Buerger Exercise Reduces the Risk of Neuropathy in People with Diabetes Mellitus

Introduction: Diabetes mellitus (DM) remains the major global health problem, predicted to exceed half a billion people in 2040. One of the major complications was lower extremity neuropathy leading to foot ulcer and amputation. This study aimed to investigate the effect of routine Buerger exercise on the neuropathy index of people with DM. Methods: A pre-and posttest quasi-experimental study between May and August 2018 involving DM patients in primary health centre was conducted. They were prospectively recruited and either be allocated into the intervention group where the monitored routine Buerger exercise was performed or control group with the standard education on DM. Michigan Neuropathy Screening Instrument (MNSI) with subjective and objective measurement was used to evaluate the neuropathy index. Results: Seventy-seven participants (63 females) with mean age of 58.2±7.2 years completed the study with similar characteristics. Mean pretest MNSI score for intervention and control group were 3.8±1.7 and 3.9±1.6 respectively, and were not different (P = 0.561). At the end of follow up, significant decrease was observed in the intervention group (2.8±2.2, P = 0.011) but not in control group (4.0±1.9, P=0.947). Physical examination according to MNSI guideline showed a significant reduction in the neuropathy score for the intervention group from 1.8±1.4 at the start to 1.3±1.1 at the end of the study (P< 0.001), but this was not seen in the control group. Conclusion: Buerger exercise had a beneficial effect on improving the neuropathy index and symptoms of DM patients with high risk of diabetic foot ulcer.

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Pengaruh Range of Motion (ROM) Aktif Kaki terhadap Risiko terjadinya Ulkus Kaki Diabetik pada Pasien Diabetes Mellitus Tipe 2 di Desa Kaliwining Kabupaten Jember

Pustaka Kesehatan ◽

10.19184/pk.v6i2.7776 ◽

2018 ◽

Vol 6 (2) ◽

pp. 305

Author(s):

Yulfa Intan Lukita ◽

Nur Widyati ◽

Wantiyah Wantiyah

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Range Of Motion ◽

Diabetic Foot ◽

Intervention Group ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Control Group ◽

Significant Difference

Diabetic foot ulcer is one of serious complications in diabetic patients which can lead to amputation.Active Leg range of motion (ROM) exercise is one of physical activities which can improve bloodcirculation in lower extremities. The objective of this research was to analyze the effect of active legROM on the risk of diabetic foot ulcer. This research employed non randomized control group pretestpostest design. The sampling technique was purposive sampling involving 30 repondents whichwere divided into 15 respondents as intervention group and 15 respondents as control group. Thedata were analyzed using dependent t test and independent t test with significant level of 0.05. Theresult revealed a significant difference between pretest and posttest in the intervention group (p =0.000) but no significant difference in the control group (p = 0.582). Furthemore, independent t testshowed a significant difference between intervention group and control group (p = 0.000). This resultindicates that there is a significant effect of active leg ROM on the risk of diabetic foot ulcer in clientwith type 2 diabetes mellitus. Nurse is expected to apply range of motion as one of intervention toprevent diabetic foot ulcer in diabetes mellitus patients.Keywords: type 2 diabetes mellitus, active leg range of motion, risk of diabetic foot ulcer

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Efficacy of Aloe vera/ Plantago Major Gel in Diabetic Foot Ulcer: A Randomized Double-Blind Clinical Trial

Current Drug Discovery Technologies ◽

10.2174/1570163815666180115093007 ◽

2019 ◽

Vol 16 (2) ◽

pp. 223-231 ◽

Cited By ~ 2

Author(s):

Younes Najafian ◽

Zahra M. Khorasani ◽

Mona N. Najafi ◽

Shokouh S. Hamedi ◽

Marjan Mahjour ◽

...

