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                <text>ABSTRACT- Diabetes mellitus (DM) is a disease characterized&#13;
by the body can not regulate blood sugar levels automatically. In&#13;
Indonesia obtained mortality ulcer/gangrene diabetes ranged&#13;
between 17-32% while the amputation rate between 15-30%.&#13;
Patients died post-amputation was 14.8%, increased to 37% over&#13;
three years. The mean age of the patients were only 23.8 months&#13;
post-amputation. As many as 50% of amputations in patients with&#13;
diabetes mellitus is estimated to be preventable if patients are taught&#13;
preventive measures to treat the foot. Nurses as an important part&#13;
of nursing caregiver should be able to contribute more in the&#13;
Prevention of complications in diabetic patients, so we need new&#13;
interventions to provide care. Aim this study determined the&#13;
combined effect of foot exercises and hydrotherapy to increase&#13;
peripheral circulation in patients with DM. The methods this study&#13;
is an experimental research. The design study is a randomized&#13;
controlled trial with the pretest-posttest control group. This study&#13;
was using random sampling. The results are diabetes patients in&#13;
this experiment consists of male 57.14%, not work 61.9% and&#13;
90.9%. not have foot ulcers. The average age of the respondents&#13;
56.8 years in the intervention group and 59, 5 in the control group.&#13;
Average 4.33 years longer suffer DM in the intervention group and&#13;
59.5 years in the control group with the lowest age at 42 years.&#13;
Blood sugar levels respondents the average 221 mg / dL in the&#13;
intervention group and 180.7 mg/dl in the control group. There was&#13;
no difference in mean Ankle Brachial Index (ABPI) in the&#13;
intervention and control groups. There was a relationship between&#13;
the value of the long-suffering DM and ABPI.</text>
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