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The Effectiveness of Diabetes Self-Management Education (DSME) on the Self-Care of Patients with Diabetic Foot Ulcers Negara, Candra Kusuma; Wibowo, Hery; Nafi'ah, Rizka Hayyu; Prawira, Ricky
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.6999

Abstract

Diabetic foot ulcers are one of the chronic complications of diabetes mellitus (DM) that can lead to serious infections and even amputation. Poor self-care ability is a major risk factor in the development of chronic wounds among DM patients. The Diabetes Self-Management Education (DSME) intervention has been considered effective in improving patients’ self-management abilities; however, contextual evidence in Indonesia remains limited. This study aimed to evaluate the effectiveness of DSME intervention in improving self-care abilities among patients with diabetic foot ulcers at RSUD Banjarmasin. The study employed a quasi-experimental design using a one group pre-test and post-test approach. A total of 30 patients were selected using total sampling. The DSME intervention was delivered over seven consecutive days through a structured, face-to-face educational approach. Self-care ability was measured using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire before and after the intervention. Data were analyzed using a paired sample t-test. Prior to the intervention, the majority of respondents (70%) were categorized as having poor self-care. After the intervention, 80% of respondents were categorized as having good self-care. The paired sample t-test showed a significant difference in self-care scores before and after the DSME intervention (p < 0.001). The DSME intervention was effective in enhancing self-care abilities among patients with diabetic foot ulcers.