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All Journal Science Midwifery
Raudatul Jannah
INKES Yarsi Mataram, Indonesia
Dentistry Health Professions Nursing Public Health Veterinary

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The effectiveness of foot exercises and trigona honey on type 2 DM neuropathy Heny Marlina Riskawaty; Baik Heni Rispawati; Raudatul Jannah
Science Midwifery Vol 14 No 2 (2026): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i2.2204

Abstract

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder with a steadily increasing number of cases globally. The International Diabetes Federation (IDF) reported in 2021 that 10.5% of the global population, or approximately 537 million adults, live with diabetes, and this figure is projected to increase to 12.2%, equivalent to 783 million people, by 2045. One of the chronic complications often experienced by people with T2DM is diabetic neuropathy. This condition is characterized by decreased peripheral nerve function and increased pain intensity. Foot exercises are a non-pharmacological intervention that can increase blood flow, strengthen muscles, and stimulate peripheral nerves, potentially improving neuropathy symptoms. The purpose of this study was to analyze the effectiveness of foot exercises in reducing pain and increasing sensitivity in the feet of people with type 2 DM. The method used was a quasi-experimental pretest-posttest design. A sample of 30 respondents was divided into two groups. Data analysis used the Wilcoxon Signed Rank Test. The results showed a significant reduction in pain between the first and fourth weeks (p=0.014). Right foot sensitivity increased significantly in the first week (p=0.013), the second week (p=0.001), and the fourth week (p=0.008), while the left foot showed a significant increase in the first week (p=0.013). In conclusion, foot exercises are effective in reducing pain and increasing foot sensitivity in patients with type 2 diabetes.
The potential of trigona honey as a hemoglobin booster and immunomodulator in pregnant women with iron deficiency anemia Ricca Afrida; Winda Nurmayani; Susilia Idyawati; Hawari Jannati; Raudatul Jannah
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2151

Abstract

Background: Iron deficiency anemia in pregnancy constitutes a significant public health issue, as it elevates the likelihood of adverse pregnancy outcomes, including pregnancy complications. In West Lombok, the prevalence of anemia among pregnant women was reported to reach 18.6%. Despite government efforts through iron supplementation programs, challenges remain, including low adherence and limited bioavailability. Therefore, alternative natural supplements are needed. Trigona honey contains micronutrients and bioactive compounds with hematopoietic and immunomodulatory properties, making it a potential natural agent to improve hemoglobin levels and immune function. Objective: To examine the impact of Trigona honey supplementation on the hemoglobin levels of pregnant women with IDA. Methods: This true experimental research employed a pretest–posttest control group design and was carried out within the service area of the Jembatan Kembar Community Health Center. Thirty pregnant women were recruited using purposive sampling and divided into two groups: intervention (Trigona honey + iron) and control (iron only), each with 15 participants. Data were collected using questionnaires and Touch GCHB tests to measure hemoglobin levels. Statistical analyses were performed using paired and independent t-tests with a significance thresholdof p < 0.05. Results: Hemoglobin levels increased significantly in both groups; however, the intervention group demonstrated a more substantial improvement (mean = 2.89; p = 0.000) compared to the control group (mean = 0.65; p = 0.010).  Conclusion: Trigona honey significantly enhanced hemoglobin levels compared to iron supplementation alone. It may serve as a promising non-pharmacological complementary therapy for preventing and managing iron deficiency anemia in pregnant women.
Co-Authors Baik Heni Rispawati Hawari Jannati Heny Marlina Riskawaty Ricca Afrida Susilia Idyawati Winda Nurmayani