PENGARUH MANAJEMEN STRES TERHADAP PENURUNAN KADAR GULA DARAH PADA PENDERITA DIABETES MELLITUS DI DESA CINTA RAKYAT KECAMATAN PERCUT SEI TUAN KABUPATEN DELI SERDANG TAHUN 2020

Milletus diabetes is an emergency in a condition that is concerned with increased blood and specific specific symptoms, namely urine that tastes sweet and in large quantities. Stress is the body's response that is not specific to every need that is not disturbed, a universal phenomenon that occurs in everyday life and cannot be avoided, every person who experiences it, stress has a total impact on the individual, namely physical, psychological, intellectual, social and spiritually, stress can threaten the physiological balance. The type of research used in this research is quantitative by using a quasi experimental research design with the type of One Group Pretest-Posttest Design. The population in this study were residents of hamlet IX and hamlet X in Cinta Rakyat village, the total population in this study were 30 people with Diabetes Milletus disease. The sample size of this study is the entire population according to the criteria set in 30 people with Diabetes Milletus. Univariate and bivariate data analysis using the Wilcoxon Test. a significant value of 0.002 which means that it indicates acceptance and value (α = 0.005) = 0.002 <0.005. It is expected that residents and also respondents in IX and X Dusun Cinta Rakyat Village must be able to carry out non-pharmacological stress management therapy at home so that diabetes mellitus can be prevented.

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

JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) ◽

10.35451/jkf.v4i1.853 ◽

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.

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Peran Dukungan Keluarga Dalam Menurunkan Diabetes Distress Pada Pasien Diabetes Mellitus Tipe II

Jurnal Kesehatan Andalas ◽

10.25077/jka.v8i4.1129 ◽

2020 ◽

Vol 8 (4) ◽

Author(s):

Hidayatul Rahmi ◽

Hema Malini ◽

Emil Huriani

Keyword(s):

Diabetes Mellitus ◽

Simple Random Sampling ◽

Wilcoxon Test ◽

Diabetes Distress ◽

Control Group ◽

Post Test ◽

Quasi Experimental ◽

Distress Scale ◽

Diabetes Distress Scale ◽

Test Control

AbstrakPenderita Diabetes Mellitus (DM) sering mengalami masalah psikologis yang berhubungan langsung dengan beban dan kekhawatiran karena tuntutan penyakit. Diabetes distress merupakan kekhawatiran pasien tentang manajemen diri, dukungan keluarga, beban emosional dan akses keperawatan. Dukungan keluarga diperlukan dalam mengatasi kekhawatiran dan beban emosional pasien diabetes mellitus. Tujuan: Menganalisis peran dukungan keluarga terhadap penurunan tingkat diabetes distress pada pasien diabetes mellitus tipe 2 di Puskesmas Kota Padang tahun 2019. Metode: Desain penelitian ini adalah quasi experimental dengan pre dan post test control group. Pengambilan sampel secara simple random sampling untuk mendapatkan 64 orang (32 orang tiap kelompok). Data dikumpulkan menggunakan Diabetes Distress Scale (DDS-17). Hasil: Analisis data menggunakan Wilcoxon test menunjukan terdapat pengaruh dukungan keluarga terhadap Diabetes Distress (p=0,000). Simpulan: Dukungan keluarga berupa dukungan emosional/rasa empati dan dukungan penghargaan membuat pasien merasa lebih baik, diperhatikan dan dimengerti, merasa dimiliki dan dicintai sehingga pasien memiliki motivasi dan memperoleh kembali keyakinannya dalam menghadapi kekhawatiran karena penyakitnya.

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EFEKTIVITAS SENAM OTAK TERHADAP KONSENTRASI BELAJAR PADA SISWA KELAS V DI YAYASAN PENDIDIKAN ISLAM ISTIQOMAH MEDAN TAHUN 2020

Jurnal Sehat Mandiri ◽

10.33761/jsm.v16i1.291 ◽

2021 ◽

Vol 16 (1) ◽

pp. 36-43

Author(s):

Nila Hayati

Keyword(s):

Blood Flow ◽

Human Brain ◽

Total Population ◽

Sampling Technique ◽

Wilcoxon Test ◽

Islamic Education ◽

P Value ◽

Test Population ◽

Quasi Experimental ◽

The Brain

Brain exercise is a series of simple movements that help optimize the function of all kinds of centers in the human brain. The brain exercise method focuses on the use of movemment activities to draw out all one’s potential so that it is expected to facilitate blood flow and stretch nerves due to fatigue and stress of learning. The purpose of this study was to determine the effectiveness of brain exercise on learning concentration in grade V students at the Istiqomah Medan Islamic Education Foundation. This study used a quasi experimental research design with one group pretest-posttest designs. Analysis of data using the wilcoxon test. Population of 42 students, the sampling technique used a total population of 42 students. The results of data processing using the wilcoxon test obtained a p value of 0,000 < 0,05 then Ho is rejected and Ha is accepted. The conclusion is that there is the effectiveness of brain exercise on learning concentration in grade V students at the Istiqomah Medan Islamic Education Foundation. The suggestion from the reseacher is to recommend the teacher to intruct students to do brain exercises to increase learning concentration.

