Hubungan Mekanisme Koping dengan Tindakan Pencegahan Ulkus Kaki Diabetik Pada Penderita Diabetes Melitus Tipe 2 di Puskesmas Tanah Tinggi Kecamatan Binjai Timur

Abstract

Diabetes Mellitus (DM) can cause diabetic foot ulcer complication. If it is not handled properly, it can cause amputation. Its prevention needs psychological management, coping mechanism which plays an important role in supporting its prevention. The objective of the research is to find out the correlation between coping mechanism and the action of preventing diabetic foot ulcer in DM Type 2 patients at the Tanah Tinggi Puskesmas, Binjai Timur Sub-district. The research uses descriptive quantitative method with cross-sectional design. The samples are 85 respondents, taken by using purposive sampling technique and the patients' inclusion criteria with doctors' diagnoses in DM Type 2 of more than one year with no diabetic foot ulcer. The result of the research, using Spearman rank test, suggests that p-value=0.000 (<0.050) and r=0.422 which indicate that there is the correlation between coping mechanism and the action of preventing diabetic foot ulcer in DM Type 2 patients at Tanah Tinggi Puskesmas, Binjai Timur Sub- district. This result shows that the mechanism of adaptive coping covers 77 respondents (90.6%), and moderate preventing diabetic foot ulcer covers 61 respondents (71.8%). It is recommended that DM Type 2 patients have adaptive coping mechanism in order to increase the action of preventing diabetic foot ulcer.