Asuhan Keperawatan pada Ny. M dengan Diagnosa Ulkus Diabetikum Menggunakan Penerapan Intervensi Slow Deep Breathing dalam Mengurangi Kecemasan di Rumah Sakit Az-Zahra
DOI:
https://doi.org/10.55606/jurrike.v5i1.8301Keywords:
Anxiety, Diabetic Ulcer, Intervention, Nursing, Slow Deep BreathingAbstract
The prevalence of diabetic ulcers in Indonesia reaches 12-15% of all sufferers. This condition has an impact on the patient's psychological condition in the form of anxiety due to wounds that are difficult to heal, changes in body image, and concerns about the possibility of amputation. One of the nonpharmacological interventions that can help overcome anxiety is the slow deep breathing technique. The purpose of writing this scientific paper is to carry out Nursing Care for Mrs. M with Diagnosis of Diabetic Ulcers using the application of slow deep breathing intervention in reducing anxiety at Az-Zahra Hospital. The writing method is a nursing care process that includes the stages of study, nursing diagnosis, planning, implementation, and evaluation. The subject of care was Mrs. M, a patient with diabetic ulcers in the inpatient room of Az-Zahra Hospital. Data collection was carried out through interviews, observations, documentation studies, and physical examinations, and using a medical-surgical nursing care assessment format. The ethical principles applied use the principles of Nursing Ethics. The results of nursing care showed that after three days of slow deep breathing intervention, patients reported feeling calmer, sleeping better, and anxiety levels decreased from moderate to mild based on observation results and anxiety scales used. This suggests that slow deep breathing interventions are effective in helping to reduce anxiety in patients with diabetic ulcers. It is hoped that patients and families can continue these breathing exercises independently as part of stress management efforts and quality of life improvement.
Downloads
References
Achmad. (2016). Dampak kecemasan terhadap penderita diabetes mellitus. Jurnal Kesehatan Masyarakat, 7(2), 55–62.
Agatha, R., & Aveonita, R. (2015). Effect of aloe vera in lowering blood glucose levels on diabetes melitus. J Majority, 4, 104–109.
American Diabetes Association. (2021). Standards of medical care in diabetes—2021. (detail jurnal/volume belum dicantumkan)
Arfania Maya, A. Y. (2022). Edukasi pentingnya kepatuhan minum obat dalam keberhasilan terapi diabetes melitus. Jurnal Pengabdian Kepada Masyarakat (JPKM) – Aphelion, 4(Desember), 463–466. http://jurnal.globalhealthsciencegroup.com/index.php/JPM
Bangsawan, M. G. (2020). Pengaruh foot hand massage terhadap kecemasan pada pasien preoperasi di Ruang Kutilang RSUD Dr. H. Abdul Moeloek Provinsi Lampung tahun 2020 [Diploma thesis, Poltekkes Tanjungkarang].
Dinas Kesehatan Provinsi Lampung. (2024). Profil Dinas Kesehatan Provinsi Lampung. (catatan: data sumber masih rancu/tercampur sitasi Angewandte Chemie—perlu dibenahi)
Donsu, J. D. (2017). Psikologi keperawatan. Pustaka Baru.
Erda, R., Novitri, W., Gemini, S., & Yunaspi, D. (2021). Hubungan dukungan keluarga dengan tingkat kecemasan pada penderita diabetes mellitus. Jurnal Kesehatan Mercusuar, 4(2), 82–86. https://doi.org/10.36984/jkm.v4i2.250
Fadillah, M., Suwandewi, A., & Dewi Anjani, A. (2024). Efektivitas terapi slow deep breathing dan terapi murottal Al-Qur’an terhadap penurunan tingkat kecemasan pada lansia. Journal of Nursing Invention, 5(1), 72–78. https://doi.org/10.33859/jni.v5i1.554
Felton, M., Hundley, V. A., Grigsby, S., & McConnell, A. K. (2021). Effects of slow and deep breathing on reducing obstetric intervention in women with pregnancy-induced hypertension: A feasibility study protocol. Hypertension in Pregnancy, 40(1), 81–87. https://doi.org/10.1080/10641955.2020.1869250
Hulu, V. T., Pasaribu, Y. A., Julianto, J., Sirait, R. A., Sitanggang, H. D. M. M., Wahab, A., Halim, B., Br Singarimbun, N., Sinaga, S. P., & Zega, D. F. (2023). Survei cepat: Eksplorasi karakteristik dan pengetahuan remaja tentang diabetes melitus tipe 2. Jurnal Kesmas Prima Indonesia, 7(1), 11–16. https://doi.org/10.34012/jkpi.v7i1.3362
International Diabetes Federation. (2023). IDF diabetes atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. (perlu dilengkapi: edisi/tautan/penerbit resmi)
Isyti’aroh, I., Sugiharto, S., Rofiqoh, S., & Widyastuti, W. (2023). Studi awal resiko gestasional diabetik melitus di wilayah kerja Puskesmas Bojong I Kabupaten Pekalongan. Jurnal Ilmiah Kesehatan Keperawatan, 19(1), 50. https://doi.org/10.26753/jikk.v19i1.1088
Li, D., Zhou, Z., Shen, C., Zhang, J., Yang, W., & Nawaz, R. (2020). Health disparity between the older rural-to-urban migrant workers and their rural counterparts in China. International Journal of Environmental Research and Public Health, 17(3), 955. https://doi.org/10.3390/ijerph17030955
Parkeni. (2021). Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia 2021. PB PERKENI.
