Aksi KKN (Kenali, Kendalikan, dan Nikmati) Kesehatan Kaki: Skrining Pad Berbasis Pemeriksaan ABPI pada Penyandang Diabetes di Kota Bogor

Sri Sakinah, Sri Wahyuni Kamahi, Muhammad Basri, Mochamad Robby Fajar Cahya, Ilyas Agus

Sari


ABSTRAK

 

Penyandang diabetes di Kota Bogor memiliki risiko tinggi mengalami penyakit arteri perifer (PAD), namun deteksi dini masih jarang dilakukan karena keterbatasan pengetahuan dan fasilitas skrining. Penelitian ini bertujuan untuk mengetahui pelaksanaan skrining PAD menggunakan metode Ankle Brachial Pressure Index (ABPI) serta tingkat pemahaman peserta mengenai pencegahan komplikasi kaki diabetes. Metode yang digunakan meliputi penyuluhan kesehatan kaki, demonstrasi perawatan kaki, skrining PAD dengan pemeriksaan ABPI, konseling individual, dan pelatihan membaca hasil ABPI pada 45 peserta penyandang diabetes di Posbindu/Posyandu Lansia dan Puskesmas di Kota Bogor.  Hasil menunjukkan bahwa dari 45 peserta, 28 orang memiliki nilai ABPI normal, 12 orang berisiko PAD sedang, dan 5 orang berisiko PAD berat yang kemudian dirujuk; selain itu, terjadi peningkatan pemahaman peserta mengenai perawatan kaki dan tanda bahaya PAD setelah kegiatan edukasi. Skrining ABPI efektif dalam mendeteksi risiko PAD secara dini dan penyuluhan meningkatkan pengetahuan peserta tentang pencegahan komplikasi kaki diabetes. Saran diberikan agar program ini diintegrasikan secara rutin di puskesmas dan Posbindu/Posyandu lansia untuk mendukung pencegahan komplikasi kaki diabetik di komunitas.

 

Kata Kunci: Diabetes Mellitus, Penyakit Arteri Perifer (PAD), Ankle Brachial Pressure Index (ABPI), Skrining Kesehatan Kaki.

 

 

ABSTRACT

 

People with diabetes in Bogor City were at high risk of developing peripheral artery disease (PAD); however, early detection was rarely conducted due to limited knowledge and screening facilities. This study aimed to examine the implementation of PAD screening using the Ankle Brachial Pressure Index (ABPI) method and to assess participants’ understanding of diabetic foot complication prevention. The methods included foot health education, foot care demonstration, PAD screening using ABPI, individual counseling, and training on reading ABPI results among 45 diabetic participants at Posbindu/Posyandu Lansia and Community Health Centers (Puskesmas) in Bogor City. Out of 45 participants, 28 had normal ABPI values, 12 were at moderate PAD risk, and 5 were at high PAD risk who were subsequently referred; additionally, participants’ understanding of foot care and PAD warning signs improved after the educational activities. ABPI screening was effective in detecting PAD risk early, and health education improved participants’ knowledge on preventing diabetic foot complications. It is recommended that this program be routinely integrated into Puskesmas and Posbindu/Posyandu Lansia to support community-based diabetic foot complication prevention.

 

Keywords: Diabetes Mellitus, Peripheral Artery Disease (PAD), Ankle Brachial Pressure Index (ABPI), Foot Health Screening.


Kata Kunci


Diabetes Mellitus, Penyakit Arteri Perifer (PAD), Ankle Brachial Pressure Index (ABPI), Skrining Kesehatan Kaki

Teks Lengkap:

Download Artikel

Referensi


Adiputra, I. M. S., Arianta, I. M. D., & Oktaviani, N. P. W. (2025). Gambaran Nilai Ankle Brachial Index (Abi) Pada Pasien Diabetes Mellitus Di Puskesmas Ii Negara. Community Of Publishing In Nursing. (Ejournal2.Unud.Ac.Id)

American Diabetes Association. (2022). Standards Of Medical Care In Diabetes: Foot Care And Peripheral Arterial Disease. Diabetes Care, 45(Suppl 1), S180–S189.

Fadhilah, N., Makbul Aman, A., Mappangara, I., Bakri, S., Rasyid, H., & Seweng, A. (2025). Risk Factors Analysis Of Peripheral Arterial Disease In Type 2 Diabetes: A Cross-Sectional Study. Romanian Journal Of Diabetes Nutrition And Metabolic Diseases, 32(1), 74–80. (Rjdnmd.Org)

Jumari, J., Luawo, H. P., Ratnawati, R., & Pratama, E. F. (2024). Peningkatan Nilai Ankle Brachial Index (Abi) Dengan Intervensi Akupresur Dan Senam Kaki Pada Pasien Diabetes Mellitus Tipe 2. Klabat Journal Of Nursing, 6(2), 72–85. (Ejournal.Unklab.Ac.Id)

Mulyanti, R. M., Yuanita, A., & Rika, S. (2024). Peripheral Arterial Disease Detection Efforts With Ankle Brachial Index (Abi) Examination. Warta Pengabdian Andalas. (Wartaandalas.Lppm.Unand.Ac.Id)

