THE CORRELATION BETWEEN PATIENTS

KNOWLEDGE ABOUT TREATMENT OF DIABETIC FOOT

ULCER WITH THE INCIDENCES OF DIABETIC FOOT
ULCERS ON PATIENTS WITH DIABETES MELLITUS
TYPE 2 IN RUMAH SAKIT UMUM DR. SAIFUL ANWAR
MALANG

RESEARCH OBJECTIVE

To determine patients knowledge about treatment

of diabetic foot ulcer influenced the incidences of
diabetic foot ulcer in Rumah Sakit Umum Dr. Saiful
Anwar Malang.
Educate the prevention of
diabetic foot ulcer in
patients with diabetes
mellitus type 2

patients with diabetes mellitus

type 2 could prevent complication,
which is the diabetic foot ulcer.

INTRODUCTION

Diabetes is caused by sensitivity decreased

toward insulin or the decreased insulin amounts.

PREVALENCE OF
DIABETES MELLITUS TYPE 2
DMT2 IN WORLD (WHO, 2003)

DMT2 IN INDONESIA COMPARED TO WORLD PREVALENCE

333
200

th 03

th25

INDIA

CINA

USA

INONESIA

THE PREVALENCES OF DIABETES MELLITUS

TYPE 2 IN HOSPITAL
(RSU DR.SAIFUL ANWAR MALANG)
DMT2 IN HOSPITAL OF DR.SAIFUL ANWAR

1140
960

40878

40909

THE INCIDENCES DIABETES MELLITUS

TYPE 2 WITH COMPLICATION :
DIABETIC FOOT ULCERS
DIABETIC FOOT ULCERS IN RUMAH SAKIT DR. SAIFUL ANWAR 2011

132
118

Jan-Jun

Jul-Des

DIABETIC FOOT ULCER

Ulcer is damage of normal function of

anatomy structure which caused by pathology
process from internal and/or external factors
then affect certain organs (Potter, 2006).

Diabetic foot ulcer are a devastating

component of diabetes progression and are
caused by loss of glycemic control, peripheral
neuropathy, peripheral vascular disease, and
immunosuppression (Aumiller, 2015)

THE TREATMENT OF DIABETIC FOOT

ULCER

Assess foot in patients with diabetes

mellitus type 2
Take care of nails and foot
Exercise/ activity
Educate patients and patients
family

ETIOLOGY

Peripheral neuropathy
Diabetic microangiopathy
Foot trauma
Infection

RESEARCH
CONCEPTS
RESEARCH CONCEPTS

Input

Patients with DM
Type 2

Process

Output

Assess patients
knowledge about
treatment of diabetic
foot ulcer

Diabetic foot
ulcer incidences

High
Low

Wound presence
No wound

HYPOTHESIS

Ho: no correlation
Ha: have correlation

RESEARCH METHOD

RESEARCH DESIGN

Correlation study
Cross sectional

POPULATION SAMPLE - SAMPLING

INCLUSION CRITERIA

EXCLUSION CRITERIA

OPERATIONAL STUDY
Variable

Operational
definition

Parameter

Tool

Independent Knowledge
C1 knowing
: patients level
of C2
knowledge
patients
understanding
about
C3 application
diabetes
definition,
classification
,
how
to
treat
diabetic foot
ulcer

Questionaire

Dependent :
diabetic
foot
ulcer
incidence

Questionaire

Damage
of -Wound
tissue
presence
-No wound
components
on foot skin
or
open
wound
on
skin

Contains of 22 closed
questions
with
Dichotomous
choice
which can answered by
yes or no.
Therere criterias based
on total result : good,
moderate, less
(Arikunto, 2006; Wawan
and Dewi, 2011)

Contains
of
closed
questions which type is
Dichotomous
choice.
Answer criterias are
yes (theres wound)
or no (theres no
wound)

Result

Scale

Knowledge
level Ordinal
decide by these
category:
-Good : which code
is 3, right answer
score 76%-100%
-Moderate : which
code is 2, right
answer score 56%75%
-Less : which code
is 1, right answer
score < 56%
Yes : Score is 2
No : Score is 1

Nominal

RESULTS

RESEARCH RESULTS

Total number of samples are 46 patients with Diabetes

Mellitus type 2 whose knowledge level are good = 57%, less
= 43%.

Patients who have good level knowledge is 39,1% have no

diabetic foot ulcer. Patients who have low level knowledge
is 10,9%.

By using Fisher test < (0,05), the result is 0,007. These

results indicate that there is correlation between
knowledge level about the treatment of diabetic foot ulcer
with the incidences of diabetic foot ulcer in Rumah sakit
DR. Saiful Anwar Malang

CONCLUSION
Patients education about the treatment of diabetic foot
ulcer is important. As a nurse, as an educator, we have to
educate patients and patients family so it will not lead to
diabetic progression which lead to complications, especially
diabetic foot ulcer.

THANK YOU