MODIFIKASI PROGRAM 3 STEPFUN TERHADAP SELF EFFICACY PERAWATAN KAKI DIABETIK
DOI:
https://doi.org/10.31004/jkt.v5i2.28311Keywords:
Kaki Diabetik, Modifikasi Program 3 Stepfun, Self-EfficacyAbstract
Bahaya komplikasi diabetes melitus disebabkan karena penyandang diabetes melitus memiliki efikasi diri yang buruk dalam perawatan diri dan manajemen glikemik. Pengembangan program pendidikan yang dimodifikasi (3STEPFUN) dengan program pendidikan 3 langkah yang terbukti meningkatkan penilaian dan perawatan diri kaki serta mencegah masalah kaki ringan. Penelitian ini untuk mengembangkan program modifikasi (3STEPFUN) self efficacy perawatan kaki diabetik di Wilayah Kerja Puskesmas Karang Pule. Sampel penelitian yaitu 17 responden penderita DM Tipe 2 dilibatkan dalam penelitian pra eksperimen dengan desain pre and post group design one design. Sampel dipilih berdasarkan kriteria inklusi dan eksklusi. Intervensi dilakukan selama 4 minggu dengan menggunakan modul edukasi, formulir subjektif penilaian kondisi kaki pasien, formulir skrining penilaian kaki, format tindak lanjut melalui telepon, kuesioner FCCS untuk mengukur efikasi diri perawatan kaki. Hasil: Analisis data menggunakan uji Paired T-test.Terdapat Peredaan Efikasi diri sebelum dan sesudah diberikan modifikasi program 3STEPFUN diperoleh p-value <0,05. Melakukan penatalaksanaan program 3STEPFUN terhadap self-eficacy perawatan kaki terhadap kualitas hidup dan perilaku perawatan diri yang direkomendasikan dalam praktik keperawatan.References
Abdulwassi, H. K., Safhi, M. A., Hashim, R. T., Fallatah, A. M., Hussein, S. S., Almusallam, S. A., Alsaad, M. S., & Alkhatieb, M. T. (2020). Knowledge Of Diabetic Foot Care Management Among Medical Students At King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Saudi Medical Journal, 41(1), 59–67. https://doi.org/10.15537/smj.2020.1.24812
AHMAD Abu-Shennar, J., & Bayraktar, N. (2021). Impact of Educational Self-Ecacy Enhancement Program on Quality of Life, Pain Management, Self-Eciency Behaviors and Its Impact of Satisfaction among Adults Diabetic Patients with Peripheral Neuropathy Pain: A Randomized Control Trial. Research Square, 1–21. https://doi.org/10.21203/rs.3.rs-160487/v1
AHS, S., Sia W, S., & K, M. (2018). Diabetic Foot Care Knowledge and Behaviors of Individuals with Diabetes Mellitus in Indonesia. GSTF Journal of Nursing and Health Care. https://doi.org/10.5176/2345-7198_5.1.4
Alavijeh, M., Zandiyeh, Z., & Moeini, M. (2021). The Effect Of Self-Care Self-Efficacy Program On Life Satisfaction Of The Iranian Elderly. Journal of Education and Health Promotion, 10(1). https://doi.org/10.4103/jehp.jehp_928_20
Andini, S. A., Efendi, F., & Suprajitno. (2021). Hubungan Self Efficacy Dengan Perilaku dan Ketepatan Perawat Kaki Mandiri Pada Pasien Rawat Jalan Dengan Diabetes Mellitus. Jurnal Penelitian Kesehatan Suara Forikes, 12(1), 17–20. https://doi.org/10.33846/sf12105
Asante, E., Bam, V., Diji, A. K. A., Lomotey, A. Y., Owusu Boateng, A., Sarfo-Kantanka, O., Oparebea Ansah, E., & Adjei, D. (2020). Pilot Mobile Phone Intervention in Promoting Type 2 Diabetes Management in an Urban Area in Ghana: A Randomized Controlled Trial. Diabetes Educator, 46(5), 455–464. https://doi.org/10.1177/0145721720954070
Ashari, A. M., & Kusumaningrum, N. S. D. (2020). Foot Self Care Pada Penyandang Diabetes Mellitus (DM): Pilot Study Di Semarang. Journal Of Islamic Nursing, 5(1), 54. https://doi.org/10.24252/join.v5i1.11987
Atmojo, D. S., Kristanto, H., & Irawan, H. (2020). Enhancing Self Efficacy Of Prolanis Group On Self Assesment Of Diabetic Foot Early Detection Based On Health Belief Model Theory And Bandura’s Self Efficacy. STRADA Jurnal Ilmiah Kesehatan, 9(2), 950–953. https://doi.org/10.30994/sjik.v9i2.409
