Effectiveness Diabetic Foot Exercises with Video in Reducing Risk of Diabetic Foot Ulcer in Patients with Diabetes Mellitus Type 2

Muhamad Alfin Ramadhan; Ani Nuraeni; Tutty Aprianti

doi:10.24198/jnc.v9i1.65053

Effectiveness Diabetic Foot Exercises with Video in Reducing Risk of Diabetic Foot Ulcer in Patients with Diabetes Mellitus Type 2

Muhamad Alfin Ramadhan, Ani Nuraeni, Tutty Aprianti

Abstract

Type 2 diabetes is a chronic metabolic disorder characterized by elevated blood glucose due to impaired glucose uptake or insulin production. This condition can lead to complications, namely diabetic foot ulcers. Handling diabetic foot wounds can be done by doing activities such as foot exercises. This study aims to determine the effectiveness of diabetic foot exercises using video in reducing the risk of foot wounds in patients with type 2 DM. The research method was quasi-experiment with pretest-postest with control group. Sampling using purposive sampling technique. A total of 64 participants were enrolled and divided into an intervention group (n = 32) and a control group (n = 32); the intervention group performed diabetic foot exercises using video guidance for 3 weeks, three times per week, with a duration of 10 minutes per session. Measurements were made with ABI and monofilament test before and after intervention. The data analysis used was the Independent T-Test test. The was that the Monofilament of the right foot and left foot has a P-Value of 0.001 as well as the ABI value data on the right foot has a P-Value of 0.002 and the left foot P-Value of 0.001. Diabetic foot exercises with video media are proven to be effective in reducing the risk of diabetic foot wounds in patients with type 2 diabetes mellitus. For future research, we recommend a longer study duration to allow for a larger sample size and the analysis of additional relevant variables

Keywords

Diabetic foot exercise; Diabetes Mellitus Type 2; Video; Risk of diabetic foot ulcer

Full Text:

PDF

References

American Diabetes Association. (2021). 2. Classification and diagnosis of diabetes: Standards of medical care in diabetes-2021. Diabetes Care, 44(January), S15–S33. https://doi.org/10.2337/dc21-S002

Amanat, S., Ghahri, S., Dianatinasab, A., Fararouei, M., & Dianatinasab, M. (2020). Exercise and Type 2 Diabetes. Advances in Experimental Medicine and Biology, 1228,91–105. https://doi.org/10.1007/978-981-15-1792-1_6

Ambarwati, Sulistiawan, A., & Sari, Y. I. P. (2023). Efektivitas Pendidikan Kesehatan Menggunakan Metode Demonstrasi dan Media Video Terhadap Kemampuan Melakukan Senam Kaki Pada Pasien Diabetes Melitus. Jurnal Ners, 7(2), 1767–1775.

Dinas Kesehatan Provinsi Jawa Barat. (2024). Profil Kesehatan Jawa Barat Tahun 2024. Dinas Kesehatan Provinsi Jawa Barat.

Brahmantia, B., Falah, M., Rosidawati, I., Sri R, A., & Dinia F, N. (2020). Pengaruh Senam Kaki Diabetik Terhadap Sensitivitas Kaki Penderita Dm Di Puskesmas Parungponteng Kecamatan Cibalong Kabupaten Tasikmalaya. Healthcare Nursing Journal, 2(2), 15–19.https://doi.org/10.35568/healthcare.v2i2.862

Ciarambino, T., Crispino, P., Leto, G., Mastrolorenzo, E., Para, O., & Giordano, M. (2022). Influence of Gender in Diabetes Mellitus and Its Complication. 1–13.

Dasong, S., Suhartatik, & Afrianti, A. (2019). Faktor Risiko yang Berhubungan dengan Terjadinya Ulkus Diabetik pada penderita Diabetes melitus Tipe 2 di RSUD Syekh yusuf Kabupaten Gowa. Jurnal Media Keperawatan: Politeknik Kesehatan Makassar, 10(2), 85–91.

Detty, A. U., Fitriyani, N., Prasetya, T., & Florentina, B. (2020). Karakteristik Ulkus Diabetikum Pada Penderita Diabetes Melitus. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 258–264.https://doi.org/10.35816/jiskh.v11i1.261

Embuai, S., Tuasikal, H., & Siauta, M. (2019). Effect of Foot Exercise and Care on Peripheral Vascular Status in Patients with Diabetes Mellitus. Jurnal Ners, 14(3 Special Issue), 5–13. https://doi.org/10.20473/jn.v14i3(si).16943

Erlina, R., Gayatri, D., Rohman, A., Rayasari, F., & Kurniasih, D. N. (2022). Pengaruh Terapi Pijat dan Senam Kaki terhadap Risiko terjadinya Ulkus Kaki Diabetik Pasien Diabetes Mellitus Tipe II: Randomized Controlled Trial. Jurnal Keperawatan, 14(53), 753–766.