Keyword(s):

Clinical Trial ◽

Diabetic Foot ◽

Intervention Group ◽

Aloe Vera ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Control Group ◽

Plantago Major ◽

Double Blind ◽

Significant Difference

Background:Diabetic foot ulcer (DFU) is one of the most common complications of diabetic patients. Mostly, non-healing DFU leads to infection, gangrene, amputation and even death. High costs and poor healing of the wounds need a new treatment such as alternative medicine. So, the aim of this study was to evaluate the efficacy of Aloe vera/ Plantago major gel (Plantavera gel) in healing of DFUMethods:Forty patients with DFU enrolled in a double-blind randomized clinical trial. The patients who were randomly assigned into the intervention group (n = 20), received topical Plantavera gel in addition to the routine cares, whereas the patients in the control group (n = 20), received topical Placebo gel in addition to the routine cares. Intervention was done twice a day for 4 weeks in the both groups. Photography and an evaluation of DFU healing were conducted by a checklist and then were scored at baseline and at the end of each week. The collected data was analyzed by SPSS software.Results:At the end of the study, there was a significant difference between the two groups in terms of total ulcer score (P<0.001) and Plantavera gel significantly reduced the ulcer surface comparing with the control group (P=0.039). However, there was not a significant difference between the two groups (P=0.263) in terms of the ulcer depth. During this study, no side effect was observed for Plantavera gel in the intervention group.Conclusion:Topical Plantavera gel seems to be an effective, cheap and safe treatment. Of course, further studies are required to confirm the properties of the wound healing of this gel.

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Perceptions of caregivers on immunization in Ntungamo district, Uganda

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214559 ◽

2021 ◽

Vol 8 (12) ◽

pp. 5729

Author(s):

Byamukama Topher ◽

Keraka M. Margaret ◽

Gitonga Eliphas

Keyword(s):

Risk Factor ◽

Intervention Group ◽

Cost Effective ◽

Systematic Sampling ◽

Control Group ◽

Post Intervention ◽

Mortality And Morbidity ◽

Significant Difference ◽

Quasi Experimental ◽

And Control

Background: Immunization is one of the most cost-effective public health interventions to reduce child mortality and morbidity associated with infectious diseases. The objective of this study was to determine the perceptions of caregivers on immunization in Ntungamo district.Methods: Quasi-experimental study was used with health centres assigned to intervention and control groups. Purposive sampling was used to select the two counties where the study was done. Proportional sampling was done to get study samples from each health facility, while systematic sampling was done to get study participants. A total of 787 children from twelve health facilities provided the study sample. A post intervention evaluation was conducted to determine the effect of these interventions. Association of variables was tested using Mann Whitney U-test and Chi-square.Results: On benefits, most caregivers in the intervention group (85.3%) and in the control group (54.3%) regarded immunization as very highly and moderately beneficial to their children respectively. On risks, most caregivers in the intervention group (85.5%) and control group (43.1%) regarded the risk factor associated with immunization as very low and moderate respectively. From hypothesis testing, there was a significant difference on the perceived benefits and risks of immunization between the intervention and control group.Conclusions: Most caregivers in the intervention and control group regarded immunization as very highly beneficial and moderately to their children respectively. Most of the caregivers in the intervention and control group regarded the risk factor associated with immunization as very low and moderate respectively.

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The Effect of Compassion-Based Counseling on Marital Intimacy of Conflicted Couples

Social Behavior Research & Health ◽

10.18502/sbrh.v3i2.1785 ◽

2019 ◽

Author(s):

Maryam Zahedi

Keyword(s):

Marital Conflict ◽

Intervention Group ◽

Control Group ◽

Statistical Population ◽

Marital Intimacy ◽

Counseling Intervention ◽

Post Test ◽

Quasi Experimental ◽

And Control

Background: The occurrence of marital conflicts decreases the quality of communication between couples and marital intimacy. Therefore, the present study was conducted to determine the effect of compassion-based counseling on marital intimacy of conflicted couples in Isfahan. Methods: The research method was quasi-experimental with a pretest-posttest design and control group. The statistical population included all couples referring to Isfahan counseling centers in 1396. The sample size was 30 couples who were selected by purposive non-random sampling method and were randomly assigned to experimental and control groups. The intervention group received compassion-based counseling intervention for 8 sessions which lasted an hour and a half for 2 months. Then, subjects in both groups were examined. The instruments used were the marital conflict questionnaire and marital intimacy questionnaire. After collecting the questionnaires and extracting the raw data, data were analyzed by SPSS (version 23) using descriptive statistics and covariance analysis. Results: The results showed that compassion-based counseling had a significant effect on the marital intimacy of couples in the post-test phase (P < 0.0001). This treatment could increase the marital intimacy of conflicted couples. Conclusion: Based on the findings of the present study, it can be concluded that compassion-based therapy using techniques such as mindfulness training, empathy, and sympathy for oneself and managing difficult emotions can enhance the marital intimacy of the conflicted couples. In this regard, compassion-based therapy can be used as an effective treatment to increase the marital intimacy of conflicted couples.

