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The Effectiveness of Combination Therapy of Foot Exercise and Warm Water Soak on Blood Glucose Level Reduction in Patients with Diabetes Mellitus Azizah Khoirotun Ni’mah; Zaqqi Ubaidillah
International Journal of Health and Social Behavior Vol. 2 No. 4 (2025): November: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i4.553

Abstract

Diabetes mellitus is a non-communicable disease that causes global health problems in society. The International Diabetes Federation predicts that the prevalence of diabetes worldwide will increase to 853 million by 2050. The increase in the number of diabetes patients is due to unhealthy lifestyle habits, such as lack of physical activity. Therefore, interventions such as foot exercises and warm water baths are needed to help control blood glucose levels. The purpose of this study was to determine the effectiveness of a combination of foot exercises and warm water baths in reducing blood glucose levels in patients with diabetes mellitus. The study design used a descriptive case study. The sample size was n=2 people, conducted from May 25, 2025, to May 27, 2025, in the Sukoanyar Village RT 03/RW 03 area, Pakis District, Malang City. The results of this study showed that after three consecutive days of intervention, there was a decrease in blood glucose levels in both research subjects. In Mrs. S, the initial GDS level of 360 mg/dl decreased to 240 mg/dl after the third day of intervention. Meanwhile, in Mr. D, the initial GDS level of 349 mg/dl decreased to 220 mg/dl after the same intervention. Thus, the combination therapy intervention of foot exercises and foot soaking in warm water can lower blood glucose levels in diabetes mellitus patients.
Perbedaan Ansietas pada Pasien Hemodialisa Berdasarkan Perspektif Gender Muhammad Rosyidul Ibad; Zaqqi Ubaidillah
Journal of Ners and Midwifery Vol 6 No 1 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i1.ART.p019-026

Abstract

Pasien yang menjalani terapi hemodialisa selama hidupnya akan bergantung dengan alat dializzer, prosedur hemodialisa harus dilakukan secara rutin dan berkelanjutan dengan frekuensi 2-3 kali dalam satu minggu. Profil data menunjukkan bahwa gagal ginjal kronis diIndonesia sedikit lebih banyak menyerang laki-laki daripada perempuan, individu yang mengalami gagal ginjal kronis dan sedang menjalani proses hemodialisa sangat berpotensi terhadap masalah gangguan emosional. Ansietas merupakan gangguan utama yang dapat timbul akibat prosedur hemodialisa, seseorang menjalani hemodialisa akan memiliki kekhawatiran, ketakutan, dan ketidakpastian akibat dari persepsi negatifnya.Peneliti telah mengidentifikasi perbedaan ansietas pasien hemodialisa berdasar perspektif gender melalui uji Kruskalwallis. Hasil menunjukkan bahwa didapatkan p-value sebesar P = 0.488, hal ini memiliki arti bahwa tidak ada perbedaan ansietas yang dialami baik oleh responden laki-laki maupun responden perempuan. Kemunculan ansietas secara umum pada pasien hemodialisa diakibatkan karena berbagai faktor seperti masalah finansial yang harus didukung dengan pemanfaatan asuransi kesehatan, tingkat pemahaman terhadap penyakit dan prosedur terapi, dan riwayat menjalani prosedur terapi
Application of Benson’s Relaxation Technique to Reduce Blood Glucose Levels in Type II Diabetes Mellitus Patients: A Case Study in Sukoanyar Village, Pakis District Louris Sam Pratama; Zaqqi Ubaidillah
Jurnal Kesehatan dan Kedokteran Vol. 4 No. 3 (2025): Oktober: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v4i3.2296

