Pengaruh Kombinasi Senam Kaki Diabetik dan Neuromuscular Taping terhadap Suhu Kaki pada Pasien Neuropati Kaki Diabetik

Ariska, Hanisa Iis and Dr. Ns. Heri Kristianto,, S.Kep., M.Kep., Sp. Kep. M.B and Ns. Elvira Sari Dewi,, S.Kep., M.Biomed (2023) Pengaruh Kombinasi Senam Kaki Diabetik dan Neuromuscular Taping terhadap Suhu Kaki pada Pasien Neuropati Kaki Diabetik. Sarjana thesis, Universitas Brawijaya.

Abstract

Neuropati kaki diabetik merupakan salah satu komplikasi diabetes mellitus yang dapat diketahui melalui berbagai gejala termasuk perubahan suhu kaki dan perburukannya dapat dicegah dengan intervensi senam kaki dan neuromuscular taping. Tujuan: mengetahui pengaruh kombinasi senam kaki diabetik dan neuromuscular taping terhadap suhu kaki pada pasien neuropati kaki diabetik. Metode: quasi eksperimen dengan pendekatan cross-over design. Terdapat 44 responden yang terbagi dalam dua kelompok penelitian yaitu kontrol dan perlakuan yang dipilih menggunakan teknik purposive sampling. Kelompok kontrol diberikan latihan senam kaki setiap hari selama satu minggu sedangkan kelompok perlakuan diberikan kombinasi senam kaki dan neuromuscular taping selama satu minggu dengan dua kali pergantian plester yaitu bentuk fan dan I. Periode wash out diterapkan selama satu minggu sebelum kedua kelompok dilakukan silang. Kedua kelompok dilakukan pre test dan post test pengukuran suhu kaki menggunakan infrared thermograph. Analisis dilakukan menggunakan uji dependent t-test dan uji Mann-Whitney dengan α=0.05. Hasil rata-rata suhu kaki sebelum dan sesudah diberikan intervensi pada kelompok kontrol adalah 28.48±1.78oC;29.57±1.67oC (kaki kanan) dan 28.54±1.55oC;29.50±1.64oC (kaki kiri) dengan p=0.000 (kaki kanan) dan p=0.000 (kaki kiri), pada kelompok perlakuan adalah 28.38±2.00oC;30.59±1.70oC (kaki kanan) dan 28.60±1.96oC; 30.45±1.82oC (kaki kiri) dengan p=0.000 (kaki kanan) dan p=0.000 (kaki kiri). Nilai median selisih perbedaan suhu kaki antara kelompok kontrol dan kelompok perlakuan adalah 0.975(0.00-4.30);1.620(0.23-6.18) (kaki kanan) dan 0.795(0.04- 3.79);1.200(0.19-4.69) (kaki kiri) dengan p=0.047 (kaki kanan) dan p=0.032 (kaki kiri). Simpulan: terdapat pengaruh kombinasi senam kaki diabetik dan neuromuscular taping terhadap suhu kaki pada pasien neuropati kaki diabetik. Diharapkan kombinasi intervensi tersebut dapat diaplikasikan untuk mencegah komplikasi kaki yang lebih buruk.

English Abstract

Diabetic foot neuropathy is one of the complications of diabetes mellitus which can be recognized through various symptoms including changes in foot temperature and its worsening can be prevented with foot exercise interventions and neuromuscular taping. Objective: to determine the influence of a combination of diabetic foot exercises and neuromuscular taping on foot temperature in patients with diabetic foot neuropathy. Method: quasi-experimental with a cross-over design approach. There were 44 respondents divided into two research groups, namely control and treatment, who were selected using purposive sampling techniques. The control group was given foot exercises every day for one week. In comparison, the treatment group was given a combination of foot exercises and neuromuscular taping for one week with two plaster changes namely fan and I shape. A one-week washout period was implemented before both groups underwent cross-over. Both groups underwent pre-tests and post-tests, involving foot temperature measurements using infrared thermography. Analysis was carried out using the dependent t-test and the Mann-Whitney test with α=0.05. Results: The average foot temperature before and after intervention in the control group was 28.48±1.78oC;29.57±1.67oC (right foot) and 28.54±1.55oC;29.50± 1.64oC (left foot) with p=0.000 (right foot) and p=0.000 (left leg), in the treatment group were 28.38±2.00oC;30.59±1.70oC (right leg) and 28.60±1.96oC; 30.45±1.82oC (left leg) with p=0.000 (right leg) and p=0.000 (left leg). The median difference in foot temperature between the control group and the treatment group was 0.975(0.00- 4.30);1.620(0.23-6.18) (right leg) and 0.795(0.04-3.79);1.200 (0.19-4.69) (left foot) with p=0.047 (right foot) and p=0.032 (left foot). Conclusion: There is an effect of a combination of diabetic foot exercises and neuromuscular taping on foot temperature in patients with diabetic foot neuropathy. It is hoped that this combination of interventions can be applied to prevent worse foot complications.

Item Type: Thesis (Sarjana)
Identification Number: 052316
Uncontrolled Keywords: Infrared Thermograph,Neuromuscular taping,Neuropati kaki,Senam kaki,Suhu kaki | Infrared Thermography; Neuromuscular Taping; Diabetic Foot Neuropathy; Foot Exercises; Foot Temperature
Divisions: Fakultas Ilmu Kesehatan > Ilmu Keperawatan, Fakultas Ilmu Kesehatan
Depositing User: Nur Subchan
Date Deposited: 11 Jan 2024 03:54
Last Modified: 11 Jan 2024 03:54
URI: http://repository.ub.ac.id/id/eprint/207981
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