Correlation between Foot Care Self Efficacy and Risk Ulcer in Type 2 Diabetes Mellitus Patients

Authors

  • Nur Widayati Medical Surgical Nursing Department, Faculty of Nursing, Universitas Jember, East Java, Indonesia
  • Safira Risqi Aprianti Faculty of Nursing, Universitas Jember, East Java, Indonesia
  • Ana Nistiandani Medical Surgical Nursing Department, Faculty of Nursing, Universitas Jember, East Java, Indonesia

DOI:

https://doi.org/10.36858/jkds.v14i1.849

Keywords:

Foot Care Self-Efficacy, Type 2 Diabetes Mellitus, Ulcer Risk

Abstract

Background :  Diabetes is a chronic disease often accompanied by life-threatening complications, such as diabetic foot ulcers and lower limb amputations. Low self-efficacy in foot care is a major factor contributing to the development of diabetic foot complications. This study aimed to analyze the correlation between foot care self-efficacy and ulcer risk in patients with type 2 diabetes mellitus.  Methods :  This study employed an analytical observational design with a cross-sectional approach. A total of 112 respondents were recruited using a consecutive sampling technique. Data were collected using the Foot Care Confidence Scale questionnaire and the Inlow’s 60-Second Diabetic Foot Screen Tool observation sheet. Data were analyzed using the Spearman test. Results:   The results showed that the mean score of foot care self-efficacy was 37.96 (SD = 8.24), while the mean ulcer risk score was 6.32 (SD = 2.88). There was a strong negative correlation between foot care self-efficacy and ulcer risk (p < 0.001; r= −0.773). Conclusions: Higher foot care self-efficacy was associated with a lower risk of ulcers in patients with type 2 diabetes mellitus. Assessment of ulcer risk and interventions to improve foot care self-efficacy are essential to reduce the prevalence of ulcer risk in patients with type 2 diabetes mellitus.

References

Aluf, W. A. (2019). Hubungan Kecerdasan Emosional dan Efikasi Diri Pada Pasien dengan Diabetes Melitus Tipe 2 di Poli Interna Rumah Sakit Daerah dr. Soebandi Jember. Skripsi. Fakultas Keperawatan Universitas Jember. Jember: Universitas Jember.

Alshammari, Z. J., Alsaid, L. A., PJ, P., & Alzahrani, A. A. (2019). Attitude and Knowledge about foot care among diabetic patients in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 8(6), 2089–2094. https://doi.org/10.4103/jfmpc.jfmpc

Amelia, R. (2018). Hubungan Perilaku Perawatan Kaki dengan Terjadinya Komplikasi Luka Kaki Diabetes pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Tuntungan Kota Medan. Talenta Conference Series: Tropical Medicine (TM), 1(1), 124–131. https://doi.org/10.32734/tm.v1i1.56

Andini, S. A. (2021). Hubungan Self Efficacy dengan Perilaku dan Ketepatan Tindakan Perawatan Kaki Mandiri Pada Pasien Rawat Jalan dengan Diabetes Melitus. Jurnal Penelitian Kesehatan Suara Forikes, 12(1), 17–20.

Bandura, A. (1994). Self‐efficacy. In Encyclopedia of human behavior (Issue 4, pp. 71–81). https://doi.org/10.1002/9781118970843.ch243

Bandura, A. (1997). Self-Efficacy: The Exercise of Control (pp. 1–604).

Dagci, S., Oren, B., Ozsenel,E. B. (2024). An Examination of the Self-Efficacy and factors Influencing Foot Care Behaviors in Individuals with Type 2 Diabetes Mellitus. Sage Journals, 24(3). https://doi.org/10.1177/15347346241296961

Decroli, E. (2019). Diabetes Melitus Tipe 2 (Pertama). Pusat Penerbitan Bagian Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Andalas.

Gea, M. Z. A., Sukarni, & Suriadi. (2022). Hubungan Rfikasi Diri dengan Kualitas Hidup Pada Pasien DM Tipe 2: Literature Review. ProNers, 7(1).

Hidayat, Handayani, L. T., & Dewi, S. R. (2023). Hubungan Efikasi Diri dengan Perawatan Kaki pada Pasien Diabetes Mellitus di Ruang Poli Penyakit Dalam RSD Balung Jember. Pubmedia Health & Medical Sciences, 1(1), 1–12. https://doi.org/10.47134/phms.v1i1.27

Huda, H., Suhartini, T., & HS, G. (2023). Hubungan Dukungan Keluarga dengan Efikasi Diri dan Tingkat Resiliensi pada Pasien Diabetes Mellitus Tipe II di RSUD Dr. R. Soedarsono Kota Pasuruan. Jurnal Ilmu Kesehatan Mandira Cendikia, 2(11), 39–52.

