THE RELATION BETWEEN LEVEL OF FOOT

CARE KNOWLEDGE WITH INCIDENCE OF

FOOT INJURY IN DIABETICIANS TYPE 2

Mia Mukti Rahayu

20100310127
Medical Faculty, Muhammadiyah University of Yogyakarta
 BACKGROUND
In the world = 190 million
Its estimated in 2025, case of DM will increase
up to 330 million cases and the majority of all
case will be DM type 2(Ashari, 2012).

DM Prevalency
In indonesia (WHO, 2010), 8.4 million people
with DM type 2 in 2000 will increase up to
21.3 million case in 2010.

Beside on reports DINKES DIY, 1695 (0,93%)

patients Diabetes Mellitus with outpatient in
Hospital during 2007 , (Dinkes 2008).
 Cont. . .
Complications of DM type 2 Foot injured
Prevention of foot injuriy :
Early detection in foot injury
Foot injuriy care knowledge
Based of Al Quran surat al-Mujaadilah: 11 :








"Allah akan meninggikan orang-orang yang beriman di
antaramu dan orang-orang yang diberi ilmu
pengetahuan beberapa derajat. Dan Allah mengetahui
apa yang kamu kerjakan."
 PROBLEM FORMULATION
How is the relation between level of foot care
knowledge with incidence of foot injury in
diabetes mellitus type 2 ?
 PURPOSE OF RESEARCH
General purpose :
For knowing how the relation between level of foot care
knowledge with incidence of foot injury in diabetes mellitus
type 2
Spesific purpose :
For knowing the level of foot care knowledge, level of foot
injury incidence, demographic factors of foot injury in
people with diabetes type 2.
 ADVANTAGE OF RESEARCH
1. Theoretical
2. Practical
People with diabetes Type 2
Society
Medical practitioner
THE AUTHENTICITY OF RESEARCH
Charlene C. et al., (2011) yang berjudul Patient
Understanding of Diabetes Self-Management:
Participatory Decision-Making in Diabetes Care.
J.Hewitt.et al., (2010) yang berjudul Self
Management and Patient Understanding of
Diabetes in the Older Person.
 LITERATUR REVIEW
Knowledge (Notoatmodjo, 2003)
Diabetes Mellitus Type 2 (ADA, 2010)
Diabetic ulcers (APMA, 2006)
 CONSEPTUAL FRAMEWORK
Age
History of DM
Life Style : cigarette/
alcohol

Knowledge Behaviour Foot ulcer

 HYPOTHESIS
Based on literature review written above, so it can be
concluded that there is a relation between level of foot
care knowledge with incidence of foot injury in
diabetes mellitus type 2 and higher then knowledge of
foot care lowered incidence of foot injury in diabetes
melitus type 2 as a hypothesis in this research.
 Research Method

Observational analitic with cross

Research Design
sectional

Place and Time RS PKU Muhammadiyah Yogyakarta

Mei 2013

Population and
Sample Population research subjects are
all patient with DM type 2 at PKU
Muhammadiyah Yogyakarta
Sample55 people classified with
consecutif sampling method.
 VARIABLE AND OPERATIONAL
DEFINITION
DM type 2
Diabetic ulcer
Foot care
Diabetic ulcer knowledge
Foot care knowledge
 Research Test Of Validity
Instruments And Reliability

Medical records
The questionnaire of Construct of validity
diabetic care knowladge

Operational Definition

Primary of data
 ANALISIS OF DATA
Statistical test of Chi Square

Description:
X = Kai- Kuadrat
O = The frequency of observed
E = The expected frequency
 PROCESS OF RESEARCH
Preparation phase
Implementation phase
Final phase
 RESEARCH ETHICS
1. Making research license from the University of
Muhammadiyah Yogyakarta.
2. Reported to training to ask for a letter of
introduction to research at PKU
Muhammadiyah Hospital of Yogyakarta
3. In this research, informed concent be required
to seek approval from the respondents.
4. Confidentiality is maintained research
subjects and research results will be used only
remedy the things of a scientific nature
 RESULT AND DISCUSSION
A. Result
Table 5. The Relation of foot care with incidency of foot ulcer

The Incidency of foot ulcer

knowledge without Total 2 p-value
with
of foot care
f % f % f %
1 12,5
Baik 7 87,5 8 100,0
Cukup 32 94,1 2 5,9 34 100,0
7 70,0
22,616 0,000
Kurang Baik 3 30,0 10 100,0
Tidak Baik 1 33,3 2 66,7 3 100,0
12 21,8
Sumber: Data43primer diolah
78,2 2013 55 100,0
 Table 6. contingency coeficien relation of foot care with ulcer diabetic
incidency
Relation Contingency coeficien

The relation of foot care with ulcer

diabetic incidency 0,540

Sumber data primer 2013

B. Discussion
knowledge is predisposition factor or base factor
that create health behaviour notoatmodjo(2003)
Self care is very related with physician education
about self care also level of knowledge in dm
illness people based on research of Charlene C.
et al.,(2011)
When glucose blood level is uncontrollable will
make chronic complication is neuropati, make
nerve fiber change also illness people not
carefull will make trauma that bring lesion and
footulcer diabetic Waspadji (2006))
 CONCLUSION AND
SUGGESTION
A. Conclusion
Berdasarkan hasil penelitian dan pembahasan pada
bab sebelumnya, maka kesimpulan penelitian ini
adalah ada hubungan antara pengetahuan
perawatan kaki dengan kejadian ulkus kaki pada
diabetisi tipe 2 (p=0,000) dan semakin tinggi
pengetahuan perawatan kaki semakin rendah
kejadian ulkus kaki pada diabetisi tipe 2 ( nilai
koefisiensi kontingensi sebesar 0,540)
B. Suggestion
Need to do same research with another methode research
and with adequate sample with representatif also to
minimalize biased that will create valid data.
Need further research with another variable that influence
ulcer foot incidency like age, diabetic history, amputation
history, amputation history, smoking history and another
factor which will complete this research
Need to encourage medical practitoner role to increase
knowledge of diabetic patient ab out foot care with
conseling program, information and health education.
foor hospital staff, tools in documentation and recording of
medical record patient is important so the existing data will
be more accurate and comphrehensif also easy to read, and
understandable. This is very important for reserach interest.
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Thank you