scholarly journals Efektifitas Foot Spa Diabetic terhadap Nilai Ankle Brachial Index pada Pasien Diabetes Mellitus Tipe II

2019 ◽  
Vol 3 (1) ◽  
pp. 312-321
Author(s):  
Rizkan Halalan Djafar ◽  
Busjra M. Nur ◽  
Rohman Azzam

The purpose of this study is to find out the effectiveness of diabetic foot spa towards ankle brachial index. Design of this study is Quasy-Experiment with two group. The population were all diabetes mellitus patients type 2 in Public Health Centre Wawonasa Manado. Number of sample was 32 person, divided into 2 group, that are treatment group during 3 and 5 time, with 16 person each group, taken by purposive sampling technique. Data analyzed by Mann-Whitney test with α=0.05. Study results on difference between ABI treatment 3 dan 5 time. Analysis of Mann-Whitney test P=0.112> α=0.05, with average ABI in treatment group during 3 and 5 time pre test 0.012 and post test 0.0562, which means diabetic foot spa 3 and 5 time is effective towards ABI.   Keywords: Ankle Brachial Index, DM Type 2, Foot Spa Diabetic

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Rahmi Affiani ◽  
Puji Astuti

Diabetes mellitus type 2 is often occur and became chronic complication of vascular peripheral disease caused by decreasing peripheral blood circulation. One of therapy to improve peripheral blood circulation is diabetic foot spa, The purpose of this study is to find out the effectiveness of diabetic foot spa towards peripheral blood circulation. Design of this study is Quasy-Experiment. The population were all diabetes mellitus patients type 2 in Public Health Centre Wonokromo Surabaya. Number of sample was 46 person, divided into 2 group, that are treatment group and control group, with 23 person each group, taken by purposive sampling technique. Data analyzed by Mann-Whitney test with α=0.05. Study results on treatment group before giving diabetic foot spa majority (52.2%) of peripheral blood circulation in mild category and for control group mostly (60.9%) have blood circulation in mild category as well. After the foot spa was give to the treatment group, almost entirely (91.3%) had normal peripheral blood circulation, whereas in the control group majority (73.9%) remain mild. Analysis of MannWhitney test P=0.000 < α=0.05, which means diabetic foot spa is effective towards blood circulation. The more frequent perform of diabetic foot spa, the better peripheral blood circulation, it can prevent complications of diabetes mellitus.


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Rinco Siregar ◽  
Rumondang Gultom ◽  
Marthalena Simamora ◽  
Jek Amidos Pardede ◽  
Dwi Utari

Objective: The objective of this study was to determine the effect of Self-Efficacy Enhancing Intervention Program (SEEIP) with online method on Self-Efficacy in Self-Management in Type 2 Diabetes Mellitus (T2DM) at Juli I Public Health CentreMethods: This study was a pre-experimental pre-test and post-test with only one group design. The population wasT2DM at Juli I Public Health Center in 2020. The sample size was 22 participants, selected by purposive sampling technique. Diabetes Management Self-Efficacy Scale (DMSES) was used to measure the Self-Efficacy in Self- Management of T2DM patients. Data were analyzed using paired t-testResults: The results of the study showed that the means score of Self- Management of T2DM before receiving SEEIP was 39,00 (SD: 15,455) and 90,23 (SD: 7,571)after receiving the SEEIP. Paired t-test showed that there was a significant difference on Self- Efficacy in Self-Management in T2DM at Juli I Public Health Centre in 2020Conclusion:  SEEIP could improve self-efficacy in self-management for Type 2 diabetes mellitus at Juli I Public Health Centre.


