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Enhancing Foot Sensitivity in Diabetes Mellitus Patients: The Impact of Diabetic Foot Exercises Uba, Nuraini Achmad; Mubarrok, Alik Septian; Kurdi, Fahruddin
Jurnal Kegawatdaruratan Medis Indonesia Vol. 4 No. 1: February 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v4i1.239

Abstract

Physical activity is an essential way for people with Diabetes Mellitus, especially in dealing with increased sensitivity of the foot. Diabetic foot gymnastics is an exercise performed by DM patients to prevent injuries, help smooth blood circulation, and increase foot sensitivity. The study was designed as a one-group pre and post-test design. The study was conducted on 22-26 May 2018 at the Public Health Center of Peterongan. The sample consisted of 35 respondents using the Purposive Sampling technique. The Independent variable was Diabetic foot gymnastics; the dependent variable was foot sensitivity. The results of analysis used the Wilcoxon test at significance level α = 0.05 was found that ρ <α or 0,000 <0.05, which means that there was an influence of diabetic foot gymnastics with plastic ball to the level of foot sensitivity in DM patients, in which pre-test of half respondent (54.3%) sensitivity of the foot of the ring as many as 19 respondents, and after the post-test become higher as many as respondent (42.9%) had their sensitivity of the foot of the ring as many as 15 respondents. A sensory examination of the foot was required. Because of these results, the risk of complications in the foot could be prevented as early as possible. Normal foot sensation and abnormal foot sensation were sometimes not known by people with diabetes mellitus as one of the factors of diabetic foot gymnastics.
The Combination of Diabetic Foot Exercises and Warm Water Foot Soak for Unstable Blood Glucose Levels Nursing Problems in Elderly Agustina, Liana Putri; Kurdi, Fahruddin; Ardhani, Ni Ketut
Jurnal Kegawatdaruratan Medis Indonesia Vol. 4 No. 2: August 2025
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v4i2.340

Abstract

Diabetes mellitus is a vital health disease to pay attention to in the elderly population. When compared to individuals without diabetes, the older adult with DM loses muscle mass faster and has more comorbidities such as hypertension. Another common complication of diabetes is diabetic neuropathy, which causes tingling and numbness in the extremities. One method for managing diabetes is to combine diabetes foot exercises with a warm water foot soak. This study aimed to see how diabetic foot exercises and warm water foot soak affected blood glucose levels and foot sensitivity in the older adult with diabetes. This research was a case study, and the research subject was an older adult with diabetes mellitus. Random blood glucose levels and foot sensitivity were measured using a glucometer and monofilament test. Client’s average blood glucose levels decreased from 239.25 mg/dL to 235.75 mg/dL. Foot sensitivity points have increased from 8 points on the right foot and 7 points on the left foot to 9 points on the right foot and 8 points on the left foot. A combination of diabetic foot exercises and warm water foot soak can reduce blood glucose levels and increase the sensitivity of the feet of older adults with diabetes. The combination of these two therapies can be complementary to pharmacological therapy for older adults with diabetes.
The Effectiveness of Progressive Muscle Relaxation on Reducing Joint Pain in the Elderly at Jember Nursing Home : Efektivitas Relaksasi Otot Progresif Terhadap Penurunan Skala Nyeri Sendi pada Lansia di UPT PSTW Jember Rahayu, Sri Puji; Putri, Galuh Yulia Asmara; Ferdiana, Intan Nahdia; Syafriansyah, Fahmi Essa; Rohmah, Siti Nailatul; Susumaningrum, Latifa Aini; Kurdi, Fahruddin
Jurnal Kesehatan Komunitas Indonesia Vol 2 No 1: December 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.727 KB) | DOI: 10.58545/jkki.v2i1.1

