La Ode Agustino Saputra
UIN Alauddin Makassar

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BUERGER ALLEN EXERCISE REVIEW ON PERIPHERAL CIRCULATION IN DIABETES MELLITUS PATIENTS: A LITERATURE REVIEW La Ode Agustino Saputra; Muhammad Anwar Hafid; Ani Auli Ilmi; Hasnah Hasnah
Jurnal Kesehatan Vol 13 No 1 (2020): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v13i1.14441

Abstract

Introduction: Diabetes mellitus is metabolic dysfunction that increasing the number of blood glucose with enhancement incidences. Increasing blood glucose levels for a long time causes chronic microvascular and neuropathic complications, and impaired peripheral circulation of the lower extremities. The actions that can be done in form of leg exercise, such as Buerger Allen exercise. Objectives: the study aim is to find out the effect of the Buerger Allen exercise on peripheral circulation of the lower extremity in patients with diabetes mellitus. Method: descriptive qualitative design with a literature review approach. The databases used are PubMed, Pro-Quest, DOAJ, and Google Scholar. Result: 86 articles were found. After the identification, screening, and eligibility process, 12 articles were obtained. The indicators are ABI values (9 articles), HbO2 and HbT concentrations (2 articles), and capillary refill time (1 article). Conclusion: Buerger Allen exercise significantly increases the level of peripheral perfusion pressure due to postural changes, modulation of gravity, and the application of muscle pump that increases the ABI values, increases HbO2 and HbT concentrations, and decreases the capillary refill time. Further study can examine the frequency and duration that is most appropriate in providing intervention, comparing Buerger Allen exercise with other foot exercise methods, and using a randomized control trial research method.
Intervensi Head Up 15-30 Derajat Terhadap Perfusi Serebral Pasien Traumatic Brain Injury: Studi Kasus La Ode Agustino Saputra; Muh. Anwar Hafid; Ahmad Jamaluddin
Alauddin Scientific Journal of Nursing Vol 5 No 1 (2024): MEI
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/asjn.v5i1.44451

Abstract

Background: Head injury or traumatic brain injury (TBI) is a traumatic disorder in brain function, either accompanied by bleeding or without bleeding in brain tissue. The incidence of head trauma is estimated at 500,000 cases annually with a mortality rate of more than 10% of patients dying before arriving at the hospital and more than 100,000 patients experiencing various disabilities. The phenomenon found in the field was that patients with head injuries due to traffic accidents who were treated in the ICU room at Labuang Baji Hospital Makassar, experienced cerebral perfusion disorders, decreased consciousness and some patients experienced headaches as a result of ineffective cerebral perfusion. The main treatment for head injury patients is increasing O2 status and positioning the patient with a head up of 15-300. Methods: the research method used is a case study method by carrying out the nursing process starting from assessment to evaluation in cases of traumatic brain injury in the Intensive Care Unit (ICU) room at Labuang Baji Hospital Makassar. Results: The nursing diagnoses found were the risk of ineffective cerebral tissue perfusion, impaired physical mobility, risk of nutritional deficit, and risk of infection. Discussion: head up intervention 15-300 can smooth cerebral perfusion and reduce intracranial pressure through several mechanisms, namely lowering blood pressure, changes in ventilation, increasing venous flow through unvalved jugular veins, thereby reducing central venous blood volume which reduces intracranial pressure. Transfer of CSF from the intracranial compartment to the spinal subarachnoid space1 can reduce intracranial pressure and improve cerebral perfusion. Conclusion: head up intervention 15-300 is effective to overcome the problem of ineffective cerebral perfusion risk.
The Effect of Buerger Allen Exercise on The Lower Extremity Peripheral Circulation in Type 2 Diabetic Patients Muh Anwar Hafid; Ilhamsyah Ilhamsyah; La Ode Agustino Saputra; Mutmainnah Sari
STRADA : Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v10i1.669

Abstract

Prolonged elevated blood glucose levels leads to chronic microvascular complications, neuropathy complications and lower extremity peripheral circulation disorders. Actions that can be taken care in non-pharmacological that is Buerger Allen exercise.To determine the effect of Buerger Allen Exercise in lower limb peripheral circulation in diabetes mellitus patients.Study used a quantitative method with a pre-experimental design using a pre-post test without control group. Sampling technique is non-probability sampling with accidental sampling approach is obtained 5 respondents.The Wilcoxon Signed Rank Test results of the ABI value in the right limb are 0.043 or p <0.05 and the ABI value on the left limb are 0.025 or p <0.05.Buerger Allen Exercise is effective in improving peripheral circulation of the lower extremities and is an alternative for repairing impaired tissue perfusion in diabetic feet. Future research can examine the most appropriate frequency and duration.