FACTORS RELATED TO SPIRITUAL NEEDS IN DIABETIC ULCER PATIENTS

Introduction: Diabetes Mellitus is one of the world's ten leading causes of death. Diabetic ulcers are one of the chronic complications of diabetes in the form of damage to the skin and surrounding tissues. The problem of fulfilling spiritual needs can affect the healing process of diabetic ulcers. Aim: The purpose of this study was to analyze the factors related to the spiritual needs of diabetic ulcer patients in Indonesia. Methods: This cross-sectional study was conducted on 104 diabetic foot ulcers patient. The patients were recruited from 5 cities in Indonesia using a purposive sampling method from June until August 2022. The instruments consisted of a sociodemographic characteristics form and the Spiritual Needs Questionnaire (SpNQ) to explore patients' Spiritual needs. Then, bivariate and multivariate binary logistics were performed. Results: Patients with diabetic foot ulcers were 65.4% female, the age of most respondents was 40 to 60 years (76.9%), and the status of married respondents was 80.8%. There is a significant relationship between the dependent variable (spiritual needs) and the independent variable (age, marital status, length of wound, and degree of diabetic ulcer) with P < 0.05. The length of time the patient had a wound has proven to be the most related factor to the spiritual needs of diabetic foot ulcer patients, with an Exp (B) value of 2.235. Conclusions and Suggestions: Health workers in clinics/hospitals need to pay attention to the factors that influence the spiritual needs of diabetic foot ulcer patients. So that they can then provide comprehensive nursing care to maintain physical, psychological, social, and spiritual aspects to improve the patient's quality of life and accelerate the wound healing process.