Hasil Pencarian  ::  Simpan CSV :: Kembali

"ABSTRAKDiabetes Melitus (DM) merupakan kelainan heterogen ditandai oleh kenaikan kadar glukosa darah. Penyakit ini bisa dikelola dengan mematuhi 4 pilar penatalaksanaan DM meliputi pendidikan kesehatan, perencanaan diet, latihan fisik dan minum obat OHO yang harus dipatuhi seumur hidup. Penelitian kualitatif dengan pendekatan fenomenologi, bertujuan menggali berbagai pengalaman ketidakpatuhan pasien terhadap penatalaksanaan DM. Delapan Partisipan dipilih sesuai kriteria dengan metoda convenience sampling di RSUPN Dr. CM Jakarta. Data dikumpulkan melalui wawancara mendalam yang dilengkapi catatan lapangan, direkam kemudian dibuat transkrip verbatim, selanjutnya dianalisis menggunakan metoda Collaizz. Hasil penelitian mengidentifikasi tujuh tema utama yaitu: makanan diit tidak menyenangkan, tidak memahami manfaat diit menyebabkan ketidakpatuhan, tidak memahami manfaat latihan fisik untuk penatalaksanaan DM, alasan usia sudah lanjut, keterbatasan fisik menyebabkan tidak melakukan latihan fisik, pemahaman yang salah tentang manfaat obat, gagal mematuhi minum obat karena alasan ekonomi. Penelitian menyimpulkan bahwa pasien DM tidak patuh terhadap penatalaksanaan DM dengan alasan terbanyak adalah karena tidak memahami manfaat penatalaksanaan DM. Hasil penelitian mengimplikasikan perlunya pemberian pendidikan kesehatan berkelanjutan khususnya di area keperawatan medikal bedah untuk meningkatkan kepatuhan pasien DM. Peneliti menyarankan perlunya peningkatan kemampuan perawat memberikan pendidikan kesehatan, merancang program untuk meningkatkan kepatuhan pasien dan penelitian lanjutan dengan fenomenologi untuk menggali kepatuhan masing-masing pilar secara khusus

---

Diabetes Mellitus (DM) is a heterogeneous disorder with improvement of blood glucose. The disease can be treated by using 4 pillars of handling of DM. The pillars are health education, planning of diet, physical exercise, and the using of medicine which have to use for a lifetime. This qualitative study adopted phenomenological approach which goal was to explore various experiences of patient’s non-adherence to the treatment of diabetes mellitus. Participants were selected according to certain criteria by using convenience method. Eight participants who participated in this study had experience of non-adherence to the treatment of diabetes mellitus in RSUPN Dr. CM Jakarta. Data were collected through in depth interview process in two phases and accompanied by field notes. The interview was recorded and converted in to verbatim transcript and then analysed by using Collaizz’s method. The results identified seven major themes which consist of unhappiness diet, not understand about the benefit of diet which made non-adherence, not understand about the benefit of physical exercise for the treatment of diabetes mellitus, the age is old, physical disability makes patient didn’t do physical exercise, incorrect understanding about the benefit of medicine, fail to adhere taking medicine because of economic’s reason. This study concludes that the most reasons of patient’s non-adherence to the treatment of diabetes mellitus is “not understand the benefit of adhering the treatment of diabetes mellitus”. The results of this research give implication about the necessary of giving health education continuously, especially in medical surgical nursing area to improve the adherence of patient with diabetes mellitus. Researcher suggests the need of nursing skills improvement about how to give a good health education, make a program to improve patient’s adherence, and make other research to explore patient’s adherence with 4 pilars specificly."

