The Influence of Diabetic Foot Exercise On Foot Sensitivity Of Diabetes Mellitus Patient Type 2
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Abstract
Introduction: Diabetes mellitus (DM), a chronic metabolic condition marked by elevated blood sugar levels (hyperglycemia), is brought on by an imbalance between the supply and demand for insulin. Decreased or missing insulin causes glucose to be retained in the circulation, increasing blood sugar levels while depleting the glucose that is required for cell survival and function. In type 2 DM patients, complaints of neuropathy are common.The aim of this study was to evaluate the impact of diabetic foot exercise on patients with Type 2 Diabetes Mellitus at the Selemadeg Timur II Health Center.
Methods: Pre-experimental research is the type of study being conducted. During December 2022 to January 2023, the study was conducted at the Selemadeg Timur II Health Center. A total of 34 people were included in the sampling method with purposive sampling. The Wilcoxon Sign Rank test was used for analysis.
Result: This study included 34 samples, and convenience or accidental sampling was used to choose the samples. The Wilcoxon test's asymp sign (2 tailed), which is 0.02 or 0.05, reveals the significance value. The results of the research show that before intervention the most sensitivity is moderate with 18 (61,2%) after treatment, data show that the most sensitivity is good with 16 (47%); p value 0,02<0,05. The sensitivity of the feet of Type II Diabetes Mellitus patients at the Selemadeg Timur II Health Center is influenced by diabetic foot exercise.
Conclusion: Patients with Type II Diabetes Mellitus at the Selemadeg Timur II Health Center have sensitive feet, which is influenced by diabetic foot activity). It is important for families and communities to give motivation to the diabetes mellitus patients to do diabetic foot as one of alternative therapies to prevent foot complications such and increase foot sensitivity.
Keywords: Diabetes Mellitus Type 2, Foot Sensitivity, and Diabetic Foot Exercise
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References
[2] Jf. Nasution, Andilala, And A. A. Siregar, “Faktor Risiko Kejadian Diabetes Mellitus,” Vol. 21, No. 1, Pp. 1–9, 2020, [Online]. Available: Http://Journal.Um-Surabaya.Ac.Id/Index.Php/Jkm/Article/View/2203
[3] N. L. S. Astuti And S. Setiyarini, “Analisis Asuhan Keperawatan Pada Pasien Dengan Gagal Ginjal Kronik Di Icu Rsup Dr. Sardjito Dengan Pendekatan Nanda Noc Nic: Studi Kasus,” J. Keperawatan Klin. Dan Komunitas, Vol. 6, No. 2, P. 103, 2022, Doi: 10.22146/Jkkk.74962.
[4] R. I. R. Putri, K. Sa’diyah, A. Mukmila, And D. A. Widyaningrum, “Edukasi Dan Pemeriksaan Kadar Gula Darah (Kgd) Sebagai Upaya Dalam Meningkatkan Pengetahuan Masyarakat Di Desa Pati’di Kecamatan Simboro Kabupaten Mamuju,” J. Pengabdi. Kpd. Masy., Vol. 6, No. 1, Pp. 45–49, 2022.
[5] N. L. S. Astuti, I. N. Dharma Wisnawa, And I. G. Satria Astawa, “The Impact Of Effleurage Technique Massage On Blood Pressure Toward Elderly Hypertension In Peguyangan Village,” Nurs. Heal. Sci. J., Vol. 2, No. 3, Pp. 280–284, 2022, Doi: 10.53713/Nhs.V2i3.155.
[6] A. Veves, J. M. G. Logerfo, And F. W., “The Diabetic Foot: Medical And Sur- Gical Management,” In Applied Physiology, Nutrition And Metabolism, Vol. 34, No. 2, 2009, Pp. 219–221. Doi: 10.1139/H09-900.
[7] D. Erina, D. Putri, F. Farmasi, And U. Padjadjaran, “Farmaka Review Artikel : Peranan Epidermal Growth Factor Pada Penyembuhan Luka Pasien Ulkus Diabetes Farmaka,” Vol. 14, Pp. 61–69.
[8] P. Francia, M. Gulisano, R. Anichini, And G. Seghieri, “Diabetic Foot And Exercise Therapy: Step By Step The Role Of Rigid Posture And Biomechanics Treatment,” Curr. Diabetes Rev., Vol. 10, No. 2, Pp. 86–99, 2014, Doi: 10.2174/1573399810666140507112536.
[9] S. R. Colberg Et Al., “Exercise And Type 2 Diabetes: The American College Of Sports Medicine And The American Diabetes Association: Joint Position Statement,” Diabetes Care, Vol. 33, No. 12, 2010, Doi: 10.2337/Dc10-9990.
[10] Y. Haskas, S. Nurbaya, And A. Sulastri, “The Effect Of Diabetic Foot Exercise On The Effectiveness Of Blood Sugar Levels In Type 2 Diabetes Mellitus Patients At The Tamalanrea Jaya Health Center Makassar City,” Vol. 10, No. 6, 2023.
