Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan e-ISSN 2615-0441| p-ISSN 2527-9548 Vol. 6, No. 2, Desember 2021, pp. 119-126 119 https://doi.org/10.34008/jurhesti.v6i2.242 https://jurnal.kesdammedan.ac.id/index.php/jurhesti jurhesti@kesdammedan.ac.id Pengaruh Foot Massage dan Pergerakan Sendi Ekstremitas Bawah terhadap Nilai Ankle Brachial Index (ABI) pada Pasien DM Tipe 2 di Wilayah Kerja Puskesmas Peukan Baro, Kab. Pidie Isni Hijriana 1,* , Miniharianti 2 1 STIKes Jabal Ghafur, Sigli, 24151, Indonesia 2 STIKes Jabal Ghafur, Sigli, 24151, Indonesia 1 hijrianaisni@gmail.com*; 2 mini.harianti@gmail.com * corresponding author 1. Pendahuluan Diabetes merupakan suatu gangguan metabolisme kronis dengan multi etiologi yang ditandai dengan tingginya kadar gula darah disertai dengan gangguan metabolisme karbohidrat, lipid dan protein sebagai akibat dari insufisiensi fungsi insulin. Penderita diabetes berisiko tinggi terkena penyakit lain seperti jantung, penyakit arteri perifer dan serebrovaskular, obesitas, katarak, disfungsi ereksi, dan liver non-alkoholik [1]. Diabetes melitus merupakan pencetus yang berkontribusi terhadap kejadian penyakit sehingga diperlukan pengendalian untuk mencegah dan menurunkan tingkat fatalitas, beberapa faktor resiko yang dapat dimodifikasi yaitu berat badan lebih, obesitas abdminal/sentral, kurangnya aktifitas latihan fisik, hipertensi, dislipidemia, diet tidak sehat dan tidak seimbang (tinggi kalori), kondisi prediabetes yang ditandai dengan toleransi glukosa terganggu (TGT 140-199 mg/dl) atau gula darah puasa terganggu (GDPT < 140 mg/dl) dan merokok. Pada Riskedas 2018, prevalensi diabetes mellitus pada perempuan lebih tinggi dibandingkan laki-laki dengan perbandingan 1.78 % ARTICLE INFO ABSTRACT Article history 23-08-2021 10-09-2021 30-09-2021 Diabetes mellitus Type 2 (DM Type 2) is the risk factor for the incidence of vascular. Diabetic neuropathy and/or peripheral arterial disease, are common and represent major causes of morbidity and mortality in people with diabetes. Physical exercises is have been done to prevent from diabetes complication, and one of them is by foot massage and lower extremity joint movement. Measuring the value of ankle brachial index (ABI) is one of non-invasive actions to evaluate the risk for peripheral vascular in primary treatment. The objective of this research was to determine the influence of foot massage and joint movement exercise on ABI value in DM Type 2 patients. The research used quasi experiment method with pretest-posttest group design and two intervention groups. The samples were 40 DM Type 2 patients, taken by using consecutive sampling technique. Intervention was given by conducting foot massage and lower extremity joint movement exercise. Wilcoxon Signed Ranks statistic test showed that there was the difference in pre and post intervention of foot massage and lower extremity joint movement from ABI value, for (p=0.00). The conclusion was that foot massage and lower extremity joint movement exercise could increase ABI value if it was done continuously. It could also increase blood flow to artery. This research could bean input for nursing care to make physical exercises such as foot massage and lower extremity joint movement as prevention from risk of longterm Complications in DM Type 2 patients. Keywords Foot massage Lower joint movement Ankle Brachial Index (ABI) DM type 2