Combined Foot Care and Motivational Interviewing in Preventing Diabetic Foot Ulcers
DOI:
https://doi.org/10.36590/kepo.v7i1.1858Keywords:
diabetic foot ulcer, interviewing motivational, preventionAbstract
Type II diabetes mellitus is a chronic metabolic disease with increasing prevalence and a high risk of Diabetic Foot Ulcers, leading to morbidity, amputation, and reduced quality of life. Prevention requires proper foot care and continuous education, yet low patient knowledge and motivation remain major barriers. Motivational Interviewing may improve patient motivation and adherence to self-care. This study aimed to evaluate the effectiveness of combining foot care education and Motivational Interviewing in patients with type II diabetes mellitus. A quasi-experimental pretest-posttest design without a control group was conducted among 15 participants of the Chronic Disease Management Program at Riung Bandung Community Health Center for three months. Interventions included face-to-face education, foot care practice, and motivational counseling. Outcomes were assessed using Diabetic Foot Ulcer risk scores, knowledge, and adherence instruments. The results demonstrated a significant improvement in patient knowledge, but no significant changes in adherence or Diabetic Foot Ulcer risk. The intervention enhanced patients’ understanding of diabetes complication prevention; however, behavioral and clinical outcomes remained unchanged. Future studies should apply longer interventions, involve family support, and include larger samples with control groups.
Downloads
References
Akbar, Y., Mursal, M., Tahhira, H., Rizana, N., 2021. Tingkat Kualitas Hidup Pasien Luka Kaki Diabetik. Jurnal Keperawatan 19(2), 55–65. https://ojs.itskesicme.ac.id/index.php/jip/article/view/915
Akkus, G., Sert, M., 2022. Diabetic Foot Ulcers: A Devastating Complication of Diabetes Mellitus Continues Non-Stop in Spite of New Medical Treatment Modalities. World Journal of Diabetes 13(12), 1106–1121. Https://Doi.Org/10.4239/Wjd.V13.I12.1106
Basri, M., Rahmatiah, S., Andayani, D.S., Baharuddin, K., Dilla, R., 2021. Motivasi dan Efikasi Diri (Self Efficacy) dalam Manajemen Perawatan Diri pada Pasien Diabetes Mellitus Tipe 2. Jurnal Ilmiah Kesehatan Sandi Husada 10(2), 695–703. https://garuda.kemdiktisaintek.go.id/documents/detail/2396254
Bischof, G., Bischof, A., Rumpf, H., 2021. Motivational Interviewing: An Evidence-Based Approach for Use in Medical Practice. Deutsches Arzteblatt International 118(7), 109–116. Https://Doi.Org/10.3238/Arztebl.M2021.0014
Dehghan-Nayeri, N., Ghaffari, F., Sadeghi, T., Mozaffari, N., 2019. Effects of Motivational Interviewing on Adherence to Treatment Regimens Among Patients with Type 1 Diabetes: A Systematic Review. Diabetes Spectrum 32(2), 112–117. Https://Doi.Org/10.2337/Ds18-0038
Fajeriani, N., Diani, N., Choiruna, H.P., 2019. Edukasi Meningkatkan Pengetahuan tentang Perawatan Kaki pada Penderita Diabetes Melitus di Kelurahan Cempaka. Nusantara Medical Science Journal 4(1), 25–31. Https://Doi.Org/10.20956/Nmsj.V4i1.5957
Fan, Z., Liu, Y., Xie, H., Yang, Q., Zhang, G., Zhang, P., Ding, H., 2025. Analysis Of Risk Factors For Foot Ulcers In Diabetes Patients With Neurovascular Complications. BMC Public Health 25(792), 1–14. Https://Doi.Org/10.1186/S12889-025-21639-1
Fitriadi, Y., Josef, H.K., Danawati, C.W., 2021. Impact of Foot Care Education Program Using Whatsapp Group on Knowledge and Foot Care Practice in Diabetic Patients. Review of Primary Care Practice and Education 4(2), 42–48. Https://Doi.Org/10.22146/Rpcpe.65439
Harissya, Z., Malini, H., Oktarina, E., 2022. Pengalaman Psikologis Pasien Diabetes Melitus dengan DFU (Diabetic Foot Ulcer) Pasca Amputasi. Jurnal Ners 7(1), 99–108. https://journal.universitaspahlawan.ac.id/index.php/ners/article/view/9223
Indriani, R., Purnomo, H., Ginting, S.B., Roundowonu, R., Hasbi, H. AL, Devianti, R., Rajab, W., Vitniawati, V., Arfina, A., Djafar, I., Nurjaman, I., Nurseha, Martaniawarti, N., Aunirrahman, Y., Hamka, Siagian, H.J., Bangun, A.V., Kharisna, D., 2025. Keperawatan Medikal Bedah. PT Media Pustaka Indo, Cilacap.
