Jurnal Kesehatan dr. Soebandi
Vol 13 No 1 (2025): Jurnal Kesehatan dr. Soebandi

A Self-Efficacy Theory-Based Program to Reduce Diabetic Foot Ulcer Risk in Agricultural Areas

Ana Nistiandani (Faculty of Nursing, Universitas Jember, Indonesia)
Rondhianto Rondhianto (Faculty of Nursing, Universitas Jember, Indonesia)



Article Info

Publish Date
30 Apr 2025

Abstract

Several studies indicate a significant increase in diabetes and its complications in agricultural regions. Jember is an agricultural area with a high prevalence of diabetes and a heightened risk of Diabetic Foot Ulcer (DFU). Reducing aggressive risk factors involves a self-efficacy theory based program. This intervention aimed to evaluate the program's effectiveness on foot care behaviors, self-efficacy in self-care foot management, and the risk of DFU occurrence. The study spanned over six months, consisting of three stages: program introduction, health education delivery, and program evaluation. It employed a Pre-Experimental Design with a Group Pretest-Posttest approach. Sample selection was done using simple random sampling, resulting in a sample of 28 research participants. The statistical test used was the Wilcoxon Test. The study's results showed significance values for all three variables < 0.001, signifying the influence of the intervention. The risk of diabetic foot ulcers had a negative rank, indicating a decrease in the risk of DFU after the intervention, with an average reduction value of 13.00. Foot Self-Care Behavior showed a positive rank of 14.50, signifying an improvement in Foot Self-Care Behavior following the intervention. Foot Care Confidence displayed a positive rank, indicating an increase in Foot Care Confidence after the intervention, with an average improvement of 14.50. Consequently, nurses can implement a self-efficacy-based foot care education program to reduce the risk of diabetic ulcers by enhancing self-care behaviors and self-efficacy in independent foot care.

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Journal Info

Abbrev

jkds

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health

Description

Jurnal Kesehatan dr. Soebandi (JKDS) is a national journal covering scientific studies in various health fields (Nursing, Midwifery, and Pharmacy). Jurnal Kesehatan dr. Soebandi is a scientific journal as a forum for academics and practitioners to present quantitative and qualitative scientific ...