Relationship between peer group support with foot care behavior among diabetes mellitus patients: an observational study

Submitted: 23 September 2023
Accepted: 11 December 2023
Published: 26 January 2024
Abstract Views: 686
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Peer group support plays a crucial role in enhancing diabetic foot care. However, diabetic patients often exhibit suboptimal foot care behavior due to a lack of support. This study aimed to explore the correlation between peer group support and foot care practices in individuals with diabetes mellitus. Employing a cross-sectional design, the research focused on diabetes mellitus patients aged 40-55 years, and those with less than five years of diabetes history. A purposive sampling technique was utilized to select 64 participants. The research variables encompassed demographic factors, peer group dynamics, and diabetic foot care behavior. These were assessed through a modified questionnaire, verified for validity and reliability. Data analysis involved descriptive analysis and chi-square analysis. The findings revealed a prevalence of 79.7% for inadequate peer group support and 20.3% for robust support. In terms of diabetic foot care behavior, 56.3% exhibited poor practices, while only 17.2% demonstrated good foot care behavior. All variables displayed significance concerning the dependent variable, with a p-value < 0.003. This underscores the positive impact of peer group support on improving foot care behavior in diabetes mellitus patients. This study highlights the need for further research to delve into the effects of educational interventions and family involvement in enhancing diabetic foot care behavior.

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Kemenkes RI. Hari Diabetes Sedunia Tahun 2018. Pusdatin Kemenkes RI. 2018;1–8.
Faizah R, Efendi F, Suprajitno S. The effects of foot exercise with audiovisual and group support foot exercises to diabetes mellitus patients. J Diabetes Metab Disord 2021;20:377-82. DOI: https://doi.org/10.1007/s40200-021-00756-9
Zhao X, Yu X, Zhang X. The Role of Peer Support Education Model in Management of Glucose and Lipid Levels in Patients with Type 2 Diabetes Mellitus in Chinese Adults. J Diabetes Res 2019;2019. DOI: https://doi.org/10.1155/2019/5634030
Rismayanti IDA, Nursalam, Farida VN, et al. Early detection to prevent foot ulceration among type 2 diabetes mellitus patient: A multi-intervention review. J Public Health Res 2022;11:2752. DOI: https://doi.org/10.4081/jphr.2022.2752
Joseph S, Munshi B, Agarini R, et al. Near infrared spectroscopy in peripheral artery disease and the diabetic foot: A systematic review. Diabetes Metab Res Rev 2022;38:e3571. DOI: https://doi.org/10.1002/dmrr.3571
Novida H, Hariftyani AS, Edward M, Mudjanarko SW. Mortality Prediction Model in Patients with Diabetic Foot Ulcer: A Case-Control Study from a Tertiary Referral Hospital in Surabaya, Indonesia. J Heal Sci Med Res 2023;41(1). DOI: https://doi.org/10.31584/jhsmr.2022894
Gavrila V, Garrity A, Hirschfeld E, et al. Peer Support Through a Diabetes Social Media Community. J Diabetes Sci Technol 2019;13:493–7. DOI: https://doi.org/10.1177/1932296818818828
Akoit EE, Efendi F, Dewi YS. Impact of diabetes self-management education in middle-aged patients with type 2 diabetes mellitus: A systematic review . Gac Med Caracas 2022;130:S1183–95. DOI: https://doi.org/10.47307/GMC.2022.130.s5.44
Baradaran A, Ebrahimzadeh MH, Baradaran A, Kachooei AR. Prevalence of comorbidities in COVID-19 patients: A systematic review and meta-analysis. Arch Bone Jt Surg 2020;8:247–55.
Ningsih ESP, Yusuf A, Firdaus S, Ilmi B, Fitryasari R, Setyowati A. Psychometric properties of the Indonesia version religious health fatalism questionnaire in diabetic foot ulcer outpatients. J Public Health Res 2022;11:22799036221106605. DOI: https://doi.org/10.1177/22799036221106605
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 Ners 2019;14:181–6. DOI: https://doi.org/10.20473/jn.v14i2.16741
Dinas Kesehatan Provinsi Jawa Tengah. Profil Kesehatan Provinsi Jateng Tahun 2019. Dinas Kesehat Provinsi Jawa Teng 2019;3511351:273–5.
Hardianti D, Adi MS, Saraswati LD. Description of Factors Related To Severity of Diabetic Mellitus Patient Type 2 (Study in Rsud Kota Semarang). J Kesehat Masy 2018;6:132–40.
