Penerapan Pengaruh Senam Kaki Diabetes Terhadap Nilai Ankle Brachial Index (Abi) Pada Pasien Diabetes Mellitus Tipe 2

2021 ◽  
Vol 1 ◽  
pp. 813-819
Author(s):  
Jihan Astrie ◽  
S Sugiharto

AbstractDiabetes mellitus is a disease characterized by high blood sugar levels due to disruption of the production and function of the hormone insulin. One of the symptoms of diabetes mellitus is a decrease in foot sensitivity which is characterized by a tingling and thick feeling in the feet. This study aims to apply diabetic foot exercise and its effect on the value of the ankle brachial index (ABI) in patients with diabetes mellitus. The research design was a case study on 2 patients with type 2 diabetes mellitus. The instruments used were vascular doppler, jelly, gauze/tissue, sphygmomanometer, bent, and stationery. The intervention by applying diabetes foot exercise 12 steps with a duration of 30 minutes was carried out 3 times a week. The results showed an increase in the ABI value in both patients with an average increase of 0.2. In addition, the patient said that the tingling and thick feeling in the legs decreased. Thus, it is proven that diabetic foot exercise can increase the ABI value in patients with diabetes mellitus. Suggestions for healthcare providers to assess patient knowledge related to diabetic foot exercise, and teach the patient. Foot care is one of the diabetes self-care pillars that can prevent complications and reduce premature death among diabetic patients.Keywords: Ankle Brachial Index;Diabetes Mellitus; Diabetes Foot Exercise AbstrakDiabetes mellitus merupakan penyakit yang ditandai dengan tingginya kadar gula darah akibat terganggunya produksi dan fungsi hormon insulin. Salah satu gejala diabetes mellitus yaitu penurunan sensitivitas kaki yang ditandai dengan rasa kesemutan dan tebal pada kaki. Penelitian ini bertujuan untuk mengaplikasikan senam kaki diabetes dan pengaruhnya terhadap nilai ankle brachial index (ABI) pada pasien diabetes mellitus. Desain penelitian berupa studi kasus pada 2 pasien diabetes mellitus tipe 2. Instrumen yang digunakan berupa doppler vaskuler, jelly, kassa/tissue, sphygmomanometer, bengkok, dan alat tulis. Intervensi dengan mengaplikasikan senam kaki diabetes 12 langkah dengan durasi 30 menit dilakukan selama 3 kali dalam seminggu. Hasil menunjukan terjadi peningkatan nilai ABI pada kedua pasien dengan rata – rata peningkatan 0,2. Selain itu pasien mengatakan rasa kesemutan dan tebal pada kaki sudah berkurang. Dengan demikian, terbukti bahwa senam kaki diabetes dapat meningkatkan nilai ABI pada pasien diabetes mellitus. Saran bagi pelayanan kesehatan untuk mengkaji pengetahuan pasien terkait dengan senam kaki diabetes, dan mengajarkannya. Karena perawatan kaki merupakan salah satu pilar perawatan diabetes mandiri yang dapat mencegah komplikasi dan menurunkan kematian dini akibat diabetes. Kata kunci: Ankle Brachial Index;Diabetes Mellitus; Senam Kaki Diabetes

Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 106
Author(s):  
Erika Martining Wardani ◽  
Chilyatiz Zahroh ◽  
Nur Ainiyah

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.


Jurnal NERS ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 106
Author(s):  
Erika Martining Wardani ◽  
Chilyatiz Zahroh ◽  
Nur Ainiyah

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.


2019 ◽  
Vol 45 (1) ◽  
pp. 56-56
Author(s):  
M. N. Solun

The monograph under review is devoted to one of the most important sections of clinical diabetology. As you know, damage to the lower extremities in patients with diabetes mellitus (DM) is quite common and has an adverse effect on the fate of patients, causing their early disability, and in some cases premature death.


