The Effect of Ergonomic Gymnastics “Kandiha Weki” on Foot Sensivity And Sugar Levels in DM Patients In The Working Area of East Bolo Community Health Center

Nurwahidah; Syaiful; Imam Fadhlullah Pratama; Annisa Dwi Kemalahayati; M.Fahrurrahman; Sri Yuliana; Imam Fajlurrahman

Abstract

Diabetes mellitus is a hyperglycemic disease characterized by the absolute absence of insulin or a relative decrease in cell insensitivity to insulin. Type 2 DM constitutes 90% of all diabetes mellitus categories. Diabetes mellitus is a fairly high cause of death, due to complications that cause atherosclerosis, coronary heart disease and stroke. The research design was quasi-experimental, using a pre-test and post-test with control group design. Using Wilcoxon and Mann Whitney tests. The sampling technique was purposive sampling with a sample of 100 respondents. The results of data analysis using the Wilcoxone test in the treatment group showed a p-value of 0.000 (p<0.05) for the knowledge, attitude and behavior variables. In the control group, a p-value was obtained of 0.002 (p<0.05) in the knowledge variable, a p-value was obtained of 0.001 (p<0.05) in the attitude variable, a p-value was obtained of 0.001 (p<0.05) on behavioral variables. These results show that Ha is accepted and H0 is rejected, so it can be interpreted that there is an influence of providing video media and modules on increasing knowledge, attitudes and behavior in an effort to prevent complications. The results of the analysis in the intervention group and control group using the Mann Whitney Test, obtained ap value of 0.000 < 0.002, which indicates that the provision of video educational media in the intervention group was more significant in increasing knowledge. The results of statistical tests on attitudes in the intervention group and control group showed ap value of 0.000 < 0.001, which indicates that the provision of video educational media in the intervention group was more significant in improving respondents' attitudes. And the results of statistical behavioral tests in the intervention group and control group showed ap value of 0.000 < 0.001, which shows that the provision of video educational media in the intervention group was more significant in improving behavior. It can be concluded that video education media and modules have an influence in increasing knowledge, attitudes and behavior, but providing education using videos is more significant in increasing knowledge, attitudes and behavior in type 2 diabetes mellitus.

Keywords

Ergonomic gymnasticsfoot sensitivityblood sugar reduction

References

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[refR-1] Lestari Dt, Rahmasari Lf, Karyati S, Jauhar M. Frequency Of Walking Physical Exercise Reduces Blood Sugar Levels In Diabetic. South East Asia Nursing Research. 2024 Mar 12;6(1):32–8.Google Scholar ↗

[refR-2] Hasanuddin I, Mulyono S, Herlinah L. Efektifitas Olahraga Jalan Kaki Terhadap Kadar Gula Darah Pada Lansia Dengan Diabetes Mellitus Tipe Ii. Holistik Jurnal Kesehatan. 2020 Apr 22;14(1):38–45.Google Scholar ↗

[refR-3] Kumar R, Rehman S, Baloch Gm, Vankwani M, Somrongthong R, Pongpanich S. Effectiveness Of Health Education Intervention On Diabetes Mellitus Among The Teachers Working In Public Sector Schools Of Pakistan. Bmc Endocr Disord. 2022 Dec 30;22(1):194–201.Google Scholar ↗

[refR-4] Reininger Bm, Lee M, Hessabi M, Mitchell-Bennett La, Sifuentes Mr, Guerra Ja, Et Al. Improved Diabetes Control Among Low-Income Mexican Americans Through Community-Clinical Interventions: Results Of An Rct. Bmj Open Diabetes Res Care. 2020 May 31;8(1):1–12.Google Scholar ↗

[refR-5] Campbell Ja, Yan A, Egede Le. Community-Based Participatory Research Interventions To Improve Diabetes Outcomes: A Systematic Review. Diabetes Educ. 2020 Dec 14;46(6):527–39.Google Scholar ↗