"ABSTRAKUlkus kaki merupakan salah satu komplikasi kronis pada pasien diabetes mellitus. Ulkuskaki diabetes ini tidak hanya berdampak secara fisik bagi pasien, namun juga berdampakbagi kehidupan psikososialnya. Penelitian ini bertujuan untuk memperoleh pemahamanyang mendalam tentang pengalaman psikososial pasien dengan ulkus kaki diabetes.Desain penelitian ini adalah fenomenologi deskriptif dengan metode wawancaramendalam. Partisipan adalah pasien DM yang mengalami ulkus kaki diabetes, diambildengan cara purposive sampling. Data yang dikumpulkan berupa rekaman hasilwawancara dan catatan lapangan yang dianalisis dengan teknik Collaizi. Hasil penelitianini menunjukkan berbagai pengalaman psikososial pasien ulkus kaki diabetesdigambarkan dalam 11 pernyataan tematik. Penelitian ini menyimpulkan setiap pasienulkus kaki diabetes mengalami berbagai respon psikologis yang teridentifikasi dalam 4tema yaitu menghadapi berbagai ketakutan, menjadi tidak berdaya, menjadi bebankeluarga dan menyalahkan diri sendiri. Terdapat 2 tema dari respon sosial yang dialamiyaitu menjadi tidak sebebas/tidak seaktif dulu dan menjadi tidak percaya diri dalambergaul. Terdapat 3 tema tentang mekanisme koping pasien dalam menghadapi ulkuskaki diabetes yaitu menjalani kehidupan dengan pasrah pada keadaan, banyakmendekatkan diri pada Tuhan dan tetap memiliki pandangan positif terhadap diri sendirimeskipun mempunyai ulkus kaki diabetes. Setiap pasien ulkus kaki diabetesmemperoleh berbagai macam dukungan dan memiliki berbagai harapan/kebutuhanterhadap pelayanan keperawatan. Berdasarkan hal tersebut perawat seharusnya dapatlebih memperlihatkan sikap caring dan menyediakan waktu khusus untuk mendiskusikanberbagai perasaan negatif akibat ulkus kaki yang dialaminya serta para perawat perlumengembangkan kemampuan koping dan adaptasi pasien terhadap ulkus kaki diabetesagar pasien dapat lebih baik mengelola stress psikososial yang dialaminya.

---

ABSTRACTUlcer is one of the chronic complications of diabetes. Diabetic leg ulcer does not onlyaffects the patient physically but also affects patient’s psychosocial life. This researchwas aimed to explore deeper understanding of psychosocial experiences of patients withdiabetic leg ulcer. The participant was diabetic leg ulcer patient choosen by usingpurposive sampling. The design was descriptive phenomenological using indepthinterview and field notes, using Collaizi technique to analized. The results showed somepsychosocial experiences of patients with diabetic leg ulcer found 11 themes. Thisresearch concluded that every patients with diabetic leg ulcer had variety psychologicalresponds that were identified in 4 themes including fears, being powerless, being familyburden and blame themself. There were 2 themes for social responds, namely not asactive as before and loss self confidence. There were 3 themes for coping mechanismsthatwere continuing their normally daily life, faith to God and having positive thinkingabout themselves, eventhought they have a diabetic leg ulcer. Every patients withdiabetic leg ulcer got various supports and had various expectations and needs moresupport from nurse. It was suggested that nurses have to spending more time to discussnegative feeling of diabetic leg ulcer and also help patient in enhancing copingmechanism in adjust with their diabetic leg ulcer. This action will improve better healthoutcome of diabetes mellitus patient and they can manage their psychosocial stressbetter."

