ASUHAN KEPERAWATAN KETIDAKSTABILAN KADAR GLUKOSA DARAH DENGAN PEMBERIAN SELF-HYPNOSIS THERAPY WITH POSITIVE SELF-TALK PADA PASIEN DIABETES MELITUS

Shailendra, Sagung Chandranita (2024) ASUHAN KEPERAWATAN KETIDAKSTABILAN KADAR GLUKOSA DARAH DENGAN PEMBERIAN SELF-HYPNOSIS THERAPY WITH POSITIVE SELF-TALK PADA PASIEN DIABETES MELITUS. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2024.

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Abstract

NURSING CARE FOR UNSTABLE BLOOD GLUCOSE LEVELS BY PROVIDING SELF-HYPNOSIS WITH POSITIVE SELF-TALK TO DIABETES MELITUS PATIENTS Sagung Chandranita Shailendra Ministry of Health Nurse Professional Study Program Denpasar Email : gungchandra80@gmail.com ABSTRACT DM is a condition where blood sugar is in an abnormal range. Efforts to stabilize it through non-pharmacological therapy, namely self-hypnosis therapy with positive self-talk. The aim is to determine nursing care for unstable blood glucose levels by providing self-hypnosis therapy with positive self-talk to DM patients in Banjar Kwanji, Dalung Village. This research uses a case study method on 2 respondents. The results of the assessment on January 22 2024 for patient 1 showed that blood sugar had increased to 299 mg/dL, fatigued quickly, frequent thirst, hunger, frequent urination and dry lips. Patient 2 found his blood sugar increased to 215 mg/dL and he became tired quickly. Both patients did not take antidiabetic drugs. The intervention is hyperglycemia management and family involvement by focusing on self-hypnosis therapy with positive self-talk for 30 minutes 3 times. Implementation will be carried out from January 23-January 24 2024 according to previously prepared interventions. Evaluation of patient 1, namely the GDS result decreased by 190 mg/dL, decreased fatigue, decreased thirst and hunger, normal urination, moist lips. Patient 2 was found to have decreased GDS results of 199 mg/dL and decreased fatigue. Both patients were already taking medication, namely glimepirine. Evaluation of therapy found that both patients felt calm, confident, optimistic and a decrease in blood sugar which occurred because in a stressful situation, cortisol had the effect of increasing glucose metabolism, thereby increasing blood sugar levels which could be resolved with positive suggestions so that the pituitary could be indirectly controlled. Conclusion: Providing self-hypnosis therapy with positive self-talk is effective in stabilizing blood glucose levels but the results are not significant. Suggestion: It is hoped that self-hypnosis therapy with positive self-talk can be continued by both respondents so that blood glucose stability is maintained. Keywords : Nursing Care, Blood Glucose, Self-Hypnosis ASUHAN KEPERAWATAN KETIDAKSTABILAN KADAR GLUKOSA DARAH DENGAN PEMBERIAN SELF-HYPNOSIS THERAPY WITH POSITIVE SELF-TALK PADA PASIEN DIABETES MELITUS Sagung Chandranita Shailendra Program Studi Profesi Ners Poltekkes Kemenkes Denpasar Email : gungchandra80@gmail.com ABSTRAK DM merupakan keadaan gula darah berada pada rentang tidak normal. Upaya menstabilkannya melalui terapi nonfarmakologi yaitu terapi self-hypnosis with positive self-talk. Tujuannya mengetahui asuhan keperawatan ketidakstabilan kadar glukosa darah dengan pemberian self-hypnosis therapy with positive self-talk pada pasien DM di Banjar Kwanji Desa Dalung. Penelitian ini menggunakan metode studi kasus pada 2 responden. Hasil pengkajian 22 Januari 2024 pasien 1 didapatkan gula darah meningkat 299 mg/dL, cepat lelah, sering haus lapar, sering BAK dan bibir kering. Pasien 2 didapatkan gula darah meningkat 215 mg/dL dan cepat lelah. Kedua pasien tidak konsumsi obat-obatan antidiabetes. Intervensi yaitu manajemen hiperglikemia dan pelibatan keluarga dengan memfokuskan terapi self-hypnosis with positive self-talk 30 menit 3 kali. Implementasi dilakukan dari 23 Januari-24 Januari 2024 dilakukan sesuai intervensi yang disusun sebelumnya. Evaluasi pasien 1 yaitu hasil GDS menurun 190 mg/dL, lelah menurun, rasa haus lapar berkurang, BAK normal, bibir lembab. Pasien 2 ditemukan hasil GDS menurun 199 mg/dL dan lelah menurun. Kedua pasien sudah mengkonsumsi obat yaitu glimepirine. Evaluasi terapi didapatkan kedua pasien merasakan tenang, percaya diri, optimis serta penurunan pada gula darah yang terjadi karena dalam keadaan stres, kortisol berefek meningkatkan metabolisme glukosa, sehingga menaikkan kadar gula darah yang dapat teratasi dengan sugesti positif sehingga secara tidak langsung hipofisis dapat dikontrol. Simpulan : Pemberian terapi self-hypnosis with positive self-talk efektif dalam menstabilkan kadar glukosa darah namun hasil tidak signifikan. Saran : Diharapkan terapi self-hypnosis with positive self-talk dapat dilanjutkan oleh kedua responden agar kestabilan glukosa darah terjaga. Kata Kunci : Asuhan Keperawatan, Ketidakstabilan Kadar Glukosa Darah, Self-Hypnosis

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