INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS

Background: Peripheral arterial disorders in diabetes mellitus is a common complication that often occurs and can develop into diabetic foot ulcers. High blood sugar levels in people with diabetes mellitus can cause increased blood viscosity resulting in thickening of the capillary membrane, where e...

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Autores principales: Iskandar, Ridha Dharmajaya, Yesi Ariani
Formato: article
Lenguaje:EN
Publicado: Belitung Raya Foundation 2018
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Acceso en línea:https://doaj.org/article/513f738f58394b7b87aad487d9c60f9c
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spelling oai:doaj.org-article:513f738f58394b7b87aad487d9c60f9c2021-12-02T11:27:30ZINCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS2477-40732477-4073https://doaj.org/article/513f738f58394b7b87aad487d9c60f9c2018-06-01T00:00:00Zhttp://belitungraya.org/BRP/index.php/bnj/article/view/414https://doaj.org/toc/2477-4073https://doaj.org/toc/2477-4073Background: Peripheral arterial disorders in diabetes mellitus is a common complication that often occurs and can develop into diabetic foot ulcers. High blood sugar levels in people with diabetes mellitus can cause increased blood viscosity resulting in thickening of the capillary membrane, where erythrocytes, platelets and leucocytes are attached to the blood vessels. Electrical stimulation by placing electrodes in the calf muscle is one of the measures to increase foot blood flow that can reduce the poor foot circulation. Objective: This study aims to determine the effect of electrical stimulation in improving blood flow of patients with diabetes mellitus. Methods: The research use one-group pretest-posttest pre-experimental design. Sampling technique using pusposive sampling as many as 62 patients with diabetes mellitus. Electrical stimulation is done by attaching electrodes to left and right calf muscles for 20 minutes, frequency 3 times a week for 2 weeks. Before and after electrical stimulation performed foot circulation examination by ankle brachial index technique. Data analysis using Wilcoxon signed rank test. Results: The results showed that before the stimulation was obtained the mean ankle brakhial index 0.82 mmHg and after stimulation 0.95 mmHg (p = 0.000), meaning there is an effect of electrical stimulation in increasing foot blood flow. A calf muscle contraction during stimulation leads to increased leg blood flow through the addition of vascular endothelial growth factor and increased nitric oxide as a vasodilator of blood vessels. Electrical stimulation can be applied in increasing the blood flow of the foot, thus preventing the occurrence of diabetic foot ulcers. Conclusion: Stimulation is one therapy that can be done to prevent poor foot circulation of diabetes mellitus patients. IskandarRidha DharmajayaYesi ArianiBelitung Raya Foundationarticleelectrical stimulationfoot circulationdiabetes mellitusNursingRT1-120ENBelitung Nursing Journal, Vol 4, Iss 3, Pp 343-349 (2018)
institution DOAJ
collection DOAJ
language EN
topic electrical stimulation
foot circulation
diabetes mellitus
Nursing
RT1-120
spellingShingle electrical stimulation
foot circulation
diabetes mellitus
Nursing
RT1-120
Iskandar
Ridha Dharmajaya
Yesi Ariani
INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS
description Background: Peripheral arterial disorders in diabetes mellitus is a common complication that often occurs and can develop into diabetic foot ulcers. High blood sugar levels in people with diabetes mellitus can cause increased blood viscosity resulting in thickening of the capillary membrane, where erythrocytes, platelets and leucocytes are attached to the blood vessels. Electrical stimulation by placing electrodes in the calf muscle is one of the measures to increase foot blood flow that can reduce the poor foot circulation. Objective: This study aims to determine the effect of electrical stimulation in improving blood flow of patients with diabetes mellitus. Methods: The research use one-group pretest-posttest pre-experimental design. Sampling technique using pusposive sampling as many as 62 patients with diabetes mellitus. Electrical stimulation is done by attaching electrodes to left and right calf muscles for 20 minutes, frequency 3 times a week for 2 weeks. Before and after electrical stimulation performed foot circulation examination by ankle brachial index technique. Data analysis using Wilcoxon signed rank test. Results: The results showed that before the stimulation was obtained the mean ankle brakhial index 0.82 mmHg and after stimulation 0.95 mmHg (p = 0.000), meaning there is an effect of electrical stimulation in increasing foot blood flow. A calf muscle contraction during stimulation leads to increased leg blood flow through the addition of vascular endothelial growth factor and increased nitric oxide as a vasodilator of blood vessels. Electrical stimulation can be applied in increasing the blood flow of the foot, thus preventing the occurrence of diabetic foot ulcers. Conclusion: Stimulation is one therapy that can be done to prevent poor foot circulation of diabetes mellitus patients.
format article
author Iskandar
Ridha Dharmajaya
Yesi Ariani
author_facet Iskandar
Ridha Dharmajaya
Yesi Ariani
author_sort Iskandar
title INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS
title_short INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS
title_full INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS
title_fullStr INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS
title_full_unstemmed INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS
title_sort increasing foot circulation with electrical stimulation in patients with diabetes mellitus
publisher Belitung Raya Foundation
publishDate 2018
url https://doaj.org/article/513f738f58394b7b87aad487d9c60f9c
work_keys_str_mv AT iskandar increasingfootcirculationwithelectricalstimulationinpatientswithdiabetesmellitus
AT ridhadharmajaya increasingfootcirculationwithelectricalstimulationinpatientswithdiabetesmellitus
AT yesiariani increasingfootcirculationwithelectricalstimulationinpatientswithdiabetesmellitus
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