Background Diabetes mellitus is a chronic metabolic disease that requires long-term management, particularly adherence to dietary recommendations, to achieve optimal glycemic control and prevent complications. According to the latest World Health Organization (WHO) report in 2023, the global number of people living with diabetes mellitus continues to increase and is estimated to reach approximately 422 million. Dietary adherence plays a crucial role in improving quality of life and reducing the risk of both acute and chronic complications. However, many patients still experience difficulties in consistently following dietary recommendations. Objective: This study aimed to determine the factors associated with dietary adherence among patients with diabetes mellitus, with particular emphasis on family support, knowledge, and attitudes. Methods: This study employed a quantitative cross-sectional design. A total of 99 patients with diabetes mellitus were recruited using purposive sampling based on predetermined inclusion criteria. Data were collected using a structured questionnaire that had been tested for validity and reliability. Data analysis included univariate analysis to describe respondents' characteristics and bivariate analysis using the Chi-square test to examine the associations between variables. Results: The results demonstrated statistically significant associations between family support and dietary adherence (p < 0.05), knowledge and dietary adherence (p < 0.05), and attitudes and dietary adherence (p < 0.05). Patients who received good family support, possessed adequate knowledge, and had positive attitudes were more likely to adhere to dietary recommendations. Conclusion: Family support, knowledge, and attitudes were significantly associated with dietary adherence among patients with diabetes mellitus.
Background: Low Birth Weight (LBW) babies have a high risk of experiencing difficulties in maintaining body temperature and weight. Kangaroo Care Method (KMC) is an effective intervention to improve the health and growth of LBW babies through direct skin contact with the mother. However, its implementation requires good family support and access to correct information sources. Objective: The purpose of this study was to analyze the relationship between family support and information sources on the implementation of kangaroo care method for LBW babies at Kuprik Community Health Center. Method: This research method is quantitative research with an analytical survey approach. The sampling technique was purposive sampling with a sample of 30 respondents at Kuprik Community Health Center. Data were collected through questionnaires and analyzed using the Chi Square statistical test. Results: The results showed that 16 respondents (53.3%) received good family support, 18 respondents (60%) obtained information sources from health workers, and 15 respondents (50%) carried out kangaroo care method routinely. Data analysis obtained p = 0.003 (<0.05) so there is a significant relationship between family support and the implementation of kangaroo care method. and p = 0.012 (<0.05) indicates a significant relationship between information sources and the implementation of kangaroo care. Conclusion: Family support and good information sources play an important role in the successful implementation of kangaroo care. It is hoped that the Community Health Center can develop educational strategies and family empowerment to improve the implementation of kangaroo care for LBW infants.
Background: Appropriate breastfeeding and complementary feeding practices are essential to prevent stunting, as inadequate nutritional intake increases the risk of growth impairment. Therefore, nutrition education needs to be strengthened to enable mothers to meet their children’s nutritional needs optimally, using easily accessible digital media such as flipbooks. Objective: To analyze the effectiveness of digital flipbook–based nutrition education on mothers’ perceptions of stunting prevention for children aged 0–60 months. Methods: A quantitative study with a pretest–posttest control group design. The sample consisted of 110 respondents selected through simple random sampling and divided into intervention and control groups. The study was conducted in the working area of Sukarahayu Primary Health Center, Subang. Results: There was a significant improvement in the intervention group after receiving the digital flipbook education (p = 0.0001), whereas the control group showed minimal changes (p = 0.012). Additionally, an Independent t-test showed a significant difference between the two groups in stunting prevention perception (t = 6.986; p = 0.000). Conclusion: The findings indicate that digital flipbook–based education positively influences mothers’ knowledge and perception regarding stunting prevention. Correlation analysis revealed that maternal age, education, income, and internet access were associated with improved perception of stunting prevention, while child’s sex, child’s age, mother’s occupation, and number of children were not associated. Thus, digital flipbooks can serve as a more effective educational alternative compared to traditional lecture methods in stunting prevention efforts.
