scholarly journals The Influence of Diabetic Foot Exercise in Sensory Peripheral Neuropathy with Monofilament Test on Diabetes Mellitus Clients

Jurnal NERS ◽  
2020 ◽  
Vol 14 (3) ◽  
pp. 340
Author(s):  
Tintin Sukartini ◽  
Candra Panji Asmoro ◽  
Nandani Alifah

Background: Peripheral neuropathy is a long-term complication that attacks the nerves and loses the sensation of protection which affects about 50% of people with diabetes mellitus (DM). Diabetic foot exercises can help blood circulation, especially in the legs or lower limbs. This researched aimed to analyze the effect of diabetic foot exercise on sensory peripheral neuropathy in DM clients.Method: The study design used quasi-experimental pre-post test with control group. Samples were 28 respondents using purposive sampling and divided into two groups of 14 respondents each. The independent variable is diabetic foot training, and the dependent variable is peripheral sensory neuropathy. Interventions are carried out 3 times a week for 4 weeks. The research instrument was Weinstein Monofilament 10 g Semmes and a diabetic foot training checklist. Data analysis using the Wilcoxon-signed rank test and Mann Whitney test with α≤0.05.Result: The Wilcoxon-signed rank test in the treatment group showed differences in sensory peripheral neuropathy after treatment (p=0,000) and no difference in the control group (p=0.564). The Mann Whitney test results showed differences in sensory peripheral neuropathy between the treatment group and the control group after treatment p=0.039.Conclusion: Diabetic foot exercises can be used as an alternative measure to improve sensory peripheral neuropathy.

2015 ◽  
Vol 6 (1) ◽  
Author(s):  
Lono Wijayanti ◽  
Ghady Anggun M

The type of sport suggested for Diabetes Mellitus patient is Diabetes Gym, but most societies, especially diabetes mellitus patients are lazy to do it. On diabetes mellitus type 2, diabetes gym acts as glycemic control which manages and control blood sugar rate. This research purposes to know diabetes gym influence toward the decrease of blood sugar rate on Diabetes Mellitus patient type 2 in Puskesmas Pakis Surabaya. This research used quasy experiment design. Total of the population of all Diabetes Mellitus patients type 2 is 28 respondents taken by probability sampling - simple random sampling technique; 14 respondents in control group and 14 respondents in treatment group. The independent variable is Diabetes Gym and the dependent variable is the decrease of blood sugar rate. Data are collected by using Glucometer, striptest, needle and observation sheet. Data are analyzed by using Wilcoxon signed rank test with α < 0.05. The result of this research shows that almost all of the respondents in the treatment group have a good category of blood sugar decrease after performing gym, meanwhile almost all of the respondents in control group that do not perform gym have an adequate category of blood sugar decrease. Then, the result is analyzed by Wilcoxon signed rank test and obtained ρ (0,019) < α (0,05) so H0 is refused. It means that there is an influence of diabetes gym to the decrease of blood sugar on the Diabetes Mellitus patients type 2 in Puskesmas Pakis Surabaya. Performing Diabetes Gym influences in decreasing blood sugar rate. Therefore, nurse can take a part in leading diabetes patients to perform diabetes gym so it can be used as the therapy in controlling and decreasing blood sugar rate.


2021 ◽  
Vol 3 (3) ◽  
pp. 258
Author(s):  
Dwi Ayu Zantyka ◽  
Kasiati Kasiati ◽  
Samsriyaningsih Handayani

