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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

DM Prevalency

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).

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
sectional

Research Design

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
Instruments

Test Of Validity
And Reliability

Medical records
The questionnaire of
diabetic care knowladge

Construct of validity

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
Incidency of foot ulcer
The
knowledge
of foot care

without

with

Baik

87,5

Cukup

32

94,1

Kurang Baik

30,0

Tidak Baik

33,3

43

Total

f
1

%
12,5

5,9

70,0

66,7

12

21,8

78,2

Sumber: Data primer diolah 2013

100,0

34

100,0

10

100,0

100,0

55

100,0

p-value

22,616

0,000

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.

REFFERNCES

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Arikunto, S. 2002. Prosedur Penelitian: Suatu Pendekatan Praktek, Edisi Revisi 5. Jakarta: Rineka Cipta.

Ashari. (2012). Prevalensi Diabetes Melitus.

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National Institute For Clinical Excellence (NICE). 2004. Prevention And Management Of Foot Problem In People With Type 2 Diabetes: Understanding
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Thank you