Ankle Brachial Index (ABI) Pada Penderita DM Tipe 2 di Puskesmas Kabupaten Lampung Utara

Abstract

International Diabetes Federation (IDF) menyatakan bahwa lebih dari 371 juta orang di dunia yang berumur 20-79 tahun menderita diabetes. Indonesia merupakan negara urutan ke-7 dengan prevalensi diabetes tertinggi di dunia. Penelitian ini bertujuan mengetahui gambaran nilai Ankle Brachial Index (ABI) penderita DM tipe 2 di Puskesmas Kabupaten Lampung Utara. Penelitian dengan rancangan deskriptif dilakukan selama 2 minggu. Penelitian melibatkan 98 responden penderita diabetes mellitus tipe 2 yang terdaftar di Puskesmas Kotabumi Kabupaten Lampung Utara. Teknik pengambilan sampel adalah total populasi. Hasil penelitian menunjukkan bahwa karakteristik penderita DM tipe 2 di Puskesmas Kotabumi yaitu perempuan sebanyak 62 orang (63,3 %), laki-laki 36 orang (36,7%), dan responden berusia >60 tahun sebanyak 37 orang (37,9%). Sedangkan klasifikasi nilai ABI menunjukkan bahwa 77,5% responden adalah normal, sedangkan 22,5% responden adalah borderline perfusion.Saran bagi Puskesmas diharapkan dapat menerapkan pemeriksaan ABI terhadap penderita DM guna diagnosis awal sirkulasi bagi penderita DM. Pada pasien yang memiliki ABI nornal diharapkan untuk dilakukan penyuluhan tentang diet dan aktivitas guna mempertahankan bahkan meningkatkan kualitas hidup penderita diabetes. Pasien dengan ABI borderline perfusion, diharapkan untuk dilakukan penyuluhan tentang diet, pengaturan aktivitas, konsultasi gizi, dan terapi aktivitas fisik (olahraga) guna mengurangi / mencegah komplikasi lebih lanjut. Kata kunci: diabetes mellitus, ankle branchial indeks

Correlation of Ankle Brachial Index (ABI) To The Risk of Diabetic Wound Ondiabetes Mellitus Type 2

“…The comparison is 1.3:1. The research conducted by Pratomo (2014) in Lampung, concluded of 98 type 2 DM patients with 22.5% ABI abnormalities also found that the abnormal ABI ratio of Bordeline ABI in Type 2 DM patients between women and men was 1.3:1 Najla et al research In 2016 in Pontianak, the results of 80 respondents found Abi abnormal value was higher than the normal ABI, which was as much as 51.25% while the normal one was 48.75%. (After this is lot of graphics)…”

“…The normal score of A.B.I is 0.9 -1.3, in which the value lower than 0.9 is categorized as abnormal and when the score is higher than 1.3is the sign of classification on the blood vessels, therefore the result of A.B.I test can be used to diagnose P.A.D. The lower A.B.I score means higher risk of vascular disease [8,12].…”

“…The 1st PANIHC not at risk of experiencing diabetic wounds and 29.1% of patients who had a risk of experiencing diabetic wounds [12].…”

The Effectiveness of Neuromuscular Taping (NMT) And Foot Exercise in Improving Microsirculations in Diabetes Mellitus Patients

“…Patients with diabetes mellitus have a risk happening change in the elasticity of capillary vessels blood, thickening wall vessels blood, and formation of plaque that can result in vascularization to peripheral Becomes obstructed. states like this could result in Patients with diabetes mellitus tend to have higher ABI values low (Pratomo and Apriyani 2018). The more low ABI value then will increase the risk tall disease vascular and have risk happening complications disease of the extremities lower like disease arteries (PAD), foot ulceration, and neuropathy peripheral (Anggraeni 2018;Hijriana et al 2016;Simanjuntak et al 2020).…”

“…Whereas condition critical foot ischemia be marked with ABI value <0.5 mmHg indicates has occur critical leg ischemia that is manifested with happening ulceration and gangrene. Happening gangrene shows the existence Dead network or necrosis (Adiputra et al 2020;Pratomo and Apriyani 2018).…”