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Handayani, Puspita; Yunita, Laurensia; Hidayah , Nur

Jurnal Rumpun Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

The Maternal Mortality Rate (MMR) in Indonesia which is quite high every year makes homework for the government. The government effort to reduce MMR  requiring pregnant women to go for antenatal care the nearest health facility. Success in antenatal care service is measured through indicator coverage of antenatal service, there’s K1, K4 and K6. Look at data from the Haruai Health Center for K1, K4 and K6 the Haruai Health Center is ranking 15, 12 and 15 of 18 Health Center in Tabalong Regency. Based on these data it can be seen that visit in the Haruai Health Center area is very low. The Objective is to Analyze the effect of antenatal care 10T service  visit of pregnant women at the Haruai Health Center. This research uses quantitative descriptive research. The sample is pregnant women in their third trimester, totaling 39 respondents. Sample using accidental sampling technique. Data collection used questionnaire, then data were analyzed using chi-square test, with significance level of 95% (α : 0,05). Result of the research, third trimester pregnant women who didn’t receive standard antenatal care 10T examinations were 66,7% of respondents, and third trimester pregnant women who no have visits according to quantity standards as much as 89,7% of respondents. The results of bivariate analysis p-value is 0,009<value α:0,05 which means there’s a significant relationship between antenatal care 10T and visit to pregnant women. Concluded that there’s an effect on the provision of services between antenatal care 10T on visits to pregnant women

Sthepani Sari Hidayat; Susanti Susanti

Jurnal ilmu Kesehatan Umum 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

The puerperium is an important period, as the risk of maternal and infant morbidity and mortality increases during this period. Hemorrhage is the leading cause of maternal death worldwide and most occur before 24 hours postpartum. Therefore, the birth attendant must ensure that the uterus contracts properly so that bleeding does not occur. The postpartum period is influenced by many factors, one of which is socio-cultural. Indonesia is a country consisting of various tribes and cultures that have their health traditions. Not all existing traditions have a bad effect on health but some have a positive impact on health. Efforts to assist and therapy to shape the coping skills of postpartum women are complementary therapy. Complementary therapy is a therapy that is used as a companion in conventional therapeutic efforts that a person has done. This type of research is descriptive by applying a case study approach. The implementation of this research was carried out at the Pratama Medical Center Clinic on Mrs. F by providing complementary health education education for mothers in the postpartum period.

Dewi, Mia Novita; Rahmawati, Dwi; Ulfa, Ika Mardiatul

Jurnal Rumpun Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

Exclusive breastfeeding coverage at Bintang Ara Health Center in 2019 reached 69%, while in 2020 exclusive breastfeeding coverage was 61% and in 2021 exclusive breastfeeding coverage was 57.83%. This is still far from the target of 80%. This problem can be overcome by giving a complementary therapy, namely through oxytocin massage. The purpose of the study was to determine the effect of oxytocin massage using lavender oil on the adequacy of breast milk in breastfeeding mothers in the Bintang Ara Health Center Work Area. The research method uses a type of research that is Quasy Experimental Pre test- Posttest Control Group Design. With a case sample of 8 people and a control sample of 8 people. Statistical tests using the Wilcoxon test. The results of the study that before the intervention of oxytocin massage using lavender oil, the adequacy of breast milk was less and increased after the intervention. Wilcoxon test results obtained p-value less than α which is 0.008<0.005.

Rizni, Ismeily; Dona, Sismeri; Hestiyana, Nita

Jurnal Rumpun Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

The background of this study is still high Maternal Mortality Rate (MMR), MMR is one indicator to see efforts to succeed in maternal health, mortality rates can occur during pregnancy, childbirth and postpartum. Miscarriage during pregnancy and incomprehensive post-miscarriage care is one of the causes of MMR. The purpose of this study was to find out how the implementation of post-miscarriage care in the working area of the South Paringin Health Center, Balangan Regency. This research method is descriptive quantitative, using secondary data derived from medical records, the population of this study is all post-miscarriage mothers from January 2021 to October 2022, the sample in this study uses total sampling techniques where all populations are sampled, namely 37 post-miscarriage mothers. The results showed that post-miscarriage care has not been said to be comprehensive because it still focuses on medical management and is only based on patient complaints.

