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Pregnancy is a physiological process that involves various physical and psychological changes in women. One common psychological issue that can arise is anxiety related to body image, which can significantly influence the eating behaviors of pregnant women. This psychological challenge may lead to eating disorders such as anorexia nervosa, binge eating disorder, and bulimia nervosa. The presence of eating disorders during pregnancy can have detrimental effects on maternal health, including nutritional deficiencies, fatigue, and an increased risk of complications during pregnancy, such as preterm birth and gestational diabetes. Additionally, these disorders can negatively impact the fetus, resulting in inadequate nutrient intake, low birth weight, and developmental delays. Therefore, maintaining a healthy, balanced diet, alongside psychological support, is crucial for pregnant women. Health education, along with professional counseling and guidance from healthcare providers, plays a vital role in preventing and managing eating disorders during pregnancy. Such efforts ultimately contribute to optimal health outcomes for both the mother and the developing fetus, ensuring the well-being of both in the long term.

The World Health Organization (WHO) reported in 2019 that 40 million people worldwide require palliative care, including those with cardiovascular disease (38%), cancer (34%), chronic lung disease (10.3%), AIDS (5.7%), and diabetes (4.6%). Palliative care aims to improve the quality of life of patients and families facing life-threatening illnesses by managing pain and physical, psychological, social, and spiritual problems. The main goal of this care is to reduce suffering and help patients cope with the limitations imposed by illness. The principles are to respect life, consider death a normal process, neither hasten nor delay death, and provide support until the end of life. This study aims to determine whether knowledge can influence the level of self-efficacy of nursing students at Awal Bros University. Using a correlational quantitative method, data were collected through the Palliative Care Quiz for Nursing and Self-efficacy Palliative Care Scale questionnaires. The results of the study show a significant relationship between knowledge and self-efficacy among students with p<0.005. These findings can be used as a basis for learning to improve the understanding of nursing students, especially in the context of palliative care, which is important for the quality of health services in the future.

Background: Type 2 Diabetes Mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. One of the influencing factors for this condition is lifestyle, particularly dietary patterns and physical activity. Objective: This study aims to describe the dietary patterns and physical activities of Type 2 Diabetes Mellitus patients at Kalisat Regional Hospital (RSD), Jember. Method: The research design used is a case study involving two patients diagnosed with Type 2 Diabetes Mellitus. Data were collected through interviews, observations, and documentation studies, and analyzed using nursing care stages. Results: The study found that both patients consumed high amounts of simple carbohydrates such as sugar, sweet cakes, and noodles, exceeding the normal daily intake limits. Physical activity was minimal, limited to light household chores like cleaning and short-distance walking. Conclusion: Both patients were diagnosed with ineffective health management. Nursing interventions focused on behavioral health education to improve patients’ knowledge and motivation in managing Diabetes Mellitus independently.

Chronic diseases such as chronic kidney disease (CKD), diabetes, and heart disease remain major causes of mortality worldwide, highlighting the need for accurate and interpretable diagnostic models. However, conventional machine learning methods often face challenges of limited generalization, feature redundancy, and class imbalance in medical datasets. This study proposes an integrated classification framework that unifies three complementary feature paradigms: classical tabular attributes, deep latent features extracted through an unsupervised Long Short-Term Memory (LSTM) encoder, and quantum-inspired features derived from a five-qubit circuit implemented in PennyLane. These heterogeneous features are fused using a feature-wise attention mechanism combined with an AdaBoost classifier to dynamically weight feature contributions and enhance decision boundaries. Experiments were conducted on three benchmark medical datasets—CKD, early-stage diabetes, and heart disease—under both balanced and imbalanced configurations using stratified five-fold cross-validation. All preprocessing and feature extraction steps were carefully isolated within each fold to ensure fair evaluation. The proposed hybrid model consistently outperformed conventional and ensemble baselines, achieving peak accuracies of 99.75% (CKD), 96.73% (diabetes), and 91.40% (heart disease) with corresponding ROC AUCs up to 1.00. Ablation analyses confirmed that attention-based fusion substantially improved both accuracy and recall, particularly under imbalanced conditions, while SMOTE contributed minimally once feature-level optimization was applied. Overall, the attention-guided AdaBoost framework provides a robust and interpretable approach for clinical risk prediction, demonstrating that integrating diverse quantum, deep, and classical representations can significantly enhance feature discriminability and model reliability in structured medical data.

