PENGARUH BUERGER ALLEN EXERCISE TERHADAP NILAI ANKLE BRACHIAL INDEX PADA PASIEN DIABETES MELITUS

2021 ◽  
Vol 4 (1) ◽  
pp. 90-94
Author(s):  
Pratiwi Christa Simarmata ◽  
Sari Desi Esta Ulina Sitepu ◽  
Abdi Lestari Sitepu ◽  
Ruttama Hutauruk ◽  
Rita Ayu Butar-butar
Keyword(s):  
Diabetes Mellitus ◽  
Exercise Intervention ◽  
Ankle Brachial Index ◽  
Endocrine System ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Flexion Extension ◽  
Patients With Diabetes ◽  
Quasi Experimental ◽  
The Difference

Diabetes mellitus is a disorder of the endocrine system characterized by increased levels of glucose in the blood. The purpose of this study was to assess the effect of Buerger's Allen exercise on the value of the ankle brachial index (ABI) in patients with diabetes mellitus. The research design was a quasi-experimental pretest and posttest without a control. The study was conducted from March to May 2021 at Grandmed Lubuk Pakam Hospital with 48 respondents, with consecutive sampling technique. Data were analyzed using the Wilcoxon test. The Buergers Allen exercise intervention was performed twice a day, for three weeks. The procedure is performed by lifting the lower extremities up at an angle of 45-90 degrees for 2-3 minutes, then the patient sits at the bedside with the legs hanging down, accompanied by flexion, extension, pronation and supination movements for 5-10 minutes, and the patient lies down. with both feet resting for 10 minutes. There was a significant effect between the mean ABI value before intervention 0.83 and after intervention 0.95, p=0.00. The difference in mean ABI p=0.000, p<0.05. The results of the study concluded that there was an effect of buerger allen exercise on the ABI value before and after the intervention where the ABI value was getting better. It is recommended for nurses to make Buergers Allen exercise one of the independent nursing interventions in providing nursing care to patients with diabetes mellitus.

scholarly journals Pengaruh Penerapan Hipnosis Lima Jari untuk Penurunan Kecemasanpada Klien Diabetes Melitus

2020 ◽  
Vol 5 (1) ◽  
pp. 136
Author(s):  
Nofrida Saswati ◽  
Sutinah Sutinah ◽  
Dasuki Dasuki
Keyword(s):  
Diabetes Mellitus ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Nursing Interventions ◽  
Nursing Services ◽  
Post Test ◽  
Quasi Experimental ◽  
The Difference ◽  
Calming Effect ◽  
Diabetes Melitus

<p><em>Psychological effects on clients of diabetes mellitus can occur anxiety that stimulates the release of ACTH (adrenocorticotropic hormone) from the anterior pituitary gland stimulates the adrenal glands to release the adrenocorticoid hormone, cortisol. Interventions conducted to overcome anxiety with the five-finger hypnosis method. Five-finger hypnosis is a relaxation technique that is a generalist therapy that can have a relaxing and calming effect by recalling. The purpose of this study was to determine the effect of applying five-finger hypnosis to decrease anxiety in diabetes mellitus clients. The design of this study was using a Quasi experimental one group pre-post test. The population in this study were 47 clients with diabetes mellitus. The sampling technique was total sampling. Data collection techniques through interviews and observations.Data analysis using Wilcoxon test. The results showed a median value before 15 after intervention 6 with a value of p&gt; 0,000. The conclusion of this study is the difference in the level of anxiety in diabetes mellitus clients after the intervention. It is expected that the results of this study can be used as nursing interventions, so as to improve the quality of nursing services at the puskesmas.</em></p><p><em> </em></p><p><em>Dampak psikis pada klien diabetes melitus dapat terjadi cemas jika tidak dilakukan intervensi untuk mengatasi cemas. Intervensi yang dilakukan untuk mengatasi cemas dengan metode hipnosis lima jari. Hipnosis lima jari merupakan suatu teknik relaksasi yang merupakan terapi generalis yang dapat menimbulkan efek relaksasi dan menenangkan dengan cara mengingat kembali. Tujuan dari penelitian ini untuk mengetahui pengaruh penerapan hipnosis lima jari untuk penurunan kecemasan pada klien diabetes melitus. Desain penelitian ini menggunakan Quasi experimental pre-post test one group. Populasi pada penelitian ini adalah 47 klien dengan diabetes melitus.Teknik pengambilan sampel secara total sampling sehingga didapat jumlah sampel 47 responden. Teknik pengumpulan data melalui wawancara dan observasi. Analisa data dengan penggunakan uji wilcoxon. Hasil penelitian menunjukkan nilai median sebelum 15 setelah intervensi 6 dengan nilai p &gt; 0.000ada pengaruh sesudah intervensihipnosis lima jari  pada tingkat cemas pada klien diabetes mellitus</em>.<em> Kesimpulan penelitian ini </em><em>adanya perbedaan tingkat cemas pada klien diabetes melitus sesudah intervensi. Diharapkan hasil penelitian ini dapat dipergunakan sebagai intervensi keperawatan, sehingga dapat meningkatkan mutu pelayanan keperawatan di puskesmas</em></p>

