FACTORS ASSOCIATED WITH THE RISK OF DIABETIC FOOT ULCER AMONG PATIENTS WITH TYPE 2 DIABETIC MELLITUS IN OUTPATIENTS DEPARTMENT OF GENERAL HOSPITAL IN INDONESIA

Dian Anggraini, Herdiman Herdiman, Juan Carlo Triatmaka

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Background: Diabetic foot ulcers are a debilitating complication of diabetes mellitus (DM), lead to the high morbidity and care cost. This complication can be prevented as often caused due to minor trauma. Understanding risk factors associated with diabetic foot ulcer would provide information to improve the outcome and decreasing the risk of progression. Objectives: The purpose of this study was to determine the relationship between blood sugar levels, cholesterol levels, blood pressure, body mass index (BMI), and patients’ knowledge towards diabetic foot care with the risk of diabetic foot ulcer. Methods: This study was used cross-sectional design conducted at district general public hospital in Cimahi, West Java, Indonesia. All patients with type 2 DM, an adult aged and had diabetic foot ulcer were recruited. Diabetic Foot-Care Knowledge Scale (DFKS) was used to assess patient’s knowledge of diabetic foot ulcer. This research used Multiple Linear Regression to analyze the data. Results: A total of 68 patients with type 2 DM were agreed to join this study, 58.8% were female, and the majority aged over 45 years old (85.3%). The results showed more than had uncontrolled blood sugar level and good knowledge of diabetic foot ulcer. We found a significant relationship between cholesterol levels and BMI with diabetic foot ulcers, explained about 11.8% of the variance. Conclusion: Cholesterol level BMI significant associated with a diabetic foot ulcer. Continuing education related to a healthy lifestyle for a patient with type 2 DM is necessary.


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BMI, cholesterol levels, diabetic mellitus type 1, knowledge, foot ulcer

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