Kharisma Pratama
Program Studi Ners, Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat, Kubu Raya, Kalimantan Barat

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Literasi Kesehatan dan Perilaku Perawatan Kaki Melalui Terapi 3F (Foot Assessment, Foot Care, Follow Up) Muhammad Ikhwan Siswanto; Hidayah; Mahin Ridlo Ronas; Kharisma Pratama
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i1.102

Abstract

Background: Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. Proper foot care is essential for patients with diabetes mellitus to prevent diabetic foot ulcers. Foot care behavior can be influenced by several factors, one of which is health literacy. Low adherence of patients with DM to foot care practices is partly due to low levels of health literacy. Objective: This study aimed to determine the relationship between health literacy and foot care behavior among patients with type 2 diabetes mellitus through the 3F therapy (foot assessment, foot care, and follow-up) at Kitamura Clinic, Pontianak. Methods: This study employed a quantitative approach with a cross-sectional design. Samples were obtained using consecutive sampling, involving 35 respondents. The research instruments were questionnaires used to measure health literacy levels and foot care behavior. Data analysis was conducted using the Spearman’s rank correlation test. Results: The Spearman’s rank correlation test showed a p value of 0.049 (< 0.05), indicating a significant relationship between health literacy and foot care behavior through the 3F therapy. The correlation coefficient was 0.335, indicating a positive relationship with weak correlation strength. Conclusion: There is a significant relationship between health literacy and foot care behavior through the 3F therapy (Foot Assessment, Foot Care, Follow-Up), with a positive direction and weak correlation strength, indicating that higher health literacy is associated with better foot care practices among patients with type 2 diabetes mellitus.
KADAR VITAMIN D TERHADAP DERAJAT LUKA PADA PASIEN DIABETES MELITUS Ajeng Pratiwi; Suriadi; Kharisma Pratama; Syahid Amrullah; Jaka Pradika
Jurnal Riset Keperawatan dan Kesehatan Vol. 2 No. 6 (2025): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v2i6.68

Abstract

Background: Diabetes Mellitus (DM) is a chronic metabolic disease characterized by elevated blood glucose levels, which over time causes serious damage to the heart, blood vessels, eyes, kidneys, and nerves. Vitamin D is thought to affect glucose metabolism, reduce ß-cell function, and increase insulin resistance and glucose intolerance. Objective: This study aimed to determine the relationship between vitamin D levels and the degree of wounds in patients with diabetes mellitus at the Kitamura Clinic, Pontianak. Methods: This research method is a quantitative descriptive method. Results: This study showed that the majority of patients with diabetic foot ulcers at the Kitamura Clinic Pontianak had normal vitamin D levels (86.7%), while 10% had low levels, and 3.3% had high levels. Most of the wounds were at a severe level, namely grade 3 (33.3%) and 4 (30%). Spearman correlation analysis showed a negative relationship between vitamin D levels and wound severity (r = -0.267), but this relationship was not statistically significant (p = 0.153). Conclusion: This study concluded that vitamin D levels were not significantly associated with the severity of diabetic foot ulcers.
Skor Item Mungs dan Proses Penyembuhan Luka pada Penderita Diabetic Foot Ulcer Fikri Syawal; Suriadi Jais; Kharisma Pratama
Jurnal Riset Keperawatan dan Kesehatan Vol. 3 No. 2 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Literasi Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71203/jrkk.v3i2.127

Abstract

Background: Diabetic Foot Ulcer (DFU) is a chronic complication of diabetes mellitus associated with delayed wound healing and an increased risk of lower-limb amputation. The MUNGS (Maceration, Undermining, Necrotic tissue, Granulation tissue, and Signs/Symptoms of infection) instrument is widely used to assess wound conditions; however, evidence regarding the relationship between individual MUNGS components and wound healing outcomes remains limited. Objective: To analyse the relationship between patient characteristics, individual MUNGS component scores, and wound healing outcomes in patients with DFU. Methods: A quantitative observational study with a retrospective cross-sectional design was conducted among 47 patients with DFU treated at Kitamura Pancasila Clinic, West Kalimantan, between January and July 2025 using total sampling. Data were obtained from medical records and wound photographs. Data were analysed using univariate analysis, Spearman Rank and Fisher's Exact tests, and binary logistic regression. Results: Bivariate analysis showed that the necrotic (p=0.006), granulation (p=0.010), and signs/symptoms (p=0.009) components were significantly associated with wound healing outcomes, whereas patient characteristics, maceration, and undermining were not (p>0.05). Multivariate analysis identified no significant independent predictor, although necrotic and granulation showed a tendency to be associated with wound healing. Conclusion: The necrotic, granulation, and signs/symptoms components were associated with wound healing outcomes in patients with DFU. Although no independent predictor was identified, the MUNGS instrument remains clinically valuable for evaluating wound healing progression.