scholarly journals Efektifitas Perbandingan Buerger Allen Exercise dan Senam Kaki terhadap Nilai ABI pada Penderita DM Tipe II

2019 ◽  
Vol 1 (1) ◽  
pp. 1-16
Author(s):  
Awinda Sari ◽  
Anwar Wardy W ◽  
Yani Sofiani
Keyword(s):  
Diabetes Mellitus ◽  
Type Ii Diabetes ◽  
Exercise Intervention ◽  
Ankle Brachial Index ◽  
Intervention Group ◽  
Type Ii Diabetes Mellitus ◽  
Exercise Group ◽  
Type Ii ◽  
Average Increase ◽  
The Difference

The purpose of this study was obtained by comparing the effectiveness of Buerger Allen Exercise and foot exercises to the value of Ankle Brachial Index (ABI) in patients with Type II Diabetes Mellitus. This research method is a quantitative method with Quasi Experiment research design pre and post test two groups with 15 respondents in the intervention group (group A) given Buerger Allen Exercise intervention and 15 respondents in the intervention group (group B) given foot exercise intervention. The results showed that there were significant differences in the value of Ankle Brachial Index (ABI) before and after being given Buerger Allen Exercise and foot exercises with p <0.05 with the difference in the average increase in ABI value Buerger Allen Exercise group of 0.0820 while in the group foot exercises the difference in the average increase in ABI value by 0.0726. The conclusion of this study is that Buerger Allen Exercise is more effective than foot exercises in increasing the value of Ankle Brachial Index (ABI).  Keywords        : Ankle Brachial Index, Buerger Allen Exercise, Foot Exercise, Type II Diabetes Mellitus.

scholarly journals Pengaruh Buerger Allen Exercise terhadap sirkulasi ekstremitas bawah bagi penyandang diabetes melitus

2020 ◽  
Vol 14 (2) ◽  
pp. 248-256
Author(s):  
Bahjatun Nadrati ◽  
Muhammad Hadi ◽  
Fitrian Rayasari
Keyword(s):  
Blood Vessel ◽  
Lower Limb ◽  
Ankle Brachial Index ◽  
Sampling Technique ◽  
Active Movement ◽  
P Value ◽  
Optimal Point ◽  
Patients With Diabetes ◽  
Quasi Experimental ◽  
Diabetes Melitus