[refR-6] Patel R, Kornas K, Gerstle D, Diemert Lm, Rosella Lc. Multilevel Diabetes Prevention Interventions To Address Population Inequities In Diabetes Risk: Scoping Review. Jmir Public Health Surveill. 2025 Aug 25;11(8):E70267–E70267.Google Scholar ↗

[refR-7] Young Hm, Miyamoto S, Dharmar M, Tang-Feldman Y. Nurse Coaching And Mobile Health Compared With Usual Care To Improve Diabetes Self-Efficacy For Persons With Type 2 Diabetes: Randomized Controlled Trial. Jmir Mhealth Uhealth. 2020 Mar 2;8(3):1–12.Google Scholar ↗

[refR-8] Vasan A, Morgan Jw, Mitra N, Xu C, Long Ja, Asch Da, Et Al. Effects Of A Standardized Community Health Worker Intervention On Hospitalization Among Disadvantaged Patients With Multiple Chronic Conditions: A Pooled Analysis Of Three Clinical Trials. Health Serv Res. 2020 Oct 8;55(S2):894–901.Google Scholar ↗

[refR-9] Riyambodo B. Hubungan Antara Tingkat Pengetahuan Dengan Tingkat Distres Pada Pasien Diabetes Melitus Di Rsud Dr. Moewardi Surakarta. Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surakarta. 2017;Google Scholar ↗

[refR-10] Fitriana, F. E., Purnamasari, V., & Kurniasih Y. Pengaruh Peer Teaching Terhadap Pengetahuan Diabetes Melitus Di Wilayah Kerja Puskesmas Dlingo Bantul Yogyakarta. 2019;Google Scholar ↗

[refR-11] Notoatmodjo S. Promosi Kesehatan Dan Ilmu Perilaku. Jakarta: Rineka Cipta; 2007.Google Scholar ↗

[refR-12] Khasanah, T. A., & Fitri Zf. Hubungan Pengetahuan Dan Kepatuhan Diet Dengan Kadar Gula Darah Pada Pasien Diabetes Melitus Di Poli Penyakit Dalam Rsud Idaman Banjarbaru Tahun 2018. Jurnal Kesehatan Indonesia. 2019;9(2):84.Google Scholar ↗

[refR-13] Rosyida, K. And Safitri N. Gambaran Neuropati Perifer Di Semarang. Jurnal Luka Indonesia. 2017;2(3):137–44.Google Scholar ↗

[refR-14] Suyono S. Buku Ajar Ilmu Penyakit Dalam, Jilid Iii Edisi Iv Diabetes Mellitus Di Indonesia; Sudoyo, Setiyohadi, Alwi I, Simadibrata, Setiati (Eds),. In Jakarta: Balai Penerbit Fakultas Kedokteran, Universitas Indonesia; 2007. P. 1852–6.Google Scholar ↗

[refR-15] Smeltzer Suzane C Bbrenda. Buku Ajar Keperawatan Medical Bedah. ,Volume 2, Edisi 8, Alih Bahasa Dr. Andri Hartono Et Al. Jakarta: Egc; 2002.Google Scholar ↗

[refR-16] Gustaviani R. Diagnosa Dan Klasifikasi Diabetes Melitus, Ilmu Penyakit Dalam, Fk Ui Edisi Iv. In Jakarta: Fk Ui; 2006. P. 1852–9.Google Scholar ↗

[refR-17] Damayanti S. Diabetes Melitus & Penatalaksanaan Keperawatan. Yogyakarta: Nuha Medika; 2015.Google Scholar ↗

[refR-18] Kunaryanti Andriyani, Annisa Wulandari, Riyani W. Hubungan Tingkat Pengetahuan Tentang Diabetes Mellitus Dengan Perilaku Mengontrol Gula Darah Pada Pasien Diabetes Mellitus Rawat Jalan Di Rsud Dr. Moewardi Surakarta. Jurnal Kesehatan. 2018;11(1):49–56.Google Scholar ↗

