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Journal : Medica Hospitalia

Terapi Kombinasi Diabetic Self Management Education (DSME) Dengan Senam Kaki Diabetik Terhadap Ankle Brachial Index (ABI) Pada Penderita Diabetes Tipe II Fatmasari, Diyah; Ningsih, Rastia; Yuswanto, Tri Johan Agus
Medica Hospitalia : Journal of Clinical Medicine Vol. 6 No. 2 (2019): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (306.353 KB) | DOI: 10.36408/mhjcm.v6i2.389

Abstract

Latar belakang: Diabetes melitus tipe II merupakan salah satu penyakit tidak menular yang dapat menyebabkan kematian dan memiliki risiko tinggi terjadi komplikasi. Penatalaksanaan empat pilar diabetes tipe II meliputi edukasi, terapi gizi medis, latihan jasmani dan intervensi non farmakologi. Salah satu penanganan non-farmakologi yang sering dilakukan adalah Diabetic Self Management Education (DSME) dan senam kaki diabetik, tetapi kombinasi keduanya belum pernah di teliti. Gabungan beberapa terapi disebut terapi kombinasi. Penelitian ini bertujuan untuk mengetahui pengaruh terapi kombinasi DSME dan senam kaki terhadap Ankle Brachial Index (ABI) pada penderita diabetes tipe II. Metode: Desain penelitian adalah penelitian Experimental dengan rancangan pretest-posttest control group design. Kelompok intervensi di beri terapi kombinasi DSME dengan senam kaki dan kelompok kontrol dengan pemberian Range of Motion (ROM). Teknik sampling non-probability dengan metode consecutive sampling dengan 48 responden yang terbagi dalam 2 kelompok. Hasil Rerata ABI kelompok Intervensi dan Kontrol sebelum perlakuan adalah 0,84 mmHg dan 0,82 mmHg, sedangkan setelah perlakuan adalah 1,09 mmHg dan 0,89 mmHg. Uji independent t test menunjukkan nilai p value 0,000 berarti ada perbedaan rerata selisih ABI kedua kelompok. Kesimpulan kombinasi Diabetic Self Management Education (DSME) dengan senam kaki efektif dalam peningkatan Ankle Brachial Index (ABI) pada penderita diabetes tipe II. Kata kunci : Diabetes Melitus, Diabetic Self Management Education (DSME), senam kaki diabetik, Ankle Brachial Index. COMBINATION THERAPY OF DIABETIC SELF MANAGEMENT EDUCATION (DSME) WITH DIABETIC FOOT EXERCISE TOWARDS ANKLE BRACHIAL INDEX (ABI) ON PATIENTS DIABETIC TYPE II Background: Type II diabetes mellitus is a non-infectious disease which cause death and have a high risk complications. Management of 4 pillars of type II diabetes includes education, medical nutrition therapy, physical exercise and non pharmacological interventions. One of the non-pharmacological treatments is the combination of Diabetic Self Management Education (DSME) and diabetic foot exercises. Study aims is to determine effect of a combination of Diabetic Self Management Education (DSME) with diabetic foot exercises on Ankle Brachial Index (ABI) in type II diabetics patients. Method: Research design was Quasy Experimental with pretest-posttest control group design. Intervention group was 24 patients type II diabetic with therapy combination of DSME and foot exercises, the control group was given Range of Motion (ROM) as therapy. Results: Mean of ABI intervention and control group before treatment are 0.84 mmHg and 0.82 mmHg, while after treatment are 1.09 mmHg and 0,89 mmHg Independent t test shows p value 0.000, that there is a differences of mean of ABI both group. It can be concluded that combination of DSME with foot exercises is effective to increase Ankle Brachial Index (ABI) at patients type II diabetics. Keywords: Diabetes Melitus, Diabetic Self Management Education (DSME), diabetic foot exercises, Ankle Brachial Index.