Type 2 Diabetes Mellitus is a chronic metabolic disease with a continuously increasing global prevalence. Understanding the characteristics of patients is essential for early detection, clinical management, and prevention of complications. Objective: To identify the characteristics of patients with type 2 diabetes mellitus at Dukuh Kupang Primary Health Center, Surabaya, based on age, gender, routine check-ups, duration of illness, body mass index (BMI), and complications. Methods: This descriptive observational study employed a cross-sectional approach and was conducted from January to February 2025. A total of 30 respondents were selected using purposive sampling. Data were obtained from medical records and supplemented by questionnaires. Results: Most patients were aged >60 years (57%), female (60%), had a normal BMI (50%), and adhered to routine medical check-ups (97%). The majority had been diagnosed for more than 5 years (53%) and experienced complications (83%), with neuropathy being the most common type (73%). Conclusion: Patients with DM type 2 at Dukuh Kupang Health Center were predominantly elderly, female, had a normal BMI, and experienced neuropathic complications.

Cardiac arrest is a medical emergency that results in the sudden cessation of heart function, leading to more than 7 million deaths worldwide annually. In Indonesia, its prevalence is not well-documented. Ischemic heart disease is the primary cause, with other risk factors like hypertension, diabetes, obesity, and smoking also contributing. Clinical signs include loss of responsiveness, impaired breathing, and the absence of a pulse. Diagnosis is based on history, physical examination, electrocardiography, laboratory tests, and imaging to determine the underlying cause. Treatment follows the 2020 American Heart Association (AHA) guidelines, starting with basic life support (BLS), followed by Advanced Cardiac Life Support (ACLS). ACLS includes high-quality cardiopulmonary resuscitation (CPR), early defibrillation for shockable rhythms, epinephrine administration, and airway management through intubation. Once Return of Spontaneous Circulation (ROSC) is achieved, post-cardiac arrest care is crucial, including hemodynamic stabilization, Targeted Temperature Management (TTM), and critical care to prevent recurrence and neurological damage. A clear understanding of cardiac arrest's diagnosis, risk factors, and management is vital for reducing mortality. Adherence to AHA guidelines, especially rapid resuscitation, improves survival rates, making continuous CPR education essential for healthcare providers and the public.

Diabetes Mellitus is a metabolic disorder caused by the pancreas failing to produce insulin hormone adequately. Based on the cause, diabetes mellitus is classified into three types, including type 1 DM, type 2 Diabetes Mellitus, and gestational diabetes mellitus. Hyperglycemia can also occur due to food consumed that is not balanced with physical activity carried out so that fat accumulates in the body and causes blood to be unable to enter the body's cells, ultimately increasing blood sugar levels. Signs and symptoms that often appear in Diabetes Mellitus patients are polydipsia (excessive thirst), polyuria (frequent urination due to excessive urine production), polyphagia (quickly feeling hungry even though you eat a lot and want to eat continuously) and weight loss without a clear cause. Symptoms of diabetes mellitus can be controlled by increasing physical activity, following a healthy diet, and getting enough rest. Several studies have proven that bay leaves have the potential as an antidiabetic. This study aims to determine the content of secondary metabolic compounds and the antidiabetic activity of bay leaf extract using α-amylase enzyme inhibition in vitro. This research method uses laboratory experiments. This study uses α-amylase enzyme inhibition to determine the antidiabetic activity contained in bay leaf extract. The method used is DNSA. The results of this study obtained a yield of bay leaf extract of 30%, water content of simplicia of 6.24%, drying loss of simplicia of 5.3%, ash content test of 5.6%, water content test of extract of 6.34%, drying loss test of extract of 7.03%. Bay leaf extract positively contains secondary metabolite compounds, namely saponins, tannins, flavonoids, and alkaloids. The results of IC50 in bay leaf extract of 66.705 ppm are classified as strong antidiabetic. The results of acarbose of 56.818 ppm are classified as strong antidiabetic.

