The Impact of Foot Solus Per Aqua (SPA) on Blood Sugar Levels and Parasthesia Sensitivity in Patients with Diabetes Mellitus Type 2

Abstract

People with Diabetes Mellitus (DM) type 2 who lead poor lifestyles may experience blood glucose instability and develop diabetic neuropathy, a condition where nerve damage results from the disease. Decreased sensation, pain, and paresthesia, as well as muscle weakness and excessive foot sweating that leaves the feet dry and easily cracked, are some of the signs of diabetic neuropathy. This study contributed to elucidating how Foot Solus Per Aqua (SPA) affected changes in blood sugar levels and paraesthesia sensitivity in patients in the Karang Gayam Wetan RW 02 area, Mojo Village, Gubeng District, Surabaya City, who were diagnosed with type 2 Diabetes Mellitus. This study employs pre-experiment designs with one group pretest-postest and a sample of thirty respondents. Additionally, a glucometer will be used to measure the respondents' sensitivity to paraesthesia, and a 10-gram monofilament test will be used to gauge their level of sensitivity. After that, two 30-minute foot solus sessions per week will be conducted as part of aqua therapy. Random glucose levels and paraesthesia sensitivity tests will be re-observed in the respondents following four weeks of foot solus per aqua therapy. The Mc Nemar test was used to analyze the data, with α=0.05 (p<α). The findings indicated that Foot Solus Per Aqua (SPA) had an impact on the stability of blood sugar levels with a p-value of 0.004. However, as shown by the p values of 0.008 on the right foot and 0.003 on the left, sensitivity to paresthesia is insufficient. The study's findings suggest that increasing daily activity and performing diabetic foot exercises five to seven times a day are essential for maintaining blood glucose stability within normal ranges and preventing paresthesia sensitivity.