Asuhan Keperawatan pada Ny. A dengan Diabetes Melitus Tipe 2 di RSUD dr. Zainoel Abidin Kota Banda Aceh

Abstract

Diabetes mellitus is a metabolic disorder characterized by hyperglycemia resulting from defects in insulin secretion, insulin function, or both. This case study aims to provide nursing care for a patient with type 2 diabetes mellitus in the Aqsa 3 Ward of dr. Zainoel Abidin Regional General Hospital, Banda Aceh.. The assessment results show a history of diabetes mellitus in the past year, GDS 215 mg/dL, presence of pain in the diabetic ulcer area, airway secretions, ineffective cough, wound size ±6 cm, pus, leukocytes 24.91 x 103/mm3, diabetic ulcers grade 3, inadequate meal intake, albumin 2.14 g/dL. Nursing problems identified: 1) instability of blood glucose levels, 2) chronic pain, 3) ineffective airway clearance, 4) impaired skin integrity, 5) infection, and 6) risk of nutrition deficit. Interventions include monitoring blood glucose, identifying pain characteristics, effective coughing exercises, maintaining skin moisture in the wound area, reducing infection risk, and monitoring food intake. Nursing evaluation showed KGDS improved, pain decreased from scale 7 to 4, effective coughing increased and sputum production decreased from 25 ml to 5 ml, skin integrity and tissue improved, and meal frequency improved to ½ portion of the provided portion. It is hoped that the nursing interventions can be provided continuously to enhance the patient’s recovery process.