Effect of Diabetic Foot Ulcer Prevention Education on the Knowledge, Attitude, and Practices of PKK Cadres in Suruh Kalang, Karanganyar
##plugins.themes.bootstrap3.article.main##
Endah Sri Wahyuni
Mike Chelsea Maharani
Karisma Dian Rahmawati
Abstract
Diabetic foot ulcers are characterized by a disruption of skin integrity or infection that
may extend to subcutaneous tissue, muscles, tendons, or bone. In Indonesia, the
prevalence of diabetic foot ulcers is approximately 15%, with amputation rates of
around 30% and mortality rates reaching up to 32%. One key strategy for preventing
diabetic foot ulcers is health promotion conducted by community health cadres, who
serve as frontline agents in public health initiatives.
Preventive efforts include proper foot care practices and the implementation of diabetic
foot exercises. The knowledge, attitudes, and behaviours of healthcare cadres play a
crucial role in the success of both preventive and promotive interventions. Adequate
knowledge supports the formation of positive attitudes, which subsequently encourage
appropriate health behaviours. Structured educational programs that incorporate
lectures, group discussions, demonstrations, and pre- and post-intervention evaluations
are effective in improving the knowledge, attitudes, and behaviours of health cadres.
Evidence from such interventions demonstrates a statistically significant improvement
in these domains (p-value = 0.000). Therefore, the implementation of a sustainable and
continuous education program is essential to strengthen diabetic foot ulcer prevention
efforts by health cadres within the community and to ultimately reduce the incidence of
diabetic foot ulcers
Downloads
##plugins.themes.bootstrap3.article.details##
Copyright (c) 2026 Endah Sri Wahyuni, Mike Chelsea Maharani, Karisma Dian Rahmawati
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
Alsaigh, S. H., Alzaghran, R. H., Alahmari, D. A., Hameed, L. N., Alfurayh, K. M., & Alaql, K. B.
(2022). Knowledge, Awareness, and Practice Related to Diabetic Foot Ulcer Among Healthcare
Workers and Diabetic Patients and Their Relatives in Saudi Arabia: A Cross-Sectional Study.
Cureus, 14(12). https://doi.org/10.7759/cureus.32221
Anam, A. K., Puguh, B., Kurniawan, D., Keperawatan, J., Kesehatan, P., & Malang, K. K. (2019).
Gambaran Pengetahuan Pasien Diabetes Diabetik Di Klinik Ikhza Medika Description of Diabetes
Mellitus Patients Concerning Diabetic Ulcer Treatment in. Bali Medika Jurnal, 6(2), 136–146.
Budi Raharjo, S., Suratmin, R., Maulidia, D., Pratiwi, O., & Meutia Fidela, R. (2022). Perawatan Luka
Ulkus Diabetikum: Tinjauan Literatur. Journal Keperawatan, 1(2), 98–104.
https://doi.org/10.58774/jourkep.v1i2.15
Fatmawati. (2020). Pencegahan Ulkus Diabetik Pada Pasien Diabetes Mellitus Tipe 2. Jurnal Kesehatan
Qamarul Huda, 8, 34–41.
Fishbein, M. and Ajzen, I. (2010). Predicting and Changing Behaviour: The Reasoned Action Approach.
Psychology Press.
Glanz, K. and Rimer, B. K. and Viswanath, K. (2015). Health Behaviour and Health Education: Theory,
Research, and Practice (5th ed.). Jossey-Bass.
Guyton & Hall. (2011). Buku Ajar Fisiologi Kedokteran Edisi Kedua belas. Saunders Elseiver.
Hisham, M. and Rahman, N. and Wahab, N. (2020). Knowledge, attitude and practice towards diabetic
foot care among patients attending primary health clinics in Malaysia. Malaysian Journal of
Public Health Medicine, 20(1), 80–87.
Kemenkes. (2020). Tetap Produktif, Cegah dan Atasi Diabetes Mellitus. Kementrian Kesehatan Republik
Indonesia.
Manna, C. P. S. A. B. (2020). Diabetic Ulcer. StatPearls Publishing.
Muhammad Hafizh Izuddin Alzamani, L., Rianta Yolanda Marbun, M., Eka Purwanti, M., Salsabilla, R.,
& Rahmah, S. (2022). Ulkus Kronis: Mengenali Ulkus Dekubitus dan Ulkus Diabetikum. Jurnal
Syntax Fusion, 2(02), 272–286. https://doi.org/10.54543/fusion.v2i02.153
Okoro, R. N. and Odume, B. B. and Nduka, S. O. (2020). Effect of educational intervention on
knowledge of foot care among diabetic patients in a Nigerian tertiary hospital. Journal of Diabetes
Nursing, 24(1), 24–30.
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), 1–8.
https://doi.org/10.1186/s12902-020-0512-y
Sofyanti Nur Deviana; Naziyah; Hidayat Rizki. (2022). Hubungan Pengetahuan dan Sikap terhadap
Upaya Pencegahan Ulkus Diabetikum Penderita Diabetes Mellitus Tipe 2 di Puskesmas Pancoran
Jakarta Selatan. In MANUJU : Malahayati Nursing Journal (Vol. 4, Issue 3).
Sugiyono. (2019). Penelitian Kuantitatif, Kuaitatif dan R&D. Alphabet.
Sukartini, T., Theresia Dee, T. M., Probowati, R., & Arifin, H. (2020). Behaviour model for diabetic ulcer
prevention. Journal of Diabetes and Metabolic Disorders, 19(1), 135–143.
https://doi.org/10.1007/s40200-019-00484-1
Suryani, S. and Dewi, R. K. (2017). Pengaruh pendidikan kesehatan terhadap pengetahuan tentang
perawatan kaki pada penderita diabetes mellitus. Jurnal Keperawatan, 8(2), 112–119.