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HUBUNGAN UMUR DAN PARITAS IBU HAMIL DENGAN KEJADIAN KEHAMILAN EKTOPIK TERGANGGU DI RSUD ARIFIN ACHMAD PEKANBARU

Journal of Health Sciences ◽

10.33086/jhs.v11i2.111 ◽

2018 ◽

Vol 11 (2) ◽

pp. 183-187

Author(s):

Ani Triana

Keyword(s):

Ectopic Pregnancy ◽

Total Population ◽

Uterine Cavity ◽

Secondary Data ◽

Fallopian Tubes ◽

Bivariate Data ◽

Care Services ◽

Relationship Of ◽

The Relationship ◽

Bivariate Data Analysis

An ectopic pregnancy is a pregnancy that occurs outside the uterine cavity. Ectopic pregnancy is an experienced abortion referred to as ruptured ectopic pregnancy. Based on data from the WHO in 2003 there was 1 in 250 (0.04%) births in the world suffer from an ectopic pregnancy, the gestational type of ectopic pregnancy is the fallopian tubes, the majority (80%) experienced by women at the age of 30 years and above and reported that 60% experienced by women with a first pregnancy and the second aim of this study was to determine the relationship of maternal age and parity with the incidence of KET Arifin Achmad Hospital in Pekanbaru. This type of analytic studies (case-control). Population of 114 people with a total population of retrieval techniques as 57 for case and 57 for controls, using secondary data, in room Seagull III and Medical Records. Bivariate data analysis is performed with computerized as a benchmark for the discussion and conclusions. The result showed that there are age and parity relationship with the incidence of ruptured ectopic pregnancy in hospitals Arifin Achmad Pekanbaru In 2012, at the age of Pvalue 0.024 <α 0.05 and Pvalue parity of 0.023 <α 0.05. Arifin Achmad hospital is expected to provide midwifery services through antenatal care services in early detection of emergency obstetric

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Pengaruh Penerapan Hipnosis Lima Jari untuk Penurunan Kecemasanpada Klien Diabetes Melitus

Jurnal Endurance ◽

10.22216/jen.v5i1.4632 ◽

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

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> 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. 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 > 0.000ada pengaruh sesudah intervensihipnosis lima jari pada tingkat cemas pada klien diabetes mellitus. Kesimpulan penelitian ini 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

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THE EFFECT OF MEDIUM INTENSITY PHYSICAL ACTIVITY ON BLOOD GLUCOSE LEVELS IN DIABETES MELLITUS

International Journal of Islamic Medicine ◽

10.37275/ijim.v1i1.5 ◽

2020 ◽

Vol 1 (1) ◽

pp. 37-41

Author(s):

R.A. Tanzila ◽

Ni Made Elva Mayasari ◽

Dita Azzahra Maso

Keyword(s):

Physical Activity ◽

Diabetes Mellitus ◽

Blood Sugar ◽

Total Sample ◽

Wilcoxon Test ◽

P Value ◽

Glucose Levels ◽

Before And After ◽

Quasi Experimental ◽

Sugar Levels

ABSTRACT Diabetes mellitus (DM) is a chronic disease that increased every year and caused many complications. There are four pillars in the management of DM, namely education, nutrition, pharmacology and physical training. According to PERKENI, physical exercise for people with DM can be done 3-4x/week with a duration of 30 minutes. This study aims to determine the effect of exercise moderate activities carried out by Diabetes Mellitus in Muhammadiyah Hospital Palembang on blood sugar levels at a time. This study uses a quasi-experimental method with a total sample of 30 people who were obtained by total sampling. The research data was taken by checking blood sugar before and after physical activity with aerobic type, which is done 1x/week for four weeks by using Easy Touch GCU. Wilcoxon test results found a p-value of 0.285 which means moderate exercise activities carried out by people with diabetes in Palembang Muhammadiyah Hospital which is carried out once a week for four weeks does not affect blood sugar levels at the time.

