The Effect of Audio-Visual Education on Foot Care Knowledge in Preventing Diabetic Foot Ulcers among Patients with Diabetes Mellitus at Pekauman Primary Health Center, Banjarmasin
DOI:
https://doi.org/10.64141/pmhs.v2i2.30Keywords:
Audio-Visual Education, Diabetes Mellitus, Education, Knowledge, Foot Care, Diabetic Foot UlcersAbstract
Diabetes mellitus can lead to serious complications, including diabetic foot ulcers (DFUs), which carry a high risk of disability and amputation. This study aimed to analyze the effect of audio-visual education on foot care knowledge among patients with diabetes mellitus at the Pekauman Primary Health Center, Banjarmasin. This study employed a quasi-experimental one-group pretest–posttest design and involved 103 patients selected from a population of 215 patients (December 2024) using accidental sampling. Inclusion criteria comprised newly diagnosed or follow-up patients, individuals with compos mentis status, and adults. The research instrument was the Nottingham Assessment of Functional Footcare (NAFF) questionnaire consisting of 29 items, which was validated and found to be reliable. The intervention consisted of a ±10-minute animated video demonstrating six steps of diabetic foot care. Data were analyzed using the Wilcoxon signed-rank test to assess changes in knowledge levels. The results showed a significant improvement in knowledge (p < 0.001): prior to the intervention, 98.1% of respondents had “Poor” knowledge, whereas after the intervention, 99.0% demonstrated “Good” knowledge. Therefore, audio-visual education is effective in improving foot care knowledge and can be implemented as a primary health promotion strategy to prevent diabetic foot ulcers.
References
Alexiadou, K., & Doupis, J. (2012). Management of diabetic foot ulcers. Diabetes Therapy, 3(1), 4. https://doi.org/10.1007/S13300-012-0004-9
Aljohary, H., Murad, M. A., Alfkey, R., & ElGohary, S. H. (2025). Stepping up to the challenge: Confronting the global burden of diabetic foot disease. IntechOpen. https://doi.org/10.5772/intechopen.1012471
Alshammari, Z. J., Alsaid, L. A., Parameaswari, P. J., & Alzahrani, A. A. (2019). Attitude and knowledge about foot care among diabetic patients in Riyadh, Saudi Arabia. Journal of Family Medicine and Primary Care, 8(6), 2089–2094. https://doi.org/10.4103/JFMPC.JFMPC_248_19
Armstrong, D. G., Tan, T.-W., Boulton, A. J. M., & Bus, S. A. (2023). Diabetic foot ulcers: A review. JAMA, 330(1), 62–75. https://doi.org/10.1001/jama.2023.10578
Corbett, C. F. (2003). A randomized pilot study of improving foot care in home health patients with diabetes. The Diabetes Educator, 29(2), 273–282. https://doi.org/10.1177/014572170302900218
Fakhrizal, F., & Moulidiya, E. (2025). Diabetic Foot Ulcer. Galenical, 4(2), 114–123. https://doi.org/10.29103/jkkmm.v4i2.20258
Feeley, T. H., Keller, M. M., & Kayler, L. K. (2022). Using animated videos to increase patient knowledge: A meta-analytic review. Health Education & Behavior, 50(2), 240–249. https://doi.org/10.1177/10901981221116791
Goweda, R. A., Shatla, M. M., Alzaidi, A., Alzaidi, A., Aldhawani, B., Alharbi, H., Sultan, N., Alnemari, D., & Rawa, B. (2017). Assessment of knowledge and practices of diabetic patients regarding diabetic foot care, in Makkah, Saudi Arabia. Journal of Family Medicine and Health Care, 3(1), 17. https://doi.org/10.11648/J.JFMHC.20170301.14
Hanlon, M., McGuire, B. E., MacGilchrist, C., Dunne, R., Kirwan, E., Ní Neachtain, D., Dhatariya, K., Blanchette, V., Durand, H., Dragomir, A. I., & McIntosh, C. (2024). Psychological factors and diabetic foot ulceration: A scoping review of the bi-directional relationship between diabetic foot ulcer healing and mental health factors. HRB Open Research, 7, 18. https://doi.org/10.12688/hrbopenres.13755.2
