Penerapan Terapi Foot Care pada Pasien Diabetes Melitus Tipe 2 dengan Masalah Keperawatan Risiko Gangguan Integritas Kulit

Hasanah, Uswatun (2026) Penerapan Terapi Foot Care pada Pasien Diabetes Melitus Tipe 2 dengan Masalah Keperawatan Risiko Gangguan Integritas Kulit. Other thesis, Universitas Nurul Jadid.

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Abstract

Latar Belakang: Diabetes Mellitus (DM) tipe 2 merupakan penyakit metabolik kronis yang ditandai dengan hiperglikemia akibat resistensi insulin. Hiperglikemia kronis berisiko menyebabkan neuropati perifer dan penurunan sirkulasi darah ke ekstremitas bawah, sehingga meningkatkan risiko terjadinya gangguan integritas kulit hingga ulkus diabetik. Terapi foot care merupakan salah satu intervensi keperawatan preventif yang efektif untuk mempertahankan kelembapan kulit, meningkatkan sirkulasi perifer, serta mencegah komplikasi kaki diabetik. Tujuan: Mengidentifikasi dan mengevaluasi penerapan terapi foot care pada pasien DM tipe 2 dengan masalah keperawatan risiko gangguan integritas kulit di Ruang Teratai Bawah RSUD R.T. Notopuro Sidoarjo. Metode: Penelitian ini menggunakan desain studi kasus deskriptif dengan pendekatan proses keperawatan. Subjek penelitian adalah Tn. N (51 tahun) dengan diagnosis DM Tipe 2 disertai Hiperglikemia. Intervensi terapi foot care diberikan selama 3 hari berturut-turut ($3 \times 24$ jam) meliputi pencucian kaki dengan air hangat (37–39°C), pengeringan sela-sela jari, pemotongan kuku, pemberian pelembab, latihan gerak kaki sederhana, serta edukasi perawatan kaki mandiri. Hasil: Sebelum dilakukan terapi foot care, kulit kaki kanan pasien tampak kering, akral teraba dingin, mengeluhkan kesemutan, sirkulasi perifer menurun, dengan GDA awal 510 mg/dL dan HbA1c 13,9%. Setelah intervensi selama 3 hari, didapatkan peningkatan kelembapan kulit kaki, kulit tampak lebih bersih, keluhan kesemutan dan rasa dingin berkurang, tidak ditemukan adanya luka/erosi baru pada kaki kanan, serta pasien mampu mendemonstrasikan langkah-langkah perawatan kaki secara mandiri. Kesimpulan: Penerapan terapi foot care secara teratur dan sistematis efektif dalam mempertahankan integritas kulit, meningkatkan sirkulasi perifer, serta mencegah terjadinya luka diabetik baru pada pasien DM tipe 2 yang berisiko mengalami gangguan integritas kulit.

Versi Bahasa Inggris (Abstract)
Background: Type 2 Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia due to insulin resistance. Chronic hyperglycemia carries the risk of peripheral neuropathy and reduced blood circulation to the lower extremities, thereby increasing the risk of impaired skin integrity leading to diabetic foot ulcers. Foot care therapy is an effective preventive nursing intervention to maintain skin moisture, enhance peripheral circulation, and prevent diabetic foot complications. Objective: To identify and evaluate the implementation of foot care therapy in Type 2 DM patients with the nursing problem of risk for impaired skin integrity in the Lower Teratai Ward of RSUD R.T. Notopuro Sidoarjo. Methods: This study utilized a descriptive case study design with a nursing process approach. The subject was Mr. N (51 years old) diagnosed with Type 2 DM with Hyperglycemia. Foot care therapy was administered for 3 consecutive days ($3 \times 24$ hours), involving foot washing with warm water (37–39°C), drying between toes, nail trimming, moisturizer application, simple foot exercises, and self-care education. Results: Prior to foot care therapy, the patient's right foot skin appeared dry, acral areas felt cold, with complaints of numbness/tingling, decreased peripheral circulation, an initial random blood glucose of 510 mg/dL, and HbA1c of 13.9%. Following the 3-day intervention, there was a noticeable increase in skin moisture, cleaner skin condition, reduced numbness and cold sensation, no new lesions/ulcers formed on the right foot, and the patient demonstrated the ability to perform independent foot care. Conclusion: Systematic and regular implementation of foot care therapy is effective in maintaining skin integrity, improving peripheral circulation, and preventing new diabetic foot lesions in Type 2 DM patients at risk for impaired skin integrity.Keywords: Type 2 Diabetes Mellitus, Foot Care Therapy, Risk for Impaired Skin Integrity, Peripheral Circulation, Diabetic Foot Care.

Item Type:	Thesis (Other)
Uncontrolled Keywords:	Diabetes Mellitus Tipe 2, Terapi Foot Care, Risiko Gangguan Integritas Kulit, Sirkulasi Perifer Type 2 Diabetes Mellitus, Foot Care Therapy, Risk for Impaired Skin Integrity, Peripheral Circulation
Subjects:	R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine R Medicine > RT Nursing
Divisions:	Fakultas Kesehatan > Profesi Ners
Depositing User:	Saiful Ghazi
Date Deposited:	13 Oct 2026 03:35
Last Modified:	13 Oct 2026 03:35
URI:	https://repository.unuja.ac.id/id/eprint/4641

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