Effectiveness of Buerger Allen Exercise and Warm Water Foot Soak on Foot Sensitivity Score in A Group of Patients with Type 2 DM
Abstract
Diabetes mellitus (DM) is a chronic metabolic disease that requires medical attention and self-care management, namely buerger allen exercise and warm water foot bath to avoid complications. One of the complications of DM is diabetic ulcer. The main cause of diabetic ulcers is due to reduced foot sensitivity. Objective to analyze the effectiveness of Buerger Allen exercise and warm water foot bath on foot sensitivity score. The research design is Quasi Experiment non equivalent prepost test and between two groups. In this study, 36 respondents were obtained through purposive sampling. The intervention was carried out for 6 consecutive days with implementation 2 times a day. The instrument used was a 10 gram monofilament tool. Analysis using paired t-test, independent t-test and ancova test. There is a mean difference before and after the intervention on foot sensitivity scores, but there is no significant difference between foot sensitivity scores performed buerger allen exercise with water foot soak (ρ value=0.447>0.05) and there is an influence of confounding variables, namely length of suffering (ρ value=0.000 <0.05). The both exercises can be used as an independent nursing intervention option as a preventive measure for peripheral blood circulation disorders of the feet.
References
Alodokter Kemenkes RI. (2023). Aterosklerosis - Gejala, penyebab dan mengobati.
Chang, C. C., Chen, M. Y., Shen, J. H., Lin, Y. Bin, Hsu, W. W., & Lin, B. S. (2016). A Quantitative Real-Time Assessment Of Buerger Exercise On Dorsal Foot Peripheral Skin Circulation In Patients With Diabetes Foot. Medicine (United States), 95(46), 1–5. https://doi.org/10.1097/MD.0000000000005334
Craig, M. E., Hattersley, A., & Donaghue, K. C. (2014). Definition, epidemiology and classification of diabetes in children and adolescents. In Pediatric Diabetes (Vol. 10, Issue SUPPL. 12, pp. 3–12). https://doi.org/10.1111/j.1399-5448.2009.00568.x
Dinkes Provinsi Kalsel. (2021). Profil Kesehatan Kalimantan Selatan 2021. 1–112.
Dros, J., Wewerinke, A., Bindels, P. J., & Van Weert, H. C. (2009). Accuracy of monofilament testing to diagnose peripheral neuropathy: A systematic review. Annals of Family Medicine, 7(6), 555–558. https://doi.org/10.1370/afm.1016
Fan, G., Huang, H., Lin, Y. et al. (2018). Herbal medicine foot bath for the treatment of diabetic peripheral neuropathy: protocol for a randomized, double-blind and controlled trial. Trials BMC 19, 483. https://doi.org/10.1186/s13063-018-2856-4
Hasaini, A. (2019). Kebiasaan jalan kaki dengan kadar gula darah pada pasien dm tipe 2 ( Road Habits with Blood Glucose Levels in Patients DM Type 2 ). Caring Nursing Journal, 4(1), 21–27.
IDF. (2017). IDF Diabetes Atlas Eighth edition 2017. In International Diabetes Federation. IDF Diabetes Atlas, 8th edn. Brussels, Belgium: International Diabetes Federation, 2017. http://www.diabetesatlas.org. https://doi.org/http://dx.doi. org/10.1016/S0140-6736(16)31679-8.
Jannaim, J., Dharmajaya, R., & Asrizal, A. (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
Kawasaki, T., Uemura, T., Matsuo, K., Masumoto, K., Harada, Y., Chuman, T., & Murata, T. (2013). The effect of different positions on lower limbs skin perfusion pressure. In Indian Journal of Plastic Surgery (Vol. 46, Issue 3, pp. 508–512). https://doi.org/10.4103/0970-0358.121995
Khomsah, I. Y., Sofiani, Y., & Irawati, D. (2020). Efektivitas Home Exercise Terhadap Ankle Brachial Index (Abi) Dan Skor Sensitivitas Kaki Pada Pasien Diabetes Melitus Tipe 2. Jurnal Ilmiah Kesehatan, 9(1), 45–53. https://doi.org/10.52657/jik.v9i1.1015
Lamkang, T. S. (2017). Effectiveness of Buerger Allen Exercise on Level of Lower Extremity Perfusion Among Patient With Type2 Diabetes Mellitus. International Journal Of Development Research Saveetha Medical, 7(October), 14723–14726.