Bonner, T., Foster, M., & Spears-Lanoix, E. (2016). Type 2 Diabetes-Related Foot Care Knowledge And Foot Self-Care Practice Interventions In The United States: A Systematic Review Of The Literature. Diabetic Foot and Ankle, 7. https://doi.org/10.3402/dfa.v7.29758
Bullen, B., Young, M., McArdle, C., & Ellis, M. (2019). Overcoming Barriers To Self-Management: The Person-Centred Diabetes Foot Behavioural Agreement. The Foot, 38, 65–69. https://doi.org/10.1016/j.foot.2019.01.004
Cutler Sheri, Pam Crawford, & Renee Engleking. (2018). Effectiveness of Group Self-Management Interventions for Persons with Chronic Conditions: A Systematic Review. Medsurg, 27(6), 359–367.
ElGerges, N. S. (2020). Effects Of Therapeutic Education On Self-Efficacy, Self-Care Activities And Glycemic Control Of Type 2 Diabetic Patients In A Primary Healthcare Center In Lebanon. Journal of Diabetes and Metabolic Disorders, 19(2), 813–821. https://doi.org/10.1007/s40200-020-00567-4
Eroglu, N., & Sabuncu, N. (2021). The Effect Of Education Given To Type 2 Diabetic Individuals On Diabetes Self-Management And Self-Efficacy: Randomized Controlled Trial. Primary Care Diabetes, 15(3), 451–458. https://doi.org/10.1016/j.pcd.2021.02.011
Flood, D., Hawkins, J., & Rohloff, P. (2017). A home-based type 2 diabetes self- management intervention in rural Guatemala. Preventing Chronic Disease, 14(8). https://doi.org/10.5888/pcd14.170052
Frisca, S., Redjeki, G. S., Supardi, S., Program, D., Diii, S., Fakultas, K., Kesehatan, I., Katolik, U., Charitas, M., Stik, D., Carolus, S., Penelitian, B., & Kesehatan, P. (2019). Efektivitas Edukasi Terhadap Perilaku Perawatan Kaki Pasien Diabetes Mellitus. Carolus Journal of Nursing, 1(2). https://doi.org/10.37480/cjon.v1i2.19
Goodall, R. J., Ellauzi, J., Tan, M. K. H., Onida, S., Davies, A. H., & Shalhoub, J. (2020a). A Systematic Review of The Impact of Foot Care Education on Self Efficacy and Self Care in Patients With Diabetes. In European Journal of Vascular and Endovascular Surgery (Vol. 60, Issue 2, pp. 282–292). W.B. Saunders Ltd. https://doi.org/10.1016/j.ejvs.2020.03.053
Goodall, R. J., Ellauzi, J., Tan, M. K. H., Onida, S., Davies, A. H., & Shalhoub, J. (2020b). A Systematic Review of the Impact of Foot Care Education on Self Efficacy and Self Care in Patients With Diabetes. In European Journal of Vascular and Endovascular Surgery (Vol. 60, Issue 2, pp. 282–292). W.B. Saunders Ltd. https://doi.org/10.1016/j.ejvs.2020.03.053
Green-Morris, G. (2019). An Evaluation Of The Effectiveness Of Foot Care Education In Rural Clinics. Journal of Diabetes and Metabolic Disorders, 18(1), 207–215. https://doi.org/10.1007/s40200-019-00407-0
Hassan, S. (2020). Application Of Protection Motivation Theory To Diabetic Foot Care Behaviours In Egypt. Journal Of Diabetes & Metabolik Disorders, 869–873. https://doi.org/10.1007/s40200-020-00573-6/Published
Huda, N., Sukartini, T., & Pratiwi, N. W. (2020). 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). https://doi.org/10.1002/edm2.219
Jiang, X., Wang, J., Lu, Y., Jiang, H., & Li, M. (2019). Self-Efficacy-Focused Education In Persons With Diabetes: A Systematic Review And Meta-Analysis. In Psychology Research and Behavior Management (Vol. 12, pp. 67–79). Dove Medical Press Ltd. https://doi.org/10.2147/PRBM.S192571
Kaya, Z., & Karaca, A. (2018). Evaluation of Nurses’ Knowledge Levels of Diabetic Foot Care Management. Nursing Research and Practice, 2018, 1–12. https://doi.org/10.1155/2018/8549567
KEMENKES RI. (2019). RISKESDAS 2018.
