scholarly journals Effects of a 12-week strength training on hand function of type ii diabetes mellitus patients

2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Elvis Agbons ◽  
Adebisi Hammed

Study aim: The purpose of this study was to establish the effects of a 12-week strength training(ST) programme on hand function in type 2 diabetes mellitus (T2DM) patients in a tertiaryhealth institution in Benin-City. The findings of this study would help clinicians/clinical staff totake ST into consideration in the management of patients with T2DM thereby enhancing clinicaloutcome.Material and methods: This study was a pre-test, post-test control group design. A total of 36T2DM patients participated in the study. Handgrip and pinch strength were measured usingelectronic hand dynamometer (in kg) and mechanical pinch gauge (in kg) respectively prior toand following a 12-week ST programme. The amount of handgrip and pinch strength of bothhands generated by each participant was used as a quantitative measurement of the developmentof hand function. Data generated were analyzed using inferential statistics of one way analysisof variance (ANOVA) and the statistical significance was accepted for p value of <0.05.Results: The findings of the study showed that ST programme had significant effects on handfunction of T2DM patients.Conclusion: It was concluded that ST programme can substantially enhance hand function ofpatients with T2DM. Therefore, ST programme should be considered a key element in themanagement of T2DM patients.

2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care


Author(s):  
Ni Putu Diah Cahyani Subamia ◽  
Komang Ayu Nocianitri ◽  
I Dewa Gede Mayun Permana

Type II diabetes mellitus due to an unhealthy lifestyle, one of which is the lack of fiber in daily food consumption. One food that has a high fiber content is tofu dregs. The purpose of this study was to determine substitution of wheat flour with tofu dregs flour to produce a snack bar with the best characteristics, and determine the effect of consumption of snack bar from tofu dregs on blood sugar content in rats. The research was conducted two steps. Step I: Formulation of snack bar using a completely randomized design with tofu dregs flour concentration of 0 %, 10 %, 20 %, 30 %, 40 %, and 50 %. The variables of this study were the content of water, ash, protein, fat, carbohydrates, sensory tests, and effectiveness tests. Step II: the best characteristic snack bar in the step I was used experimental rats. This step used true experimental design with pre-post test control group design. The variables of study were blood glucose levels before treatment and after treatment. The treatment group consisted of normal, negative, positive control, and snack bar. The results of the first step of the research showed that substitution of wheat flour with 40 % tofu dregs produced the best characteristic snack bar with 17.19 % water content, 1.33 % ash content, 11.03 % protein, 20.53 % fat, 49.92 % carbohydrate, light brown color, unpleasant aroma, distinctive soy taste, crumb texture, 0.63 % water soluble food fiber, 1.57 % water insoluble fiber, and total food fiber 2.36 %. The results of the second step of the study showed that the provision of substitution of wheat flour with tofu dregs flour 40 % could reduce blood sugar levels in diabetic mellitus rats until normal, start 290 mg/dl to 108.5 mg/dl. Tofu dregs flour can be used for snack bar formulations for people with diabetes mellitus.


2018 ◽  
Vol 4 (1) ◽  
pp. 112-119
Author(s):  
Andika Siswoaribowo ◽  
Mateus Sakundarno ◽  
Muhammad Mu’in

