FAKTOR-FAKTOR YANG MEMENGARUHI TERJADINYA LUKA KAKI DIABETIK PADA PASIEN DIABETES MELLITUS TIPE 2 DI BALAI PENGOBATAN DAN SPESIALIS PERAWATAN LUKA, STOMA, DAN INKONTINENSIA “KITAMURA” PONTIANAK PADA TAHUN 2014

Abstract

Diabetes mellitus (DM) is the seventh of the most leading causes of death in the world, where 15% of
this case are at risk of diabetic foot ulcer. There are many factors affecting its occurence, but the main
factors are still not well explored. This study aims to identify correlations between diet pattern,
medication, smoking behaviour, physical activity, follow-up, foot care, psychological aspect, social
interaction, spiritual aspect, and race/ethnicity toward diabetic foot ulcer occurence in type 2 DM
patients. This is a quantitative study with cross-sectional approach. Sample involved in this study is 88
respondents, taken through accidental sampling method in “KITAMURA” Specialist Clinic of Wound,
Stoma, and Incontinence Care, Pontianak. Univariate, bivariate with chi-square test, and multivariate
with logistic regression are used for data analysis. Bivariate analysis indicates that there are significant
correlations between smoking behaviour (p = 0,008), follow-up (p = 0,011), and ethnicity (p = 0,000)
towards diabetic foot ulcer occurence. Further, multivariate analysis shows factors affecting diabetic
foot ulcer are social interaction (p = 0,018; OR = 7,807), foot care (p = 0,028; OR = 5,566), smoking
behaviour (p = 0,007; OR = 0,110), psychological aspect (p = 0,008; OR = 0,110), Malays (p = 0,001;
OR = 0,029), and Javanese ethnicities (p = 0,001; OR = 0,021). This study shows that social interaction
and foot care are the main factors causing diabetic foot ulcer after affected by smoking behaviour and
ethnicity.
Keywords : diabetic ulcer, diabetes, factors
References : 54 (1986 – 2014)