Background: Acute Coronary Syndrome (ACS) remains a major cause of morbidity and mortality worldwide. Inflammatory responses involving leukocytes play an important role in plaque instability and myocardial injury. Objectives: This study aimed to analyze the correlation between leukocyte differential count and creatine kinase myocardial band (CK-MB) levels in patients with ACS. Methods: This study used a retrospective cross-sectional design based on secondary data from the medical records of 126 ACS patients admitted to RSUD Ulin Banjarmasin in 2017. Total leukocyte count, neutrophil count, lymphocyte count, and CK-MB levels were collected and analyzed using linear regression analysis. Results: The analysis showed a significant positive correlation between total leukocyte count and CK-MB levels (p = 0.001), indicating that higher leukocyte counts were associated with greater myocardial injury. In contrast, lymphocyte count demonstrated a significant positive correlation with CK-MB levels (p = 0.003). However, neutrophil count showed no significant correlation with CK-MB levels. Conclusions: Leukocyte and lymphocyte counts were significantly associated with CK-MB levels in ACS patients, suggesting their potential role as simple inflammatory markers related to myocardial injury.
Background: The increasingly complex zoonotic threats and global health dynamics necessitate a comprehensive One Health approach to enhance community resilience. Despite acknowledging this framework’s relevance, previous research reveals fragmented findings and insufficient integration of crucial socio-economic dimensions in pandemic response. This systematic review aims to synthesize knowledge, identify trends, gaps, and scientific contributions surrounding the interaction between One Health and zoonosis. Objective: The main objective is to comprehensively identify trends, gaps, and contributions within the academic discourse of One Health, zoonosis, and community resilience. Methodology: Following PRISMA guidelines, a rigorous Systematic Literature Review (SLR) was conducted using the Scopus database. We included 65 relevant articles published from 2019 to 2024, focusing on One Health-zoonosis intersections and community-level interventions. Qualitative thematic synthesis was employed to integrate diverse findings and identify core patterns. Results: Findings show the scientific narrative has shifted to integrate Community Resilience as a vital component alongside One Health and Zoonosis pillars. Analysis revealed geographical polarization: developing countries focus on strengthening local capacity, while developed nations emphasize advanced technology. Highly cited literature tends toward quantitative and mixed methods approaches for greater evidence. Conclusion: This study contributes by synthesizing fragmented knowledge and integrating elements such as local knowledge, digital technology, and gender dynamics into a holistic One Health framework. The key implication is a research paradigm shift towards integrated methodologies to yield robust and actionable evidence. Policy Implication national health strategies must shift from top-down interventions to incorporating local indigenous knowledge and digital surveillance tools to ensure equitable resilience.
Background: Excessive doomscrolling may adversely affect children's sleep quality. Furthermore, its affect negative cognitive, emotional, and behavioral consequences include reduced attention, poor academic performance, increased daytime sleepiness, and a higher risk of mood and anxiety disorders. Objective: This study seeks to ascertain the correlation between the duration of doomscrolling and the quality of sleep in school-aged children. Methods: This research employed a quantitative approach with a cross-sectional design. A sample of 87 students was obtained by a simple random sampling method at SDIT Permata Malang, located in the Lowokwaru District of Malang City. The tools employed were the doomscrolling scale questionnaire and the Pittsburgh Sleep Quality Index (PSQI). The analysis employed the Spearman's rho test. Results: The findings indicated an association between doomscrolling and sleep quality in school-age children (p-value = 0.028 (<0.05)) with a correlation coefficient (r) of 0.236. A majority of sixth-grade students at SDIT Insan Permata Malang exhibited low doomscrolling length (52.9%) and good sleep quality (64.4%). Conclusions: Longer doomscrolling behaviour tends to be associated with poorer sleep quality. Subsequent research may evaluate doomscrolling behavior, sleep efficiency, and parental monitoring, utilizing longitudinal and experimental studies.
Background: According to Riskesdas, the rate of anemia in pregnancy in Indonesia has increased by 11% from 2013, around 37.1% to 48.9% in 2018, but decreased by 21.2% in 2023. The increase in anemia also occurred in Southeast Sulawesi province with anemia rates in pregnancy by 2.1% from 2021 to 2022. One of the actions to prevent anemia can be done by providing health education related to anemia, so that innovation is needed in health promotion efforts to increase knowledge and compliance with taking Fe tablet in pregnant women. Objectives: Therefore, this study was conducted to determine changes in knowledge and compliance with taking FE tablets with the use of booklets in pregnant women. Methods: A quasi-experimental with a pre-post test control group design was conducted to see these changes by involving 110 pregnant women who live in the Lawa Health Center Working Area, West Muna Regency. Sample calculation obtained 39 respondents who were taken by proportional stratified random sampling. Instruments using questionnaires and analyzed descriptively and inferentially using the Independent Sample T Test. Results: The study's findings that there were changes in knowledge and compliance with taking Fe tablet with health education through anemia booklets in both the intervention and control groups, with more significant changes in the intervention group compared to the control group. Conclusions: The booklet can be used as an alternative in health promotion efforts so that it is expected to increase knowledge and compliance with Fe tablet consumption in pregnant women.