Effectiveness of Buerger Allen Exercise on lower limb circulation among patients with diabetes mellitusBackground: Buerger Allen Exercise is a specific exercise intended to improve circulation to the feet and leg using gravitational changes to influence the distribution of body fluids to alternately help emptying and fulfilling the blood columns, and by using muscle contraction through active movement of the ankle to improve circulation of peripheral blood vessel by driving blood and blood vessel. Ankle Brachial Index (ABI) is one of the indicators to assess changes in peripheral vascularization.Purpose: To know the effectiveness of Buerger Allen Exercise on lower limb circulation among patients with diabetes mellitusMethod: A quasi-experimental by pre- and post-test with controlled group, involving 28 participants  divided by two group; interventional group and controlled group. The sampling technique is a non-probability sampling.Results: Shows by  t-test and GLM-RM  finds out that there are significant differences in the improvements of ABI average scores between interventional and controlled groups after Buerger Allen Exercise is conducted to the right leg with (p-value= 0.001; α = 0.05 ) and to the left leg with (p-value= 0.002; α = 0.05). While, GLM-RM in the research is still not able to determine the optimal point of time in practicing Buerger Allen Exercise.Conclusion: The effectiveness of Buerger Allen Exercise on lower limb circulation and suggestion that Buerger Allen Exercise can be applied as one of the nurse self-intervention to improve peripheral vascularization to patients with diabetes mellitusKeywords : Buerger Allen Exercise; Lower limb circulation; patients; diabetes mellitusPendahuluan: Buerger Allen Exercise adalah latihan khusus yang ditujukan untuk meningkatkan sirkulasi ke kaki dengan menggunakan perubahan gravitasi mempengaruhi distribusi cairan dalam tubuh dengan membantu secara bergantian untuk mengosongkan dan mengisi kolom darah, dan menggunakan kontraksi otot melalui gerakan aktif dari pergelangan kaki untuk meningkatkan sirkulasi pembuluh darah perifer dengan menggerakan darah dan pembuluh darah. Ankle Brachial Index (ABI) merupakan salah satu indikator untuk menilai perubahan vaskularisasi perifer.Tujuan: Untuk mengetahui pengaruh Buerger Allen Exercise terhadap sirkulasi ekstremitas bawah  bagi penyandang diabetes melitusMetode : Menggunakan desain kuasi eksperimen pre post tes dengan kelompok kontrol, melibatkan 28 partisipan yang dibagi dalam dua kelompok; kelompok intervensi dan kelompok kontrol. Tehnik pengambilan sampel dengan non probability sampling. Penelitian ini menggunakan t-tes dan GLM-RM.Hasil : Uji t-tes didapatkan perbedaan yang signifikan rata-rata skor peningkatan ABI antara kelompok intervensi dan kontrol setelah dilakukan Buerger Allen Exercise pada kaki kanan dengan (p-value= 0,001; α = 0,05 ) dan pada kaki kiri dengan (p-value= 0,002; α = 0,05 ). Sedangkan dengan GLM-RM pada penelitian ini belum dapat menentukan titik optimum waktu pelaksanaan Buerger Allen Exercise.Simpulan: Adanya pengaruh Buerger Allen Exercise terhadap sirkulasi ekstremitas bawah  dan disarankan agar Buerger Allen Exercise dapat diterapkan sebagai salah satu intervensi mandiri perawat dalam meningkatkan vaskularisasi perifer bagi penyandang diabetes melitus

scholarly journals EFFECT OF LEG EXERCISE ON THE ANKLE BRACHIAL INDEX (ABI) OF TYPE 2 DIABETES MELLITUS PATIENTS IN REJANG LEBONG REGIONAL HOSPITAL

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Derison Marsinova Bakara ◽  
Kurniyati Kurniyati
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Peripheral Arterial Disease ◽  
Exercise Intervention ◽  
Ankle Brachial Index ◽  
Arterial Disease ◽  
Wilcoxon Test ◽  
Peripheral Arterial

Introduction: Peripheral arterial disease often occurs in patients with type 2 diabetes mellitus. Peripheral arterial disease in patients with type 2 diabetes mellitus occurs due to decreased blood circulation in the lower extremities. Looking at the value of the ankle-brachial index is one of the actions that can be taken to detect peripheral arterial disease. Objective: The purpose of this study was to determine the effect of a foot exercise intervention on the ankle-brachial index value of type 2 diabetes mellitus patients. Methods: This research was a quantitative research with a pre-experimental design, with one pre-test and post-test design. The research was carried out at Rejang Lebong Hospital from August to November 2020. The number of samples used in this study were 35 patients experiencing type 2 diabetes mellitus for more than five years. The analysis used in this study was the Wilcoxon test. Results: The results showed a difference in the mean of the ankle-brachial index before (1.02) and after (1.12) the intervention. Thus, there was an increase of 0.10 in the average value of the ankle-brachial index. The analysis result of this study showed the value of p = 0.001 (p<0.05). Conclusion: Foot exercise can be used as an alternative intervention to increase the value of the ankle-brachial index in patients with type 2 diabetes mellitus.