Background: Diabetes Mellitus is a chronic disease that requires treatment for long periods of time so it can cause physical and psychological problems for sufferers and families (caregiver). Caregiver's role is expected to provide support for people with diabetes mellitus. Family psychoeducation is a strategy that can be applied for caregiver in overcoming problems that arise during the treatment of patients with diabetes mellitus.Objective: This study aims to determine the effect of family psychoeducation on caregiver support in the treatment of patients with diabetes mellitus type II.Methods: This research used a quasi experiment with  pre-test post-test control group design. A total of 46 caregivers and patients with diabetes mellitus were recruited puposively, with 23 respondents assigned in the experiment and control group. Caregiver support scale was used to measure caregiver support, and Hensarling Diabetes Family Support Scale (HDFSS) for measuring perception of patients toward the treatment of caregiver.  Data were analyzed using paired t-test and independent t-test. Results: Findings showed there was an increase of caregiver knowledge from 5.39 to 9.09 and an improvement of caregiver treatment from 40.30 to 67.04 after given family psychoeducation. There was a significant difference of caregiver support in the experimental and control group with p-value <0.001 (<0.05).Conclusion: Family psychoeducation can increase caregiver support in the treatment of diabetes mellitus patients. The intervention can be one of nurses interventions in the empowerment of family in improving the treatment of chronic diseases, particularly in diabetes mellitus.


2019 ◽  
Vol 6 (3) ◽  
pp. 672
Author(s):  
Erika Martining Wardani ◽  
Lono Wijayanti ◽  
Nur Ainiyah

Diabetes Mellitus (DM) is a metabolic disorder which marked by the hyperglycemia that appeared because of insulin secretion disorder and/or the increase of cellular insulin resistance. DM patients have a higher risk to experience foot problems due to blood vessels disorders causing the circulation of blood from legs is decreased. Purposed this research is diabetes could be prevented by doing a foot spa diabetic which the activities include foot exercises, warm water cleansing and massage. The method used in this study is Quays Experiment pre-post control group design. The population on this study was patients with Diabetes Mellitus Type 2 in Waru health center. The sample used was 60 people, divided into 2 groups; intervention and control group, with sampling technique of simple random sampling. The data collection was using observation sheets of diabetic foot SPA; the tool used to assess blood glucose levels was glucometer, whereas cotton, brush and needle were used to assess the foot sensitivity. The data was then analyzed with t-test. The result of the study showed that there were effecton the foot sensitivity (t=10,73, p value =0, 000) and there were effectdecrese on ankle brachial index(t=12,34, p value =0, 000). It is important for families and communities to give motivation to the diabetes mellitus patients to do diabetic foot SPA as one of alternative therapies to prevent foot complications such as foot ulcers and even amputation


2020 ◽  
Vol 11 (1) ◽  
pp. 12-20
Author(s):  
Adinda Febriyanti ◽  
Cau Kim Jiu ◽  
Sri Ariyanti

