Buerger Allen Exercise and Foot Massage Combination in Improving Foot Circulation in Diabetic Mellitus Patients

Authors

  • sugiyarto Poltekkes Kemenkes Surakarta

DOI:

https://doi.org/10.58439/ipk.v3i2.290

Abstract

Background: Diabetes Mellitus (DM) is one of the 10 leading causes of death in adults. This disease is characterized by high blood glucose levels (hyperglycemia) due to insulin resistance. Hyperglycemia in the long term can damage tissues, organs, the nervous system, and blood vessels. Some complications that arise due to DM include peripheral vascular disease and neuropathy. These complications disrupt lower extremity circulation, resulting in diabetic foot ulcers. If not treated properly, the degree of diabetic foot ulcers will worsen, resulting in amputations. Physical exercise, namely foot gymnastics, is important to prevent diabetic foot ulcers. The combination of Buerger Allen Exercise therapy with Foot Massage is a type of foot exercise that can be chosen to improve lower extremity circulation. Improvement of lower extremity circulation is evidenced by an improvement in the Ankle Brachial Index (ABI) value in the normal range of 0.9 - 1.2.

Objective: To determine the effect of the combination of Buerger Allen Exercise therapy with Foot Massage on lower extremity circulation in DM patients.

Research Method: This study used a Quasy Experiment research design with a pre-test-post-test with a control group design. The sample was 25 DM patients who were treated at the Banyuanyar Health Center.  Patients are given combination of Buerger Allen Exercise therapy with Foot Massage. The sampling technique used non-probability sampling with a purposive sampling type.

Results: The results of the Wilcoxon statistical test were 0.001 (p-value <0.05) Improvement in ABI values ​​ intervention group by 0.11%

Conclusion: Combination of Buerger Allen Exercise Therapy with Foot Massage is effective in improving lower limb circulation.

Downloads

Download data is not yet available.

References

Agustini et al. (2019). The Effect of Foot Massage on Decreasing Peripheral Neuropathy Diabetic Complaints in the Patients with Type 2 Diabetes Mellitus. Jurnal Ners. 14(3): 305-309. https://www.researchgate.net/publication/339846541_The_Effect_of_Foot_Massage_on_Decreasing_Peripheral_Neuropathy_Diabetic_Complaints_in_the_Patients_with_Type_2_Diabetes_Mellitus

Artikaria, Widya. (2022). Peningkatan Ankle Brachial Index pada Pasien Diabetes Mellitus Tipe 2 yang dilakukan Senam Kaki Diabetes. Jurnal Ners Muda. 3(2): 133-140. https://r.search.yahoo.com/_ylt=AwrKEs7BrotmL4cuU2_LQwx.;_ylu=Y29sbwNzZzMEcG9zAzEEdnRpZAMEc2VjA3Ny/RV=2/RE=1720459073/RO=10/RU=https%3a%2f%2fjurnal.unimus.ac.id%2findex.php%2fnersmuda%2farticle%2fdownload%2f9401%2fpdf/RK=2/RS=QxEcz171u0FfVJ4acfq3y7jLjGU-

Black, Joyce M. dan Jane Hokanson Hawks. 2023. Keperawatan Medikal Bedah Gangguan Sistem Kardiovaskular. Singapura: Elsevier. https://books.google.co.id/books?id=UoekEAAAQBAJ&pg=PA80&lpg=PA80&dq=pengukuran+ankle+brachial+index+untuk+cek+sirkulasi&source=bl&ots=0INHfpUUPL&sig=ACfU3U347__TQu_k4MJt5ZCJ3h-GupNdAw&hl=id&sa=X&ved=2ahUKEwjO1JWD7bOBAxXW3jgGHSpIBUo4HhDoAXoECAIQAg#v=onepage&q=pengukuran%20ankle%20brachial%20index%20untuk%20cek%20sirkulasi&f=false

Damayanti, Santi. 2017. Diabetes Mellitus dan Penatalaksanaan Keperawatan. Cetakan II. Yogyakarta : Nuha Medika.

Dinas Kesehatan Kota Surakarta. 2021. Profil Kesehatan Kota Surakarta 2020. https://data.surakarta.go.id/dataset/f71f8d81-b1b9-4e31-b885-0496d8c4d748/resource/35e959d8-9892-4275-ba3d-6787b7779036/download/profil-kesehatan-kota-surakarta-tahun-2020.pdf

Hardianto, Dudi. (2020). Telaah Komprehensif Diabetes Melitus: Klasifikasi, Gejala, Diagnosis, Pencegahan, dan Pengobatan. Jurnal Bioteknologi dan Biosains Indonesia (JBBI). 7(2): 304-317. https://doi.org/10.29122/jbbi.v7i2.4209

IDF. 2021. IDF Diabetes Atlas 2021. https://diabetesatlas.org/atlas/tenth-

Jannaim, Ridha Dharmajaya, dan Asrizal. (2018). Pengaruh Buerger Allen Exercise terhadap Sirkulasi Ektremitas Bawah pada Pasien Luka Kaki Diabetik. Jurnal Keperawatan Indonesia. 21(2): 101–108. https://doi.org/10.7454/jki.v21i2.652

Kapoor, Ridhima et. al. (2018). Association of Sex and Height with A Lower Ankle Brachial Index in the General Population. Pubmed Central. 23(6): 534-540. https://pubmed.ncbi.nlm.nih.gov/29865989

Kartikadewi, Arum et. al. (2022). Ankle Brachial Index pada Penderita Diabetes dan Non Diabetes, dan Hubungannya dengan Aktivitas Fisik dan Perilaku Merokok. Jurnal Kedokteran dan Kesehatan. 18(1): 57-68. https://jurnal.umj.ac.id/index.php/JKK

Kementrian Kesehatan RI. 2019. Laporan Nasional Riskesdas 2018. Jakarta: Balitbangkes.

