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Journal : Innovative: Journal Of Social Science Research

Family Instrumental Support and Dietary Compliance in Type II Diabetes Mellitus Patients: A Cross-Sectional Study Fauziansyah, Ahmad; Arifin, Mohammad Fahrul; Pitaloka, Dyah; Miyah, Warti Miftahul
Innovative: Journal Of Social Science Research Vol. 5 No. 3 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i3.19211

Abstract

Type II Diabetes Mellitus (T2DM) requires strict dietary management to maintain glycemic control. Family instrumental support plays a critical role in patients’ compliance with dietary recommendations, yet the relationship between the two remains underexplored in specific populations. This study investigates the association between family instrumental support and dietary compliance among patients with T2DM. This study employed a non-experimental, observational, analytic design. Sixty-six participants diagnosed with T2DM were recruited using a consecutive sampling technique. This study employed two main instruments: the Family Support Questionnaire and the Dietary Compliance Questionnaire for Type 2 Diabetes. Data were analyzed using Spearman's Rho test to evaluate the correlation between family instrumental support and dietary adherence. Ethical approval for this research was obtained from the Health Research Ethics Committee of the Nahdlatul Ulama Institute of Health Sciences, Tuban, under approval number 347/0084223523/LEPK.IIKNU/XII/2024. The findings indicated that most participants (80.3%) reported receiving strong instrumental support from their families, while 78.5% adhered to dietary recommendations for managing Type 2 Diabetes Mellitus. Among those who received high levels of support, 66.7% demonstrated dietary adherence. Statistical analysis revealed a significant positive correlation between family instrumental support and dietary compliance (p = 0.002; α < 0.05). Instrumental support from family members plays a crucial role in improving dietary adherence among individuals with T2DM. Engagement in routine tasks such as meal preparation and grocery procurement substantially facilitates compliance with medical nutrition therapy and contributes to optimal glycemic regulation.
Effectiveness of Progressive Muscle Relaxation Therapy on Blood Pressure in Elderly Hypertension Sufferers Arifin, Mohammad Fahrul; Fauziansyah, Ahmad; Nur Faizah, Hanim; Eliana, Dika Efa
Innovative: Journal Of Social Science Research Vol. 5 No. 3 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i3.19213

Abstract

Hypertension is a major global health concern linked to heart disease, stroke, and kidney failure, often worsened by inactivity, poor diet, and chronic stress. This study assessed changes in average blood pressure among elderly hypertensive patients before and after PMR therapy. This study applied a basic quantitative approach using a one-group pre-test and post-test design. Thirty elderly people with hypertension were chosen from the Elderly Social Services Home in Turusgede, Rembang, using purposive sampling. The intervention involved progressive muscle relaxation (PMR), which was done three times over one week, with each session lasting 10-15 minutes. Blood pressure was measured before and after the intervention using a sphygmomanometer. Data analysis was conducted using the Wilcoxon signed-rank test. The average age of participants was 66.30 ± 8.10 years, with a 95% confidence interval ranging from 63.27 to 69.33 years. Most of the participants were female, comprising 53.3% of the sample. Before the intervention, the average systolic blood pressure recorded was 143.33 mmHg, which decreased to a median value of 132.67 mmHg following the therapy. Statistical analysis confirmed a significant change between the pre- and post-intervention readings (p = 0.000; α < 0.05). PMR has been shown to effectively lower both systolic and diastolic blood pressure in older adults with hypertension. As a non-drug approach, it provides a straightforward, safe, and easily implementable technique that can be used regularly to aid in controlling blood pressure among the elderly.