EVALUATION OF A FOOT SELF-CARE BOOKLET FOR DISCHARGE PLANNING AMONG PATIENTS WITH DIABETES MILLITUS

Linda Widyarani, Novi Widyastuti Rahayu

= http://dx.doi.org/10.24990/injec.v11i1.642
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Abstract


Introduction: Effective discharge planning is essential to ensure continuity of care and improve patient outcomes, particularly among individuals with diabetes mellitus who are at high risk of foot complications. Nurses play a critical role in delivering discharge education; however, conventional approaches are often limited in supporting patient understanding and self-management. The use of structured educational media, such as booklets, may enhance patient knowledge and promote independent foot self-care.

Objective: This study aimed to evaluate the effect of a foot self-care booklet, integrated into the discharge planning process, on the knowledge of patients with diabetes mellitus.

Methods: A quantitative pre-experimental study with a one-group pretest–posttest design was conducted among 39 patients with diabetes mellitus at RSUD Wonosari between June and August 2023. Participants were selected using total sampling. Knowledge of foot self-care was measured using a structured questionnaire before and after the intervention. The intervention consisted of health education using a foot self-care booklet delivered during discharge planning. Data were analyzed using the paired t-test, with a significance level set at p < .05.

Results: The mean pretest score was 63.90 (SD = 7.76), while the mean posttest score increased to 88.00 (SD = 4.40). Statistical analysis showed a significant improvement in knowledge following the intervention (p < .001), indicating the effectiveness of the booklet-based education.

Conclusion: The integration of a foot self-care booklet into discharge planning significantly improves patients’ knowledge of foot self-care. This educational approach can be adopted as a practical and effective strategy to support self-management and reduce the risk of diabetic foot complications.


Keywords


discharge planning, foot self-care, and diabetes mellitus

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