scholarly journals Impact of Psychological Burden on Marital Life among Diabetic Patients: A Case Study of District Lodhran

2019 ◽  
Vol 1 (1) ◽  
pp. 55-65
Author(s):  
Abid Hussain ◽  
Zareen Atta Memon ◽  
Rakhshan Ahsan ◽  
Syeda Khushbakht Hussain
Keyword(s):  
Diabetes Mellitus ◽  
Marital Satisfaction ◽  
Coping Styles ◽  
Sampling Technique ◽  
Diabetic Patients ◽  
Psychological Disturbance ◽  
Psychological Burden ◽  
Patients With Diabetes ◽  
The Difference ◽  
The Impact

The study was accomplished through correlational research design. The purpose was comprised of investigating the impact of psychological burden on patients’ level of their marital life. The convenient sampling technique was utilized to approach 139 patients with diabetes mellitus as a sample. The data was collected through questionnaires as a source of measurement. The permission was taken to keep information confidential. The collected data was entered into SPPS for analysing. Inferential statistics were used to test hypothesis with the help of the following tests; linear regression and t-test for independent sample designs. The results of the study reflect that the psychological burden of diabetic patients influences their degree of marital satisfaction significantly. In addition, the difference of psychological burden (stress, depression and anxiety) and marital satisfaction was found significant with respect to demographic characteristics of the participants; gender, type of disease, education and working status. Female patients are reported with a greater level of psychological burden but they were observed with a poor degree of marital satisfaction as compared to males. Psychological burden and satisfaction associated with marital life due to diabetes was discussed as significant between working and non-working, type 1 and type 2 diabetes mellitus, and educated and uneducated patients. In the future, there is a need to investigate the coping styles as mediator between psychological disturbance and marital satisfaction.

scholarly journals INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS

2018 ◽  
Vol 4 (3) ◽  
pp. 343-349
Author(s):  
Iskandar Iskandar ◽  
Ridha Dharmajaya ◽  
Yesi Ariani
Keyword(s):  
Diabetes Mellitus ◽  
Blood Flow ◽  
Electrical Stimulation ◽  
Blood Vessels ◽  
Diabetic Foot ◽  
Ankle Brachial Index ◽  
Sampling Technique ◽  
Calf Muscle ◽  
Patients With Diabetes ◽  
Peripheral Arterial

Background: Peripheral arterial disorders in diabetes mellitus is a common complication that often occurs and can develop into diabetic foot ulcers. High blood sugar levels in people with diabetes mellitus can cause increased blood viscosity resulting in thickening of the capillary membrane, where erythrocytes, platelets and leucocytes are attached to the blood vessels. Electrical stimulation by placing electrodes in the calf muscle is one of the measures to increase foot blood flow that can reduce the poor foot circulation.Objective: This study aims to determine the effect of electrical stimulation in improving blood flow of patients with diabetes mellitus.Methods: The research use one-group pretest-posttest pre-experimental design. Sampling technique using pusposive sampling as many as 62 patients with diabetes mellitus. Electrical stimulation is done by attaching electrodes to left and right calf muscles for 20 minutes, frequency 3 times a week for 2 weeks. Before and after electrical stimulation performed foot circulation examination by ankle brachial index technique. Data analysis using Wilcoxon signed rank test.Results: The results showed that before the stimulation was obtained the mean ankle brakhial index 0.82 mmHg and after stimulation 0.95 mmHg (p = 0.000), meaning there is an effect of electrical stimulation in increasing foot blood flow. A calf muscle contraction during stimulation leads to increased leg blood flow through the addition of vascular endothelial growth factor and increased nitric oxide as a vasodilator of blood vessels. Electrical stimulation can be applied in increasing the blood flow of the foot, thus preventing the occurrence of diabetic foot ulcers.Conclusion: Stimulation is one therapy that can be done to prevent poor foot circulation of diabetes mellitus patients. 

