I Wayan Sukawana
Nursing Department, Ministry of Health Polytechnic, Denpasar, Indonesia

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Leg exercises with a serrated rubber ball and virgin coconut oil can increase the skin moisture of the feet of Diabetes Mellitus patients I Wayan Sukawana; Ni Made Wedri; Ni Komang Ayu Indriyani; I Made Sukarja
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 2 (2025): June 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i2.458

Abstract

Chronic hyperglycemia in patients with Diabetes Mellitus can cause autonomic neuropathy, resulting in decreased skin moisture in the feet. This study aims to test the impact of foot exercises with a serrated rubber ball and Virgin Coconut Oil (VCO) on skin moisture in patients with Diabetes Mellitus. This study was a pre-experimental design with a sample of 19 respondents of type 2 Diabetes Mellitus patients, who were taken randomly. Skin moisture data for the feet were measured using a digital skin tester one day before and after treatment. Foot exercises with a serrated rubber ball and VCO were carried out every two days for 30 minutes within 3 weeks. The average skin moisture of the feet before treatment was 17.80% ± 3.62%, and after treatment, 26.46 ± 6.34%%. The results of the Paired Sample T-Test showed a significant effect of the combination of foot exercises with a serrated rubber ball and VCO on increasing the skin moisture of the feet of patients with Diabetes Mellitus (p-value = 0.00). Thus, applying foot exercises with a serrated rubber ball and VCO effectively increases the skin moisture of the feet of patients with Diabetes Mellitus.
Analysis of Factors Associated with Blood Pressure in Patients with Uncontrolled Hypertension at Health Center I West Denpasar I Gusti Ayu Ari Rasdini; I Dewa Putu Gede Putra Yasa; Ni Made Wedri; I Wayan Sukawana; Lina Adhiutami
Nursing and Health Sciences Journal (NHSJ) Vol. 3 No. 3 (2023): September 2023
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v3i3.279

Abstract

Hypertension is a non-communicable disease which is currently a major challenge for global and national community healing, and is one of the most common causes of death in the world. According to the NHANES, blood pressure that is not normalized is defined as systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg, where the patient is unconscious, conscious but not treated or treated with antihypertensive drugs. Factors that can cause uncontrolled blood pressure are uncontrollable and controllable factors, namely salt consumption, coffee consumption, and obesity. Analyzing the factors associated with blood pressure in patients with uncontrolled hypertension at Health Center I West Denpasar. This study used a cross-sectional analytic survey approach, involving 57 people using the accidental sampling method. Statistical analysis using Chi-square. The results of the chi square analysis showed that the salt consumption factor was p=0.000, the coffee consumption factor was p=0.041, and the obesity factor was p=0.022. The factor that is most closely related to the increase in blood pressure is coffee consumption with an OR value of 0.224 times. Health workers need to provide information about DASH (Dietary Approaches To Stop Hypertension) in hypertensive patients to help reduce increased blood pressure in addition to taking antihypertensive drugs regularly.
The Nursing Problem for Physical Mobility Impairments in Tibia Fracture Patients Post ORIF Operation with Rom Free Active Exercise (FAE) I Gusti Ayu Ari Rasdini; I Made Mertha; Ni Made Wedri; I Wayan Sukawana; Lina Adhiutami
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 3 (2024): September 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i3.381

Abstract

Open fracture of the tibia is a complex injury with multifactorial outcomes and variable prognosis. This final scientific work by nurses aims to determine nursing care for physical mobility disorders with range of motion free active exercise in post-ORIF surgery tibia fracture patients. This scientific work uses a descriptive method with a case study approach which was carried out on 30 October – 02 November 2023. The results of the study showed data that the patient said he had pain in his left leg, did not dare to move his left leg, the back of his left leg was swollen. The nursing diagnosis of impaired physical mobility is related to pain. Nursing interventions are ambulation support, mobilization support and pain management with the criteria of increasing physical mobility. Innovation intervention range of motion free active exercise with 2 times the frequency of 2x8 steps. The nursing evaluation showed that physical mobility problems had decreased. Conclusion: range of motion free active exercise can increase range of motion, increase muscle strength, reduce complaints of pain, reduce anxiety when moving, and reduce edema. Suggestions for health workers can apply the results of non-pharmacological therapy research, especially range of motion free active exercise, to treat post-operative patients with complaints of physical mobility problems.