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Rijalul Fikri
Nani Hasanuddin Institute
Health Professions Medicine & Pharmacology Nursing

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The Effectiveness of Community-Based Education in Improving Preventive Behaviors for Noncommunicable Diseases Among Adults Rismanudin Rismanudin; Sahari Bulan; Fitria M. Radjak; Ismiyanti Hi. Yusuf; Riswan Riswan; Rijalul Fikri
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.63888

Abstract

Non-Communicable Diseases (NCDs) remain the leading cause of morbidity and mortality in Indonesia. Limited public knowledge and inadequate preventive behaviors contribute significantly to the increasing burden of NCDs. This study aimed to evaluate the effectiveness of community-based education in improving preventive behaviors toward non-communicable diseases among adults. A quasi-experimental study with a one-group pretest-posttest design was conducted involving 80 participants selected through purposive sampling. The intervention consisted of community-based health education, including health counseling, group discussions, physical activity demonstrations, and four weeks of follow-up assistance. Preventive behavior data were collected using a validated and reliable questionnaire and analyzed using a paired t-test with a significance level of 0.05. The findings demonstrated a statistically significant improvement in NCD preventive behaviors following the educational intervention (p < 0.001). Improvements were observed in healthy dietary practices, regular physical activity, smoking cessation efforts, and adherence to routine health screening. Community-based education was found to be effective in enhancing preventive behaviors against NCDs and can serve as a sustainable health promotion strategy for adult communities.
The Effectiveness of Foot Exercises on Foot Sensitivity and the Risk of Foot Ulcers in Patients with Diabetes Mellitus Ambo Anto; Rijalul Fikri; Faisal Faisal; A. Warda Muzfah; Jenita Laurensia Saranga; Rismanudin Rismanudin
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.63889

Abstract

Diabetes mellitus is a chronic metabolic disorder that may cause peripheral neuropathy and impaired blood circulation in the lower extremities. Reduced foot sensitivity increases the possibility of unnoticed injuries and subsequent ulcer formation. Foot exercises are a simple, non-invasive intervention that may support neuromuscular function, improve peripheral circulation, and maintain foot sensitivity. This study aimed to determine the effectiveness of foot exercises in improving foot sensitivity and reducing the risk of foot ulcers among patients with diabetes mellitus. A quantitative quasi-experimental study was conducted using a pretest–posttest design. The study involved 72 patients with diabetes mellitus who met the predetermined inclusion criteria. Participants received a structured foot exercise program performed regularly according to the intervention protocol. Foot sensitivity was assessed before and after the intervention using a standardized clinical assessment procedure, while the risk of foot ulcers was evaluated based on relevant clinical indicators. Data were analyzed using appropriate statistical tests to compare changes in foot sensitivity and ulcer risk before and after the intervention. Following the foot exercise intervention, participants demonstrated an improvement in foot sensitivity accompanied by a reduction in indicators associated with foot ulcer risk. The observed changes indicated a beneficial response to regular foot exercises, particularly among participants who consistently followed the intervention. Statistical analysis demonstrated a significant difference between pre-intervention and post-intervention measurements (p < 0.05). Regular foot exercises were associated with improved foot sensitivity and a lower risk profile for foot ulcers among patients with diabetes mellitus. Incorporating structured foot exercises into routine diabetes self-management may provide a practical approach to maintaining foot health and preventing diabetes-related complications. Further studies with larger samples and longer follow-up periods are recommended to evaluate the sustainability of these effects.
Co-Authors A. Warda Muzfah Ambo Anto Bulan, Sahari Faisal Faisal Fitria M. Radjak Ismiyanti Hi. Yusuf Jenita Laurensia Saranga Riswan Riswan