Main Article Content
Abstract
Type II Diabetes Mellitus (T2DM) carries a high risk of long-term complications, such as blood vessel damage from the buildup of glucose in the bloodstream . The incidence of T2DM complications, such as neuropathy and Peripheral Artery Disease (PAD), is notably high. These issues are often linked to low physical activity, as indicated by abnormal Ankle Brachial Index (ABI). One physical exercise for T2DM patients that can be done actively is the Buerger Allen Exercise (BAE). This study aims to analyze the effect of BAE on ABI values in T2DM patients. The study used a pre-experimental design with post-test only control group. Sampling was conducted through total sampling, with 20 participants in the intervention group and 20 in the control group. Data were collected by measuring the ABI values of the intervention group after on session of BAE for 20 minutes, and comparing them with the control group. The data were analyzed using the Mann-Whitney U test because of the non-normal distribution. The findings revealed a significant impact of BAE on ABI values in T2DM patients (p-value 0.003 < 0.05). The average ABI value post-BAE intervention in the treatment group was 0.79 (mild obstruction), while the control group had an average of 0.69 (moderate obstruction). The BAE physical exercise improves blood flow through muscle contractions and gravity, which increases peripheral perfusion, as demonstrated by the improvement in ABI values. The findings suggest that BAE can be implemented as a routine physical activity program for people with T2DM.
Keywords
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
JKEP (Jurnal Keperawatan)
References
Dinkes. Profil Kesehatan Kabupaten Boyolali [Internet]. Kementerian Kesehatan Republik Indonesia. 2021. Available from: dinkes.boyolali.go.id.
Cahyono TD, Purwanti OS. Hubungan antara lama menderita diabetes dengan nilai Ankle Brachial Index. J Ber Ilmu Keperawatan. 2019;12(2):65–71.
Herdiananda NG. Gambaran Aktivitas Fisik dan Kejadian Diabetes Mellitus Tipe 2 di Wilayah Kerja Puskesmas Getasan. Universitas Kristen Satya Wacana; 2019.
Schiattarella GG, Perrino C, Magliulo F, Carbone A, Bruno AG, De Paulis M, et al. Physical activity in the prevention of peripheral artery disease in the elderly. Front Physiol. 2014;5 MAR(March):1–6.
Renna NF, De Las Heras N, Miatello RM. Pathophysiology of vascular remodeling in hypertension. Int J Hypertens. 2013;
Syam Y, Misali S, Yusuf S. Alas kaki yang tepat menurunkan risiko luka kaki diabetik: Literature review. J Keperawatan Muhammadiyah. 2020;1(1):114–21.
Sari A, Wardy A, Sofiani Y. Efektivitas Perbandingan Buerger Allen Exercise dan Senam Kaki terhadap Nilai ABI pada Penderita DM Tipe II. J Telenursing. 2019;1(1):1–16.
El-Fattah HSA, Garas AF, Hanna NE, Elsayed NM. Effect of buerger exercises on improving peripheral circulation of the lower extremities among patients with type 2 diabetes mellitus at selected university hospital-Egypt. Indian J Public Heal Res Dev. 2019;10(6):692–7.
Jannaim J, Dharmajaya R, Asrizal A. Pengaruh Buerger Allen Exercise Terhadap Sirkulasi Ektremitas Bawah Pada Pasien Luka Kaki Diabetik. J Keperawatan Indones. 2018;21(2):101–8.
Wahyuni A. Senam Kaki Diabetik Efektif Meningkatkan Ankle Brachial Index Pasien Diabetes Melitus Tipe 2. J Ipteks Terap. 2016;9(2):155–64.
Alligood MR, Tomey A. Nursing theorists and their work. United States of America: Elsevier; 2010.
Wahyuni TD. Ankle-Brachial Index (ABI) sesudah senam kaki diabetes pada penderita diabetes melitus tipe 2. J Keperawatan. 2015;4(2).
Mangiwa I, Katuk ME, Sumarauw L. Pengaruh Senam Kaki Diabetes Terhadap Nilai Ankle Brachial Index Pada Pasien Diabetes Melitus Tipe II di Rumah Sakit Pacaran Kasih GMIM Manado. Keperawatan. 2017;5(1).
Kartikadewi A, Setyoko S, Wahab Z, Andikaputri K. Ankle Brachial Index pada Penderita Diabetes dan Non Diabetes, dan Hubungannya dengan Aktivitas Fisik dan Perilaku Merokok. J Kedokt dan Kesehat. 2022;18(1):57.
Hijriana I, Sahara T. Gambaran Nilai Ankle Brachial Index (Abi) Pada Pasien Dm Tipe 2. Idea Nurs J. 2020;11(3):56–61.
Hoe J, Koh WP, Jin A, Sum CF, Lim SC, Tavintharan S. Predictors of decrease in ankle-brachial index among patients with diabetes mellitus. Diabet Med. 2012;29(9):304–7.
Khan T, Farooqui F, Niazi K. Critical Review of the Ankle Brachial Index. Curr Cardiol Rev. 2008;4(2):101–6.
Vijayabarathi M, Tutor VH. Buerger Allen Exercise for Type 2 Diabetes Mellitus Foot Ulcer Patients. Int J Innov Res Sci Eng Technol [Internet]. 2014;3(2):17972–6. Available from: www.ijirset.com
Chang CF, Chang CC, Hwang SL, Chen MY. Effects of Buerger Exercise Combined Health-Promoting Program on Peripheral Neurovasculopathy Among Community Residents at High Risk for Diabetic Foot Ulceration. Worldviews Evidence-Based Nurs. 2015;12(3):145–53.
Mehani H. Comparison between two vascular rehabilitation training programs for patients with intermittent claudication as a result of diabetic atherosclerosis. Bull Fac Phys Ther Cairo. 2012;17(1):7–14.