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Introduction: Foot care behavior is an important component in the prevention of diabetic feet, but most DM sufferees ignore this. Factors that influence the foot care behavior in people with diabetes mellitus, namely age, sex, education, knowledge, income and duration of diabetes. The purpose of this research was to determine the description of foot care behavior and the factors that influence foot care at Bayongbong Health Center. Method: This Research conducted using quantitative approach. The population in this research amounted to 35 respondents using total sampling technique. The instrument used was questionnaire which included: demographic data, health characteristics, knowledge and foot care behavior using the Nothingham Assessment of Functional Foot care (NAFF) questionnaire. Result: The result showed that most of the respondents had poor foot care behavior and almost half were in the vulnerable pre-elderly age 45-59 years with the sex of mostly women with an education level almost half elementary school, most of the income of respondents was > 1.8 M with the duration of suffering DM was mostly ≥ 3 years old and most respondents had good knowledge. Conclusion: From the result of the research, there needs to be education related to foot care that is more specific and more emphasized about the importance of good behavior in foot care, while the behaviors that need to be improved are foot hygiene, foot examination, footwear selection, prevention and management of injuries.

Type 2 Diabetes Mellitus (DM) is one of chronic diseases resulting from decreased insulin production and is characterized by an increase in glucose in the blood. Dietary adherence is one of the effective managements that can control blood sugar levels. This management requires supporting factors and one of them is motivation. This research aimed to describe the motivation and dietary compliance of patients with type 2 DM at the working area of Puskesmas Padalarang. This quantitative descriptive research used a cross-sectional approach. The samples were selected using proportional random sampling techniques. This study used the Treatment Self-Regulation Questionnaire (TSRQ) with the validity score 0.4821 and a diet adherence questionnaire with the validity score 0.4732. The results showed that the internal motivation of respondents was a good internal motivation with 33.3% and 66.7% had low motivation. Only 2.2% had good external motivation and almost all respondents had a low external motivation with 97.8%. Meanwhile, there were only 3.3% with a good level of adherence, 94.4% with a sufficient level of adherence and 2.2% had a poor level of diet adherence. Therefore, it is expected for Puskesmas to implement more motivational interviewing therapy to increase motivation and diet adherence in type 2 DM patients.

Background. This study aims to analyze the effect of exercise and learning therapy on the cognitive functions and daily physical activities of older people with dementia in Indonesia. Methods. This was an experimental study with a pretest-posttest design and a control group. Samples were selected using nonrandom sampling methods and were then randomly assigned to intervention and control groups. The study population was older people with mild-to-moderate dementia, and the sample number was 90 people. The intervention group received an Indonesian physical exercise program for older people and reading therapy through 12 sessions over four weeks. The intervention was led by a community health volunteer who has been trained and certified. Results. The mean score for cognitive function in the intervention group showed significant increase between pre- and postintervention, with p value < 0. 001 , and there was no significant difference in the control group before and after intervention, with a p value of 0. 198 . Further, the Mann–Whitney test showed that there were significant differences in the mean scores for cognitive function between the intervention and control groups with p value < 0. 001 and a 95% confidence level. Conclusion. Based on the results, the Indonesian older people exercise program and reading aloud activity had a positive effect on the cognitive function of older people with dementia.

