., & Prabawati, D. (2025). Pengaruh Edukasi Kesehatan terhadap Perilaku Perawatan Kaki Penderita Diabetes Mellitus di Puskesmas Tanjung Priok Jakarta. Malahayati Nursing Journal, 7(12), 5279–5289. https://doi.org/10.33024/mnj.v7i12.20738
Teater, B. (2024). EBOOK: An introduction to applying social work theories and methods, 4/E. McGraw-Hill Education (UK).
Xiong, X., Wei, L., Xiao, Y., Han, Y.-C., Yang, J., Zhao, H., Yang, M., & Sun, L. (2020). Family history of diabetes is associated with diabetic foot complications in type 2 diabetes. Scientific Reports, 10(1), 17056.
Yip, J. Y. C. (2021). Theory-based advanced nursing practice: A practice update on the application of Orem’s self-care deficit nursing theory. SAGE Open Nursing, 7, 23779608211011990.
Zuliani, Z., Wulandari, T. S., Sari, W., Sari, M. S., Prabawati, D., Laloan, R. M., Oroh, C., Melati, N., Widani, N. L., & Indrawati, N. (2025). Keperawatan Penyakit Kronis. Yayasan Kita Menulis.
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