Foot Self Efficacy dan Foot Self Care Behaviour pada Lansia dengan Diabetes Melitus

Ainul Yaqin Salam; Nur Hamim

doi:10.33006/ji-kes.v3i1.126

Authors

Ainul Yaqin Salam STIKes Hafshawaty Pesantren Zainul Hasan, Indonesia
Nur Hamim STIKes Hafshawaty Pesantren Zainul Hasan, Indonesia

DOI:

https://doi.org/10.33006/ji-kes.v3i1.126

Abstract

Â Abstrak

Lansia dengan diabetes adalah kelompok khusus yang memiliki resiko tinggi komplikasipada kakinya. Self-efficacymenjadi salah satu determinan faktor utama untuk meningkatkan perilaku perawatan kaki. Penelitian ini bertujuan untuk mengidentifikasi tingkat efikasi diri kaki (Foot Self Efficacy) dan perilaku perawatan kaki (Foot Crae Behaviour) dan hubungannya dengan karakteristik demografis pada lansia dengan diabetes.Studi cross-sectional digunakandi Desa Karangren Kecamatan Krejengan Probolinggo dari Mei hingga Juni 2019. Kriteria khusus dipilih untuk berpartisipasi dalam penelitian ini. Para responden diwawancarai menggunakan seperangkat kuesioner yang telah divalidasi. Statistik deskriptif dan inferensial (regresi linier berganda) digunakan untuk menjawab hipotesis penelitiandengan bantuanSPSS 19. Hasil penelitian menyebutkan rata-ratafoot self-efficacysebesar 29,79 dengan standar deviasi 8,26 danrata-ratafoot care behavior sebesar 28,72 dengan SD 6,33. Terdapat hubungan positif dan signifikan antara foot self-efficacy (Î² = 0,43, p <0,001), tingkat pendidikan (Î² = 0,43, p <0,001), dan jenis kelamin (Î² = 0,31, p <0,001) dengan perilaku perawatan kaki. Program edukasi self-efficacydapat menjadi pertimbangan yang krusial Â untuk meningkatkan perilaku perawatan kaki. Lansia dengan diabetes harus diajari pemeriksaan kaki secara mandiri.Perawatan kaki diabetes yang tepat dan berkelanjutan dapat secara signifikan mencegah terjadinya komplikasi pada kaki lebih lanju yang berefek pada peningkatan kualitas hidup.

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Kata kunci: diabetes, lansia, efikasi diri, perilaku perawatan diri, kaki

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Abstract

The elderly with diabetes is a special group that has a high risk of complications in the legs. Self-efficacy is one of the main determinants of improving foot care behavior.The essential aims of this study were to identify the level of self-efficacy and foot care behavior and its relationship to demographic characteristics in elderly patients with diabetes. The cross-sectional study has been done in Karangren Village, Krejengan Probolinggo district from May to June 2019. Specific criteria Â were chosen to participate in this study. The respondents interviewed used a set of validated questionnaires. Descriptive and inferential statistics (multiple linear regression) were used to answer the research hypothesisby SPSS 19. The results mentioned that the average foot self-efficacy was 29.79, with a standard deviation of 8.26, and the normal foot care behavior was 28.72, with an SD of 6.33. There is a significant relationship between foot self-efficacy (Î² = 0.43, p <0.001), level of education (Î² = 0.43, p <0.001), and gender (Î² = 0.31, p <0.001) with foot care behavior. The self-efficacy education program can be a crucial considerateness for improving foot care behavior.Elderly with diabetes must be taught foot examinations independently. Appropriate and ongoing diabetes foot care can significantly prevent diabetic foot complications, which affect improving the quality of life.

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Keywords: diabetes, elderly, self-efficacy, self-care behavior, feet

Author Biographies

Ainul Yaqin Salam, STIKes Hafshawaty Pesantren Zainul Hasan

Program Studi Diploma Keperawatan

Nur Hamim, STIKes Hafshawaty Pesantren Zainul Hasan

Program Studi Diploma Keperawatan

References

Amiga KS et al. (2011). Bridging the gap in aging: translation policies into practice in Malaysian Primary Care. Asia Pac Fam Med.10(1):2.

Bell RA, Arcury TA, Snively BM, et al. (2005). Diabetes foot self-care practices in a rural triethnicpopulation. Diabetes Educ. 31(1):75â€“83.

Bonger Z, Shiferau S, Tariku EZ. (2018). Adherence to Diabetic Self-Care Practices and Its Associated Factors Among Patients with Type 2 Diabetes in Addis Ababa, Ethiopia. Dovepress.; 12: 963-970.

