Resiko disfungsi aliran balik vena pada kaki, neuropati, ulkus diabetikum, gangrene, dan amputasi kaki masih menjadi ancaman serius diabetesi.Tidak hanya berdampak fisik, biaya untuk mengelola dan merawat masalah gangguan perfusi perifer kaki sangat banyak yang merugikan individu dan menjadi beban bagi pembiayaan sosial negara. Buerger Allen Exercise (BAE) adalah latihan gerak yang dilakukan tungkai bawah yang bervariasi serta memanfaatkan gaya gravitasi yang dilakukan secara bertahap dan teratur. Variasi gerakan dan gaya gravitasi pada BAE diharapkan mampu untuk memperbaiki dan meningkatkan sirkulasi darah perifer ke ekstermitas sehingga kebutuhan oksigen sampai pada tingkat sel dibuktikan dengan peningkatan nilai Ankel Brachial Index (ABI). Penelitian dirancang untuk mengetahui efek Vascular Rehabilitation Training Program menggunakan BAE terhadap Perubahan Nilai ABI diabetisi tipe 2. Desain Quasy Experiment digunakan untuk mengkaji ada tidaknya sebab-akibat dari dua variabel yang diteliti dengan pendekatan pre-test and post-test control design. Teknik sampling menggunakan puposive sampling. Terdapat 20 responden yang dibagi menjadi dua kelompok. Pengumpulan data menggunakan skala ABI untuk mengukur perubahan nilai sebelum dan setelah dilakukan BAE. Intervensi dilakukan sebanyak 6 sesi dalam 6 hari latihan dengan durasi 15 menit setiap pertemuan. Hasil penelitian menunjukkan terdapat perubahan nilai ABI yang sangat signifikan setelah melakukan BAE. Penelitian ini membuktikan bahwa metode BAE efektif dalam meningkatkan perfusi perifer pada kaki diabetesi dan dapat menjadi alternatif yang mudah dan murah untuk dilakukan dalam memperbaiki gangguan perfusi khususnya pasien diabetes.
<p><em>Coping of women’s prisoners could changed in various conditions, one of them when they were in pre release condition. Various kinds of coaching has been done, however, did not close possibility of maladaptive coping still found on women’s prisoners pre release. The aim of this study was to identity the coping of women’s prisoners pre release in Prison.This study used quantitative descriptive. The number of samples in this study were 26 women’s prisoners pre-release. Sampling by purposive sampling technique. The data were compiled with a Ways of Coping Scale questionnaire according to Lazarus and Folkman (1984) consisting of 60 statements divided into two types, namely 20 emotion-focused coping statements and 40 problem-focused coping statements. This study was conducted in one of the Prison in Indonesia. The analysis of this study used univariate and frequency distribution. The results showed that women’s prisoners who used emotion-focused coping as much as 57.69% in passable category and 42.31% have poor category. While respondents who used problem-focused coping as much as 7.69% in good category, 84.62% passable and 7.69% poor category.Based on the results of this study, it could be concluded that women’s prisoners pre release used both types of coping and majority of respondents were categorized as good enough and less good. Women’s prisoners who had passable coping category risky lead for poor coping and poor coping could lead to maladaptive coping, so that they could harm himself and others.Therefore, it was necessary to do deeper screening of coping women’s prisoners pre release.The results of this study could be used as a reference in determining the appropriate intervention for preparation of women’s pre release and return to the community.</em></p><p><strong>Keywords</strong><em>: coping, prisoners, Women, pre release</em></p>
Background: Efforts to prevent the spread of COVID-19 require personal awareness, understanding, and a sense of responsibility toward the community. The fundamental purpose of this study was to determine the factors related to the social responsibility of the santris in preventing the spread of COVID-19 in the pesantren environment. Methods: This descriptive correlative study used a cross-sectional approach with 384 respondents (santris), a total population of 8.413 santris in various Pesantren in Probolinggo, East Java. A self-administered questionnaire was used to conduct the online survey using a Google form and social networking apps. The validity test results of each questionnaire using Product Moment with 40 participants showed a value of more than 0.312 and Cronbach's alpha values of 0.722, 0.759, and 0.774 on each knowledge, attitude, and social responsibility questionnaire. Then descriptive statistics and chi-square tests were used to analyze the data. Results: The findings show that the level of knowledge about Covid-19 of the santris is moderate (49.7%), attitudes are in a good category (52.3%), and social responsibility is in a good category (72.4%). Their knowledge, attitude, and residence were all significantly associated with santri's social responsibility behaviors (p 0.05). Conclusion: Knowledge of COVID-19 transmission and attitude toward the state measures for COVID-19 prevention and control were significantly associated with participants’ social responsibility behaviors. Santris becomes more conscious of their own and the environment's needs and responsibility due to these results.