Abstract

Type II Diabetes Mellitus (T2DM) is a chronic metabolic disorder with a high prevalence that often leads to complications and reduced quality of life. Management of T2DM requires not only pharmacological therapy but also complementary non-pharmacological interventions such as Benson’s relaxation technique, which may lower blood glucose levels through physiological and psychological mechanisms. This case study aimed to analyze the effectiveness of Benson’s relaxation in reducing blood glucose levels in an elderly patient with T2DM. The subject was a 70-year-old woman residing in Cokro Hamlet, Sukoanyar Village, Pakis District, Malang Regency. The intervention was conducted over three consecutive days, with each session lasting 20 minutes. Data were collected through interviews, observation, and measurement of random blood glucose (RBG) before and after each intervention. The results showed a gradual reduction in blood glucose levels, from 462 mg/dL (pre) to 440 mg/dL (post) on day one, 325 mg/dL to 301 mg/dL on day two, and 164 mg/dL to 146 mg/dL on day three. The patient also reported reduced fatigue, decreased tingling, improved sleep quality, and a greater sense of calm after undergoing the therapy. These findings indicate that Benson’s relaxation is a simple, safe, cost-effective, and feasible complementary intervention that can be practiced independently by patients and families at home, supporting holistic management of T2DM.
Risk Factors for Gastritis Among Nursing Students: A Cross Sectional Study Ruhyanudin, Faqih; Rahayu, Dinda Dewi Setyaning; Aribah, Nabilah Hananningtyas; Mukminin, Sania Triadmara Sukma; Alhusna, Chairul Huda; Rohmah, Anis Ika Nur; Ubaidillah, Zaqqi; Wahyuningsi, Indri; Sunardi, Sunardi
Jurnal Berita Ilmu Keperawatan Vol. 19 No. 1 (2026): January
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v19i1.8556

Abstract

Gastritis is characterized by symptoms such as nausea, vomiting, dull epigastric pain, upper abdominal discomfort, early satiety, and loss of appetite. Some patients also report dizziness and neck discomfort. Without proper treatment, gastritis may progress to gastroesophageal reflux disease (GERD), causing severe symptoms such as chest pain, heartburn, and sleep disturbances, which can significantly reduce productivity. Gastritis commonly affects individuals in their productive years, including students, due to irregular eating patterns, poor sleep quality, and high stress levels. This study aims to identify the dominant risk factors contributing to gastritis among nursing students. The research of an observational analytic design with a cross-sectional approach was employed. A total of 107 students were purposive sampling technique based on inclusion criteria: being active nursing students with a history of gastritis. Data were collected using dietary patterns questionnaires, Pittsburgh Sleep Quality Index (PSQI), the Depression, Anxiety, and Stress Scales (DASS), and gastritis symptoms questionnaires. Data were analyzed using chi-square and logistic regression with a significance level of p<0.05. Results indicated that 52.3% had poor dietary patterns, 90.7% had poor sleep quality, and 26.2% experienced stress. Logistic regression analysis revealed that stress was the most dominant risk factor (OR=11.78; 95% CI: 3.72–37.29; p<0.001), followed by dietary pattern (OR=2.49; 95% CI: 1.02–6.08; p=0.046), while sleep quality showed no significant association (p=0.448). In conclusion, stress is the primary risk factor for gastritis among nursing students. Therefore, stress management and lifestyle interventions are necessary to prevent gastritis and promote students' well-being.
The Combination of Insulin Therapy and Diabetic Foot Exercises in Reducing Blood Glucose Levels and Improving Peripheral Perfusion in a Patient with Type 2 Diabetes Mellitus: A Case Report Jolanda May Shinta Dewi; Zaqqi Ubaidillah
Jurnal Ilmiah Multidisiplin Vol. 5 No. 03 (2026): Mei: Jurnal Ilmiah Multidisiplin
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukim.v5i03.2823

