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All Journal Journal Of Holistic Nursing Science Media Keperawatan Indonesia Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Indonesian Journal of Global Health research Journal of Applied Nursing and Health Prosiding University Research Colloquium Jurnal Keilmuan dan Keislaman JUKEJ: Jurnal Kesehatan Jompa Jurnal Pengabdian Kepada Masyarakat Citra Delima
Suciana, Fitri
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Education and Assessment of Foot Health Status to Prevent Diabetic Ulcers Suciana, Fitri; Rayasari, Fitriyan; Anggraini, Dewi
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4560

Abstract

Lifestyle changes and urbanization are important causes of health problems, especially diabetes mellitus and have continued to increase throughout this millennium. Diabetes mellitus is listed as the sixth leading cause of death in the world. If prevention and treatment is not carried out, diabetes mellitus can cause complications. One complication can be diabetic ulcers. Prevention of diabetic ulcers can be done, among other things, by evaluating the feet and the shape of the feet so that they can determine appropriate footwear, examining the feet and legs, checking the pulse, and assessing the strength of the feet. The aim of this research is to determine the effectiveness of education and assessing foot health status in preventing the occurrence of diabetic ulcers. The method uses a quasi-experimental design. The population in this study was 30 posyandu cadres in Dukuh Village, Bayat District. The sampling technique in this research was the Total Sampling method. Instruments using leaflets for conducting education and HFSQ questionnaires for assessing foot health status. Data were tested using the Mann Whitney test. The result is a P value of 0.00, which means there is a difference in the average foot health status score after being given education about foot care. The average pretest score was 16.84, increasing to 18.15. The conclusion is that education can change foot care behavior by assessing foot health status.
Application of Dorothea Orem's Self-Care Theory in Patients with Diabetic Ulcers: A Mixed-Methods Case Study Suciana, Fitri; Rayasari, Fitrian
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.285

Abstract

Background: Diabetes Mellitus is a metabolic disease with an increase in blood sugar levels above normal, which can cause complications if not properly managed. One of the complications that can arise is diabetic ulcers, which require nursing interventions after debridement or post-amputation. Methods: This study employed a mixed-methods approach, combining both quantitative data and a case study design. Following STROBE guidelines, the quantitative component included 19 individuals diagnosed with diabetes mellitus. Using purposive sampling, 7 participants were selected based on the inclusion criteria of having diabetic ulcers and being hospitalised for at least 3 days, and 5 nurses who cared for the patients. Data were collected using structured observation sheets and nursing care records. For the qualitative component, guided by COREQ criteria, in-depth interviews were conducted using semi-structured interview guides to explore patients' experiences and perceptions. Data analysis for the qualitative data used grounded theory methodology, while descriptive statistics were applied to the quantitative data. NVivo software was used for qualitative coding, while SPSS was employed for descriptive analysis.  Results: Orem's theory can be used in self-care efforts by carrying out wholly compensatory system nursing interventions, such as wound care, monitoring infections, and carrying out antibiotic treatment, while partially compensatory systems can be carried out by patients independently, such as insulin treatment at home, physical activity, and not smoking, while supportive educative systems by providing foot care education by assessing foot health status. Orem's theory can be used in self-care efforts by performing wholly compensatory system nursing interventions with education, and patients can perform self-care with partially compensatory systems, such as physical activity, not smoking, and insulin use. Conclusion: Self-care nursing interventions for diabetic ulcers include partially compensatory and totally compensatory systems.
Co-Authors Agustina, Nur Wulan Agustiningrum, Ratna Aini, Ulva Nur Amayawati, Neti Ambar Winarti Annisa, Hanik Nur Ardiansyah Arifianto, Danang Daryani - Devi Permata Sari Dewi Anggraini Harun Joko Prayitno Haryanti, Rusiana Sri Marwanti Pramono, Cahyo Pratiwi, Adelia Wahyu Ramdani, Selfiana Putri Rayasari, Fitrian Rayasari, Fitriyan saifudin zukhri - Shohenuddin, Shohenuddin Siti Aisah Supardi, S Wibowo, Eko Ari Wulan Agustina, Nur