Effectiveness of Foot Care in Preventing Skin Damage and Risk of Diabetic Foot Wounds in Diabetes Mellitus Patients

  • Jumain Program Studi Ilmu Keperawatan, Sekolah Tinggi Ilmu Kesehatan Indonesia Jaya
  • Noviany Banne Rasiman Program Studi Profesi Ners, Sekolah Tinggi Ilmu Kesehatan Indonesia Jaya
Keywords: Effectiveness, Foot Care, Damage to Skin Integrity, Foot Wounds, Diabetes Mellitus

Abstract

Introduction: Diabetes mellitus (DM) type II is a disease characterized by increased blood sugar levels which can cause many complications. The complications of DM that often occur are skin damage and diabetic foot wounds, because in general patients are not aware of the presence of ulcers due to the neuropathy they are experiencing. The risk of foot injuries can increase the need for treatment and care in patients. However, the risk of foot injuries can be detected early by the patient independently by carrying out regular examinations of the patient's feet. Providing foot care can reduce the incidence of skin damage and the risk of diabetic foot wounds.

Objective: The aim of the research is to analyze the effectiveness of foot care in preventing skin damage and the risk of diabetic foot wounds in diabetes mellitus patients.

Method: This research method uses a quasi-experimental design with a pretest posttest one group design. This research was conducted at the Undata Hospital in the Bougenvile room with a population of 31 participants. The selection of respondents was based on inclusion criteria, namely: age ? 30 years and suffering from DM.

Result: The results of the analysis used the paired sample t-Test. The average skin damage prevention score for DM patients before giving foot care was 2.97 and the skin damage prevention score after being given foot care was 2.52, respectively, experiencing a decrease in skin improvement of 0.45. These results show that the average value of diabetic ulcer risk for DM patients before being given foot care was 2.81 and the average value after being given foot care was 2.16 with a difference in improvement in the risk of diabetic ulcers of 0.65 which shows that the p-value is 0.000 < ? (0.005) then H0 is rejected and H1 is accepted. This shows that there is an effect after being given effective foot care on preventing skin damage and the risk of diabetic ulcers in DM patients at Undata Regional Hospital.

Conclusion: This research proves the influence of the effectiveness of foot care on preventing skin damage and the risk of diabetic ulcers in DM patients at Undata Hospital.

References

Singh S, Jajoo S, Shukla S, Acharya S. Educating patients of diabetes mellitus for diabetic foot care. J Family Med Prim Care. 2020;9(1):367.

Kemenkes RI. Laporan Riset Kesehatan Dasar (Pertama). Jakarta; 2018.

Nicolucci A, Romeo L, Bernardini M, Vespasiani M, Rossi MC, Petrelli M, et al. Prediction of complications of type 2 Diabetes: A Machine learning approach. Diabetes Res Clin Pract. 2022 Aug 1;190.

Xu L, Yan X, Tang Z, Feng B. Association between circulating oxidized OxLDL/LDL-C ratio and the severity of coronary atherosclerosis, along with other emerging biomarkers of cardiovascular disease in patients with type 2 diabetes. Diabetes Res Clin Pract. 2022 Sep 1;191.

Rusli AA, Soelistijo SA. Extensive thrombosis with amputation of digit I pedis dextra: A case report in Indonesian adult with type 2 diabetes mellitus. Int J Surg Case Rep. 2022 Mar 1;92.

Chapman S. Foot care for people with diabetes: prevention of complications and treatment [Internet]. Vol. 22, 226 British Journal of Community Nursing. 2017. Available from: http://www.

Palomo AT, Pires APM, Matielo MF, de Athayde Soares R, Pecego C, Sacilotto R, et al. Microbiology of Diabetic Foot Infections in a Tertiary Care Hospital in São Paulo, Brazil. Antibiotics. 2022 Aug 1;11(8).

Hatem MA, Kamal DM, Yusuf KA. Diabetic foot limb threatening infections: Case series and management review. Vol. 48, International Journal of Surgery Open. Elsevier Ltd; 2022.

Nguyen TPL, Edwards H, Do TND, Finlayson K. Effectiveness of a theory-based foot care education program (3STEPFUN) in improving foot self-care behaviours and foot risk factors for ulceration in people with type 2 diabetes. Diabetes Res Clin Pract. 2019 Jun 1;152:29–38.

Ju HH, Ottosen M, Alford J, Jularbal J, Johnson C. Enhancing foot care education and support strategies in adults with type 2 diabetes. J Am Assoc Nurse Pract. 2024 Jun 1;36(6):334–41.

