Diabetes Self-Management Education Improves Attitudes in the Prevention of Diabetic Foot Ulcers

  • Nur Wahyuni Munir Faculty of Public Health, Universitas Muslim Indonesia
  • Nurfadillah Mardiany Ramli Faculty of Public Health, Universitas Muslim Indonesia
  • Muhajirin Malinga Pelamonia Hospital
  • Musfirah Ahmad Faculty of Medicine, Universitas Sam Ratulangi
  • Maryunis Maryunis Wahidin Sudirohusodo Hospital
DOI: https://doi.org/10.32583/keperawatan.v13i2.1719
Keywords: attitudes, diabetes self-management education, diabetic foot ulcers

Abstract

Diabetes management consists of health education, nutritional management, exercise, blood glucose monitoring, and pharmacological therapy. Uncontrolled diabetes mellitus type 2 can cause neuropathy, infection, leg ulcers that are difficult to heal and eventually amputation of the lower extremities can be performed. The purpose of this study was to determine the effect of diabetes self-management education on attitudes in preventing diabetic foot ulcers. This study used a quasi-experimental design without a control group. Respondents were 30 patients with type 2 diabetes who were selected by purposive sampling. The pretest was carried out using a questionnaire has been tested for validity and reliability about attitudes, then given DSME with a duration of 45 minutes, then carried out posttest. DSME materials related to DM disease, diet regulation, physical exercise, blood glucose control, pharmacological therapy, and foot care. Respondents were given a booklet about DSME. Data analysis using paired sample t-test. The results showed that there was an effect of DSME on improving attitudes in the prevention of diabetic foot ulcers (p value = 0.016).