Abstract

Increasing age and the aging process can cause various problems, especially physical dissatisfaction, which results in impaired musculoskeletal function, namely joint pain which makes the elderly experience problems in carrying out daily activities. Pain management with non-pharmacological nursing actions that can be used to relieve joint pain in the elderly, namely progressive muscle relaxation therapy (ROP). This study aims to determine the impact of progressive muscle relaxation (ROP) on joint pain in the elderly at Wisma Melati UPT PSTW Jember. This research was conducted quantitatively with the type of quasi-experimental research using a research design approach (one group pre-test and post-test design). Samples were taken by purposive sampling. The sample population used in this study was elderly at Wisma Melati UPT PSTW Jember, with nine elderly people selected. The results showed that the respondents who took part were on average 77.11 years old (SD=5.732), the youngest was 70 years old and the oldest was 90 years old. The average value of the pain scale before performing progressive muscle relaxation (ROP) is 3.44 with a minimum value of 2 and a maximum value of 5. The mean value of the pain scale after administration of progressive muscle relaxation (ROP) is 2.67 with a minimum value of 0 (no pain) and the maximum value is 5. Based on the results of the analysis test using the t-test paired sample test the results of the joint pain scale before and after progressive muscle relaxation (ROP) was carried out, namely 0.0023 (p <0.005). There was a change or difference in the decrease in pain scale before and after giving progressive muscle relaxation therapy (ROP) to the elderly.
CERDIK Behavior in Elderly with Hypertension During the COVID-19 Pandemic: Perilaku “CERDIK” Pada Lansia Dengan Hipertensi Selama Pandemi COVID-19 Kurdi, Fahruddin; Sunaryo, Muhammad Musyafa Fakhurohman; Romadhonia, Firda; Amini, Diah Ayuningrum; Ramadhan, Khoirul
Jurnal Kesehatan Komunitas Indonesia Vol 2 No 1: December 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (296.486 KB) | DOI: 10.58545/jkki.v2i1.2

Abstract

The increasing number of elderly people cannot be separated from health problems. The elderly will experience decreased bodily functions due to physical, psychosocial, cultural, and spiritual changes. Hypertension is a state of abnormally high blood pressure, namely systolic blood pressure above 140 mmHg and diastolic blood pressure above 90 mmHg which is measured at least on three different occasions. Hypertension is a chronic non-communicable disease (PTM) that can gradually reduce the patient's immune system and is very susceptible to infection, one of which is infection with the COVID-19 virus. Hypertension during the COVID-19 pandemic. This type of research is quantitative with a non-hypothetical survey descriptive research design. The population in this study was 20 people with hypertension who live in Sukamakmur Ajung Village, Jember City Regency, using an accidental sample technique. This research tool uses digital tension measurement and CERDIK behavior questions that have been tested for validity (0.635-0.784) and reliability (0.817). The results showed that most had an average age of 64 years, 16 respondents were female, eight did not finish elementary school, and ten respondents worked as laborers. Classification of hypertension stage 1 as many as eight respondents. CERDIK behavior includes: Routine health checks for the majority of 12 respondents, Eliminating cigarette smoke by 14 respondents, Good physical activity by 13 respondents, Good healthy eating patterns by 19 respondents, Good rest by 18 respondents, Good stress management as many as 13 respondents. There needs to be support and monitoring from health workers so that CERDIK behavior can become a culture in treating elderly hypertension.
Optimizing the Nutritional Status of Elementary School-Age Children Through Family Counseling About Children's Sleep Quality: a Literature Review: Optimalisasi Status Gizi Anak Usia Sekolah Dasar Melalui Konseling Keluarga Tentang Kualitas Tidur Anak: Literatur Review Putra, Andhika Satriya; Susanto, Tantut; Susumaningrum, Latifa Aini; Rasni, Hanny; Kurdi, Fahruddin
Jurnal Kesehatan Komunitas Indonesia Vol 2 No 1: December 2022
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (319.818 KB) | DOI: 10.58545/jkki.v2i1.20

