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Journal : Sustainable Applied Modification Evidence Community

Health Education and Diabetes Wound Care for the Elderly in Padang Pasir Village Community Yannerith Chintya; M Ramadhani Firmansyah; Jenti Sitorus; Nonok Karlina; Nuraini
Sustainable Applied Modification Evidence Community (SAMEC) Vol 2 No 1 (2025): June, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/samec.v2i1.155

Abstract

Diabetes mellitus (DM) is a chronic disease that has increased significantly in the last two decades, especially in the elderly population. This study aims to design and implement a comprehensive health education and diabetic wound care program for the elderly in urban communities. Methods. This study involved 30 elderly people who suffer from type 2 diabetes mellitus and live in the Padang Pasir Village area. The research instruments consisted of a knowledge questionnaire on diabetic wound care and a foot care skills observation sheet, which had been tested for validity and reliability in a previous study. Data was collected through questionnaires that were completed before and after the intervention. Results. The average overall knowledge score increased from 57.9  10.5 at the pre-test to 82.6  8.4 at the post-test, with a difference of +24.7 points. The knowledge aspect of foot wound prevention showed the highest increase, from 58.0  9.8 to 85.5  7.5, which reflects that after education, the elderly are more aware of the importance of preventive measures such as the use of appropriate footwear and regular foot examinations. Statistical analysis using paired t-test showed that the increase in knowledge and skills of the elderly after education was significant (p = 0.000). Conclusion. The educational intervention designed in this study was statistically and clinically effective, and can be recommended for wider implementation as part of a strategy to improve the quality of life of elderly people with diabetes.
The Impact of Industrial Noise Exposure on Work Stress and Mental Health of Workers: A Study in the Manufacturing Industry M Ramadhani Firmansyah; Nina Irmayanti Harahap; Diana Chandra Dewi; Susanti Delina
Sustainable Applied Modification Evidence Community (SAMEC) Vol 2 No 2 (2025): December, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/samec.v2i2.284

Abstract

This study examined the relationship between industrial noise exposure, occupational stress, and mental health among manufacturing workers using a quantitative cross-sectional design. From a population of 450 workers, 212 respondents were selected through stratified random sampling. Noise exposure was assessed using a sound level meter with the time-weighted average (TWA) method, while occupational stress and mental health were measured using the Job Stress Scale (JSS) and the General Health Questionnaire (GHQ-12). Data were analyzed descriptively, bivariately with the Chi-Square test, and multivariately with logistic regression. Results showed that most workers were exposed to moderate noise levels (85–90 dB), with 29.2% experiencing high exposure (>90 dB). Moderate stress was reported by 44.3% of respondents, and 25.5% experienced high stress levels. Mental health assessment indicated that 51.9% of workers exhibited mild to moderate–severe psychological distress. Chi-Square analysis demonstrated significant associations between noise exposure and both occupational stress (p = 0.003) and mental health status (p = 0.021). Multivariate findings identified high noise exposure (>90 dB) and prolonged working hours (>8 hours/day) as dominant predictors of increased risk for occupational stress (OR = 2.85) and mental health disorders (OR = 2.34). These results highlight that industrial noise functions not only as an audiological hazard but also as a meaningful psychosocial stressor. The study emphasizes the necessity of integrating noise control strategies, regulation of working hours, and structured stress management interventions into Occupational Safety and Health (OSH) programs to reduce psychological burdens and enhance worker well-being in manufacturing environments.