[ABSTRAK
Diabetes melitus (DM) yang telah diderita selama bertahun-tahun dapat mengarahke berbagai komplikasi, diantaranya yaitu terjadinya peripheral arterial disease(PAD). Salah satu indikator terjadinya PAD pada pasien DM tipe 2 yaitu adanyapenurunan nilai ankle brachial index (ABI) pada ekstremitas bawah pasien. Jika halini terus dibiarkan, maka bisa terjadi neuropati yang dapat memicu munculnyaulkus kaki diabetik. Intervensi yang dapat diberikan untuk meningkatkan nilai ABIyaitu dengan melakukan foot massage atau latihan ROM ankle dorsofleksi. Tujuanpenelitian ini adalah untuk mengetahui efektivitas pemberian kombinasi footmassage dan latihan ROM ankle dorsofleksi terhadap nilai ABI pada pasien DMtipe 2. Penelitian ini merupakan penelitian quasi experiment dengan metode pre andpost test without control yang terdiri dari 2 kelompok intervensi dengan besarsampel 20 responden. Hasil penelitian ini menunjukkan bahwa terdapat hubunganyang signifikan antara pemberian kombinasi latihan ROM ankle dorsofleksi danfoot massage terhadap peningkatan nilai ABI (p value = 0,033 untuk ekstremitaskanan dan p value = 0,001 untuk ekstremitas kiri). Rekomendasi penelitian ini yaituagar para perawat dapat memberikan intervensi kombinasi latihan ROM ankledorsofleksi dan foot massage dalam rangka mencegah terjadinya PAD pada pasienDM tipe 2.

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ABSTRACT
The chronic diabetes mellitus has the potential to cause several complicationsincluding peripheral arterial disease (PAD). A parameter indicating PAD amongstType 2 diabetes mellitus patients is the decline in the ankle brachial index (ABI) ontheir lower extremity. Once this condition persists, it can cause neuropathy leadingto the occurrence of leg diabetic ulcer. An intervention believed to overcome thisproblem is conducting foot massage or ankle dorsiflexion range of motion (ROM)exercises. This research aimed at investigating the effectiveness of exercisecombination of foot massage and ankle dorsiflexion ROM on ABI scores amongtype 2 diabetes mellitus patients. This study used quasi-experiment method with preand post-test without control design, and consisted two intervention groupsinvolving 20 participants. The study revealed that there was distinctive correlationbetween the exercise combination of foot massage and ankle dorsiflexion ROM andthe increase of ABI scores of the patients (p value = 0.033 for the right extremitiesand p value = 0.001 for the left extremities).The findings suggest that suchintervention can be considered or even be provided by nurses taking care of type 2diabetes mellitus patients to prevent them from the possible deterioratingcomplication, the peripheral artery disease.;The chronic diabetes mellitus has the potential to cause several complicationsincluding peripheral arterial disease (PAD). A parameter indicating PAD amongstType 2 diabetes mellitus patients is the decline in the ankle brachial index (ABI) ontheir lower extremity. Once this condition persists, it can cause neuropathy leadingto the occurrence of leg diabetic ulcer. An intervention believed to overcome thisproblem is conducting foot massage or ankle dorsiflexion range of motion (ROM)exercises. This research aimed at investigating the effectiveness of exercisecombination of foot massage and ankle dorsiflexion ROM on ABI scores amongtype 2 diabetes mellitus patients. This study used quasi-experiment method with preand post-test without control design, and consisted two intervention groupsinvolving 20 participants. The study revealed that there was distinctive correlationbetween the exercise combination of foot massage and ankle dorsiflexion ROM andthe increase of ABI scores of the patients (p value = 0.033 for the right extremitiesand p value = 0.001 for the left extremities).The findings suggest that suchintervention can be considered or even be provided by nurses taking care of type 2diabetes mellitus patients to prevent them from the possible deterioratingcomplication, the peripheral artery disease., The chronic diabetes mellitus has the potential to cause several complicationsincluding peripheral arterial disease (PAD). A parameter indicating PAD amongstType 2 diabetes mellitus patients is the decline in the ankle brachial index (ABI) ontheir lower extremity. Once this condition persists, it can cause neuropathy leadingto the occurrence of leg diabetic ulcer. An intervention believed to overcome thisproblem is conducting foot massage or ankle dorsiflexion range of motion (ROM)exercises. This research aimed at investigating the effectiveness of exercisecombination of foot massage and ankle dorsiflexion ROM on ABI scores amongtype 2 diabetes mellitus patients. This study used quasi-experiment method with preand post-test without control design, and consisted two intervention groupsinvolving 20 participants. The study revealed that there was distinctive correlationbetween the exercise combination of foot massage and ankle dorsiflexion ROM andthe increase of ABI scores of the patients (p value = 0.033 for the right extremitiesand p value = 0.001 for the left extremities).The findings suggest that suchintervention can be considered or even be provided by nurses taking care of type 2diabetes mellitus patients to prevent them from the possible deterioratingcomplication, the peripheral artery disease.]