The Effectiveness of Diabetic Foot Care (DiFoCa) on the Foot Care Behavior of Diabetes Mellitus Patients : A Quasi-Experimental Study with a Control Group

Authors

DOI:

https://doi.org/10.23917/bik.v19i1.13140

Keywords:

Diabetes Mellitus, education, foot care, behavior foot exercises

Abstract

Diabetes Mellitus (DM) is the second most common disease in Indonesia after hypertension. Diabetes Mellitus can cause complications, one of which is diabetic ulcer. Diabetic ulcer can lead to amputation of the extremities, especially the lower extremities. Prevention measures that can be taken to prevent diabetic ulcer include foot care therapy. Foot care consists of three preventive measures, starting with education on foot care, diabetic foot exercises, and management of foot injuries/wounds. Foot care training was conducted for five weeks. The study aimed to determine the effect of Diabetes Foot Care Training on the foot care behavior of D patients. Foot care behavior was assessed using the Nottingham Assessment of Functional Footcare (NAFF) tool. The research was conducted over 5 weeks. The study involved 60 respondents divided into an intervention group and control group. The results of the control group showed a p-value > 0,005 (0,647), indicating no difference in foot care behavior in the control group. The Wilcoxon test for the intervention group showed a p-value < 0,005 (0,002), indicating a difference in foot care behavior before and after the intervention. The Mann Whitney test showed a p-value < 0,005 (0,027). The conclusion of the study states that Difoca intervention has an effect on improving foot care behavior in DM patients.

Downloads

Download data is not yet available.

References

Aalaa, M., Amini, M., Yarmohammadi, H., Aghaei Meybodi, H. R., Qorbani, M., Adibi, H., Razi, F., Mehrdad, N., & Sanjari, M. (2021). Diabetic foot self-care practice in women with diabetes in Iran. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 15(5), 102225. https://doi.org/10.1016/j.dsx.2021.102225

Ayu, A. P., Wijayanti, I. G. A. S. P. W., & Mas’adah. (2024). Pengaruh Training Foot Care Terhadap Kejadian Ulkus Kaki Diabetik Pada Pasien Diabetes Melitus. Indonesian Health Issue, 3(1), 44–59. https://doi.org/10.47134/inhis.v3i1.59

Bekele, F., & Berhanu, D. (2021). “Loss of a limb is not loss of a life”. Knowledge and attitude on diabetic foot ulcer care and associated factors among diabetic mellitus patients on chronic care follow-up of southwestern Ethiopian hospitals: A multicenter cross-sectional study. Annals of Medicine and Surgery, 72(November), 103140. https://doi.org/10.1016/j.amsu.2021.103140

Bekele, F., Berhanu, D., Sefera, B., & Babu, Y. (2022). Diabetic foot self-care practices and its predictors among chronic diabetic mellitus patients of southwestern Ethiopia hospitals: A cross sectional study. International Journal of Africa Nursing Sciences, 17(September), 100489. https://doi.org/10.1016/j.ijans.2022.100489

Bekele, F., Kelifa, F., & Sefera, B. (2022). A male’s foot is being shot by an ulcer, not a gunshot! The magnitude and associated factors of diabetic foot ulcer among diabetes mellitus patients on chronic care follow-up of southwestern Ethiopian hospital: A cross-sectional study. Annals of Medicine and Surgery, 79(June), 104003. https://doi.org/10.1016/j.amsu.2022.104003

Brahmantia, B., Falah, M., Rosidawati, I., Sri R, A., & Dinia F, N. (2020). Pengaruh Senam Kaki Diabetik Terhadap Sensitivitas Kaki Penderita Dm Di Puskesmas Parungponteng Kecamatan Cibalong Kabupaten Tasikmalaya. Healthcare Nursing Journal, 2(2), 15–19. https://doi.org/10.35568/healthcare.v2i2.862

Elkashif, M. M. L., Mahdy, A. Y., & Elgazzar, S. E. (2021). Evaluating The Effect of Establishing Protocol for Self- Care Practice of Diabetic Foot Patients Regarding Their Needs, Concerns and Medication Use: A quasi-experimental study. Saudi Journal of Biological Sciences, 28(6), 3343–3350. https://doi.org/10.1016/j.sjbs.2021.02.081

Firdaus, M. K. Z. H., & Jittanoon, P. (2021). A literature review on intervention programs for diabetic foot care. Enfermeria Clinica, 31, S243–S246. https://doi.org/10.1016/j.enfcli.2020.09.009

Galandjindjinay, A., Wahyuni, E., Thalib, A., Sri, |, & Mustafa, R. (2024). The effect of blended learning methods on diabetic foot care on knowledge and skills to prevent the risk of diabetic foot injuries in patients with type II diabetes mellitus in the work area of the Kapasa Health Center in Makassar City. Innovative Approaches in Health Science Journal, 1(1), 1–6. https://journaliahsj.paperhome.id/index.php/IAHSJ/article/view/1

Goodall, R. J., Ellauzi, J., Tan, M. K. H., Onida, S., Davies, A. H., & Shalhoub, J. (2020). A Systematic Review of the Impact of Foot Care Education on Self Efficacy and Self Care in Patients With Diabetes. European Journal of Vascular and Endovascular Surgery, 60(2), 282–292. https://doi.org/10.1016/j.ejvs.2020.03.053

Harli, K. I. (2022). ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN SELF-AWARENESS PERAWATAN KAKI PADA PASIEN DM TIPE 2. Jurnal Keperawatan Silampari, 6(1), 828–837. https://journal.ipm2kpe.or.id/index.php/JKS/article/view/4753

Imamah, I. N., & Gati, N. W. (2022). The Effect of Supportive Group Therapy Toward DM Patients Depression. Gaster, 20(1), 45. https://doi.org/10.30787/gaster.v20i1.775

Kurnia, A., Rejeki, S., & Khoiriyah, K. (2022). Perilaku Perawatan Kaki pada Penderita Diabetes Melitus Melalui Terapi 3F (Foot Assessment, Foot Care, Follow Up). Window of Health : Jurnal Kesehatan, 5(4), 772–779. https://doi.org/10.33096/woh.v5i04.186

Latipah, S., & Apriyanti, F. (2023). Pengaruh Foot Self-Care Terhadap Neuropati Perifer Pada Pasien Dm Tipe 2 Dengan Pendekatan Teori Keperawatan Orem. Prosiding Simposium Nasional Multidisiplin (SinaMu), 4, 1. https://doi.org/10.31000/sinamu.v4i1.7664

Monteiro-Soares, M., Vale-Lima, J., Martiniano, J., Pinheiro-Torres, S., Dias, V., & Boyko, E. J. (2021). A systematic review with meta-analysis of the impact of access and quality of diabetic foot care delivery in preventing lower extremity amputation. Journal of Diabetes and Its Complications, 35(4). https://doi.org/10.1016/j.jdiacomp.2020.107837

Downloads

Submitted

2025-09-29

Accepted

2025-12-29

Published

2026-01-31

How to Cite

Imamah, I. N., Dwi Prajayanti, E., & Margatot, D. I. (2026). The Effectiveness of Diabetic Foot Care (DiFoCa) on the Foot Care Behavior of Diabetes Mellitus Patients : A Quasi-Experimental Study with a Control Group. Jurnal Berita Ilmu Keperawatan, 19(1), 121–128. https://doi.org/10.23917/bik.v19i1.13140

Issue

Section

Articles

Similar Articles

<< < 1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.