Introduction. Type 2 Diabetes Mellitus was a chronic disease have complicated. Amount of patient Type 2 Diabetes Mellitus (DM) was increased. Knowledge and self-efficacy is mainly important for self-care behavior. The purpose of this study was aimed to examine knowledge, and self-efficacy among patients with Type 2 DM in Bandung, Indonesia. Methods. The research was a quasi-experimental with pre and posttest control group. Sixty two type 2 DM were recruited from 8 working area Primary Health Centers in Bandung who have diagnosed DM, using purposive sampling technique. Knowledge questionnaire from Michigan Diabetes Research and Training Center’s Brief Diabetes Knowledge Test, Self-efficacy were measured by the developed Stanford Patients Education Research Center. Both of questionnaires comprised five dimensions: nutrition, sport and activity, drugs and glucose monitoring. Patients of in intervention group received 2 weeks Diabetes Mellitus education program be given healthcare workers. Techniques used in this program consisted of community-based education, goal setting, follow-up and face-to-face interview. Data were analyzed by independent t-test. Results. There are significantly different of knowledge and self-efficacy after community-based education program in intervention (M = 9.26, SD = 2.8 ; M = 53.26, SD = 10.50) and control group (M = 7.39, SD = 2.4; M = 36.74, SD = 4.49). This study revealed that community-based education program significantly improved self-efficacy (p=0.000) but not improved for knowledge (p=0.180). Conclusion. These findings indicated that Knowledge and Self-efficacy of type 2 Diabetes Mellitus patients in Bandung required improvement. Therefore, further study regarding the effective in improving knowledge and self-efficacy type 2 Diabetes Mellitus is extremely needed.

Hypertension will often occur in the elderly due to physiological decline and stress will trigger an increase in blood pressure if it lasts a long time it will cause persistent high blood pressure This research aims to know the correlation between stress and blood pressure in elderly with hypertension at the working area of Community Health Center of Kadungora, Garut Regency This was a correlational descriptive research which used cross sectional approach and total sampling technique with 116 elderlies who suffer from hypertension. The instrument of the research was DASS (Depression, Anxiety, and Stress Scale) which consisted of 14 questions and used digital sphygmomanometer to measure the blood pressure. The results of this study were obtained the normal category stress 32 respondens (27,6%), mild stress 45 respondents (38.8%), moderate stress 29 respondents (25.0%) and severe stress 10 respondents (8.6 %). The results of blood pressure 130-139 mmHg / 80-89 mmHg were 30 respondents (25.9%), ≥140 mmHg / ≥90 mmHgs 79 respondents (68.1%) and ≥ 180 mmHg / ≥120 mmHg as many as 7 respondents ( 6.0%) . From the analysis result, the significant value of p=0,024 which means that it significant effect and thus the H 1 can be accepted that there is a significant correlation between stress and blood pressure on hypertension elderly in the working area of Community Health Center of Kadungora, Garut Regency. Medical staffs are expected to use this research as the basic in developing health care activities for elderlies such as Integrated Development Post (posbindu) by providing socialization about information and education related with stress and blood pressure.

Background:Maintaining genital hygiene is important for females to maintain their reproductive health. Hormonal changes during puberty, vaginal moisture, anatomical location of the vagina and poor genital hygiene can increase the risk of reproductive tract infection, abnormal vaginal discharge, etc. Knowledge, infection, attitude and practice affect genital hygiene behavior amongst adolescents. Objective:This study aimed to identify elementary school students knowledge, attitude and practice towards genital hygiene at administrative area of Jatinangor health center. Method:This study used descriptive quantitative method with a population of elementary school students entering early adolescence (n=721). Samples were recruited using accidental sampling technique consisting grade VI students (n=104). Data were collected using questinnaires which had been tested. Data were analyzed using descriptive analysis. Result:Result showed that 79 respondents (76,0%) had fair knowledge, 56 respondents (53,9%) had a favorable attitude and 55 respondents (52,9%) had a poor practice. Conclusions and Suggestions: the majority of students demostrated poor behavior toward genital hygiene. Sugest for health care staff can increase the awareness of youth by providing reproductive health related information to protect and to maintain reproductive as early is possible.

