INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS

Background: Peripheral arterial disorders in diabetes mellitus is a common complication that often occurs and can develop into diabetic foot ulcers. High blood sugar levels in people with diabetes mellitus can cause increased blood viscosity resulting in thickening of the capillary membrane, where erythrocytes, platelets and leucocytes are attached to the blood vessels. Electrical stimulation by placing electrodes in the calf muscle is one of the measures to increase foot blood flow that can reduce the poor foot circulation.Objective: This study aims to determine the effect of electrical stimulation in improving blood flow of patients with diabetes mellitus.Methods: The research use one-group pretest-posttest pre-experimental design. Sampling technique using pusposive sampling as many as 62 patients with diabetes mellitus. Electrical stimulation is done by attaching electrodes to left and right calf muscles for 20 minutes, frequency 3 times a week for 2 weeks. Before and after electrical stimulation performed foot circulation examination by ankle brachial index technique. Data analysis using Wilcoxon signed rank test.Results: The results showed that before the stimulation was obtained the mean ankle brakhial index 0.82 mmHg and after stimulation 0.95 mmHg (p = 0.000), meaning there is an effect of electrical stimulation in increasing foot blood flow. A calf muscle contraction during stimulation leads to increased leg blood flow through the addition of vascular endothelial growth factor and increased nitric oxide as a vasodilator of blood vessels. Electrical stimulation can be applied in increasing the blood flow of the foot, thus preventing the occurrence of diabetic foot ulcers.Conclusion: Stimulation is one therapy that can be done to prevent poor foot circulation of diabetes mellitus patients.

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PENGARUH BUERGER ALLEN EXERCISE TERHADAP NILAI ANKLE BRACHIAL INDEX PADA PASIEN DIABETES MELITUS

JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) ◽

10.35451/jkf.v4i1.853 ◽

2021 ◽

Vol 4 (1) ◽

pp. 90-94

Author(s):

Pratiwi Christa Simarmata ◽

Sari Desi Esta Ulina Sitepu ◽

Abdi Lestari Sitepu ◽

Ruttama Hutauruk ◽

Rita Ayu Butar-butar

Keyword(s):

Diabetes Mellitus ◽

Exercise Intervention ◽

Ankle Brachial Index ◽

Endocrine System ◽

Sampling Technique ◽

Wilcoxon Test ◽

Flexion Extension ◽

Patients With Diabetes ◽

Quasi Experimental ◽

The Difference

Diabetes mellitus is a disorder of the endocrine system characterized by increased levels of glucose in the blood. The purpose of this study was to assess the effect of Buerger's Allen exercise on the value of the ankle brachial index (ABI) in patients with diabetes mellitus. The research design was a quasi-experimental pretest and posttest without a control. The study was conducted from March to May 2021 at Grandmed Lubuk Pakam Hospital with 48 respondents, with consecutive sampling technique. Data were analyzed using the Wilcoxon test. The Buergers Allen exercise intervention was performed twice a day, for three weeks. The procedure is performed by lifting the lower extremities up at an angle of 45-90 degrees for 2-3 minutes, then the patient sits at the bedside with the legs hanging down, accompanied by flexion, extension, pronation and supination movements for 5-10 minutes, and the patient lies down. with both feet resting for 10 minutes. There was a significant effect between the mean ABI value before intervention 0.83 and after intervention 0.95, p=0.00. The difference in mean ABI p=0.000, p<0.05. The results of the study concluded that there was an effect of buerger allen exercise on the ABI value before and after the intervention where the ABI value was getting better. It is recommended for nurses to make Buergers Allen exercise one of the independent nursing interventions in providing nursing care to patients with diabetes mellitus.