"Diabetes merupakan salah satu masalah kesehatan yang terjadi di perkotaan. Tahun 2012 didapatkan data sebesar 80% kematian terjadi akibat diabetes. kondisi ini berhubungan dengan terjadinya komplikasi serius pada pasien diabetes yaitu adanya hipoglikemi, ketoasidosis, gangguan sirkulasi (makrovaskuler dan mikrovaskuler), neuropati. Penelitian sebelumnya menunjukkan bahwa pemberian terapi prilaku aktivitas (senam kaki) dapat mengurangi gangguan sirkulasi pada pasien diabetes.Tujuan penulisan ini adalah untuk melakukan analisis evidence based mengenai terapi prilaku aktivitas (senam kaki) pada pasien diabetes untuk memperbaiki gangguan sirkulasi dan dapat mengurangi komplikasi serius tersebut. Hasilnya pada pasien ini adalah tidak terjadi penurunan dalam nilai ABI (achiles brachial index), dan tidak terjadi penurunan sensasi rasa (panas dan nyeri) pada kaki. Rekomendasi penulisan ini adalah agar perawat melakukan pemantauan terhadap perubahan sensasi dan dapat melakukan pemeriksaan ABI.

---

Diabetics is one of the health problems occurs in urban areas. In 2012, Diabetics is 80% cause of deaths in urban area This condition relates to the occurrence of serious complications in patients with diabetes such as hypoglycemia, ketoacidosis, circulatory disorders (macrovascular and microvascular), and neuropathy. Previous research suggests that behavioral therapy activities (gymnastics feet) can reduce circulation disorders in patients diabetes. The purpose of this paper is to analyze evidence based practice on behavioral therapy activities (gymnastics feet) in diabetic patients to improve impaired circulation and reduce the serious complications. The result of this study indicates there is no increasing in the patient's ABI (Achiles brachial index), and no declining in the patient's feet sensation (hot and Pain). It is highly recommend that nurses can perform Achiles brachial Index (ABI) monitoring and feeth sensation monitoring periodically. "

"Coronary Artery Bypass Graft (CABG) adalah tindakan yang dilakukan untuk mengatasi masalah pada arteri koroner klien dengan membuat jalur pintasan baru. Salah satu tujuan jangka panjang CABG adalah untuk meningkatkan kualitas hidup klien. Penelitian kualitatif dengan pendekatan fenomenologi ini bertujuan untuk menggambarkan pengalaman klien post CABG tentang perawatan yang diterimanya terhadap kualitas hidup dalam konteks asuhan keperawatan. Hasil penelitian mengidentifikasi 6 tema, yaitu 1) respon psikospiritual, 2) respon pemenuhan kebutuhan dasar, 3) kepuasan klien terhadap perawat, 4) kualitas hidup berubah, 5) jenis upaya klien, 6) sikap profesional perawat. Hasil penelitian ini dapat dijadikan acuan bagi perawat untuk merancang asuhan keperawatan pre dan post CABG yang sesuai dengan kebutuhan klien, bagi penelitian lanjut dapat dijadikan data dasar untuk penelitian terkait kualitas hidup secara kuantitatif.

---

Coronary Artery Bypass Graft (CABG) was action to solve client with coronary artery problem by making new bypass. One of the long-range purposed of CABG was to improve the quality of client life. This qualitative research with phenomenology study approach aimed to describe post CABG client experience in care accepted against quality of life in nursing care context. Result of this research identify 6 themes, they are 1) psycho-spiritual responses 2) accomplishment of elementary requirement responses 3) client satisfaction on nurse 4) changes in quality of life 5) strive client types 6) professional attitude of nurse. Result of this research can be made as reference to nurse on pre and post CABG nursing care design as client need, for the next research can be made as basic data related to quality of life research quantitatively."

"Penelitian ini bertujuan memperoleh pemahaman mendalam tentang makna spiritualitas pada klien HIV/AIDS dalam konteks asuhan keperawatan.Rancangan penelitian ini adalah kualitatif fenomenologi dengan desain deskriptif eksploratif. Penelitian ini memperoleh lima tema yaitu (1) mendekatkan diri kepada Tuhan, (2) menghargai hidup pasca diagnosis HIV, (3) butuh dukungan dari orang terdekat, (4) mempunyai harapan untuk kehidupan yang lebih baik di hari depan,dan (5) kebutuhan spiritual yang tidak terpenuhi. Sebanyak 7 partisipan berpartisipasi menceritakan pengalamannya. Metode wawancara mendalam dan pengamatan lapangan merupakan alat bantu pengumpulan data. Data di analisis menggunakan metode Collaizi (1978). Hasil penelitian menyarankan perawat perlu melakukan pengkajian spiritual pada klien HIV/Aids selama di rawat di RS sehingga perawat dapat memberikan intervensi keperawatan yang tepat untuk membantu klien