Muthmainnah, O. R., Arif, N. A., Astilia, & Islamiyah, T. (2025). Combination Of Foot Exercise And Diabetes Exercise On Ankle Brachial Index In Diabetic Patients. Jurnal Penelitian Keperawatan Kontemporer, 5(3), 43–52. (Jurnal.Ikbis.Ac.Id)

Patty, K. E., Kurniadhi, D., & Winaktu, G. J. (2024). Prevalence And Description Of Lower Extremity Peripheral Artery Disease Based On Abi Value In Elderly Inpatient At Ukrida Hospital. Jurnal Medscientiae, 3(2), 254–259. (Ejournal.Ukrida.Ac.Id)

Rakhmat, A. W., & Dinasti, P. B. (2024). Penatalaksanaan Senam Kaki Diabetes Terhadap Nilai Abi Pada Lansia: Studi Kasus. Jurnal Medika Nusantara, 2(2), 166–172. (Jurnal.Stikeskesdam4dip.Ac.Id)

Samuel, P. G. M., Wantania, F. E. N., & Sedli, B. P. (2024). Relationship Between Hba1c Level And Ankle Brachial Index Value In Elderly With Type 2 Diabetes Mellitus. Medical Scope Journal, 7(1), 218–222. (Ejournal.Unsrat.Ac.Id)

Sarjana, A. S., Novianti, A. D., & Fety, Y. (2023). Early Detection Of Peripheral Artery Disease Through Ankle Brachial Index Examination In Prolanist Group At Puskesmas Poasia. Health Information: Jurnal Penelitian. (Myjurnal.Poltekkes-Kdi.Ac.Id)

Solangi, A. H., Malik, A. K., Hussain, K., Sadique, Z., Rind, S. H., & Aleem, S. A. (2024). Frequency Of Peripheral Arterial Disease Among Patients With Type-Ii Diabetes Mellitus Presenting To A Tertiary-Care Hospital. Journal Of Population Therapeutics And Clinical Pharmacology.

Study, S. (2023). The Ankle-Brachial Index For Assessing The Prevalence Of Peripheral Artery Disease And Cardiovascular Risk In Patients With Type 2 Diabetes Mellitus. Nutrition, Metabolism & Cardiovascular Diseases, 33(3), 560–567. (Pubmed.Ncbi.Nlm.Nih.Gov)

Widyanata, K. A. J., Daryaswanti, P. I., & Artawan, I. K. (2023). Hubungan Gula Darah Dengan Nilai Ankle Brachial Index (Abi) Pasien Diabetes Mellitus Tipe 2. Prohealth Journal, 20(1), 33–39. (Jurnal.Stikeshamzar.Ac.Id)

World Health Organization. (2020). Diabetes: Key Facts And Global Recommendations. Who Press.

Yulisetyaningrum, I., Nasihah, N. A., & Suwarto, T. (2022). Hubungan Ankle Brachial Index Dan Aktivitas Fisik Dengan Kejadian Ulkus Diabetes Mellitus. Jurnal Ilmu Keperawatan Dan Kebidanan, 13(2), 375–383. (Ejr.Umku.Ac.Id)

(2024). The Relationship Between Diabetes Self-Management And Ankle Brachial Index Value In Patients With Diabetes Mellitus. Indonesian Journal Of Global Health Research, 6(3), 1445–1452. (Jurnal.Globalhealthsciencegroup.Com)

(2024). Pengaruh Buerger Allen Exercise Terhadap Nilai Ankle Brachial Index (Abi) Pada Pasien Diabetes Mellitus Tipe 2 Di Wilayah Kerja Puskesmas Lingsar. Jurnal Saintekes, 11(2), 88–95. (Ejournal.Itka.Or.Id)

Ristiana, A. F., & Ika, S. (2023). Penerapan Senam Kaki Terhadap Nilai Ankle Brachial Index (Abi) Pada Penderita Diabetes Mellitus Tipe Ii Di Desa Sedayu. Jurnal Ilmiah Kesehatan Mandira Cendikia, 2(9), 222–230. (Journal.Mandiracendikia.Com)

Solangi, A. H., Malik, A. K., Hussain, K., Sadique, Z., Rind, S. H., & Aleem, S. A. (2024). Frequency Of Peripheral Arterial Disease Among Patients With Type-Ii Diabetes Mellitus Presenting To A Tertiary-Care Hospital. Journal Of Population Therapeutics And Clinical Pharmacology.

Shreen, S. (2023). The Ankle-Brachial Index For Assessing The Prevalence Of Peripheral Artery Disease And Cardiovascular Risk In Patients With Type 2 Diabetes Mellitus. Nutrition, Metabolism & Cardiovascular Diseases, 33(3), 560–567.




DOI: https://doi.org/10.33024/jkpm.v9i3.24141

Refbacks

  • Saat ini tidak ada refbacks.


Disponsori oleh : Universitas Malahayati Lampung dan DPW PPNI Lampung

Creative Commons License
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.