This Community Service Program (PKM) aims to support the achievement of Sustainable Development Goal (SDG) No. 3 (Good Health and Well-Being) by raising public awareness of the importance of a healthy lifestyle. The program was conducted in Pari Island, Kepulauan Seribu, involving 30 participants from the local community. The activities included health screenings such as blood glucose measurement, blood pressure monitoring, and uric acid level testing, as well as health education on adopting a healthy lifestyle, including balanced nutrition and regular physical exercise. Through this initiative, participants gained a better understanding of how to maintain their health and prevent non-communicable diseases such as diabetes, hypertension, and uric acid disorders. The health screening results indicated that some participants had elevated blood glucose and blood pressure levels, highlighting the need for further intervention through education and lifestyle modifications. Increased awareness was evident from participants' enthusiasm during the health education sessions and interactive discussions with the facilitators. Overall, this program successfully enhanced community knowledge and awareness regarding the importance of a healthy lifestyle while also providing a concrete initial step through early health screenings. It is hoped that this program serves as a starting point for fostering a healthier and more prosperous community in Pari Island, supporting the achievement of SDG No. 3.

Prevelensi penderita DM sebanyak 10.3 juta jiwa dari 90% total tersebut merupakan diabates tipe 2. Kadar glukosa tidak terkendali memicu komplikasi makrovaskular dan mikrovaskular. Kunci keberhasilan pengendalian diabates melitus adalah self-management, agar mencapai perilaku self -management yang baik dukungan keluarga sangat berperan penting pada manajemen penatalaksanaan DM. Penelitian ini bertujuan untuk mengetahui Hubungan Dukungan Keluarga dengan self-management pada Pasien Diabetes melitus Tipe 2 di RS PKU Muhammadiyah Yogyakarta. Jenis penelitian ini adalah kuantitatif, dengan desain penelitian observasional analitik dengan pendekatan cross sectional. Sampel penelitian ini adalah 93 penderita DM tipe 2. Analisis data menggunakan uji statistik Kendal Tau. Hasil penelitian ini menunjukkan bahwa dukungan keluarga dengan kategori sedang yaitu 57 orang (61.3%). Self mnagement dengan  kategori sedang sebanyak 62 orang (66.7%). Ada hubungan antara dukungan keluarga dengan self-management p= 0,000 (nilai p<0,05). Simpulan dan Saran: Terdapat hubungan antara dukungan keluarga dengan self-management pada pasien diabetes melitus tipe 2 di RS PKU Muhammadiyah Yogyakarta. Hasil tersebut menunjukkan bahwa keterlibatan keluarga memiliki peran penting dalam mendukung pelaksanaan manajemen mandiri diabetes melitus. Oleh karena itu, melibatkan keluarga dalam setiap aspek penatalaksanaan dan perawatan diabetes melitus sangat penting untuk meningkatkan hasil pengobatan dan memastikan kepatuhan jangka panjang terhadap rencana terapi.

Eleutherine bulbosa (Mill.) and Allium cepa L. (including garlic and onion peel) are medicinal plants that have long been traditionally used to treat cancer, diabetes, hypertension, infectious diseases, and inflammation. Recent scientific studies emphasize the importance of extract standardization to ensure consistent quality, safety, and efficacy. Standardization includes specific parameters—such as organoleptic identification, water- and ethanol-soluble extract values, phytochemical profiles, and determination of marker compounds—and nonspecific parameters such as moisture content, loss on drying, total ash, and acid-insoluble ash. Ethanol extract of E. bulbosa showed moisture and drying loss values below 10%, total flavonoid content of around 1.2%, and positive phytochemical tests for alkaloids, flavonoids, saponins, and quinones. Onion peel extract contains a high flavonoid content (7.84 mg QE/g) with moderate antioxidant capacity (DPPH IC₅₀ 152.65 µg/mL), while fermented garlic (black garlic) contains more than 12% polyphenols and more than 2% flavonoids, as well as a high level of S-allyl-L-cysteine (SAC) as a stable bioactive compound. The pharmacological activities of these standardized extracts include strong antioxidant effects, α-glucosidase inhibition for antidiabetic activity, induction of apoptosis and anti-angiogenesis as anticancer potential, membrane disruption and enzyme inhibition for antimicrobial activity, as well as COX/LOX modulation for anti-inflammatory effects. These activities are directly correlated with the secondary metabolite composition of each material. With their phytochemical richness and diverse biological activities, E. bulbosa and A. cepa have great potential as raw materials for standardized herbal products. Further in vivo studies and clinical trials are needed to validate their therapeutic efficacy and to support the development of evidence-based phytopharmaceuticals.