[11] C. Widia, R. H.-J. Keperawatan, And Undefined 2021, “Review: Foot Exercise Prevents The Risk Of Neuropathy On Diabetes Mellitus Patient: Foot Exercise Prevents The Risk Of Neuropathy On Type 2 Diabetes Mellitus …,” Journal.Stikep-Ppnijabar.Ac.Id, Vol. 1, No. 2, Pp. 138–145, 2021, [Online]. Available: Http://Journal.Stikep-Ppnijabar.Ac.Id/Index.Php/Jkk/Article/View/247
[12] F. Mauvais-Jarvis, “Gender differences in glucose homeostasis and diabetes.,” pp. 1–24, 2017.
[13] V. Raghupathi and W. Raghupathi, “The influence of education on health: An empirical assessment of OECD countries for the period 1995-2015,” Arch. Public Heal., vol. 78, no. 1, pp. 1–18, 2020, doi: 10.1186/s13690-020-00402-5.
[14] B. Baheti et al., “Association between Meal Frequency and Type 2 Diabetes Mellitus in Rural Adults : A Large-Scale Cross-Sectional Study,” pp. 1–13, 2023.
[15] F. Al Sayah, A. Soprovich, W. Qiu, A. L. Edwards, and J. A. Johnson, “Diabetic Foot Disease, Self-Care and Clinical Monitoring in Adults with Type 2 Diabetes: The Alberta’s Caring for Diabetes (ABCD) Cohort Study,” Can. J. Diabetes, vol. 39, no. 3, pp. S120–S126, 2015, doi: 10.1016/j.jcjd.2015.05.006.
[16] A. K. Schreiber, “Diabetic neuropathic pain: Physiopathology and treatment,” World J. Diabetes, vol. 6, no. 3, p. 432, 2015, doi: 10.4239/wjd.v6.i3.432.
[17] F. M. A. F. Theresia, Theodehild M. Dee and F. R. Pandie, “Foot Exercise and Related Outcomes in Patient With Diabetes Mellitus : A Literature Review,” vol. 5, no. 5, 2022, doi: 10.35654/ijnhs.v5i5.638.
[18] B. Mkaouer, S. Hammoudi-Nassib, S. Amara, and H. Chaabène, “Evaluating the physical and basic gymnastics skills assessment for talent identification in men’s artistic gymnastics proposed by the International Gymnastics Federation,” Biol. Sport, vol. 35, no. 4, pp. 383–392, 2018, doi: 10.5114/biolsport.2018.78059.
[19] N. L. S. Astuti, “The Effect of Passive Physiotherapy on Hemodynamic Status of Patients with Head Injury: A Literature Review Universitas Gadjah Mada Yogyakarta 7 STIKes Surya Global Yogyakarta,” no. February, pp. 13–14, 2020.
[20] R. Faizah, F. Efendi, and S. Suprajitno, “The effects of foot exercise with audiovisual and group support foot exercises to diabetes mellitus patients,” J. Diabetes Metab. Disord., vol. 20, no. 1, pp. 377–382, 2021, doi: 10.1007/s40200-021-00756-9.
[21] D. Mustikawati, E. Erawati, and H. Supriyatno, “Effect of the Diabetes Exercise on the Blood Sugar Levels in Diabetes Mellitus Patients,” J. Nurs. Care, vol. 3, no. 1, pp. 19–25, 2020.
[22] T. Sutarti, M. Abdul, M. Anwar, S. Siyoto, and M. H. Saputra, “The influence of diabetic foot gymnastic to body balance in elderly diabetes mellitus patients in gatoel mojokerto hospital diabetic club,” Indian J. Public Heal. Res. Dev., vol. 9, no. 12, pp. 1334–1338, 2018, doi: 10.5958/0976-5506.2018.02038.7.
[23] M. El Soury, B. E. Fornasari, G. Carta, F. Zen, K. Haastert-Talini, and G. Ronchi, “The role of dietary nutrients in peripheral nerve regeneration,” Int. J. Mol. Sci., vol. 22, no. 14, 2021, doi: 10.3390/ijms22147417.
[24] S. R. Colberg et al., “Physical activity/exercise and diabetes: A position statement of the American Diabetes Association,” Diabetes Care, vol. 39, no. 11, pp. 2065–2079, 2016, doi: 10.2337/dc16-1728.
[25] M. M. Funnell et al., “National standards for diabetes self-management education,” Diabetes Care, vol. 35, no. SUPPL. 1, 2012, doi: 10.2337/dc12-s101.
[26] E. Q. Silva et al., “Effect of an educational booklet for prevention and treatment of foot musculoskeletal dysfunctions in people with diabetic neuropathy: The FOotCAre (FOCA) trial II, a study protocol of a randomized controlled trial,” Trials, vol. 21, no. 1, pp. 1–13, 2020, doi: 10.1186/s13063-020-4115-8.