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Effect of Ankle Range of Motion Exercises Combined with Warm Water Foot Soaking on Ankle–Brachial Index in Patients with Type 2 Diabetes Mellitus Diana, Putu Septa Ayu; Sari, Nova Nurwinda; Herlina, Herlina
Genius Journal Vol. 7 No. 2 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i2.1074

Abstract

  Introduction: Diabetes mellitus has attracted global attention due to the increasing prevalence of cases and the potential complications it can cause, such as microangiopathy and macroangiopathy. One non-pharmacological intervention that can be applied to improve peripheral circulation is the combination of ankle range of motion (ROM) exercises and warm water foot soaking. Objective: This study aimed to determine the effect of the combined ankle ROM exercises and warm water foot soaking on Ankle Brachial Index (ABI) values in patients with Type 2 Diabetes Mellitus at Kedaton Public Health Center, Bandar Lampung, in 2025. Method: This study employed a quantitative approach with a pre-experimental design using a one-group pretest and posttest without control. A total of 30 respondents were selected using purposive sampling techniques. Data analysis included descriptive statistical analysis, a normality test using Shapiro Wilk, and a non-parametric test using the Wilcoxon Signed Rank Test. Result The results showed that the mean ABI value before the intervention was 0.0093 ± 0.04265, while after the intervention the mean ABI value improved to 0.0012 ± 0.03038. The Wilcoxon test revealed a p-value of 0.025, indicating a statistically significant difference between ABI values before and after the intervention. Conclusion: It can be concluded that the combination of ankle range of motion (ROM) exercises and warm water foot soaking has a significant effect on improving ABI values in patients with Type 2 Diabetes Mellitus, and therefore can be applied as a non-pharmacological nursing intervention to enhance peripheral blood circulation.
Effect of Structured Diabetic Foot Exercise on Ankle–Brachial Index and Foot Sensitivity in Patients with Type 2 Diabetes Mellitus Lestari, Intan Desi Tri; Sari, Nova Nurwinda; Sulastri, Diah
Genius Journal Vol. 7 No. 2 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i2.1075

Abstract

Objective: Type II Diabetes Mellitus is a chronic disease with an increasing incidence each year and can lead to complications such as neuropathy and peripheral circulatory disorders in the lower extremities. Structured diabetic foot exercise is a non-pharmacological intervention that has the potential to improve foot perfusion and sensitivity. This study aimed to determine the effect of structured diabetic foot exercise on the Ankle Brachial Index (ABI) values and foot sensitivity in patients with Type II Diabetes Mellitus at Kedaton Public Health Center. Method: This research employed a quantitative method with a pre-experimental design using a one-group pretest–posttest approach. The study population consisted of patients with Type II Diabetes Mellitus without diabetic ulcers. A total of 30 respondents were selected using purposive sampling. Data analysis included descriptive analysis and the Wilcoxon Signed Rank Test with a significance level of 95% (p-value < 0.05). Result The results showed that before the intervention, 14 respondents (46.7%) had normal ABI values (>1.0) and 14 respondents (46.7%) were in the borderline category (0.6–0.8). Most respondents (66.7%) had neuropathy (>3 points) in the pretest foot sensitivity assessment. After the intervention, 27 respondents (90.0%) had normal ABI values (>1.0), and 21 respondents (70.0%) were categorized as non-neuropathy (>7 points) in the posttest assessment. The Wilcoxon Signed Rank Test revealed p-values of <0.002 and <0.000. It can be concluded that structured diabetic foot exercise significantly affects ABI values and foot sensitivity in patients with Type II Diabetes Mellitus at Kedaton Public Health Center in 2025. Conclusion: Structured diabetic foot exercise can be recommended as an alternative intervention to improve ABI values and foot sensitivity in diabetic patients.
Effect of Warm and Cold Compress Applications on Joint Pain Scale in Elderly Patients with Rheumatism Aisyaturrodliyah, Auliya; Sari, Nova Nurwinda; Oktalina, Riska
Genius Journal Vol. 7 No. 2 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i2.1077

Abstract

Introduction : Rheumatism is a degenerative disease commonly experienced by the elderly and is characterized by chronic joint pain that can interfere with daily activities. Pain in rheumatism sufferers often fluctuates, necessitating simple, safe, and effective non-pharmacological interventions to help reduce pain levels. Warm and cold compresses are simple therapies frequently used in nursing practice to reduce pain and improve patient comfort. However, the effectiveness of these two methods in reducing pain levels still requires scientific proof Objective:. It is known that there is a difference between warm compresses and cold compresses on the scale of joint pain in elderly rheumatism sufferers at the UPTD of the Tresna Werdha Natar Elderly Social Home, South Lampung, Lampung Province in 2025. Method: This study used a quasi-experimental design with a two-group pretest-posttest approach. The study sample consisted of elderly patients with rheumatism, divided into two groups: a warm compress group and a cold compress group. Pain scale measurements were conducted before and after the intervention using a Numeric Rating Scale (NRS). Data analysis was performed using nonparametric tests, namely the Wilcoxon test to determine differences before and after the intervention, and the Mann-Whitney test to compare differences between the two groups. Result The results of the study showed that both warm and cold compresses were effective in reducing pain scales in elderly rheumatic patients with a mean value of 1.27 ± 0.704 for warm compresses. The mean value for cold compresses was 1.60 ± 0.632. There was a decrease in the average pain scale after the intervention in both groups. However, the Mann-Whitney test results showed no significant difference between the two interventions with a p-value of 0.058. Conclusion: Therefore, both can be recommended as non-pharmacological therapies in the management of rheumatic pain in the elderly