THE APPLICATION OF STRETCHING TOWARDS THE NURSING PROBLEM OF PERIPHERAL PERFUSION IS NOT EFFECTIVE FOR INCREASING FOOT SENSITIVITY AND ANKLE BRACHIAL INDEX (ABI) IN ELDERLY PEOPLE WITH TYPE II DIABETES MELLITUS EXPERIENCING PARESTHESIA
THE APPLICATION OF STRETCHING TOWARDS THE NURSING PROBLEM OF PERIPHERAL PERFUSION IS NOT EFFECTIVE FOR INCREASING FOOT SENSITIVITY AND ANKLE BRACHIAL INDEX (ABI) IN ELDERLY PEOPLE WITH TYPE II DIABETES MELLITUS EXPERIENCING PARESTHESIA
DOI:
https://doi.org/10.30651/jkm.v10i2.26356Keywords:
Sensitivity, Stretching, Diabetes MellitusAbstract
Objective: to identify provides an overview of the results of the
Nursing Profession Practice with the Application of Stretching
Application to the Problem of Peripheral Perfusion Nursing is
Ineffective for Increasing Foot Sensitivity and Ankle Brachial
Index (ABI) in the Elderly with Type II Diabetes Mellitus in
Sungai Putih Village, Tapung District, Kampar Regency.
Methods: This article which is used in the implementation of
nursing interventions providing Stretching Against Ineffective
Peripheral Perfusion Nursing Problems in the elderly with
Type II Diabetes Mellitus. The implementation was carried out
for 7 consecutive days starting from April 17-23, 2025. The
subjects in this application were 2 elderly people.
Results: The results of this case study are the lowest total value
of right and left foot sensitivity of 4 and the highest total value
of right and left foot sensitivity of the elderly is 9, there is a
significant increase in the sensitivity of the right and left foot
areas in the elderly with Type II Diabetes Mellitus. As well as
an increase in the measurement value of the Ankle Brachial
Index (ABI) in the Elderly with Type II Diabetes Mellitus, with
the highest measurement value of the Ankle Brachial Index
(ABI) of 150/100 mmhg and the lowest measurement value of
the Ankle Brachial Index (ABI) of 120/60 mmhg, there is a
significant increase in the Ankle Brachial Index (ABI) in the
Elderly with Type II Diabetes Mellitus.
Conclusion: The advantage of applying stretching to patients
with diabetes mellitus is to increase sensitivity and ankle
brachial index and prevent complications associated with
peripheral nerve damage.
References
Akbar, F., Darmiati, D., Arfan, F., & Putri,
A. A. Z. (2021). Pelatihan dan
Pendampingan Kader Posyandu
Lansia di Kecamatan Wonomulyo.
Jurnal Abdidas, 2(2), 392-397.
Aktifah, N., & Faradisi, F. (2019).
Peningkatan Kerja Insulin dengan
Active Stretching Exercise pada
DMT2 Di Kabupaten Pekalongan.
Jurnal Ilmu Keperawatan dan
Kebidanan, 10(2), 369-375.
Alzamani, L. M. H. I., Marbun, M. R. Y.,
Purwanti, M. E., Salsabilla, R., &
Rahmah, S. (2022). Ulkus Kronis:
Mengenali Ulkus Dekubitus dan
Ulkus Diabetikum. Jurnal Syntax
Fusion, 2(02), 272-286.
Aprilia, D., Al Jihad, M. N., & Aisah, S.
(2023). Penerapan Balance Exercise
untuk Menurunkan Resiko Jatuh
pada Lansia. Holistic Nursing Care
Approach, 3(1), 17.
https://doi.org/10.26714/hnca.v3i1.
10405
Damanik, dkk. (2024). Pengaruh Active
Stretching Kaki Terhadap
Penurunan Kadar Glukosa Darah
Pada Pasien Diabetes Mellitus.
JINTAN: Jurnal Ilmu Keperawatan,
4(1), 1-8.
Dewanti, R. A. (2020). Pelatihan Pnf Untuk
Meningkatkan Pengetahuan
Tentang Pnf Bagi Pelatih Dan Guru
Olahraga Di Desa Cibogo
Kecamatan Lembang Kabupaten
Bandung Barat, Jawa Barat.
Prosiding Seminar Nasional
Pengabdian Kepada Masyarakat
(Vol. 1, pp. SNPPM2020BRL-67).
Friska, B., Usraleli, U., Idayanti, I.,
Magdalena, M., & Sakhnan, R.
(2020). The relationship of family
support with the quality of elderly
living in sidomulyo health center
work area in Pekanbaru road. JPK:
Jurnal Proteksi Kesehatan, 9(1), 1-
8.
Halimah, F. N., & Hermawati. (2023).
Pengaruh Balance Exercise
Terhadap Kekuatan Otot
Ekstremitas Bawah Pada Lansia Di
Posyandu Seger Waras Desa
Mantren Pacitan. 1(4), 240–247.