Hasnain, S., & Sheikh, N. H. (2009). Knowledge and practices regarding foot care in diabetic patients visiting diabetic clinic in Jinnah Hospital, Lahore. Journal of Pakistan Medical Association, 59(10), 687–690. https://pubmed.ncbi.nlm.nih.gov/19813683/
Kafaie, P., Noorbala, M., Soheilikhah, S., & Rashidi, M. (2012). Evaluation of patients’ education on foot self-care status in diabetic patients. Iranian Red Crescent Medical Journal, 14(12), 829–832. https://doi.org/10.5812/IRCMJ.1138
Laing, P. (1998). The development and complications of diabetic foot ulcers. American Journal of Surgery, 176(2), 11. https://doi.org/10.1016/S0002-9610(98)00182-2
Makiling, M., & Smart, H. (2020). Patient-centered health education intervention to empower preventive diabetic foot self-care. Advances in Skin & Wound Care, 33(7), 360–365. https://doi.org/10.1097/01.ASW.0000666896.46860.D7
Marthasari, N. K. P., Rismayanti, I. D. A., & Sundayana, I. M. (2024). Efektivitas edukasi kesehatan pada pengetahuan dan sikap perawatan kaki pada penderita diabetes mellitus di Puskesmas Kubutambahan 1. Simkesnas, 3(1), 1–7. https://doi.org/10.52073/simkesnas.v3i1.145
Mayer, R. E. (2009). Multimedia learning (2nd ed.). Cambridge University Press.
Pourkazemi, A., Ghanbari, A., Khojamli, M., Balo, H., Hemmati, H., Jafaryparvar, Z., & Motamed, B. (2020). Diabetic foot care: Knowledge and practice. BMC Endocrine Disorders, 20(1), 1–8. https://doi.org/10.1186/S12902-020-0512-Y
Rahaman, H. S., Jyotsna, V. P., Sreenivas, V., Krishnan, A., & Tandon, N. (2018). Effectiveness of a patient education module on diabetic foot care in outpatient setting: An open-label randomized controlled study. Indian Journal of Endocrinology and Metabolism, 22(1), 74–78. https://doi.org/10.4103/IJEM.IJEM_148_17
Rossaneis, M. A., Haddad, M. do C. L., Mathias, T. A. de F., & Marcon, S. S. (2016). Differences in foot self-care and lifestyle between men and women with diabetes mellitus. Revista Latino-Americana de Enfermagem, 24. https://doi.org/10.1590/1518-8345.1203.2761
Rusdiana, R. (2025). Prevention education, neuropathy screening and foot vasculopathy screening in patients with type 2 diabetes mellitus at Medan Area community health centre. Journal of Saintech Transfer, 8(1), 73–78. https://doi.org/10.32734/jst.v8i1.19785
Supit, J., Masi, G., & Kallo, V. (2018). Efektivitas pemberian edukasi dengan metode video dan focus group discussion (FGD) terhadap tingkat pengetahuan pasien DM tipe 2 di Klinik Diabetes Kimia Farma Husada Manado. Jurnal Keperawatan, 6(1).
Vileikyte, L. (2001). Diabetic foot ulcers: A quality of life issue. Diabetes-Metabolism Research and Reviews, 17(4), 246–249. https://doi.org/10.1002/DMRR.216
Wadhawan, G., Prakash, A., & Wadhawan, M. (2025). Diabetic Foot Ulcer: A clinical study. International Journal for Multidisciplinary Research, 7(1). https://doi.org/10.36948/ijfmr.2025.v07i01.37538
World Health Organization. (2025). Diabetes. https://www.who.int/health-topics/diabetes#tab=tab_1
Yusuf, S., Okuwa, M., Irwan, M., Rassa, S., Laitung, B., Thalib, A., Kasim, S., Sanada, H., Nakatani, T., & Sugama, J. (2016). Prevalence and risk factor of diabetic foot ulcers in a regional hospital, Eastern Indonesia. Open Journal of Nursing, 6(1), 1–10. https://doi.org/10.4236/OJN.2016.61001
Zhang, P., Lu, J., Jing, Y., Tang, S., Zhu, D., & Bi, Y. (2017). Global epidemiology of diabetic foot ulceration: A systematic review and meta-analysis. Annals of Medicine, 49(2), 106–116. https://doi.org/10.1080/07853890.2016.1231932
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