Kusnanto, K., Alfaqih, M., Padoli, P., Arifin, H., 2021. A Qualitative Study Inquiry Among Patients with Diabetic Foot Ulcers: What Have They Felt? International Peer-Reviewed Journal 9(E), 574–580. Https://Doi.Org/10.3889/Oamjms.2021.6262
Maryana, L.D., Naziyah, N., Helen, M., 2023. Hubungan Dukungan Keluarga terhadap Perawatan Kaki Diabetik pada Pasien Ulkus Diabetikum di Wocare Center Bogor. Malahayati Nursing Journal 5(9), 2929–2943. Https://Doi.Org/10.33024/Mnj.V5i9.9179
McDermott, K., Fang, M., Boulton, A.J.M., Selvin, E., Hicks, C.W., 2023. Etiology, Epidemiology, And Disparities In The Burden Of Diabetic Foot Ulcers. Diabetes Care 46(1), 209–221. Https://Doi.Org/10.2337/Dci22-0043
Ningrum, H.S., Imamah, I., 2022. Pengetahuan dan Perilaku Perawatan Kaki pada Penderita Diabetes Melitus Tipe 2 di Puskesmas Gondang Sragen. Journal Keperawatan 1(2), 59–66. Https://Doi.Org/10.58774/Jourkep.V1i2.27
Noor, M.A., Suyanto, S., Aini, D.N., 2022. Pengetahuan Perawatan Kaki terhadap Risiko Ulkus Diabetik Pasien Diabetes Mellitus ( DM). Jurnal Keperawatan Silampari 6(1), 139–144. Https://Doi.Org/10.31539/Jks.V6i1.3273
Ratnawati, R., Falah, F., Pangalo, P., 2023. Program Pemberdayaan Motivational Interviewing untuk Meningkatkan Manajemen diri dan Kontrol Gula Darah Pasien Diabetes Mellitus Tipe 2 di Desa Lamahu Provinsi Gorontalo. Jurnal Abdimas Bina Negara 4(2), 1755-1761. https://jabb.lppmbinabangsa.id/index.php/jabb/article/view/831
Susilawati, E., Hesi, R.P.P., Soerawidjaja, R.A., 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
Vitniawati, V., Rahayu, S.M., Tambunan, I., 2023. Analisis Faktor Perilaku Risiko Diabetic Foot Ulcer Pada Pasien Diabetes Mellitus. J. Ilmu Keperawatan Dan Kebidanan 14, 458–463.
Vitniawati, V., Suprapti, T., Muslim, D.N.A., 2025. Diabetes Self-Management Education terhadap Perilaku Pencegahan Diabetic Foot Ulcer Berulang. Jurnal Penelitian Perawat Profesional 7(1), 631–636. https://jurnal.globalhealthsciencegroup.com/index.php/JPPP/article/view/5372
Wang, X., Yuan, C., Xu, B., Yu, Z., 2022. Diabetic Foot Ulcers : Classification , Risk Factors And Management. World Journal of Diabetes 13(2), 1049–1065. Https://Doi.Org/10.4239/Wjd.V13.I12.1049
Widiasari, K.R., Wijaya, I.K., Suputra, P.A., 2021. Diabetes Melitus Tipe 2: Faktor Risiko, Diagnosis dan Tatalaksana. Ganesha Medicina 1(2), 114–120. Https://Doi.Org/10.23887/Gm.V1i2.40006