Marbun, A. S., Siregar, R., Harefa, K., & Sinabutar, T. Y. F. (2021). Pengaruh Diabetes Self Management Education (DSME) Berbasis Aplikasi Whatsapp Terhadap Self Efficacy Pada Pasien Dm Tipe 2 Di Puskesmas Hamparan Perak. JURNAL MUTIARA NERS, 4(2), 128–139. https://doi.org/10.51544/jmn.v4i2.2071
Moradi, A., Alavi, S. M., Salimi, M., Nouhjah, S., & Shahvali, E. A. (2019). The Effect Of Short Message Service (SMS) On Knowledge And Preventive Behaviors Of Diabetic Foot Ulcer In Patients With Diabetes Type 2. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 13(2), 1255–1260. https://doi.org/10.1016/j.dsx.2019.01.051
Munir, N. W., Munir, N. F., & Syahrul, S. (2019). Self-Efficacy dan Kualitas Hidup Pasien Diabetes Melitus Tipe 2. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 11(2), 146. https://doi.org/10.33846/sf11208
Nguyen, T. P. L. (2019). Foot Self-Care Among Patients With Diabetes In Vietnam: The Effectiveness Of An Education Program To Fill The Self-Care Gap.
Nguyen, T. P. L., Edwards, H., Do, T. N. D., & Finlayson, K. (2019). Effectiveness Of A Theory-Based Foot Care Education Program (3STEPFUN) In Improving Foot Self-Care Behaviours And Foot Risk Factors For Ulceration In People With Type 2 Diabetes. Diabetes Research and Clinical Practice, 152, 29–38. https://doi.org/10.1016/j.diabres.2019.05.003
Norita, J. yestiani. (2020). Hubungan Perilaku Perawatan Kaki Dengan Terjadinya Komplikasi Luka Kaki Diabetes Mellitus Pada Pasien Diabetes Mellitus Tipe-2 Di Wilayah Kelurahan Rawabuaya Jakarta Barat. Jurnal Nurse, 3(Juli), 96–106.
Phuong, T., & Nguyen, L. (2019). Foot Self-Care Among Patients With Diabetes In Vietnam: The Effectiveness Of An Education Program To Fill The Self-Care Gap.
