Healthcare Nursing Journal
Vol. 8 No. 2 (2026): HealthCare Nursing Journal

Association Of Self-Efficacy, Self-Concept, and Self-Management with Diabetic Foot Ulcer Severity Among Patients With Type 2 Diabetes Mellitus

Naziyah Naziyah (Nursing Departement, Nursing study program ,STIKes Pertamedika Jakarta, Indonesia)
Rizki Hidayat (Nursing Departement, Nursing study program ,STIKes Pertamedika Jakarta, Indonesia)
Masdiana Masdiana (Nursing Departement, Nursing study program ,STIKes Raflesia Depok West Java, Indonesia)
Miftahul Falah (Nursing Departement, Faculty of Health Sciences, Universitas Muhammadiyah Tasikmalaya, Indonesia)



Article Info

Publish Date
31 Jul 2026

Abstract

Diabetes Mellitus (DM) remains a major public health concern in Indonesia, with a steadily increasing prevalence. One of the most serious complications of DM is diabetic foot ulcer infection, which contributes to increased morbidity, prolonged hospitalization, and reduced quality of life. Effective management of diabetic ulcer infections requires not only multidisciplinary healthcare interventions but also adequate self-efficacy, positive self-concept, and effective self-management among patients. The study aimed to examine the relationship between diabetic ulcer infection and self-efficacy, self-concept, and self-management among patients with Type 2 Diabetes Mellitus. This quantitative study employed a cross-sectional design. A total of 30 patients with Type 2 Diabetes Mellitus and diabetic ulcer infections were recruited using purposive sampling at Pasar Rebo Regional General Hospital. Data were collected using the Diabetes Management Self-Efficacy Scale (DMSES), Tennessee Self-Concept Scale (TSCS), Diabetes Self-Management Questionnaire (DSMQ), and the Wagner Classification Scale for diabetic ulcer assessment. Significant relationships were found between diabetic ulcer infection severity and self-efficacy, self-concept, and self-management (p < 0.05). Self-efficacy and self-management demonstrated strong correlations with ulcer severity, while self-concept showed a moderate correlation. Self-efficacy, self-concept, and self-management are significantly associated with diabetic ulcer infection severity among patients with Type 2 Diabetes Mellitus. Enhancing these factors may improve diabetic ulcer management and patient outcomes.

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Journal Info

Abbrev

healtcare

Publisher

Subject

Nursing

Description

Healthcare Nursing Journal merupakan salah satu Journal Elektronik yang dikelola oleh Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya. Jurnal ini terbit secara berkala, dan merupakan fasilitas bagi civitas akademika pada bidang kesehatan dan keperawatan. Memuat berbagai karya tulis ...