Asuhan Keperawatan Ketidakstabilan Kadar Glukosa Darah (Hiperglikemi) dengan Intervensi Walking Exercise (Jalan Kaki) pada Pasien Diabetes Melitus di Panti Werdha Hargo Dedali Surabaya

ABSTRAK
ASUHAN KEPERAWATAN KETIDAK STABILAN KADAR GLUKOSA DARAH (HIPERGLIKEMI) DENGAN INTERVENSI WALKING EXERCISE (JALAN KAKI) PADA PASIEN DIABETES MELITUS DI PANTI WERDHA HARGO DEDALI SURABAYA
Oleh : Siti Nur Khasanah
Latar belakang : Penyakit Diabetes Mellitus masih menjadi masalah kesehatan dunia dan ditandai dengan peningkatan gula darah, sehingga berresiko menimbulkan kompilkasi seperti KAD (Ketoasidosis Diabetik), mikrovaskular dan maskrovaskular. Tujuan : Penelitian ini bertujuan untuk memperoleh gambaran asuhan keperawatan Ketidakstabilan Kadar Gula Darah (Hiperglikemi) dengan Intervensi Walking Exercise Pada Pasien Diabetes Mellitus Di Panti Werdha Hargo Dedali Surabaya. Metode : Penelitian ini menggunakan desain deskriptif dengan pendekatan studi kasus pada lansia berusia 78 tahun dengan diabetes mellitus. Intervensi berupa latihan walking exercise (jalan kaki) dilakukan 1 kali setiap hari 30 menit hingga 3 hari. Pengukuran ketidakstabilan kadar glukosa darah menggunakan lembar observasi. Hasil : Hasil dari studi kasus menunjukan bahwa setelah pemberian latihan walking exercise (jalan kaki) selama 3 hari mengalami penuruan kadar glukosa darah pada Ny.N dari 247 mg/dL menjadi 192 mg/dL. Kesimpulan : Latihan walking exercise efektif menurunkan dan menstabilkan kadar glukosa darah sehingga walking exercise dapat diterapkan pada lansia lain.

Kata kunci : Diabetes Mellitus, hiperglikemi, walking exercise

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ABSTRACT
Nursing Care for Unstable Blood Glucose Levels (Hyperglycemia) with Walking Exercise Intervention in A Patient with Diabetes Mellitus at Hargo Dedali Nursing Home Surabaya
Background: Diabetes mellitus remains a global health problem and is characterized by elevated blood glucose levels, which may increase the risk of complications such as diabetic ketoacidosis (DKA), microvascular complications, and macrovascular complications. Objective: This study aimed to provide an overview of nursing care for unstable blood glucose levels (hyperglycemia) with a walking exercise intervention in a patient with diabetes mellitus at Hargo Dedali Nursing Home Surabaya. Methods: This study employed a descriptive design with a case study approach involving a 78-year-old older adult with diabetes mellitus. The intervention consisted of a 30-minute walking exercise performed once daily for three days. Unstable blood glucose levels were measured using an observation sheet. Results: The case study results showed that after three days of walking exercise, the blood glucose level of Mrs. N decreased from 247 mg/dL to 192 mg/dL. Conclusion: Walking exercise was effective in reducing and stabilizing blood glucose levels; therefore, walking exercise can be applied to other older adults.
Keywords: Diabetes Mellitus, Hyperglycemia, Walking Exercise