Electronic Theses and Dissertation

KEMENTERIAN PENDIDIKAN TINGGI, SAINS DAN TEKNOLOGI
UNIVERSITAS SYIAH KUALA
FAKULTAS KEPERAWATAN
PROGRAM STUDI MAGISTER KEPERAWATAN
TESIS
1 Juli 2025
xiii+ V BAB + 92 halaman + 11 tabel + 4 Skema + 4 Gambar + 12 lampiran
IRWANSYAH
NPM: 2312201010007
EFEKTIVITAS FOOT MASSAGE DAN FOOT EXERCISE TERHADAP DIABETIC
PERIPHERAL NEUROPATHY PADA PASIEN DIABETES MELLITUS TIPE 2
ABSTRAK
Diabetes mellitus tipe 2 merupakan penyakit kronik yang menyebabkan komplikasi seperti
neuropati perifer diabetik. Penderita akan mengeluh kesemutan dan berdampak pada
ketidakmampuan merasakan rangsangan nyeri yang dapat memicu gangren diabetik dan
bahkan resiko amputasi. Tujuan penelitian ini untuk mengetahui efektivitas foot massage
dan foot exercise terhadap diabetic peripheral neuropathy pada pasien diabetes mellitus
tipe 2. Penelitian ini merupakan quasy experimental study dengan pretest-posttest control
group design. Teknik pengambilan sampel menggunakan rumus Cohen didapatkan sebesar
68 responden dan masing-masing grup terdiri atas 34 responden. Responden diberikan
terapi foot massage dan foot exercise selama 15 menit setiap tindakan dalam waktu 6 sesi
perlakuan. Pengumpulan data dilakukan dengan monofilament test dan gejala neuropati
diabetik di ukur menggunakan Michigan diabetic Neuropathy Score. Analisa data
menggunakan uji Mann- Whitney u-test dan uji independent t-test. Hasil penelitian
diperoleh nilai pre test dengan mean range 37,01 dan 31,99 (p=0,293) bermakna bahwa
tidak terdapat perbedaan signifikan pre-test neuropathy score pada kelompok intervensi
dan kontrol. Hasil post test pada kelompok intervensi dan kontrol menunjukkan nilai mean
15,24 dan 19,50 (p=0,13) bermakna bahwa terdapat perbedaan signifikan post-test
Neuropathy Score pada kelompok intervensi dan kontrol. Kesimpulan dari penelitian ini
adalah foot massage dan foot exercise efektif terhadap pengurangan diabetic peripheral
neuropathy pada pasien diabetes mellitus tipe 2. Foot massage dan foot exercise dapat
meningkatkan sirkulasi darah ke kaki, yang dapat membantu mengurangi gejala neuropati
perifer seperti kesemutan dan mati rasa. Perawat disarankan untuk melakukan dan
mengajarkan teknik ini secara rutin kepada pasien diabetes khususnya untuk mencegah dan
mengatasi neuropati perifer serta komplikasi kaki diabetik
.
Kata Kunci : Diabetic, neuropathy, foot, massage, exercise
Daftar Pustaka : 4 buku, 51 artikel , 2 sumber online (2012-2024)

MINISTRY OF HIGHER EDUCATION, SCIENCE AND TECHNOLOGY UNIVERSITAS SYIAH KUALA FACULTY OF NURSING MAGISTER PROGRAM OF NURSING SCIENCE TESIS July 1, 2025 xiii+ V CHAPTER + 92 pages + 11 tables + 4 schemes + 4 figures + 11 attachment IRWANSYAH NPM: 2312201010007 EFFECTIVENESS OF FOOT MASSAGE AND FOOT EXERCISE ON DIABETIC PERIPHERAL NEUROPATHY IN DIABETES MELLITUS TIP 2 PATIENTS ABSTRACT Type 2 diabetes mellitus is a chronic disease that causes complications such as diabetic peripheral neuropathy. Patients will complain of tingling and have an impact on the inability to feel pain stimuli which can trigger diabetic gangrene and even the risk of amputation. The purpose of this study was to determine the effectiveness of foot massage and foot exercise on diabetic peripheral neuropathy in patients with type 2 diabetes mellitus. This research is a quasy experimental study with pretest-posttest control group design. The sampling technique using Cohen's formula obtained 68 respondents and each group consisted of 34 respondents. Respondents were given foot massage and foot exercise therapy for 15 minutes each action within 6 treatment sessions. Data collection was done with monofilament test and diabetic neuropathy symptoms were measured using Michigan diabetic Neuropathy Score. Data analysis using Mann- Whitney u-test and independent t- test. The results of the study obtained pre-test values with a mean range of 37.01 and 31.99 (p=0.293) means that there is no significant difference in pre-test neuropathy score in the intervention and control groups. The results of the post-test in the intervention and control groups showed a mean value of 15.24 and 19.50 (p=0.13) meaning that there was a significant difference in post-test Neuropathy Score in the intervention and control groups. The conclusion of this study is that foot massage and foot exercise are effective against neuropathy. Nurses are advised to perform and routinely teach this technique to diabetic patients, especially to prevent and manage peripheral neuropathy and diabetic foot complications. Keywords: Diabetic, neuropathy, foot, massage, exercise Bibliography :4 books, 49 articles, 2 online sources (2012-2024)