IMPACT OF HEALTH EDUCATION OF FOOT EXERCISE: ON KNOWLEDGE AND SKILL OF TYPE II DIABETES MELLITUS PATIENTS AT ELDERLY COMMUNITY HEALTH POST (POSBINDU), INDONESIA

Okatiranti Okatiranti, Tita Puspitaningrum, Anggi Saputra

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Background: Diabetic foot complications are common concerns associated with Diabetes Mellitus (DM) whereas education on appropriate self-care has the potential to play a key role in preventing foot complications resulting from diabetes. Previous research showed that providing effective education to diabetes patients and their family members could help decrease the incidence of ulcer formation. Objective: The purpose of this study was to determine the effect of health education of foot exercise on the knowledge and skill of people with type II DM Posbindu Lansia (Elderly Community health posts) in Bandung Indonesia.   Method: This research used pre-experimental design with pre and post test design in one group (one group pre-post-test design) without controls. The Sampling technique was used was purposive sampling. The data were collected through questionnaires from knowledge and observation forms for the ability to perform foot exercises with a total of 46 respondents. Data analysis used Wilcoxon signed-rank test. Result: The results showed that before health education respondents with good knowledge was about (19,6%), Sufficient knowledge at (58.7%), and Deficient knowledge at (21.7%). Then for ability to perform foot exercises (8.7%) of respondents were capable and most respondents (91.3%) were unable to demonstrate proper foot exercises. After health education, the number of respondents with a good knowledge slightly increased to about (23.9%) add those with sufficient knowledge to (63%) and even a decrease was experienced in the group category for deficient knowledge were slightly decrease   at (13%). Then, for the ability to perform foot exercises, more than half respondents were capable of demonstrating proper foot exercises about (54.3%) on the other hand about  (45.7%) of patients  still unable to demonstrate proper foot exercise. The differences before and after intervention show a significant increase in knowledge of the patients (p = 0,000 <α (0.05) and  patient skill for foot exercise also rose significantly p-value = 0.000 < α (0.05). Conclusion : there was a significant impact of Health Education Simulation of Foot exercise on Knowledge and skill of Diabetes mellitus type II patients.


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Diabetes mellitus, foot exercise, health, education, knowledge, elderly

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