Hubungan Caring Perawat Berbasis Carative Terhadap Kepatuhan Pasien dalam Pencegahan Diabetic Foot Ulcer pada Pasien dengan Diabetes Mellitus di RSUD Undata Provinsi Sulawesi Tengah: Penelitian

Safia Mayana; Elin Hidayat; Maharani Farah Dhifa Dg Masikki

doi:10.31004/jerkin.v4i3.5220

Authors

Safia Mayana Universitas Widya Nusantara
Elin Hidayat Universitas Widya Nusantara
Maharani Farah Dhifa Dg Masikki Universitas Widya Nusantara

DOI:

https://doi.org/10.31004/jerkin.v4i3.5220

Keywords:

Caring Carative, Diabetic Foot Prevention

Abstract

Background: Diabetes Mellitus is a chronic metabolic disease characterized by an increase in blood glucose levels due to impaired secretion or insulin action. Prolonged hyperglycemia conditions can cause various serious complications, one of which is Diabetic Foot Ulcer (DFU). DFU prevention is highly dependent on the patient's compliance with self-care, including blood sugar control, foot care, and compliance with recommended therapies. Nurse Caring Behavior has an important role in increasing patient compliance through empathetic communication, emotional support, and providing proper education. The purpose of the research is to analyze the relationship between Carative-based nursing care and patient compliance in the prevention of Diabetic Foot Ulcer at RSUD Undata Central Sulawesi Province. Method: This type of research is quantitative with a cross-sectional approach. The population is 112 people with Diabetes Mellitus at RSUD Undata, Central Sulawesi Province. The sample size is 53 people with the Proportional Quota Sampling technique. The research instrument uses a Curative-based Nursing Care questionnaire and a foot care compliance questionnaire. Data analysis using Fisher's Exact Test Research Results: The research results show that there is a relationship between Carative-based Nurse Caring and patient compliance in the prevention of Diabetic Foot Ulcer at RSUD Undata Central Sulawesi Province with Fisher's Exact Test results obtained Asymp.Sig 0.000 < 0.05. Conclusion: There is a relationship between Curative-based nursing care and patient compliance in the prevention of Diabetic Foot Ulcer at the RSUD Undata Central Sulawesi Province. Suggestion: It is hoped that nurses can improve the implementation of Carative-based Caring in nursing services to improve the compliance of Diabetes Mellitus patients in the prevention of Diabetic Foot Ulcer.

References

Adi, S. (2025). A Concept Analysis of Pressure Ulcer Care Integrating Theory of Human Caring. Scandinavian Journal of Caring Sciences, 39 1. https://doi.org/10.1111/scs.70021

Dilasamola Dwisari. (2024). Buku Ajar Patofisiologi.

Dinkes Sulawesi Tengah. (2023). Profil Kesehatan Dinas Kesehatan Sulawesi Tengah. Profil Kesehatan Provinsi Sulawesi Tengah, 1–368.

Ghanbari-afra, L., Adib-hajbaghery, M., & Dianati, M. (2022). Human Caring : A Concept Analysis. 11(4), 246–254. https://doi.org/10.15171/jcvtr.2015.24

Holopainen, G., Nyström, L., & Kasén, A. (2020). The caring encounter in nursing. Nursing Ethics, 26, 16–17. https://doi.org/10.1177/0969733016687161

Irgens, I., Rn, H., Rn, K. J., Tove, A., Rn, G., Rn, H. L., Elisabeth, A., Rn, M., Lecturer, S., & Rn, K. H. (2024). Patients ’ and Nurses ’ experiences of caring in nursing : An integrative literature review across clinical practices. November 2023, 1233–1255. https://doi.org/10.1111/jocn.16964

Karo, M. (2021). Caring dalam Keperawatan. PT Kanisius.

Monteiro-soares, L. A. L. M., Rasmussen, A., Raspovic, A., Sacco, I. C. N., & Netten, J. J. Van. (2020). Guidelines on the prevention of foot ulcers in persons with diabetes ( IWGDF 2019 update ). 1–18. https://doi.org/10.1002/dmrr.3269

Pajnkihar, M., Štiglic, G., & Vrbnjak, D. (2020). The concept of Watson ’ s carative factors in nursing and their ( dis ) harmony with patient satisfaction. 1–16. https://doi.org/10.7717/peerj.2940

Prawinda, Y. D., Minahussanyyah, Setiya Ningrum, D. E., Listiana, Mujirahayu, V., Noviana, D. W., Zuliyanti, E., Devica Permatajaya, K. K., & Pranata, S. (2024). Penatalaksanaan Lima Pilar Diabetes Melitus Oleh Diabetisi : Studi Fenomenologi. Journal Nursing Research Publication Media (NURSEPEDIA), 3(1), 12–25. https://doi.org/10.55887/nrpm.v3i1.52

Said, G. M. A., Mehany, M., & Ahmed, N. A. (2025). Enhancing Patients Satisfaction and their outcomes through implementing Nurse-Caring Behavior Protocols in Acute Diabetic Crisis Management. South Eastern European Journal of Public Health. https://doi.org/10.70135/seejph.vi.4135

Thompson, E., & Hundley, A. (2025). Educate African Americans with type 2 diabetes (T2DM) on the importance of daily foot self-care to prevent the development of diabetic foot ulcers (DFU): a quality improvement project. BMJ Open Quality, 14. https://doi.org/10.1136/bmjoq-2023-002708

Ubataka Maria. (2020). Hubungan Perilaku Caring (Carative Factor’s) Perawat Dengan Kecemasan Pada Pasien Pre Operasi Di Rs Setlla Maris. Sekolah Tinggi Ilmu Kesehatan Stella Maris Maksaar.

Ulfah, A. (2020). Hubungan Perilaku Caring Perawat Dengan Kepatuhan Minum Obat Pasien Hipertensi Di Ruang Penyakit Dalam Wanita Di Rsud Sultan Imanuddin Pangkalan Bun Tahun 2020. Skripsi, 1–139.

Yuliyanto, B. D., & Melati, N. (2023). Hubungan Perilaku Caring Perawat Dengan Kepatuhan Diet Pada Pasien Gagal Ginjal Kronik Di Ruang Hemodialisa. SBY Proceedings, 000, 255–264. https://jurnal.stikesbethesda.ac.id/index.php/p/article/view/440

Yunir, E., Waspadji, S., Juli, T., Tarigan, E., Sarumpaet, A., & Christabel, E. V. (n.d.). Pedoman IWGDF mengenai Pencegahan dan Tatalaksana Kaki Diabetes.

Zahra, A. (2022). Hubungan Tingkat Pengetahuan, Dukungan Tenaga Kesehatan Dengan Perilaku Pencegahan Luka Ganggren Pada Pasien Diabetes Mellitus Di Puskesmas Ambunten. Universitas Wiraraja.