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Training interventions on Helping Babies Breathe among health workers in tertiary hospital of the Republic of South Sudan: A non-randomized quasi-experimental study

Healthcare in Low-resource Settings ◽

10.4081/hls.2018.7276 ◽

2018 ◽

Vol 6 (1) ◽

Cited By ~ 1

Author(s):

Christopher Vunni Draiko ◽

Khemika Yamarat ◽

Alessio Panza ◽

Judith Draleru ◽

Martin Taban ◽

...

Keyword(s):

Experimental Study ◽

Health Workers ◽

South Sudan ◽

Intervention Group ◽

Control Group ◽

Training Interventions ◽

Helping Babies Breathe ◽

Newborn Mortality ◽

Quasi Experimental ◽

And Control

This study aimed to examine the effects of the Helping Babies Breathe (HBB) training interventions program on the knowledge, psychomotor skills, and competency of health workers in managing birth asphyxia and reducing mortality of newborns experiencing asphyxia within 24 hours. This study used pre- and post-test design (quasi experimental study). Purposive sampling was employed, and a computer-generated number was used to select the participants. Health workers from Juba Teaching Hospital comprised the intervention group. They were evaluated before and after the training from February to June 2017. A post training skill and competency evaluation was performed using a NeoNatalie newborn simulator and was repeated after three months of implementation for intervention and control group. Seventy health workers were enrolled; 40 were in the intervention group and 30 in the control group. Early newborn mortality due to asphyxia within 24 hours in intervention and control measure at pre and post implementation showed a significant reduction within the intervention than the control. Knowledge, psychomotor and competency of health care workers improved immediately after training and early newborn mortality reduced by half at the end of three months. It is recommended that training of health workers on HBB should be scaled up in most of the health facilities in South Sudan.

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EFFECTS OF ADAPTIVE COMPUTER-BASED COGNITIVE TRAINING ON COMMUNITY-DWELLING ELDERS

Innovation in Aging ◽

10.1093/geroni/igz038.918 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S244-S244

Author(s):

Guifang Guo ◽

Huijuan Gongzhi

Keyword(s):

Cognitive Training ◽

Digit Span ◽

Memory Function ◽

Intervention Group ◽

Community Dwelling ◽

Control Group ◽

Quasi Experimental ◽

Computer Based ◽

And Control ◽

Community Dwelling Older Adults

Abstract This quasi-experimental designed study analyzed the effects of adaptive computer-based cognitive training among community-dwelling older adults. A 6-week (5 times/week) program was implemented with an intervention group (Difficulty Adaptive Training) and control group (Difficulty Fixed Training). General cognitive, memory, executive and attention functions were evaluated before (T1), completion (T2), and one month after intervention (T3). Sixty-one participants completed data collection. (1) General cognitive function: improved in both groups at T2, and T3, intervention group had better effect; (2) Memory function: improved in both groups in immediate, short and long-delayed recalls at T2 and T3, and recognition at T2. (3) Executive function: improved in both groups. Time of simple information processing was shortened at T2 and T3 in intervention group, at T3 in control group; TMT response inhibition was shortened at T2 and T3 in both groups. (4) Attention function: digit span forward was improved at T2 in intervention group.