Background: Non-specific neck pain is non-specific neck pain spreads to the upper limbs, is influenced by sleep quality. The use of pillows is very important for comfort and promotes good sleep quality. Sleeping position also plays an important role in the incidence of non-specific neck pain apart from pillow design that is not ideal. Objectives: To determine the effect of pillow design (type, size, height) and sleeping position on the intensity of non-specific neck pain in students. Methods: This research was a cross-sectional study conducted in August 2023. The population of this study were students from the Faculty of Medicine, Universitas Islam Indonesia. The total sample that met the criteria were 229 respondents. All samples were analyzed univariately and bivariately using the Chi-Square test. Results: This study found that the variables of pillow height and pillow size significantly affected the incidence of neck pain, with p-values of 0.037 and 0.010, respectively. Additionally, the type of pillow and size of the pillow significantly affected the intensity of neck pain, with p-values of 0.011 and 0.000, respectively. Conclusions: Variables that influence the incidence of neck pain are pillow height and pillow size. Further research is recommended to use a uniform pillow design for all participants.
Background: Dengue Hemorrhagic Fever (DHF) remains a major public health problem in Indonesia and is closely associated with community preventive behavior and the role of health cadres in vector control. Objective: This study aimed to analyze the relationship between community behavior and the role of health cadres with the incidence of Dengue Hemorrhagic Fever in the working area of Jalan Emas Public Health Center, Tangerang Regency. Methods: This study employed an analytical observational design with a cross-sectional approach. The population consisted of households in the working area of Jalan Emas Public Health Center. A total of 81 respondents were selected using simple random sampling. Data were collected using structured questionnaires and analyzed using Fisher’s Exact Test. Results: The results showed that most respondents had moderate dengue prevention behavior (63.0%), and more than half perceived the role of health cadres as good (58.0%). Statistical analysis revealed a significant relationship between community preventive behavior and dengue incidence (p < 0.05). A significant relationship was also found between the role of health cadres and dengue incidence (p < 0.05). Respondents with good preventive behavior and positive perceptions of cadre roles were less likely to experience dengue infection. Conclusion: Community preventive behavior and the role of health cadres are significantly associated with the incidence of Dengue Hemorrhagic Fever.
Background: Children with intellectual disabilities often experience difficulty managing their emotions due to intellectual limitations, which can impact their mental health. SEFT (Spiritual Emotional Freedom Technique) therapy, which combines tapping techniques on the body's energy points with a spiritual approach, can improve emotional regulation. Objective: This study aims to analyze the effect of SEFT therapy on emotional regulation in children with intellectual disabilities. Methods: The study design used a quasi-experimental pre-test and post-test with a control group. The study was conducted in two special needs schools (SLB) in Kudus Regency in February 2025, with a sample of 38 students using a purposive sampling technique. Inclusion criteria were students with mild to moderate intellectual disabilities aged 7–15 years. Exclusion criteria included severe behavioral disorders, inhibiting conditions, and failure to complete the intervention. SEFT therapy was conducted in four sessions over two weeks, each lasting 15–20 minutes. The research instrument used the Emotion Regulation Checklist, and data analysis used paired t-tests and independent t-tests. Results: SEFT therapy significantly improved emotional regulation in children with intellectual disabilities (p=0.001). Conclusion: SEFT therapy effectively improves emotional regulation and is recommended for use in special education settings.
Background: Tuberculosis is a global health problem that remains unresolved, including in Indonesia. The high incidence of TB indicates the need for attention in TB control, which is carried out with the Directly Observed Treatment Short Course (DOTS) strategy by supporting patients to take Anti-Tuberculosis Drugs (OAT). TB treatment takes a relatively long time so it is feared that it can cause hepatotoxicity which is diagnosed through albumin and bilirubin levels. Objective: the purpose of this study was to determine the description of albumin and bilirubin levels in patients with pulmonary tuberculosis using OAT in Ambon City. Methods: this study was a descriptive observational study with a prospective cohort approach using purposive sampling technique. The research was conducted in 4 locations, namely at Al-Fatah General Hospital, Tk.II Prof. dr. J. A. Latumeten Hospital, Maluku Province Community Lung Health Center, and Maluku Province Health Laboratory Center. The number of subjects with TB was 21 subjects who met the inclusion criteria, namely patients with pulmonary TB who will undergo first-line OAT treatment. Results: results of this study showed that patients with pulmonary TB were mostly 15-24 years old (33.3%) , male (66.7%), BMI before treatment <18.5 kg/m2 (52.3%), BMI at the end of treatment 18.5-22.9 kg/m2 (57.1%), new cases (90.4%), bacteriologically diagnosed (66.7%), taking Category 1 KDT OAT (100%), and without a history of comorbid diseases (57.2%). Conclusion: During the treatment process, the average albumin level increased within normal limits, while bilirubin levels fluctuated but remained within the normal range.