Fathiyah, Fathiyah; Lathifah, Nur; Hateriah, St

Jurnal Rumpun Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

One of the strategies for the Family Planning (KB) program to reduce maternal and infant mortality is to minimize the 4T conditions. Contraceptive use is still dominated by short-term contraceptive methods, especially injections and pills. Only a quarter of family planning participants use long-term methods of contraception, such as IUDs and implants. The Research objective is to analyze the need for long-term contraceptive methods for injection acceptors based on rational contraceptive use at the Wirang Public Health Center. The method is types of descriptive research. Time of study January 2023. The sample is 168 people. The data source for this research was secondary data in October 2022 regarding injecting birth control acceptors which were analyzed univariately. This study obtained the results of MKJP contraceptive needs based on the phase of contraceptive use (rational contraception), is in the phase of ending the pregnancy as many as 93 people (55.36%). Concluded that contraceptives used by WUS injecting family planning acceptors are not in accordance with rational use of contraception. With age > 35 years or having > 2 children and the pregnancy termination phase, the contraceptive method needed is MKJP contraception.

Sulastri Sulastri; Salfia Darmi

Nursing Applied Journal 2024 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Introduction: Colostrum is a part of breast milk (ASI) which has a characteristic yellowish liquid that comes out on the first to the third day after giving birth. Colostrum contains 10-17 times more immune substances than mature milk, so it is very good to give because it functions to form the baby's antibodies. Objective: To determine maternal knowledge, family support relationships, sources of information, the role of health workers, maternal behavior and how to provide colostrum by giving colostrum to newborns at the Cimanggu Community Health Center, Cibeber District, Cianjur Regency in 2023. Method: The research method used is descriptive with Cross Sectional Study approach. The sample in this study was postpartum mothers on days 1-4 with a total of 30 samples. This sample was taken using a purposive sampling method and the measuring instrument used was a questionnaire. Results: This study found a relationship between giving colostrum and family support (p=0.029), information sources (p=0.003), behavior (p=0.000). Meanwhile, there was no significance in maternal knowledge (p=.0966), the role of health workers (p=0.836), how to give colostrum (p=0.997) with colostrum. Conclusion: There is a relationship between family support, sources of information and behavior with giving colostrum and there is no relationship between mother's knowledge, the role of health workers and how to give colostrum with giving colostrum. 

Neng Sumyati; Siti Kamillah; Rina Afrina

Jurnal Riset Rumpun Ilmu Kedokteran 2024 Pusat riset dan Inovasi Nasional

Acute Respiratory Infection (ARI) is a health problem that often occurs in toddlers. Health education through leaflet media is an effort to convey health messages and is an important strategy in increasing mothers' knowledge and awareness of the use of herbal remedies including ginger and honey decoction for toddlers. This research aims to determine the relationship between education through leaflet media and the level of knowledge of mothers regarding the use of ginger and honey decoction in toddlers suffering from ISPA in Nyalindung Village, Cijedil Health Center Working Area in 2023. The method used is pre-experimental, one-group pretest-posttest design without there is a control group where data collection and variable measurement are carried out at the same time. The sample in this study was 83 respondents. The results of the study showed a significant increase in mothers' knowledge before being given the intervention and after being given the intervention. The average score before being given education was 8.10 and the average score after being given the intervention was 12.33, meaning there was an increase of 4.23. The Wilcoxon test obtained a p-value of 0.000 < 0.05, which means Ha was accepted. This result shows that education through leaflet media is effective in increasing mothers' knowledge about the use of ginger and honey decoction for toddlers. The advice from this research is that it is hoped that mothers will continue to explore information by continuing to participate in outreach activities or with other media such as electronic media by understanding the information presented and being able to apply herbal medicine correctly and safely.    

