Effect of Health Education on Improving the Knowledge among Diabetes Mellitus Patients in the Prevention of Diabetic Ulcer in Regional Hospital of Tidore Island

H. Amir, Nurgis Munir
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Abstract

International  Diabetes  Federation  (IDF) reported that the number of diabetes mellitus patients worldwide increases every year. Diabetes mellitus is a chronic disease due to damage to the pancreas in producing enough insulin and characterized by impaired metabolism of fats, increased blood sugar, carbohydrates and protein both absolutely and relatively. Diabetic foot ulcers (DFU) are among the most common complications in diabetic patients and are associated with high mortality, morbidity, and health costs.   This study was to determine the effect of health education on knowledge improvement about diabetic ulcers in the regional hospital of Tidore Islands.  This research is a quasi-experimental type with a pretest-posttest without a control group design. The research sample consisted of 30 respondents who met the inclusion criteria. Data were analyzed using a paired test and processed with statistic version 21. Based on the research results, there was an improved knowledge in pre and post-health education counseling, where the average score before health education counseling was 11.6. After health counseling, the average value was 15.0. The results showed the effect of knowledge in the prevention of diabetic ulcers with a p-value =0,000.  Health education is an effort to improve patient's ability to prevent diabetic foot ulcers that have been proven in several scientific studies. Health education methods provide additional information so that patients who previously wondered about their disease can directly ask health workers. Health education affects the knowledge improvement of Diabetes Mellitus patients in the Regional hospital of Tidore Islands  
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提多岛地区医院健康教育对提高糖尿病患者预防糖尿病溃疡知识的作用
国际糖尿病联合会(IDF)报告说,全世界糖尿病患者的数量每年都在增加。糖尿病是由于胰腺不能产生足够的胰岛素而受到损害的一种慢性疾病,其特征是脂肪代谢受损,血糖、碳水化合物和蛋白质绝对和相对升高。糖尿病足溃疡(DFU)是糖尿病患者最常见的并发症之一,与高死亡率、发病率和医疗费用相关。本研究旨在探讨健康教育对提多岛地区医院糖尿病溃疡知识提升的效果。本研究为准实验型,采用前测后测法,无对照组设计。研究样本由30名符合纳入标准的受访者组成。数据分析采用配对检验和统计版本21处理。从研究结果来看,健康教育咨询前和健康教育咨询后的知识有所提高,健康教育咨询前的平均得分为11.6分。健康咨询后的平均值为15.0。结果显示知识在预防糖尿病溃疡中的作用,p值为0000。健康教育是提高患者预防糖尿病足溃疡能力的一种努力,这已经在一些科学研究中得到证实。健康教育方法提供了额外的信息,以便以前对自己的疾病感到疑惑的患者可以直接询问卫生工作者。健康教育对蒂多岛地区医院糖尿病患者知识提升的影响
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