Volume 11, Issue 1 (2023)                   Health Educ Health Promot 2023, 11(1): 167-171 | Back to browse issues page


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Tini T, Andraini R, Rahman G, Parellangi A. Impact of the Community Health Worker Intervention Program on the Self-efficacy and Family Support for Foot Care in Patients with Diabetes Mellitus. Health Educ Health Promot 2023; 11 (1) :167-171
URL: http://hehp.modares.ac.ir/article-5-67486-en.html
1- Health Polytechnic Ministry of Health, East Kalimantan, Indonesia
Abstract:   (736 Views)
Aims: Diabetes foot is a complication of diabetes mellitus that can be avoided by practicing proper foot care. This behavior is influenced by factors such as self-efficacy and family support. The presence of communication and language barriers between healthcare providers and patients with diabetes mellitus leads to difficulties in understanding diabetes education, which ultimately hinders self-care. This study aimed to evaluate the impact of a community health worker intervention program on the self-efficacy and family support of patients with diabetes regarding foot care.
Materials & Methods: This quasi-experimental study with pre-test and post-test design with a control group was conducted on 72 diabetes mellitus patients who were in the working area of the Lempake Primary Health Care Center, Samarinda City. The respondents were selected by purposive sampling method and divided into two groups, including the intervention group (n=36) and the control group (n=36). Data were collected using Foot Care Confident Scale and Family Support Questionnaire and were analyzed by Statistical tests.
Findings: There was a significant difference in the mean score of family support in the intervention group compared to the control group (p=0.01). Meanwhile, for self-efficacy, there was no significant difference between the two groups (p=0.48). However, significant differences were observed in self-efficacy and family support before and after the intervention (p<0.05). Whereas in the control group, there was no significant difference in self-efficacy and family support (p>0.05).
Conclusion: Community health worker intervention programs can increase family support and self-efficacy of diabetes mellitus patients in foot care.
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Article Type: Original Research | Subject: Health Promotion Approaches
Received: 2022/12/27 | Accepted: 2023/03/14 | Published: 2023/04/30
* Corresponding Author Address: Jl. Amuntai No. 02 RT 069 Loa Bakung, Samarinda. Postal Code: 275126 (tinizr17@gmail.com)