IDF, A. (2022). IDF diabetes Atlas: Global
estimates of undiagnosed diabetes
in adults for 2021. Diabetes
Research and Clinical Practice, 183.
https://doi.org/10.1016/j.diabres.20
21.109118
Kosasih, A. M., Sutadarma, I. W. G., &
Dewi, N. N. A. (2022). Hubungan
asupan gula sederhana terhadap kadar
glukosa darah pada pasien diabetes
mellitus tipe II. Intisari Sains Medis,
11(3), 973–977.
https://doi.org/10.15562/ism.v11i3.67
6
Lestari, Zulkarnain, & Aisyah, S. (2021).
Diabetes Melitus: Review Etiologi,
Patofisiologi, Gejala, Penyebab,
Cara Pemeriksaan, Cara
Pengobatan dan Cara Pencegahan.
UIN Alauddin Makassar.
Lupiana, M., & Mulyani, R. (2024).
Pemeriksaan Kesehatan dan
Pengobatan Dasar bagi Para Lansia
di Klinik AGAPE HKBP Kedaton.
ABDI UNISAP: Jurnal Pengabdian
Kepada Masyarakat, 2(1), 108-113.
Luthfa, I., & Fadhilah, N. (2019). Self
management menentukan kualitas
hidup pasien diabetes mellitus.
Jurnal Endurance, 4(2), 402-410.
Manurung, D. M., & Ramadhini, D. (2021).
Pendidikan Kesehatan 4 Pilar
Penatalaksanaan Dm Pada
Penderita Diabetes Mellitus Di
Desa Manunggang Jae Kota
Padangsidimpuan. JUKESHUM:
Jurnal Pengabdian Masyarakat,
1(1), 7-11.
Megawati, S. W., Utami, R., & Jundiah, R.
S. (2020). Senam Kaki Diabetes
pada Penderita Diabetes Melitus
Tipe 2 untuk Meningkatkan Nilai
Ankle Brachial Indexs. Journal of
Nursing Care, 3(2), 97-98.
Milah, A. S. (2022). Pendidikan Kesehatan
dan Promosi Kesehatan dalam
Keperawatan. Edu Publisher.
Pernando & Yonky. (2020). Parestesia
Expert System! Expert System To
Detect Paresthesia (Parestesia
Expert System! Sistem Pakar Untuk
Mendeteksi Penyakit Parestesia).
Jurnal KomtekInfo, 7(3), 186-96.
Priyanto, Yulianingsih, N., & Asyari, H.
(2022). Hubungan Pengetahuan
Tentang Diabetes Mellitus Dengan
Kepatuhan Menjalani Pengobatan
Pada Pasien Diabetes Mellitus Di
Kecamatan Kertasemaya Tahun
2021. Jurnal Pengabdian Ilmu
Kesehatan, 2(1), 17-24.
Putri, D., Putri, Y. T., & Nusadewiarti, A.
(2020). Penatalaksanaan Pasien
Diabetes Melitus Tipe 2 Dengan
Neuropati Dan Retinopati
Diabetikum Melalui Pendekatan
Kedokteran Keluarga. Medula, 9
(4), 631-38.
Putriyani, N., Mulyaningsih, M., &
Hartutik, S. (2020). Range of
motion (ROM) aktif kaki
meningkatkan sensitivitas kaki pada
penderita diabetes melitus. ASJN
(Aisyiyah Surakarta Journal of
Nursing), 1(1), 21-24.
Rizky, I. A. (2022). Hubungan Kadar
Hba1c Dengan Mikroalbumin Urine
Pada Pasien Diabetes Melitus Di
Laboratorium Klinik Pramitra
Biolab Indonesia (Doctoral
Dissertation, Poltekkes Kemenkes
Yogyakarta).
Rumaolat, W., Rumaolat, W., & Sely, M.
D. (2022). The effect of progressive
muscle relaxation on reducing stress
and blood sugar in type 2 diabetes
mellitus patients in the work area of
Taniwel Public Health Center.
International Journal of Medicine
and Health, 1(4), 97-106.
Salamung, N., Pertiwi, M. R., Ifansyah, M.
N., Riskika, S., Maurida, N.,
Suhariyati, S., ... & Rumbo, H.
(2021). Keperawatan Keluarga
Family Nursing.
Sari, R. Y., & Faizah, I. (2020). Resistance
exercise berpengaruh terhadap
perbaikan neuropati diabetikum
pada penderita dm tipe 2. Jurnal
Ilmiah Permas: Jurnal Ilmiah
STIKES Kendal, 10(3), 395-406.
Sari. (2019). Aktivitas Fisik Dan
Hubungannya Dengan Kejadian
Diabetes Mellitus. Window of
Health : Jurnal Kesehatan, 2(4),
368-81.
Sutomo, S., & Purwanto, N. H. (2023).
Pengaruh Konsumsi Tisane Daun
Belimbing Wuluh Terhadap
Perubahan Kadar Gula Dalam
Darah Pada Penderita Diabetes
Mellitus Tipe 2. Jurnal
Keperawatan, 16(1), 1-15.
Tutiany, T., Hasinuddin, M., Armiyati, Y.,
& Sari, G. M. (2024). Buku Ajar
Proses Keperawatan Dan Berpikir
Kritis.
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.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Zahara Clamiza

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Penulis tetap memegang hak atas karyanya dan memberikan hak publikasi pertama kepada jurnal ini yang secara simultan karya tersebut dilisensikan di bawah:Â Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)