AbstrakLatar Belakang : Informasi tentang menstruasi yang kurang berdampak pada pengetahuan remaja putri dalam menghadapi menarche. Salah satu upaya pemerintah dalam mengatasi hal tersebut dengan memberikan pendidikan kesehatan melalui program puskesmas. Namun hasil studi pendahuluan yang dilakukan menunjukkan program tersebut belum efektif karena hanya diberikan kepada beberapa siswi saja dan sebagian besar responden masih memiliki pengetahuan menarche yang kurang. Tujuan penelitian ini adalah mengetahui pengaruh pendidikan kesehatan terhadap pengetahuan remaja putri pra pubertas tentang menarche. Metode : Desain penelitian ini adalah quasy experimental design dengan rancangan pretest-posttest group design. Populasinya remaja siswi kelas 4 dan 5 tahun 2019, pengambilan sampling dengan teknik propotional random sampling dengan besar sample sebanyak 32 responden. Variabel independen adalah pendidikan kesehatan, pada pertemuan pertama dengan metode ceramah dan pada pertemuan posttest, dan variable dependen adalah pengetahuan tentang menarche. Analisis yang digunakan adalah analisis univariat dan bivariat dengan uji Wilcoxon Signed-Rank Test dan Mann Whitney U Test.  Hasil : hasil penelitian terdapat perbedaan antara kelompok perlakuan dan kelompok kontrol dalam hal pengetahuan (p<0,001). Nilai pengetahuan kelompok perlakuan mengalami kenaikan yang signifikan (61,7%) setelah diberikan perlakuan ceramah, sedangkan kelompok kontrol mengalami sedikit kenaikan (1,56%). Kesimpulan : ada pengaruh pendidikan kesehatan terhadap pengetahuan remaja putri pra pubertas tentang menarche.AbstractBackground: The information about menstruation has less impact on the knowledge of young women in about menarche. The government's efforts to overcome this problem is by providing health education through the program from Public Health Center or Puskemas. However, the results of previous studies showed that the program had not been effective because it was only given to a few students. Most of the respondents still did not have sufficient knowledge about menarche. The purpose of this study is to determine the effect of health education on the knowledge of pre-puberty young women about menarche. Methods: The design used in this study was quasi-experimental design with a pretest-posttest group design. Pre-puberty young women in Grades 4 and 5 of 2019 were chosen as the research population. The sampling was conducted using the technique of proportional random sampling with a sample size of 32 respondents. The independent variable used is health education. The first meeting was done with lecture method, the second was posttest. On the other hand, the dependent variable is knowledge about menarche. The analysis was performed using Wilcoxon Signed-Rank Test and Mann Whitney U Test.  Results: The results of the study show that there is a difference between the treatment group and the control group in terms of knowledge (p <0.001). The value of the knowledge in the treatment group experienced a significant increase by 61,7% after being given a lecture while the control group only experienced a slight increase by 1,56%.. Conclusion: Health education influences the knowledge of pre-puberty young women about menarche


2019 ◽  
Vol 8 (1) ◽  
pp. 9
Author(s):  
Dismalyansa Dismalyansa ◽  
Kusnanto Kusnanto ◽  
Retnayu Pradanie ◽  
Hidayat Arifin

Pendahuluan: Diabetes Mellitus (DM) dengan Ulkus Kaki Diabetes (UKD) dapat berakibat pada gangguan psikologis. Terapi Hiperbarik Oksigen (HBO) dapat mempercepat penyembuhan luka sehingga psikologis pasien dapat membaik. Penelitian ini bertujuan menjelaskan pengaruh hiperbarik oksigen terhadap psikologis penderita UKD. Metode: Penelitian ini menggunakan desain quasi experimental dengan pendekatan non-equivalent control group design. Sampel sebanyak 70 pasien pasien DM dengan UKD. Variabel indepeden adalah terapi HBO dan dependen adalah psikologis penderita UKD. Data dikumpulkan melalui kuesioner WHOQOL-BREF. Data dianalisis dengan Wilcoxon signed rank test dan Mann Whitney U test. Hasil: Intervensi HBO meningkatkan psikologis pasien UKD (p=0,012) dan terdapat perbedaan yang signifikan antara kelompok kontrol dan perlakuan yang signifikan (0,040). Diskusi: Pasien DM dengan UKD yang diberi HBO menunjukkan perbaikkan psikologis yang terlihat dari pasien lebih sehat, semangat, dan terdapat perbaikan UKD. HBO dapat dijadikan sebagai pilihan pengobatan dalam meningkatkan respon psikologis penderita UKD.


2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Lucy Kartika Dewi ◽  
Erna Dwi Wahyuni ◽  
Deni Yasmara

Background: Injury isa condition causes the body getting damage by physical pressure or chemical.The breakdance community members need to know the ability of the first injury handling. Objective: The purpose of this study is to analyze the influence of health education with explicit instruction method towards the injury handling behavior in Surabaya breakdance community.Methods: This study used quasy experimental design with pre-test and post-test in two groups. It comprised 13 treatment group and 13 control group respondents. This study used purposive sampling. The data were analyzed by Wilcoxon Signed Rank Test, Mann Whitney Test and Chi Square Test significance p<0,05. Results: The Wilcoxon Signed Rank Test result of the treatment group respondents showed knowledge (p = 0.001) and action (p = 0.001). The control group respondents showed the knowledge(p= 0.102) and action (p = 1,000). The Mann Whitney Test result between the treatment and control group were obtained knowledge(p = 0.000) and action (p = 0.000). For the Chi Square Testgot the attitude (p=0.047).Conclusion: This research shows the health education with explicit instruction method influences the breakdance community member’s behavior in injury handling. It suggests for further research to undertake the health education by using other methods.