Rima Rahmanita; Mustofa Saeful Alamsyah; Egi Mulyadi

Jurnal Ilmu Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Background: Diabetes Mellitus (DM) is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia (high blood sugar levels). Diabetes Mellitus can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. There are several ways to prevent diabetic ulcers, several things that families and patients can do independently, checking the condition of the feet every day for Diabetes Mellitus sufferers needs to be done once a day to detect abnormalities such as redness, blisters, cracked skin, swelling and pain. Objective: To determine the relationship between foot care and the incidence of diabetic foot ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Working Area. Method: The method used in this research is the Descriptive Analytical method with a cross-sectional approach. The samples used were 69 patients suffering from diabetes who were at risk of diabetic foot ulcers in the Sukabumi Community Health Center Working Area. Results: Based on the results of statistical tests with chi-square, the resulting P value was 0.000 < 0.05, which can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Community Health Center Working Area. Conclusion: it can be concluded that there is a relationship between foot care behavior and the incidence of diabetic ulcers in diabetes mellitus sufferers in the Sukabumi Health Center Work Area. Suggestion: DM sufferers are expected to be disciplined in caring for their feet even though diabetic foot ulcers have not yet occurred and families with diabetes are able to get involved and help if the patient has a serious ulcer, without having to visit health personnel.    

Irma Sarita; Himatul Khoeroh; Riyanti Riyanti

Jurnal Praba : Jurnal Rumpun Kesehatan Umum 2024 STIKES Columbia Asia Medan

AKI according to WHO (2020) is 235,000 people, in Indonesia (2020) 4,627 cases, in Central Java (2020) 530 cases, in Brebes (2020) 62 cases, and AKI at Bumiayu Health Center (2020) is 2 cases. One of the efforts is to provide comprehensive midwifery care with a continuity of care approach that is carried out from pregnancy to birth control. Researchers implement comprehensive midwifery care in pregnant women, childbirth, newborns, postpartum, and family planning using Varney and SOAP documentation. The research method used was descriptive qualitative with a case study approach. Data collection used interviews, observations, physical examinations, supporting examinations, documentation studies, and literature studies, as well as medical record documentation studies. The main informant is Mrs. M with additional informants, namely 1 coordinating midwife and 1 patient's family. Based on the results of pregnancy, childbirth, newborn, postpartum, and family planning there is a problem in pregnancy, namely found PEB at 35 + 4 weeks of pregnancy with blood pressure 159 / 95 MmHg.

Wariyam, Wariyam; Yuliana, Fitri; Hidayat, Ahmad

Jurnal Rumpun Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

IVA test is one of the first steps to detect early cancer easily, cheaply, and can be done by midwives and provide immediate results, done visually using 3-5% vinegar acid. The low IVA test examination at the South Paringin Health Center from January to November 2022 of 82 WUS people or 1.89% % of the total WUS may be due to low information and negative WUS attitudes. This research method uses a descriptive method. With the population of all WUS in the working area of the South Paringin Health Center, precisely in Tarangan village in November 2022, using a saturated sample technique of 56 people. The results of the study found that 49 people (87.5%) had increased information in the good category and 56 people (100%) had a positive attitude.

Desi Soraya; Watiah Watiah; Qomariyah Qomariyah

Jurnal Ilmu Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Anaemia is a global problem for pregnant women. The WHO states that the incidence of anaemia in pregnant women is 48.9%. Central Java's anaemia rate is 57.7%, while Brebes Regency's anaemia rate is 50%. According to the Brebes District Health Office, this problem lies in pregnant women's adherence to taking iron supplement tablets. The study aimed to determine the factors influencing the consumption of blood-supplemented tablets by pregnant women at the Buaran Health Center. This research method was a quantitative analytic survey with a cross-sectional design, with a population of 96 third-trimester pregnant women. The sampling technique was purposive sampling with 49 respondents. The instrument used is a questionnaire. Data analysis was performed univariately and bivariately (using chi-square statistics). The results showed that the factors associated with the consumption of iron tablets were knowledge (p-value=0.013), motivation (p-value=0.037), family support (p-value= 0.019), ANC visits (p-value=0.000), and compliance (p-value=0.002). The suggestion is that pregnant women at the Buaran Health Centre increase awareness about consuming blood-supplemented tablets to maintain the health of the mother and baby and that advice from health workers is needed every time pregnant women carry out an ANC examination at a health facility.

