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Dwi Novitasari
Fakultas Kesehatan, Universitas Harapan Bangsa
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Journal : Jurnal Kreativitas PKM

 1 
Cegah Amputasi Gangrene Penderita Diabetes Mellitus Tipe 2 Melalui Pemanfaatan Media Video Senam Kaki Dwi Novitasari; Prasanti Adriani; Tyas Amalia Khaerunisa; Sidik Awaludin
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 2 (2022): Volume 5 No 2 Februari 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i2.4623

Abstract

ABSTRAK Diabetes mellitus (DM) menjadi masalah kesehatan di seluruh dunia, diperkirakan 462 juta orang (6,28% populasi dunia) terkena DMT2. Hiperglikemia kronik menyebabkan disfungsi endotel seperti kalsifikasi medial arteri yang menyebabkan gangguan sirkulasi dan syaraf di kaki. Ulkus DM yang terinfeksi menyebabkan gangrene sehingga berisiko amputasi apabila tidak ditangani. Ankle Brachial Index (ABI) untuk screening gangguan sirkulasi kaki. Strategi pencegahan mengurangi risiko ulkus, gangrene dan amputasi dapat menggunakan pendidikan kesehatan pada pasien terkait gaya hidup dan olah raga/senam. Angka kejadian DM tertinggi di Desa Karanggedang dibandingkan 10 desa lainnya di Kecamatan Sidareja. Sejumlah 61 orang DMT2 memiliki GDS > 200 mg/dl. Tujuan PKM ini yaitu meningkatkan kesadaran penderita DMT2 tentang gaya hidup yang baik, serta perbaikan sirkulasi perifer dengan perbaikan nilai ABI pada 2 kali pengkuran. Metode PKM ini menggunakan ceramah, diskusi, tanya jawab, wawancara, demonstrasi, redemonstrasi, dan menonton video senam kaki diabetes meliputi tahap persiapan hingga evaluasi sebanyak 14 kali pertemuan. Didapatkan hasil rata-rata peserta berumur 55,27 tahun, mayoritas memiliki hipertensi 9 (60%) orang, lama menderita DM 1-6 tahun, skala nyeri pre 5 (sedang) yang menurun 2 poin menjadi 3 (ringan), mengeluh baal pre 12 (80%) dan membaik menjadi 5 (33,5%) orang, kadar GDS pre 216,07 mg/dl menurun menjadi 185 mmg/dl, nilai ABI pre seluruh peserta 0,81 (abnormal) dan membaik seluruhnya saat post 1,12 (normal) yang signifikan secara statistik. Saran bagi penderita DMT2 di Desa Karanggedang agar tetap rutin melakukan senam kaki diabetes secara mandiri, dan bagi kader kesehatan aktif mengingatkan dan memotivasi penderita untuk melakukan senam kaki diabetes secara rutin. Kata kunci: senam kaki diabetes, ABI, gangren, amputasi. ABSTRACT Diabetes mellitus (DM) is a health problem worldwide, it is estimated that 462 million people (6.28% of the world's population) are affected by T2DM. Chronic hyperglycemia causes endothelial dysfunction such as calcification of the medial artery which causes circulatory and nerve disorders in the legs. Infected DM ulcers cause gangrene so there is a risk of amputation if untreated. Ankle Brachial Index (ABI) is used to screen for circulatory disorders in the legs. Prevention strategies to reduce the risk of ulcers, gangrene, and amputation can use health education in patients related to lifestyle and exercise/sports. The highest DM incidence was found in Karanggedang Village compared to 10 other villages in Sidareja District. A total of 61 DMT2 patients had GDS > 200 mg/dl. The purpose of this community service is to increase awareness of DMT2 sufferers about a good lifestyle, as well as to improve peripheral circulation by increasing the ABI value in 2 measurements. This community service method uses lectures, discussions, questions and answers, interviews, demonstrations, re-demonstrations, and watching videos of diabetic foot exercises starting from the preparation stage to evaluation for 14 meetings. The results showed that the