GENIUS JOURNAL (General Nursing Science Journal)
Vol. 7 No. 2 (2026): GENIUS JOURNAL

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 (Unknown)
Sari, Nova Nurwinda (Unknown)
Herlina, Herlina (Unknown)



Article Info

Publish Date
03 May 2026

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.

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Journal Info

Abbrev

gj

Publisher

Subject

Education Health Professions Nursing Public Health

Description

Genius Journal is a scientific journal that disseminates research results on the development of science and technology in the field of nursing. This journal facilitates nurse researchers, nurse educators and nurse clinicians from around the world to share information on research findings and ...