Effect of Buerger- Allen Exercise on Lower Extremities Perfusion among Patients with Type 2 Diabetes Mellitus

Document Type : Original Article

Authors

1 Lecturers of Medical-Surgical Nursing,Ain Shams University, Egypt.

2 Assistant professor of Medical Surgical Nursing Faculty of Nursing, Ain Shams University, Egypt.

Abstract

Background: Diabetes mellitus has increased the risk of more complications. One complication that
often occurs is peripheral vascular diseases and decreased foot perfusion of patients by causing
endothelial and smooth muscle cell dysfunction in peripheral arteries. Buerger’s exercise is a simple
intervention for improving the peripheral circulation of patients with Diabetes mellitus. Therefore,
Aim of the study was to evaluate the effect of Buerger-Allen Exercise on improving lower
extremities perfusion among patients with type 2 Diabetes Mellitus. Study design: A quasi
experimental design was utilized to achieve the aim. Setting: This study was conducted at medical
words affiliated to Ain Shams University Hospital; Egypt. Sample: A Purposive sample of 70
patients. Procedure: data were collected using three tools as follow:1-Structured Interview
Questionnaire, 2- patient’s medical history and clinical variables tool and 3- Peripheral Circulation
Assessment Tools. Results: there was no statistically significant difference between pre
intervention and post 1 mean score in right leg (t= 1.088, p= 0.278), while the score of the left leg
showed a statistically significant difference (t= 3.699, p= 0.002). Also, there were a statistically
significant differences between post 1 and post 2 after Buerger- Allen exercise implementation
mean scores in both legs (t= 2.756, p= 0.007& t= 3.699, p= 0.002), respectively. This shows that
Buerger Allen Exercise was effective in improving lower extremities perfusion. The Conclusion:
Buerger Allen Exercise implementation is effective method for decreasing capillary refill time,
increasing ankle brachial index (ABI) score and improving peripheral pulses, temperature, skin
color and sensation post Buerger-Allen exercise implementation, which improving the lower
extremities perfusion among patients with type 2 Diabetes Mellitus, which supported our research
hypothesis. Recommendation: Encourage health care providers especially nurses to integrate
Buerger Allen exercise in the care protocols of patients with DM in different health care settings.

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