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EFEKTIVITAS PEMBERIAN KAYU MANIS DALAM PENURUNAN KADAR GULA DARAH SETELAH 2 JAM PEMBERIAN

Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan ◽

10.24912/jmstkik.v4i2.9029 ◽

2020 ◽

Vol 4 (2) ◽

pp. 433

Author(s):

Novendy Novendy ◽

Erwin Budi ◽

Benita Arini Kurniadi ◽

Truelly Juniette Chananta ◽

Susi Olivia Lontoh ◽

...

Keyword(s):

Diabetes Mellitus ◽

Blood Sugar ◽

Blood Sugar Level ◽

Hot Water ◽

Wilcoxon Test ◽

P Value ◽

Short Period ◽

Quasi Experimental ◽

Reduction Effect ◽

Diabetes Melitus

Diabetes Mellitus patients are predicted to reach 592 million in 2035 (Indonesia to grow from 9.1 million in 2014 to 14.1 million in 2035). Traditional plants and spices are easily found within society, some of which are used to control blood sugar level, eg. cinnamon. Cinnamon was known for its effectiveness in controlling blood sugar level, both on healthy and people with Diabetes Mellitus. So that blood sugar level reduction effect using cinnamon is worth to consider as a medication for Diabetes Mellitus. The goal of this research is to learn if there will be a reduction in blood sugar level with cinnamon consumption in a short period. Design that is used in this research is quasi experimental study. Respondents are given a brew of 6 gr cinnamon powder and 100 ml of hot water. Blood sugar levels are measured before and after the given cinnamon brew. 52 respondents participated in this research. Statistical analysis used is the Wilcoxon test. Blood sugar level median before given cinnamon brew is 142,71±66,11 mg/dL, while 2 hours after given cinnamon brew, blood sugar level reduced to 113,97±54,95 mg/dL. There is a reduction in blood sugar level by 28,74 mg/dL (20,14%). Wilcoxon test result indicated that there is a significant correlation with p-value = 0,0001. It is concluded that consuming 6 gram of cinnamon powder could reduce blood sugar level after 2 hours of consumption. Keywords: blood sugar; cinnamon; diabetes melitusABSTRAKDiperkirakan penderita diabetes melitus akan meningkat mencapai 592 juta orang pada tahun 2035. Indonesia diperkirakan dari 9,1 juta pada tahun 2014 akan menjadi 14,1 juta pada tahun 2035. Tanaman tradisional dan rempah-rempah mudah dijumpai di dalam masyarakat dan dapat dijadikan obat, beberapa diantaranya digunakan untuk mengontrol kadar gula darah, salah satunya adalah kayu manis. Kayu manis diketahui memiliki efektivitas dalam mengontrol gula darah, baik pada orang sehat maupun pada orang dengan diabetes melitus. Sehingga efek penurunan kadar gula darah dengan kayu manis patut dipertimbangkan sebagai pengobatan diabetes melitus. Tujuan penelitian ini adalah ingin mengetahui apakah terjadi penurunan kadar gula darah sewaktu dengan Pemberian kayu manis dalam waktu yang cukup singkat. Desain yang digunakan pada penelitian ini adalah studi kuasi eksperimental. Responden diberikan seduhan serbuk kayu manis sebanyak 6 gram dalam air panas sebanyak 100 ml. Kadar gula darah sewaktu diukur sebelum dan setelah Pemberian seduhan kayu manis. Sebanyak 52 responden berpartispasi dalam penelitian ini. Uji statistik yang digunakan adalah uji Wilcoxon. Rerata nilai gula darah sewaktu sebelum diberikan kayu manis adalah 142,71±66,11 mg/dL. Sedangkan rerata nilai gula darah sewaktu setelah 2 jam adalah sebesar 113,97±54,95 mg/dL. Terdapat penurunan nilai kadar gula darah sewaktu sebanyak 28,74 mg/dL (20,14%). Hasil uji Wilcoxon menunjukkan adanya hubungan yang signifikan dengan p-value = 0,0001. Dapat disimpulkan bahwa pemberian kayu manis dengan dosis 6 gram dapat menurunkan nilai kadar gula darah sewaktu setelah 2 jam pemberian.

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Does Diabetes Mellitus Alter the Onset and Clinical Course of Vascular Dementia?

Behavioural Neurology ◽

10.1155/2010/742523 ◽

2010 ◽

Vol 23 (3) ◽

pp. 145-151 ◽

Cited By ~ 8

Author(s):

Santosh B. Murthy ◽

Ali Jawaid ◽

Salah U. Qureshi ◽

Yogeshwar Kalkonde ◽

Andrew M. Wilson ◽

...