Heidari, M., Zolaktaf, V., Ghasemi, G., & Nejadian, hahram L. (2021). Integrated Exercise and Glycemic and Peripheral Sensation Control in Diabetic Neuropathy: A Single‑Blind, Randomized Controlled Trial. International Journal Of Preventive Medicine, 12(169), 1–8. https://doi.org/10.4103/ijpvm.IJPVM_306_20

International Diabetes Federation. (2020). Diagnosis and management of type 2 diabetes. In World Health Organization. World Health Organization.

Jalilian, M., Sarbarzeh, P. A., & Oubari, S. (2020). Factors related to severity of diabetic foot ulcer: A systematic review. Diabetes, Metabolic Syndrome and Obesity, 13, 1835–1842. https://doi.org/10.2147/DMSO.S256243

Kementerian Kesehatan Republik Indonesia. (2023). Profil Kesehatan Indonesia tahun 2023 (2023rd ed.). Kementrian Kesehatan Republik Indonesia.

LeMone, P., Burke, K. M., & Bauldoff, G. (2016). Keperawatan Medikal Bedah 1 (A. Linda, R. P. Wulandari, B. Bariid, & N. B. Subekti (eds.); 1st ed.). EGC Kedokteran.

Nuriya, & Taufik, A. (2022). Efektifitas Senam Kaki Diabetik terhadap Ankle Brachial Index pada Pasien Diabetes Melitus: Literature Review. Journal of Bionursing, 4(3), 223–231. https://doi.org/10.20884/1.bion.2022.4.3.160

Puryanti, C., Subiyanto, P., & Amigo, T. A. E. (2023). Integration of foot massage and diabetic foot gymnastic on peripheral perfusion in patients with diabetes mellitus 2. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 19(1), 40–50. https://doi.org/10.31101/jkk.3041

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

Ramadhan, M. A., Suharyo, & Rumahorbo, H. (2021). Buku Panduan Senam Kaki Diabetic dan Foot Massage Terhadap ABI (Ankle Brachial Index) pada Penderita DIabetes Melitus Tipe 2. Politeknik Kesehatan Kemenkes semarang.

Rossboth, S., Lechleitner, M., & Oberaigner, W. (2021). Risk factors for diabetic foot complications in type 2 diabetes — A systematic review. Endocrinology, Diabetes And Metabolism, 4, 1–32. https://doi.org/10.1002/edm2.175

Rubio, J. A., Jiménez, S., & Lázaro-Martínez, J. L. (2020). Mortality in patients with diabetic foot ulcers: Causes, risk factors, and their association with evolution and severity of ulcer. Journal of Clinical Medicine, 9(9), 1–14. https://doi.org/10.3390/jcm9093009

Simamora, F. A., SIregar, H. R., & Hidayah, A. (2020). Pengaruh Senam Kaki Diabetik Terhadap Penurunan Neuropati Pada Penderita Diabetes Melitus Tipe 2. Education and Development, 8(4), 431–434.

Sutriyawan, A., Miranda, T. G., Yusuf, A. A., & Fardhoni. (2023). Analisis Data Penelitian Kuantitatif bidang Kesehatan (R. Trisnadewi (ed.)). Refika Aditama.

Trisna, E., & Musiana, M. (2018). Pengaruh Senam Kaki terhadap Kadar Glukosa Darah dan Nilai ABI Penderita DM. Jurnal Kesehatan, 9(3), 439–444. https://doi.org/10.26630/jk.v9i3.976

Wang, X., Yuan, C.-X., Xu, B., & Yu, Z. (2022). Diabetic foot ulcers: Classification, risk factors and management. World Journal of Diabetes, 13(12), 1049–1065. https://doi.org/10.4239/wjd.v13.i12.1049

Wiarto, G. (2021). Fisiologi Olahraga dan latihan Respon fisiologis tubuh terhadap Olahraga. Graha Ilmu.

World Health Organization. (2024). World health statistics 2024: : monitoring health for the SDGs, Sustainable Development Goals (2024th ed.). WHO.

Yang, D., Yang, Y., Li, Y., & Han, R. (2019). Physical Exercise as Therapy for Type 2 Diabetes Mellitus: From Mechanism to Orientation. Annals of Nutrition and Metabolism, 74(4), 313–321. https://doi.org/10.1159/000500110

DOI: https://doi.org/10.24198/jnc.v9i1.65053