ASUHAN KEPERAWATAN PADA NY.M DENGAN KETIDAKSTABILAN KADAR GLUKOSA DARAH (HIPERGLIKEMIA) AKIBAT DIABETES MELLITUS TIPE 2 DI RUANG LEGONG A RSD MANGUSADA TAHUN 2026

Payani, Ni Made Dwi (2026) ASUHAN KEPERAWATAN PADA NY.M DENGAN KETIDAKSTABILAN KADAR GLUKOSA DARAH (HIPERGLIKEMIA) AKIBAT DIABETES MELLITUS TIPE 2 DI RUANG LEGONG A RSD MANGUSADA TAHUN 2026. Diploma thesis, Poltekkes Kemenkes Denpasar Jurusan Keperawatan 2026.

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Abstract

NURSING CARE FOR MRS. M WITH UNSTABLE BLOOD GLUCOSE LEVELS (HYPERGLYCEMIA) DUE TO TYPE 2 DIABETES MELLITUS IN LEGONG WARD, RSD MANGUSADA, 2026 ABSTRACT Diabetes Mellitus is a chronic metabolic disease characterized by hyperglycemia resulting from impaired insulin secretion and insulin action, which may lead to various complications. The primary problem in this case was unstable blood glucose levels (hyperglycemia) caused by insulin resistance, which affected the patient's clinical condition. This study aimed to describe the implementation of nursing care in managing unstable blood glucose levels in a patient with Type 2 Diabetes Mellitus. The method used was a case study employing the nursing process approach, including assessment, nursing diagnosis, intervention, implementation, and evaluation. The subject of this study was Mrs. M, who was hospitalized in the Legong A Ward of Mangusada Regional Hospital from February 13 to 16, 2026. The results showed that the patient experienced hyperglycemia with a blood glucose level of 476 mg/dL, accompanied by complaints of weakness, dizziness, dry mouth, excessive thirst, and decreased appetite. The nursing diagnosis established was unstable blood glucose levels related to insulin resistance. Nursing interventions were implemented based on the four pillars of Diabetes Mellitus management, including education, medical nutrition therapy (diet), physical exercise, and pharmacological therapy. In addition, interventions were guided by the Indonesian Nursing Intervention Standards (SIKI), including hyperglycemia management, blood glucose monitoring, dietary education, and support for therapeutic adherence. Following the implementation of nursing care, the patient's blood glucose level decreased to 143 mg/dL, accompanied by an improvement in the patient's overall condition. In conclusion, comprehensive and continuous nursing care was effective in stabilizing blood glucose levels in a patient with Type 2 Diabetes Mellitus. Keywords: Type 2 Diabetes Mellitus, Hyperglycemia, Nursing Care, Unstable Blood Glucose Levels ASUHAN KEPERAWATAN PADA NY.M DENGAN KETIDAKSTABILAN KADAR GLUKOSA DARAH (HIPERGLIKEMIA) AKIBAT DIABETES MELLITUS TIPE 2 DI RUANG LEGONG A RSD MANGUSADA TAHUN 2026 ABSTRAK Diabetes Mellitus merupakan penyakit metabolik kronis yang ditandai dengan hiperglikemia akibat gangguan sekresi dan kerja insulin, serta berisiko menimbulkan berbagai komplikasi. Permasalahan utama pada kasus ini adalah ketidakstabilan kadar glukosa darah (hiperglikemia) akibat resistensi insulin yang berdampak pada kondisi klinis pasien. Penelitian ini bertujuan untuk menggambarkan penerapan asuhan keperawatan dalam mengatasi ketidakstabilan kadar glukosa darah pada pasien Diabetes Mellitus Tipe 2. Metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan meliputi pengkajian, diagnosis, intervensi, implementasi, dan evaluasi. Subjek penelitian adalah Ny. M yang dirawat di Ruang Legong A RSD Mangusada pada tanggal 13–16 Februari 2026. Hasil menunjukkan pasien mengalami hiperglikemia dengan kadar glukosa darah 476 mg/dL disertai keluhan lemas, pusing, mulut terasa kering, sering merasa haus dan penurunan nafsu makan. Diagnosis keperawatan yang ditegakkan adalah ketidakstabilan kadar glukosa darah berhubungan dengan resistensi insulin. Intervensi yang diberikan sesuai dengan 4 pilar Diabetes Mellitus antara lain edukasi, terapi nutrisi medis (diet), latihan jasamani (aktivitas fisik) serta terapi farmakologi. Sedangkan intervensi yang berpedoman pada SIKI meliputi manajemen hiperglikemia, pemantauan kadar glukosa darah, edukasi diet, serta dukungan kepatuhan terhadap terapi. Setelah dilakukan asuhan keperawatan, terjadi penurunan kadar glukosa darah menjadi 143 mg/dL dan perbaikan kondisi umum pasien. Kesimpulannya, asuhan keperawatan yang komprehensif dan berkelanjutan efektif dalam membantu menstabilkan kadar glukosa darah pada pasien Diabetes Mellitus Tipe 2. Kata kunci: Diabetes Mellitus Tipe 2, Hiperglikemia, Asuhan Keperawatan, Ketidakstabilan Kadar Glukosa Darah

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