Abstract

Type 2 diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycemia due to insulin resistance and impaired insulin secretion. Poor glycemic control may increase the risk of peripheral vascular disorders, neuropathy, diabetic foot ulcers, and lower-extremity complications. In addition to insulin therapy, diabetic foot exercises may support glucose utilization, improve peripheral circulation, and enhance lower-limb perfusion. This study used a case report design with a nursing care process approach involving a 62-year-old female patient diagnosed with type 2 diabetes mellitus. The intervention consisted of prescribed insulin therapy and diabetic foot exercises performed once daily for seven consecutive days. Random blood glucose levels and Ankle Brachial Index values were measured before and after the intervention to evaluate changes in glycemic control and peripheral perfusion. The findings showed a gradual reduction in random blood glucose levels from 226 mg/dL on the first day to 169 mg/dL on the seventh day. The Ankle Brachial Index also increased from 0.77 to 0.87, indicating improved peripheral perfusion. These changes suggest that combining insulin therapy with diabetic foot exercises may support glucose metabolism and enhance blood flow in the lower extremities. The combination of insulin therapy and diabetic foot exercises may be considered a complementary nursing intervention to improve glycemic control and peripheral perfusion in patients with type 2 diabetes mellitus.
Determinants of Diabetic Peripheral Neuropathy: A Multivariable Analysis Among Patients With Type 2 Diabetes Mellitus Zaqqi Ubaidillah; Sindi Amala Putri; Chairul Huda AL Husna; Muhammad Nur Cahyo Firdaus
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8628

Abstract

Diabetic peripheral neuropathy (DPN) is one of the most common chronic complications of diabetes mellitus and a major contributor to foot ulceration, lower-extremity amputation, and reduced quality of life. Early identification of modifiable risk factors is essential to improve preventive strategies and reduce disease burden. The study aims to identify factors associated with diabetic peripheral neuropathy among patients with diabetes mellitus. A cross-sectional study was conducted among 120 patients with diabetes mellitus. This study uses an accidental sampling technique. Diabetic peripheral neuropathy was assessed using the Michigan Neuropathy Screening Instrument (MNSI), which consists of an objective foot examination, a 128-Hz tuning fork test, and a 10-g monofilament test. Knowledge level was examined using modified questionnaire Diabetic Foot Knowledge Scale. Bivariate associations were analyzed using the chi-square test, and variables with significant associations were entered into a multivariable binary logistic regression model to identify independent predictors. Statistical significance was set at p 0.05. Among the participants, 48 (40.0%) had diabetic peripheral neuropathy. Bivariate analysis showed significant associations between neuropathy and blood glucose level (p = 0.002), diabetes knowledge (p = 0.021), and duration of diabetes (p = 0.017), whereas age, smoking status, and medication adherence were not significantly associated. In the multivariable analysis, blood glucose level remained the strongest independent predictor of neuropathy (adjusted odds ratio [AOR] = 0.220, 95% confidence interval (CI: 0.080–0.608; p = 0.003), followed by diabetes knowledge (AOR = 0.423, 95% CI: 0.190–0.945; p = 0.036) and duration of diabetes (AOR = 0.405, 95% CI: 0.182-0.901; p = 0.027). Blood glucose level, diabetes knowledge, and duration of diabetes were independently associated with diabetic peripheral neuropathy. These findings highlight the importance of optimizing glycemic control, strengthening diabetes education, and implementing routine neuropathy screening to facilitate the early identification of high-risk patients and support preventive diabetes care.
Penerapan Relaksasi Otot Progresif Kombinasi Senam Kaki pada Pasien Diabetes Melitus Ulfa Annisa Permata Sari; Zaqqi Ubaidillah
Jurnal Penelitian Perawat Profesional Vol. 7 No. 5 (2025): Oktober 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i5.496

