Penerapan senam kaki terhadap diabetic sensorymotor polyneuropathy dan gula darah sewaktu pada penderita diabetes melitus

Background Diabetic sensorimotor polyneuropathy (DSPN) is one of the most
common chronic complications of diabetes mellitus caused by chronic
hyperglycemia, leading to peripheral nerve damage and increasing the risk of
diabetic foot ulcers, infection, and amputation. Diabetic foot exercise is a non-
pharmacological nursing intervention that has been shown to help control blood
glucose levels and improve peripheral nerve function.
Objective : To analyze the implementation of nursing care using diabetic foot
exercise therapy on diabetic sensorimotor polyneuropathy and blood glucose
levels in patients with diabetes mellitus.
Methods : This study employed a case study design involving three patients with
diabetes mellitus who received evidence-based nursing care foot exercise.
Random blood glucose was measured using a glucometer, while DSPN was
assessed using the Neuropathy Symptom Score (NSS) and Neuropathy Disability
Score (NDS). The diabetic foot exercise intervention was carried out according to
the standard operating procedure for six sessions.
Result All participants presented with nursing diagnoses of unstable blood
glucose levels, risk for peripheral neurovascular dysfunction, and deficient
knowledge regarding a healthy lifestyle. After six intervention sessions, the
average random blood glucose level decreased by 12.8%, and the DSPN status of
all participants improved from positive DSPN to negative DSPN.
Conclusion: The nursing problems were partially resolved. However, diabetic
foot exercise was effective in improving blood glucose control and peripheral
neuropathy, making it a useful nursing intervention for managing unstable blood
glucose levels and reducing the risk of peripheral neurovascular dysfunction in
patients with diabetes mellitus.
Suggestion : Nurses are encouraged to implement diabetic foot exercise as a
nursing intervention to help manage unstable blood glucose levels and reduce the
risk of peripheral neurovascular dysfunction in patients with diabetes mellitus.
Key Words Diabetes Mellitus, Foot Exercises, Diabetic Sensorimotor
Polyneuropathy, Random Blood Sugar