2022 ◽  
Vol 1 (1) ◽  
pp. 124-130
Author(s):  
Defrima Oka Surya ◽  
Zulham Efendi ◽  
Afrizal Afrizal ◽  
Ria Desnita

ABSTRACT: DIABETIC FOOT SELF CARE ON DIABETES PATIENTS Background: Diabetes Mellitus (DM) can cause complications in various body systems. One of the complications of DM is complications in the feet which can cause diabetic foot ulcers and lead to leg amputation. Diabetic foot complications can be prevented by performing routine foot care or diabetic foot care. Objective: The purpose of this study was to determine the description of diabetic foot care in patients with diabetes mellitus consisting of personal self-care, podiatric care, and footwear and socks. Method: This type of research is descriptive quantitative research. Data was collected using a diabetic foot care questionnaire. The number of samples in this study was 51 people. The sampling method is a non-probability technique using consecutive sampling. The study was conducted in the Kuranji Health Center Working Area in July – November 2021. Result: The results showed that most respondents (64.70%) had poor personal self-care in foot care, 82.3% of respondents had poor podiatric care habits. and 52.94% of respondents have good habits in choosing footwear. Conclusion: From the results of the study, it was concluded that people with diabetes have bad habits in performing foot care so that this is one of the risk factors for complications in the feet. To increase awareness of people with diabetes in performing foot care, it is recommended that nurses can provide education and teach people with diabetes to take care of their feet Keywords: Diabetes Mellitus; Foot Complications; Foot Care  INTISARI : DIABETIC FOOT SELF CARE PADA DIABETISI Latar Belakang : Diabetes Melitus (DM) dapat menyebabkan komplikasi pada berbagai sistem tubuh. Salah satu komplikasi DM adalah komplikasi pada kaki yang dapat menimbulkan ulkus kaki diabetik dan berujung dengan amputasi kaki. Pencegahan komplikasi pada kaki dapat dilakukan diabetisi dengan melakukan perawatan kaki rutin atau diabetic foot care.Tujuan : Tujuan penelitian ini adalah untuk mengetahui gambaran diabetic foot care pada pasien diabetes melitus yang terdiri dari personal self care, podiatric care, serta footwear and sock.Metode : Jenis penelitian ini adalah penelitian deskriptif kuantitatif. Pengumpulan data dilakukan menggunakan kuesioner diabetic foot care. Jumlah sampel dalam penelitian ini adalah 51 orang. Metode pengambilan sampel adalah dengan Teknik non probability dengan menggunakan consecutive sampling. Penelitian dilakukan di Wilayah Kerja Puskesmas Kuranji pada Bulan Juli – November 2021.Hasil : Hasil penelitian menunjukkan bahwa sebagian besar responden (64,70%) memiliki personal self care yang kurang baik dalam perawatan kaki, 82,3% responden memiliki kebiasan podiatric care yang kurang baik dan 52,94% responden memiliki kebiasaan baik dalam pemilihan alas kaki.Kesimpulan : Diabetisi memiliki kebiasaan yang kurang baik dalam melakukan perawatan kaki sehingga ini menjadi salah satu faktor resiko terjadinya komplikasi pada kaki. Untuk meningkatkan kesadaran diabetisi dalam melakukan perawatan kaki disarankan perawat dapat memberikan edukasi dan mengajarkan diabetisi untuk melakukan perawatan kaki Kata Kunci : Diabetes Melitus; Komplikasi Kaki; Perawatan Kaki


2018 ◽  
Vol 4 (3) ◽  
pp. 343-349
Author(s):  
Iskandar Iskandar ◽  
Ridha Dharmajaya ◽  
Yesi Ariani

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. 