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Hubungan Indeks Massa Tubuh (IMT) dengan Ankle Brachial Index (ABI) pada Pasien Diabetes Mellitus Tipe 2 Etnis Jawa

Jurnal Kesehatan ◽

10.26630/jk.v11i2.1992 ◽

2020 ◽

Vol 11 (2) ◽

pp. 197

Author(s):

Yanuarita Tursinawati ◽

Arum Kartikadewi ◽

Kamala Nuriyah ◽

Setyoko Setyoko ◽

Ari Yuniastuti

Keyword(s):

Diabetes Mellitus ◽

Ankle Brachial Index ◽

Sampling Technique ◽

Arterial Disease ◽

P Value ◽

Chi Square ◽

Chi Square Test ◽

Peripheral Arterial ◽

Relationship Of

<p>Diabetes mellitus (DM) often give a macrovascular complication such as Peripheral arterial disease (PAD). Ankle-brachial index (ABI) is a sensitive and specific examination for PAD. Obesity can be a risk factor of PAD. Obesity can be classified by the BMI (Body Mass Index) classification. The purpose of this research is to analyze the relationship of BMI with ABI in Type 2 DM (T2DM) patients of Javanese ethnicity. This study was an observational analytic research with case-control design and used a purposive sampling technique. There were 40 case samples and 40 control samples. Data analysis used the Independent T-test and Chi-square test. There was a significant differences on age (p=0,000), METs (p-value=0,003), and ABI (p-value=0,002) between the two groups. In the DM group was found that most abnormal ABIs were found in the higher BMI, even though there was no significant correlation by the statistic (p-value=0,255). BMI contributed less to the ABI value of Javanese ethnic T2DM patients.</p>

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Diabetic Foot Spa Implementation in Early Neuropathy Diagnosis Based on Blood Glucose Levels, Foot Sensitivity and the Ankle Brachial Index in Patients with Diabetes Mellitus

Jurnal NERS ◽

10.20473/jn.v13i2.9950 ◽

2019 ◽

Vol 14 (1) ◽

pp. 106

Author(s):

Erika Martining Wardani ◽

Chilyatiz Zahroh ◽

Nur Ainiyah

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Diabetic Foot ◽

Ankle Brachial Index ◽

Vascular Complications ◽

P Value ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Patients With Diabetes ◽

Foot Problems

Introduction: Diabetes Mellitus (DM) is a cause of morbidity mainly due to vascular complications. The prevention of diabetic foot problems can be done through metabolic control and foot exercises. The purpose of this study was to determine the effect of diabetes foot spa measures on blood glucose levels, foot sensitivity and the ankle brachial index.Methods: This research was a pre-experimental design. The population totaled 170 DM patients and the sample was finalized at 30 respondents. The independent variable was diabetic foot spa, while the dependent variables were blood glucose levels, blood sensitivity and the ankle brachial index. The data was analyzed using a t-test and Wilcoxon rank test.Results: Diabetic foot spa in early neuropathy detection testing has a blood glucose level of t=9.523 and a p value=0.000. Diabetic foot spa also significantly affects foot sensitivity with a ρ <α (0.001<0.05) and an ankle brachial index of (ABI) ρ<α (0.008 < 0.05).Conclusion: Diabetic foot spa conducted regularly and independently can reduce the level of complications in Diabetes Mellitus patients. Furthermore, the tingling and pain in the feet can be reduced or even disappear as well as preventing complications such as foot ulcers that can often become amputations.

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The Effect Of Diabetic Foot Spa On Ankle Brachial Index And Foot Sensitivity Of Diabetes Mellitus Type 2

Jurnal Keperawatan Respati Yogyakarta ◽

10.35842/jkry.v6i3.391 ◽

2019 ◽

Vol 6 (3) ◽

pp. 672

Author(s):

Erika Martining Wardani ◽

Lono Wijayanti ◽

Nur Ainiyah

Keyword(s):

Diabetes Mellitus ◽

Diabetic Foot ◽

Diabetes Mellitus Type 2 ◽

Ankle Brachial Index ◽

Sampling Technique ◽

Diabetes Mellitus Type ◽

Control Group ◽

P Value ◽

Control Group Design

Diabetes Mellitus (DM) is a metabolic disorder which marked by the hyperglycemia that appeared because of insulin secretion disorder and/or the increase of cellular insulin resistance. DM patients have a higher risk to experience foot problems due to blood vessels disorders causing the circulation of blood from legs is decreased. Purposed this research is diabetes could be prevented by doing a foot spa diabetic which the activities include foot exercises, warm water cleansing and massage. The method used in this study is Quays Experiment pre-post control group design. The population on this study was patients with Diabetes Mellitus Type 2 in Waru health center. The sample used was 60 people, divided into 2 groups; intervention and control group, with sampling technique of simple random sampling. The data collection was using observation sheets of diabetic foot SPA; the tool used to assess blood glucose levels was glucometer, whereas cotton, brush and needle were used to assess the foot sensitivity. The data was then analyzed with t-test. The result of the study showed that there were effecton the foot sensitivity (t=10,73, p value =0, 000) and there were effectdecrese on ankle brachial index(t=12,34, p value =0, 000). It is important for families and communities to give motivation to the diabetes mellitus patients to do diabetic foot SPA as one of alternative therapies to prevent foot complications such as foot ulcers and even amputation

