The Impact of Regular Foot Exercise on Blood Glucose Reduction in Type II Diabetes Patients: A Case Study

Efa Trisna, Jamila Jamila, Setiawati Setiawati, Sri Hartati, Wahyu Dwi Ari Wibowo, Hadeci Lovenda Putri, Faidana Yaumil Syifa

Sari


ABSTRACT

 

Elevated blood glucose levels in type II diabetes mellitus (DM) can lead to chronic complications, including cardiovascular, renal, and neurological disorders. The prevalence of type II DM in Indonesia continues to increase, particularly among older adults, many of whom face challenges in adhering to treatment. Non-pharmacological therapies, such as foot exercise, are considered beneficial in improving glycemic control and enhancing lower limb circulation. To describe the outcomes of implementing foot exercise as a nursing intervention for older adults with type II DM who experience unstable blood glucose levels in the working area of Panjang Public Health Center, Bandar Lampung. This case study involved two older adults diagnosed with type II DM. The intervention included foot exercise therapy conducted three times a week over six sessions, each lasting 15–20 minutes. The approach utilized family-centered nursing care with education and monitoring of blood glucose before and after each session. Subject I showed a reduction in random blood glucose levels from 232 mg/dl to 182 mg/dl after three sessions. Subject II experienced a decrease from 248 mg/dl to 189 mg/dl. The variation in reduction was influenced by factors such as medication adherence, presence of comorbidities (e.g., hypertension and diabetic neuropathy), and family involvement. Foot exercise therapy can effectively reduce blood glucose levels in older adults with type II DM. This intervention is recommended as a complementary nursing strategy in diabetes management.

 

Keywords: Foot Exercise, Hyperglycemia, Older Adults, Non-Pharmacological Therapy, Type II Diabetes Mellitus.


Referensi


Almaini, A., & Heriyanto, H. (2019). Pengaruh Kepatuhan Diet, Aktivitas Fisik Dan Pengobatan Dengan Perubahan Kadar Gula Darah Pada Pasien Diabetes Mellitus Suku Rejang. Jurnal Keperawatan Raflesia, 1(1), 55–66. Https://Doi.Org/10.33088/Jkr.V1i1.393

Alya Azzahra Utomo, Andira Aulia R, Sayyidah Rahmah, R. A. (2018). Faktor Risiko Diabetes Mellitus Tipe 2. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 13(2), 120–127. Https://Doi.Org/10.31101/Jkk.395

Alya Azzahra Utomo, Andira Aulia R Sayyidah Rahmah, R. A. (2020). Aktor Risiko Diabetes Mellitus Tipe 2: A Systematic Review. An-Nur: Jurnal Kajian Dan Pengembangan Kesehatan Masyaraka, 1(1), 44–52. Https://Jurnal.Umj.Ac.Id/Index.Php/An-Nur

American Diabetes Association. (2022). Blood Sugar And Exercise. 1–6. Https://Www.Diabetes.Org/Healthy-Living/Fitness/Getting-Started-Safely/Blood-Glucose-And-Exercise

Andari, F. N., Rahmalena, R., & Wijaya, A. K. (2023). Efisiensi Senam Kaki Diabetik Terhadap Penurunan Kadar Glukosa Darah Postprandial Pada Klien Dm Tipe Ii. Mahesa : Malahayati Health Student Journal, 3(4), 1052–1063. Https://Doi.Org/10.33024/Mahesa.V3i4.10047

Arif, T. (2020). Peningkatan Yaskularisasi Perifer Dan Pengontrolan Glukosa Klien Diabetes Mellitus Melalui Senam Kaki. Jurnal Ners Dan Kebidanan (Journal Of Ners And Midwifery), 7(1), 082–088. Https://Doi.Org/10.26699/Jnk.V7i1.Art.P082-088

Bakri, M. H. (2021). Asuhan Keperawatan Keluarga (I). Pustaka Baru.

Chami, M. A., & Khaled, M. B. (2022). Epidemiology, Diagnosis, And Assessment Of Diabetes Mellitus In The Elderly Population: A Purposive Review. North African Journal Of Food And Nutrition Research, 6(13), 9–21. Https://Doi.Org/10.51745/Najfnr.6.13.9-21

Harsari, R. H., Fatmaningrum, W., & Prayitno, J. H. (2018). Hubungan Status Gizi Dan Kadar Glukosa Darah Pada Pasien Diabetes Melitus Tipe 2 Association Between Nutritional Status And Blood Glucose Level In Type 2 Diabetes Mellitus. Hubungan Status Gizi Dan Kadar Glukosa Darah Pada Pasien Diabetes Melitus Tipe 2, 6(2), 2–6. Https://Doi.Org/10.23886/Ejki.6.8784.Abstrak

Kemenkes. (2018). Lakukan Senam Kaki Diabetes Secara Rutin, Dimana Saja Sambil Bersantai. November, 1–5. Http://P2ptm.Kemkes.Go.Id/Infographic-P2ptm/Penyakit-Diabetes-Melitus/Page/7/Lakukan-Senam-Kaki-Diabetes-Secara-Rutin-Dimana-Saja-Sambil-Bersantai