References
1. International Diabetes Federation. IDF Diabetes Atlas. 9th Edition 2019. International Diabetes Federation; 2019. [Link]
2. Kementerian Kesehatan Republik Indonesia. Hasil Utama Riskesdas 2018 [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018 [cited 2021 May 7]. Available from: https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf. [Link]
3. Yusuf S, Okuwa M, Irwan M, Rassa S, Laitung B, Thalib A, et al. Prevalence and risk factor of diabetic foot ulcers in a Regional Hospital, Eastern Indonesia. Open J Nurs. 2016;6(1):1-10. [Link] [DOI:10.4236/ojn.2016.61001]
4. Jupiter DC, Thorud JC, Buckley CJ, Shibuya N. The impact of foot ulceration and amputation on mortality in diabetic patients. I: From ulceration to death, a systematic review. Int Wound J. 2015;13(5):892-903. [Link] [DOI:10.1111/iwj.12404]
5. Yazla E, Karadere ME, Terzi Ö, Dolapçı M, Yastı A. Care-giving burden and quality of life in diabetic foot patients' care givers. Aile Hekim ve Palyatif Bakım. 2017;2(3):28-37. [Link] [DOI:10.22391/fppc.336708]
6. Purwanti LE, Maghfirah S. Faktor Risiko Komplikasi Kronis (Kaki Diabetik) Dalam Diabetes Melitus Tipe 2. Indonesian J Health Sci. 2016;7(1):26-39. [Indonesian] [Link]
7. Tini, Setiadi R, Noorma N. Mengurangi Resiko Kaki Diabetik pada Pasien Diabetes Melitus Tipe 2. J Citra Keperawatan. 2019;7(1):23-32. [Indonesian] [Link] [DOI:10.31964/jck.v7i1.89]
8. Rezende Neta DS, da Silva ARV, da Silva GRF. Adherence to foot self-care in diabetes mellitus patients. Rev Bras Enferm. 2015;68(1):103-9. [Link] [DOI:10.1590/0034-7167.2015680115p]
9. Huda N, Sukartini T, Pratiwi NW. The impact of self-efficacy on the foot care behavior of type 2 diabetes mellitus patients in Indonesia. J Nurs. 2020;14(2):181-6. [Link] [DOI:10.20473/jn.v14i2.16741]
10. Hamedan MS, Hamedan MS, Torki Z. Relationship between foot-care self-efficacy beliefs and self-care behaviors in diabetic patients in Iran (2011). J Diabetes Metabol. 2012;3(9):220. [Link] [DOI:10.4172/2155-6156.1000220]
11. Wendling S, Beadle V. The relationship between self-efficacy and diabetic foot self-care. J Clin Transl Endocrinol. 2015;2(1):37-41. [Link] [DOI:10.1016/j.jcte.2015.01.001]
12. Salam AY, Hamim N. Foot Self Efficacy dan Foot Self Care Behaviour pada Lansia dengan Diabetes Melitus. JI-KES (Jurnal Ilmu Kesehatan). 2019;3(1):12-8. [Indonesian] [Link] [DOI:10.33006/ji-kes.v3i1.126]
13. Glanz K, Rimer Bk, Viswanath K. Health behaviour and health education theory, research, and practice. 4th Edition. San Francisco, Calif.: John Wiley: 2008. [Link]
14. Al-Kahfi R, Adriana Palimbo M. Pencegahan Kaki Diabetik pada Pasien Rawat Jalan Diabetes Melitus Tipe 2 di RSUD Banjarmasin. Dinamika Kesehatan. 2016;7(2):332-46. [Indonesian] [Link]
15. Guell C, Unwin N. Barriers to diabetic foot care in a developing country with a high incidence of diabetes related amputations: An exploratory qualitative interview study. BMC Health Serv Res. 2015;15:377. [Link] [DOI:10.1186/s12913-015-1043-5]
16. Sohal T, Sohal P, King-Shier KM, Khan NA. Barriers and facilitators for type-2 diabetes management in south asians: A systematic review. PLoS One. 2015;10(9):e0136202. [Link] [DOI:10.1371/journal.pone.0136202]
17. Olaniran A, Smith H, Unkels R, Bar-Zeev S, van den Broek N. Who is a community health worker? - A systematic review of definitions. Glob Health Action. 2017;10(1):1272223. [Link] [DOI:10.1080/16549716.2017.1272223]
18. Hill J, Peer N, Oldenburg B, Kengne AP. Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review. PLoS One. 2017;12(12):e0189069. [Link] [DOI:10.1371/journal.pone.0189069]
19. Egbujie BA, Delobelle PA, Levitt N, Puoane T, Sanders D, van Wyk B. Role of community health workers in type 2 diabetes mellitus self-management: A scoping review. PLoS One. 2018;13(6):e0198424. [Link] [DOI:10.1371/journal.pone.0198424]
20. Rifkin SB. Community health workers. In: Quah SR, editor.International encyclopedia of public health. 2nd Edition. Saint Louis: Elsevier Science; 2017. [Link] [DOI:10.1016/B978-0-12-803678-5.00083-7]
21. Alaofè H, Asaolu I, Ehiri J, Moretz H, Asuzu C, Balogun M, et al. Community health workers in diabetes prevention and management in developing countries. Ann Glob Health. 2017;83(3-4):661-75. [Link] [DOI:10.1016/j.aogh.2017.10.009]
22. Sloan HL. Developing and testing of the foot care confidence scale. J Nurs Meas. 2002;10(3):207-18. [Link] [DOI:10.1891/jnum.10.3.207.52564]
23. Nursalam N, Huda N, Sukartini T. Development of efficacy based foot care by family models to family behavior in prevention of diabetic foot ulcer. Syst Rew Pharm. 2020;11(7):240-5. [Link]
24. Sari CWM, Haroen H, Keperawatan F, Padjadjaran U. Pengaruh Program Edukasi Perawatan Kaki Berbasis Keluarga terhadap Perilaku Perawatan Kaki pada Pasien Diabetes Melitus Tipe 2. Jurnal Keperawatan Padjadjaran. 2016;4(3):1-10. [Indonesian] [Link] [DOI:10.24198/jkp.v4i3.293]
25. Annisa N, Jafar N, Thaha RM. Efektivitas Modul terhadap Perilaku Gizi dan Kesehatan Guru di Sekolah Menengah Makassar. Nutr Sci Health Res. 2022;1(1):1-9. [Indonesian] [Link] [DOI:10.31605/nutrition.v1i1.1816]

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