Pengaruh Senam Kaki terhadap Neuropati pada Lansia Diabetes Melitus Tipe 2 Puskesmas Colomadu II dan Colomadu I
Abstract
Type 2 diabetes mellitus is classified as a chronic metabolic illness that has the potential to produce several complications, with peripheral neuropathy being among the most common. Peripheral neuropathy is characterized by sensory disturbances such as tingling, burning sensation, pain, and numbness in the lower extremities, which, if left untreated, may progress to diabetic foot ulcers and even amputation. One of the non-pharmacological interventions to prevent and reduce neuropathy is foot exercise, which improves blood circulation and enhances peripheral nerve function. To determine the effect of foot exercise on neuropathy levels among elderly patients with type 2 diabetes mellitus at Colomadu II Primary Health Cente: The research adopted a quasi-experimental method with a pretest and posttest control group design. A total of 68 respondents were recruited using purposive sampling, consisting of 34 respondents in the experimental group and 34 in the control group. The intervention was carried out for 3 weeks with a frequency of 3 times per week, lasting ±30 minutes per session. Neuropathy levels were measured using the Toronto Clinical Scoring System (TCSS). Data were analyzed utilizing paired sample t-test and independent sample t-test.The outcomes revealed a significant decrease in neuropathy levels in the experimental group, with the mean score decreasing from 10.56 before the intervention to 7.21 after the intervention (p = 0.001). In contrast, the control group showed no significant changes (p = 0.162). Furthermore, the independent sample t-test revealed a significant difference between the experimental and control groups after the intervention (p = 0.001 < 0.05). Foot exercise has a significant effect in reducing neuropathy levels among elderly patients with type 2 diabetes mellitus. Foot exercise can be recommended as a simple, low-cost, and practical non-pharmacological intervention that patients can perform independently to prevent diabetic neuropathy complications.
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Aissyah, D., Qodir, A., Zahra, F., Tinggi, S., Kesehatan, I., & Malang, W. H. (2022). Pengaruh Aktivitas Fisik Dan Pola Makan Terhadap Kadar Gula Darah Pada Pasien Diabetes Mellitus. In Media Husada Journal Of Nursing Science (Vol. 3, Issue 1). Https://Mhjns.Widyagamahusada.Ac.Id
Anggraini, B. M., & Purwanti, O. S. (2024). The Relationship Between Body Mass Index And Diabetic Neuropathy In Patients With Diabetes Mellitus At The Regional General Hospital Dr.Soehadi Prijonegoro Sragen District. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 6(1), 453. https://doi.org/10.30829/contagion.v6i1.1946.
Badrujamaludin, A., Santoso, M. B., & Nastrya, D. (2021). Hubungan Aktivitas Fisik Dengan Kejadian Neuropati Diabetik Pada Penderita Diabetes Mellitus Tipe 2. Holistik Jurnal Kesehatan, 15(2), 176–186. Https://Doi.Org/10.33024/Hjk.V15i2.3624
Balqis, Suamrdiyono, & Suri. (2022). Neuropati Diabetika: Kontribusi Karakteristik Individu, Lama Sakit, Merokok, Dan Hiperglikemi Fakultas Kedokteran, Univesitas Sebelas Maret Surakarta 2). In Jurnal Kesehatan Masyarakat Indonesia (Vol. 17, Issue 2). Https://Jurnal.Unimus.Ac.Id/Index.Php/Jkmi,
Basri, M., Baharuddin, K., & Rahmatia, S. (2021). Pengaruh Senam Kaki Terhadap Nilai Respon Neuropati Pada Penderita Diabetes Melitus Tipe 2 Di Puskesmas Tamalanrea Makasar. Jurnal Ilmiah Kesehatan Diagnosis, 16(1), 40–46.
Benly, N. E., Mansyarif, R., Asma, W., Sartina, Husuni F, Hastuti, A. S., Bahar, N., Anggraini, A., & Sutriawati. (2022). Pelayanan Pemeriksaan Kesehatan Gratis Pada Lansia Di Wilayah Kerja Puskesmas Batalaiworu. Jurnal Pengabdian Kepada Masyarakat, 1(12). Http://Bajangjournal.Com/Index.Php/J-Abdi
Brahmantia, B., Falah, M., Rosidawati, I., Sri, A. R., & Dinia, N. F. (2020). Pengaruh Senam Kaki Diabetik Terhadap Sensitivitas Kaki Penderita Dm Di Puskesmas Parungponteng Kecamatan Cibalong Kabupaten Tasikmalaya. Healthcare Nursing Journal - vol. 2 no. 2 (2020).