Borson S, Scanlan JM, Watanabe J, et al. (2006). Improving identification of cognitive impairment in primary care. Int J Geriatr Psychiatry. 21(4):349â€“55.

Bullen B., Young M., McArdle C. (2019). Overcoming Barriers to Self-Management: The Person-Centered Diabetes Foot Behavioral Agreement. Foot (Edinb). Mar;38:65-69.

Chan YF, Huang TT, et al. Development, validation of a diabetes foot self-care behavior scale. J Nurs Res. 21(1):19â€“25.

Dâ€™Souza MS, Karkada SN, Parahoo K, et al. (2017). Self-efficacy and self-care behaviors among adults with type 2 diabetes. Appl Nurs Res. Aug;36:25-32.

Gatt S, Sammut R. (2008). An exploratory study of predictors of self-care behavior in persons with type 2 diabetes. Int J Nurs Stud. 45(10):1525-33.

Gebremedin T, Workicho A, Angaw DA. (2018). Health-related quality of life and its associated factors among adult patients with type II diabetes. BMJ Journal. 16: 189.

Hamedan, MS, Hamedan, MS, Torki ZS. (2017). Self-efficacy of foot care behavior of elderly patients with diabetes. Malays Fam Physician. 12(2):2-8. eCollection 2017.

Hristos S, Ecloss MP, Francis JJ, et al. (2017). Using psychological theory to understand the clinical management of type 2 diabetes a comparison across two European countries. BMC Health Serv Res. 2009 Aug 5;9:140.

International Diabetes Federation. (2017). IDF Diabetes Atlas. Eighth edition. 2017. [Accessed May 14;2019]. www.idf.org/diabetesatlas.

Khawaldeh OA, Hassan, MA, et al. (2012). Self-efficacy, self-management, and glycemic control in adults with type 2 diabetes mellitus. J Diabetes Complications. 26(1):10â€“6.

Kezerle L, Shavel L, Barski L. (2014). Treating the elderly diabetic patient: special consideration. Diabetes Metab Syndr Obes. 7: 391-400.

McCulloch DK. (2014). Diabetic Foot Care in Diabetes Mellitus (Beyond the Basics): Patient Information.. [Accessed May 1; 2015 ]. http://www.uptodate.com/contents/foot-care-in-diabetes-mellitus-beyond-the-basics UpToDate.

Muhammad-Lutfi AR, Zaraihah MR, Anuar-Ramdhan IM. (2014). Knowledge & practice of diabetic foot care in an n-patient setting at a tertiary medical center. Malays Orthop J. 8(3):22â€“6.

National Institute on Aging. (2019). Diabetes in older adults. [Accessed May 5]. https://www.nia.nih.gov/health/diabetes-older-people.

Pourhaji F, Delshad MH, Ammari AA, Pourhaji R. (2016). Foot-Care Self-efficacy Beliefs, Physical Self-Concept and actual Foot-Care Behavior in People with Diabetes Mellitus. IJMP. Issue 3: 101-107.

Sloan HL. (1997). Development and Tested The Foot Care Confidence Scale to Measure Self-Efficacy in Foot Care. New Orleans, LA: Louisiana State University Medical Center School of Nursing. Dissertation.

Subramaniam S, Dhillon JS, Ahmad MS, et al. (2016). Integrating Health Behavioural Change In The Design Of Prediabetes Self-Care Applications: A Systematic Literature Review. Journal of Theoretical and Applied Information Technology. Vol.88 No.2.

Usta YY, Dikmen Y, Yorgun S, and Berdo I. Predicor of foot care behaviour in patient with diabetes. PeerJ 7:e6416 DOI 10.7717/peerj.6416.

Weinger K, Butler HA, Welch GW, et al. (2005). Measuring diabetes self-care. Diabetes Care. 28(6):1346â€“52.

Wendling S, Beadle V. (2015). The relationship between self-efficacy and diabetic foot self-care. J Clin Trans Endocrinol. ;2(1):37â€“41.

World Health Organization. Global Report on Diabetes. (2019). [Accessed April 1; 2019]. https://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf?sequence=1.

World Health Organization. (2019). 10 Facts About Diabetes, author. 2016. [Accessed May 5; 2019]. https://www.who.int/features/factfiles/diabetes/en/.

Yildirim Usta Y, Dikman Y, Yurgon S, et al. (2019). Predictors of foot care behaviors in patients with diabetes in Turkey. PeerJ. 2019 Feb 8;7:e6416.