Pourkazemi, A., Ghanbari, A., Khojamli, M., Balo, H., Hemmati, H., Jafaryparvar, Z., & Motamed, B. (2020). Diabetic Foot Care: Knowledge And Practice. BMC Endocrine Disorders, 20(1). https://doi.org/10.1186/s12902-020-0512-y
Prada, M. R., Roa, C., Alfonso, P., Acero, G., Huérfano, L., & Vivas-Consuelo, D. (2018). Cost-Effectiveness Analysis Of The Human Recombinant Epidermal Growth Factor In The Management Of Patients With Diabetic Foot Ulcers. Diabetic Foot and Ankle, 9(1). https://doi.org/10.1080/2000625X.2018.1480249
Putra, P. W. K., & Suari, K. P. (2018). Hubungan Self-efficacy Dan Dukungan Sosial Terhadap Self Care Management Pasien Diabetes Mellitus Tipe II. Indonesia Jurnal Perawat, 3(1), 51–59. https://doi.org/10.26751/ijp.v3i1.668
Riangkam, C., Sriyuktasuth, A., Pongthavornkamol, K., Kusakunniran, W., & Sriwijitkamol, A. (2022). Effects Of A Mobile Health Diabetes Self-Management Program On Hba1c, Self-Management And Patient Satisfaction In Adults With Uncontrolled Type 2 Diabetes: A Randomized Controlled Trial. Journal of Health Research, 36(5), 878–888. https://doi.org/10.1108/JHR-02-2021-0126
Sanaeinasab, H., Saffari, M., Yazdanparast, D., Karimi Zarchi, A., Al-Zaben, F., Koenig, H. G., & Pakpour, A. H. (2021). Effects Of A Health Education Program To Promote Healthy Lifestyle And Glycemic Control In Patients With Type 2 Diabetes: A Randomized Controlled Trial. Primary Care Diabetes, 15(2), 275–282. https://doi.org/10.1016/j.pcd.2020.09.007
Sangruangake, M., Jirapornkul, C., & Hurst, C. (2017). Psychometric Properties of Diabetes Management Self-Efficacy in Thai Type 2 Diabetes Mellitus Patients: A Multicenter Study. International Journal of Endocrinology, 2017. https://doi.org/10.1155/2017/2503156
Sen, H. T. N., Visudtibhan, P. J., & Siripitayakunkit, A. (2019). Factors Related to Foot Care Behaviors Among Patients With Type 2 Diabetes Mellitus in Da Nang, Vietnam. Ramathibodi Medical Journal, 42(3), 57–68. https://doi.org/10.33165/rmj.2019.42.3.162035
Sharoni, S. K. A., Rahman, H. A., Minhat, H. S., Shariff-Ghazali, S., & Ong, M. H. A. (2018). The Effects Of Self-Efficacy Enhancing Program On Foot Self-Care Behaviour Of Older Adults With Diabetes: A Randomised Controlled Trial In Elderly Care Facility, Peninsular Malaysia. PLoS ONE, 13(3). https://doi.org/10.1371/journal.pone.0192417
Susilawati, E., Hesi, R. P. P., & Soerawidjaja, R. (2021). Hubungan Efikasi Diri Terhadap Kepatuhan Perawatan Kaki Diabetes Melitus pada Masa Pandemi. Faletehan Health Journal, 8(3), 152–159. https://doi.org/10.33746/fhj.v8i03.295
Verhulst, M. J. L., Teeuw, W. J., Gerdes, V. E. A., & Loos, B. G. (2019). Self-Reported Oral Health And Quality Of Life In Patients With Type 2 Diabetes Mellitus In Primary Care: A Multi-Center Cross-Sectional Study. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 12, 883–899. https://doi.org/10.2147/DMSO.S207087
Wahyuni, A., & Ramayani, D. (2020). The Relationship Between Self-Eficacy And Self-Care In Type 2 Diabetes Mellitus Patients. The Malaysian Journal of Nursing, 11(03), 68–75. https://doi.org/10.31674/mjn.2020.v11i03.011
Wang, W., Zhou, W., Wang, S., Huang, J., Le, Y., Nie, S., Wang, W., & Guo, Q. (2021). Accuracy Of Breath Test For Diabetes Mellitus Diagnosis: A Systematic Review And Meta-Analysis. BMJ Open Diabetes Research and Care, 9(1), 1–10. https://doi.org/10.1136/bmjdrc-2021-002174
Windani, C., Sari, M., Witdiawati, W., Purnama, D., Kurniawan, T., & Santoso, M. B. (2022). Effect of Integrated Care Programs on Self-Efficacy and Self-Management Behaviors among Diabetic in a Primary Health Care in Indonesia. Malaysian Journal of Medicine and Health Sciences, 18(SUPP3), 157–161.
Windasari, N. N. (2014). Pendidikan Kesehatan Dalam Meningkatkan Kepatuhan Merawat Kaki Pada Pasien Diabetes Mellitus Tipe Ii [Pasca Sarjana]. Universitas Muhammadiyah Yogyakarta.
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