Damanik, J. P. (2021). Gambaran Pengetahuan Lansia Tentang Diet Diabetes Melitus Di Puskesmas Sarimatondang Kecamatan Sidamanik Tahun 2021. Jurnal Sosial Dan Sains vol 2 no 3 2022 Http://Sosains.Greenvest.Co.Id
Dewi. G, & Faozi. E. (2023). An Overview: Quality Of Life Of Diabetes Mellitus Type 2 Patients Who Participate In The Prolanis Program In Sukoharjo Regency. Jurnal Berita Ilmu Keperawatan, 16(1), 2023.
Dinkes.Provinsi.JawaTengah.(2024).DiabetesMelitus.Https://Dinkesjatengprov.Go.Id/V2018/Dokumen/1profil_Kesehatan_2023/Mobile/Index.Html
Elsa. (2025). Hubungan Kepatuhan Diet Terhadap Kadar Glukosa Pada Penderita Diabetes Melitus Tipe Ii Di Wilayah Kerja Uptd Puskesmas Selajambe Abdimas Awang Long Tahun 2025 (Vol. 8, Issue 2). Online.
Eltrikanawati, T., & Tampubolon, M. (2020). Hubungan Pola Makan Dan Pola Aktivitas Fisik Terhadap Kadar Gula Darah Sewaktu Pada Pasien Diabetes Mellitus Tipe 2 1. Jurnal Ilmiah Keperawatan Imelda, 6(2). Http://Jurnal.Uimedan.Ac.Id/Index.Php/Jurnalkeperawatan
Fauziyyah, M. H., & Utama, F. (2024). Literature Review : Faktor-Faktor Yang Berhubungan Dengan Kejadian Diabetes Mellitus Di Indonesia. 8(1). Prepotif : Jurnal Kesehatan Masyarakat Volume 8, Nomor 1, April 2024
Febriana, E., Nurhayati, I., Sekolah, R., Ilmu, T., & Mamba’, K. (2024). Efektivitas Senam Kaki Terhadap Penurunan Kadar Gula Darah Pada Lansia Penderita Diabetes Melitus Tipe 2: Literature Review. Http://Jurnal.Globalhealthsciencegroup.Com/Index.Php/Jlh
Fiqriyah, I. K., & Rosyid, F. N. (2024). Literatur Review: Pengaruh Senam Kaki Diabetes Terhadap Kontrol Gula Darah Pada Pasien Diabetes Melitus. Mahesa : Malahayati Health Student Journal, 4(9), 4054–4064. Https://Doi.Org/10.33024/Mahesa.V4i9.15502
Graciella, V., & Prabawati, D. (2020). The Effectiveness Of Diabetic Foot Exercise To Peripheral Neuropathy Symptoms And Fasting Blood Glucose In Type 2 Diabetes Patients. Advances in Health Sciences Research, volume 30
Harreiter, J., & Roden, M. (2023). Diabetes Mellitus: Definition, Classification, Diagnosis, Screening And Prevention (Update 2023). Wiener Klinische Wochenschrift, 135, 7–17. Https://Doi.Org/10.1007/S00508-022-02122-Y
Harsa, I. M. S., & Mulyasari, N. P. I. (2023). Seminar Nasional Cosmic Kedokteran Studi Literatur Hubungan Antara Lamanya Menderita Diabetes Mellitus Dengan Terjadinya Neuropati Diabetik. Cosmic
Herdiyani M, Safariyah E, & Makiyah A. (2024). Pengaruh Foot Exercise Terhadap Neuropati Motorik Pada Pasien Dm Tipe 2 Di Wilayah Kerja Puskesmas Benteng. Vitamin : Jurnal Ilmu Kesehatan Umum, 2(2), 54–71. Https://Doi.Org/10.61132/Vitamin.V2i2.288
International Diabetes Federation (IDF). (2021). Jumlah Penderita Diabetes Di Indonesia diproyeksikan capai 28,57 juta pada 2045. https://www.diabetesatlas.org/data/en/country/94/id.html
Mujabi. M. F, & Wachidah Y. (2020). Hubungan Kadar Gula Darah Dengan Tingkat Depresi Dan Aktifitas Fisik Pada Penderita Diabetes Mellitus. Jurnal Berita Ilmu Keperawatan, 11(2), 73–83.
Niu, F., Liu, W., Ren, Y., Tian, Y., Shi, W., Li, M., Li, Y., Xiong, Y., & Qian, L. (2024). Β-Cell Neogenesis: A Rising Star To Rescue Diabetes Mellitus. In Journal Of Advanced Research (Vol. 62, Pp. 71–89). Elsevier B.V. Https://Doi.Org/10.1016/J.Jare.2023.10.008
Nur, M. A. (2024). Pengolahan Data. In Jurnal Ilmiah Sain Dan Teknologi (Vol. 2, Issue 11).
