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All Journal KESANS : International Journal of Health and Science
Maulida, Gina Rizkyani
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Chemistry Health Professions Medicine & Pharmacology Physics Public Health

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Analysis of the Effect of Exercise Therapy on Reducing Pain in Patients with Type 2 Diabetes Mellitus Who Have Diabetic Ulcers Handariati, Atik; Salihun, Saleha; Maulida, Gina Rizkyani; Putra Mardiansyah, Muhammad Faizal
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i3.517

Abstract

Introduction: Pain in patients with type 2 diabetes mellitus who develop diabetic foot ulcers substantially impairs mobility, wound management, and quality of life, and effective non-pharmacological strategies are urgently needed. Objective: This study aimed to analyze the effect of an exercise therapy program on pain reduction in patients with type 2 diabetes mellitus with diabetic foot ulcers. Method: A randomized controlled trial was conducted involving 60 patients selected by consecutive sampling and allocated to an exercise group (n = 30) or control group (n = 30). The exercise group received an eight-week structured foot and ankle exercise program three times per week in addition to standard care, while the control group received standard care only. Pain intensity was measured using a 0–10 cm visual analogue scale before and after the intervention. Result and Discussion: Baseline pain scores were comparable between groups (6.83 ± 1.21 versus 6.77 ± 1.18). Post-intervention, mean pain decreased to 3.41 ± 1.52 in the exercise group and 5.93 ± 1.44 in the control group. Mean change in pain was −3.42 ± 1.37 versus −0.84 ± 1.10, respectively (t = 7.97; p < 0.001; standardized effect size = 1.99), indicating a large and clinically meaningful effect. Conclusions: Structured exercise therapy significantly reduces pain in patients with type 2 diabetes mellitus with diabetic foot ulcers and should be considered as an adjunct to standard ulcer management.
Prevention of Diabetes Mellitus Through Physical Exercise in the Cihanjuang Village Community Handariati, Atik; Salihun, Saleha; Maulida, Gina Rizkyani; Putra Mardiansyah, Muhammad Faizal
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 3 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i3.518

Abstract

Introduction: Diabetes mellitus has become a growing public health concern in Indonesia, and rural communities are increasingly exposed to lifestyle-related risk factors while maintaining traditional work patterns. Objective: This study aimed to explore how community members in Desa Cihanjuang understand and practise physical activity as a strategy for preventing diabetes mellitus. Method: A qualitative descriptive design within an interpretivist–constructivist paradigm was employed. Twenty-two participants, including adult residents, community health cadres, health workers, and village leaders, were selected through purposive sampling. Data were generated through semi-structured interviews, focus group discussions, non-participant observation, and document review, and were analysed using reflexive thematic analysis. Result and Discussion: The analysis yielded four main themes: physical activity is largely perceived as ordinary work rather than intentional exercise; awareness of diabetes risk and the preventive role of physical activity is emerging but uneven; social, cultural, and environmental constraints limit engagement in structured exercise; and community-driven strategies, particularly group-based activities integrated into existing health programmes, represent promising entry points. Conclusions: Diabetes mellitus prevention in Desa Cihanjuang requires context-sensitive interventions that reframe physical activity, address everyday constraints, and strengthen community-led initiatives to support sustainable active living.
Co-Authors Handariati, Atik Putra Mardiansyah, Muhammad Faizal Salihun, Saleha