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EFFECTIVENESS OF DIABETIC FOOT EXERCISES USING SPONGES AND NEWSPAPERS ON FOOT SENSITIVITY IN PATIENTS WITH DIABETES MELLITUS

Belitung Nursing Journal ◽

10.33546/bnj.822 ◽

2019 ◽

Vol 5 (6) ◽

pp. 234-238

Author(s):

Siti Fadlilah ◽

Adi Sucipto ◽

Nazwar Hamdani Rahil

Keyword(s):

Public Health ◽

Diabetes Mellitus ◽

Diabetic Foot ◽

Community Health Centers ◽

Public Health Problem ◽

Sampling Technique ◽

Total Sample ◽

Control Group ◽

Significant Difference ◽

Patients With Diabetes

Background: Diabetes mellitus is a critical public health problem, and its prevalence in Indonesia remains high. Diabetes mellitus may cause complications, one of which is neuropathy that can impair foot sensitivity. This requires a treatment by doing diabetic foot exercises using sponges and paper.Objective: To examine the effectiveness of diabetic foot exercise using sponges and newspapers on foot sensitivity in patients with diabetes mellitus.Methods: This is a quasi-experimental study with pretest posttest with a control group research design, which was conducted at Public Health Center Depok III, Sleman Regency, Yogyakarta, Indonesia. An accidental sampling technique was used to select participants, with a total sample of 108 respondents consisting of 36 respondents in a control group, 36 respondents in a sponge group, and 36 respondents in a newspaper group. Data were analyzed using Wilcoxon and Mann-Whitney test.Results: Among the three groups, only those who received foot exercises using sponges and newspapers had a significant effect on foot sensitivity (p <.05). However, there was no significant difference on the effect of foot exercise on foot sensitivity between sponges and newspapers group (p >.05).Conclusion: The use of sponges and newspapers in foot exercise could significantly improve foot sensitivity in patients with type 2 diabetes mellitus. It is therefore recommended for nurses to provide the foot exercise as a part of nursing practice in both hospitals and community health centers.

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Diabetic Foot Spa Implementation in Early Neuropathy Diagnosis Based on Blood Glucose Levels, Foot Sensitivity and the Ankle Brachial Index in Patients with Diabetes Mellitus

Jurnal NERS ◽

10.20473/jn.v14i1.9950 ◽

2019 ◽

Vol 14 (1) ◽

pp. 106

Author(s):

Erika Martining Wardani ◽

Chilyatiz Zahroh ◽

Nur Ainiyah

Keyword(s):

Diabetes Mellitus ◽

Blood Glucose ◽

Diabetic Foot ◽

Ankle Brachial Index ◽

Vascular Complications ◽

P Value ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Patients With Diabetes ◽

Foot Problems

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PENGARUH SENAM KAKI DIABETES TERHADAP LEG SENSITIVITY MONOFILAMENT TEST PADA PENDERITA DIABETES MELITUS DI WILAYAH POSYANDU LANSIA ENDROSONO SURABAYA

Adi Husada Nursing Journal ◽

10.37036/ahnj.v4i2.118 ◽

2019 ◽

Vol 4 (2) ◽

pp. 29

Author(s):

Susanti Susanti

Keyword(s):