Huda, N., Sukartini, T., & Pratiwi, N. W. (2019). The Impact of Self Efficacy on the Foot Care Behavior of Type 2 Diabetes Mellitus Patients in Indonesia. Jurnal Ners, 14(2), 181–186. https://doi.org/10.20473/jn.v14i2.16741

Ikura, K., Kato, H., Azuma, H., Oda, Y., Kato, Y., Miura, J., & Babazono, T. (2021). A fact-finding survey on self-efficacy of foot care behaviour in patients with diabetes: Analysis using the Diabetes Study from the Center of Tokyo Women’s Medical University 2017 (DIACET 2017). Endocrinology, Diabetes and Metabolism, 4(2), 1–9. https://doi.org/10.1002/edm2.219

Indarwati, R., Dian, P., & Sidhu, Y. V. (2019). Analisis Faktor yang Berhubungan dengan Kejadian Ulkus Diabetik pada Pasien DM Tipe 2 di Poli Penyakit Dalam RSUD Umbu Rara Meha Waingapu. Jurnal Keperawatan Medikal Bedah Dan Kritis, 8(2), 96–105.

Khusnul Khotimah, & Ika Silvitasari. (2024). Gambaran Self Efficacay pada Penderita Diabetes Mellitus Tipe 2 di Wilayah Kerja Puskesmas Banyuanyar. Vitamin : Jurnal Ilmu Kesehatan Umum, 2(4), 115–123. https://doi.org/10.61132/vitamin.v2i4.737

Mahdalena, & Purwanti Ningsih, E. S. (2016). Effectivity of foot care education program in improving knowledge, self-efficacy and foot care behavior among diabetes mellitus patients in Banjarbaru, Indonesia. Kesmas, 11(2), 56–60. https://doi.org/10.21109/kesmas.v11i2.583

Murphy, C. A., Laforet, K., Da Rosa, P., Tabamo, F., & Woodbury, M. G. (2012). Reliability and predictive validity of inlow’s 60-second diabetic foot screen tool. Advances in Skin and Wound Care, 25(6), 261–266. https://doi.org/10.1097/01.ASW.0000415343.45178.91

Nestriani, N. W. E., Manto, O. A. D., & Latifah. (2023). Hubungan Perilaku Perawatan Kaki Terhadap Kejadian Ulkus Kaki Diabetik. Journal of Nursing Invention, 4(1), 42–47. https://doi.org/10.33859/jni.v3i2.300

Oktalia, A. W., Retnaningrum, Y. R., & Khotimah, S. (2021). Hubungan antara Penyakit Arteri Perifer dan Kadar Hba1c dengan Tindakan Amputasi Ekstremitas pada Pasien Ulkus Kaki Diabetik di RSUD Abdul Wahab Sjahranie Samarinda. Jurnal Sains Dan Kesehatan, 3(5), 715–721. https://doi.org/10.25026/jsk.v3i5.641

Perkumpulan Endokrinologi Indonesia. (2021). Pedoman Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 Dewasa di Indonesia 2021. In PB. PERKENI. www.ginasthma.org.

Polat, E. Ç., Dönmez, A. A., & Çakal, E. (2026). A Nurse-Led Self-Efficacy – Based Hybrid Diabetic Foot Self-Management Education Program for Individuals with Diabetes : A Randomized Controlled Trial. BMC Nursing, 25(233), 1–16.

Pratiwi, D. W. (2018). Hubungan Peran Perawat sebagai Edukator dengan Efikasi Diri pada Pasien Diabetes Melitus Tipe 2 di Poli Interna RSD dr. Soebandi Jember. Skripsi. Fakultas Keperawatan Universitas Jember.