Background: Diabetes Militus is a group of metabolic diseases characterized by hyperglycemia or an increase in blood sugar that occurs due to abnormal insulin secretion. Diabetes Mellitus in the world is one of the health problems that cause death. IDF data (2013) says Indonesia is the seventh largest country in the case of Diabetes Militus. Diabetes Militus in West Kalimantan Province increased from 0.6% in 2007 to 0.8% in 2013, this number increased compared to 2012, which was 4866 cases (Pontianak City Service 2014 in Salim, I.O, 2016). Based on 30 samples taken from the Purnama Public Health Center, 15 men and 15 women were found to suffer from Diabetes Militus type 2. With a poor lifestyle so that when carrying out research many were found with more weight. Purpose: Effectiveness of Types of Honey (Forest Honey, Kelulut Honey and Livestock Honey) Against Blood Sugar Levels Research Methods: Descriptive Quantitative with a sample of 30 respondents using a quasi-experimental design with a pre-test and post-test nonequivalent control group design. Research Results: The results showed that all honey can reduce blood sugar levels, especially forest honey. The results of data analysis using Anova statistical test obtained p value Pre test 0.52> α: 0.05 and Post test 0.113> α: 0.05 showed that there were no significant values ​​of the three types of honey on the decrease in blood sugar levels. Conclusion: Based on the results of the study concluded that there was no effectiveness of the types of honey (forest honey, honey kelulut and livestock honey) to reduce blood sugar levels in the Purnama Community Health Center Keywords: Honey, Blood Sugar Levels   ABSTRAK Latar Belakang: Diabetes Militus adalah sekelompok penyakit metabolik yang ditandai dengan hiperglikemia atau peningkatan gula darah yang terjadi akibat sekresi insulin abnormal. Diabetes Mellitus di dunia adalah salah satu masalah kesehatan yang menyebabkan kematian. Data IDF (2013) mengatakan Indonesia adalah Negara terbesar ketujuh dalam kasus Diabetes Militus. Diabetes Militus di Provinsi Kalimantan Barat meningkat dari 0,6% pada tahun 2007 menjadi 0,8% pada tahun 2013, jumlah ini meningkat dibandingkan tahun 2012, yaitu 4866 kasus (Layanan Kota Pontianak 2014 di Salim, I.O, 2016). Berdasarkan 30 sampel yang diambil dari Pusat Kesehatan Masyarakat Purnama, 15 priadan 15 wanita ditemukan menderita Diabetes Militus tipe 2. Dengan gaya hidup yang buruk sehingga ketika melakukan penelitian banyak ditemukan yang lebih berat. Tujuan: Efektivitas Jenis-jenis Madu (Madu Hutan, Madu Kelulut dan Madu Ternak) Terhadap Kadar Gula Darah Metode Penelitian: Deskriptif Kuantitatif dengan sampel 30 responden menggunakan desain kuasi eksperimen dengan pre-test dan post-test nonequivalent control group design. Hasil Penelitian: Hasil penelitian menunjukkan bahwa semua madu dapat mengurangi kadar gula darah, terutama madu hutan. Hasil analisis data menggunakan uji statistic Anova diperoleh nilai p Pre test 0,52> α: 0,05 dan Post test 0,113> α: 0,05 menunjukkan bahwa tidak ada nilai signifikan ketiga jenis madu terhadap penurunan kadar gula darah. Kesimpulan: Berdasarkan hasil penelitian disimpulkan bahwa tidak ada efektifitas jenis-jenis madu (madu hutan, madu kelulut dan madu ternak) untuk menurunkan kadar gula darah di Puskesmas Purnama


Author(s):  
Dewi Wijayanti

Education is one of the basic factors that can condition a person to be able to improve their abilities, knowledge, skills and attitude. The process of understanding patients with diabetes mellitus can occur through health education, by providing information, so there will be an awareness of individuals to behave in accordance with the knowledge they have. This study aims to analyze the effect of foot gymnastics education on self care in patients with diabetes mellitus at Panembahan Senopati Hospital, Yogyakarta. This quasi-experimental study used pre-test and post-test with control group design. The results showed that foot gymnastics education affected self care in patients with diabetes mellitus, with a p-value = 0.000. Keywords: diabetes mellitus; foot gymnastics education; self care ABSTRAK Edukasi merupakan salah satu faktor dasar yang dapat mengkondisikan seseorang untuk dapat meningkatkan kemampuan, pengetahuan, ketrampilan dan sikap diri. Proses pemahaman pasien diabetes mellitus dapat terjadi melalui pendidikan kesehatan, dengan memberikan informasi, sehingga akan timbul kesadaran pada individu untuk berperilaku sesuai dengan pengetahuan yang dimilikinya. Penelitian ini bertujuan menganalisis pengaruh edukasi senam kaki terhadap self care pada pasien diabetes mellitus di Rumah Sakit Panembahan Senopati, Yogyakarta. Penelitian eksperiment kuasi ini menggunakan pre-test and post-test with control group design. Hasil penelitian menunjukkan bahwa edukasi senam kaki berpengaruh terhadap self care pada pasien diabetes mellitus, dengan p-value = 0,000. Kata kunci: diabetes mellitus; edukasi senam kaki; self care


2020 ◽  
Vol 4 ◽  
Author(s):  
Parawansah Parawansah ◽  
Rahmawati Rahmawati ◽  
I Putu Sudayasa ◽  
Andi Noor Kholidha ◽  
Amiruddin Eso ◽  
...  

