Nursing Care on Type 2 Diabetes Mellitus with The Risk of Ineffective Peripheral Perfusion: A Case Study
DOI:
https://doi.org/10.64621/hjns.v1i2.30Keywords:
ABI, Buerger Allen Exercise, Foot Exercise, Foot Massage, Peripheral PerfusionAbstract
Background: Diabetes mellitus is a chronic disease characterized by hyperglycemia. Hyperglycemia can damage small blood vessels which affects the peripheral blood's flow with the resulting risk of ineffective peripheral perfusionObjective: This study aimed to evaluate the effectiveness of foot massage, Buerger-Allen exercises, and foot exercises in improving peripheral perfusion in a patient with type 2 diabetes mellitus. Implementation was carried out for 7 days with foot massage therapy, doing Buerger Allen exercises and foot exercises.
Case: This research is a descriptive case study with the subject Mrs. S.
Results: The results show that a change of ABI value from pre-test of 0.71 (right leg) and 0.78 (left leg) to 0.9 (normal) for both legs at post-test. The NSS score also changes from 6 scores (moderate risk of neuropathy) to 0 (not at risk). The combination of BAE with diabetic foot exercises is very efficient because the muscles in the lower extremities can move maximally to increase blood vessel transport so that peripheral perfusion in the extremities increases.
Conclusion: Foot massage therapy can relax the leg muscles so that during physical exercises, vasodilation of blood vessels occurs which will improve the perfusion in peripheral tissues. In addition, managing the 5 pillars of DM is important in efforts to increase peripheral perfusion and reduce blood sugar levels.
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