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.   Keywords: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.

Non-Communicable Diseases (NCDs) are major health problems that are influenced by genetic, physiological, environmental, and behavioral factors of individuals. One of the most common NCDs is Diabetes Mellitus (DM). Based on data from the Semarang City Health Office in 2023, there are 5,991 cases of DM that not only affect the elderly, but also adolescents, adults, and pre-elderly groups. This condition shows that type 2 DM is a serious challenge that affects the quality of life of sufferers. This study aims to analyze the relationship between family support and quality of life of type 2 DM patients at the Mangkang Semarang Health Center. The research method used is quantitative with a correlative descriptive design. A sample of 120 respondents was obtained through accidental sampling techniques, while data was collected by standardized questionnaires. The results showed that the average age of the respondents was 54 years old with the majority being female (55.2%) and having an elementary school education level (53.3%). The average family support score was 81.38, while the average quality of life of patients reached 86.15. This study concluded that patients with type 2 diabetes generally received good family support and had a positive quality of life. Furthermore, there is a positive relationship between family support and quality of life, where the greater the support provided, the more optimal the quality of life of type 2 DM patients.

Obesity among college students is a public health issue that is gaining increasing attention because it is associated with an increased risk of chronic diseases such as diabetes mellitus, hypertension, and heart disease, and can reduce quality of life and academic productivity. College students, as a group of early adults, are in a transition phase towards independence and are therefore vulnerable to lifestyle changes, including unhealthy eating patterns, fast food consumption, low physical activity due to busy studies, irregular sleep habits, and high academic stress. This study aims to determine the risk factors associated with obesity among students at the Islamic University of Ogan Komering Ilir in 2025. This study used a cross-sectional design with a quantitative approach. A sample of 95 students was selected using a purposive sampling technique. Data were collected through a structured questionnaire and body mass index (BMI) measurement to determine respondents' nutritional status. Independent variables included diet, physical activity, sleep quality, stress levels, and a family history of obesity. The results showed a prevalence of obesity of 17.9%. Bivariate analysis found a significant association between obesity and unhealthy diet (p=0.002), low physical activity (p=0.000), poor sleep quality (p=0.000), and high stress levels (p=0.001). Meanwhile, a family history of obesity showed a tendency to have an effect but was not statistically significant. These findings indicate that obesity in college students is largely influenced by modifiable lifestyle factors. Therefore, this study emphasizes the importance of health promotion interventions on campus, such as balanced nutrition counseling, increased access to sports facilities, stress management, and education on healthy sleep patterns. Promotive and preventive efforts undertaken from a young age are expected to reduce the risk of obesity and chronic disease in the future.

Diabetes Mellitus (DM) is a non-communicable disease that is currently a major public health problem in Indonesia. The prevalence of DM continues to increase from year to year, not only in urban areas but also increasingly found in rural areas. One factor contributing to the high number of DM cases is a lack of public awareness of the importance of a healthy lifestyle, as well as the continued presence of many undiagnosed cases, resulting in delayed treatment. Therefore, early detection efforts and health education that can reach the community at the community level are needed. This community service program was designed to conduct random blood sugar screenings while increasing the knowledge of residents of RW 15 Kalibaru regarding the prevention and control of DM. The activity was carried out on August 24, 2025, involving 21 participants, most of whom were from adults to the elderly. The activity method consisted of two main stages: checking blood sugar levels using a glucometer and a health education session on a healthy lifestyle, a balanced diet, and the importance of regular physical activity. The results of the activity showed that the indicators of success were well achieved. This was indicated by the orderly implementation of the examinations, a high level of participation from residents, and increased awareness of the dangers of DM among participants. From the examination results, most participants had normal blood sugar levels, but several people were found with blood sugar levels above the normal limit who required medical follow-up.