Ko, S. H., Han, K. Do, Park, Y. M., Yun, J. S., Kim, K., Bae, J. H., Kwon, H. S., & Kim, N. H. (2023). Diabetes Mellitus In The Elderly Adults In Korea: Based On Data From The Korea National Health And Nutrition Examination Survey 2019 To 2020. Diabetes And Metabolism Journal, 47(5), 643–652. Https://Doi.Org/10.4093/Dmj.2023.0041

Maha Putra, I. W. M., Budyono, C., Ekawanti, A., & Anggoro, J. (2023). Factors Affecting Controlled Blood Sugar Levels In Patients With Type 2 Diabetes Mellitus At The Internal Medicine Polyclinic At The Regional General Hospital Of West Nusa Tenggara Province. Jurnal Biologi Tropis, 23(1), 78–85. Https://Doi.Org/10.29303/Jbt.V23i1.4509

Making, D. K., Ina, A., Detha, R., Lada, C. O., Roga, A. U., Februati, I., & Manurung, E. (2023). Analisis Faktor Risiko Diabetes Melitus Tipe 2 Pada Penduduk Di Wilayah Kerja Puskesmas Waepana Dan Riung Di Kabupaten Ngada Tahun 2023. Indonesian Nursing Journal Of Education And Clinic, 3(4), 259–278.

Neda, L. E. S. H. (2021). Diabetes In Older Adults. National Institute Of Diabetes And Digestive And Kidney Diseases (Us). Https://Europepmc.Org/Article/Nbk/Nbk567980#Impact

Pan American Health Organization. (2022). Diabetes. Https://Www.Paho.Org/En/Topics/Diabetes

Ppni, Tim Pokja Sdki Dpp. (2017). Standar Diagnosis Keperawatan Indonesia (3rd Ed.). Dewan Pengurus Pusat Ppni.

Ppni, Tim Pokja Siki Dpp. (2018). Standar Intervensi Keperawatan Indonesia (1st Ed.).

Ppni, Tim Pokja Slki Dpp. (2018). Standar Luaran Keperawatan Indonesia (1st Ed.).

Riskesdas. (2018). Riskesdas 2018 Provinsi Lampung. Laporan Provinsi Lampung Riskesdas 2018, Riset Kesehatan Dasar Lampung 2018, 598. Https://Repository.Badankebijakan.Kemkes.Go.Id/Id/Eprint/3875/1/Laporan Riskesdas Lampung 2018.Pdf

Rosyid, L. S., & Angraini, N. A. (2022). The Effect Of Foot Exercise On Lower Extremity Sensory. Lux Mensana, 1(4), 261–271.

Ruben, G., Rottie, J., & Karundeng, M. Y. (2016). Pengaruh Senam Kaki Diabetes Terhadap Perubahan Kadar Gula Darah Pada Pasien Diabetes Melitus Tipe 2. Ejournal Keperawatan (Ekp), 4(1), 1–5.

Triastuti, N., Irawati, D. N., Levani, Y., & Lestari, R. D. (2020). Faktor Yang Mempengaruhi Tingkat Kepatuhan Konsumsi Obat Antidiabetes Oral Pada Pasien Diabetes Melitus Tipe 2 Di Rsud Kabupaten Jombang. Medica Arteriana (Med-Art), 2(1), 27. Https://Doi.Org/10.26714/Medart.2.1.2020.27-37

Trisna, E., & Musiana, M. (2018). Pengaruh Senam Kaki Terhadap Kadar Glukosa Darah Dan Nilai Abi Penderita Dm. Jurnal Kesehatan, 9(3), 439. Https://Doi.Org/10.26630/Jk.V9i3.976

Wahyu Dwi Ari Wibowo, Sapondra Wijaya, Susmini, Nadi Aprilyadi, D. S. (2024). Terapi Nonfarmakologis Pada Pasien Diabetes Melitus (1st Ed.). Deepublish Publisher.

Wahyuni, A. (2016). Senam Kaki Diabetik Efektif Meningkatkan Ankle Brachial Index Pasien Diabetes Melitus Tipe 2. Jurnal Ipteks Terapan, 9(2). Https://Doi.Org/10.22216/Jit.2015.V9i2.231

World Health Organization. (2021). Diabetes. November, 1–5. Https://Www.Who.Int/News-Room/Fact-Sheets/Detail/Diabetes

Yulita, R. F., Waluyo, A., & Azzam, R. (2019). Pengaruh Senam Kaki Terhadap Penurunan Skor Neuropati Dan Kadar Gula Darah Pada Pasien Dm Tipe 2 Di Persadia Rs. Tk. Ii. Dustira Cimahi. Journal Of Telenursing (Joting), 1(1), 80–95. Https://Doi.Org/Https://Doi.Org/10.31539/Joting.V1i1.498

Yun, J. S., Kim, K., Ahn, Y. B., Han, K., & Ko, S. H. (2024). Holistic And Personalized Strategies For Managing In Elderly Type 2 Diabetes Patients. Diabetes And Metabolism Journal, 48(4), 531–545. Https://Doi.Org/10.4093/Dmj.2024.0310




DOI: https://doi.org/10.33024/mahesa.v5i10.22234

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