The Relationship between Knowledge Level of Foot Care and Prevention of Diabetic Foot Ulcers in Diabetes Mellitus Patients at the Lok Bahu Community Health Center Samarinda

Pratiwi Christa Simarmata, Erwan Ahmad, Debi Dinha Octora, Syatria Wati, Kardina Hayati

Abstract


Introduction: Diabetes mellitus is a chronic disease that can cause various complications, one of which is diabetic foot ulcers. This complication can be prevented through proper foot care, but the success of prevention is greatly influenced by the patient's level of knowledge. Good knowledge allows patients to understand the risks, recognize early signs of wounds, and take preventive measures independently. This study aims to determine the relationship between the level of foot care knowledge and the prevention of diabetic foot ulcers in diabetes mellitus patients at the Lok Bahu Community Health Center in Samarinda. Methods: This study used a quantitative design with a cross-sectional approach with 70 respondents of diabetes mellitus patients selected through a purposive sampling technique. Data were collected using a questionnaire regarding the level of foot care knowledge and diabetic foot ulcer prevention behavior. Analysis used the Chi-Square test with a significance level of 0.05. Results: The results showed that most respondents had a good level of foot care knowledge as many as 44 respondents (62.9%) and a good level of diabetic foot ulcer prevention behavior as many as 60 respondents (85.7%). The statistical test results showed a p-value of 0.045, indicating a significant relationship between the level of foot care knowledge and the prevention of diabetic foot ulcers. Conclusion: The level of foot care knowledge is significantly related to the prevention of diabetic foot ulcers in patients with diabetes mellitus. Structured, ongoing, and applicable foot care education is needed to improve patients' ability to perform prevention independently.


Full Text:

PDF

References


Federation ID. IDF Diabetes Atlas 2025. 11th ed. Brussels: International Diabetes Federation; 2025.

Organization WH. Diabetes. Geneva: World Health Organization; 2024.

RI BKPKKK. Hasil Utama Survei Kesehatan Indonesia 2023. Jakarta: Kementerian Kesehatan Republik Indonesia; 2023.

Samarinda BPSK. Jumlah Kasus 10 Penyakit Terbanyak di Kota Samarinda, 2025. Samarinda: Badan Pusat Statistik; 2026.

Committee ADAPP. Retinopathy, neuropathy, and foot care: Standards of Care in Diabetes-2025. Diabetes Care. 2025;48(Suppl 1):S252–65.

Schaper NC, van Netten JJ, Apelqvist J, Bus SA, Fitridge R, Game F. Practical guidelines on the prevention and management of diabetes-related foot disease: IWGDF 2023 update. Diabetes Metab Res Rev. 2024;40:e3657.

Bus SA, Sacco ICN, Monteiro-Soares M, Raspovic A, Paton J, Rasmussen A. Guidelines on the prevention of foot ulcers in persons with diabetes: IWGDF 2023 update. Diabetes Metab Res Rev. 2024;40:e3651.

Mekonen EG. Knowledge and associated factors of patients with diabetes towards foot self-care: implications for health care administration. Discov Endocrinol Metab. 2025;1:6.

Xie L, Wei C, Chen L, Zheng H, Dong J, Wu J. Knowledge, attitudes, and practices among patients with diabetic foot ulcers towards disease management. Sci Rep. 2025;15:28152.

Aljaouni ME, Alharbi AM, Al-Nozha OM. Knowledge and practice of foot care among patients with diabetes attending Diabetes Center, Saudi Arabia. Healthcare. 2024;12(13):1244.

Alrashed FA, Iqbal M, Al-Regaiey KA, Ansari AA, Alderaa AA, Alhammad SA. Evaluating diabetic foot care knowledge and practices at education level. Medicine (Baltimore). 2024;103(34):e39449.

Indonesia KKR. Survei Kesehatan Indonesia 2023. Jakarta: Kementerian Kesehatan Republik Indonesia; 2023.

Indonesia PE. Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia. Jakarta: PB PERKENI; 2024.

Schaper NC, van Netten JJ, Apelqvist J, Bus SA, Hinchliffe RJ, Lipsky BA. Practical guidelines on the prevention and management of diabetes-related foot disease. Diabetes Metab Res Rev. 2024;40(3):e3657.

Bus SA, van Netten JJ, Lavery LA, Monteiro-Soares M, Rasmussen A, Raspovic A. Guidelines on the prevention of foot ulcers in persons with diabetes: IWGDF 2023 update. Diabetes Metab Res Rev. 2024;40(3):e3651.

van Netten JJ, Raspovic A, Lavery LA, Monteiro-Soares M, Paton J, Rasmussen A. Prevention of foot ulcers in persons with diabetes at risk of ulceration: a systematic review and meta-analysis. Diabetes Metab Res Rev. 2024;40(3):e3652.

Committee ADAPP. Retinopathy, neuropathy, and foot care: Standards of Care in Diabetes-2026. Diabetes Care. 2026;49(Suppl 1):S261–76.

Foot IWG on the D. IWGDF guidelines on the prevention and management of diabetes-related foot disease: 2023 update. Maastricht: International Working Group on the Diabetic Foot; 2023.

Aljaouni ME, Alharbi AM, Al-Nozha OM. Knowledge and practice of foot care among patients with diabetes attending diabetes center, Saudi Arabia. Healthcare. 2024;12(13):1244.

Letta S, Goshu AT, Sertsu A, Nigussie K, Negash A, Yadeta TA. Diabetes knowledge and foot care practices among type 2 diabetes patients attending the chronic ambulatory care unit of a public health hospital in eastern Ethiopia: a cross-sectional study. BMJ Open. 2023;13:e070023.

Omotosho TOA, Sanyang Y, Senghore T. Diabetic foot self-care knowledge and practice among patients with diabetes attending diabetic clinic in the Gambia. Int Wound J. 2024;21(7):e14963.

Untari EK, Andayani TM, Yasin NM, Asdie RH. A review of patient’s knowledge and practice of diabetic foot self-care. Malaysian J Med Sci. 2024;31(1):33–50.

Simonsen MB, Christiansen SL, Pedersen MK, Roikjer J, Croosu SS, Leutscher PDC. Health literacy and cognitive function in people with diabetic foot ulcer with focus on knowledge, attitude, and practice in relation to foot self-care. SAGE Open Med. 2024;12:20503121241258840.

Amlak BT, Tarekegn E. Knowledge, attitude, and their predictors toward prevention of diabetic foot ulcers among adult diabetic patients. SAGE Open Nurs. 2025;11:23779608251390864.

Çelik Polat E, Arıkan Dönmez A, Çakal E. A nurse-led self-efficacy-based hybrid diabetic foot self-management education program for individuals with diabetes: a randomized controlled trial. BMC Nurs. 2026;25:233.




DOI: http://dx.doi.org/10.30872/j.kes.pasmi.kal.v9i1.28164

Refbacks

  • There are currently no refbacks.


Indexing by :

 https://upload.unmul.ac.id/uploads/e2a1Google-Scholar.pnghttps://upload.unmul.ac.id/uploads/e2a1Garuda.pnghttps://upload.unmul.ac.id/uploads/6e88Ios.pnghttps://upload.unmul.ac.id/uploads/6e88Base.png