Stroke is a serious problem faced almost all over the world. The incidence of stroke varies between countries and places. Stroke ranks third largest in developed countries and is the third leading cause of death after heart disease and cancer. The disability due to stroke is generally higher than the mortality rate, globally 15 million people have a stroke each year, one third die and the rest experience permanent disability. Restoration of motor functions as a supporter of body movements in post-stroke clients is very important. This is because more than 85% of clients who suffer stroke have upper limb dysfunction. This Literature Study aims to analyze the effectiveness of Range of Motion (ROM) exercises on improving the ability of motion or independence of Activity Daily Living (ADL) in post-stroke clients. This study uses the literature review method by analyzing the results of previous studies. Search for articles was conducted on August 19 to August 31, 2019 through Pro-quest, Pubmed and Science Direct databases using the keywords Activity Daily Living AND Range of Motion AND Post Stroke, then article selection based on criterion of inclusion was carried out critical appraisal so that the relevant articles amounted 14 articles. From a number of studies conducted by previous researchers, it was found that there was a significant effect of Range of Motion training on increasing the ability of the stroke client's range of motion. The Range of Motion training program is effective in increasing the ability of the client's range of motion after a stroke so that it will have an impact on increasing the ability of clients to do daily living activities.

Prolanis is a program that the purpose is to handle health problems in Indonesia. However, the participation of prolanis participants in the activities and the presents itself are still low in every month. The purpose of this study was to identify the participants about project activities in UPT Layanan Kesehatan Unpad encompasses perception, seriousness, benefits, obstacles to action and confidence. This quantitative descriptive study was conducted on 81 respondents by means of total sampling. The research data was taken using questionnaire which consisted of 46 statements developed from literature related to prolanis and previously had tested the validity with value range 0,453-0,760 and reliability with result 0,729, then data analyzed descriptively. The results showed that most prolanis participants (54.3%) had good activities with pro-public activities. In addition, there were mostly participants and no response to the disease if there were no prolanis program (50.6%), impact of prolanis (54.3%), current sensitivity of prolanis (53.1%) and belief to follow prolanis (54.3%). While almost all participants (81.5%) had information and instructions to follow prolanis. This action demonstrates good activities but there are still significant obstacles in the framework of existing projects to support existing services for UPT Layanan Kesehatan Unpad with roles to increase participation of prolanis participants.

Hypertension is a disease due to lifestyle. Sports and physical activity is one of the things that can affect hypertension. The aim of the study was to identify the relationship between exercise and physical activity against blood pressure in hypertensive patients in the Muara Sanding Village of Garut. This type of research is descriptive correlative with a population of all hypertension patients who active in Prolanis activities that held once a week in the Muara Sanding village, Garut. The sampling technique is total hypertension patients as much 51 respondent. The instrument used is a questionnaire about exercise and physical activity and assessment of blood pressure. The analysis used bivariate. Most respondents did moderate activities (67%), and a small number did less exercise (37%). There is a significant relationship between blood pressure and exercise (p-value = 0.02), but there is no significant relationship between blood pressure and physical activity (p-value = 0, 38). Suggestions from this study are nurses providing health education about the importance of exercise and improving exercise habits in hypertension patients.

Dementia is a symptom caused by memory diseases, cognitive and behavioral disorders.Various quantitative studies about the dementia interventions have been reported. However, most of the studies used single intervention which did not give a comprehensive approach for the client. The purpose of the article was to determine types of interventions that are effective to overcome dementia problems among elderly people. This review used a scoping review method. Electronic literature searching was conducted using databases: Google Scholar, Proquest, EBSCOhost, PubMed, Scopus and DOAJ, using keywords Dementia, Elderly, and Intervention. The inclusion criteria were:peer-reviewed articles, published between2007-2017, research design included quasi-experimental, experimental and Randomised Controlled Trial. Exclusion criteria were non-English papers and the sample size was fewer than 30 participants. Scoping review method were used. Results: A total of 38,100 papers were retrieved: however, 79 enter into the inclusion criteria, and further 60 papers were excluded. Thus, only 19 articles were included in the analysis. Five out of 19 articles used multi-interventions. The types of interventions were occupational therapy, physical activity, reminiscence program, diet, and cognitive therapy. Multi-intervention approach has shown more positive results compared to single intervention.However,most studies did not involve family or caregiver in the interventions. Multi-intervention studies have more potential to produce effective outcomes for treating or preventing dementia and improve quality of life than those with one intervention.Further research is requested to examine the effect of multi-intervention combined with family involvement to prevent or treat dementia among elderly in the community.