The endocrine system is a ductless body control system that produces hormones to regulate various organs and physiological processes. Hormones act as important biological messengers in the human body. One of the most essential hormones is insulin, which plays a key role in blood sugar regulation. Insufficient insulin production or impaired insulin action can cause disruption of blood glucose control, leading to diabetes mellitus. Diabetes mellitus is a chronic metabolic disorder characterized by persistently high blood glucose levels caused by impaired insulin secretion, insulin action, or both. The purpose of this paper is to apply nursing care to Mr. N, a patient with endocrine system disorders: diabetes mellitus, treated in the Dahlia Ward of Dr. Soeselo Regional Hospital, Tegal Regency. This descriptive case study method was used to explain the nursing process in a structured manner. The main complaint presented by the client was pain in the wound on the left foot. Four nursing diagnoses were identified during the assessment, namely unstable blood glucose levels, acute pain, impaired skin/tissue integrity, and knowledge deficit. Nursing interventions were developed and implemented based on the Standar Diagnosis Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), and Standar Intervensi Keperawatan Indonesia (SIKI). The case highlights the importance of comprehensive nursing care in diabetes management, with a focus on blood glucose stabilization, pain management, wound care, and patient education. The results of this study are expected to provide additional references for clinical practice and strengthen the role of nurses in preventing complications of diabetes mellitus.

A 60-year-old male patient presented with the chief complaint of numbness in both legs, which had been experienced for the past two years and had worsened over the last three months. This complaint was accompanied by persistent fatigue, even without engaging in strenuous physical activity. In addition, the patient reported frequent urination, especially at night (nocturia), and excessive thirst that had occurred for the past five years. The patient denied symptoms such as fever or disturbances in bowel movements. Regarding his medical history, the patient regularly consumed Glimepiride as part of his treatment for diabetes mellitus. Primary data were obtained through auto-anamnesis and physical examination during a home visit. During the visit, the family physician also completed the family folder and patient records to comprehensively document the patient’s health condition. Case assessment was carried out based on an initial holistic diagnosis, followed by continuous monitoring and final evaluation using both quantitative and qualitative approaches. The interventions provided included health education for the patient and his family regarding the causes and pathophysiology of diabetes mellitus. The physician also emphasized lifestyle modifications, such as adopting a balanced diet, engaging in light but regular physical activity, and maintaining adherence to prescribed medication. Furthermore, the patient was educated on the long-term management of diabetes mellitus and the importance of regular medical check-ups. The family physician also explained the potential complications that could arise, such as neuropathy, nephropathy, and retinopathy, so that the patient would be more compliant with treatment and preventive efforts. This comprehensive approach was expected to improve the patient’s quality of life while preventing further disease progression.

Stroke patients often experience mobility impairments, which increase the risk of developing pressure ulcers (decubitus). Pressure ulcers are a common complication for patients with limited mobility, especially in the ICU. One intervention that can be used to reduce the risk of pressure ulcers is back massage using olive oil. This study aims to analyze the effect of back massage using olive oil on reducing the risk of pressure ulcers in stroke patients in the ICU at Sultan Agung Hospital. This study used a pre-experimental design with a one-group pretest-posttest approach, involving 17 respondents who received back massage using olive oil. The results showed that most respondents were aged 56-65 years (35.3%), the majority were male (70.6%), with comorbidities such as diabetes mellitus (52.9%), and the length of hospitalization was 3-5 days. Before the intervention, most respondents were categorized as being at moderate risk based on the Braden scale; however, after the intervention, the majority were no longer at risk of pressure ulcers. The Wilcoxon test showed a p-value of 0.001, indicating that back massage using olive oil had a significant effect on reducing the risk of pressure ulcers. In conclusion, back massage using olive oil is effective in reducing the risk of pressure ulcers in stroke patients in the ICU. Therefore, this technique can be used as an alternative intervention to prevent the occurrence of pressure ulcers in stroke patients.