Rahmanita, R., Alamsyah, M. S., & Mulyadi, E. (2024). Hubungan Perawatan Kaki Dengan Resiko Kajadian Ulkus Kaki Diabetik Pada Penderita Diabetes Melitus Di Wilayah Kerja Puskesmas Sukabumi. Jurnal Ilmu Keperawatan Dan Kebidanan, 2(2), 325–333. https://doi.org/10.61132/protein.v2i2.318

Rahmawati, A. (2023). Hubungan Perilaku Merokok dengan Risiko Ulkus Kaki Diabetes pada Nelayan di Wilayah Puger. Skripsi. Fakultas Keperawatan Universitas Jember

Rizana, N., Andala, S., Fitria, N., Sari, T., & Anggraina, D. (2023). Relationship of Self Efficacy with Foot Care Behavior in Diabetes Mellitus Patients. International Journal of Research and Innovation in Applied Science, VIII(II), 88–95. https://doi.org/10.51584/ijrias.2023.8202

Sa’adah, N. (2016). Hubungan Keyakinan kemampuan Diri (Self Efficacy) Terhadap Perilaku Perawatan Kaki pada Pasien Diabetes Melitus. Naskah Publikasi, 9–31.

Salam, A. Y., & Hamim, N. (2019). Foot Self Efficacy dan Foot Self Care Behaviour pada Lansia dengan Diabetes Melitus. JI-KES (Jurnal Ilmu Kesehatan), 3(1), 12–18. https://doi.org/10.33006/ji-kes.v3i1.126

Sezgunsay, E., Urkan, M., & Deveci, M. (2025). Diabetic foot care behavior and self-efficacy levels in individuals with diabetic foot ulcers in Turkey. Journal of Tissue Viability, 34(2), 1–6. https://doi.org/10.1016/j.jtv.2025.100885

Sloan, H. L. (2002). Developing and testing of the foot care confidence scale. Journal of Nursing Measurement, https://doi.org/10.1891/jnum.10.3.207.52564

Suhariyati, D. A., Sukarni, & Pramana, Y. (2019). Hubungan Keadaan Ekonomi Dengan Efikasi Diri Pasien Luka Diabetik Di Klinik Kitamura Pontianak. ProNers, 3(1), 3–9. https://doi.org/10.26418/jpn.v3i1.43413

Susanti, D., Sukarni, & Pramana, Y. (2020). Hubungan Antara Efikasi Diri dengan Perawatan Mandiri Kaki Pada Pasien Diabetes Melitus di Poli Penyakit Dalam RSUD Sultan Syarif Mohamad Alkadrie Pontianak. Tanjungpura Journal of Nursing Practice and Education, 2(1).

Susilawati, E., Hesi, R. P. P., & A Soerawidjaja, R. (2021). Hubungan Efikasi Diri terhadap Kepatuhan Perawatan Kaki Diabetes Melitus pada Masa Pandemi. Faletehan Health Journal, 8(03), 152–159. https://doi.org/10.33746/fhj.v8i03.295

Tekir, O., Cevik, C., & Ozsezer, G. (2023). The Effects of Education on Foot Care Behaviors and Self Efficacy Type 2 Diabetes Patients. Nigerian Journal of Clinical Practice, 26(2), 138–144. https://doi.org/10.4103/njcp.njcp

Toygar, İ., Hançerlioğlu, S., Utku, T., Şimşir, I. Y., & Çetinkalp, Ş. (2020). Effect of an Educational Intervention Based on Bandura’s Theory on Foot Care Self-Efficacy in Diabetes: A Prospective Quasi-Experimental Study. International Journal of Lower Extremity Wounds, 1–6. https://doi.org/10.1177/1534734620948327

Widodo, W., Muzaki, A., Anggoro, W. Y., & Dafiyanti, A. (2024). Perilaku Pencegahan Ulkus Kaki Pada Penderita Diabetes Mellitus. Jurnal Keperawatan, 16(2), 609–614.

Yarnita, Y., Rayasari, F., & Kamil, A. R. (2023). Program Self Efficacy dalam perawatan Kaki Diabetes Melitus Tipe 2. Jurnal Keperawatan, 15(1), 41–52.

Yazdanpanah, L., Shahbazian, H., Nazari, I., Arti, H. R., Ahmadi, F., Mohammadianinejad, S. E., Cheraghian, B., & Latifi, S. M. (2018). Prevalence and related risk factors of diabetic foot ulcer in Ahvaz, south west of Iran. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 12(4), 519–524. https://doi.org/10.1016/j.dsx.2018.03.018

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Published

2026-04-30

How to Cite

Widayati, N., Aprianti, S. R., & Nistiandani, A. (2026). Correlation between Foot Care Self Efficacy and Risk Ulcer in Type 2 Diabetes Mellitus Patients. Jurnal Kesehatan Dr. Soebandi, 14(1), 18–27. https://doi.org/10.36858/jkds.v14i1.849