2020 ◽  
Vol 3 (1) ◽  
pp. 12-20
Author(s):  
Rusdiana

Diabetes Mellitus is also known as "life long disease" because the disease cannot be cured during the life span of the sufferer so that people with diabetes have a risk of complications that can increase the risk of death. Diabetic foot injury is one of the most common complications, where this complication can result in decreased quality of life. With a good level of understanding of diabetes mellitus and the complications that occur we hope to reduce the incidence of diabetes foot injuries in people with diabetes mellitus.As a community team, we conduct community services which the support is under the research grant BP-PTN USU of Year 2019PPM/KP-TALENTA USU/2019, giving education on prevention and treatment of diabetic foot ulcer in Medan Johor Public Health Centre in Sumatera Utara.We used the cross sectional study. We conducted 40 respondents in type 2 diabetes mellitus who attended to public health centre and We educated them. The education provided included how to prevent and treatment of the foot ulcer of diabetes mellitus. The care and prevention of the education we provided includes how to properly take care of the feet, the periodic of glycemic control, the balanced diet and doing diabetes gymnastics. All the respondents who got the education, 25 from 40 respondents  knew and did the foot care and who knew about the foot gymnastics were only 2 respondents.


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


2021 ◽  
pp. 49-55
Author(s):  
Randy Tampa'i ◽  
Jacklyne Sumombo ◽  
Hariyadi Hariyadi ◽  
Yessie Lengkey

Diabetes mellitus (DM) is a chronic disease with a very high complication rate and the third-highest cause of death in Indonesia. The management of DM cannot be separated from the action of drug therapy. It is necessary to have pharmaceutical care in handling drug related problems (DRPs) in order to achieve optimal drug effects on patients. The purpose of this study is to describe the characteristics and incidence of DRPs in type 2 DM patients at the Tuminting Public Health Centre, Manado. Sampling of 42 samples is conducted with a purposive sampling method using medical records and patient medical treatment history data for type 2 DM patients retrospectively from January to June 2019. The data is analyzed descriptively. The results obtained from the incidence of type 2 diabetes mellitus in women were 53.10% and men 46.90%. Most patients with type 2 diabetes were at the age of >60 years, 66.67%. The highest co-morbidity were cardiovascular disorders 24,24%. The most widely used antihyperglycemic drug was metformin 72.50%. The most DRPs incidence occurred in May 2019 at 36.36%, with 59.05% was needing drugs was, 13.64% did not need drugs, 20.45% wrong drugs, 2.27% less dose and 4.55% over dose.


Author(s):  
Eka Yudha Chrisanto ◽  
Yoko Saputra ◽  
Bahjatun Nadrati

Background: Diabetes Mellitus ranks 8th out of 10 major diseases in Lampung province with a prevalence of 0.4%. Based on Rikesdas Lampung Province results in 2013 it is known that DM pavelence reaches 0.7% with pravelensi in Bandar Lampung reaches 0.8% and for Public Health Services (Puskesmas) Panjang in 2017 cases of DM was found as much as 2145.Purpose: Knowing that the relation family roles and blood glucose management  in patients with type 2 Diabetes Mellitus at Bandar Lampung, IndonesiaMethods: This was quantitative research type with analytical survey design and cross sectional approach. Population in this research were all patient of Diabetes Mellitus (DM) Type 2 in April 2018, at Puskesmas Panjang Bandar Lampung and the samples were 79 respondents given of questioner. The statistical test used is Chi Square test.Results: The frequency distribution of respondents aged between 60-69 years 54 (68.4%) respondents, female of 54 (68.4%) respondents, primary elementary education (45.6%) respondents, Duration of DM ≥ 5 years of 42 (53.2%) respondents, uncontrol blood sugar as many as 53 respondents (67.1%), poor family roles as many as 42 (53.2%) respondents, with p-value 0,000.Conclusion: There the relation of family roles and blood glucose management  in patients with type 2 Diabetes Mellitus at Bandar Lampung, IndonesiaSuggestions: The management of Public Health Centre (Puskesmas) to give counseling to the family about the importance of family roles and blood glucose management  in patients with type 2 Diabetes Mellitus


