Effects of Foot Exercises on The Ankle-Brachial Index in Patients with Type 2 Diabetes Mellitus

Muhammad Zainul Arifin, Aulisari Siskaningrum, Ucik Indrawati, Eka Ratna Anjani

Abstract


Type 2 diabetes mellitus is a chronic metabolic disorder that frequently leads to vascular complications, including reduced peripheral perfusion, which can be assessed using the Ankle-Brachial Index (ABI). Patients with type 2 diabetes mellitus are non-insulin-dependent, allowing for the implementation of specific therapeutic interventions to manage the condition. This study aimed to analyze the effect of foot exercises on ABI values in patients with type 2 diabetes mellitus at the Gambiran Community Health Center in Mojoagung, Jombang. A quasi-experimental design was employed, utilizing a pre-test and post-test approach with a control group. The study sample consisted of 56 patients with type 2 diabetes mellitus, randomly assigned to either the control group or the intervention group. The intervention group performed foot exercises three times a week for two weeks, with each session lasting 30 minutes. ABI measurements were taken before and after the intervention using Doppler ultrasonography. Baseline results showed that nearly half of the experimental group fell into the mild impairment category (42.9%), while nearly half of the control group fell into the moderate impairment category (46.4%). Following the foot exercise intervention, the majority of the experimental group showed ABI values in the normal range (64.3%), whereas the control group remained predominantly in the mild impairment category (46.4%). Foot exercises significantly influenced ABI values in patients with type 2 diabetes mellitus, indicating an improvement in peripheral perfusion. This intervention can be recommended as a non-pharmacological therapy to prevent vascular complications in diabetic patients.


Keywords


ankle-brachial index, diabetes mellitus, foot exercises

References


Basri, M., Baharuddin, K., & Rahmatia, S. (2021). Pengaruh Senam Kaki Terhadap Nilai Respon Neuropati Pada Penderita Diabetes Mellitus Type 2 Di Puskesmas Tamalanrea Makassar. Diagnosis Jurnal Ilmiah Kesehatan, 16(1), 40-46.

Elkhalifa, A. M., Nazar, M., Ali, S. I., Khursheed, I., Taifa, S., Ahmad Mir, M., ... & Nabi, S. U. (2024). Novel therapeutic agents for management of diabetes mellitus: a hope for drug designing against diabetes mellitus. Life, 14(1), 99.

Hati, Y., & Sharfina, D. (2020). Pengaruh Senam Kaki Diabetik Terhadap Penurunan Risiko Ulkus Diabetikum Pada Pasien Diabetes Mellitus Tipe 2 Di Puskesmas Taupah Barat Kecamatan Taupah Barat Kabupaten Simeule Tahun 2020. Jurnal Ilmiah Kebidanan Imelda, 6(1), 50-56.

Kemenkes. (2023). Waspada diabetes militus pada usia muda, kenali gejala dan faktor risikonya. Kemenkes RI.

Kurnia, J., & Ika, S. (2024). Penerapan Senam Kaki Diabetik terhadap Tingkat Resiko Terjadinya Ulkus Diabetik pada Penderita Diabetes Mellitus Di Wilayah Kerja Puskesmas Sukoharjo. Jurnal Ilmu Kesehatan dan Gizi, 2(4), 79-88.

Lariwu, C. K., & David, B. (2022). Pengaruh Senam Kaki Terhadap Nilai Abi Pada Pasien Dmt2. Watson Journal Of Nursing, 1(1), 30-34.

Magliano, D. J., Boyko, E. J., & Atlas, I. D. (2021). Global picture. In IDF DIABETES ATLAS [Internet]. 10th edition. International Diabetes Federation.

Nursalam. (2020). Metodologi Penelitian Untuk Keperawatan. Salemba Medika.

Purwaningsih, E., Wiratmoko, H., & Suwanto, A. W. (2024). Senam Kaki Menurunkan Risiko Ulkus Diabetikum. In Eureka Media Aksara (p. 45).

Rahayu, K. I. N. (2018). Pengaruh senam kaki terhadap perfusi kaki pada pasien diabetes mellitus di wilayah kerja Puskesmas Ngadiluwih Kabupaten Kediri. Jurnal Ilmu Kesehatan, 6(2), 118-124.

Sari, M., & Sari, N. P. (2022). Perawatan kaki (foot care) pada perfusi perifer tidak efektif diabetes melitus. Jurnal Ilmu Keperawatan Indonesia (JIKPI), 3(1), 13-20.

Simamora, F. A., Siregar, H. R., & Hidayah, A. (2020). Pengaruh Senam Kaki Diabetik terhadap penurunan neuropati pada penderita diabetes melitus tipe 2. Jurnal Education and development, 8(4), 431-431.

Sugiyono. (2007). Statistika Untuk Penelitian. Alfabeta Bandung.

Widiastuti, L. (2020). Acupressure dan Senam Kaki terhadap Tingkat Peripheral Arterial Disease pada Klien DM Tipe 2. Jurnal Keperawatan Silampari, 3(2), 694–706.

Widiawati, S., Maulani, M., & Kalpataria, W. (2020). Implementasi Senam Kaki Diabetes Pada Penderita Diabetes Melitus di RSUD Raden Mattaher Jambi. Jurnal Pengabdian Harapan Ibu (JPHI), 2(1), 6-14.

Yulianti, Y., & Januari, R. S. (2021). Pengaruh senam kaki diabetes mellitus terhadap kadar gula darah penderita DM Tipe 2 di wilayah kerja puskesmas ciemas. Lentera: Jurnal Ilmiah Kesehatan dan Keperawatan, 4(2), 87-94.

Yunir, E., Nugraha, A. R., Rosana, M., Kurniawan, J., Iswati, E., Sarumpaet, A., ... & Tahapary, D. L. (2023). Risk factors of severe hypoglycemia among patients with type 2 diabetes mellitus in outpatient clinic of tertiary hospital in Indonesia. Scientific reports, 13(1), 16259.




DOI: https://doi.org/10.17509/jpjo.v11i2.91390

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