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Ratnawati Ratnawati
Departemen Keperawatan, Poltekkes Kemenkes Gorontalo
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PENINGKATAN NILAI ANKLE BRACHIAL INDEX (ABI) DENGAN INTERVENSI AKUPRESUR DAN SENAM KAKI PADA PASIEN DIABETES MELITUS TIPE 2 Jumari Jumari; Herman Priyono Luawo; Ratnawati Ratnawati; Eka Firmansyah Pratama
Klabat Journal of Nursing Vol 6 No 2 (2024): Nursing - World's Buoyant
Publisher : Fakultas Keperawatan, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/kjn.v6i2.1161

Abstract

Diabetes melitus merupakan suatu penyakit kronis yang disebabkan oleh defisiensi insulin, jika tidak terkontrol dengan baik dapat menyebabkan berbagai komplikasi salah satunya adalah penyakit arteri perifer (PAP). Kondisi ini dapat memburuk dan menyebabkan luka yang sulit sembuh, gangrene bahkan amputasi. Akupresur bermanfaat dalam meningkatkan nilai ankle brachial index (ABI) dengan melancarkan peredaran aliran qi (energi vital) di dalam tubuh sementara senam DM Senam kaki dapat membantu memperkuat otot-otot di kaki, yang dapat meningkatkan fungsi arteri dan mengurangi risiko penyakit arteri perifer. Penelitian ini bertujuan untuk mengidentifikasi peningkatan nilai ankle brachial index (abi) dengan pemberian intervensi akupresur dan senam kaki pada pasien diabetes melitus tipe 2. Penelitian ini menggunakan quasi-experimental design dengan pendekatan pre-post test design pada 60 responden, pemilihan sampel menggunakan purposive sampling. Responden dibagi menjadi 3 kelompok intervensi yaitu kelompok Akupresur (n = 20), kelompok Senam DM (n = 20) dan kelompok Akupresur dan senam DM (n = 20). Pengujian perbedaan rata-rata nilai ABI pada tiap kelompok menggunakan uji Wilcoxon Signed Ranks Test. Hasil penelitian menunjukkan perbedaan yang signifikan nilai ABI antara kelompok akupresur (p = 0,000), senam DM (p = 0,001) dan kombinasi akupresur dan senam DM (p = 0,000). Akupresur dan senam DM merupakan intervensi yang efektif untuk peningkatan nilai ABI pada pasien diabetes melitus tipe 2. Akupresur dan Senam DM dapat direkomendasikan sebagai salah satu terapi komplementer mandiri dalam pelayanan asuhan keperawatan pada pasien diabetes melitus tipe 2. Diabetes mellitus is a chronic disease caused by insulin deficiency, if not controlled properly can cause various complications one of which is peripheral artery disease (PAD). This condition can worsen and cause wounds that are difficult to heal, gangrene and even amputation. Acupressure is useful in increasing the ankle-brachial index (ABI) value by improving the circulation of qi (vital energy) in the body. At the same time, DM gymnastics foot exercises can help strengthen the legs' muscles, improve artery function, and reduce the risk of peripheral artery disease. This study aims to identify the increase in the ankle-brachial index (abi) value by providing acupressure and foot exercise interventions in patients with type 2 diabetes mellitus. This study used a quasi-experimental design with a pre-post test design approach on 60 respondents, and sample selection using purposive sampling. They were divided into 3 intervention groups, namely the Acupressure group (n = 20), the DM Exercise group (n = 20) and the Acupressure and DM gymnastics group (n = 20). They test each group's average ABI value difference using the Wilcoxon Signed Ranks Test. The results showed a significant difference in ABI values between the acupressure group (p = 0.000), DM exercise (p = 0.001) and the combination of acupressure and DM gymnastics (p = 0.000). Acupressure and DM gymnastics are effective interventions for increasing ABI values in patients with type 2 diabetes mellitus. Acupressure and DM gymnastics can be recommended as one of independent complementary therapies in nursing care services for patients with type 2 diabetes mellitus.
Range of Motion Exercises and Foot Massage Assistance to Control Diabetic Neuropathy Symptom of Diabetes Mellitus Patient in Kabila Health Center Working Area Fakhriatul Falah Falah; Ratnawati; Eka Firmansyah Pratama
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 8 No. 1 (2025): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v8i1.5580

Abstract

Gorontalo ranks 7th in terms of diabetes mellitus sufferers from 35 provinces in Indonesia. One area of ​​Gorontalo city that has quite a high number of Diabetes Mellitus sufferers is Kabila sub-district with a total of 147 people over the last 3 months. 90% of DM sufferers who come for examination to the Community Health Center experience symptoms of diabetic neuropathy.  Symptoms of diabetic neuropathy are a type of nerve damage that people with diabetes are prone to and cannot be cured, so patients must be taught how to control these symptoms. Therefore, this community service activity is expected to increase the knowledge, skills, and abilities of diabetes mellitus patients in carrying out ROM exercises and foot massages. This community service activity aims to train diabetes mellitus patients in carrying out foot care which includes ROM exercises and foot massage so that the patient's symptoms of diabetic neuropathy can be controlled. Apart from involving patients, Health Cadres are also trained as facilitators so that the sustainability of this activity in the community can be guaranteed. This community service begins with education regarding DM foot care, demonstration of ROM and foot massage procedures, and evaluation. From the activity, there was a decrease in the neuropathy score by 3 scores after the intervention was given, so it can be concluded that ROM assistance and foot massage can reduce complaints of neuropathy symptoms in patients.
Co-Authors Ahmad Aswad Ahmad Aswad Eka Firmansyah Pratama Eka Firmansyah Pratama Fadli Husain Fakhriatul Falah Fakhriatul Falah Falah Farman Biki Hartati Hartati Herman Luawo Herman Priyono Luawo Jumari Jumari Kartin Buheli Kartin Buheli Kartin Buheli Lusiane Adam Mansyur B. Tomayahu Mega Lestari Khoirunnisa Pangalo, Paulus Suwarly Mobiliu Wenny Ino Ischak Wenny Ino Ischak Zainudin Halid