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Journal : Journal Of Bionursing

Combination Foot Care and Massage Reducing Peripheral Neuropathy Symptoms in Clients With Diabetes Mellitus Auliya, Arida; Hartinah, Dewi; Jauhar, Muhamad; Lasmini, Lasmini
Journal of Bionursing Vol 7 No 3 (2025): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2025.7.3.17375

Abstract

Diabetes Mellitus (DM) is the most challenging public health problem in the 21st century. This disease is classified as chronic, and its treatment is a challenge for the global health care system. The increasing prevalence of DM is a side effect of the transformation of life. The rise in DM complications has a serious impact on the quality of life of DM clients. Complications of this disease continue to worsen the client's condition if they do not receive appropriate intervention, leading to dysfunction in almost every organ of the body. DM complications account for the largest portion of the National Health Insurance (JKN) program's medical expenses. The aim of this study was to analyze the effect of a combination of foot care and massage on symptoms of peripheral neuropathy in DM clients. The research design used a quasi-experimental pre-posttest with a control group. The independent variable is a combination of foot care and massage, while the dependent variable is the symptoms of peripheral neuropathy. This study was conducted on diabetes mellitus in April 2025. The study sample consisted of 14 DM clients for each intervention and control group, using a purposive sampling technique based on inclusion and exclusion criteria. The research instrument used was 10 g monofilament. Combination therapy foot care and massage are given 3 times per week for 2 weeks, with a duration of 25-30 minutes per session. Data analysis used the Wilcoxon test and the Mann-Whitney test. The results of the study showed that there was a combined effect of foot care and massage on symptoms of peripheral neuropathy in DM clients with a p-value of 0.000 (p<0.05). Combination therapy/foot care and massage has a positive effect in reducing symptoms of peripheral neuropathy in DM clients. Follow-up is needed to integrate this combination therapy with community health activities, especially for DM clients.
Predictor Barriers to Self-Care Management in Diabetes Mellitus Clients in Kudus Regency Lasmini, Lasmini; Jauhar, Muhamad
Journal of Bionursing Vol 7 No 3 (2025): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2025.7.3.16934

Abstract

Diabetes Mellitus (DM) is a major health problem both globally and nationally. This is indicated by the increasing prevalence of DM every year. Problems that arise in DM clients include lack of self-management behavior caused by self-efficacy, health literacy, health beliefs and family support. If not handled properly, DM disease has an impact on other disease complications such as: heart, blood vessels, eyes, kidneys, and nerves. This ends in disability or death. This study aims to analyzepredictors of barriers to self-care management in diabetes mellitus clients. The research design uses descriptive correlation with a cross-sectional approach.The research was conducted at the Dawe Community Health Center, Kudus Regency in February 2025. The research sample was 106 respondents using purposive sampling technique.Inclusion criteria in this study were patients suffering from Type 2 DM, patients undergoing DM treatment, Age 18-60 years, able to read and write. While the exclusion criteria in this study were type 2 DM patients who had mental or physical limitations, had complications of diabetic ulcers, and retinopathy. The instrument used in this study was the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire,Diabetes Management Self-Efficacy Scale (DMSES),Health Belief Model Questionnaire(HBMQ), Health Literacy Questionnaire (HLQ). Data analysis using Chi Square test. Research Results Show that Self Efficacy, health beliefs, health literacy, and family support are significantly related to Self-Care Management in diabetes mellitus clients with p-valueof 0.000(p value < 0.05).Further research is expected to develop and provide interventions for inhibiting factors.self care managementin improving self-management skills in diabetes mellitus clients.