2021 ◽  
Vol 12 (1) ◽  
pp. 1-6
Author(s):  
Kharisma Pratama

Abstract Background: Diabetes mellitus (DM) is a metabolic disease characterized by an increase in blood sugar levels due to damage to insulin secretion. Neuropathy is a common complication of diabetes mellitus. One way to prevent neuropathy or other complications is to do regular foot care. The role of caregiver in diabetic foot care is important to improve the quality of life of patients living with diabetes mellitus. They need to be provided with the latest knowledge and support regarding diabetic foot care. Purpose: Study was to determine the relationship between care giver knowledge about diabetic foot care and foot ulcers at risk of developing ulceration in DM. Methods: This study was an analytical study with a cross sectional study design. The research sample was 40 respondents who met the criteria. The data were collected using a knowledge questionnaire with 20 questions and a risk observation sheet for diabetic foot. Results: This study showed that most of the respondents had less knowledge about diabetic foot care, namely 26 (65%). The study also showed a relationship between the lack of knowledge about foot care and the risk of foot injury for people with diabetes, a = 0.05 (95% CI). Conclusion: This study has proven that a care giver must be equipped with diabetic foot care competency, and  DM patinets can avoid complications of diabetic foot ulcers. Nurse should provide education to the community regularly, especially on the novelty of the knowledge that has been gained either from research or from the experience gained in the clinic or nursing home.   Abstrak Latar Belakang: Diabetes melitus (DM) merupakan suatu penyakit metabolik yang di tandai dengan adanya peningkatan kadar gula darah akibat kerusakan pada sekresi insulin. Neuropati merupakan salah satu komplikasi diabetes melitus yang sering terjadi. Salah satu cara mencegahan neuropati atau komplikasi lainnya yaitu dengan melakukan perawatan kaki yang rutin. Peran care giver dalam perawtan kaki diabetik sangat diperlukan untuk peningkatan kualitas hidup pasien dengan diabetes mellitus. Mereka perlu diberikan pembekalan serta dukungan ilmu yang terbaru mengenai perawtan kaki diabetik. Tujuan: Adapun tujuan penelitian ini adalah untuk mengetahui hubungan antara pengetahuan care giver tentang perawatan kaki diabetik dengan kejadian kaki beresiko terjadinya ulkus pada penderita DM. Metode: Penelitian ini adalah penelitian analitik dengan  rancangan penelitian cross sectional. Sampel penelitian sebanyak 40 responden yang memenuhi kriteria.  Pengumpulan data dilakukan dengan menggunakan kuesioner pengetahuan dengan 20 pertanyaan dan lembar observasi resiko kaki diabetik. Hasil: Hasil Penelitian menunjukkan sebagian besar responden memiliki pengetahuan yang kurang tentang perawatan kaki diabetik yaitu sebesar 26 (65%). Penelitian juga menunjukkan adanya hubungan antara kurangnya tingkat pengetahuan tentang perawatan kaki dengan resiko terjadinya luka pada kaki penderita DM, a=0.05 (CI 95%). Kesimpulan: Penelitian ini telah membuktikan bahwa pendamping anggota keluarga yang sakit harus dibekali kompetensi perawatan kaki diabetik, dengan harapan penderita DM dapat terhindar dari komplikasi ulkus kaki diabetikum. Bagi kolega perawat untuk terus memberikan edukasi pada masyarakat khususnya terhadap kebaruan ilmu yang telah didapat baik dari penelitian ataupun dari pengalaman yang didapat diklinik atau rumah perawatan.  


2020 ◽  
Vol 6 (2) ◽  
pp. 36-39
Author(s):  
Shashikala Manjunatha ◽  
Kaladi Anjinappa Suhasini ◽  
Basavaraju Santosh ◽  
Channaveeradevaru Chandrakala

Jurnal NERS ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. 5
Author(s):  
Selpina Embuai ◽  
Hani Tuasikal ◽  
Moomina Siauta

Introduction: Diabetes mellitus is a cause of health problems which occurs in most countries. Approximately 13 - 15% of all patients with diabetes mellitus will experience peripheral circulatory disorders. Foot exercise and foot care are interventions that can be implemented to prevent foot ulcers.Methods: This study employed a pre-post-test quasi-experimental design with a control group. The sample consisted of 94 patients with diabetes mellitus who were assigned to the intervention group (n=47) and the control group (n=47) respectively. Consecutive sampling was used to recruit the samples. The instruments used to collect the data included 10-g monofilament for the diabetic neuropathy test, a HbA1c test and a sphygmomanometer. The collected data was analyzed using a paired t-test.Results: The results of this study showed there to be significant effects from foot exercise and foot care on the HbA1c test, in relation to the frequency of the dorsalis pedis artery and diabetic neuropathy with a significance value of 0.00 (p<0.05). However, in the ankle-brachial index measurement, there were no significant differences between the intervention and control groups with a significance value of 0.26 (p>0.05).Conclusion: Foot exercise and foot care can be one of the independent nursing interventions used to prevent the complications of diabetes mellitus, as they have been proven to improve the peripheral vascular status of patients with diabetes mellitus by 70-80%.