Embuai S, Lestari P, Ulfiana E. Pengaruh Edukasi Perawatan Kaki Dan Senam Kaki Terhadap Upaya Pencegahan Risiko Foot Ulcer Pada Klien Diabetes Melitus. J Penelit Kesehat “SUARA FORIKES” (Journal Heal Res “Forikes Voice”) 2017;8:180–90.
Pourkazemi A, Ghanbari A, Khojamli M, et al. Diabetic foot care: Knowledge and practice. BMC Endocr Disord 2020;20:1–8. DOI: https://doi.org/10.1186/s12902-020-0512-y
Ghasemi M, Hosseini H, Sabouhi F. Effect of peer group education on the quality of life of elderly individuals with diabetes: A randomized clinical trial. Iran J Nurs Midwifery Res 2019;24:44–9. DOI: https://doi.org/10.4103/ijnmr.IJNMR_39_17
Nurmansyah MI, Jannah M, Rachmawati E, Maisya IB. Religious affiliation, religiosity and health behaviors among high school students in Jakarta, Indonesia. Int J Public Heal Sci 2020;9:184–91. DOI: https://doi.org/10.11591/ijphs.v9i3.20493
Castillo-Hernandez KG, Laviada-Molina H, Hernandez-Escalante VM, et al. Peer Support Added to Diabetes Education Improves Metabolic Control and Quality of Life in Mayan Adults Living With Type 2 Diabetes: A Randomized Controlled Trial. Can J Diabetes 2021;45:206-13. DOI: https://doi.org/10.1016/j.jcjd.2020.08.107
Chadha VK. Sample size determination in health studies. 2006;55–62.
Komariah K, Rahayu S. Hubungan Usia, Jenis Kelamin Dan Indeks Massa Tubuh Dengan Kadar Gula Darah Puasa Pada Pasien Diabetes Melitus Tipe 2 Di Klinik Pratama Rawat Jalan Proklamasi, Depok, Jawa Barat. J Kesehat Kusuma Husada 2020;May:41–50. DOI: https://doi.org/10.34035/jk.v11i1.412
Sharoni AS, Razi MM, Rashid AN, Ahmad Sharoni SK MY, Rashid A, Khuzaimah Ahmad Sharoni S, et al. Self-efficacy of foot care behaviour of elderly patients with diabetes Bachelor of Nursing (hons) (UiTM). Malaysian Fam Physician 2017;12:2–8.
Imelda, Sjaaf F, PAF P. Faktor- Faktor yang Berhubungan dengan Kejadian Hipertensi pada Lansia di Puskesmas Air Dingin Lubuk Minturun. Heal Med J 2020;2:68–77. DOI: https://doi.org/10.33854/heme.v2i2.459
Jernigan VBB, Huyser KR, Valdes J, Simonds VW. Food Insecurity Among American Indians and Alaska Natives: A National Profile Using the Current Population Survey–Food Security Supplement. J Hunger Environ Nutr 2017;12:1–10. DOI: https://doi.org/10.1080/19320248.2016.1227750
Costa PD, Canaan JCR, Castelo PM, et al. Influence of micronutrient intake, sociodemographic, and behavioral factors on periodontal status of adults assisted by a public health care system in Brazil: A cross-sectional multivariate analysis. Nutrients 2021;13:1–15. DOI: https://doi.org/10.3390/nu13030973
Rahmadita I, Latiifah NUR, Keperawatan PS, et al. Dengan Kadar Glukosa Darah Puasa Pada Penderita Diabetes Melitus Tipe 2 Di Puskesmas. 2020.
Ramirez-Perdomo C, Perdomo-Romero A, Rodríguez-Vélez M. Knowledge and practices for the prevention of the diabetic foot. Rev Gauch Enferm 2019;40:e20180161. DOI: https://doi.org/10.1590/1983-1447.2019.20180161
Mohebi S, Parham M, Sharifirad G, Gharlipour Z. Social Support and Self ‑ Care Behavior Study. 2018;1–6.
Yulisetyaningrum, Mardiana SS, Susanti D. Hubungan Tingkat Pendidikan Dan Pengetahuan Tentang Diet DM Dengan Kepatuhan Diet Pasien Diabetes Mellitus Di RSUD R.A Kartini Jepara. Indones J Perawat 2018;3:44–50.
Jakosz N. Book review – IWGDF Guidelines on the Prevention and Management of Diabetic Foot Disease. Wound Pract Res 2019;27:144. DOI: https://doi.org/10.33235/wpr.27.3.144
Lisnawaty, Sulastri N, Sabilu Y, Yunawati I, Pratiwi AD. Risk Factors of Type 2 Diabetes Mellitus in Coastal Communities in the Working Area of Community Health Centre of Kapota of Wakatobi Regency in 2018. Int J Sci Basic Appl Res 2018;4531:56–65.