Abstract

Diabetes Melitus Tipe 2 (T2DM) adalah penyakit kronis yang ditandai dengan peningkatan kadar glukosa darah akibat resistensi insulin atau produksi insulin yang tidak mencukupi. Meningkatnya prevalensinya menyoroti perlunya pendekatan komplementer dalam manajemen. Penelitian ini bertujuan untuk mengeksplorasi efektivitas kombinasi relaksasi otot progresif dan latihan kaki dalam menurunkan kadar glukosa darah pada pasien T2DM. Sebuah studi kasus deskriptif dilakukan dengan melibatkan Tn. A, seorang pasien berusia 52 tahun yang didiagnosis dengan T2DM yang tidak terkontrol. Data dikumpulkan melalui pengukuran kadar glukosa darah sebelum dan sesudah intervensi, menggunakan alat glukometer yang dicatat setiap hari. Intervensi diberikan selama tiga hari berturut-turut, di mana kadar glukosa darah pra dan pasca intervensi diukur secara sistematis dan kemudian ditelaah dengan membandingkan tren penurunan kadar glukosa. Terjadi penurunan nyata dalam kadar glukosa darah, menurun dari 260 mg/dL sebelum terapi menjadi 135 mg/dL setelah tiga hari intervensi gabungan. Hasil ini menunjukkan peningkatan signifikan dalam kontrol glikemik setelah penerapan terapi. Relaksasi otot progresif yang dikombinasikan dengan latihan kaki terbukti efektif dalam menurunkan kadar glukosa darah pada kasus ini, menunjukkan bahwa pendekatan ini dapat berfungsi sebagai terapi non-farmakologis komplementer yang berharga bagi pasien T2DM untuk mendukung manajemen diabetes secara keseluruhan.
Application of the Buerger Allen Exercise (BAE) in Lowering Blood Glucose Levels In Mrs. S With Diabetes Mellitus In Sukoanyar Village, Pakis District, Malang Regency Dini Nurbita; Zaqqi Ubaidillah
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2383

Abstract

Diabetes mellitus is a metabolic disorder characterized by persistent hyperglycemia caused by impaired insulin secretion, ineffective insulin action, or both. In addition to pharmacological treatment, supportive non-pharmacological interventions are needed to help control blood glucose levels, especially in patients with circulation problems. Objective: This study aimed to determine the effect of Buerger Allen Exercise (BAE) therapy on reducing blood glucose levels in a patient with diabetes mellitus in Sukoanyar Village, Pakis District, Malang Regency. Method: This study used a qualitative approach with a case study design. Data were collected on May 3–8, 2025. The subject was selected using purposive sampling. Buerger Allen Exercise therapy was administered for 15 minutes over six consecutive days based on the standard operating procedure, and blood glucose levels were measured after each session. Findings: The results showed that the implementation of Buerger Allen Exercise therapy contributed to a reduction in blood glucose levels in the patient with diabetes mellitus. Implications: These findings indicate that Buerger Allen Exercise may be used as a supportive non-pharmacological intervention in diabetes management, particularly in community-based nursing practice. Originality: The originality of this study lies in the application of Buerger Allen Exercise as a simple, low-cost, and practical nursing intervention in a real community setting.
Foot Reflexology Massage for Managing Diabetic Peripheral Neuropathy Symptoms in a Patient with Type 2 Diabetes Mellitus: Case Study Malik Zainal; Zaqqi Ubaidillah
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2026): Juni: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i2.2841

Abstract

Diabetic Peripheral Neuropathy (DPN) is a common complication of Type 2 Diabetes Mellitus, often causing numbness, tingling, nocturnal cramps, and sleep disturbance. Complementary nursing interventions are needed to support symptom management in primary healthcare settings. Objective: This study aimed to describe the implementation of foot reflexology massage and its potential contribution to reducing peripheral neuropathy symptoms in a patient with Type 2 Diabetes Mellitus. Method: This study used a descriptive case study design with an Evidence-Based Practice Nursing approach. The subject was a 58-year-old female patient with Type 2 Diabetes Mellitus and peripheral neuropathy symptoms. Data were collected through nursing assessment, physical examination, Toronto Clinical Neuropathy Score (TCNS), and Ankle Brachial Index (ABI). Foot reflexology massage was administered three times per week for two weeks, totaling six sessions. Data were analyzed descriptively by comparing pre- and post-intervention findings. Findings: Before the intervention, the patient had moderate neuropathy with a TCNS score of 10, an ABI value of 0.91, cold acral temperature, dry foot skin, and persistent numbness and tingling. After six sessions, the TCNS score decreased to 7, indicating mild neuropathy, while the ABI increased to 0.96. The patient also reported reduced tingling, disappearance of nocturnal cramps, warmer feet, improved skin moisture, and better sleep quality. Implications: Foot reflexology massage may serve as a simple, low-cost, non-invasive complementary nursing intervention for managing DPN symptoms in primary healthcare. Originality/Value: This study provides a clinical description integrating TCNS and ABI assessment within an Evidence-Based Practice Nursing framework.