Keyword(s):

Diabetes Mellitus ◽

Vascular Dementia ◽

Neuropsychiatric Symptoms ◽

Disease Onset ◽

Multiple Risk Factors ◽

History Of ◽

Dementing Illness ◽

Multiple Variables ◽

Rate Of Decline ◽

The Individual

Background:Vascular dementia (VaD) is the second most common dementing illness. Multiple risk factors are associated with VaD, but the individual contribution of each to disease onset and progression is unclear. We examined the relationship between diabetes mellitus type 2 (DM) and the clinical variables of VaD.Methods:Data from 593 patients evaluated between June, 2003 and June, 2008 for cognitive impairment were prospectively entered into a database. We retrospectively reviewed the charts of 63 patients who fit the NINDSAIREN criteria for VaD. The patients were divided into those with DM (VaDDM, n = 29) and those without DM(VaD,n= 34). The groups were compared with regard to multiple variables.Results:Patients with DM had a significantly earlier onset of VaD (71.9 ± 6.54 vs. 77.2 ± 6.03,p< 0.001), a faster rate of decline per year on the mini mental state examination (MMSE; 3.60 ± 1.82 vs. 2.54 ± 1.60 points,p= 0.02), and a greater prevalence of neuropsychiatric symptoms at the time of diagnosis (62% vs. 21%,p= 0.02).Conclusions:A history of premorbid DM was associated with an earlier onset and faster cognitive deterioration in VaD. Moreover, DM was associated with neuropsychiatric symptoms in patients with VaD. A larger study is needed to verify these associations. It will be important to investigate whether better glycemic control will mitigate the potential effects of DM on VaD.

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Association between stress and bilateral symmetrical alopecia in free-ranging Formosan macaques in Mt. Longevity, Taiwan

Scientific Reports ◽

10.1038/s41598-021-90725-2 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Chen-Chih Chen ◽

Ai-Mei Chang ◽

Ming-Shan Tsai ◽

Yen-Hua Huang ◽

Kurtis Jai-Chyi Pei ◽

...

Keyword(s):

Total Population ◽

Causative Factor ◽

Population Status ◽

Adrenocortical Activity ◽

High Incidence ◽

Normal Hair ◽

The Mean ◽

The Individual ◽

Free Ranging ◽

The Impact

AbstractSince 2013, a high incidence of bilateral symmetrical alopecia has been observed in free-ranging Formosan macaques (Macaca cyclopis) in Mt. Longevity, Taiwan. We hypothesized that stress induces alopecia in this population. To verify our hypothesis, we evaluated the histopathological characteristics of skin biopsy and used a validated enzyme immunoassay (EIA) for fecal glucocorticoid metabolite (FGM) analysis, which act as an indicator of stress experienced by the individual. Follicular densities were lower (2.1–3.0 mm2) in individuals with symmetrical alopecia than in those with normal hair conditions (4.7 mm2). Furthermore, anagen to catagen/telogen ratios were lower in individuals with alopecia (0–1.4) than in those with normal hair (4.0). The histopathological characteristics of alopecia were similar to those of telogen effluvium, which indicates that stress is one of the possible etiologies. On the basis of the analytical and biological validation of EIAs for FGM analysis, 11β-hydroxyetiocholanolone was considered suitable for monitoring adrenocortical activity in both sexes of Formosan macaques. The mean concentrations (standard error; sample size) of 11β-hydroxyetiocholanolone were 2.02 (0.17; n = 10) and 1.41 (0.10; n = 31) μg/g for individuals with and without alopecia, respectively. Furthermore, the results of logistic regression analysis show that 11β-hydroxyetiocholanolone (p = 0.012) concentration was positively associated with alopecia. Thus, stress was the most likely to trigger symmetrical alopecia in Formosan macaques in Mt. Longevity. Although stress can decrease the fitness of an individual, considering the population status of Formosan macaques in Taiwan is stable and alopecia was only observed in our study area, which is isolated from other populations, the impact on the total population of Formosan macaque in Taiwan is limited. Nonetheless, stress-induced immunosuppression and alopecia might affect the local abundance and increase zoonosis risk due to frequent human–macaque contact in Mt. Longevity. Future studies are suggested to focus on the causative factor of stress and the effects of stress and alopecia on the health and welfare in the Formosan macaques.

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

JURNAL GIZI INDONESIA ◽

10.14710/jgi.10.1.80-87 ◽

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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