Anatasia Nazier S, Karma A, Anatasia Nazier Jurusan Ortotik Prostetik S, Kesehatan Kemenkes Jakarta P. Foot Screening dan Pengaruh Edukasi terhadap Pengetahuan dan Perilaku Pencegahan Diabetic Foot Ulcer pada Individu dengan Diabetes Mellitus Foot Screening and the Effect of Education to Knowledge and Behavior of Diabetic Foot Ulcer Prevention in People with Diabetic Mellitus [Internet]. Vol. 12, Jurnal Kesehatan. Online; 2021. Available from: http://ejurnal.poltekkes-tjk.ac.id/index.php/JK

Natalia Nadia Azalia Dyah Wibowo, Muhammad Anis Taslim, Felicia Risca Ryandini. Pengaruh Foot Care Education Melalui Media Audiovisual Terhadap Tingkat Pengetahuan Pasien Diabetes Mellitus. DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan [Internet]. 2023 Sep 16;1(4):69–82. Available from: https://journal.widyakarya.ac.id/index.php/diagnosa-widyakarya/article/view/1296

Parliani P, Rungreangkulkij S, Nuntaboot K. Foot Care among Diabetes Patients: A Concept Analysis. Vol. 13, Nurse Media Journal of Nursing. Diponegoro University- Department of Nursing, Faculty of Medicine; 2023. p. 246–62.

Hermansyah H, Setiawan A, Hendriana Y. Efektifitas Foot Care Education Terhadap Praktik Perawatan Kaki Dalam Upaya Pencegahan Risiko Ulkus Kaki Diabetik Pada Penderita Diabetes di Wilayah Kabupaten Kuningan. Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal. 2018 Dec 3;9(2):1–7.

Nies MA, Mcewen M. Community/Public Health Nursing Promoting the Health of Populations SIXTH EDITION. Texas; 2019.

Made Fira Hartini N, Adyanti, Ansar, Chandriasih P, Hafid F, Faisal E, et al. Kepatuhan Diet pada Pasien Rawat Inap Penyandang Diabetes Melitus Tipe 2 Description of Diet Compliance in Inpatients with Type 2 Diabetes Mellitus. Jurnal Ilmiah Kesmas. 2024;4(2):59–65.

RSUD Undata. Data Rekam Medik. Palu.Provinsi SulawesiTengah; 2024.

Sari Y, Upoyo AS, Isworo A, Taufik A, Sumeru A, Anandari D, et al. Foot self-care behavior and its predictors in diabetic patients in Indonesia. BMC Res Notes. 2020 Feb 1;13(1).

Ruiz-Toledo J, Zalacain-Vicuña AJ, de Planell-Mas E. Evaluation of the complementary health provision of the podiatric foot care program for diabetic patients in catalonia (Spain). Int J Environ Res Public Health. 2021 May 2;18(10).

Windani CM, Haroen H, Nursiswati. Pengaruh Program Edukasi Perawatan Kaki Berbasis Keluarga terhadap Perilaku Perawatan Kaki pada Pasien Diabetes Melitus Tipe 2. Jurnal Keperawatan Padjadjaran. 2016;4.

Nikitara M, Constantinou CS, Andreou E, Diomidous M. The role of nurses and the facilitators and barriers in diabetes care: A mixed methods systematic literature review. Vol. 9, Behavioral Sciences. MDPI Multidisciplinary Digital Publishing Institute; 2019.

American Diabetes Association. Microvascular complications and foot care: Standards of medical care in diabetes—2021. Diabetes Care. 2021 Jan 1;44:S151–67.

Adatia A, Wahab M, Shahid I, Moinuddin A, Killian KJ, Satia I. Effects of cigarette smoke exposure on pulmonary physiology, muscle strength and exercise capacity in a retrospective cohort with 30,000 subjects. PLoS One. 2021 Jun 1;16(6 June).

Adelian N, Safitri N, Purwanti LE, Andayani S, Artikel S. Hubungan Perilaku Perawatan Kaki Dengan Kualitas Hidup Pasien Diabetes Melitus Di Rsu Muhammadiyah Dan Klinik Rulia Medika Ponorogo. Health Sciences Journal [Internet]. 2022; Available from: http://studentjournal.umpo.ac.id/index.php/HSJ

Widagdo W. Efektivitas Edukasi Faktor Risiko Kaki Diabetik Terhadap Praktik Pencegahan Luka Kaki Diabetik Pada Klien DM Tipe 2. JHCN Journal of Health and Cardiovascular Nursing. 2022;2.

Published
2024-11-13
How to Cite
Jumain, & Rasiman, N. B. (2024). Effectiveness of Foot Care in Preventing Skin Damage and Risk of Diabetic Foot Wounds in Diabetes Mellitus Patients. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(11), 2683-2689. https://doi.org/10.56338/mppki.v7i11.6188