HEALTH EDUCATION ON THE IMPORTANCE OF EARLY DETECTION FOR THE PREVENTION OF NEUROPATHY COMPLICATIONS IN PATIENTS WITH DIABETES MELLITUS IN THE WORKING AREA OF PEKAUMAN PRIMARY HEALTH CENTER
Main Article Content
Abstract
Background: Diabetic neuropathy is a common complication of diabetes mellitus that often develops gradually and remains undetected in its early stages. Limited patient knowledge contributes to delayed detection and increases the risk
of severe complications such as diabetic foot ulcers and amputation. Health education plays a crucial role in improving awareness and preventive behaviors. Objective: This study aimed to evaluate the effectiveness of health education on
improving knowledge regarding the early detection and prevention of neuropathy complications among patients with diabetes mellitus. Methods: A quasiexperimental study with a one-group pretest–posttest design was conducted
among 30 patients with diabetes mellitus at Pekauman Primary Health Center. Participants were selected using purposive sampling. Data were collected using a structured questionnaire administered before and after a health education
intervention. The data were analyzed using descriptive statistics and a paired ttest to assess differences in knowledge scores. Results: The majority of respondents were aged ≥45 years (73.3%) and had a duration of diabetes ≥5 years
(60%). Before the intervention, most respondents had poor knowledge (56.7%).
After the intervention, the majority demonstrated good knowledge (66.7%). The mean knowledge score increased from 56.3 ± 10.5 to 78.6 ± 8.7, with a statistically significant difference (p = 0.001). Conclusion: Health education
significantly improved patients’ knowledge regarding the early detection and prevention of neuropathy complications. Integrating structured educational programs into primary healthcare services is essential to enhance patient awareness and reduce the risk of complications.
Article Details
References
Purwanti OS, Nursalam N, Pandin MGR. Early detection of diabetic neuropathy based on health belief model: a scoping review. Front Endocrinol (Lausanne). 2024;15:1369699.
Amelia R, Wahyuni AS, Yunanda Y, et al. Early detection of diabetic peripheral neuropathy in diabetic patients: a cross sectional study. Curr Diabetes Rev. 2024;20(1):e123456.
Al-Khafaji M, Otti V. Early diagnosis of diabetic neuropathy: a review of current diagnostic tests. Cureus. 2025;17(11):e97880.
Fadel AW, Nawar AE, Elahwal LM, et al. Early detection of peripheral neuropathy in patients with diabetes mellitus type 2. 74| P a g e Egypt J Neurol Psychiatry Neurosurg. 2024;60:4.
Yorek MS. Early detection and combination therapy for diabetic peripheral neuropathy: what does the future look like? Front Endocrinol (Lausanne). 2024;15:1422734.
International Diabetes Federation. IDF Diabetes Atlas. 11th ed. Brussels: International Diabetes Federation; 2024.
Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018.
Ministry of Health Republic of Indonesia. Regional health survey and provincial trends in diabetes prevalence. Jakarta: Ministry of Health; 2023.
Callaghan BC, Cheng HT, Stables CL, Smith AL, Feldman EL. Diabetic neuropathy: clinical manifestations and current treatments. Lancet Neurol. 2022;21(7):521 534.
Sloan G, Selvarajah D, Tesfaye S. Pathogenesis, diagnosis and clinical management of diabetic sensorimotor peripheral neuropathy. Nat Rev Endocrinol. 2021;17(7):400–420.
Hicks CW, Selvin E. Epidemiology of peripheral neuropathy and lower extremity disease in diabetes. Curr Diab Rep. 2021;21(10):86.
Zhao FF, Suhonen R, Koskinen S, Leino Kilpi H. Theory-based self-management educational interventions on patients with type 2 diabetes: a systematic review and meta-analysis. Patient 2022;105(4):1026–1038.
Alshammari SA, Educ Alshammari Couns. AS, Alshammari HN. Knowledge and awareness of diabetic neuropathy among diabetic patients: a cross-sectional study. J Family Med Prim Care. 2022;11(6):3085–3090.
Dorresteijn JAN, Kriegsman DMW, Assendelft WJJ, Valk GD. Patient education for preventing diabetic foot ulceration. Cochrane Database Syst Rev. 2020;2020(12):CD001488.
Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: a systematic review of the effect on glycemic control. Patient Educ Couns. 2021;104(3):461–472.