Background: Infant malnutrition remains a global public health problem, with 12.3% of infants worldwide affected according to the 2024 Joint Malnutrition Estimates. Birth weight is an important determinant of infant nutritional status and growth, therefore, this study examines the relationship between birth weight and the nutritional status of infants aged 1-6 months based on the BW/A index at TPMB Evi Fitrianti in 2025. Methods: This quantitative cross-sectional observational analytic study involved 32 infants aged 1-6 months selected by total sampling, with data collected from questionnaries, infant weight measurements, and KIA books or medical records, and analyzed using univariate analysis and Fisher’s Exact Test. Results: The majority of 3-month-old respondents (25.0%) were female (68.8%), and were breastfed (78.1%). Most infants (90.6%) were born with normal birth weight (BW), while 9.4% were classified as low birth weight (LW). The nutritional status of infants was generally good (93.8%), although 6.3% were classified as malnourished. Fisher's exact test showed a significant relationship (p = 0.006 < 0.05) between BW and nutritional status. Low birth weight infants are at higher risk of malnutrition due to immature energy reserves and immune systems. Conclusion: There is a significant relationship between BW and nutritional status of infants aged 1-6 months, based on the BW/A index. Low birth weight infants are at higher risk of malnutrition. Early monitoring and intervention are needed to improve nutritional status, especially in low birth weight infants.
Background: Menstruation is a sign of a woman experiencing growth and puberty. Adolescents who experience menstruation need to maintain personal hygiene and the health of female organs including skin hygiene, mouth, teeth, hair, ears, feet, nails and genitalia. The impact that will occur if not doing menstrual hygiene properly can cause health problems in the reproductive organs, almost 14% of adolescent girls experience vaginal infections and 60% experience vaginal discharge. According to Indonesian data in 2017 from 69.4 million adolescent girls there were 63 million (90.9%) adolescent girls had very poor menstrual hygiene, one of which was poor knowledge of personal hygiene which was one of the factors causing not to perform personal hygiene behavior during menstruation properly. Objectives: This article will explore the factors associated with personal hygiene during menstruation. Methods: The method used in this article is Literature Review. Researchers searched several international and national literatures using Google Scholar, GARUDA and Pubmed databases with the keywords personal hygiene, hygiene, adolescents, menstruation, personal hygiene during menstruation. Results: The results of the review showed that the factors associated with personal hygiene during menstruation are knowledge, the role of parents, belief in myths, sources of information, infrastructure, peers, place of residence and religion. Conclusions: There is a relationship between knowledge, the role of parents, belief in myths, sources of information, infrastructure, peers, place of residence and religion with personal hygiene during menstruation in adolescent girls.
Background: Hypertension is a common non-communicable disease in the elderly and can lead to serious complications such as stroke, heart failure, and kidney disorders. The prevalence of hypertension in Indonesia continues to increase, including in the Special Region of Yogyakarta Province, which ranks fourth highest. According to a clinic in Yogyakarta, Anugrah Clinic, many elderly people diagnosed with hypertension rarely engage in physical activity, which can lead to high blood pressure. Regular physical activity can effectively lower blood pressure. Objective: To determine the correlation between physical activity and blood pressure variability in the elderly at the Anugrah Clinic in Kenteng Nogotirto subdistrict of Gamping, Sleman Regency D.I. Yogyakarta Province. Method: Quantitative correlational research with a cross-sectional approach. Sampling used a non-probability sampling technique, with a total sampling of 57 respondents. Global Physical Activity Questionnaire (GPAQ) questionnaire instrument, respondent characteristics questionnaire, sphygmomanometer. Statistical tests used Spearman rank. Results: There was a significant correlation between physical activity and blood pressure variability in the elderly. The statistical test results are p value 0.014 and r value 0.323. Conclusion: There was a significant relationship between physical activity and blood pressure variability among older adults at Anugrah Clinic, Kenteng, Nogotirto, Gamping, Sleman, Special Region of Yogyakarta, with a weak correlation strength. Healthcare professionals are encouraged to promote regular physical activity among older adults with hypertension as part of blood pressure management. These findings may serve as a basis for nurses to develop educational programs and interventions to increase physical activity among older adults.
