THE EFFECT OF DIABETES GYMNASTIC ON ANKLE BRACHIAL INDEX (ABI) VALUE IN PATIENTS WITH DIABETES MELLITUS
| Main Authors: | Kaimuddin, Kaimuddin, Selamat, Selamat |
|---|---|
| Format: | Article info application/pdf Journal |
| Bahasa: | ind |
| Terbitan: |
Poltekkes Kemenkes Jambi
, 2019
|
| Online Access: |
http://journal.poltekkesjambi.ac.id/index.php/JBKM/article/view/224 http://journal.poltekkesjambi.ac.id/index.php/JBKM/article/view/224/137 |
Daftar Isi:
- Background: The increased number of diabetic patients is related to lifestyle, high obesity prevalence and lack of physical activity. One of the complication for diabetic patients is diabetic foot caused by peripheral vascularization disorders which can be measured by the value of the Ankle Brachial Index (ABI). The purpose of this study was to determine the effect of diabetes exercises on ABI value in patients with diabetes mellitus. Methods: This research was conducted quantitatively with a quasi-experimental with pre-post control group design. This research was conducted in the gymnastics diabetes group in Health center of Simpang IV Sipin Kota Jambi using primary data. Participants in this study were 70 members of DM gymnastics. To reduce the research bias between the intervention group and the control group, matching was done based on age, sex, body mass index, and smoking habits, so as to get 30 participants which divided into 2 groups, intervention and control group with a ratio of 1: 1. Data analysed using independent t test. Results: The Ankle Brachial Index (ABI) mean value of the intervention group was 1.204 with median of 1.209. While the ABI mean value of the control group was 1.152 with median of 1.155. Independent t-test (Unpaired) showed a significant difference of ABI value (p-value 0.013) between after given the exercise treatment in the treatment group and in the control group. Conclusion: There is an influence between the application of diabetes exercises in the changes of the ABI value in patients with DM. It is suggested if the frequency of exercise becomes 3 times / week to gain a better impact for the diabetics patient.
- Latar Belakang: Jumlah penderita diabetes yang terus meningkat berkaitan dengan pola hidup, tingginya prevalensi obesitas dan kegiatan fisik yang kurang. Salah satu komplikasi seperti kaki diabetes dapat terjadi akibat gangguan vaskularisasi perifer yang dapat diukur dengan nilai Ankle Brachial Index (ABI). Tujuan penelitian ini untuk mengetahui pengaruh senam diabetes terhadap nilai ABI pada penderita diabetes di Pukesmas Simpang IV Sipin Kota Jambi. Metode: Jenis penelitian kuantitaif dengan desain penelitian quasi exsperiment dengan pre-post control group design. Penelitian dilakukan pada kelompok senam DM Puskesmas Simpang IV Sipin Kota Jambi dengan menggunakan data primer. Partisipan sebanyak 70 orang anggota senam DM. Kelompok intervensi dan kelompok kontrol dilakukan padanan (matching) berdasarkan usia, jenis kelamin, indeks masa tubuh, dan kebiasaan merokok, sehingga didapat partisipan sebanyak 30 orang. Data dianalisis dengan uji beda independent t-test. Hasil: Berdasarkan hasil pengukuran Ankle Brachial Index (ABI) kelompok intervensi rata-rata sebesar 1,204 dengan median 1,209. Sedangkan hasil pengukuran ABI kelompok kontrol rata-rata 1,152 dengan median 1,155. terdapat perbedaan signifikan nilai ABI (p-value 0,013) setelah diberikan perlakuan senam pada kelompok treatment dibandingkan kelompok kontrol Kesimpulan: Ada pengaruh antara penerapan senam diabetes dalam perubahan nilai ABI penderita DM. Disarankan lebih baik lagi jika frekuensi senam menjadi 3kali/ minggu sehingga memberikan dampak yang baik bagi penderita diabetes.