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DISTRACTION TECHNIQUES: TELLING STORIES TO DECREASE PAIN FOR PRESCHOOL CHILDREN DURING INFUSION

Jurnal Keperawatan Indonesia ◽

10.7454/jki.v22i1.887 ◽

2019 ◽

Vol 22 (1) ◽

pp. 23-30

Author(s):

Lina Dewi Anggraeni ◽

Widiyanti Widiyanti

Keyword(s):

Demographic Data ◽

Intervention Group ◽

Pain Scale ◽

Control Group ◽

P Value ◽

Pediatric Nurses ◽

Control Groups ◽

Analysis Technique ◽

Quasi Experimental ◽

And Control

Hospital procedures, such as infusions, are often associated with pain. Preschool-aged children who are hospitalized for infusions will often exhibit a strong fearful response because their concept of body integrity has not fully developed. One way to reduce the fear of infusion pain is by using stories as a distraction technique. The purpose of this study was to identify differences in the scale of pain between members of an intervention group, to which the distraction technique was applied, and a control group, to which it was not applied. The study used quasi-experimental methods, with intervention and control groups. The study was conducted on 46 preschool aged respondents (3-6 years old), divided into a 34 member intervention group and a 12 member control group and ran from September to December 2017 in one of the private hospitals in the East Bekasi. The research employed a questionnaire to collect demographic data and used the Wong-Baker Faces Pain Scale to assess pain levels. The data analysis technique used was the independent t-test. The results showed there was a difference of pain response between the intervention and control groups with P value < 0.05. Pediatric nurses are advised to use storytelling therapy as an option for providing atraumatic care intervention. Keywords: Distraction Technique, Infusion installation, Pain, Stories, Preschool Abstrak Teknik Distraksi: Bercerita Menurunkan Nyeri Pada Anak Usia Pra Sekolah Selama Penggunaan Infus. Rasa sakit seringkali dikaitkan dengan salah satu prosedur rumah sakit yakni pemasangan infus. Reaksi anak prasekolah yang dipasang infus menunjukkan ketakutan yang luar biasa, hal itu disebabkan karena konsep integritas tubuhnya belum berkembang dengan baik. Salah satu cara untuk mengurangi ketakutan akibat nyeri pemasangan infus pada prasekolah adalah teknik distraksi bercerita. Tujuan penelitian ini untuk mengidentifikasi perbedaan skala nyeri antara kelompok intervensi dan kelompok kontrol. Penelitian ini merupakan penelitian kuantitatif dengan metode quasy eksperimen, yang menggunakan kelompok intervensi dan kelompok kontrol. Penelitian dilakukan terhadap 46 responden usia prasekolah (3-6 tahun) yang terdiri dari 34 kelompok intervensi dan 12 kelompok kontrol dari bulan September-Desember 2017 di salah satu Rumah Sakit Swasta di wilayah Bekasi Timur. Instrumen penelitian menggunakan kuisioner data demografi dan lembar observasi skala nyeri Wong Baker Faces Pain. Teknik analisis data menggunakan Uji Independent T test.Hasil penelitian menunjukkan terdapat perbedaan respon nyeri antara kelompok intervensi dan kelompok kontrol dengan nilai p= 0,012 (< 0.05). Perawat anak sebaiknya menggunakan metode bercerita sebagai sarana asuhan keperawatan atraumatik. Kata kunci: Cerita, Nyeri, Pemasangan infus, Prasekolah, Teknik distraksi

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EFEK SUPLEMENTASI MULTIVITAMIN MINERAL TERHADAP KADAR HEMOGLOBIN DAN HEMATOKRIT MAHASISWI TPB IPB

Jurnal Gizi dan Pangan ◽

10.25182/jgp.2013.8.1.47-54 ◽

2013 ◽

Vol 8 (1) ◽

pp. 47

Author(s):

Angga Hardiansyah ◽

Rimbawan Rimbawan ◽

Ikeu Ekayanti

Keyword(s):

Intervention Group ◽

Statistical Test ◽

Female Students ◽

Control Group ◽

Blood Biomarkers ◽

Control Groups ◽

Double Blind ◽

Mineral Supplementation ◽

Quasi Experimental ◽

And Control

The objective of this study was to analyze effect of multivitamin mineral supplementation to hemoglobin and hematocrit concentration of Bogor Agricultural University First Common Year female students. Design of this study was the quasi experimental, double blind, with number of subjects were 28 female students devided into two group. The intervention group consisted of 15 subjects, received supplement syrup 15 ml per day for eight weeks.The control group consisted of 13 subjects received placebo syrup. Data collected by interviewing subjects used questionnaire, physical examination, and blood biomarkers. The results of statistical test (paired sample t-test) showed that there were no significant increase in hemoglobin and hematocrit concentration respectively in both intervention and control groups (p>0.05). However, on a subset of subjects anemia, the hemoglobin and hematocrit in the intervention group tended to increase larger than the control group.<br /><br />

