scholarly journals EFFECTIVENESS OF DIABETIC FOOT EXERCISES USING SPONGES AND NEWSPAPERS ON FOOT SENSITIVITY IN PATIENTS WITH DIABETES MELLITUS

2019 ◽  
Vol 5 (6) ◽  
pp. 234-238
Author(s):  
Siti Fadlilah ◽  
Adi Sucipto ◽  
Nazwar Hamdani Rahil
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Community Health Centers ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Total Sample ◽  
Control Group ◽  
Significant Difference ◽  
Patients With Diabetes

Background: Diabetes mellitus is a critical public health problem, and its prevalence in Indonesia remains high. Diabetes mellitus may cause complications, one of which is neuropathy that can impair foot sensitivity. This requires a treatment by doing diabetic foot exercises using sponges and paper.Objective: To examine the effectiveness of diabetic foot exercise using sponges and newspapers on foot sensitivity in patients with diabetes mellitus.Methods: This is a quasi-experimental study with pretest posttest with a control group research design, which was conducted at Public Health Center Depok III, Sleman Regency, Yogyakarta, Indonesia. An accidental sampling technique was used to select participants, with a total sample of 108 respondents consisting of 36 respondents in a control group, 36 respondents in a sponge group, and 36 respondents in a newspaper group. Data were analyzed using Wilcoxon and Mann-Whitney test.Results: Among the three groups, only those who received foot exercises using sponges and newspapers had a significant effect on foot sensitivity (p <.05). However, there was no significant difference on the effect of foot exercise on foot sensitivity between sponges and newspapers group (p >.05).Conclusion: The use of sponges and newspapers in foot exercise could significantly improve foot sensitivity in patients with type 2 diabetes mellitus. It is therefore recommended for nurses to provide the foot exercise as a part of nursing practice in both hospitals and community health centers.

Diabetes-induced Alterations in HDL Subfractions Distribution

2020 ◽  
Vol 26 (27) ◽  
pp. 3341-3348 ◽  
Author(s):  
Marek Femlak ◽  
Anna Gluba-Brzozka ◽  
Beata Franczyk ◽  
Jacek Rysz
Keyword(s):  
Diabetes Mellitus ◽  
Cardiovascular Risk ◽  
Public Health Problem ◽  
Statin Treatment ◽  
Oxidative Modification ◽  
Control Group ◽  
Newly Diagnosed ◽  
Hdl Subfractions ◽  
Patients With Diabetes ◽  
Healthy Control

Introduction: Diabetes mellitus (DM) due to its increasing prevalence and associated morbidity and mortality has become a serious public health problem. In DM, HDL may lose its beneficial features and become proatherogenic due to its altered biological activity thus increasing cardiovascular risk. The aim of this study was to assess the influence of the presence of diabetes mellitus type 2 and its duration on the distribution of HDL subfractions. Moreover, the effect of statin treatment on HDL subfraction share was analysed in this study. Methods: The study group consisted of 50 patients with newly diagnosed DM and 50 persons with DM for longer than 10 years while the control group consisted of 50 healthy volunteers. HDL subfractions were analysed with the use of Lipoprint. Results: We demonstrated progressive worsening of heart functioning and impairment of its structure in the course of diabetes mellitus. Moreover, we observed that HDL-6 subfraction and intermediate HDL fraction are lowest in the group with advanced DMt2 compared to the group with newly diagnosed DM and a healthy control group. Finally, the results of our study indicated the effect of statin treatment on HDL subfractions that seems not to be advantageous. Conclusion: It seems that in patients with diabetes mellitus compromised antiatherogenic properties of HDL, as a result of oxidative modification and glycation of the HDL protein as well as the transformation of the HDL proteome into a proinflammatory protein, increase cardiovascular risk.

scholarly journals EFFECT OF FAMILY PSYCHOEDUCATION ON CAREGIVER SUPPORT IN THE TREATMENT OF PATIENTS WITH TYPE II DIABETES MELLITUS

