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A Health Education Intervention to Improve Diabetic Foot Ulcer Prevention: Effects on Knowledge, Self-Efficacy, Social Support, and Foot Care Practices

Journal of Health Education · Vol. 11 No. 1 (2026) · hlm. 69–79

DOI
10.15294/jhealthedu.v11i1.40405
ISSN
2528-2905, 2527-4252
Terbit
2026-07-30
Penerbit
Universitas Negeri Semarang
Bahasa
eng

Abstrak

Background: Type 2 diabetes mellitus (T2DM) is a major global health concern that disproportionately affects low- and middle-income countries. Health education is a fundamental component of diabetes management, as it enhances health literacy by improving patients' knowledge, self-efficacy, foot care practices, and social support. This study aimed to evaluate the effectiveness of a health education intervention in preventing diabetic foot ulcers (DFUs). Methods: This quasi-experimental study employed a one-group pretest–posttest design. The study was conducted over a nine-month period among patients with T2DM in Pringsewu Regency. Of the 350 patients with T2DM, 107 participants were recruited using purposive sampling. Data were analyzed using the chi-square test. Results: The health education intervention significantly improved participants' knowledge, self-efficacy, foot care practices, and perceived social support. Furthermore, the intervention demonstrated a significant effect in preventing DFUs, with all outcome measures showing statistical significance (p < 0.05). Conclusion: Health education effectively enhances knowledge, self-efficacy, foot care practices, and social support, thereby contributing to the prevention of DFUs among patients with type 2 diabetes mellitus.

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  • State University of Semarang
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Rekan penulisOrganisasiArtikel bersama
Oktia Woro Kasmini HandayaniState University of Semarang1
Irwan BudionoState University of Semarang1
Raudhatul HusnaAfiliasi tidak diketahui1
Fenny AnggreiniAfiliasi tidak diketahui1
Nurhanifah NurhanifahAfiliasi tidak diketahui1
Nazliati NazliatiAfiliasi tidak diketahui1
Alfiatunnur AlfiatunnurAfiliasi tidak diketahui1
Abel Yohanis RomromeAfiliasi tidak diketahui1
Andhika Jaya PutraAfiliasi tidak diketahui1
Muhammad NazarAfiliasi tidak diketahui1
Basri BasriAfiliasi tidak diketahui1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/jhealthedu/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en">A Health Education Intervention to Improve Diabetic Foot Ulcer Prevention: Effects on Knowledge, Self-Efficacy, Social Support, and Foot Care Practices</dc:title>
	<dc:creator xml:lang="en">Rita Sari</dc:creator>
	<dc:creator xml:lang="en">Purwono,  Janu  </dc:creator>
	<dc:subject xml:lang="en">Diabetic foot ulcers</dc:subject>
	<dc:subject xml:lang="en">Health  education</dc:subject>
	<dc:subject xml:lang="en">Foot care practices</dc:subject>
	<dc:description xml:lang="en">Background: Type 2 diabetes mellitus (T2DM) is a major global health concern that disproportionately affects low- and middle-income countries. Health education is a fundamental component of diabetes management, as it enhances health literacy by improving patients' knowledge, self-efficacy, foot care practices, and social support. This study aimed to evaluate the effectiveness of a health education intervention in preventing diabetic foot ulcers (DFUs).
Methods: This quasi-experimental study employed a one-group pretest–posttest design. The study was conducted over a nine-month period among patients with T2DM in Pringsewu Regency. Of the 350 patients with T2DM, 107 participants were recruited using purposive sampling. Data were analyzed using the chi-square test.
Results: The health education intervention significantly improved participants' knowledge, self-efficacy, foot care practices, and perceived social support. Furthermore, the intervention demonstrated a significant effect in preventing DFUs, with all outcome measures showing statistical significance (p &amp;lt; 0.05).
Conclusion: Health education effectively enhances knowledge, self-efficacy, foot care practices, and social support, thereby contributing to the prevention of DFUs among patients with type 2 diabetes mellitus.</dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang</dc:publisher>
	<dc:date>2026-07-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/journals/jhealthedu/article/view/40405</dc:identifier>
	<dc:identifier>10.15294/jhealthedu.v11i1.40405</dc:identifier>
	<dc:source xml:lang="en">Journal of Health Education; Vol. 11 No. 1 (2026); 69-79</dc:source>
	<dc:source>2528-2905</dc:source>
	<dc:source>2527-4252</dc:source>
	<dc:source>10.15294/jhealthedu.v11i1</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/journals/jhealthedu/article/view/40405/10890</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Journal of Health Education</dc:rights>
</oai_dc:dc>