Acute myocardial infarction is a leading cause of death both in Indonesia and globally, with incidence rates remaining quite high. This disease is closely associated with various modifiable risk factors, including hypertension, diabetes mellitus, dyslipidemia, obesity, and smoking. Various literature reviews confirm that patients with myocardial infarction often have complex clinical conditions, especially when comorbidities worsen the prognosis and increase the burden on healthcare services. This study reviews the latest national literature on risk factors, clinical profiles, nursing management, prognostic predictors, and non-pharmacological interventions such as relaxation techniques. The analysis demonstrates the need for a comprehensive and integrative approach to the management of myocardial infarction patients. This includes early detection using clinical risk scores, intensive nursing interventions in severe cases such as Killip III NSTEMI, and the use of simple prognostic tools that are easily implemented in healthcare facilities. A supportive approach also plays a crucial role in improving patient comfort and adherence to therapy. The integration of these strategies is expected to improve clinical outcomes, reduce morbidity and mortality, and enhance patients' overall quality of life. This study emphasizes the importance of updating local evidence-based clinical practices tailored to the needs of the Indonesian healthcare system, so that the management of myocardial infarction does not only focus on medical therapy, but also on aspects of prevention, non-pharmacological interventions, and ongoing care.

Diabetes Mellitus (DM) is a chronic metabolic disorder that is rapidly increasing globally and is associated with a high risk of peripheral arterial complications. The Ankle Brachial Index (ABI) is a simple and reliable tool for screening peripheral arterial disease, while foot exercise represents a practical, low-cost, and non-pharmacological intervention to improve peripheral perfusion. This study aimed to evaluate the effectiveness of foot exercise in improving ABI values among hospitalized patients with DM. A pre-experimental one-group pretest-posttest design was implemented with 26 purposively selected inpatients with DM. Participants performed standardized foot exercises once daily for 15 minutes over two consecutive days. ABI values were measured using a sphygmomanometer and vascular Doppler before and after the intervention, and data were analyzed using a paired t-test. The mean ABI significantly increased from 0.707 (SD = 0.031) to 0.884 (SD = 0.027) (p < 0.001), indicating a clinically meaningful improvement from moderate impairment to near-normal circulation. These results demonstrate that foot exercise is effective in improving ABI values among hospitalized DM patients. The study highlights foot exercise as a safe, simple, and non-pharmacological nursing intervention that can be recommended in inpatient care settings to improve peripheral perfusion and prevent further complications related to peripheral arterial disease. This intervention offers a promising approach to managing peripheral arterial complications in diabetic patients

A 55-year-old female patient came to F Hospital complaining of blurred vision in her left eye for 3 years and a gradual decrease in vision. The vision in her left eye had been increasingly blurry and disrupting activities for 4 months before coming to the hospital. The patient reported discomfort and blurriness when looking at a distance, but there was no disturbance in close-up vision. The patient also reported foggy vision and glare, especially during the day. The patient did not complain of dizziness, nausea, or vomiting. When looking at objects, there was no change in size, and she had never seen floating objects. The patient had undergone cataract surgery on her right eye 2 months ago. She had a history of type 2 diabetes mellitus since 2017 and was regularly taking antidiabetic medication. The patient reported wearing glasses for 3 years. The general status was normal, while the left local status showed 2/60 vision, arcus senilis (+), cloudy lens, and shadow test (-). Fasting blood sugar examination showed hyperglycemia, and tonometry showed increased intraocular pressure. Based on this, the patient was diagnosed with a mature senile cataract of the left eye. The patient underwent surgery on the left eye using phacoemulsification and has a good prognosis. Appropriate cataract management can significantly improve the patient's quality of life.