Abstract

Sleep quality can be interpreted as a person's satisfaction in his sleep, good sleep quality can make the person feel fresh and fit when he wakes up. Sleep disorders in elementary school children aged 7-11 years in Indonesia as much as 65.3% in 2020. Long term, lack of sleep can cause obesity, depression, and fatigue. Imbalanced nutrition and poor sleep quality lead to inhibition of appetite regulation. Parents have an important role in setting a child's sleep schedule, behavior, and activities. The research design this study was a traditional literature review. The selection of articles in this study used PRISMA Flowchart. Articles searched using search engines (SpringerLink, ScienceDirect, Pubmed, and Google Scholar). Family counseling about the quality of children's sleep can affect the fulfillment of nutritional status. Children's nutritional status is influenced by several factors, such as children's sleep quality, children's physical activity, and children's eating patterns. These three elements must be met so that the nutritional status of children does not decrease and children become overweight or obese. Counseling that can be done is like a "healthy family routine" where it contains the child's sleep hours according to the child's age, the benefits of sleep for children, and parents recognize sleep problems in children, such as external factors (crowd, bed comfort, and noise pollution).
Grand Parent of Parenting Style and Incidence of Stunting Among Toddlers in Indonesia: A Literature Review Ramadhani, Ayu Parahita; Susanto, Tantut; Rasni, Hanny; Kurdi, Fahruddin
Jurnal Kesehatan Komunitas Indonesia Vol 3 No 1: April 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (395.959 KB) | DOI: 10.58545/jkki.v3i1.48

Abstract

Toddlers with stunting have similar parenting styles, especially parenting style of grandpa and/or grandma. Grand parents have roled for fulfilling toddler nutrition. Parenting style of grand parents is important to facilitate of nutrition among toddlers during their growth and development. The aimed of this study was to determine the parenting style of grandpa and/or grandma and incidence of stunting among toddlers in Indonesia. The research method was used a literature review study. Article search was carried out by searching the database through Google Scholar, PubMed, and Sinta using predetermined keyword combinations, which were then analyzed using a four-stage prism flowchart to obtain 12 articles for review. The results of a review of 12 articles found that authoritative parenting, authoritarian parenting, and permissive parenting are parenting styles adopted by grandparents that can influence the incidence of toddler stunting in Indonesia. Parenting styles of grandparents with authoritative parenting can affect optimal nutritional status and the risk of stunting with toddlers is very low, while parenting styles of grandparents with authoritarian and permissive parenting can affect poor nutritional status and have a high risk of stunting with toddlers. The conclusion from this study is that the parenting style of grandpa and/or grandma influences the incidence of stunting in toddlers.
Slow Stroke Back Massage Therapy to Reduce Acute Pain in Elderly with Hypertension: A Case Study Safitri, Yessi Eka; Susumaningrum, Latifa Aini; Kurdi, Fahruddin; Basri, Achmad Ali
Jurnal Kesehatan Komunitas Indonesia Vol 3 No 2: August 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v3i2.54

Abstract

Background: Hypertension causes increased vascularization of blood vessels to the brain. This condition will affect the pressure on the nerve fibers in the neck muscles, so that the patient will feel discomfort in the head and nape. The incidence of acute pain in hypertensive patients at the Babelan I Health Center in 2022, namely patients with hypertension who experience moderate acute pain (scale 4-6 NRS) is as many as 16 people (64%). Purpose: Knowing the application of SSBM therapy to reducing acute pain in the elderly with hypertension at Melati room in UPT PSTW (nursing home) Jember. Method: This final scientific work uses the case report method which describes the case of Mrs. J with acute pain nursing problems. Nursing care was provided comprehensively for 6 sessions with 10 minutes for each meeting from 29 September to 05 October 2022. Results: After being given nursing care with SSBM intervention, it was found that there was a decrease in the client's pain level in terms of decreased pain complaints, the average pain scale was from 4.7 NRS to 3.8 NRS, the average systolic blood pressure was 151.7 mmHg to 141 .7 mm Hg, and the average blood pressure was 96.7 mm Hg to 87.5 mm Hg. Conclusion: 6 sessions of SSBM therapy with a duration of 10 minutes can have a positive effect on acute pain problems. Health workers are expected to use SSBM therapy in combination with other non-pharmacological therapies to reduce scale pain.
Application of Relaxation Therapy on Chronic Pain in the Elderly with Hypertension at UPT PSTW Jember: A Case Study Andrena, Daniela; Kurdi, Fahruddin
Jurnal Kesehatan Komunitas Indonesia Vol 3 No 1: April 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.903 KB) | DOI: 10.58545/jkki.v3i1.58