Komang Dian Utami Chandra Dinata; Suryo Saputra Perdana; Seliana Sinta Debi

Jurnal Rumpun Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

Stunting is a growth disorder caused by inappropriate nutritional disorders, where the prevalence of stunting in Indonesia reaches 29.7% and Surakarta is ranked second in the number of stunting cases in Central Java with 1,050 cases. Banyuanyar sub-district, toddlers who experience nutritional disorders are 37.5% of the total number of toddlers, namely 24 people. The aim of conducting outreach activities in the form of education is to be a promotive and preventive method in preventing stunting by providing oral motor exercises so that toddlers are stimulated to breastfeed, chew and swallow food. The method used was education in the form of counseling and distribution of leaflets to parents or caregivers of toddlers at the toddler post RW 03 Banyuanyar Community Health Center. The results obtained from measurements were an increase in understanding using pretest and posttest questionnaires, namely there was a significant increase in understanding related to counseling with an average pretest score of 15 and an average posttest score of 90.

Marisca Agustina; Lina Herlinawati; Ahmad Rizal

Jurnal ilmu Kesehatan Umum 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Introduction: High blood pressure (hypertension) is an increase in blood pressure in the arteries. Health problems in elderly people are often related to decreased organ function which causes degenerative diseases, including hypertension. This condition needs to be watched out for because it often does not show any special symptoms, so many people are not aware of it and still feel healthy to carry out daily activities. Therefore, hypertension is often referred to as a silent killer.Method: The research method applied in this study is a quantitative approach using a pre-experimental design with a one-group pre-post test design model.Research Results: The average blood pressure before doing elderly exercise (pretest) was 151.94/93.66 mmHg, while after doing elderly exercise (post-test) it was 137.90/87 mmHg. There is a significant effect of elderly exercise on blood pressure in middle-aged hypertensive patients at UPTD Cibeber Health Center.Conclusion: Based on the results obtained, it can be concluded that providing elderly exercise has a significant influence on the blood pressure of middle-aged hypertensive patients at the Cibeber Health Center UPTD

Rina Amelliana; Himatul Khoeroh; Mupliha Mupliha

Jurnal Ilmu Keperawatan dan Kebidanan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

According to the World Health Organization (WHO), in 2021 around 329,000 women died due to complications related to pregnancy or childbirth throughout the world, MMR in Indonesia until 2022 was 305/100,000 live births, WHO data for 2021 states the Infant Mortality Rate (IMR) in the world amounted to 235 deaths per 100,000 live births. Brebes Health Office (2022) MMR 50 cases, IMR 259 cases. Data from Bantarkawung Community Health Center (2022) MMR 1 case, IMR 5 cases. This researcher is able to carry out comprehensive midwifery care for Mrs. R aged 26 years with Preeclampsia using Varney's seven-step obstetric management and SOAP. Based on the background above, the problem formulation is how Comprehensive Midwifery Care for Mrs. R aged 26 years in the working area of the Bantarkawung Community Health Center, Brebes Regency in 2023. The research design used by the author is qualitative descriptive research. Comprehensive Care for Mrs.R found problems early in pregnancy with preeclampsia. Labor was induced, and the newborn was normal. During the postpartum period, the uterine involution process goes well. Conclusion: Through this scientific paper, it is hoped that health center health workers can maintain and improve the quality of health services in accordance with service standards and the application of theory.

