https://doi.org/10.4081/hls.2023.11173

Correlation of leg pain responses with ankle-brachial index and peripheral sensory responses in foot of type 2 diabetes mellitus

Vol. 11 No. s1 (2023): 2nd International Nursing and Health Sciences Symposium
Published: 9 February 2023
T2DM, ABI, sensory status, pain response
Abstract Views: 788
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Authors

Heri Kristianto
heri.kristianto@ub.ac.id
Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Indonesia.
Tina Handayani Nasution
Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang; Universitas Lambung Mangkurat, Banjarmasin, Indonesia.
Endah Panca Lidya Fatma
Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Indonesia.
Efris Kartika Sari
Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Indonesia.
Ahmad Hasyim Wibisono
Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Indonesia.
Haryadi Kurniawan
Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Indonesia.
Firdausy Ratna
Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Indonesia.
Ica Cristiningtyas
Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya, Malang, Indonesia.
Endang Listyowati
Janti Public Health Center, Malang, Indonesia.

Introduction: Type 2 Diabetes Mellitus (T2DM) is associated with changes that occur in the peripheral circulation that affect foot functions. Therefore, there is a need for a risk prediction test on foot abnormalities using the leg pain response parameters in T2DM patients with ankle-brachial index (ABI) and peripheral sensory changes as a preventive effort to manage foot care.

Design and Methods: This study employed a cross-sectional design in which 63 T2DM patients in a Public Health Center (PHC) in Malang were investigated. The instruments used include visual analog scale (VAS), monofilament, and foot doppler.

Results: The Pearson correlation test showed no relationship between the responses to leg pain and the ABI of the right and left feet (p-values = 0.217 and 0.692), but there was a significant relationship between the left foot ABI and sensory status (p-value 0.002; left foot r = 0.383). Meanwhile, the Pearson's correlation and linear regression test also showed a relationship between the right foot ABI and sensory status (p-value = 0.007; r = 0.338). Furthermore, a multiple linear regression test showed a relationship between the leg pain response and sensory perception of the right and left feet (p-value = 0.035; r = 0.325).

Conclusions: The relationship between the sensory status of the right and left feet and the response to leg pain in T2DM patients were moderate with a negative direction. It, therefore, implies that a decrease in the sensory responses increased the leg pain. Meanwhile, the moderate relationship and positive direction between the ABI and sensory status of the feet of T2DM patients indicates that a higher ABI score led to an increase in the sensory status of the foot.

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How to Cite

Kristianto, H., Nasution, T. H., Fatma, E. P. L., Sari, E. K., Wibisono, A. H., Kurniawan, H., Ratna, F., Cristiningtyas, I., & Listyowati, E. (2023). Correlation of leg pain responses with ankle-brachial index and peripheral sensory responses in foot of type 2 diabetes mellitus. Healthcare in Low-Resource Settings, 11(s1). https://doi.org/10.4081/hls.2023.11173
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