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Effectiveness of Paradox Therapy on COVID-19 Anxiety in Adult Population in Jahrom, Iran

Modern Care Journal ◽

10.5812/modernc.121920 ◽

2021 ◽

Vol 18 (4) ◽

Author(s):

Razieh Eatesamipour ◽

Khadigeh Ramazanzade Moghadam ◽

Borzo Amirpor

Keyword(s):

Adult Population ◽

Intervention Group ◽

Physical Symptoms ◽

Anxiety Scale ◽

Control Group ◽

Clinical Interviews ◽

Research Population ◽

Quasi Experimental ◽

And Control

Background: Since COVID-19 is a new disease with devastating effects worldwide, its emergence and spread aroused confusion, anxiety, and fear among the public. Objectives: The present study aimed to evaluate the effectiveness of paradox therapy on the COVID-19 anxiety in adult population in Jahrom, Iran. Methods: This research was a quasi-experimental study with a pretest-posttest design and a two-month follow-up. The research population encompassed all individuals willing to participate in the present study who were residing in Jahrom during 2020-2021. According to the COVID-19 Anxiety Scale, 30 participants with high levels of COVID-19 anxiety were selected using the convenience sampling method and were randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group received eight sessions of paradox therapy; however, the control group remained on the waiting list. The research tools included structured clinical interviews and the COVID-19 Anxiety Scale. Finally, the collected data were analyzed using Friedman’s statistical method. Results: The results showed that paradox therapy was effective in decreasing COVID-19 anxiety (P = 0.001) and its psychological (P = 0.001) and physical (P = 0.002) symptoms, and the scores of the COVID-19-induced psychological and physical symptoms in the posttest phase were significantly lower in the intervention group than the control group (P < 0.001). The decrease was noticed in the follow-up phase as well. Conclusions: According to the results, paradox therapy can effectively reduce anxiety and its psychological and physical symptoms due to COVID-19.

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The Effects of Community Empowerment on Preventing Dengue Fever in Lampung Province, Indonesia

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2020.4192 ◽

2020 ◽

Vol 8 (E) ◽

pp. 194-197

Author(s):

Achmad Farich ◽

Nur Indrawati Lipoeto ◽

Hafni Bachtiar ◽

Hardisman Hardisman

Keyword(s):

Dengue Fever ◽

Intervention Group ◽

Sampling Technique ◽

Community Empowerment ◽

Wilcoxon Test ◽

Control Group ◽

Control Groups ◽

Quasi Experimental ◽

And Behavior ◽

And Control

AIM: The aim of this study was to determine the effects of community empowerment on preventing dengue fever in Lampung Province, Indonesia. METHODS: This study used a quasi-experimental design with two groups of pretest-posttest design. The number of samples in this study was 120 people in the intervention group and 120 people in the control group, who is a housewife living in Gading Rejo and Pringsewu subdistrict, Lampung, Indonesia. The sampling technique used a proportional stratified random sampling technique. Community empowerment interventions have been carried out through socialization and inculturation to gather information about community participation, knowledge, attitudes, and behavior of respondents in the prevention of dengue fever. Then, the next stage is the implementation of interventions with capacity building and planting dengue mosquito repellent plants. Data were analyzed using Wilcoxon test using the SPSS version 21.0 software. RESULTS: This study showed that there were differences in the median score of knowledge, attitudes, and behaviors between the intervention and control groups (p < 0.05). The results of the analysis based on the entomologist indicators (larvae-free numbers, house index, container index, and Breteau index) found that there were differences in larvae-free numbers, house index, and Breteau index between the intervention and control groups (p < 0.05), while there were no differences in the container index between the intervention and control groups (p > 0.05). CONCLUSION: This study confirmed the effects of community empowerment on preventing dengue fever in Lampung Province, Indonesia.

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