2018 ◽  
Vol 4 (1) ◽  
pp. 112-119
Author(s):  
Andika Siswoaribowo ◽  
Mateus Sakundarno ◽  
Muhammad Mu’in
Keyword(s):  
Diabetes Mellitus ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Family Psychoeducation ◽  
Control Group Design ◽  
Caregiver Support ◽  
Significant Difference ◽  
Patients With Diabetes ◽  
And Control

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.

scholarly journals Knowledge, Attitude, and Skill of Family to Treat Elderly with Diabetes Mellitus at Home through the Empowerment of Elderly Cadre in Lampung

2021 ◽  
Author(s):  
Komang Achjar ◽  
Dwi Agustanti ◽  
Sri Parasitha ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Diabetes Mellitus ◽  
Intervention Group ◽  
Sampling Technique ◽  
The Elderly ◽  
T Test ◽  
Control Group ◽  
Attitude Score ◽  
Control Group Design ◽  
Significant Difference ◽  
At Home

Diabetes is a chronic disease that often causes progressive complications in the elderly. Along with the decline in cognitive function in the elderly, it causes dependence on disciplined management of diabetes mellitus. This dependence causes a very important mentoring role to be given. The purpose of this study is to provide knowledge, attitudes, and family skills to care for the elderly with diabetes mellitus at home through the empowerment of elderly cadres in Lampung. This research method is a quasi-experimental research with a control group design with a total of 64 elderly respondents and 64 families selected by simple random sampling technique. The assessment used an instrument for assessing family abilities that the researcher developed included aspects of knowledge, attitudes, and skills. The results of the dependent t-test analysis showed a significant increase in the knowledge and skills variable in the intervention group (0.000) but decreased in the attitude variable with p 0.198. Meanwhile, the increase in value also occurred in the attitude and skill variables in the control group. So that the results of the independent t-test only showed a significant difference in the attitude score (0.000) with the highest score in the control group. So that there is no significant increase in the ability of the family after the implementation of elderly cadres empowerment.

scholarly journals Knowledge and Level of Diabetes Mellitus Management Compliance among Clinic Attendees at Jericho Specialist Hospital, Ibadan, Nigeria

2021 ◽  
pp. 222-232
Author(s):  
Bolatito T. Olonisakin ◽  
Rose E. Ilesanmi ◽  
Philip A. Ojo ◽  
Christiana A. Oluwamotemi ◽  
Ademola L. Adelekan
Keyword(s):  
Public Health ◽  
Diabetes Mellitus ◽  
Diabetes Management ◽  
Treatment Plan ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Sociodemographic Factors ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Ibadan Nigeria

Background: Diabetes Mellitus has emerged as one of the most challenging public health problems in the 21st century, it is a serious public health problem that threatens the quality of life of patients which can lead to acute and chronic complications. This study, therefore, assessed knowledge and level of diabetes management compliance among clinic attendees at Jericho specialist hospital, Ibadan, Nigeria Methods: A descriptive cross-sectional study that employed a two-stage sampling technique was designed to fill this gap. The records revealed that the ratio of males to females was 1:3, the respondents were stratified by gender, so the proportion of females and males selected was based on the aforementioned ratios.  Systematic random sampling was then used in selecting respondents who chose to participate in the study using the list of males and females in the hospital register who was at the clinic on the day of the interview as sampling frames. A pre-tested semi-structured questionnaire was used to obtain information on two hundred and twenty respondents. Knowledge scores of ≤7, >7 was rated poor and good respectively. Data were analyzed using descriptive and inferential statistics. Results: The mean age was 49.7±10.29 years which many (72.2%) were female. Almost all the respondents (98.2%) had good knowledge of compliance with the management of diabetes. Many (74.1%) ascertained that they sometimes forget to take their diabetes drugs. Meanwhile, most (82.5%) reported that taking medication every day is a real inconvenience for some people as they could get annoyed about sticking to their blood glucose treatment plan. Conclusion: There was generally good knowledge on the compliance to diabetes management which there is a need to consider the certain sociodemographic factors of the patients before recommending management.