Basrizal Basrizal

Jurnal Riset Ilmu Farmasi dan Kesehatan 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

This study aims to determine whether first aid for stage 1 hypertension in the working area of the Krueng Barona Jaya District Health Center is still relatively low, so it is necessary to increase family knowledge by conducting health education about first aid for stage 1 hypertension. Objectives: To identify the effect of health education on the level of family knowledge about first aid for patients with stage 1 hypertension. Methods: The research design used the Quasi Experiment method with a pre-test and post-test non equivalent control group approach using a questionnaire measuring instrument with purposive sampling technique. The number of samples taken was 36 families with stage hypertension. Results: The results obtained that after being given health education about first aid for stage 1 hypertension, family knowledge is good. Analysis: the results obtained by the majority after being given health education family knowledge is good. A total of 32 respondents (89%) who have good knowledge, 4 respondents (11%) have sufficient knowledge and no respondents have poor knowledge. Using the Paired Sample t-test test shows a significant number between pretest and posttest scores with a significance value (2 failed) p = 0.000 <0.005 so that H0 is rejected and Ha is accepted. Discussion: Health education has a very important role in determining human quality, with health education humans gain knowledge and information. The higher a person's level of knowledge, the higher the quality of life.  

Kofifah Sulistia Handayani; Hari Ghanesia Istiani; Yani Handayani

Jurnal Riset Rumpun Ilmu Kesehatan 2024 Pusat riset dan Inovasi Nasional

This research highlights the comparison of the effectiveness of warm water tepid sponge compresses and fever plasters on body temperature in pre-school children with Febris at the Tanah Abang District Health Center, Jakarta, which will be carried out from December 2023 to January 2024. This research uses a quantitative approach with a Two research design Group Pretest Posttest. The sample for this research consisted of 32 pre- school children who would be divided into 2 groups, for each compress treatment with inclusion & exclusion criteria. The instrument used was an observation sheet in the form of a table check list regarding the SOP for implementing warm water tepid sponge compresses and fever plaster compresses. As well as an observation sheet in the form of a body temperature observation sheet before, during and after the warm water tepid sponge compress and fever plaster. Research Results Description of the temperature before and after using a warm water tepid sponge compress before it was 38,530C and after it was 37,370C and using a Plaster Compress before it was 38,350C and after it was 37,660C. The results of the dependent t statistical test showed that the warm water tepid sponge   had a p value of 0.000 and the Fever Plaster had a p value of 0.000, meaning that there was an effect of warm water tepid sponge compresses and fever plasters on body temperature in pre-school   children with Febris   at the Tanah Abang District Health Center, Jakarta. will be carried out in December 2023. The results of the independent T test show that the p value is 0.000, so there is a difference between the Warm water tepid sponge Compress group and the Fever Plaster group on the body temperature of pre-school children with fever at the Tanah Abang District Health Center and compresses using the warm water tepid sponge technique are more effective in reducing body temperature. The difference in degrees of reduction in body temperature is -0.481.

Sari, Rahmadah; Salmarini, Desilestia Dwi; Zulfadhilah , Muhammad

Jurnal Rumpun Ilmu Kesehatan 2024 Pusat Riset dan Inovasi Nasional

The impact of LBW poses many risks regarding problems in the body's system due to unstable body condition which can cause death. The causes of LBW are due to fetal factors, placental factors and maternal factors. Preeclampsia is a problem of serious maternal factors and has a high level of complexity. The results of the preliminary study in 2021 totaled 34 people with preeclampsia and 60 cases of low birth weight babies. Research objective is to determine the effectiveness of compresses of warm water and hibiscus leaves in lowering the body temperature of toddlers in the Banua Lawas Health Center area. The research methods is Quasi-experimental research with a pre-test-post-test research design without a control group. A sample of 30 people were divided into warm water compress groups and hibiscus leaf compress groups. Collecting data by observing according to SOP (Standard Operating Procedure). Data analysis using wilxocon. Resulted that the mean temperature in the warm water compress group before being given was 36.9°C and after being given was 36.3°C (the difference was 0.58°C). The average temperature in the hibiscus leaf compress group before being given was 36.8 °C and after being given 36.1 °C (the difference was 0,33 °C). There is a difference between warm water compresses and hibiscus leaves in reducing temperature in toddlers with fever in the Banua Lawas Health Center area (p-value ˂ 0.000). Concluded that both types of compresses are effective in reducing body temperature in children with fever but warm water compresses are more effective than hibiscus leaf compresses.

