Intention of Diabetic Foot Ulcer Prevention Model Based on Social Support and Personal Agency Perspectives

Abstract

Context: A diabetic foot ulcer is one of the complications occurred on diabetes mellitus patients. The
incident rate of diabetic foot ulcer improves each year significantly. The research was to arrange the
intention of diabetic foot ulcer prevention model based on social support and personal agency perspectives.
This study was included in a cross-sectional study using a questionnaire and a simple random sampling
technique on 10 health centers (puskesmas). The research instrument for social support consisted of family’s
support and friend’s support, personal agency consisted of perceived control and self-efficacy, and intention
consisted of diet intention, consuming medicine intention, physical activity intention, and foot/blood sugar
controlling intention. The data analysis applied SEM-PLS software. The diabetes mellitus patients who did
not have ulcer were 329. There was correlation between social support and personal agency of diabetic foot
ulcer prevention by having Coefficient value for 0,68, and T value for 16,27, there was correlation between
personal agency and intention to prevent the diabetic foot ulcer by having coefficient value for 0,57 and T
value for 2,96, and there was correlation between social support and intention to prevent the diabetic foot
ulcer by having coefficient value for -0,27 and T value for 2,08. The social support contributed highly to the
intention through a personal agency, and the social support contributed directly to intention in preventing
the diabetic foot ulcer. It is suggested that diabetes patients should get supports from family and friends to
improve the perceived control and self-efficacy hence the intention of diabetic foot ulcer prevention can be
improved.