Background: Typhoid fever is a systemic infectious disease caused by Salmonella typhi and remains a public health problem due to its high incidence rate and the increasing antibiotic resistance. Objectives: This study aimed to determine the antibacterial activity of endophytic fungi isolated from turmeric (Curcuma longa Linn.) against Salmonella typhi. Methods: This study employed a descriptive exploratory research design, involving the isolation of endophytic fungi from the leaves, stems, and rhizomes of turmeric plants using Potato Dextrose Agar (PDA) supplemented with chloramphenicol, followed by the identification of the isolates based on their macroscopic and microscopic characteristics. Furthermore, antibacterial activity was evaluated using the diffusion method on Mueller Hinton Agar (MHA). Results: Four endophytic fungal isolates were obtained, consisting of three isolates from the stem (B1, B2, and B3) and one isolate from the rhizome (R). Isolates B1 and B2 were identified as Acremonium sp., B3 as Mucor sp., and R as Aspergillus sp. Antibacterial activity testing against Salmonella typhi showed that all isolates exhibited very strong activity. The mean inhibition zone diameters were 29 mm for isolates B1 and B2, 27 mm for isolate B3, and 22 mm for isolate R. Meanwhile, the positive control using chloramphenicol discs showed an inhibition zone diameter of 30.5 mm. Conclusions: This study provides data on the diversity of endophytic fungi successfully cultured from various parts of the turmeric plant and demonstrates strong antibacterial activity against Salmonella typhi, thereby contributing to the enrichment of scientific knowledge regarding the potential of endophytic fungi as alternative sources of antimicrobial agents.
Background: Hemodialysis therapy is one of the management strategies for people with chronic kidney failure. Hemodialysis therapy can affect physical, psychological, social, and economic functions, as well as aspects of the environment that affect daily life, such as fatigue. Objectives: This study aimed to determine the factors associated with the incidence of fatigue in chronic kidney disease patients who routinely undergo hemodialysis therapy. Methods: The study used quantitative analytics with a cross-sectional approach. The sampling technique used was non-probability sampling, namely purposive sampling with a sample size of 50 patients who routinely undergo hemodialysis at UMM General Hospital. Results: result of measuring the level of fatigue in patients undergoing hemodialysis with mild fatigue 17 people (34%) and severe fatigue 33% (66%), male gender 32 people (62%) more than women 18 people (36%), age ≤45 years 15 people (30%) and age >45 years 35 people (70%), as many as 40 people (80%) have comorbidities, length of hemodialysis ≤5 months 19 people (38%) less than >5 months as many as 31 people (62%). The statistical test results of the chi-square test showed that there was no correlation between gender and the incidence of fatigue (p-value=0.700), there was a correlation between age (p-value=0.021), comorbidities (p-value=0.021), duration of hemodialysis (p-value=0.015) with the incidence of fatigue. Some factors that cause fatigue in patients with hemodialysis therapy include age over 45 years, comorbidities, and length of hemodialysis.
Introduction: Pneumonia remains a leading cause of mortality in children under five in Indonesia, with significant geographical disparities. Objective: This study addresses the urgent need to understand the complex spatial distribution of pediatric pneumonia and its relationship with local socio-environmental factors in West Java, Indonesia’s most populous province. Methods: This study uses an ecological study design, utilizing aggregated district/city level data from 2019 to 2023, and employs a quantitative spatial analysis approach. As the analysis is at an aggregated level, the findings reflect area-level associations, and conclusions cannot be inferred regarding individual-level risk, thus avoiding potential ecological fallacy. Result: The study reveals that while the overall distribution of pneumonia was not globally clustered, significant local patterns exist. Geographically Weighted Regression (GWR) analysis demonstrated superior performance over traditional Ordinary Least Squares (OLS) models, with an R² value reaching 0.800 in 2019, indicating that relationships between pneumonia and its determinants are highly variable across space. Getis-Ord Gi* analysis identified persistent coldspots (low-incidence clusters) in the southeastern region and dynamic hotspots (high-incidence clusters) along the northern coast. Furthermore, Bivariate LISA analysis confirmed that population density and poverty are significant clustered determinants spatially correlated with pneumonia incidence. Conclusion: These findings provide critical evidence for developing targeted, location-specific public health interventions to effectively reduce the burden of childhood pneumonia.
