Faktor Psikososial Yang Mempengaruhi Perilaku Perawatan Kaki Pada Penderita Diabetes Melitus Tipe 2

Abstract

Foot care is very important to reduce the risk of diabetic foot ulcers. Psychosocial factors largely determine foot care behavior as part of self-management. The study aimed to analyze the influence of psychosocial factors on the foot care behavior of people with T2DM. The study was a quantitative study with a cross-sectional design. The sample size was 138 respondents with a multistage random sampling technique. The psychosocial factors (knowledge, coping, distress, family support, and nurse support) were independent variables, and foot care behavior was the dependent variable. The research instruments were questionnaires (SKILLDS, coping scale, DDS, HDFSS, nurse's role perception, and NAFF). Most respondents have the knowledge, coping, family support perceived, and nurse support perceived in the moderate category (45.6%; 67.3%, 53.6%, and 63.7%), and distress was in the high category (37.6%). In contrast, foot care behavior was in the moderate category (63.0%). The results of data analysis with multiple linear regression found that the model fit (F=2.419; p=0.039; R2= 0.049) and only knowledge significantly affected foot care behavior (p=0.035). Efforts to improve foot care behavior in self-management can be increased by increasing patient knowledge in performing foot care behavior independently