[refR-19] Musdalifah, & Setiyo Nugroho P. Hubungan Jenis Kelamin Dan Tingkat Ekonomi Dengan Kejadian Diabetes Melitus Di Wilayah Kerja Puskesmas Palaran Kota Samarinda Tahun 2019. Borneo Student Research (Bsr). 2020;1(2).Google Scholar ↗

[refR-20] Ukat, Z. M. Y., Yuliwar, R., & Dewi N. Hubungan Antara Tingkat Pengetahuan Dengan Gaya Hidup Pada Penderita Diabetes Mellitus Di Wilayah Kerja Puskesmas Kendalsari Kelurahan Tulusrejo Kecamatan Lowokwaru Malang. Nursinng News,. 2018;3(3):644–653.Google Scholar ↗

[refR-21] Trisnawati, S., Widarsa, T., Suastika K. Faktor Risiko Diabetes Melitus Tipe 2 Pasien Rawat Jalan Di Puskesmas Wilayah Kecamatan Denpasar Selatan. Public Health And Preventive Medicine Archive. 2013;1(1).Google Scholar ↗

[refR-22] Hunt, C.W., Wilder, B., Steele, M.M., Grant, J., Pryor, E., & Moneyham L. Relationships Among Self-Efficacy, Social Support, Social Problem Solving, And Self-Management In A Rural Sample Living With Type 2 Diabetes Mellitus. Res Theory Nurs Pract. 2012;26(2):126–41.Google Scholar ↗

[refR-23] Wilson. Manajemen Sumber Daya Manusia. Jakarta: Erlangga; 2012.Google Scholar ↗

[refR-24] Wattanakul B. Factors Influencing Diabetes Self-Management Behaviors Among Patients With T2dm In Rural Thailand. Order No 3550962, University Of Illinois At Chicago) Proquest Dissertations And Theses. 2012;154.Google Scholar ↗

[refR-25] Lukoschek, P., Fazzari, M., & Marantz P. Patient And Physician Factors Predict Patients’ A Comprehension Of Health Information. Patient Educ Couns. 2003;50(2):201–10.Google Scholar ↗

[refR-26] Lotfy, M., Adeghate, J., Kalasz, H., Singh, J., Dan Adeghate E. Chronic Complications Of Diabetes Mellitus: A Mini Review. Current Diabetes Review. 2017;13:3–10.Google Scholar ↗

[refR-27] Lotfy, M., Adeghate, J., Kalasz, H., Singh, J., Dan Adeghate E. Chronic Complications Of Diabetes Mellitus: A Mini Review. Current Diabetes Review. 2017;13:3–10.Google Scholar ↗

[refR-28] Suciana F, Arifianto D. Penatalaksanaan 5 Pilar Pengendalian Dm Terhadap Kualitas Hidup Pasien Dm Tipe 2 Kata Kunci : Kualitas Hidup , Diabetes Melitus Management 5 Pillar Dm Control Of Quality Of Life Of Dm Type 2 Patients Pendahuluan. 2019;9(4):311–8.Google Scholar ↗

[refR-29] Association Ad. Classification And Diagnosis Of Diabetes: Standards Of Medical Care In Diabetes. Association, American Diabetes. 2022;45(1):17–38.Google Scholar ↗

[refR-30] Kautzky, A -Willer, J H, G P. Sex And Gender Differences In Risk, Pathophysiology And Complications Of Type 2 Diabetes Mellitus. Endocr Rev. 2016;37(3):278–316.Google Scholar ↗

[refR-31] Stratton I, Adler A, Neil H, Matthews D, Manley S, Cull C. Association Of Glycaemia With Macrovascular And Microvascular Complications Of Type 2 Diabetes. Bmj Open. 2000;321(7258):401–12.Google Scholar ↗

[refR-32] Boulton A, Vinik A, Arezzo J, Bril V, El Feldman E, Freeman R. Diabetic Neuropathies: A Statement By The American Diabetes Association. Diabetes Care. 2019;28(4):956–62.Google Scholar ↗