Papatheodorou K, Banach M, Bekiari E, Rizzo M, Edmonds M. (2018). Complications of Diabetes 2017. J Diabetes Res. doi: 10.1155/2018/3086167.
Permatasari, K. D., Ratnawati, D., & Anggraini, N. V. (2020). Efektifitas Terapi Kombinasi Senam Kaki Dan Rendam Air Hangat Terhadap Sensitivitas Kaki Pada Lansia Dengan Diabetes Melitus. Jurnal JKFT, 5(2), 16. https://doi.org/10.31000/jkft.v5i2.3918
Radhika J, Poomalai G, Nalini S, Revathi R. (2020). Effectiveness of buerger-allen exercise on lower extremity perfusion and peripheral neuropathy symptoms among patients with diabetes mellitus. Iran J Nurs Midwifery Res, 25,(4):291-295. doi: 10.4103/ijnmr.IJNMR_63_19.
Richard Mataputun, D., Prabawati, D., & Hapsari Tjandrarini, D. (2020). Efektivitas Buerger Allen exercise dibandingkan dengan Rendam Kaki Air Hangat terhadap Nilai Ankle Brachial Index dan Gula Darah pada Pasien Diabetes Mellitus. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 3(3), 253–266. https://doi.org/10.56338/mppki.v3i3.1330
Saeedi, P., Petersohn, I., Salpea, P., Malanda, B., Karuranga, S., Unwin, N., Colagiuri, S., Guariguata, L., Motala, A. A., Ogurtsova, K., Shaw, J. E., Bright, D., & Williams, R. (2019). Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Research and Clinical Practice, 157, 107843. https://doi.org/10.1016/j.diabres.2019.107843
Simanjuntak, G. V., & Simamora, M. (2020). Lama menderita diabetes mellitus tipe 2 sebagai faktor risiko neuropati perifer diabetik. Holistik Jurnal Kesehatan, 14(1), 96–100.
Suryati, I., Murni, L., Stikes, A., & Padang, P. (2019). Pengaruh Buerger Allen Exercise Terhadap Sensitivitas Kaki Pasien Diabetes Mellitus. Prosiding Seminar Kesehatan Perintis, 2(1), 111–111. http://www.jurnal.stikesperintis.ac.id/index.php/PSKP/article/view/382
Trisnawati, S. K., & Setyorogo, S. (2013). Faktor Risiko Kejadian Diabetes Melitus Tipe II Di Puskesmas Kecamatan Cengkareng Jakarta Barat Tahun 2012. Jurnal Ilmiah Kesehatan, 5(1), 6–11.
Utama, F. R., Adi, G. S., & Ekacahyaningtyas, M. (2017). Pengaruh Senam Kaki Diabetik dan Perendaman Kaki dengan Air Hangat Terhadap SirkulaSi Darah Perifer Pada Pasien Diabetes Melitus di Ruang Melati 1 RSUD Dr. Moewardi. 58.
Wahyuni, S., & Alkaff, R. N. (2012). Diabetes Mellitus Pada Perempuan Usia Reproduksi Di Indonesia Tahun 2007 Diabetes Mellitus in Reproductive Age Women in Indonesia 2007. Jurnal Kesehatan Reproduksi, 3(1), 46–51.
Williams DM, Jones H, Stephens JW. (2022) Personalized type 2 diabetes management: an update on recent advances and recommendations. Diabetes Metab Syndr Obes.4(15):281-295. doi: 10.2147/DMSO.S331654.
Yang, Z., Scott, C. A., Mao, C., Tang, J., & Farmer, A. J. (2014). Resistance exercise versus aerobic exercise for type 2 diabetes: A systematic review and meta-analysis. Sports Medicine, 44(4), 487–499. https://doi.org/10.1007/s40279-013-0128-8
Yang Z, Chen R, Zhang Y, Huang Y, Hong T, Sun F, Ji L, Zhan S. (2018). Scoring systems to screen for diabetic peripheral neuropathy. Cochrane Database Syst Rev (7),CD010974. doi: 10.1002/14651858.CD010974.pub2. PMCID: PMC6513667.
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