Pare adalah tanaman yang sering dimanfaatkan sebagai obat tradisional dalam menyembuhkan berbagai jenis penyakit, diantaranya diabetes mellitus. Kandungan charantine, polypeptide-p, vicine dan antioksidan memiliki potensi menurunkan kadar glukosa darah. Penelitian ini bertujuan untuk mengetahui aktivitas anti diabetik fraksi ekstrak buah pare dalam menurunkan kadar glukosa darah dan gambaran histopatologi jaringan pankreas tikus yang diinduksi streptozotocin. Penelitian ini menggunakan post test only control group design. Sampel penelitian ini terdiri dari 5 kelompok yaitu kelompok kontrol positif, kelompok kontrol negatif, kelompok fraksi etanol ekstrak buah pare, kelompok fraksi etil asetat ekstrak buah pare, dan kelompok n-heksan ekstrak buah pare. Pengukuran kadar glukosa darah dilakukan pada saat sebelum dilakukannya induksi STZ, setelah induksi STZ, hari ke 4 dan hari ke 7 pemberian fraksi ekstrak buah pare menggunakan glukometer dan spektrofotometer. Pada hari ke 7 dilakukan pembedahan untuk pengambilan sampel darah dan pankreas tikus. Analisis data yang digunakan adalah kruskal-wallis dilanjutkan uji mann-withney. Berdasarkan hasil penelitian, diketahui terdapat perbedaan yang signifikan antara penurunan kadar glukosa darah tikus diabetes mellitus yang diberi fraksi n-heksan ekstrak buah pare dengan kelompok kontrol negatif (p-value<0,05). Sementara itu berdasarkan pemeriksaan histopatologi jaringan pankreas tikus yang diberi fraksi ekstrak buah pare 400 mg/kg diperoleh nilai positif ++. Terdapat aktivitas anti diabetik fraksi ekstrak buah pare dengan presentase tingkat penurunan kadar glukosa darah tikus tertinggi oleh pemberian fraksi n-heksan ekstrak buah pare 400 mg/kg. Terdapat perbedaan gambaran histopatologi jaringan pankreas tikus pada kelompok yang diberi fraksi etanol, fraksi etil asetat, dan fraksi n-heksan terhadap kelompok kontrol positif dan kontrol negatif.


2020 ◽  
Vol 2 (2) ◽  
pp. 170-180
Author(s):  
Suwanto Suwanto ◽  
Yusran Hasymi ◽  
Hasan Husin

Diabetes mellitus merupakan suatu kelompok penyakit metabolic dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin, kerja insulin, atau kedua-duanya. Kasus diabetes melitus yang terbanyak adalah diabetes melitus tipe-2. Tujuan penelitian inia dalah untuk mengetahui pengaruh hypnotherapy terhadap penurunan kadar glukosa darah pada penderita diabetes melitus tipe-2 di Klinik Miftahussyifa Kota Bengkulu. Desain penelitian yang digunakan adalah quasi eksperimen design dengan non equivalent control group design. Metode sampling yang digunakan adalah purposive sampling. Sampel yang diambil sebanyak 62 responden. Instrumen dalam penelitian ini menggunakan alat single stick. Kelompok eksperimen diberikan perlakuan terapi standar berupa terapi bio energy dan hypnotherapy, sementara kelompok control hanya diberikan perlakuan terapi standar berupa terapi bio energi. Dari hasil penelitian, analisa univariat didapatkan hasil rata-rata kadar glukosa darah sebelum perlakuan sebesar 234,67 mg/dl dan setelah perlakuan sebesar 194,67 mg/dl. Analisis bivariat berdasarkan hasil uji Wilcoxon Signed Ranks Test diperoleh nilai p value 0.002 (p value < 0.05). Artinya ada pengaruh hypnotherapy terhadap penurunan kadar glukosa darah pada penderita diabetes melitus tipe-2 di Klinik Miftahussyifa Kota Bengkulu. Penelitian ini merekomendasikan kepada profesi keperawatan untuk dapat menerapkan hypnotherapy sebagai terapi alternatif atau terapi komplementer non farmakologis yang dapat digunakan untuk menurunkan kadar glukosa darah pada penderita diabetes melitus tipe-2. 