average age of participants was 55.27 years, have hypertension 9 (60%) people, have suffered for 1-6 years, pre pain scale 5 (moderate) decreased by 2 points at the post becomes 3 (mild), pre numbness complaints 12 (80%) and improved to 5 (33.5%) people, pre levels blood glucose 216.07 mg/dl which decreased post levels blood glucose becomes 185 mg/dl, the pre-ABI of all participants was 0.81 (abnormal) and a statistically significant increase at all at post 1.12 (normal). Suggestions for DMT2 sufferers in Karanggedang Village to continue to regularly do diabetes foot exercises independently, and for care providers to always actively remind and motivate the sufferers to routinely do diabetic foot exercises. Keywords: diabetic foot exercise, ABI, gangrene, amputation.
Co-Authors - Natalia Abd. Rasyid Syamsuri Abdurrosidi Abdurrosidi Abdurrosidi Abdurrosidi Adita Silvia Fitriana Aditya Rendra Pranadipta Adriani, Prasanti Afresa Bias Putri Enarga Agus Luqman Hakim Agus Santoso Agus Suryono Aida Mulia Sofiyana Aldania Silfianingsih Alimudin Amin Susanto Anastasia Chrissanti Anggi Meli Yani Anjas Sanjaya Anton Suhendro Aprilia Kartikasari Ar-Rahman Tanjung Aris Dwi Susilarto Arta Farmawati Aryudha Pramudianto Asmat Burhan Awal Tunis Yantoro Bagus Dwi Dermawan Chris Dwi Anto Christ Yanuar Wicaksono Cicilia Anggia Rini Cita Purnanika Claudia Pratiwi Kumanireng Dafinta Widia Komala Danang Tri Yudono Danendra Nezar Aristiananda Daniel Nainggolan Destina Farinda Diah Rahmawati Diana Agustina Didik Dhani Irawan Dina Rante Dwi Agus Yulianto Dwi Agus Yulianto Dwi Nur Ariqoh Eka Yuliana Elfi Aprilia Elly Nurachmah Emanuel Agung Wirawan Emanuel Hariono Dar Emiliana Bella Castilian Leuobi ERINA Ina Rina Erma Fatimah Nuriyah Etika Dewi Cahyaningrum Fadilla Agustari Fadlul Ichsan Fauzan Zulqifni Ozan Fazri Akbar Ferlisan Tabanci Ferlisan Tabanci Fiki Wijayanti Firda Susu Fitrah Annisa Az Zahra Galih Agung Pratafa Galih Noor Alivian Hassyavira Naura Minanda Heni Safitri Waraiya Ike Meiwati Irma Susanti, Maria Paulina Ita Apriliyani Jamhari Jamhari Jaylening Wintri Dao Jon Donald Situmeang Kadek Oka Aryana Krisna Adi Wibowo Leonardo Ekarynansya Ola Belatan Koban Madyo Maryoto Madyo Maryoto Martyarini Budi Setyawati Maya Safitri Meilanie Carin Latuihamallo Meli Apriyanti Muhammad Azra Razi Muhammad Jony Thaher Murniati Murniati Nabila Febri Dea Nanda Farah Feliska Naurah Romadlanti Niken Liyana Octa Sari Nindhita Wahyu Nugroho Noor Rochmah Ida Ayu Trisno Putri Noor Yunida Triana Nur Aini Mahmudah Nur Arifah Kurniasih Nur Ragil Nurfitria Sholiha Panca Rizky Kharisma Panji Wicaksono Aji Peppy Octaviany Dian Megasari Putri Dwi Minantry Putri Larasati Rachma Kailasari Rahmawati, Arni Nur Raihan Assyifa Rani Prabandari Refa Teja Muti Reshiana Syifa Anggun Pangestu Rida Nurhayanti Rizki Ayu Adiani Putri Rizki Handayani Roni Riski Dinata Roro Lintang Suryani Rosi Kurnia Sugiharti Rozi, Ahmad Fahrur Sahara Putri Sandri E Perangin Angin Sania Wardah Septi Ajeng Nur Prihatini Septian Mixrova Sebayang Setyawati, Martyarini Budi Sidik Awaludin Sidik Awaludin Sidik Awaludin Silpiyani Silpiyani Siti Haniyah suci khasanah Suci Khasanah Sunarti Sunarti Surtiningsih Surtiningsih Susanti Ningsih Sutrisno Sutrisno Syaputri Syaputri Teza Cahya Fitriani Tin Utami Titin Supriyatin Titin Supriyatin Topan Heri Wibowo Tophan Heri Wibowo Tyan Ferdiana Hikmah Tyas Amalia Khaerunisa Tyas Amalia Khaerunisa Umi Aniroh, Umi Vagnessa Vaginleira Wahyu Gusmiarti Wasis Eko Kurniawan Wilis Sukmaningtyas Wilis Sukmaningtyas Wirakhmi, Ikit Netra Yuliana Dewi Siswanti Yuliana Kristianti Yuni Hartati Yuni Hartati Yunita Dwi Adiningtyas Yusmiranti Zulfa Fadhilah