scholarly journals The influence of Combination Therapy Progressive Muscle Relaxation and Deep breathing Relaxation against Stress Levels of diabetics in Prolanis BPJS The Health Of The City Of Palangka Raya

2021 ◽  
Vol 2 (3) ◽  
pp. 592-598
Author(s):  
Barto Mansyah ◽  
Ns. Syam’ani
Keyword(s):  
Diabetes Mellitus ◽  
Combination Therapy ◽  
Emotional Stress ◽  
Muscle Relaxation ◽  
Sampling Technique ◽  
Progressive Muscle Relaxation ◽  
Control Group ◽  
Deep Breathing ◽  
Stress Levels ◽  
Patients With Diabetes

Diabetes mellitus is one of the diseases with great impact on health and society, not only for its high prevalence but also for chronic complications and high mortality.. The psychological impact of diabetes began to be felt by the patient since he was diagnosed the doctor. Patients begin to experience psychological disorders such stress on himself related to the care and treatment should be undertaken. Conditions of emotional stress that require proper handling in order not to fall on the more severe conditions. This study aims to identify the influence of combination therapy progressive muscle relaxation and deep breathing relaxation against stress levels of patients with diabetes mellitus in Prolanis BPJS Kesehatan Kota Palangka Raya. The design used in this study using the design of the study : “PRE-TEST-POST-TEST DESIGN WITH CONTROL GROUP”. In this study population was patients with diabetes mellitus in Prolanis BPJS Kesehatan Kota Palangka Raya. The sampling technique in this study using total sampling technique, as many as 48 people. This research is expected to contribute positively to the management of emotional stress in patients with diabetes mellitus.

scholarly journals The Effect Of Diabetic Foot Spa On Ankle Brachial Index And Foot Sensitivity Of Diabetes Mellitus Type 2

2019 ◽  
Vol 6 (3) ◽  
pp. 672
Author(s):  
Erika Martining Wardani ◽  
Lono Wijayanti ◽  
Nur Ainiyah
Keyword(s):  
Diabetes Mellitus ◽  
Diabetic Foot ◽  
Diabetes Mellitus Type 2 ◽  
Ankle Brachial Index ◽  
Sampling Technique ◽  
Diabetes Mellitus Type ◽  
Control Group ◽  
P Value ◽  
Control Group Design

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

scholarly journals EFEKTIFITAS KAPSUL MENGKUDU (Morinda citrifolia) TERHADAP PENURUNAN KADAR GULA DARAH PADA PASIEN DIABETES MELLITUS DI RS BRAWIJAYA

2017 ◽  
Vol 10 (01) ◽  
Author(s):  
Yuni Irianti ◽  
Ngadiani Ngadiani
Keyword(s):  
Diabetes Mellitus ◽  
Blood Sugar ◽  
Alternative Hypothesis ◽  
Morinda Citrifolia ◽  
Control Group ◽  
Control Group Design ◽  
Significant Difference ◽  
Patients With Diabetes ◽  
Post Test ◽  
Sugar Levels

We report the supplementation of noni (Morinda citrifolia) to decrease blood sugar levels in patients with diabetes mellitus Brawijaya Hospital Surabaya, and noni problems whether supplementation is effective in reducing blood sugar levels in diabetes patients mellitus.The goal of this study was to determine the effectiveness of capsule morinda to decrease blood sugar levels in patients with Diabetes Mellitus in Brawijaya Hospital Surabaya. This type of research is to ekperimem quasi control group design with pre-test and post test. The population in this study are patients with diabetes mellitus in hospital outpatient Brawijaya. The sampling technique with a number of 60 people who were divided into 30 groups of control (can drug from a doctor) and 30 in the experimental group (can medicine from the doctor and consumption of noni capsules) .Instrumen this study is the laboratory results of random blood sugar levels with the tools glucometer ( gluko Dr). Data analysis was performed using univariate and bivariate (parametric test, Kolmogorov-Smirnov test z and Independent T-Test). From the results, no significant difference the difference in the results of pre-test and post-test in the control group and the experiment is p = 0.020 (<0.05), then the alternative hypothesis (Ha) is accepted (the results are meaningful). It is concluded that supplementation of noni effective in helping to decrease blood sugar levels of patients with diabetes mellitus, it is advisable to consume noni capsules and routine checks of blood sugar levels so that the blood sugar levels under control.

