Introduction. Type 2 Diabetes Mellitus was a chronic disease have complicated. Amount of patient Type 2 Diabetes Mellitus (DM) was increased. Knowledge and self-efficacy is mainly important for self-care behavior. The purpose of this study was aimed to examine knowledge, and self-efficacy among patients with Type 2 DM in Bandung, Indonesia. Methods. The research was a quasi-experimental with pre and posttest control group. Sixty two type 2 DM were recruited from 8 working area Primary Health Centers in Bandung who have diagnosed DM, using purposive sampling technique. Knowledge questionnaire from Michigan Diabetes Research and Training Center’s Brief Diabetes Knowledge Test, Self-efficacy were measured by the developed Stanford Patients Education Research Center. Both of questionnaires comprised five dimensions: nutrition, sport and activity, drugs and glucose monitoring. Patients of in intervention group received 2 weeks Diabetes Mellitus education program be given healthcare workers. Techniques used in this program consisted of community-based education, goal setting, follow-up and face-to-face interview. Data were analyzed by independent t-test. Results. There are significantly different of knowledge and self-efficacy after community-based education program in intervention (M = 9.26, SD = 2.8 ; M = 53.26, SD = 10.50) and control group (M = 7.39, SD = 2.4; M = 36.74, SD = 4.49).  This study revealed that community-based education program significantly improved self-efficacy (p=0.000) but not improved for knowledge (p=0.180). Conclusion. These findings indicated that Knowledge and Self-efficacy of type 2 Diabetes Mellitus patients in Bandung required improvement. Therefore, further study regarding the effective in improving knowledge and self-efficacy type 2 Diabetes Mellitus is extremely needed.

The association of physical activity in people with type 2 diabetes and peripheral neuropathyBackground: Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia due to the pancreas not producing enough insulin or the insulin produced cannot be used properly. According to data from International Diabetic Federation in 2019, Indonesia ranks 7th in the world with 10.7 million people with diabetes mellitus. There are pillars of diabetes mellitus management one of which is physical activity. Diabetic neuropathy is one of the complications of type 2 DM that can occur if the diabetes is not managed properly.Purpose:  To determine the association of physical activity in people with type 2 diabetes and peripheral neuropathyMethod: Quantitative research and correlation analytic with cross-sectional design. Sampling took by a purposive sampling of 103 respondents at  Cigugur Public Health Center, Collecting data using questionnaires, and nalyzed univariate (frequency distribution) and bivariate using Chi-Square test.Results: Finding most of the respondents had low physical activity (71.8%), and most of them had diabetic neuropathy (76.7%) with a p-value = 0,000Conclusion: There is a relationship between physical activity and peripheral neuropathy, suggestion for people with diabetes mellitus to do regular physical activity to control blood sugar levels and prevent complications of diabetic neuropathy and aerobic physical exercises such as walking, relaxed cycling, jogging, and swimming.Keywords: Physical activity; Patient; Type 2 diabetes; Peripheral neuropathyPendahuluan: Diabetes melitus (DM) adalah penyakit metabolik yang ditandai oleh hiperglikemia akibat pankreas tidak memproduksi cukup insulin atau insulin yang diproduksi tidak dapat digunakan dengan baik. Menurut data dari Internasional Diabetic Ferderation pada tahun 2019, Indonesia menempati urutan ke 7 di dunia dengan jumlah penderita diabetes melitus sebanyak 10,7 juta penderita. Terdapat pilar penatalaksanaan diabetes mellitus salah satunya adalah aktivitas fisik. Neuropati diabetik merupakan salah satu komplikasi dari DM tipe 2 yang dapat terjadi jika DM tersebut tidak dikelola dengan baikTujuan: Untuk mengetahui hubungan aktivitas fisik dengan kejadian neuropati diabetik pada penderita DM tipe 2Metode: Penelitian analitik korelasi dengan desain cross sectional. Teknik sampling yang digunakan purposive sampling. Jumlah sampel pada penelitian ini yaitu 103 responden. Teknik pengumpulan data menggunakan kuesioner. Data dianalisis secara univariat (distribusi frekuensi) dan bivariat menggunakan uji Chi-Square.Hasil: Sebagian besar dari responden memiliki aktivitas fisik ringan (71,8%), dan sebagian besar mengalami neuropati diabetik (76,7%) dengan p-value = 0.000.Simpulan: Terdapat hubungan antara aktivitas fisik dengan kejadian neuropati diabetik pada penderita DM tipe 2. Saran bagi penderita diabetes mellitus untuk melakukan aktivitas fisik teratur untuk mengontrol kadar gula darah dan mencegah terjadinya komplikasi neuropati diabetik serta latihan jasmani yang bersifat aerobik seperti jalan kaki, bersepeda santai, jogging, dan berenang.

Stroke is one of the non-communicable diseases that is increasing in prevalence. One of the effects of stroke patients is weakness on one side of the body. Therefore stroke patients need rehabilitation which is fast and precise with the range of motion exercises joints; one of them is grip strength. The recommended exercise is the Active Range of Motion Cylindrical Grip. This study aimed to determine the effect of cylindrical grip on the gripping power in stroke ischemic patients. The method used is Pre-Experiment with pre and post-test one-group design. This research uses Purposive Sampling of as many as 16 ischemic stroke patients. Active Range of Motion Cylindrical Grip exercise given as much as two times a day in 10 minutes for four days. The analysis used is a nonparametric test of Wilcoxon. Results of non-parametric test analysis Wilcoxon obtained p-Value = 0.001 (α <0.05). This value indicates a significant influence between the strength value grips. It is expected that health workers can apply Active Cylindrical Grip ROM exercise as an alternative to increasing the gripping power in ischemic stroke patients who experience weakness and can improve the quality and service of healing ischemic stroke.

The COVID-19 pandemic is a disaster afflicting the entire world, presenting an unprecedented opportunity to study resilience. In this study, the relationship between resilience and anxiety was examined in healthcare workers at the Central Laboratory of Padjadjaran University in Indonesia. Two questionnaires were used, namely the Hamilton Anxiety Rating Scale (HAM-A) and the Connor-Davidson Resilience Scale (CD-RISC) questionnaires. The objective of the study was to determine the correlation between resilience and anxiety in healthcare workers during the Covid-19 pandemic. This was a cross sectional study with descriptive methods and data were collected in July 2021. Univariate analyses described the distribution and percentage of each variable, while bivariate analyses explained the correlation relationship using Pearson’s correlation. 47 respondents filled out the questionnaire and 34% reported having severe anxiety. The mean score of the respondents’ resilience was 68.32 ± 12.31. The Pearson’s correlation test showed a significant relationship between anxiety and resilience (p < 0.013). Resilience is associated with better mental health and can provide a protective effect against anxiety and depression. Resilience can be supported through experience, learning, and formal training. Keywords: resilience, anxiety, healthcare workers, Covid-19 pandemic