Co-Authors Ade Ismail A.K Agus Suwandono Agustina Purba Ahmad Rizan Aprianda Silakhuddin Akhmad Kharis Nugroho Aldo, Mutia Perdana Hairun Nisa Alfi Maziyah Amalia, Dhanty Nurul Amartha, Tecky Afifah Santy Ani Subekti Ani Subekti Ani Subekti Aning Susilowati Aning Susilowati Aprillia, Zita Apriyanti, Lidya Dwi Aquarista, Nita Ari Suwondo Ari Suwondo Ari Suwondo Ariawan Soejoenoes Arlina Nurhapsari Arwani Arwani Arwani Aryadiva Prayoga Asmawati, Lilik Ayun, Quroti Bambang Sutomo, Bambang Bedjo Santoso Bedjo Santoso Kadri Benni Benyamin Budi Darmawan Budiono Budiono Cahya Rosyida, Desta Ayu Citra Dewi Fitri Setiani Daniati, Nia Daniati De Sena, Francisca Fatima Desak Made Wenten Parwati Dewi, Filanti Kusuma Dewi, Hevny Kartika Dika Agung Bakhtiar Diyan Wahyuningsih Djamil, Masrifan Djenta Saha Donny Kristanto Mulyantoro Dyaswara Tituk A.W Eksa Sinta Endah Aryati Eko Ningtyas Endah Aryati Eko Ningtyas Endah Aryati Eko Ningtyas Endah Aryati Ekoningtyas Endang Susilaningsih Erni Mardiati Erwid Fatchur R Erwid Fatchur Rahman Etri Probowati Fachry Abda El Rahman Fathonah, Yayuk Francisca Fatima De Sena Galuh Ayuning Suryo Gunawan, Rezky Aditya Hadi Hadi Hanik Maria Heni Pujiastuti Hermien Nugraheni Hevny Kartika Dewi Hutami, Rahma Rizki Ida Ariyanti Ihrom Fatma Saputri Ika Rosdiana Imam Djamaluddin Mashoedi Imam Djamaluddin Mashoedi Irma H.Y Siregar Irma H.Y Siregar Irmanita Wiradona Islami, Muhammad Rizqi Fauzi Iwan Dwi Prahasto Iwan Dwi Prahasto Joni Satria Julita Hendrartini Kris Adityawarman Kumala, Ferry Kun Aristiati Susiloretni Kurnia Budi Kurniawan Kurniati Puji Lestari Kusdinar, Shafa Marwah Aurilla Laksono Trisnantoro lely Surya Ningsih LINDA SEPTIANA Lutfiawaliah, Delvia Maghfirotunnisa, Ridha Mardiyono Mardiyono Mardiyono, Mardiyono Masrifan Djamil Masrifan Djamil Mateus Sakundarno Adi, Mateus Sakundarno Mayya Nailullathifah Melyana Nurul Widyawati Melyana Nurul Widyawati Mery Tresiana Effendi Muhammad Fiqih Sabilillah Muhammad Furqan, Muhammad Mutiah, Mar'atu Nadia Sari Ningsih, Rastia Nugraheni Widyastuti Nugraheni Widyastuti Nur Farida Lismawati Nur Khafidhoh Nurhuda, Gusti Aprilisa Nurjanah, Fatihah Wari Nurkhasanah, Isti Nurul Jannah Octa Nana Erviana Quroti A'yun Quroti A’yun Rachmawati, Intan Rahma Rizki Hutami Rahmadhani, Febby Rahman, Waljuni Astu Rahmawati, Dinda Aprilia Ramadhani, Yoga Rizki Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Ratnawati Hendari Ratnawati Hendari Renata, Agnes Lia Rezky Hidayati RISMAN ABDI RAPIUDDIN Rochman Mujayanto Roza, Safni Mulia Roziq, Mokhamad Ainu Rr. Sri Endang Pujiastuti Sadimin Sadimin Saha, Djenta Salikun Salikun Salsabila, Nanda Lutfia Saragih, Elv. Feedia Mona Satuti, Nindita Enhar Sembiring, Rinawati Setiadji Musthofa Shobirun Shobirun Siti Chumaeroh Soeharyo Hadisaputro Sri Rahayu Sri Sumarni Sri Wahyuni Sri Wahyuni M Sudirman Sudirman Sudirman Sudirman Suhartono, Suhartono Suharyo Hadisaputro Suharyo Hadisaputro Suharyo Hadisaputro Sukini, Sukini Sukmawati Sukmawati Supartinah Santoso Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana, Supriyana Suryati Kumorowulan Syarief Taufik Hidayat Theresia Febriana Christi Tyas Utami Tiara Widiatami Tri Johan Agus Yuswanto Tri Wiyatini Tri Wiyatini, Tri Trihandini, Bernadeta Uswatun N.A Darjono Uswatun N.A. Darjono Utomo, Suprih W. Widjijono Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami, Wahyu Jati Dyah Wahyuningtyas, Miranda Gita Wahyuningtyas Waljuni A Rahman Waljuni Astu Rahman Widyastuti, Nugraheni Wulandari, Tesa Yulike Yessi Idha Martha Yodong ,