Efek Buerger Allen Exercise terhadap Perubahan Nilai ABI (Ankle Brachial Index) Pasien Diabetes Tipe II

Ainul Yaqin Salam, Nurul Laili

Abstract


Abstrak

Resiko disfungsi aliran balik vena pada kaki, neuropati, ulkus diabetikum, gangrene, dan  amputasi kaki masih menjadi ancaman serius diabetesi.Tidak hanya berdampak fisik, biaya untuk mengelola dan merawat masalah gangguan perfusi perifer kaki sangat banyak yang merugikan individu dan menjadi beban bagi pembiayaan sosial negara. Buerger Allen Exercise (BAE) adalah latihan gerak yang dilakukan tungkai bawah yang bervariasi serta memanfaatkan gaya gravitasi yang dilakukan secara bertahap dan teratur. Variasi gerakan dan gaya gravitasi pada BAE diharapkan mampu untuk memperbaiki dan meningkatkan sirkulasi darah perifer ke ekstermitas sehingga kebutuhan oksigen sampai pada tingkat sel dibuktikan dengan peningkatan nilai Ankel Brachial Index (ABI). Penelitian dirancang untuk mengetahui efek Vascular Rehabilitation Training Program menggunakan BAE terhadap Perubahan Nilai ABI diabetisi tipe 2. Desain Quasy Experiment digunakan untuk mengkaji ada tidaknya sebab-akibat dari dua variabel yang diteliti dengan pendekatan pre-test and post-test control design. Teknik sampling menggunakan puposive sampling. Terdapat 20 responden yang dibagi menjadi dua kelompok. Pengumpulan data menggunakan skala ABI untuk mengukur perubahan nilai sebelum dan setelah dilakukan BAE. Intervensi dilakukan sebanyak 6 sesi dalam 6 hari latihan dengan durasi 15 menit setiap pertemuan. Hasil penelitian menunjukkan terdapat perubahan nilai ABI yang sangat signifikan setelah melakukan BAE. Penelitian ini membuktikan bahwa metode BAE  efektif dalam meningkatkan perfusi perifer pada kaki diabetesi dan dapat menjadi alternatif yang mudah dan murah untuk dilakukan dalam memperbaiki gangguan perfusi khususnya pasien diabetes.

Kata kunci: Buerger Allen Exercise (BAE), Ankle Brachial Index (ABI),  perubahan nilai ABI

 

Abstract

The risk of dysfunction venous return in the legs, neuropathy, diabetic ulcer, gangrene, and leg amputation is still a severe threat to diabetes patients.Not only has a physical impact, the expenditure due to managing and treating impaired peripheral, but peripheral perfusion problem is also very much detrimental to the individual and a burden on the country's social financing. Buerger Allen Exercise (BAE ) is an exercise with a variety of active movements on the lower extremities and utilizes the gravitational force carried out in stages and regularly. Movement variations and gravitational effects on the BAE  are expected to be able to improve and improve peripheral blood circulation to the extremities so that oxygen demand reaches the cellular level as evidenced by an increase in the value of the Ankle Brachial Index (ABI).The essential aim of this study was to determine the effect of Vascular Rehabilitation Training Programs with BAE  on the Value Change of ABI type II diabetes patients. The research design uses Quasy Experiments to assess whether there are causes and effects of the two variables studied with the pre-test and post-test control design approach. The sampling technique uses purposive sampling. Twenty respondents participated in this study apart to groups. Data collection uses the ABI scale to measure changes in values before and after the BAE . The intervention was conducted in 6 sessions in 6 days of training with a duration of 15 minutes per meeting. The results showed that there were significant changes in ABI values between before and after conducting the BAE . This study proves that BAE  method is effective in improving peripheral perfusion in diabetic feet and can be an easy and straightforward alternative to improve perfusion disorders, especially in patients with diabetes.

Keyword: Buerger Allen Exercise (BAE), Ankle Brachial Index (ABI), changes of ABI Value


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DOI: https://doi.org/10.33006/ji-kes.v3i2.149

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