Nurjannah, N., Saputra, B., & Erianti, S. (2023). Gambaran Derajat Keparahan Neuropati Perifer Pada Pasien Diabetes Melitus Tipe 2. Jurnal Prima Medika Sains, 5(1), 16–20. Https://Doi.Org/10.34012/Jpms.V5i1.3562
PERKENI. (2021). Guidelines For The Diagnosis And Management Of Hyperglycemia In Pregnancy 2021.Https://Pbperkeni.Or.Id/Wp-Content/Uploads/2021/11/22-10-21-Website-Pedoman-Diagnosis-Dan-Penatalaksanaan-Hiperglikemia-Dalam-Kehamilan-Ebook.Pdf
Pradana, L. N., & Pranata, S. (2023). Penerapan Senam Kaki Diabetik Untuk Menurunkan Nyeri Neuropati: Case Study. Ners Muda, 4(1), 72. Https://Doi.Org/10.26714/Nm.V4i1.12090
Pratiwi, E. A., & Purwanti, O. S. (2024). The Relationship Of Diabetes Mellitus Management Compliance With Diabetic Neuropathy In Diabetes Mellitus Patients. Indonesian Journal of Global Health Research, 6(2), 671. Https://Doi.Org/10.37287/Ijghr.V6i2.2910
Purwanti, O. S., Istiningrum, A. I., & Wibowo, S. F. (2023). Peningkatan Pengetahuan Penyandang Diabetes Melitus Dalam Penanganan Neuropati. Jmm (Jurnal Masyarakat Mandiri), 7(4), 3831. Https://Doi.Org/10.31764/Jmm.V7i4.16403
Putri, A. M., Hasneli, Y., & Safri. (2020). Faktor-Faktor Yang Mempengaruhi Derajat Keparahan Neuropati Perifer Pada Pasien Diabetes Melitus : Literature Review Factors Associated Of Severity Of Peripheral Neuropathy Among Diabetes Mellitus Patients: Literature Review. Jurnal Ilmu Keperawatan (2020) 8:1
Qurotulnguyun, L., & Rahmayani, F. (2020). Sutarto | Pengaruh Senam Kaki Diabetik Terhadap Neuropati Pada Pasien Diabetes Melitus Medula | (Vol. 13).
Rachmantoko, R., Afif, Z., Rahmawati, D., Rakhmatiar, R., & Nandar Kurniawan, S. (2021). Diabetic Neuropathic Pain. Jphv (Journal Of Pain, Vertigo And Headache), 2(1), 8–12. Https://Doi.Org/10.21776/Ub.Jphv.2021.002.01.3
Rahman, A., Maryuni, S., & Rahmadhani, A. D. (2021). Pengaruh Latihan Senam Kaki Diabetes Terhadap Sensitivitas Kaki Pada Penderita Diabetes Mellitus Tipe Ii. Jurnal Keperawatan Profesional, 2(1), 7–14. Https://Doi.Org/10.36590/Kepo.V2i1.142
Sidabutar, P. T., Halawa, Y. F., Ziliwu, N., Zendrato, P. D., Mensrofa, S. R. S., Nurhayati, E., Debora, T., & Rahmi, I. M. (2024). Pengaruh Senam Kaki Diabetik Terhadap Penurunan Rasa Nyeri Pada Pasien Diabetes Melitus Neuropati Di Rsu Royal Prima Medan 2024. Jurnal Ners Universitas Pahlawan Vol 9 No 2 Tahun 2025 Http://Journal.Universitaspahlawan.Ac.Id/Index.Php/Ners
Simamora, F. A., Siregar, H. R., & Hidayah, A. (2020). Pengaruh Senam Kaki Diabetik Terhadap Penurunan Neuropati Pada Penderita Diabetes Melitus Tipe 2. Education And Development, 8(4), 431–434.
Trifa, H. S., & Purwanti, O. S. (2024). Hubungan Neuropati Diabetik Dengan Kualitas Tidur Pada Penderita Diabetes Mellitus Di Wilayah Kerja Puskesmas Bendosari Sukoharjo. Holistik Jurnal Kesehatan, 18(5), 567–576. Https://Doi.Org/10.33024/Hjk.V18i5.371
Yulendasari, R., Isnainy, U. C. A. S., & Herlinda. (2020). Pengaruh Senam Kaki Terhadap Neuropati Perifer Penderita Diabetes Mellitus Menggunakan Skort Iptt (Ipswich Touch Test) Di Wilayah Kerja Metro Pusat. Malahayati Nursing Journal, 2(23), 344–353.
Yulita, R. F., Waluyo, A., & Rohman, A. (2020). Pengaruh Senam Kaki Terhadap Penurunan Skor Neuropati. Journal of Telenursing 1 (1) 80-95
DOI: http://dx.doi.org/10.30829/jumantik.v10i2.26600
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