Penerapan Senam Kaki Diabetik terhadap Nilai Ankle Brachial Index (ABI) dalam Mencegah Diabetic Foot Ulcer (DFU) pada Pasien Diabetes Mellitus

perubahan patologis pada anggota gerak bawah yang disebut kaki diabetik atau diabetic foot. Namun penanganan yang efektif akan menurunkan tingkat komplikasi sehingga tidak terjadi komplikasi lanjut yang merugika penderita DM. Tujuan: Untuk mengetahui terjadinya perubahan pada nilai ankle brachial index dalam mencegah diabetic foot ulcer Metode: Rancangan penelitian menggunakan metode deskriptif kualitatif dengan pendekatan studi kasus memberikan intervensi kemudian dilihat peningkatannya setelah pemberian intervensi selama 7 hari berturut-turut dengan jumlah responden yang diteliti sebanyak 6 responden yang mengalami diabetes mellitus. Penelitian ini menggunakan instrumen lembar observasi dan SOP Senam Kaki. Hasil: Hasil penelitian ini menunjukkan 6 responden dengan diabetes mellitus 2 sebelum diberikan terapi senam kaki dengan interpretasi 1 responden PAD Sedang, 3 responden PAD Ringan dan 2 responden Normal, setelah diberikan intervensi senam kaki responden mengalami perubahan nilai ankle brachial index dengan interpretasi 6 responden Normal. Kesimpulan: Sehingga diharapkan dari hasil penerapan, senam kaki diabetik dapat membantu meningkatkan nilai ABI sehingga mencegah terjadinya luka diabetik, dikarenakan manfaat dari senam kaki yaitu memperkuat atau melenturkan otot-otot di daerah tungkai bawahbterutama pada kedua pergelangan kaki dan jari-jari kaki.

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In patients with diabetes mellitus, other complications also often occur pathological changes in the lower limbs called diabetic foot. However, effective treatment will reduce the level of complications so that no further complications occur that are detrimental to DM sufferers. To determine the occurrence of changes in the ankle brachial index value in preventing diabetic foot ulcers. The research design used a qualitative descriptive method with a case study approach providing interventions and then observing the improvement after providing the intervention for 7 consecutive days with the number of respondents studied as many as 6 respondents who had diabetes mellitus. This study used observation sheet instruments and SOP Foot Exercises. Results of this study showed 6 respondents with diabetes mellitus 2 before being given foot exercise therapy with the interpretation of 1 respondent with Moderate PAD, 3 respondents with Mild PAD and 2 respondents with Normal. After being given foot exercise intervention, respondents experienced changes in the ankle brachial index value with the interpretation of 6 respondents with Normal. Thus, it is expected from the results of the application, diabetic foot exercises can help increase the ABI value so as to prevent diabetic wounds. The benefits of foot exercises were to strengthen or flex the muscles in the lower leg area, especially in both ankles and toes.