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All Journal Nurse Media Journal of Nursing INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Darmabakti Cendekia: Journal of Community Service and Engagements Adi Husada Nursing Journal Babali Nursing Research Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Abdimas Altruis: Jurnal Pengabdian Kepada Masyarakat Indonesian Health Science Journal Jurnal Pengabdian Masyarakat Mentari
Pratiwi, Wahyu Nur
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Religion Humanities Computer Science & IT Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Journal : Adi Husada Nursing Journal

 1 
Foot Exercise for Managing Neuropathic Pain in the Elderly Pratiwi, Wahyu Nur; Gayatri, Paramita Ratna; Isnaeni, Ely; Pratama, Yuan Guruh; Firmanda, Giovanni Iga; Lin, Chu-eh Ho
Adi Husada Nursing Journal Vol 10 No 1 (2024): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v10i1.528

Abstract

Elderly people often experience neuropathic pain in the extremities of the feet which is caused by decreased blood vascularization in the feet. One effort that can be made to increase blood vascularization in the feet is by doing foot exercises. This study aims to determine the effect of foot exercises on pain conditions due to neuropathy experienced by the elderly. This research was Quasi-experimental research with 22 elderly people who met certain criteria and then divided into control and intervention groups. Variable which is pre and post-test neuropathic pain data were obtained using the Numeric Rating Scale instrument in the observation sheet. The Wilcoxon signed-rank test in the intervention group showed a p-value = 0.003, while in the control group the p-value= 0.643. These results indicate that the change in neuropathic pain was significant in the intervention group after being given foot exercises. Foot exercise movements have a relaxing effect on the feet, thereby stimulating the production of endorphin hormones. Endorphin hormones play a role in blocking substance P which plays a role in triggering pain. This blocked substance P results in the transmission of pain impulses in the spinal cord being hampered so that the intensity of neuropathic pain in the lower extremities can decrease.
The Role of Family Support in Stress and Anxiety Conditions in The Elderly with Chronic Kidney Disease Underwent Hemodialysis Therapy Pratiwi, Wahyu Nur; Gayatri, Paramita Ratna; Astutik, Wahyu Sri; Pratama, Yuan Guruh; Ayyaroh, Faridlatul A.
Adi Husada Nursing Journal Vol 9 No 1 (2023): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v9i1.392

Abstract

People with chronic kidney disease who underwent hemodialysis therapy programs are at great risk of experiencing cognitive impairment, as well as mental health disorders such as emotional disturbances, anxiety, and stress, so they need support from their families. Psychosocial problems are very prone to be experienced by people with chronic disease, especially the elderly, however, nurses tend to raise physical nursing problems, which makes psychosocial problems are still not sufficiently addressed as the implication. This study aims to determine the effect of family support on stress and anxiety levels in the elderly with chronic kidney disease undergoing hemodialysis therapy. Respondents in this study were elderly people with kidney disease who underwent hemodialysis therapy at Bhayangkara Hospital, Kediri City with certain criteria. The number of respondents who participated was obtained by accidental sampling technique. The data was obtained using a questionnaire for each variable and then it was tested using the Spearman correlation test. The results obtained show a significant value for both family support with stress levels and anxiety levels. This proves that family support has a good relationship with stress levels and anxiety levels.
Foot Exercise Therapy to Alleviate Peripheral Neuropathy Severity in Elderly Patients with Diabetes Mellitus Pratiwi, Wahyu Nur; Firmanda, Giovanni Iga; Sunarno, Rita Dewi; Gayatri, Paramita Ratna; Prodyanatasari, Arshy
Adi Husada Nursing Journal Vol 11 No 2 (2025): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v11i2.654

Abstract

Foot neuropathy is a common condition experienced by older adults with diabetes mellitus. This complication can be managed through physical activity, including foot exercises. This study aimed to evaluate the effect of foot exercises on the severity of foot neuropathy in older adults with diabetes mellitus at the Tarokan Community Health Center. This quasi-experimental study employed a non-equivalent control group design and involved 30 older adults with diabetes mellitus who exhibited neuropathic symptoms. Participants were divided into two groups: 15 individuals in the intervention group and 15 in the control group, selected through purposive sampling. The intervention group performed foot exercises three times per week for three weeks, with each session lasting 15–20 minutes. A 10 g monofilament and an observation sheet were used as instruments, and data were analyzed using the Wilcoxon and Mann–Whitney tests. The Wilcoxon test revealed a significant reduction in the degree of foot neuropathy in the intervention group (p = 0.001), whereas the control group showed no significant change (p = 0.527). The Mann–Whitney test indicated a significant difference between the two groups (p = 0.000). These findings demonstrate that foot exercises effectively reduce the severity of foot neuropathy in older adults with diabetes mellitus. Regular implementation of foot exercises is recommended as a non-pharmacological approach to decreasing the degree of foot neuropathy among older adults with diabetes mellitus.
Co-Authors Alfiadi, Khalid Anikasari, Erni Aries Wahyuningsih Arshy Prodyanatasari Ayyaroh, Faridlatul A. Christanti, Sherly Herdiana Giovanni Iga Firmanda Hardianti, Berliana Putri Hidayat, Muhammad Syam Isnaeni, Ely Jerhi Wahyu Fernanda, Jerhi Wahyu Laksono, Adi Lin, Chu-eh Ho Margaretta, Sheylla Septina Novitasari, Debby Paramita Ratna Gayatri Prasetyowati, Christina Dewi Pratama, Yuan G. Pratama, Yuan Guruh R. Gayatri, Paramita Rita Dewi Sunarno Santoso, Natasya Tian Harum Sri Wahyuni Wahyu Sri Astutik Werdiningsih, Wiwik