Prediktor Terkuat Tingginya Dukungan Keluarga Pada Penderita Ulkus Diabetikum

Abstract

Diabetes Mellitus (DM) has micro-angiopathic complications, one of which is diabetic neuropathy with symptoms of loss of sensation in the lower extremity area which is the most important risk factor for diabetic ulcers. Family support is needed for diabetic ulcer sufferers to be able to manage their disease well during the home care period. This study aims to identify and analyze the level of family support and the best predictor of high family support in type 2 DM patients with diabetic ulcers. This descriptive correlative research used a cross sectional design. The population was all patients with type 2 DM with diabetic ulcers at the Surabaya Wound House in Sidoarjo amounted to 100 people (N=100). Sampling technique total sampling (n=100). The variable was family support which consisted of four domains, namely: emotional, instrumental, informational, and appraisal supports. Valid and reliable questionnaire was used during data collection. The majority of respondents got high support from their family (97%). Among the four domains of family support, informational support is the domain being the strongest predictor of high family support in this population (item 18: R2 = 0.529; p = 0.000; item 19: R2 = 0.531; p = 0.000). However, the aspect of appreciation for the sufferer's efforts to treat their illness becomes the strongest predictor of the high overall family support (item 24: R2 = 0.616; p = 0.000). Informational support and appreciation for efforts to manage the disease are two important predictors of high family support in diabetic ulcer sufferers. Keywords: Diabetes Mellitus, informational support, family support, appraisal support, diabetic ulcer.