Diabetic foot exercise training for diabetes mellitus patients to control blood glucose during the COVID-19 pandemic

Arina Qona'ah; Anestasia Pangestu Mei Tyas; Andri Setiya Wahyudi; Amellia Mardhika

doi:10.26905/abdimas.v7i4.7672

Diabetic foot exercise training for diabetes mellitus patients to control blood glucose during the COVID-19 pandemic

Arina Qona'ah, Anestasia Pangestu Mei Tyas, Andri Setiya Wahyudi, Amellia Mardhika

Abstract

Physical activity restriction during the pandemic increases the risk of developing diabetic foot ulcers in patients with diabetes mellitus. Community service activities in the form of diabetic foot exercise training aim to increase knowledge and blood glucose control of diabetic mellitus patients' during the pandemic. The activities were carried out in the Tlogorejo and Madulegi villages in Sukodadi Primary Health Care for 60 patients with diabetes mellitus who are members of prolanis. Community service activities include health education about diabetes and foot care, foot exercise training and physical examination, and fasting blood glucose testing. Post-test results showed that 80% of the participants had good knowledge, 15% had sufficient knowledge, and 5% lacked knowledge. Most participants could do foot exercises, and the average fasting blood glucose level of the participants after being given counseling and training was 171.60 mg/dL. Foot exercise training can increase participants' knowledge and can be used as a way to control blood glucose during the COVID-19 pandemic.

Keywords

Blood glucose, Diabetic foot exercise, Diabetes mellitus, Primary health care

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References

Bays, H. E. (2012). Adiposopathy, diabetes mellitus, and primary prevention of atherosclerotic coronary artery disease: Treating “sick fat” through improving fat function with antidiabetes therapies. The American Journal of Cardiology, 110(9), 4B-12B. https://doi.org/10.1016/j.amjcard.2012.08.029

Gabarron, E., Bradway, M., Fernandez-Luque, L., Chomutare, T., Hansen, A. H., Wynn, R., & Arsand, E. (2018). Social media for health promotion in diabetes: Study protocol for a participatory public health intervention design. BMC Health Services Research, 18(1), 1-5. https://doi.org/10.1186/s12913-018-3178-7

Graciella, V., & Prabawati, D. (2020, November). The effectiveness of diabetic foot exercise to peripheral neuropathy symptoms and fasting blood glucose in type 2 diabetes patients. In International Conference of Health Development. Covid-19 and the Role of Healthcare Workers in the Industrial Era (ICHD 2020) (pp. 45-49). Atlantis Press. https://doi.org/10.2991/ahsr.k.201125.008

Johnson, J. A., Carstensen, B., Witte, D., Bowker, S. L., Lipscombe, L., & Renehan, A. G. (2012). Diabetes and cancer (1): Evaluating the temporal relationship between type 2 diabetes and cancer incidence. Diabetologia, 55(6), 1607-1618. https://doi.org/10.1007/s00125-012-2525-1

Khalil, C. A., Roussel, R., Mohammedi, K., Danchin, N., & Marre, M. (2012). Cause-specific mortality in diabetes: Recent changes in trend mortality. European Journal of Preventive Cardiology, 19(3), 374-381. https://doi.org/10.1177/174182671409324

Kusumahati, E., Lia, M., Hartini, N. N. S. M., & Lisni, I. (2018). Penerapan makanan sehat dan olahraga senam kaki pada penderita diabetes melitus tipe 2 di RW 2 dan RW 3 Kecamatan Sukajadi Bandung Jawa Barat. Ethos: Jurnal Penelitian dan Pengabdian Kepada Masyarakat, 6(1), 82–91. https://doi.org/10.29313/ethos.v6i1.3550

Lepesis, V., Marsden, J., Paton, J., Rickard, A., & Latour, J. M. (2022). Experiences of foot and ankle mobilisations combined with home stretches in people with diabetes: A qualitative study embedded in a proof-of-concept randomised controlled trial. Journal of Foot and Ankle Research, 15(1), 1-9.

https://doi.org/10.1186/s13047-022-00512-z

Meiriana, A., Trisnantoro, L., & Padmawati, R. S. (2019). Implementasi program pengelolaan penyakit kronis (PROLANIS) pada penyakit hipertensi di Puskesmas Jetis Kota Yogyakarta. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 8(2), 51-58.

Ministry of Health of the Republic of Indonesia. (2018). Main Results of Riskesdas 2018.

Ministry of Health Republic of Indonesia Directorate General of P2P. (2018). Do diabetic foot exercises regularly, anywhere while varied.

Ministry of Health Republic of Indonesia Directorate General of Health Services. (2020). Technical instructions for Health Center Services during the COVID-19 pandemic. Indonesian Ministry of Health.

Ratnawati, D., Ayu, S., Adyani, M., Fitroh, A., Pembangunan, U., & Veteran, N. (2019). Pelaksanaan senam kaki mengendalikan kadar gula darah pada lansia diabetes melitus di Posbindu Anyelir Lubang Buaya. Jurnal Ilmiah Kesehatan Masyarakat, 11(1), 49–59.

Ren, W., Duan, Y., Jan, Y. K., Ye, W., Li, J., Liu, W., Liu, H., Guo, J., Pu, F., & Fan, Y. ( 2021). Effect of exercise volume on plantar microcirculation and tissue hardness in people with type 2 diabetes. Frontiers in Bioengineering and Biotechnology, 9(November), 1-10. https://doi.org/10.3389/fbioe.2021.732628

Sahar, J. (2020). Diabetes foot exercise using tennis ball on reducing blood sugar level among diabetes patients. International Journal of Nursing and Health Services (IJNHS).

Tison, G. H., Avram, R., Kuhar, P., Abreau, S., Marcus, G. M., Pletcher, M. J., & Olgin, J. E. (2020). Worldwide effect of COVID-19 on physical activity: a descriptive study. Annals of Internal Medicine, 173(9), 767-770. https://doi.org/10.7326/m20-2665

Tran, M. M., & Haley, M. N. (2021). Does exercise improve healing of diabetic foot ulcers? A systematic review. Journal of Foot and Ankle Research, 14(1), 1-9. https://doi.org/10.1186/s13047-021-00456-w

Wahyuni, K. I., Setiadi, A. A. P., & Wibowo, Y. I. (2019). Efektivitas edukasi pasien diabetes mellitus tipe 2 terhadap pengetahuan dan kontrol glikemik rawat jalan di RS Anwar Medika. Pharmascience, 6(01), 1-9. http://dx.doi.org/10.20527/jps.v6i1.6069

Wibisana, E., & Sofiani, Y. (2017). Pengaruh senam kaki terhadap kadar gula darah pasien diabetes melitus di RSU Serang Provinsi Banten tahun 2014. Jurnal JKFT, 2(Juli-Desember), 107–114. http://dx.doi.org/10.31000/jkft.v2i1.698.g474

World Health Organization. (2016). Global Report on Diabetes. In WHO Press.

Zheng, X., Qi, Y., Bi, L., Shi, W., Zhang, Y., Zhao, D., Hu, S., Li, M., & Li, Q. (2020). Effects of exercise on blood glucose and glycemic variability in type 2 diabetic patients with dawn phenomenon. BioMed Research International, 2020. https://doi.org/10.1155/2020/6408724

DOI: https://doi.org/10.26905/abdimas.v7i4.7672