scholarly journals Pengaruh Edukasi Tentang Diare Dengan Menggunakan Media Leaflet Terhadap Tingkat Pengetahuan Ibu Dalam Pencegahan Diare Pada Balita Di Puskesmas Wonoasih Kota Probolinggo

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Maharani Puti Pratiwi
Keyword(s):  
Public Health ◽  
Developing Countries ◽  
Health Center ◽  
Sampling Technique ◽  
Total Sample ◽  
Wilcoxon Test ◽  
Control Group ◽  
Control Groups ◽  
Public Health Center ◽  
Before And After

Background : Diarrhea is the frequency of defecating more than 3 times a day within 24 hours with a liquid consistency. Diarrhea disease is still one of the important public health problems because it is the main contributor to the three morbidity and mortality rates for children after pneumonia in various countries, especially in developing countries, one of the developing countries is Indonesia. Goals : The purpose of this study was to know the effect of education on the level of mother’s knowledge in preventing of diarrhea in children at Wonoasih Public Health Center, Probolinggo City. Research methods : The design of this study uses Quasy-Experimental with a pretest-posttest with Control Group approach. Data were collected using a questionnaire with a total sample of 30 intervention groups and 30 control groups using a total sampling technique. Results : The results of the analysis that have been carried out using the wilcoxon test showed differences in the level of knowledge before and after in the intervention and control groups showed a significant value 0,001 (p<0,05) Ha accepted means that there is an effect of education about diarrhea using leaflet media on the level of mother’s knowledge in preventing of diarrhea in children at Wonoasih Public Health Center, Probolinggo City. Conclusion : There is the influence of the before and after is done to knowledge education mother. Keywords : Diarrhea, Education, Knowledge

scholarly journals COMPARISON OF THE EFFECTIVENESS OF PHYSICAL TRAINING AND EXTRACT OF SOURSOP LEAF TO HISTOPATHOLOGY OF ABDOMINAL AORTA FOAM CELLS IN HIPERCOLESTEROLEMIA-DIABETES RAT

2020 ◽  
Vol 3 (1) ◽  
pp. 37-50
Author(s):  
Tika Hamidah Apriliana Nai ◽  
Retno Yulianti ◽  
Wahyunia Likhayati Septiana ◽  
Yuni Setyaningsih
Keyword(s):  
Diabetes Mellitus ◽  
Physical Training ◽  
Public Health Problem ◽  
Foam Cells ◽  
Atherogenic Diet ◽  
Control Group ◽  
Standard Diet ◽  
Control Group Design ◽  
Significant Difference ◽  
Post Test

Background: Diabetes mellitus has become a public health problem globally. Type 2 diabetes mellitus, caused by lifestyle and high lipid diet, is the most common form. Hypercholesterolemia-diabetes is able to create endothelial injury that results in formation of atherosclerosis, starting with formation of foam cells. Objective: This research aimed to see the effectiveness of physical training and soursop (Annona muricata) leaves extract in lowering the amount of foam cells.Methods: This research was an experimental study which used the post test-only control group design with 35 Wistar strain rats which were randomly divided into 7 groups, each consisting of 5 rats. K1 was given standard diet, K2 was given atherogenic diet and alloxan, while K3, K4, K5, K6, and K7 were given atherogenic diet, alloxan, and different treatments based on designed group. K3 was given simvastatin, K4 was given metformin, K5 was given physical training, K6 was given soursop leaves extract (SLE), and K7 was given both physical training and SLE. The rats were euthanized after three weeks and aorta was taken to be made into histology slides for foam cells observation.Results: The result of Kruskal-Wallis and Mann-Whitney Post-Hoc Test showed significant difference (p<0,05) between K2 and K5, K6, K7 while it no significant difference (p>0,05) between K3, K4 and K5, K6, K7.Conclusion: Physical training, SLE, and the combination of both have a role in lowering formation of foam cells in atherosclerosis.