Liu, Runyang et. al. 2022. The Impact of Diabetes on Vascular Disease: Progress from the Perspective of Epidemics and Treatments. Pubmed Central : 1531289. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9012631/

Patel, Shivik K. dan Scott M. Surowiec. 2023. Intermittent Claudication. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK430778/

Prihantoro, Wahyu dan Dwi Nur A. (2022). Penerapan Senam Kaki Diabetes terhadap Nilai Kadar Gula Darah pada Penderita Diabetes Melitus di Kelurahan Krapyak Kecamatan Semarang Barat Kota Semarang. Jurnal Ilmu dan Teknologi Kesehatan Universitas Widya Husada. 3(1). https://journal.uwhs.ac.id/index.php/whnc/article/view/562

Renovaldi, Dede dan Raudatul Sifa A. (2022). Karakteristik Klinis dan Skor Ankle Brachial Index (ABI) pada Lansia di Panti Sosial Tresna Werdha Budi Mulia 3 Jakarta Selatan. Muhammadiyah Journal of Geriatric. 3(1): 9-16. https://jurnal.umj.ac.id/index.php/MuJG/article/view/12121/7049

Saputro, Sigit Ari et al. (2021). Prognostic Models of Diabetic Microvascular Complications: A Systematic Review and Meta-Analysis. Systematic Reviews. 10(1): 1–11. https://doi.org/10.1186/s13643-021-01841-z

Sari, Awinda, Anwar Wardy, dan Yani Sofiani. (2019). Efektivitas Perbandingan Buerger Allen Exercise dan Senam Kaki terhadap Nilai ABI pada Penderita DM Tipe II. Journal of Telenursing (JOTING). 47(11): 1–16. https://www.semanticscholar.org/reader/885ec1e1d8b8feb9021449d9b4b3caf0b58460ef

Simanjuntak, Galvani V. dan Marthalena S. (2020). Lama Menderita Diabetes Mellitus Tipe 2 Sebagai Faktor Risiko Neuropati Perifer Diabetik. Holistik Jurnal Kesehatan. 14(1): 96-100. https://www.researchgate.net/publication/341116230_Lama_menderita_diabetes_mellitus_tipe_2_sebagai_faktor_risiko_neuropati_perifer_diabetik

s

Sun, Hong, Pouya Saeedi, Suvi Karuranga, et al. (2022). IDF Diabetes Atlas: Global, Regional, and Country-Level Diabetes Prevalence Estimates for 2021 and Projections for 2045. 183: 109119. https://www.sciencedirect.com/science/article/abs/pii/S0168822721004782?casa_token=PUqaKleRbzQAAAAA:96sPp6aNS4T_akTWh7_WPwxDBadO-wGLcqURVJdkTcyb5ggj6y1VDsidDtddFuNJwh6tnU4ZsQ

s

Sunarti, dan Resti Anggraeni. (2018). Efektivitas Kombinasi Senam Kaki Diabetes Melitus Dan Pijat Kaki Terhadap Nilai Ankle Brachial Index (ABI) pada Pasien Diabetes Melitus Tipe 2. Jurnal Ilmiah STIKES Kendal. 8(1): 1–5. https://123dok.com/document/yeolx87q-efektivitas-kombinasi-diabetes-melitus-brachial-pasien-diabetes-melitus.html

Wijayanti, Dhia R., dan Warsono W. (2020). Penerapan Buerger Allen Exercise Meningkatkan Perfusi Perifer pada Penderita Diabetes Melitus Tipe II. Ners Muda. 3(2). https://doi.org/10.26714/nm.v3i2.8266

a

Zhang et. al. (2020). Relationship of Ankle-Brachial Index, Vibration Perception Threshold, and Current Perception Threshod to Glycemic Variability in Type 2 Diabetic. Pubmed Central. 99(12): e19374. https://pubmed.ncbi.nlm.nih.gov/32195933

Zuryati, M. (2018). Pengaruh Terapi Pijat Menggunakan VCO (Virgin Coconut Oil) Terhadap Penurunan Neuropati Perifer pada Klien Diabetes Melitus Tipe 2. Indonesian Journal of Nursing Sciences and Practice. 1(2):15–26. https://jurnal.umj.ac.id/index.php/ijnsp/article/view/4264

Downloads

Published

2024-12-30

How to Cite

sugiyarto. (2024). Buerger Allen Exercise and Foot Massage Combination in Improving Foot Circulation in Diabetic Mellitus Patients. Informasi Dan Promosi Kesehatan, 3(2), 187–195. https://doi.org/10.58439/ipk.v3i2.290