2019 ◽  
Vol 9 (2) ◽  
pp. 63-72
Author(s):  
Nova Nurwinda Sari ◽  
Herlina Herlina

Diabetes mellitus dapat menyebabkan cukup banyak komplikasi seperti kelainan mata, kelainan ginjal, kelainan pembuluh darah dan kelainan pada kaki. Penderita diabetes mellitus yang mengalami komplikasi kronis perlu diberikan upaya preventif untuk mencegah komplikasi, salah satunya adalah kemampuan perawatan kaki. Penelitian ini dilakukan untuk menguji efektivitas supportive educative system dalam meningkatkan kemandirian perawatan kaki pada pasien dengan diabetes mellitus Tipe II di Puskesmas Permata Sukarame, Bandar Lampung. Penelitian ini menggunakan metode quasy eksperimen dengan desain pretest-posttest with control group dengan total masing-masing kelompok sebanyak 18 responden. Pengumpulan data dilakukan dengan menyebarkan kuesioner kepada responden yang memenuhi kriteria inklusi penelitian. Penelitian ini diuji menggunakan analisis univariat, bivariat dan uji T-test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata dalam kemandirian perawatan kaki pada kelompok intervensi dan kelompok kontrol dengan p-value 0,000. Pendidikan dan praktik perawatan kaki harus diberikan sejak dini sebagai upaya pencegahan untuk komplikasi.   Kata kunci : Supportive educative system, kemandirian perawatan kaki   SUPPORTIVE EDUCATIVE SYSTEM IN IMPROVING INDEPENDENCE OF FOOT CARE IN PATIENTS WITH DIABETES MELLITUS TYPE II   ABSTRACT Diabetes mellitus can cause quite a lot of complications such as eye disorders, kidney disorders, vascular disorders and abnormalities in the legs. Patients with diabetes mellitus who have chronic complications need to be given a preventive effort to prevent complications, one of which is foot care ability. This research was conducted to examine the effectiveness of supportive educative systems in increasing the independence of foot care in patients with Type II diabetes mellitus in the Permata Sukarame Health Center Bandar Lampung Working Area. This study used a quasi-experimental method with pretest-posttest with control group design with a total of 18 respondents each. Data collection is done by distributing questionnaires to respondents who meet the research inclusion criteria. This study was tested using univariate, bivariate, T-Test analysis. The results showed that the mean differences in the independence of foot care in the intervention group and the control group in the Permata Sukarame Community Health Center work area with a p-value of 0,000. Education and practice of foot care should be given early as a preventative effort for complications.   Keywords: Supportive educative system, independence of foot care


Diseases ◽  
2021 ◽  
Vol 9 (1) ◽  
pp. 16
Author(s):  
Giulia Casadei ◽  
Marta Filippini ◽  
Lorenzo Brognara

Background: Diabetic peripheral neuropathy (DPN) is known to predict foot ulceration, lower-extremity amputation and mortality. Patients with diabetes mellitus have a predisposition toward developing chronic inflammatory demyelinating polyneuropathy, and this may also facilitate the formation of diabetic foot and cutaneous impairment, which are considered one of the most serious impairments of diabetes mellitus, with a prevalence of 4–10% in this population. Biomarkers research provides opportunities for the early diagnosis of these complications for specific treatments useful to prevent amputation and, therefore, physical inability and mental disturbance. The recent literature has suggested that glycemic levels may be a novel factor in the pathogenesis of diabetic foot complications and is an important mediator of axonal dysfunction. The aim of this systematic literary review is to determine whether hemoglobin A1c (HbA1c) is a positive predictor for diabetic foot peripheral neuropathy and its complications, such as foot cutaneous impairments. There is a lack of consensus regarding the effect of glycemic variability on diabetic foot peripheral neuropathy, unlike other complications such as retinopathy, nephropathy or micro/macrovascular pathology. Methods: Relevant articles were searched in the Medline database using PubMed and Scopus and relevant keywords. The primary search terms used were “glycated hemoglobin” OR “HbA1c” AND “diabetic neuropathies” AND “Foot”. Results: A number of articles (336) were initially identified while searching the scientific literature regarding this topic, and 32 articles were selected and included in this review. Conclusions: This review highlights the role of HbA1c in diabetic foot peripheral neuropathy. Biomarkers play an important role in the decision-making process, and HbA1c levels are extensively used for diabetic foot clinical outcomes and settings, but biomarker research in diabetic foot peripheral neuropathy is in its infancy and will require careful attention to a number of factors and associations, since the consequences of DPN also include neurological alterations. HbA1c is an accurate and easy-to-administer test and can be an effective biomarker in establishing the diagnosis of diabetes, but future research should focus on standardizing the HbA1c level and selecting which DPN value and its correlated complications, such as foot cutaneous impairments, are the most informative.


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