Efriliana, Noor Diani HS 1Program. Karakteristik Pasien Diabetes Melitus Dengan Pengetahuan Tentang Perawatan Kaki Diabetes Melitus. Din Kesehat. 2018.
Arania R, Triwahyuni T, Prasetya T, Cahyani SD. Hubungan Antara Pekerjaan Dan Aktivitas Fisik Dengan Kejadian Diabetes Mellitus Di Klinik Mardi Waluyo Kabupaten Lampung Tengah. J Med Malahayati 2021;5:163–9. DOI: https://doi.org/10.33024/jmm.v5i3.4110
Mariam TG, Alemayehu A, Tesfaye E, et al. Prevalence of Diabetic Foot Ulcer and Associated Factors among Adult Diabetic Patients Who Attend the Diabetic Follow-Up Clinic at the University of Gondar Referral Hospital, North West Ethiopia, 2016: Institutional-Based Cross-Sectional Study. 2017. DOI: https://doi.org/10.1155/2017/2879249
Wahyudi, Raya P. Hubungan Lama Menderita Diabetes Melitus Dan Kadar Glukosa Darah Sewaktu Dengan Tingkat Sensitivitas Kaki Di Puskesmas Pahandut Palangkaraya. 2019;001.
Indonesia PE. Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia. PB PERKENI. 2015.
Nurhanifah D. Faktor-Faktor Yang Berhubungan Dengan Ulkus Kaki Diabetik Di Poliklinik Kaki Diabetik. Heal J 2017;1:32. DOI: https://doi.org/10.35747/hmj.v1i1.67
Nuraisyah F, Solikhah S, Ruliyandari R. Do descendants of families contribute to type 2 diabetes mellitus? Int J Public Heal Sci 2020;9:303–6. DOI: https://doi.org/10.11591/ijphs.v9i4.20586
Amelia R. Hubungan Perilaku Perawatan Kaki dengan Terjadinya Komplikasi Luka Kaki Diabetes pada Pasien Diabetes Melitus Tipe 2 di Puskesmas Tuntungan Kota Medan. Talent Conf Ser Trop Med 2018;1:124–31. DOI: https://doi.org/10.32734/tm.v1i1.56
Williams EM, Egede L, Oates JC, et al. Peer approaches to self-management (PALS): Comparing a peer mentoring approach for disease self-management in African American women with lupus with a social support control: Study protocol for a randomized controlled trial. Trials 2019;20:1–13. DOI: https://doi.org/10.1186/s13063-019-3580-4
Diatiningsih Y, Kusnanto K, Bakar A. Kepatuhan Pengelolaan Penyakit Diabetes mellitus Tipe II melalui Peer Group Support di Wilayah Kerja Puskesmas Kebonsari Surabaya. Crit Med Surg Nurs J 2019;1(1). DOI: https://doi.org/10.20473/cmsnj.v1i1.11973
Syatriani S. Hubungan Pekerjaan Dan Dukungan Keluarga Dengan Stres Pada Pasien Dm Tipe 2 Di Daerah Pesisir Kota Makassar. Sinergitas Multidisiplin Ilmu Pengetah dan Teknol 2019;2:26–7.
Kasih S, Surakarta IBU, Publikasi N. Pengaruh peer group support terhadap kadar gula darah pada pasien diabetes mellitus tipe 2 di rumah sakit kasih ibu surakarta naskah publikasi. 2019.
Ngadiluwih MS. Pengaruh Perawatan Kaki Terhadap Sensitivitas Kaki Pada Penderita Diabetes Melitus Tipe II. 2018.
Dewi EU, Widari NP, Nursalam N, et al. The relationship between diabetes self-care management and blood glucose level among type 2 diabetes mellitus patients. Int J Public Heal Sci 2023;12:1165. DOI: https://doi.org/10.11591/ijphs.v12i3.22228
Pienaar M, Reid M. Self-management in face-to-face peer support for adults with type 2 diabetes living in low- or middle-income countries: a systematic review. BMC Public Health 2020;20:1–10. DOI: https://doi.org/10.1186/s12889-020-09954-1

How to Cite

Suyanto, S., Sukartini, T., Efendi, F., Fauzi, T., Noor, M. A., Amal, A. I., Wahyuningsih, I. S., Sulistyaningsih, D. R., & Khasanah, F. (2024). Relationship between peer group support with foot care behavior among diabetes mellitus patients: an observational study. Healthcare in Low-Resource Settings, 12(1). https://doi.org/10.4081/hls.2024.11865