Abstract

The elderly are over 60 and experience physical, mental, and social changes. A decrease in physical strength, endurance, and appearance indicates physical changes in the elderly. The elderly are at risk of experiencing hypertension due to several factors, decreased elasticity and accumulation of collagen in the aortic wall, neurotransmitter imbalance due to depression, and an unhealthy lifestyle during youth. This study aims to determine the impact of applying relaxation therapy to chronic pain problems in the elderly. The design of this case study is descriptive qualitative with a nursing care process approach. This study took a sample of Mr. M, who has chronic pain problems with hypertension at UPT PSTW Jember. This research was carried out for seven days with the application of therapy for six days on December 4-10 2022. Data collection was carried out using interviews and observation. The evaluation of this intervention therapy action uses the NRS pain scale, blood pressure measurement, and pulse count. Relaxation therapy using the spiritual-emotional freedom technique (SEFT) has made a difference in chronic pain problems in the elderly with hypertension. This is evidenced by decreased pain scale and blood pressure after therapy.
Ineffective Health Management for Family Hypertension Care in Sumberjambe Community Health Center Ramadhani, Nurhafidin; Kurdi, Fahruddin
Jurnal Kesehatan Komunitas Indonesia Vol 4 No 1: April 2024
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v4i1.66

Abstract

Background: The family is the smallest social unit in society that plays a role in reducing the risk of disease and increasing health status. Ineffective family health management occurs when the pattern of handling problems is not satisfactory enough to restore the health condition of family members. Purpose: This scientific work aims to identify healthcare problems with hypertensive families and provide interventions for families. Methods: This study used a case study method that described the health management of three families with hypertension in the Sumberjamber-Jember Health Center work area, then interventions were given in the form of health education, anti-hypertension exercises, and herbal cucumber juice therapy for three consecutive days. Results: After nursing care, it was obtained that there was an increase in knowledge related to hypertension seen from the pre-post test value, there was a change in blood pressure at 10 minutes before and after the anti-hypertension exercise, and no decrease in blood pressure was found after giving cucumber extract herbal therapy. Conclusion: Nurses can implement health education interventions, physical activity, and additional therapy in solving ineffective family health management problems.
Progressive Muscle Relaxation Therapy in Hypertensive Elderly with Acute Pain Permatasari, Resi; Susumaningrum, Latifa Aini; Kurdi, Fahruddin; Basri, Achmad Ali
Jurnal Kesehatan Komunitas Indonesia Vol 3 No 3: December 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v3i3.79