scholarly journals Influence of cardiovascular risk factors on the occurrence of foot risk, prior to the complementary study with infrared thermography

2019 ◽  
Vol 18 (3) ◽  
pp. 35-57
Author(s):  
Álvaro Astasio Picado ◽  
Elena Escamilla Martínez ◽  
Beatriz Gómez Martín
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
At Risk ◽  
Infrared Thermography ◽  
Diabetic Foot ◽  
Public Health Problem ◽  
Control Group ◽  
Cross Sectional ◽  
Factores De Riesgo ◽  
And Control

Introducción: La Diabetes Mellitus es un problema de salud pública. El Pie diabético es una degeneración de la estructura vascular de los pies, cuyos pacientes presentan problemas neurológicos, necesarios de identificar en el menor tiempo posible. Objetivo: El objetivo del estudio es analizar la influencia de los factores de riesgo en la aparición del pie de riesgo, como datos complementarios al estudio mediante termografía infrarroja. Método: Se plantea un estudio descriptivo, transversal y observacional sobre una muestra de 479 sujetos encuadrados en dos grupos, grupo casos (personas con diabetes) y grupo control (personas sin diabetes). El grupo casos compuesto de un total de 277 personas, con una edad media de 63.41 años, [138 hombres (49.8%) y 139 mujeres (50.2%)]. De igual modo para el grupo control, el número consistió en 202 usuarios, con una edad media de 61.92 años, [ 99 hombres (49%) y 103 mujeres (51%)]. La toma de imágenes se ha llevado a cabo con la cámara FLIR E60bx® (FLIR® Company, Boston, USA). El análisis estadístico de los datos obtenidos se ha realizado utilizando el paquete estadístico IBM SPSS Statistics 22.Conclusión: Se puede concluir afirmando que el estudio de los diferentes factores de riesgo es clave en el diagnóstico del pie de riesgo. Se puede establecer con rotundidad que la edad es un condicionante evidente, ya que las edades avanzadas se corresponden con un IMC y perímetro abdominal mayor. Unido al análisis mediante termografía infrarroja en la evaluación del pie de riesgo es útil para el diagnóstico y prevención de zonas comprometidas del pie, evitando así el desencadenante evidente en los daños propios de un pie diabético. Introduction: Diabetes mellitus is a public health problem. The diabetic foot is a degeneration of the vascular structure of the feet, whose patients present neurological problems that need to be identified in the shortest possible time.Objective: The study's objective was to analyse the influence of risk factors in the appearance of the foot at risk as complementary data to the infrared thermography study.Method: A descriptive, cross-sectional, and observational study was proposed for a sample of 479 subjects corresponding to two groups – cases (subjects with diabetes) and control (subjects without diabetes). The cases group comprised 277 subjects, mean age 63.41 years, 138 men (49.8%) and 139 women (50.2%). The control group comprised 202 subjects, mean age 61.92 years, 99 men (49%) and 103 women (51%). Images were taken with an FLIR E60bx® camera (FLIR® Company, Boston, USA). The statistical analysis of the data was carried out using the IBM SPSS Statistics 22 statistical package.Conclusion: It can be concluded that the study of the different risk factors is key to the diagnosis of the foot at risk. It was solidly established that age evidently conditions the risk, since advanced ages corresponded to greater BMI and waist circumference. This type of study, together with the analysis by infrared thermography, is useful for the diagnosis and prevention of compromised areas of the foot, thus avoiding the obvious triggering of the damage typical of a diabetic foot.

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