GAMBARAN PENYAKIT PERIODONTAL PADA PENDERITA DIABETES MELITUS DI RUMAH SAKIT UMUM PUSAT PROF. DR. R. D KANDOU MANADO

e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Ezra G. R. Tambunan ◽  
Karel Pandelaki ◽  
Christy N. Mintjelungan
Keyword(s):  
Diabetes Mellitus ◽  
Periodontal Disease ◽  
Metabolic Diseases ◽  
Age Groups ◽  
Evaluation Criteria ◽  
Sampling Technique ◽  
Oral Health Problem ◽  
Result Show ◽  
Patients With Diabetes ◽  
Diabetes Melitus

Abstract: Diabetes mellitus (DM) is a group of metabolic diseases with characteristic hyperglycemia that occurs due to insulin secretion, insulin action or both. This disease affects many societies and continuously growing in Indonesia. Periodontal disease is an oral health problem which has a relatively high prevalence in the community where periodontal disease in all age groups in Indonesia.The purpose of this study was to determine the periodontal disease in patients with diabetesmellitus in RSUP Prof. dr. R. D. Kandou Manado. This descriptive study has 68 sample taken with total sampling technique. The sample is examined using evaluation criteria gingival index and CPITN index. The result show that subjects with periodontitis with a score of 4 is the highest as many as 18 people (44%) and subject with a score of 2 is that at least as many as 8 people (19.5%). And subjects with bad gingivitis is the highest as many as 10 people (52.6%) and subject with the good gingivitis is the at least as many as 5 people (26.3%). Based on the result of this study, periodontal disease in patients with diabetes mellitus in RSUP Prof. Dr. R. D. Kandou most that periodontitis with the number of 41 people (68.3%) compared to gingivitis which is just as many as 19 people (31.7%)Keywords: diabetes mellitus, periodontitis, gingivitis, periodontalAbstrak:Diabetes Melitus (DM) merupakan suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena sekresi insulin, kerja insulin atau kedua-duanya. Penyakit ini merupakan penyakit yang banyak diderita kalangan masyarakat dan terus berkembang di Indonesia. Penyakit periodontal merupakan masalah kesehatan gigi dan mulut yang memiliki prevalensi cukup tinggi di masyarakat dimana penyakit periodontal pada semua kelompok umur di Indonesia.Tujuan penelitian ini adalah untuk mengetahui penyakit periodontal pada penderita diabetes mellitus di RSUP Prof. dr. R. D. Kandou Manado. Jenis penelitian ini adalah penelitian deskriptif dengan jumlah sampel 60 orang yang diambil dengan teknik total sampling. Sampel diperiksa dengan menggunakan kriteria penilaian indeks gingiva dan indeks CPITN. Hasil menunjukkan bahwa yang mengalami periodontitis dengan skor 4 adalah yang paling tinggi yaitu sebanyak 18 orang (44%), dan subjek yang mengalami skor 2 adalah yang yang paling sedikit yaitu sebanyak 8 orang (19.5%). Sedangkan yang mengalami gingivitis yang paling tinggi yaitu gingivitis buruk sebanyak 10 orang (52.6%) dan yang paling sedikit adalah yang mengalami gingivitis ringan yaitu sebanyak 5 orang (26.3%). Berdasarkan hasil penelitian ini dapat disimpulkan bahwa penyakit periodontal yang paling banyak ditemui pada penderita diabetes melitus di RSUP Prof. Dr. R. D. Kandou Manado adalah penyakit periodontitis yaitu sebanyak 41 orang (68.3%) dan yang paling sedikit adalah gingivitis yaitu sebanyak 19 orang (31.7%)Kata kunci: diabetes melitus, periodontitis, gingivitis, periodontal