Abstract

Hypertension is a major health problem that occurs in the elderly. The prevalence of hypertension increases with ageing. Pain is a problem that can be caused by several conditions, such as hypertension. Progressive muscle relaxation therapy can be used to lower blood pressure. This research aims to determine the application of progressive muscle relaxation therapy in the elderly who experience hypertension with acute pain nursing problems. This research uses a case report method that describes the case of Mrs A, who has acute pain nursing problems at Dahlia room, UPT PSTW Jember. Nursing care is provided comprehensively for three days with a duration of 15 minutes for each meeting. The results were obtained after being given nursing care with progressive muscle relaxation therapy interventions. Namely, there was a decrease in pain levels and complaints of pain with results on the first day pre-intervention blood pressure 150/100 mmHg post-intervention 140/90 mmHg, and pre-intervention pain complaints scale 5 NRS post-intervention 5 NRS. On the fifth day, the results of pre-intervention blood pressure were 140/90 mmHg, post-intervention 130/90 mmHg, and pre-intervention pain complaints 3 NRS, post-intervention 3 NRS. The average blood pressure for five days was pre-intervention 144/98 mmHg, post-intervention 134/90 mmHg, and pre-intervention pain complaints 4.2 NRS post-intervention 3.8 NRS. Progressive muscle relaxation therapy, which is carried out three times with a duration of 15 minutes, can have an effect on reducing blood pressure and reducing acute pain problems.
Co-Authors Achmad Ali Basri Achmad Kusyairi Afkarina, Dina Agus Subianto Agustina, Dina Nurul Agustina, Liana Putri Algiyansyah, Rhohis Amalda, Adela Hery Prasilia Amalia, Syifa Amini, Diah Ayuningrum Andiana Andiana Andrena, Daniela Anggun Prasetiya Annisa, Fara Fida Aprilia, Niken Ardhani, Ni Ketut Arif, Muhammad Irfan Arifillah, Isholil Khairi Arizana, Windhy Dwi Surya Arofah, Aziziyah Annur Asaluna, Magnis Asma Yudhi Efendi Ayu Putriyas Ningsih Azin Linggar Ayu Pramela Azizah, Millatul Bachtiar, Bafidz Arifahmi Bahtiar, Syahroni Balqis, Ummi Malikal Bela Aprilia Nuraini Bunga, Adelia Damayanti, Trisya Aulia Daniel Happy Putra Dimas Anggi Septiyansah Diwali Sukma Alyani Dwi Ayu Sari Dwi Cahyono, Bagus Echi Agnes Claudia Efadatus Zakiyah Efendi, Melani Adelia Eka Afdi Septiyono Eka Purwantiningsih Eka Verawati, Eka Eka Windra Dewi Elina, Agusta Dian Ersanti, Septin Wahyu Evy Aristawati Faiq Rojannah Faizatul Ulya Fauziah, Wahyuni Febynadia, Shavira Ferdiana, Intan Nahdia Ferdianti, Nuraini Melika Firmansyah, Achmad Dedi Fitriani, Neneng Kurnia Fitrio Deviantony Frandita Eldiansyah Freanti, Putri Galih Satya Pamukti Gevin Yensya Grysha Viofananda Agung Kharisma Ade Hafan Sutawardana, Jon Hana, Gabriella Handayani, Wiwin Handika, Erdin Handika Sumarya Hanny Rasni Hardianto, Widodo Hardika, Beva Pramasty Hasan, Hafifah Heryanti, Wiwik Dwi Hidayat, Ahmad Taufiq Hikmah, Siti Dewi Iis Safira Ariviana Imaniar Rosyida Indah Ratnawati Indriana Noor