The Effect of Diabetic Foot Exercise on Peripheral Perfusion and Fall Risk in Elderly with Diabetes Mellitus: Case Report

Yuliana Eka Putri; Sheizi Prista Sari; Witdiawati Witdiawati

doi:10.24198/jnc.v8i2.64001

The Effect of Diabetic Foot Exercise on Peripheral Perfusion and Fall Risk in Elderly with Diabetes Mellitus: Case Report

Yuliana Eka Putri, Sheizi Prista Sari, Witdiawati Witdiawati

Abstract

risk of experiencing complications such as peripheral neuropathy. Diabetic foot exercises are an intervention to control blood sugar levels and reduce the risk of complications and limited study have been found that support the intervention on the risk of further falls. This study aims to determine the effect of foot exercises
on peripheral perfusion and fall risk in elderly with DM. The research employed a case report methodology, utilizing a nursing care approach for an elderly individual aged 65 years. The client experienced peripheral neuropathy and the assessment showed that the client was in the moderate fall risk category. The intervention was given for 7 days in the morning and evening for 10–15 minutes, and evaluation was conducted daily through observation, interviews, physical examinations, and objective assessment using questionnaires Tinetti Assessment Tool. Complaints of tingling and stiffness in the feet had decreased, acral temperature became warm, CRT was 2 seconds, SpO₂ in the toes increased to 96%, GDS was 136 mg/dL, and the Tinetti Assessment Tool score was 5 with an interpretation of low fall risk. The findings of this study indicate that practicing diabetic foot exercises can improve peripheral perfusion and reduce the risk of falls in the elderly. Further research is expected to be conducted with a larger sample size and a longer intervention duration to observe its long-term effects.

Keywords: Diabetic Foot Exercise, Diabetes Mellitus, Elderly

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References

Afzalena, Juanita, & Hadi, N. (2024). The Effectiveness Of Diabetic Foot Exercise Therapy In Elderly With Diabetes Mellitus: A Case Study. Jurnal Ilmiah Mahasiswa (JIM) Fakultas Keperawatan, VIII(3), 131–137.

Alfreyzal, M., Paizer, D., Anggraini, D., Syahfitri, R. D., & Azhari, M. H. (2024). Edukasi Kesehatan Pada Keluarga Diabetes Melitus Dengan Masalah Keperawatan Pemeliharaan Kesehatan Tidak Efektif. Jurnal Kesehatan, 13(1).

Arifahyuni, A., & Retnaningsih, D. (2024). Penerapan Senam Kaki terhadap Risiko Perfusi Jaringan Perifer Tidak Efektif pada Pasien DM Tipe 2. Jurnal Manajemen Asuhan Keperawatan, 8(1), 9–17. https://doi.org/10.33655/mak.v8i1.178

Arna, Y. D., & Hasanah, I. (2022). Pemberian Senam Kaki pada Lanjut Usia dengan Risiko Perfusi Perifer Tidak Efektif. Prosiding Nasional FORIKES 2022: Pembangunan Kesehatan Multidisiplin, 114–117. http://ejournal.binausadabali.ac.id/index.php

Awaliyah, F., Parameswara, N., Kesuma, P., & Rahayu, S. P. (2024). Intensitas senam kaki DM dan frekuensi pengecekan kadar glukosa sebagai upaya mengurangi indeks kaki pada lansia di Posyandu Dahlia. Prosiding Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat, 2.

Dafriani, P., Marlinda, R., Afri Resta, H., Studi, P. S., & Syedza Saintika, S. (2019). Edukasi Perawatan Diabetes Mellitus (DM) di Bangsal Interne RSUD M.Zein Kota Painan. Jurnal Abdimas Saintika. https://jurnal.syedzasaintika.ac.id

Darmawati, Wahyuddin, & Meilani, N. (2022). Hubungan Antara Kadar Glukosa Darah Dan Peran Keluarga Dengan Pengendalian Diabetes Melitus Pada Pasien Diabetes Melitus Di Wilayah Kerja Puskesmas Lowu-Lowu. Sehat Rakyat: Jurnal Kesehatan Masyarakat, 1(1), 1–13. https://doi.org/10.54259/sehatrakyat.v1i1.863