2021 ◽  
Vol 3 (3) ◽  
pp. 235
Author(s):  
Daranindra Dewi Saraswati ◽  
Atika Atika ◽  
Dwi Purwanti

Abstrak Latar Belakang: Metode Kontrasepsi Jangka Panjang (MKJP) merupakan metode kontrasepsi dengan efektivitas tinggi terdiri dari IUD, implan dan kontrasepsi mantap. Penggunaan MKJP yang rendah menyebabkan berbagai upaya dilakukan pemerintah untuk meningkatkan penggunaan MKJP. Konseling kontrasepsi merupakan salah satu upaya dalam meningkatkan penggunaan MKJP pasca persalinan. Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan konseling kontrasepsi dengan Alat Bantu Pengambilan Keputusan (ABPK) dan konseling lisan terhadap pengetahuan ibu hamil trimester III mengenai MKJP. Metode: Penelitian ini merupakan penelitian quasi experimental terdiri dari 2 kelompok, kelompok perlakuan berupa konseling kontrasepsi dengan ABPK dan kelompok kontrol berupa konseling secara lisan. Pengambilan sampel menggunakan accidental sampling masing-masing kelompok 35 orang, total responden 70 orang. Variabel independen pada penelitian ini yaitu konseling kontrasepsi; variabel terikat adalah pengetahuan tentang MKJP. Analisis data menggunakan analisis univariat dan bivariat (Wilcoxon Signed Rank Test dan Mann-Whitney Test). Hasil: Nilai pengetahuan mengalami peningkatan yang signifikan pada kelompok perlakuan (74,3%) pada kategori baik, sementara kelompok kontrol (62,9%) pada kategori baik. Pengaruh intervensi terhadap pengetahuan didapatkan dengan Mann-Whitney Test signifikansi p=0,000 (p<0,05). Kesimpulan: Terdapat perbedaan pengetahuan yang bermakna pada kelompok perlakuan dan kontrol antara pretest-posttest. Ada perbedaan bermakna antara konseling ABPK dan lisan terhadap pengetahuan ibu hamil tentang MKJP, sehingga pemberian konseling dengan ABPK lebih efektif dibanding konseling secara lisan.Abstract Background: Long Acting and Permanent Contraceptive Method (LPAMs) is a highly effective contraceptive method consisting of IUDs, implants, tubectomy, and vasectomy. The low use of LPAMs has caused various efforts made by the government to increase the use of LPAMs. Contraceptive counseling is an effort to improve the use of postpartum LPAMs. Objective: This study aim to determine the differences in contraceptive counseling with Contraception Decision Making Tool (CDMT) and verbal counseling on the knowledge of third trimester pregnant women regarding LPAMs. Method: This study was a quasi experimental study consisting of 2 groups, the treatment group in the form of contraceptive counseling with LPAMs and the control group in the form of verbal counseling. Sampling used accidental sampling each group of 35 people, a total of 70 respondents. The independent variable in this study was contraceptive counseling; the dependent variable were knowledge regarding LPAMs. Data analysis used univariate and bivariate analysis (Wilcoxon Signed Rank Test and Mann-Whitney Test). Results: The value of knowledge experienced a significant increase in the treatment group (74.3%) in the good category, while the control group (62.9%) in the good category. The effect of intervention on knowledge was obtained by Mann-Whitney test of significance p = 0,000 (p <0.05). Conclusion: There were significant differences in knowledge in the treatment and control group between the pretest-posttest. There was a significant difference between CDMT and verbal counseling in knowledge of pregnant women about LPAMs, so that counseling with CDMT was more effective than verbal counseling.


2018 ◽  
Vol 6 (3) ◽  
pp. 294
Author(s):  
Mujib Hannan ◽  
Abdul Muhith ◽  
Sugesti Aliftitah ◽  
Nur Laily Rochim

Diabetes merupakan sekelompok kelainan heterogen yang ditandai oleh kenaikan kadar glukosa dalam darah atau hiperglikemia. Penatalaksanaan Diabetes tipe 2 yaitu perencanaan makan (diet), latihan jasmani (olahraga), terapi obat (insulin) dan edukasi. Penelitian ini bertujuan mengetahui pengaruh promosi kesehatan dengan model sesama terhadap kepatuhan diit pada pasien Diabetes tipe 2 di wilayah kerja UPT. Puskesmas Saronggi Tahun 2016. Penelitian ini merupakan quasy-experiment dengan pretest-posttest control group design. Populasi dalam penelitian ini adalah semua penderita Diabetes tipe 2 rawat jalan di UPT. Puskesmas Saronggi. Total sampling adalah cara yang dipilih untuk mendapatkan sampel yaitu sebanyak 34 orang. Data dikumpulkan menggunakan kuesioner yang telah diuji reabilitas dan validitas sebelumnya. Analisa data yang digunakan adalah uji “Wilcoxon Signed Rank Test” dan uji “Mann-Whitney” dengan nilai signifikasinya p = 0,05. Hasil penelitian menunjukkan bahwa ada Pengaruh Promosi Kesehatan Dengan Model Sesama Terhadap Kepatuhan Diet Diabetes Tipe 2 dengan nilai signifikansi p = 0,000. Penyandang diabetes perlu mendapat pengetahuan minimal setelah diagnosis ditegakkan. Informasi yang diberikan mencakup pengetahuan umum tentang Diabetes Mellitus Tipe 2, pemantauan mandiri oleh di penyandang Diabetes Mellitus Tipe 2, dan penatalaksanaan Diabetes MTipe 2 seperti perencanaan makan (Diet).