Evaluation of Salivary Antioxidants and Oxidative Stress Markers in Type 2 Diabetes Mellitus: A Retrospective Cohort Study

2020 ◽  
Vol 20 (4) ◽  
pp. 584-590 ◽  
Author(s):  
Shima Fathi ◽  
Shiva Borzouei ◽  
Mohammad Taghi Goodarzi ◽  
Jalal Poorolajal ◽  
Fatemeh Ahmadi-Motamayel
Keyword(s):  
Oxidative Stress ◽  
Diabetes Mellitus ◽  
Control Group ◽  
Oxidative Stress Markers ◽  
Stress Markers ◽  
Type 2 Dm ◽  
Patients With Diabetes ◽  
The Difference ◽  
And Oxidative Stress

Background: Diabetes Mellitus (DM) is a progressive metabolic disorder. Objective: The aim of this study was to investigate the relationship between antioxidant and oxidative stress markers in the saliva of patients with type 2 DM and a healthy control group. Methods: In this study, 20 patients with diabetes and 20 healthy individuals were evaluated. Salivary antioxidants markers consisted of total antioxidant capacity (TAC), uric acid (UA), peroxidase and catalase. Oxidative stress markers included total oxidant status (TOS), malondealdehyde (MDA) and total thiol (SH). Sialochemical analysis was performed with spectrophotometric assay. All the statistical analyses were conducted using STATA software. Results: TAC decreased significantly in patients with diabetes. Although salivary UA and peroxidase were lower in patients with diabetes compared to the control group, the difference was not significant. Salivary catalase in patients with diabetes was significantly lower than that in the control group. MDA and TOS exhibited significantly higher levels in type 2 DM. SH levels were slightly higher in DM. Conclusions: According to the results of the present study, there were some changes in the salivary levels of some antioxidants and oxidative stress markers in patients with type 2 DM and could be measured as an indicator of serum changes..

scholarly journals Educational Video Improves Knowledge about Outpatients’ Usage of Antibiotics in Two Public Hospitals in Indonesia

Antibiotics ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 606
Author(s):  
Fauna Herawati ◽  
Rika Yulia ◽  
Bustanul Arifin ◽  
Ikhwan Frasetyo ◽  
Setiasih ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
General Hospital ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Antibiotic Use ◽  
Public Hospitals ◽  
Educational Video ◽  
Inappropriate Use ◽  
Quasi Experimental ◽  
The Difference

The inappropriate use or misuse of antibiotics, particularly by outpatients, increases antibiotic resistance. A lack of public knowledge about “Responsible use of antibiotics” and “How to obtain antibiotics” is a major cause of this. This study aimed to assess the effectiveness of an educational video about antibiotics and antibiotic use to increase outpatients’ knowledge shown in two public hospitals in East Java, Indonesia. A quasi-experimental research setting was used with a one-group pre-test—post-test design, carried out from November 2018 to January 2019. The study population consisted of outpatients to whom antibiotics were prescribed. Participants were selected using a purposive sampling technique; 98 outpatients at MZ General Hospital in the S regency and 96 at SG General Hospital in the L regency were included. A questionnaire was used to measure the respondents’ knowledge, and consisted of five domains, i.e., the definition of infections and antibiotics, obtaining the antibiotics, directions for use, storage instructions, and antibiotic resistance. The knowledge test score was the total score of the Guttman scale (a dichotomous “yes” or “no” answer). To determine the significance of the difference in knowledge before and after providing the educational video and in the knowledge score between hospitals, the (paired) Student’s t-test was applied. The educational videos significantly improved outpatients’ knowledge, which increased by 41% in MZ General Hospital, and by 42% in SG General Hospital. It was concluded that an educational video provides a useful method to improve the knowledge of the outpatients regarding antibiotics.

The Effect of Breastfeeding Calendar Training on Knowledge and Attitudes of Mothers in Exclusive Breastfeeding

2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Test Design ◽  
Knowledge And Attitudes ◽  
Lactating Mothers ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.

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