Kementerian Kesehatan RI. (n.d.). Webinar Deteksi Dini dan Update Tatalaksana Diabetes Melitus. Retrieved April 26, 2025, from https://lms.kemkes.go.id/courses/58b7688e-c06c-487b-a321-7a5074bc5b61

Kementrian Kesehatan RI. (2018). Hari Diabetes Sedunia Tahun 2018. https://p2ptm.kemkes.go.id/artikel-sehat/hari-diabetes-sedunia-tahun-2018

Magfirlah, S., Susanto, A. D., & Fuadah, S. (2024). Penerapan Intervensi Terapi Senam Kaki Diabetes Dalam Upaya Penurunan Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe II di Rumah Sakit An-Nisa Kota Tangerang. Jurnal Ilmu Kesehatan Mandira Cendikia (JIK-MC), 3(8), 74–78. https://journal-mandiracendikia.com/jikmc

Mangiwa, I., Katuk, M. E., & Sumarauw, L. (2017). Pengaruh Senam Kaki Diabetes terhadap Nilai Ankle Brachial Index pada Pasien Diabetes Melitus Tipe II di Rumah Sakit Pacaran Kasih GMIM Manado. E-Journal Keperawatan (E-JK), 5(1).

Marbun, A. S., Brahmana, N., Sipayung, N. P., Sinaga, C., Marbun, K. L. U., & Halianja, R. (2022). Pelaksanaan Empat Pilar pada Penderita Diabetes Melitus. Jurnal Abdimas Mutiara, 3(1), 366–371.

Margaretta, S. (2017). Efektivitas Senam Kaki Diabetes Terhadap Sensitifitas Kaki dan Resiko Jatuh Pada Lansia DM.

Mustofa, E., Purwono, J., & Ludiana. (2022). Penerapan Senam Kaki Terhadap Kadar Glukosa Darah Pada Pasien Diabetes Melitus di Wilayah Kerja Puskesmas Purwosari Kec. Metro Utara Tahun 2021. Jurnal Cendikia Muda, 2(1).

Perkumpulan Endokrinologi Indonesia. (2021). Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia 2021. PB PERKENI.

PPNI. (2017). Standar Diagnosis Keperawatan Indonesia:Definisi dan Indikator Diagnostik, Edisi 1 Cetakan III (Revisi). Jakarta: PPNI.

Rahman, A., Maryuni, S., & Rahmadhani, A. D. (2021). Pengaruh Latihan Senam Kaki Diabetes Terhadap Sensitivitas Kaki pada Penderita Diabetes Mellitus Tipe II. Jurnal Keperawatan Profesional, 2(1), 7–14. https://doi.org/10.36590/kepo.v2i1.142

Sousa, A. (2016). Uji Reliabilitas Tinetti Assessment Tool Untuk Menilai Keseimbangan Pada Lansia.

Tumiwa, P., & Pondaa, A. (2023). Aplikasi Senam Diabetes Pada Pasien Lanjut Usia. Jurnal Pengabdian Kepada Masyarakat MAPALUS, 1(2), 50–56.

Vira, N. Y., Febriana, D., & Juanita. (2023). Application of Diabetic Foot Exercises Therapy In Elderly with Diabetes Mellitus: A Case Study. Jurnal Ilmiah Mahasiswa (JIM) Fakultas Keperawatan, VII(1), 75–81.

Waluyo, R. A., & Binoriang, D. P. (2024). Penatalaksanaan Senam Kaki Diabetes Terhadap Nilai ABI (Ankle Brachial Index) Pada Lansia : Studi Kasus. Jurnal Medika Nusantara, 2(2), 166–172. https://doi.org/10.59680/medika.v2i2.1123

Widiasari, K. R., Wijaya, I. M. K., & Suputra, P. A. (2021). Diabetes Melitus Tipe 2: Faktor Risiko, Diagnosis, dan Tatalaksana. Ganesha Medicina Journal, 1(2), 114–120.

Widiawati, S., Maulani, & 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. https://doi.org/10.30644/jphi.v1i1.199

DOI: https://doi.org/10.24198/jnc.v8i2.64001