2010 ◽  
Vol 1 (1) ◽  
Author(s):  
Sri Sumaryani ◽  
Indri Nurasa

PENGARUH PEMBACAAN DZIKIR PADA IBU MELAHIRKAN TERHADAP TINGKAT NYERI INTRA NATAL DI RUMAH BERSALIN FAJAR YOGYAKARTAEffect of Reading Dhikr Women On The Level Of Birth Pain Intra Christmas At Home Delivery Dawn YogyakartaSri Sumaryani1 & Indri Nurasa21, 2)Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Muhammadiyah YogyakartaJl. Lingkar Barat Taman Tirto Kasihan Bantul Yogyakarta 55182*)e-mail: [email protected] atau yang biasa disebut dengan proses persalinan merupakan suatu proses membuka dan menipisnya serviks, dan janin turun ke dalam jalan lahir. Gejala awal persalinan akan menimbulkan nyeri yang sangat hebat karena adanya kontraksi uterus dan otot abdomen. Nyeri intra natal adalah suatu nyeri yang dirasakan saat terjadinya proses persalinan (melahirkan). Saat nyeri persalinan muncul, ada baiknya bagi ibu untuk membaca dzikir. Dzikir adalah mengingat Allah SWT dan menghadirkan apa yang tadinya ada di dalam benak untuk kemudian dilafadzkan atau disebut-sebut yang dapat dilakukan secara lisan dengan menggunakan lidah atau bisa juga diucapkan tanpa adanya keterlibatan lidah, yaitu melalui hati. Penelitian ini bertujuan untuk mengetahui pengaruh pembacaan dzikir pada ibu melahirkan terhadap tingkat nyeri intra natal. Teknik pengambilan sampel menggunakan purposive sampling. Desain penelitian pra eksperimen, dengan rancangan pre test-post test tanpa kelompok kontrol. Sampel penelitian berjumlah 30 responden. Pengumpulan data dilakukan dengan observasi langsung kepada responden untuk mengukur tingkat nyeri. Analisa data menggunakan uji statistik wilcoxon signed rank test dan regresi linier dengan menggunakan SPSS 14. Hasil penelitian menunjukkan bahwa hasil uji statistik untuk nilai pre test dan post test tingkat nyeri diperoleh nilai signifikansi 0,02 dengan p < 0,05.Kata kunci: pembacaan dzikir, melahirkan, nyeri intra natal, tingkat nyeriABSTRACTThe delivery or usually called labor process is a process open and thin the cervix, and descent of the fetus into the way of birth. The early symptom of delivery will be appearing very heavy because there are uterus contraction and abdomen muscle. In partum pain is a pain which feel when delivery process happening (labor). When labor pain appears, there is a good for the mother to read dzikir. Dzikir is remembering Allah SWT and make present what before in the mind and then pronounced or make cal can do spoken by tongue or pronounced without there are involving tongue, by heart. The purpose of this research is to know about the influence of reading dzikir to the delivery mother toward in partum level of pain. Technique sampling used purpose sampling. The research of design pre experiment, with pre test-post test without control group design. The sample in this research’s total is 30 respondents. The manner of data was did by direct observation to the respondents to measure pain level. Data analysis used statistic test wilcoxon signed rank test and regression linier in SPSS 14. The results of research showed that results of the statistic pretest and posttest of pain level show significance value 0,02 with p < 0,05.Keywords: reading dzikir, delivery, in partum pain, pain level


2005 ◽  
Vol 49 (8) ◽  
pp. 3373-3381 ◽  
Author(s):  
Gene D. Morse ◽  
Susan Rosenkranz ◽  
Michael F. Para ◽  
Yoninah Segal ◽  
Robin DiFrancesco ◽  
...  