Background: Dysmenorrhea disrupts the social, academic, and physical and psychological activities of adolescent girls. Globally, more than 50% of women experience dysmenorrhea, with a prevalence of 72% in Sweden and nearly 90% in the United States. In Indonesia, the prevalence of dysmenorrhea reaches 64.25%, with 54.89% of them experiencing primary dysmenorrhea, especially among adolescent girls aged 14-19 years. In West Java, 54.9% of women experience dysmenorrhea. Yoga is believed to reduce the severity of dysmenorrhea, as it helps reduce menstrual pain and fluid buildup in the lower back. Objective: This study aims to determine the effect of yoga exercises on primary dysmenorrhea in adolescent girls. Methods: This study used a quasi-experimental method with a one-group pretest-posttest design. The study was conducted from April to May 2024. The sample consisted of 30 respondents from SMPN 15 Kota Bandung. The Suryanamaskar yoga exercise series was performed four times over two weeks. Pain scale measurements were taken using the WalIDD score instrument, which was designed to integrate dysmenorrhea in relation to school activities or daily activities. Results: This study showed that the average pain scale before the intervention was 6.69 and the average after the intervention was 2.86. The Wilcoxon test results showed a P value of 0.00 < 0.005. These results indicate that yoga exercises can reduce primary dysmenorrhea in adolescent girls. Conclusion: Adolescents can reduce dysmenorrhea by practicing Suryanamaskar yoga exercises, while health workers can play an active role in promoting adolescent reproductive health through the implementation of yoga exercises, given their proven effectiveness in reducing dysmenorrhea pain.
Background: Developments in food technology and community income have had an impact on people's eating habits. People prefer fast food, which is often high in calories and fat but low in fiber, leading to high blood cholesterol levels. High blood cholesterol levels cause blood vessels to harden and narrow, leading to atherosclerosis and increasing the risk of coronary heart disease. Other complications that can occur due to high blood cholesterol levels include stroke and peripheral artery disease. Objective: The purpose of this article is to provide an overview of the cholesterol levels of adults in Padukuhan Tegalsari, Pakembinagun, Yogyakarta. Methods: The research design used was descriptive. The population in this study was all members of the Gahtra Health Center, Tegalsari Village, Pakembinangun, Yogyakarta. The sampling technique used was accidental sampling. The number of samples in this study was 89 respondents. Result: The results showed that most respondents (52.8%) had very high cholesterol levels (> 200 mg/dL), 28.1% had high cholesterol levels (180-200 mg/dL), and only a small portion (19.7%) had normal cholesterol levels. Conclusion: Factors that may be associated with high blood cholesterol levels include age, gender, dietary patterns, and physical activity. Health workers should educate the public about factors that can be controlled to manage blood cholesterol levels. Education can be provided using engaging media to make it easier for the public to accept the information provided by health workers.
Introduction: Diabetes mellitus is a metabolic disease characterized by increased blood glucose levels that occur due to insulin disorders. One of the non-pharmacological treatments that can be taken is by providing modified foot exercise therapy and marble therapy. Diabetes mellitus ranks ninth as the leading cause of death in the world because there are more than 1 million deaths. Due to the increasing aging population, the frequency of diabetes mellitus will continue to increase gradually in the world. It is estimated to increase twofold in the next decade. The aim of the study was to determine the effect of modified foot exercises and marble therapy on blood glucose levels in diabetes mellitus patients at the Griya Asih Nursing Home, Malang Regency. Methods: Pre-experimental research design with pretest-posttest design. The research sample was 10 diabetes mellitus patients using non-probability sampling technique with purposive sampling type and using Wilcoxon test. Results: In the examination of fasting blood glucose levels before the intervention was given, it was >100 mg/dl with 10 respondents (100.0%). While in the examination of fasting blood glucose levels after the intervention was given, it was 70-100 mg/dl with 9 respondents (90.0%), and fasting blood glucose levels were >100 mg/dl with 1 respondent (10.0%). There is an effect of foot gymnastics and marble therapy on blood glucose levels in diabetes mellitus patients (p-value=0.005). Discussion: For future research, it is hoped that quasi-experimental research designs, control groups, and larger samples can be used.
