CASE STUDY: COMPARISON OF HYPERTENSION GYMNASTICS, ISOMETRIC HANDGRIP EXERCISE, AND PROGRESSIVE MUSCLE EXERCISE IN CHANGES ON BLOOD PRESSURE IN THE NURSING CARE OF MR. A'S FAMILY WITH HYPERTENSION

Abstract

Introduction: Diabetes Mellitus is an epidemic disease that affects about 8.3 in adults, which is estimated at 382 million people from the total population, and 46% of cases. (Uzoagu. A, 2017). Mentoring for nurses in carrying out early detection of diabetic neuropathy and its prevention in DM patients, can improve the quality of nurse services at the Public Health Centre in providing care patients particularly in detecting early onset of chronic complications of DM especially diabetic neuropathy.

Methods: This community service activities is involving nurses working at Public Health Centre in Magelang City, Indonesia. Education and training on early detection of diabetic neuropathy and electric massage procedures in the prevention of diabetic neuropathy was used to improve the knowledge of the nurses. The activity started by giving pre-test, education about diabetic neuropathy and its prevention, demonstration of early detection of diabetic neuropathy. Each nurse was given mentoring the practice of early detection of neuropathy for 1 month at the North, South, Jurang-ombo, Magelang Tengah Health Centers, then followed by an evaluation in the form of a post-test.

Results: The accompaniment of nurses in early detection showed an increase in knowledge from the less and moderate categories before being given treatment to medium and good categories. There were 12 (70.5%) level of knowledge with moderate criteria, and the level of knowledge in the good category was 5 (29.5%).

Simulating the practice of early detection of diabetic neuropathy, direct assistance on how to detect it to patients, and the practice of electric massage therapy were also performed.

Conclusions: There were benefits for nurses as health workers in charge of the prolanis program to follow training on early detection of neuropathy in order to improve their knowledge and ability to provide services to diabetic neuropathy.

Keyword :

Early detection of  Neuropaty  Diabetic,  Mentoring, Nurses.