2019 ◽  
Vol 2 (1) ◽  
pp. 40-44
Author(s):  
Christine Vita Gloria ◽  
Yuyun Priwahyuni ◽  
M. Dedi Widodo ◽  
Suci Fanesa

Diabetes Mellitus is abnormality of insulin hormone that is marked with high blood glucose levels. In indonsia, total of diabetes mellitus sufferer in 2000 is 8,4 million (7,8%) peoples and expected in 2030 will reached untll 21,3 million (9,1%) people. Diabetes mellitus case in work area of Public Health Centre (PHC) Payung Sekaki Pekanbaru City In 2017 is 1.798 (2,3%). This research purpose is to knowing determinants case of diabetes melliitus type 2 in work area PHC Payung Sekaki Pekanbaru City. This research method is quantitative with research type is observational analysis and this design research is case control. Technique Sampling which is used is Non Probability and Quota Sampling technique. Analysis of data what done is univariat and bivariat wit Chi Square test. The result research show that, there are corelation among age, obesity, exercise, eating pattern with Diabetes Mellitus Type 2 case, andthere is no corelation between family support with Diabetes Mellitus Type 2case. Suggestion for PHC, to do socialization about managed healthy life pattern, keep the ideal body weight, also helding the healthy gymnastics program in PHC in the morning as 3 times in a week.


2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Insiyah Insiyah ◽  
Rini Tri Hastuti

Background: The various symptoms will be experienced by patients with diabetes mellitus type 2 following they suffer from the disease. The symptoms include symptoms of anxiety and depression. During suffering from diabetes mellitus type 2, the patients also experienced the complication of the disease that effects the quality of life. Good management of the disease is very important to decrease mortality and morbidity. WHO stated that there is an increase of prevalence of diabetes mellitus type 2 in developing countries including Indonesia. This research aims to know the relationship between anxiety and depression to sexual dysfunction among woman with diabetes mellitus type 2 in Sibela Public Health Centre in Surakarta City. This research was also conducted to describe the level of anxiety, depression and sexual dysfunction among women with diabetes mellitus. Method: this research is non-eksperimen with a descriptive correlational design that describes research based on the distribution and then finds a correlation between one variable and other variables. Chi-Square SPSS (Statistical Program For Social Science) version 18 was utilized to analyze the data. Result: showed that there a correlation between anxiety and sexual dysfunction among women with diabetes mellitus with p-value = 0,002 ( p< 0,05). Conclusion: There was also correlation between depression and sexual dysfunction among women with diabetes mellitus with p-value = 0.000 (p < 0,05). Identification of the symptoms of anxiety, depression, sexual dysfunction is important in order to plan appropriate intervention to deal with the problem.


