Background: Diabetes Melilltus (DM) is one serious chronic illness. The proportion of incident type 2 diabetes is 95% of the population of DM in the world. The prevalence of DM in Indonesia showed an increase of 1.1% in 2007 to 2.1% of the population of DM in 2013, and the most cases are Type 2 Diabetes Mellitus. Management of blood sugar levels can be conducted of pharmacologic and nonpharmacologic. One of nonpharmacologic therapy is a complementary therapy. Progressive muscle relaxation is part of a of complementary therapy which is a mindbody therapy. Objective: This study aimed to measure the effectiveness of progressive muscle relaxation of the blood sugar levels of patients with type 2 diabetes. Materials and Methods: Quasi experiment with pre-and posttest randomized control group design, consisting of 48 samples, 24 samples 24 samples of the treatment group and the control group. Subjects treated group guided progressive muscle relaxation exercises 2 times a day for 3 consecutive days with a duration of 25-30 minutes in one workout. Subjects of the control group gave breathing exercises. Results: There were significant differences between the average blood sugar levels type 2 diabetes patients in the the treatment group and the control group, with p value = 0.000 (p < 0.05). Conclusion: The progressive muscle relaxation is effective to reduce blood sugar levels of patients with type 2 diabetes at Dr. Salamun Hospital and Advent Hospital in Bandung.
Background:Diabetes is a chronic disease that has a negative impact on the quality of life of children. Family should be a support system to help optimize the quality of life of children with type 1 diabetes mellitus (T1DM). Purpose:The study aims to analyze the influence of family conflict, number of children in the family, and depression in children on the quality of life of children with T1DM. Method:The study employed a cross-sectional analytic design with a sample of 51 T1DM children with inclusion criteria being aged 4-18 years and currently undergoing outpatient care at the hospital. The measurement of quality of life used the KINDL R instrument, which consists of versions for children and parents. Depression was measured using the Children's Depression Inventory and diabetes-specific family conflict using the Revised Diabetes Family Conflict Scale. Multivariate analysis with multiple linear regression was performed to obtain a prediction model for the quality of life of children with T1DM. Results:The mean total scores of the quality of life for the children's and parents'versionswere76.39 ± 13.27 and 78.64 ± 9.38, respectively. The mean score of diabetes-specific family conflictwas31.03 ± 9.28 with a min-max score of 19-50. Quality of life of children was not different between male and female (p = > .05). As many as 40% of the children experienced depression with ameanscoreof 8.28 ± 5.02. The quality of life of children for the parent-rated version had a positive correlation with the quality of life of children with r = .463 at p= .002. Depression was negatively correlated with the quality of life of children with r = -.287 at p =.025. Multivariate analysis shows interactionsbetweenfamily conflict and number of children in the family (p = .017) and depression (p = .050), both as the main factors affecting the quality of life of children. Conclusions/Implications for Practice:Family conflict and the number of children in the family and depression in children were predictors of quality of life in children with T1DM. The results of the study have implications for the importance of nursing interventions in improving the ability of families of children with T1DM in handling diabetes-specific family conflict and efforts to prevent depression in children so that children can have better quality of life.
Peningkatan kejadian penyakit tidak menular(PTM) seperti diabetes dan hipertensi menjadi ancaman terhadap upaya menurunkan angka kematian akibat jantung dan stroke. PTM dapat dicegah melalui deteksi dini faktor risiko dan pengelolaannya secara efektif. Posbindu PTM sebagai wadah bagi masyarakat untuk mengenal dan belajar bersama membangun perilaku hidup sehat sebagai upaya mengendalikan PTM. Belum optimalnya pengelolaan Posbindu PTM Kemuning dan Tanjung di Kota Cimahi menjadi latarbelakang kegiatan pengabdian pada masyarakat (PPM). Tujuan PPM adalah meningkatkan pengetahuan kader tentang DM dan hipertensi dan keterampilan kader dalam melakukan skrining faktor risiko DM dan Hipertensi dengan implementasi model segitiga kerjasama (SESAMA). Metoda yang digunakan adalah pemberdayaan dengan pelatihan dan pendampingan kader dalam melaksanakan kegiatan pemeriksaan kesehatan dan penyuluhan. Sasaran kegiatan adalah 20 orang kader di posbindu PTM Kemuning dan Tanjung. Hasil menunjukkan peningkatan pengetahuan sebelum dan sesudah pelatihan sebesar 15.56 poin dengan p: 0.00, peningkatan ketrampilan sebesar 9.70 poin dengan p: 0.00 dan sebagian besar kader menyatakan semakin memiliki rasa percaya diri untuk melaksanakan tugas . Dalam pelaksanaan pemeriksaan kesehatan, sebanyak 65 warga di Posbindu Kemuning dan 82 warga di Posbindu Tanjung mengikuti kegiatan yang dilaksanakan oleh kader. Hasil pemeriksaan ditindaklanjuti dengan penyuluhan kesehatan dan olahraga bersama kader dan warga. Direkomendasikan agar pelaksanaan Posbindu PTM paska kegiatan PPM dapat dimonitoring oleh puskesmas Cimahi Utara dan kegiatan PPM serupa dapat diterapkan di Posbindu PTM lainnya di Kota Cimahi.Kata kunci: Kader, ketrampilan, pemberdayaan, pengetahuan, posbindu.
Prediction in 2030, the number of deaths due to Diabetes Mellitus (DM) will increase and become the seventh cause of death. The role of patients in managing DM is vital because DM is a chronic disease that will suffer for life. Foot exercise is one type of exercise to apply to DM patients. Diabetic foot exercise improves blood circulation and foot sensitivity. This study aims to inform readers about the effectiveness of foot exercise in overcoming DM type 2. This study is qualitative with a literature review. The analysis used inductive content to identify the main themes in the related literature. This article explores the indexed national and international journals of Scopus, Sinta, and Copernicus. There is an effect of diabetes mellitus foot exercise on improving the quality of life of patients with type 2 diabetes. Foot exercise provides comfort, reduces pain, and nerve damage, controls blood sugar, increases blood circulation in the feet, and improves symptoms of peripheral neuropathy such as tingling and numbness.
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