| dc.description.abstract | Chronic hyperglycemia in type 2 diabetes mellitus (T2DM) can give an impact
on systemic circulation, such as increasing blood pressure and reducing peripheral
circulation. Disruption of blood supply to the tissue can increase risk of diabetic
complications, such as hypertension and diabetic foot ulcers. This research aimed to analyze
the effect of diabetes gymnastic on blood circulation and risk of diabetic foot ulcers in type 2
diabetic patients. Methods: This research employed randomized control group pretestposttest design. A total of 30 T2DM patients were enrolled in this study by using simple
random sampling technique. The sample was divided into 2 groups which consisted of 15
patients as control group and 15 patients as treatment group. The diabetes gymnastic was
conducted three times a week with the total of 12 sessions within a month. The posttest
measurement of Blood Pressure (BP), Ankle Brachial Index (ABI), and risk of Diabetic Foot
Ulcers (DFU) was done one hour after the last session. Data were analyzed using dependent
t-test and independent t-test (α = 0.05). Results: The result of dependent t-test indicated
significant differences of blood circulation before and after intervention either in the
intervention group or control group (intervention group: pBP= 0.005, pABI=0.000; control
group: pBP=0.039, pABI=0.004). Risk of DFU was also different significantly (intervention
group: p=0.000; control group: p= 0.029). However, the decrease of DFU risk was higher in
the intervention group than in control group (intervention group: t=4.461; control group:
t=2.436). Furthermore, independent t test showed significant differences between intervention
and control group on blood circulation and risk of DFU (pBP =0.001; pABI=0.000; pDFU
risk=0.047). Conclusion: The results indicated a significant effect of diabetes gymnastic on
blood circulation and risk of DFU in type 2 diabetic patients. Nurse is expected to apply
diabetes gymnastic as one of interventions to enhance blood glucose control and blood
circulation so that diabetic complications can be prevented. | en_US |