Diabetes Mellitus ◽

Diabetic Foot ◽

Random Sampling ◽

Sampling Technique ◽

Simple Random Sampling ◽

P Value ◽

Patients With Diabetes ◽

The Right ◽

Monofilament Test ◽

Diabetes Melitus

ABSTRAK Penderita Diabetes Mellitus (DM) berisiko mengalami penurunan sensitivitas pada kaki. Kebiasaan maupun perilaku penderita seperti kurang menjaga kebersihan kaki dan tidak menggunakan alas kaki saat beraktivitas akan beresiko terjadi perlukaan pada daerah kaki. Keadaan kaki diabetik lanjut yang tidak ditangani secara tepat dapat memicu dilakukannya tindakan amputasi kaki. Tujuan penelitian untuk menganalisis Pengaruh Senam Kaki Diabetes terhadap Leg Sensitivity Monofilament Test pada penderita Diabetes Melitus di Wilayah Posyandu Lansia Endrosono Surabaya. Penelitian ini menggunakan metode pre-experiment designs dengan rancangan yang digunakan yaitu one group pretest-postest dengan sample 54 responden lansia di Posyandu Lansia Endrosono Kelurahan Wonokusumo Kecamatan Semampir Kota Surabaya diambil menggunakan tehnik sampling Simple Random Sampling. Pengukuran Leg Sensitivity dipeoleh dari observasi menggunakan Monofilament Test. Data dianalisis menggunakan Uji Mc. Nemar didapatkan p value = 0,008 pada kaki kanan dan p value = 0,003 pada kaki kiri dengan α=0,05 (p< α). Hal ini berarti tidak terdapat pengaruh antara senam kaki diabetes dengan leg sensitivity monofilament test (H0 diterima, H1 ditolak). Implikasi hasil penelitian bahwa senam kaki diabetes tidak dapat mempengaruhi leg sensitivity monofilament test. sehingga perlu lebih ditingkatkan aktivitasnya sehari-harinya dan melakukan senam kaki diabetes 5-7x perhari. Kata Kunci : Senam Kaki Diabetes, Leg Sensitivity, Monofilament Test ABSTRACT Patients with Diabetes Mellitus (DM) are risked with Leg Sensitivity decreasing. Patient’s habits or behavior such as less maintaining of their cleanliness and not wearing footwear or slippers will make the risk of them infect their feet increase. If the conditions of further diabetics are not handled properly, it can increase the act of foot amputations. This research objective is to analyze the effect of Diabetics Foot Exercise against Leg Sensitivity Monofilament Test to patients with Diabetes Mellitus in Posyandu Lansia Endorsono Surabaya. This research is using pre-experiment designs methods and the design used is one group pretest-posttest with 54 elderly respondents from Posyandu Lansia Endorsono Wonokusumo Village, Semampir sub-district, Surabaya as sample and using Simple Random Sampling as the sampling technique. Leg sensitivity measuring is collected from Monofilament Test observation. The Data are analyzed by SPSS 16.0 program and using Mc. Nemar obtained p value = 0,008 for the right foot and p value = 0,003 for the left foot α=0,05 (p< α). It means that there is no effect between Diabetic Foot Exercise with the Leg Sensitivity Monofilament test (H0 is approved, H1 is disapproved). The implication of the research is that Diabetic Foot Exercise cannot be affecting Leg Sensitivity Monofilament Sensitivity Test. As the result patients with diabetes mellitus need to increase their daily activity and do the Diabetic Foot Exercise 5-7 times per-day. Key words: Diabetic Foot Exercise, Leg Sensitivity, Monofilament Test

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The process of repair of trophic ulcers in patients with diabetes

Problems of Endocrinology ◽

10.14341/probl11391 ◽

2004 ◽

Vol 50 (2) ◽

pp. 34-38

Author(s):

N. A. Myskina ◽

A. Yu. Tokmakova ◽

M. B. Antsiferov

Keyword(s):

Diabetes Mellitus ◽

Blood Flow ◽

Diabetic Foot ◽

Neurological Disorders ◽

Sharp Increase ◽

Lower Extremities ◽

Late Complications ◽

Diabetic Foot Syndrome ◽

Industrialized Countries ◽

Patients With Diabetes

In the last 30 years, there has been a sharp increase in the incidence of diabetes mellitus (DM), especially in industrialized countries, and its prevalence tends to further increase [3]. The main cause of disability and death of patients are late complications of this disease. Among them, it is especially important to identify developing diabetic foot syndrome (DFS), which is defined as infection, ulcer and / or destruction of deep tissues, associated with neurological disorders and decreased main blood flow in the arteries of the lower extremities of varying degrees severity (International Diabetic Foot Agreement, Netherlands, 1999)

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