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The effect of diabetic foot exercise on neuropathy scores based on the length of time suffering from type 2 diabetes mellitus clients

Author: 
Febrina Angraini Simamora, Hotma Royani Siregar and Arinil Hidayah
Subject Area: 
Health Sciences
Abstract: 

Introduction: Long suffering from diabetes is often associated with complications such as neuropathy. Complications usually begin to arise after the client has suffered from DM for more than 10 years.Diabetes mellitus clients who have long been diagnosed with diabetes have a higher risk of developing diabetic ulcers.Blood sugar levels that are not controlled from time to time can lead to hyperglycemia, which can lead to complications associated with diabetic neuropathy in which diabetes mellitus patients will lose their sense of taste and are not aware of the appearance of injury.Foot exercise is an exercise for diabetics or non-sufferers to prevent injuries and help blood circulation in the legs. Foot exercises can help improve blood circulation and strengthen the small muscles of the legs and prevent foot deformities. Effective treatment will reduce the complication rate so that there are no further complications that can harm people with mellitus. The aim of this study was to identify the effect of diabetic foot exercise on neuropathy scores based on the length of time a client suffered from type 2 diabetes mellitus. Method: The research design used was a quasy experiment to identify the effect of diabetic foot exercise on neuropathy scores based on the length of time a client suffered from type 2 diabetes mellitus. This research was conducted at the Padangsidimpuan City Hospital. Population in this study was all of the type 2 diabetes mellitus clients in Padangsidimpuan City Hospital. The sampling technique used was consecutive sampling with a sample size of 16 people based on power analysis tables. The measuring instrument used is Diabetic Neuropaty Symptom (DNS), and data analysis was carried out using the Wilcoxon test. Results: Data analysis was carried that after a significant test using the Wilcoxon test on the comparison of neuropathy scores before and after diabetic foot exercise in the group with DM <6 years duration, there was a significant change with p value = 0.038 (p <0, 05) which means that there is an effect of diabetic foot exercise on the reduction of neuropathy in type 2 diabetes patients. Likewise with the neuropathy score before and after diabetic foot exercise in the group with a duration of DM> 6 years, there was a significant change with p value = 0.011 (p <0.05) which means that there is an effect of diabetic foot exercise on decreasing neuropathy in people with type 2 diabetes. Conclusions: Neuropathy scores in respondents decreased when compared between before and after diabetic foot exercises in both groups.This shows that there is an effect of diabetic foot exercise on reducing neuropathy in people with type 2 diabetes mellitus. In accordance with the results of the research obtained, it is hoped that all people with type 2 diabetes mellitus will always try to do physical exercise in the form of diabetic foot exercises to reduce the risk of neuropathy in people with type 2 diabetes mellitus.

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