Potter, P. A., & Perry, A. G. (2019). Buku ajar fundamental keperawatan: Konsep, proses dan praktik. (detail penerbit/edisi/volume belum lengkap)
Quandt, Z., Young, A., & Anderson, M. (2020). Immune checkpoint inhibitor diabetes mellitus: A novel form of autoimmune diabetes. Clinical and Experimental Immunology, 200(2), 131–140. https://doi.org/10.1111/cei.13424
Rondhianto, R., Sutawardana, J. H., & Putri, W. M. C. (2022). Analysis psychosocial factors affecting behaviour of self-monitoring blood glucose in people with type 2 diabetes mellitus. Jurnal Kesehatan Dr. Soebandi, 10(2), 81–88. https://doi.org/10.36858/jkds.v10i2.407
Roza, R. L., Afriant, R., & Edward, Z. (2015). Faktor risiko terjadinya ulkus diabetikum pada pasien diabetes mellitus yang dirawat jalan dan inap di RSUP Dr. M. Djamil dan RSI Ibnu Sina Padang. Jurnal Kesehatan Andalas, 4(1), 243–248. https://doi.org/10.25077/jka.v4i1.229
Sahayati, S. (2019). Faktor risiko kemungkinan timbulnya diabetes melitus pada remaja di Kabupaten Sleman (skoring DM menggunakan FINDRISC). Jurnal Formil (Forum Ilmiah) Kesmas Respati, 4(2), 201. https://doi.org/10.35842/formil.v4i2.271
Sujono, A. I., Z, S., & Haskas, Y. (2023). Respon edukasi diabetes dalam meningkatkan kepatuhan pengaturan diet pada diabetes melitus tipe 2. Mutiara Medika: Jurnal Kedokteran dan Kesehatan, 15(1), 37–41. https://journal.umy.ac.id/index.php/mm/article/view/2492
Survei Kesehatan Indonesia. (2023). Survei Kesehatan Indonesia 2023 (SKI). Kementerian Kesehatan Republik Indonesia.
Targher, G., Lonardo, A., & Byrne, C. D. (2018). Nonalcoholic fatty liver disease and chronic vascular complications of diabetes mellitus. Nature Reviews Endocrinology, 14(2), 1–14. https://doi.org/10.1038/nrendo.2017.173
Tim Pokja SDKI DPP PPNI. (2017). Standar diagnosis keperawatan Indonesia (1st ed.). DPP PPNI.
Tim Pokja SIKI DPP PPNI. (2018). Standar intervensi keperawatan Indonesia (1st ed.). DPP PPNI.
Tumanggor, L. S. (2021). Dukungan keluarga dengan tingkat kecemasan pasien kemoterapi. JKM (Jurnal Kesehatan Masyarakat) Cendekia Utama. (volume/issue/tahun masih belum konsisten)
Ulya, N., Sibuea, A. Z. E., Purba, S. S., Maharani, A. I., & Herbawani, C. K. (2023). Analisis faktor risiko diabetes pada remaja di Indonesia. Jurnal Kesehatan Tambusai, 4(3), 2332–2341. https://doi.org/10.31004/jkt.v4i3.16210
Widanti, L. A., & Laksmita, D. Y. (2022). Studi narrative review analisis faktor risiko pada carpal tunnel syndrom. Journal Physical Therapy UNISA, 2(1). https://doi.org/10.31101/jitu.2657
Zakiyuddin, Z., & Rinawati, R. (2023). Formulasi ekstrak Phaleria macrocarpa sebagai terapi non farmakologik dalam preventif diabetes mellitus di Kabupaten Aceh Barat. Prosiding Sains Nasional dan Teknologi, 13(1), 95–100. https://doi.org/10.36499/psnst.v13i1.9769
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 JURNAL RISET RUMPUN ILMU KEDOKTERAN

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.





