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Diabetes mellitus is a disorder of the endocrine system characterized by increased levels of glucose in the blood. The purpose of this study was to assess the effect of Buerger's Allen exercise on the value of the ankle brachial index (ABI) in patients with diabetes mellitus. The research design was a quasi-experimental pretest and posttest without a control. The study was conducted from March to May 2021 at Grandmed Lubuk Pakam Hospital with 48 respondents, with consecutive sampling technique. Data were analyzed using the Wilcoxon test. The Buergers Allen exercise intervention was performed twice a day, for three weeks. The procedure is performed by lifting the lower extremities up at an angle of 45-90 degrees for 2-3 minutes, then the patient sits at the bedside with the legs hanging down, accompanied by flexion, extension, pronation and supination movements for 5-10 minutes, and the patient lies down. with both feet resting for 10 minutes. There was a significant effect between the mean ABI value before intervention 0.83 and after intervention 0.95, p=0.00. The difference in mean ABI p=0.000, p<0.05. The results of the study concluded that there was an effect of buerger allen exercise on the ABI value before and after the intervention where the ABI value was getting better. It is recommended for nurses to make Buergers Allen exercise one of the independent nursing interventions in providing nursing care to patients with diabetes mellitus.

Diabetes mellitus is a chronic non communicable disease. Characterized by an increase in blood sugar levels, the result is that the pancreas cannot produce or the body cannot use insulin. Foot exercise in diabetes mellitus is a leg movement exercise that aims to improve blood circulation in the legs and detect the severity of vascularity in the legs. The research objective was to assess the effect of foot exercise on the value of the Ankle Brachial Index (ABI) in diabetes mellitus patients at Grandmed Lubuk Pakam Hospital. Quasi experimental research design pretest and posttest without control. The study was conducted from October to December 2020 at Grandmed Lubuk Pakam Hospital with 43 respondents, the samples were taken using consecutive sampling technique. The intervention was carried out twice a day. Consistent exercise can increase the supply of oxygen in the blood to the peripheral tissues in the legs. The results of the research from the univariate analysis found that male gender were 23 respondents (53.5%), aged > 55 years were 21 respondents (48.8%), the use of blood sugar drugs was 39 respondents (90.7). While the bivariate results using the Wilcoxon test, it was found that there was a significant effect between the average ABI value before the intervention 0.84 and 0.95 after intervention, p = 0.000. The results of the study concluded that there was an effect of foot exercise on the value of the ankle brachial index (ABI) in diabetes mellitus sufferers, where leg blood flow was getting better after foot exercise.

Hypertension and elevated cholesterol are two continuous conditions.  Cholesterol level in the body is one of the most important factors to determine a person's risk of suffering from heart artery disease.  Therefor it is necessary to provide Structured Physical Exercise in the form of regular exercise, in addition to reducing stress, it can also lose weight, burn more fat in the blood, and strengthen the heart muscle.  To be able to do light exercise, you don't need to come to a special training ground, because the best program is one that you enjoy and can take place regularly.  Methods: This study used a quantitative experimental method using post-test design with a control group (pretest-posttest with control group) with a sample size of 15 people.  Sampling was used with purposive sampling technique using the Isac and Mikael formulas, the study was used in April 2021. Results: From the research results found in the experimental group the p value was 0.000 ≤ 0.05 and in the control group the p value was 0.001 ≤ 0.05. So it can be concluded that the experimental group gives a better effect than the control group on hypertension patients at Grandmed Lubuk Pakam Hospital in 2021. Therefor it is hoped that nurses at Grandmed Lubuk Pakam Hospital can improve services in non-pharmacological fields, especially for hypertension patients who suffering from hypercholesterolemia which can be overcome by giving intervention in the form of structured physical exercise.

Surgery is performed by taking certain body parts, with the aim of improving the body that has abnormalities such as laparotomy. This action can disable the sound of the prism with the state of the body that is anesthetized. Early mobilization is one of the effective ways to re-stimulate bowel function and produce normal peristaltic sounds and patients can be selected. The purpose of this study was to determine the effect of early mobilization on the recovery of intestinal peristalsis in post-laparatomy patients at Grandmed Lubuk Pakam Hospital. This study used a one-group pretest-posttest design, with pre-experimental pre-test (early stage) and post-test (final stage) with a sample of 27 respondents while the research instrument used an observation sheet. Data analysis used bivariate analysis, namely the Paired Sample T-Test. The results of the bivariate test with Paired Sample T-Test proved that there was an effect of early mobilization on increasing intestinal peristalsis before and after the procedure, as evidenced by the p-value = 0.00 < 0.05. As early as possible, early mobilization doing in post-laparatomy patients, the faster the intestinal peristaltis recovery process will be.