ABSTRACT Adult AIDS Clinical Trials Group 5043 examined pharmacokinetic (PK) interactions between amprenavir (APV) and efavirenz (EFV) both by themselves and when nelfinavir (NFV), indinavir (IDV), ritonavir (RTV), or saquinavir (SQV) is added. A PK study was conducted after the administration of single doses of APV (day 0). Subjects (n = 56) received 600 mg of EFV every 24 h (q24h) for 10 days and restarted APV with EFV for days 11 to 13 with a PK study on day 14. A second protease inhibitor (PI) (NFV, 1,250 mg, q12h; IDV, 1,200 mg, q12h; RTV, 100 mg, q12h; or SQV, 1,600 mg, q12h) was added to APV and EFV on day 15, and a PK study was conducted on day 21. Controls continued APV and EFV without a second PI. Among subjects, the APV areas under the curve (AUCs) on days 0, 14, and 21 were compared using the Wilcoxon signed-rank test. Ninety-percent confidence intervals around the geometric mean ratios (GMR) were calculated. APV AUCs were 46% to 61% lower (median percentage of AUC) with EFV (day 14 versus day 0; P values of <0.05). In the NFV, IDV, and RTV groups, day 21 APV AUCs with EFV were higher than AUCs for EFV alone. Ninety-percent confidence intervals around the GMR were 3.5 to 5.3 for NFV (P < 0.001), 2.8 to 4.5 for IDV (P < 0.001), and 7.8 to 11.5 for RTV (P = 0.004). Saquinavir modestly increased the APV AUCs (GMR, 1.0 to 1.4; P = 0.106). Control group AUCs were lower on day 21 compared to those on day 14 (GMR, 0.7 to 1.0; P = 0.042). African-American non-Hispanics had higher day 14 efavirenz AUCs than white non-Hispanics. We conclude that EFV lowered APV AUCs, but nelfinavir, indinavir, or ritonavir compensated for EFV induction.


2018 ◽  
Vol 8 (1) ◽  
pp. 19-26
Author(s):  
Nailiy Huzaimah

Health education is one part of type 2 diabetes mellitus (T2DM) management. Healtheducation on T2DM has been given to patients with T2DM but has not resulted in positivebehavioral changes, seen from uncontrolled blood glucose levels and complications. Acomprehensive knowledge of T2DM, appropiate education with engaging families, can give apositive impact on comprehension and self-confidence of people with T2DM.The purpose of this study was to determine the effect of PsychoeducationMods (PM) on comprehension and self-efficacy patients with T2DM. This study uses quasyexperiment, pre and post test control group design. Respondents were patients with T2DM andtheir families who are undergoing outpatient in Dr. H. Moh. Anwar Sumenep Hospital (n = 40).Data collection used a comprehension and self-efficacy questionnaires for people withT2DM. Statistical analysis used different test with α <0,05. Mann Whitney U test result showed thatthere were differences in comprehension and self-efficacy variables between treatment group andcontrol group. Different independent sample test results in the treatment group using Paired Ttest and Wilcoxon signed rank test showed that PM improves comprehension (p = 0.007) and selfefficacy (p = 0.002) of patients with T2DM. MP needs to be applied by health personnel, especiallynurses in assisting patients with T2DM improves comprehension with the awareness and selfefficacy of patients with T2DM. Comprehension with awareness and good self efficacy with familysupport will be a reinforcing factor for the establishment of a positive behavior to control bloodglucose levels.


Author(s):  
Haslina Haslina ◽  
Widyastuti Widyastuti ◽  
Ahmad Ridfah

Penelitian ini bertujuan untuk mengetahui efektivitas intervensi guided imagery dalam meningkatkan kualitas tidur mahasiswa Fakultas Psikologi UNM. Penelitian ini menggunakan rancangan eksperimen pretest-posttest control group design. Subjek dalam penelitian ini adalah mahasiswa (laki-laki) yang memiliki kualitas tidur buruk, sebanyak 25 orang yang dibagi ke dalam dua kelompok, yaitu 13 orang kelompok kontrol dan 12 orang kelompok eksperimen. Alat ukur yang digunakan dalam penelitian ini, yaitu Pittsburgh Sleep Quality Index (PSQI). Teknik analisis data menggunakan Mann-Whitney dan Wilcoxon signed-rank test. Hasil penelitian menunjukkan bahwa intervensi guided imagery efektif dalam meningkatkan kualitas tidur mahasiswa Fakultas Psikologi UNM (ρ=0,002 kelompok kontrol dan ρ=0,002 kelompok eksperimen). Implikasi dari penelitian ini adalah intervensi guided imagery dapat dijadikan sebagai salah satu cara untuk meningkatkan kualitas tidur.


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