Khairani Niska; Nurul Ainul Shifa; Risky Kusuma Hartono

Jurnal Riset Rumpun Ilmu Kesehatan 2024 Pusat riset dan Inovasi Nasional

Diarrhea is a condition where there is increased defecation due to an infection. Children can be said to have diarrhea if the volume of stool is measured at 10ml/kg per day. According to the World Health Organization (WHO) 2020, the benefit of washing hands is to keep hands clean, not only as an effective defense against the spread of infections and serious diseases. The aim of the research was to determine the relationship between hand washing and the incidence of diarrhea in children in Cibinong District. This type of research is quantitative research. The research design used is correlational research with a controlling approach. The sampling technique uses total sampling. The number of samples in this research is 30 medical records of children suffering from diarrhea at the Cirimekar Community Health Center. In this research, the Chi-Square statistical test is used. . The results show that the relationship between hand washing behavior and the incidence of diarrhea shows that the P-Value is 0.001 <0.05, so it can be concluded that there is a significant relationship between hand washing behavior and the incidence of diarrhea in children in the Cirimekar Health Center Working Area. The conclusion of this research is that there is a relationship between hand washing behavior and the incidence of diarrhea in children in the Cirimekar Health Center Working Area in 2023.

Anita Ratnasari; Rina Afrina; Nurul Ainul Shifa

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Introduction: Diabetes Mellitus (DM) is a metabolic disorder in which the human body does not produce or use insulin properly, a hormone needed to convert sugar, starch and other foods into energy. The aim of this study was to determine the relationship between knowledge and dietary compliance in type 2 diabetes mellitus patients in the Sukaresmi Community Health Center area, Tamansari District, Bogor. The method in this research uses correlation analysis research with a cross sectional approach. A sample of 80 respondents was taken using purposive sampling technique. The instrument in this study was a questionnaire with 15 questions about level of knowledge and 15 questions about dietary compliance. Data were processed and analyzed using the Rank Spearman test. The results of univariate data analysis, namely the highest frequency of knowledge level of the majority was (75%) with a low level of knowledge and the frequency of Diet Compliance was found to be the highest majority of (75%) with low compliance and the results of the bivariate analysis Spearman Rank test results obtained p value = 0.00 so Ho is rejected with a Spearman correlation coefficient (r) of 0.01 which shows that the correlation coefficient is sufficient and has a positive value. The conclusion is that there is a close relationship between the level of knowledge and dietary compliance in Type 2 Diabetes Mellitus patients at the Sukaresmi Tamansari Community Health Center. The lower the level of knowledge, the lower the diet compliance.

Mareta Herdiyani; Erna Safariyah; Arfatul Makiyah

Jurnal ilmu Kesehatan Umum 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Diabetes Mellitus is a chronic, progressive disease characterized by the body's inability to metabolize carbohydrates, fats and proteins, leading to hyperglycemia. DM can be associated with serious complications such as kidney damage, eye problems, cardiovascular disease, nerve damage and skin and foot problems, so DM sufferers need to take precautions to avoid complications. Foot exercise is a type of foot exercise performed by diabetics which can increase peripheral perfusion and thus prevent worsening of diabetic neuropathy. Foot exercise can also reduce the risk and progression of peripheral neuropathy because it can improve blood flow to the periphery, increase muscle strength and improve motor function. Objective: to determine the effect of foot exercise on motor neuropathy in type 2 DM patients. Method: The design in this study used a quasi-experimental approach using a one group pretest posttest design. The sample for this research was 18 respondents. Data analysis used the paired sample t-test. Results: based on the results of statistical tests using the Paired Samples t Test, the resulting P value is 0.000 < 0.05, where it can be concluded that there is an influence of foot exercise on Motor Neuropathy in type 2 DM patients. Conclusion: It can be concluded that there is an influence of foot exercise on Motor Neuropathy in type 2 DM patients in the working area of Benteng Sukabumi City Health Center.