AbstrakLansia dengan diabetes adalah kelompok khusus yang memiliki resiko tinggi komplikasipada kakinya. Self-efficacymenjadi salah satu determinan faktor utama untuk meningkatkan perilaku perawatan kaki. Penelitian ini bertujuan untuk mengidentifikasi tingkat efikasi diri kaki (Foot Self Efficacy) dan perilaku perawatan kaki (Foot Crae Behaviour) dan hubungannya dengan karakteristik demografis pada lansia dengan diabetes.Studi cross-sectional digunakandi Desa Karangren Kecamatan Krejengan Probolinggo dari Mei hingga Juni 2019. Kriteria khusus dipilih untuk berpartisipasi dalam penelitian ini. Para responden diwawancarai menggunakan seperangkat kuesioner yang telah divalidasi. Statistik deskriptif dan inferensial (regresi linier berganda) digunakan untuk menjawab hipotesis penelitiandengan bantuanSPSS 19. Hasil penelitian menyebutkan rata-ratafoot self-efficacysebesar 29,79 dengan standar deviasi 8,26 danrata-ratafoot care behavior sebesar 28,72 dengan SD 6,33. Terdapat hubungan positif dan signifikan antara foot self-efficacy (β = 0,43, p <0,001), tingkat pendidikan (β = 0,43, p <0,001), dan jenis kelamin (β = 0,31, p <0,001) dengan perilaku perawatan kaki. Program edukasi self-efficacydapat menjadi pertimbangan yang krusial untuk meningkatkan perilaku perawatan kaki. Lansia dengan diabetes harus diajari pemeriksaan kaki secara mandiri.Perawatan kaki diabetes yang tepat dan berkelanjutan dapat secara signifikan mencegah terjadinya komplikasi pada kaki lebih lanju yang berefek pada peningkatan kualitas hidup. Kata kunci: diabetes, lansia, efikasi diri, perilaku perawatan diri, kaki AbstractThe elderly with diabetes is a special group that has a high risk of complications in the legs. Self-efficacy is one of the main determinants of improving foot care behavior.The essential aims of this study were to identify the level of self-efficacy and foot care behavior and its relationship to demographic characteristics in elderly patients with diabetes. The cross-sectional study has been done in Karangren Village, Krejengan Probolinggo district from May to June 2019. Specific criteria were chosen to participate in this study. The respondents interviewed used a set of validated questionnaires. Descriptive and inferential statistics (multiple linear regression) were used to answer the research hypothesisby SPSS 19. The results mentioned that the average foot self-efficacy was 29.79, with a standard deviation of 8.26, and the normal foot care behavior was 28.72, with an SD of 6.33. There is a significant relationship between foot self-efficacy (β = 0.43, p <0.001), level of education (β = 0.43, p <0.001), and gender (β = 0.31, p <0.001) with foot care behavior. The self-efficacy education program can be a crucial considerateness for improving foot care behavior.Elderly with diabetes must be taught foot examinations independently. Appropriate and ongoing diabetes foot care can significantly prevent diabetic foot complications, which affect improving the quality of life. Keywords: diabetes, elderly, self-efficacy, self-care behavior, feet
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