Rifaatul Laila Mahmudah
Program Studi S1 Kebidanan, Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

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Efektivitas Pergerakan Sederhana Ekstrimitas Terhadap Penurunan Kadar Glukosa Pasien Diabetes Mellitus Tipe 2 Nurul Hidayah; Rifaatul Laila Mahmudah; Nurwidji; Yuna Annisa Salsabila
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO) Vol. 18 No. 1 (2026): FEBRUARI
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v18i1.1209

Abstract

Low physical activity contributes to poor glycemic control in patients with type 2 diabetes mellitus (T2DM). Low-effort, practical exercises that can be taught by nurses can improve short-term glycemia, but evidence for single-session simple limb movements is limited. Objective: To evaluate the acute effects of simple limb movements on capillary blood glucose in patients with T2DM. A quantitative, single-group pre-test-post-test study was conducted using a sequential sample of 15 patients with T2DM. Participants performed seven types of simple limb movements with varying repetitions (3–20 repetitions). Capillary blood glucose was measured immediately before and after each movement using a glucometer (Glucotest). Changes were analyzed using the Wilcoxon signed-rank test; significance was set at p ? 0.05. Results show several movement-repetition combinations produced statistically and clinically significant acute reductions in blood glucose. Specifically, open-hand grip at 10 repetitions showed a mean reduction (? ? ?9, p = 0.012), and wrist flexion-extension at 16 repetitions produced a greater reduction (? ? ?37, p = 0.043). Other movements, particularly specific ankle exercises, showed large numerical reductions in some trials but with greater inter-participant variability and inconsistent statistical significance. No major adverse events were reported. Brief, simple extremity movements can produce acute reductions in capillary glucose among some patients with T2DM, suggesting feasibility as a nurse-led intervention that can be implemented in the community. These findings require confirmation through larger randomized trials with continuous glucose monitoring to determine clinical utility and optimal protocols
Pemberdayaan Kader dan Edukasi Masyarakat dalam Pencegahan Komplikasi Diabetes Mellitus Nurul Hidayah; Widya Puspitasari; Rifaatul Laila Mahmudah; Nurwidji
JURNAL PENGABDIAN MASYARAKAT KESEHATAN (ABDIMAKES) Vol. 6 No. 2 (2026): JULI
Publisher : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/amk.v6i2.1257

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disease that may cause various complications when it is not properly managed. The problems identified in Sumberporong Village were limited community knowledge regarding the prevention of DM complications and the suboptimal involvement of health cadres in educating and assisting residents. This community service activity aimed to empower health cadres and improve community knowledge regarding the prevention of DM complications. A participatory approach was used through preparation, cadre role orientation, community health education, interactive discussion, random blood glucose (RBG) screening, and knowledge evaluation using pre-test and post-test instruments. The activity involved 18 participants, consisting of 2 health cadres and 16 community members. The participants' mean knowledge score increased by 28.6 points, from 58.3 in the pre-test to 86.9 in the post-test. RBG screening showed that 8 participants (44.4%) had values of 125-145 mg/dL, 5 participants (27.8%) had values of 170-195 mg/dL, and 5 participants (27.8%) had values of 210-260 mg/dL. These findings indicate a short-term increase in knowledge after the educational activity and highlight the need for follow-up examination among participants with elevated RBG results. Cadre empowerment should be continued through mentoring, educational materials, and coordination with local health care facilities to support sustainable community education and monitoring