2020 ◽  
Vol 8 (2) ◽  
pp. 161
Author(s):  
Riska Rohmawati ◽  
Arif Helmi

Perubahan mendadak dalam hidup membuat penderita DM menunjukkan beberapa reaksi psikologis negatif yang menghasilkan glukosa darah. Tujuan dari penelitian ini adalah untuk menjelaskan pengaruh mindfulness spiritual berdasarkan relaksasi benson pada kecemasan, gula darah pada pasien DM tipe 2. Penelitian ini menggunakan desain penelitian eksperimental quasy dengan pre-test dan post-test dengan desain kelompok kontrol dengan sampel 30 responden dan teknik pengambilan sampel menggunakan consecutive sampling. Intervensi dilakukan selama 4 minggu (15 menit untuk setiap intervensi). Penelitian ini menggunakan instrumen kuesioner SRAS Zung untuk kecemasan dan glukometer untuk mengukur GDP dan GDPP. Tes statistik menggunakan Mann Whitney Test dan Wilcoxon Signed. Hasil tes statistik menunjukkan bahwa perhatian spiritual berdasarkan relaksasi benson mempengaruhi penurunan kecemasan pada setiap kelompok (p = 0,000 untuk kelompok perlakuan dan p = 1,00 untuk kelompok kontrol), secara signifikan mengurangi kadar glukosa darah rata-rata (p = 0,000 untuk perawatan kelompok dan p = 0,48 untuk kelompok kontrol). Perhatian spiritual berdasarkan benson relaksasi membantu pasien meningkatkan fokus mereka pada kondisi saat ini tanpa upaya untuk menyalahkan diri sendiri, orang lain, dan lingkungan sehingga pasien lebih nyaman dan merasa tenang. Intervensi ini mempengaruhi pengurangan kecemasan, rata-rata gula darah pasien DM tipe 2. Kata kunci: DM tipe 2, gula darah, kecemasan, perhatian spiritual, reaksasi benson REDUCING ANXIETY AND BLOOD SUGAR LEVELS ONDM TYPE 2 PATIENTS THROUGH SPIRITUAL MINDFULNESS BASED ON BENSON RELAXATION ABSTRACTSudden changes in life make DM sufferers show some negative psychological reactions that result in a blood glucose. The purpose of this study was to explain the influence of spiritual mindfulness based on benson relaxation on anxiety, blood sugar in DM type 2 patients. This study used a quasy experimental study design with pre-test and post-test with control group design with a sample of 30 respondents and a sampling technique using consecutive sampling . The intervention was carried out for 4 weeks (15 minutes for each intervention). This study uses the Zung SRAS questionnaire instrument for anxiety and a glucometer to measure GDP and GDPP. Statistical tests using the Mann Whitney Test and Wilcoxon Signed. Statistical test results show that spiritual mindfulness based on benson relaxation affects the decrease in anxiety in each group (p = 0.000 for the treatment group and p = 1.00 for the control group), significantly reducing average blood glucose levels (p = 0.000 for the treatment group and p = 0,48 for the control group). Spiritual mindfulness based on benson relaxation helps patients improve their focus on current conditions without any effort to blame themselves, others, and the environment so that patients are more comfortable and feel calm. This intervention affected the reduction of anxiety, average blood sugar of type 2 DM patients. Keywords: anxiety, benson relaxation, blood sugar, spiritual mindfulness, type 2 DM


2021 ◽  
pp. 16-26
Author(s):  
Denis Valerievich Frolov

Diabetic distal polyneuropathy (DPN) is the main cause of disability in patients with type 2 diabetes mellitus (DM2). The purpose of the research with 72 patients was to study the effect of functional electrical stimulation (FES) on reducing the degree of functional motor disorders in patients with DM2, angiopathy and DPN. Method. The patients were divided into 3 randomized groups (2 main groups, 1 control group). In addition to basic therapy, the patients of the main groups were treated with FES of the lower extremities with a frequency of 10–30 Hz in group 1 and 80–100 Hz in group 2. Results: the dynamics of quantitative assessment of the overall score on the NSS scale after treatment was significantly higher in the main groups compared to group 3 (Mann-Whitney test p 1–3 = 0,001, p 2–3 = 0,006). There was no significant difference in the overall score of the NSS between groups 1 and 2. The most pronounced positive changes in neurofunctional disorders after treatment on the NDS scale were achieved in group 1: the overall score decreased by 52% after the treatment and was significantly lower than in other groups (p 1–2 = 0,014, p 1–3 = 0,002, Mann-Whitney test). According to the treadmill test, tolerance to physical activity increased in all patients after the treatment. Significant positive dynamics of the stabilometric index of the ratio of energy consumption with closed and open eyes while standing on a balancing pillow was observed only in main group 1 (decreased by 41%, p=0,000, Wilcoxon test). Conclusions. The use of FES of the lower extremities as part of complex therapy in patients with DM2 complicated by angiopathy and DPN is safe and allowed reducing the degree of functional disorders and neuropathic complaints to a greater extent in the study group using FES with a frequency of 10–30 Hz.


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