Pengaruh Range Of Motion (ROM) Angkle Terhadap Resiko Deep Vein Thrombosis (DVT) Pada Pasien Diabetes Mellitus Dengan Luka Ulkus: Literature Review

Authors

  • Yennyka Dwi Ayu Departemen pascasarjana, prodi magister ilmu keperawatan, jurusan keperawatan medikal bedah, universitas muhammadiyah yogyakarta, yogyakarta, indonesia
  • Arlina Dewi Departemen Pascasarjana, prodi magister Manajemen rumah sakit, jurusan manajemen rumah sakit, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia

DOI:

https://doi.org/10.30651/jkm.v6i3.5160

Keywords:

Range Of Motion (ROM) Angkle, Exercise, Deep Vein thrombosis (DVT), Diabetes Mellitus, Luka Ulkus.

Abstract

Background: Diabetes Mellitus (DM) is the most chronic disease throughout the world which is a chronic metabolic disease due to pancreas that cannot produce enough insulin and the body cannot use effective insulin, as evidenced by the number of diabetes mellitus prevalence that can continue at any time increased. Diabetes mellitus is a metabolic disease which is very high risk of death. Patients with diabetes mellitus participate with thrombosis in blood vessels, one of which is diabetic foot ulcer. Thrombosis in patients with diabetic foot ulcers will increase thrombosis in the lower limbs that are part of venous thromboembolism, or Deep Vein Thrombosis (DVT). One effort to repair the wound can be done with practice. Exercise is one of the first management strategies proposed for new patients diagnosed with diabetes, because along with diet and policy modifications, exercise and exercise are important components of all diabetes intervention programs, which by doing exercises can help very much.

Research Objectives: This literature review discusses the causes of deep venous thrombosis (DVT), causes of ulcer wounds and looks for the influence of the Angkle range of motion (ROM) on the risk of Deep Vein Thromosis (DVT) in patients with diabetes mellitus with ulcer wounds.

Method: The literature database search method was conducted at Google Scholar and Pubmed. The literature used is literature that meets the inclusion criteria and published the last five years, is approved then selected and reviewed.

Results: Final results There are 4 literatures that can be reviewed. Based on the literature conclusions, it can be found several exercises in patients with diabetes mellitus so as to increase diabetes, and can reduce the need for Deep Vein Thromosis (DVT). To find out the risk of Deep Vein thrombosis (DVT) can be determined by the D-Dimer test. If the D-Dimer test shows positive results, then the patient must use DVT

Author Biographies

Yennyka Dwi Ayu, Departemen pascasarjana, prodi magister ilmu keperawatan, jurusan keperawatan medikal bedah, universitas muhammadiyah yogyakarta, yogyakarta, indonesia

Departemen pascasarjana, prodi magister ilmu keperawatan, jurusan keperawatan medikal bedah, universitas muhammadiyah yogyakarta, yogyakarta, indonesia

Arlina Dewi, Departemen Pascasarjana, prodi magister Manajemen rumah sakit, jurusan manajemen rumah sakit, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia

Departemen Pascasarjana, prodi magister Manajemen rumah sakit, jurusan  manajemen rumah sakit, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia

References

Braithwaite, I., De Ruyter, B., Semprini, A., Ebmeier, S., Kiddle, G., Willis, N., Carter, J., Weatherall, M., & Beasley, R. (2016). Cohort feasibility study of an intermittent pneumatic compression device within a below-knee cast for the prevention of venous thromboembolism. BMJ Open, 6(10), e012764. https://doi.org/10.1136/bmjopen-2016-012764

Codella, R., Terruzzi, I., & Luzi, L. (2017). Why should people with type 1 diabetes exercise regularly? Acta Diabetologica, 54(7), 615–630. https://doi.org/10.1007/s00592-017-0978-x

Feitosa, M. C. P., Carvalho, A. F. M. de, Feitosa, V. C., Coelho, I. M., Oliveira, R. A. de, & Arisawa, E. Â. L. (2015). Effects of the Low-Level Laser Therapy (LLLT) in the process of healing diabetic foot ulcers. Acta Cirurgica Brasileira, 30(12), 852–857. https://doi.org/10.1590/S0102-865020150120000010

Kirwan, J. P., Sacks, J., & Nieuwoudt, S. (2017). The essential role of exercise in the management of type 2 diabetes. Cleveland Clinic Journal of Medicine, 84(7 suppl 1), S15–S21. https://doi.org/10.3949/ccjm.84.s1.03

Monteiro, R. L., Sartor, C. D., Ferreira, J. S. S. P., Dantas, M. G. B., Bus, S. A., & Sacco, I. C. N. (2018). Protocol for evaluating the effects of a foot-ankle therapeutic exercise program on daily activity, foot-ankle functionality, and biomechanics in people with diabetic polyneuropathy: A randomized controlled trial. BMC Musculoskeletal Disorders, 19(1), 400. https://doi.org/10.1186/s12891-018-2323-0

Pan, B., Ge, L., Xun, Y., Chen, Y., Gao, C., Han, X., Zuo, L., Shan, H., Yang, K., Ding, G., & Tian, J. (2018). Exercise training modalities in patients with type 2 diabetes mellitus: A systematic review and network meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 15(1), 72. https://doi.org/10.1186/s12966-018-0703-3

Zanuso, S., Sacchetti, M., Sundberg, C. J., Orlando, G., Benvenuti, P., & Balducci, S. (2017). Exercise in type 2 diabetes: Genetic, metabolic and neuromuscular adaptations. A review of the evidence. British Journal of Sports Medicine, 51(21), 1533–1538. https://doi.org/10.1136/bjsports-2016-096724

Published

2021-09-01