Title Self-care of chronic illness prevents the risk of diabetic foot

ulcers in patients with diabetes: a cross-sectional study

Journal Jurnal ners
Volume Volume 19 issue I, February 2024, p.39-46
Year 2024
Writing Anita joeliantina, dwi adji norontoko, ach. Arfan adianta,
adivtian ragayasa, and irfany nurul hamid
Research purposes chronic disease prevention of DFU risk in DM patients.
Chronic disease self-care in this study consists of three
components, namely maintaining foot self-care, monitoring,
and management, hereinafter referred to as latent variability.
Research subject "prevention of the risk of diabetic foot ulcers in diabetes
patients through a chronic disease self-care model."
Research methods Cross-Sectional
Operational definition of The operational definition of a dependent variable in the
dependent variable context of the journal is a variable that describes the health
outcomes of diabetes patients related to the risk of diabetic foot
ulcers, which is influenced by factors such as foot self-care
management, monitoring, and maintenance of foot care.
Operational definition The operational definition of independent variables in the
Independent variable journal can include factors such as foot self-care management
behavior, maintenance of foot care, and monitoring of foot care
that can influence the risk of developing diabetic foot ulcers in
diabetes patients.
Research result The risk of DFU in patients with DM was 40% with low risk,
38% with moderate risk, 8% with high risk, 5% remission, and
10% with DFU. This research shows that there is a significant
correlation between foot self-care management and the risk of
DFU, where the p-value = 0.000, while the indicators of foot
self-care maintenance and self-care monitoring do not have a
significant correlation with the risk of DFU, where the p-value
is respectively equal to 0.350 and 0.844

Research strengths The strengths of the research in this journal include:

 1. The use of cross-sectional study research methods which can
provide a representative picture at one particular point in time.
2. Use of structural models (inner models) and t-tests to
analyze correlations between relevant variables.
3. Use of representative samples from six Community Health
Centers in Surabaya, East Java, Indonesia, which can increase
the generalization of research results.
4. Use of a self-administered questionnaire designed to collect
data on the characteristics and practices of independent foot
care in chronic diseases.
5. Data analysis uses the Partial Least Squares (PLS) method
which can test the measurement model and structural model
simultaneously.
6. Emphasis on the importance of foot self-care management in
relation to the risk of Diabetic Foot Ulcers (DFU) in diabetes
patients.
7. Presents significant findings regarding the relationship
between foot self-care management and DFU risk, providing
an important contribution to the understanding and
management of this condition.Thus, the strengths of the study
include strong methodology, appropriate analysis,
representative sample, and relevant findings in the context of
foot self-care management in diabetes patients regarding DFU
risk.
Research weaknesses Weaknesses of research in these journals may include:
1. Use of a cross-sectional study design which does not allow
drawing causal conclusions between the variables studied.
2. Potential for bias in data collection through self-
questionnaires, such as recall bias or social bias which can
affect the validity of the data.
3. Limitations in the generalization of the results because the
research was conducted only in six Community Health Centers
in Surabaya, so the results may not be representative of the
wider population.
4. Exclusion criteria that require participants to have the ability
to read and not have cognitive impairment may limit the
inclusion of patients who may require special attention in foot
self-care management.
5. Use of the Partial Least Squares (PLS) method, which
although useful for data analysis, has limitations in deeper
statistical interpretation.
6. Limited information regarding other factors that may
influence the risk of Diabetic Foot Ulcers (DFU), such as
genetic factors, environment or living habits.
7. There is no further information regarding the validity and
reliability of the questionnaire used in the research.
Thus, these weaknesses need to be considered in the
interpretation and generalization of research results, and can
become the basis for further, more in-depth and comprehensive
research.