2019 ◽  
Vol 10 (2) ◽  
pp. 11-19
Author(s):  
Harun Harun Al Rasid ◽  
Ami Ami Oetami Wiharjo

In 2012 diabetes mellitus is the cause of death from 1,5 million (WHO,2016). The population of diabetes mellitus (DM) in indonesia is currently ranked fifth in tyhe world. In 2013 people with diabetes mellitus in the homeland reaches 8.554.155 people. The continuous increase in the number of patients with diabetes mellitus and the magnitudeof the cost of treatment due to complications, then the best effort is prevention. Exercise of physical exercise is an early attempt to prevent, control, and overcome diabetes. Type of Quasi Experimenta research with Non Randomited Pretest and Posttest Control Group Design methods. Research location in RS Dr. H. Marzoeki Mahdi dated 26 April 2017 number of sample counted 32 respondents with diabetes mellitus with sample Purposive Sampling. Tools used in date collection are Accu-Chek Akctive and observation sheet. Technique of date analysis is bivariate analysis with SPSSM program. The influence of diabetes mellitus gymnastics on changes in blood sugar levels in Dr. H. Marzoeki Mahdi Hospital in 2017. The ntervention group of blood sugas levels before gymnastics and after gymnastics decreased 24,69 mg/dL, in the control group of blood sugar levels on the first day and the fourth day increased 10,56 mg/dL. Statistical test results using Independent T Test obtained P value = 0,000 which means P value <0,05 means the influence of diabetes gymnastics to changes in blood sugar levels in people with diabetes mellitus in Dr. H. Marzoeki Mahdi Hospital. This research is expected


Author(s):  
Kaimuddin Kaimuddin ◽  
Selamat Selamat

Latar Belakang: Jumlah penderita diabetes yang terus meningkat berkaitan dengan pola hidup, tingginya prevalensi obesitas dan kegiatan fisik yang kurang. Salah satu komplikasi seperti kaki diabetes dapat terjadi akibat gangguan vaskularisasi perifer yang dapat diukur dengan nilai Ankle Brachial Index (ABI). Tujuan penelitian ini untuk mengetahui pengaruh senam diabetes terhadap nilai ABI pada penderita diabetes di Pukesmas Simpang IV Sipin Kota Jambi.  Metode: Jenis penelitian kuantitaif dengan desain penelitian quasi exsperiment dengan pre-post control group design. Penelitian dilakukan pada kelompok senam DM Puskesmas Simpang IV Sipin Kota Jambi dengan menggunakan data primer. Partisipan sebanyak 70 orang anggota senam DM. Kelompok intervensi dan kelompok kontrol dilakukan padanan (matching) berdasarkan usia, jenis kelamin, indeks masa tubuh, dan kebiasaan merokok, sehingga didapat partisipan sebanyak 30 orang. Data dianalisis dengan uji beda independent t-test. Hasil: Berdasarkan hasil pengukuran Ankle Brachial Index (ABI) kelompok intervensi rata-rata sebesar 1,204 dengan median 1,209. Sedangkan hasil pengukuran ABI kelompok kontrol rata-rata 1,152 dengan median 1,155. terdapat perbedaan signifikan nilai ABI (p-value 0,013) setelah diberikan perlakuan senam pada kelompok treatment dibandingkan kelompok kontrol Kesimpulan: Ada pengaruh antara penerapan senam diabetes dalam perubahan nilai ABI penderita DM. Disarankan lebih baik lagi jika frekuensi senam menjadi 3kali/ minggu sehingga memberikan dampak  yang baik bagi penderita diabetes.


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