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Journal : Journal Of Nursing Practice

Digital Based Education and Counseling on Self-Care Behaviors in Patients with Type 2 Diabetes Mellitus as a Prevention Strategy for Neuropathy Complications Asnuddin; Yenny Puspitasari; Prima Dewi Kusumawati; Yammar
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.701

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is the most common type of diabetes, accounting for approximately 90% of all diabetes cases. It is characterized by insulin resistance, where the body fails to adequately respond to insulin. Complications can include macrovascular and microvascular damage, as well as diabetic neuropathy, which can occur in both newly diagnosed and long-standing patients. Purpose: This study aims to explain the influence of digital-based education and counseling on self-care behaviors in patients with T2DM as a prevention strategy for neuropathy complications. Methods: This study used a quasi-experimental design with a two-group pretest posttest design, where the pretest was implemented before treatment digital education and counseling, the posttest was implemented after treatment digital education and counseling. the posttest was implemented after treatment digital education and counseling. This study was conducted with pretest observation before education on self-care for patients with T2DM was implemented. Results: The study population consisted of 194 patients with T2DM in the Lawawoi Community Health Center area, from which 32 respondents were selected via purposive sampling. Data were collected through questionnaires The Summary of Diabetes Self Care Activities (SDSCA) Reliabilitas: Cronbach’s alpha antara 0.62 – 0.91 Validated by experts with a score of CVI (Content Validity Index) > 0.80, Level of knowledge validated by experts, CVI > 0.80. Reliabilitas: Cronbach’s alpha berkisar antara 0.70 – 0.85, shows good internal consistency, and analyzed using paired t-tests and independent samples t-tests. Conclusion: The findings revealed that the digital education group’s knowledge obtained a sig. (2 tailed) value on the pretest and posttest of 0.000 <0.05, the digital education group’s skills obtained a sig. (2 tailed) value on the pretest and posttest of 0.000 <0.05, the counseling group’s knowledge obtained a sig. (2 tailed) value on the pretest and posttest of 0.000 <0.05, while the counseling group’s skills obtained a sig. (2 tailed) value on the pretest and posttest of 0.000 <0.05. There is a significant influence of digital-based education and counseling on the knowledge and skills of patients with T2DM.
Diabetic Foot Exercises as Physical Activity Therapy to Prevent Chronic Complications of Type II Diabetes Mellitus Barangkau; Yammar; Eka Hardianti Arafah; Ananda Putri Agustin; Eri Wardanengsih; Ruslang
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.669

Abstract

Background: Type 2 Diabetes Mellitus is still a global health problem. The incidence rate has statistically increased every year. The causes are excessive eating patterns and lack of physical activity, which cause blood glucose levels to be uncontrolled. Uncontrolled blood glucose levels, then chronic complications arise in patients with Type 2 DM, namely diabetic foot ulcers. Therefore, appropriate physical activity therapy is needed to prevent the early emergence of chronic complications of type 2 DM. The right therapy is diabetic foot exercise therapy. Purpose: This study aims to determine the effect of diabetic foot exercise on preventing chronic complications of type 2 DM. Methods: The research design employed is a rigorous pre-experimental design with a one-group pre-test and post-test design. The study population consisted of 20 type 2 diabetes mellitus patients registered at the Tempe Health Center, Wajo Regency. The study was meticulously conducted in the Tempe Health Center area, Wajo Regency, and data were analyzed using a paired sample t-test statistical test with a significant level (p-value <0.05). Results: Diabetic foot exercise therapy is significantly related to changes in ABI values, Diabetic Foot Pain Scale, and GDS in patients with type 2 Diabetes Mellitus before and after therapy. (p-value <0.05). Conclusion: From these findings, researchers concluded that regular diabetic foot exercise holds significant promise. It can effectively increase blood flow to the peripheral parts of the body, control blood glucose levels, and reduce foot pain. This underscores the potential of diabetic foot exercise as a proactive measure to prevent chronic complications of type 2 diabetes mellitus, instilling hope for improved patient outcomes.