Background - The most common complication in patients with type 2 diabetes is peripheral neuropathy. Physical exercise is one of the effective Prevention and treatment strategies of peripheral neuropathy in type 2 diabetes. Aims and objectives - The aim of this review articles is to describe the effectiveness of physical exercise on peripheral neuropathy sensation in patients with type 2 diabetes. Methods - A number of databases such as Science Direct, Springer Link, ProQuest, EBSCOhost, and Google Scholar were searched for relevant articles using keywords such as “type 2 diabetes”, AND “peripheral neuropathy sensation” OR “diabetes peripheral neuropathy" AND “physical exercises” OR “aerobic exercises” OR “resistance exercise”. All types of articles were included for the study, such as systematic reviews, randomized controlled trial, quasi-experiment, literature review, and pilot study with the range 2015-2020. Only articles in English are included in this review. Results - Of the 11 articles found, 9 articles showed that physical exercise had a direct effect on improving foot sensation in diabetic peripheral neuropathy patients, while the other 2 articles had an indirect effect on improving symptoms of peripheral neuropathy. Four types of physical exercise that are practiced in interventions are: aerobic exercise, resistance exercise, balance and flexibility exercise and a combination of two or more types of exercise. Physical exercise from low to moderate intensity has a positive effect on increasing foot sensation in patients with type 2 diabetes peripheral neuropathy. Conclusions – This review emphasizes the effect of physical exercise on peripheral neuropathic sensation in type 2 DM patients and strengthens the evidence that low and moderate-intensity exercise are beneficial to reduce peripheral neuropathy symptoms. Further research on the effectiveness of home and community-based physical exercise to reduce symptoms of peripheral neuropathy is necessary.
Purpose: This study aims to explore the experiences and perceptions of type 2 diabetes patients with symptoms of Diabetic Peripheral Neuropathy (DPN) in managing their self-care behavior during the COVID-19 pandemic. Methods: Qualitative research with a descriptive phenomenological approach reveals diabetes self-care behavior during the COVID-19 pandemic. Individual interviews were conducted at the participants’ homes with a semi-structured interview guide on twelve type 2 diabetes patients. All interviews were transcribed verbatim and analyzed using thematic content analysis. Results: A total of five themes were identified from the interview analysis, namely: 1) Perception of diabetes self-management; 2) Efforts to control blood sugar; 3) Barriers to blood sugar control; 4) Perceived disturbance; 5) Social support. Since its emergence, the Covid-19 pandemic has become a new obstacle in controlling blood glucose in diabetic patients. In addition to the covid-19 pandemic, negative spiritual coping, low self-motivation, and perceived physical effects are inhibiting factors for blood glucose control in type 2 diabetes patients with symptoms of DPN. Conclusions: Obstacles in efforts to control blood glucose in type 2 diabetes patients with symptoms of DPN include physical, psychological, social, and spiritual aspects. The suggestion in this study is that during the COVID-19 pandemic, it is necessary to adjust and modify diabetes self-management for patients with DPN symptoms. The interventions provided should not only focus on the physical aspect but also need holistic attention to the psychosocial and spiritual aspects simultaneously by involving family participation in the management of the patient’s diabetes.
Penyalahgunaan NAPZA di Indonesia meningkat secara cepat. Meskipun berbagai upaya telah dilakukan untukmencegah penyalahgunaan NAPZA baik oleh pemerintah maupun masyarakat, namun angka penyalahgunaanNAPZA terus meningkat tajam. Jumlah pengguna NAPZA di Kota Kendari dari Januari sampai November tahun2016 sebanyak 138 orang, dan dari angka tersebut, 107 orang adalah kalangan pelajar atau anak sekolah.Penelitian bertujuan untuk mengetahui upaya pencegahan penyalahgunaan Napza melalui peningkatan kontrolsosial masyarakat di Kelurahan Kampung Salo Kota Kendari. Penelitian studi kasus digunakan untuk mengkajipermasalahan dengan pendekatan kualitatif, melalui Diskusi Kelompok Terarah (focus group discussion/FGD).FGD dilakukan di salah satu rumah warga dengan jumlah peserta sebanyak 12 orang, yaitu: lurah, ketua RW,ketua-ketua RT, tokoh-tokoh masyarakat dan perwakilan warga setempat, serta menggunakan menggunakaninteractive model of analysis untuk analisis data. Hasil penelitian diperoleh empat tema yaitu pertama;penyuluhan kesehatan mencakup sasaran dan tempat penyuluhan, kedua; dukungan sosial yang mencakuppenyediaan pelatihan keterampilan dan kegiatan positif seperti olah raga, ketiga; perhatian orang tua yangmencakup pengawasan orang tua dan keterbukaan orang tua, keempat; pengawasan masyarakat yangmencakup peran tokoh masyarakat dan peran masyarakat. Saran-saran penelitian adalah pendidikan kesehatansebaiknya diberikan secara berkesinambungan kepada individu, keluarga dan kelompok serta perlunyadukungan sosial melalui kegiatan positif untuk mencegah penyalahgunaan Napza. Masyarakat perlu membuatsystem pengawasan pencegahan dan penyalahgunaan Napza yang melibatkan pemerintah setempat, aparatkeamanan, pihak sekolah, tokoh masyarakat, keluarga serta kelompok masyarakat.Kata kunci: kontrol sosial, penyalahgunaan napza, upaya pencegahan
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