Istiqomah Iswahyuni, Deni Ema Khoiri, Ahmad Nur Khoirotinnisa, Syalaisha Khoirun Nasikhin Kholis, Anja Hesnia Komariah, Kholifatul Kristanti, Kezia Ria Kusumadani, Fahra Lailatul Qodriyah, Lailatul Laraswati Ayuning Luky Latifa Aini Latifa Aini S Latifa Aini Susumaningrum Latifa Aini Susumaningrum Latifa Aini Susumaningrum Latifa Aini Susumaningrum Lestari, Purwita Levi Nadya Nur Imamah Lutfian Lutfian Maghfiroh, Devi Naudiyah Maharani, Feno Aureola Maharani, Nindy Dwi Mahbub, Ali Rido MARIA BINTANG Mashuda, Hagum Maulana, Muhammad Alfin Maya Fitriasari Ma’fuah, Siti Ma’fuah, Sofiatul Meilynda Ekanovvareta Miftahurroziqin, Moch Azzam Miftahurroziqin, Moch. Azzam Mitasari Mohammad Arif Kurniawan Mufarrokha, Umairotul Muhammad Alfin Maulana Mukaromah, Afifatul Mukarromah, Siti Murdiyati Murtaqib Murtaqib Mutia Nur Maulida Sandy Nabila Cindy Anggraeni Nadya Rahmania Naristiti Nahariani, Pepin Nahariani, Pepin Nanda Leoni Agustin Naretta Khoirunisak Nasikhin, Khoirun Naufal, Qinthar Alif Negara, Fahmi Aminullah Buana Niken Asih Laras Ati Ningrum, Nenchy Yetika Setya Nisa, Miratun Nistiandani, Ana Nuning Dwi Merina NUR ARIFAH Nur Hasanatil Fauziah Nursyafitri, Evi NURUL HIDAYAH Nurul Huda Obay, Aprilia Lisa Oktasari, Kingkin Nindi Oktaviana, Essa Rani Pangestu, Adinda Widia Pawiono Permatasari, Anisa Permatasari, Resi Pradana, Faisal Ghozi Dika Prasasti Puspita Avcafebriliani Prasetyo, Ananto Adi Prastica, Vinanda Maria Priyanti, Ratna Puji Puspitasari, Febiola Putra, Andhika Satriya Putra, Ary Januar Pranata Putri, Armelia Libriantari Putri, Galuh Yulia Asmara Putri, Melsanda Holipin Putu Annesia Warsito Qadriyah, Elok Lailatul Qudsyiyah, Roro Dewi Rahayu, Novi Putri Rahayu, Sri Puji Rama Aji, Rizki Ramadhan, Khoirul Ramadhani, Adinda Nasywa Ramadhani, Ayu Parahita Ramadhani, Fariza Barika Ramadhani, Nurhafidin Ratna Puji P Ratna Puji Priyanti Ratna Puji Priyanti Ratna Puji Priyanti Reza Maulita, Firsilia Rhosani, Nur Oktavia Rifa'i Rifa'i Rifa'i Risha Putri Mahardika Riski Hidayaturrohkim Riza Aminiyah Rizqi, Ramadhawanti Novatasyahnar Rochman, Mohamad Isfanur Rohmah, Sisilia Inayatul Rohmah, Siti Nailatul Rohmani, Shavira Romadhonia, Firda Roro Dewi Qudsyiyah Rosyadi, Wildan Maulana Safitri, Yessi Eka Salsabila, Kirana Putri Salsabila, Nadia Putri Saputra, Jonathan Bimby Aji Saputra, Rizky Lukman Sari, Annisa Tribekti Cantika Sari, Karinda Evita Septantia, Lintang Dariz Septilia, Rima Melati Septin Wahyu Ersanti Septin Wahyu Ersanti Sestu R D Andayani Sholeh, Mochammad Fikris Sholikhah, Rahma Mar'atus Siswoyo Siswoyo SITI KHOLIFAH Siti Nur Wahidah Subianto, Agus Sunaryo, Muhammad Musyafa Fakhurohman Syafriansyah, Fahmi Essa Syahroni Bahtiar Tantut Susanto Tantut Susanto Tantut Susanto Uba, Nuraini Achmad Ubaidillah Ubaidillah Utsman Utari, Mia Puji Vespan Candra Surya Villyana Riskiyanti Wantiyah Wantiyah Wempy Ribut Pratondo Wiananda, Elsa Wizztyo Putri Winarti, Linda Yahtarita ulfia Adisiwi Yanuari, Karina Paramita Yeni Fitria Yunnita, Sisma Yessi Yuzqi Rizqullah Zainal Abidin Zaki, Nissa Luthfiana Zakiyah, Efadatus