---

This study aims to explore the meaning of spirituality in HIV / AIDS patients in the nursing care at RSUPN Dr. Cipto Mangunkusumo. This research is a qualitative research phenomenology design with descriptive explorative. There were five themes in this research including more attach to God, respect for life after HIV diagnosis, need a support system, hope for a better life and patient's spiritual need?s were not fulfilled. Seven participants were recruited in this study 7 participants.In-depth interviews, field note and the observation sheet were used to collect data. The seven procedural steps proposed by Collaizi (1978) were utilized in data analysis.The result suggested nurses are supposed to make an assessment for spiritual needs as a nursing intervention and optimize nursing curriculum."

"Sirosis hati merupakan salah satu masalah kesehatan yang terjadi pada masyarakat perkotaan. Keadaan malnutrisi ditemukan pada 65-90% pasien sirosis hepatis. Kondisi malnutrisi ini berhubungan dengan terjadinya komplikasi serius pada pasien sirosis hepatis, yaitu asites, ensefalopati hepatikum, dan kematian. Penelitian sebelumnya menunjukkan bahwa pemberian diet tinggi protein, khususnya yang kaya akan asam amino rantai cabang (AARC) dapat memperbaiki kondisi klinis pasien sirosis dan mengurangi komplikasi serius tersebut. Tujuan penulisan ini adalah untuk melakukan analisis evidence based mengenai pemberian AARC dalam memperbaiki kondisi klinis (nutrisi, nilai albumin, dan mengurangi terjadinya ensefalopati hepatikum). Hasilnya pada pasien ini adalah terbukti status nutrisi dapat ditingkatkan, tidak terjadi penurunan yang signifikan pada nilai albumin, dan tidak terjadi ensefalopati hepatikum. Rekomendasi penulisan ini adalah agar perawat memberikan pendidikan kesehatan tentang pentingnya diet tinggi protein yang kaya akan AARC.

---

Cirrhosis hepatic is one of problem in urban health. Malnutrition is commonly found in 65-90% cirrhosis hepatic patients. This condition correlated with serious complications such as ascites, hepatic encephalopathy, and mortality. Previous researches recommend that high protein intake enriched in branched chain amino acids (BCAA) can improve clinical outcome of cirrhosis hepatic patients and reduce complications. This final clinical nursing report aimed to analyze evidence based about BCAA administered to improve clinical outcome (nutritional status, albumin, and reduce hepatic encephalopathy). The results showed that nutritional status improved, no decreased of albumin concentration, and hepatic encephalopathy not reported. It is recommended to deliver health education to patients about the important of high protein intake enriched in BCAA."

"Diabetes Melitus merupakan penyakit metabolik kronis yang ditandai dengan hiperglikemia. Penyakit ini disebabkan defisiensi insulin absolut atau relatif atau keduanya yang dapat mengakibatkan komplikasi akut dan kronis. Penanganan Diabetes Melitus tidak hanya membutuhkan pendekatan medis, tetapi juga membutuhkan pendekatan multidisiplin termasuk pendekatan keperawatan. Salah satu pendekatan keperawatan yang digunakan adalah model adaptasi Roy. Pemanfaatan hasil-hasil penelitian sebelumnya sebagai dasar praktik evidence based nursing terkait edukasi insulin terlihat dalam peningkatan kemampuan penyuntikan insulin. Implementasi inovasi keperawatan tentang edukasi melalui audiovisual tentang perawatan diri bagi pasien diabetes juga terlihat dapat meningkatkan pengetahuan pasien diabetes tentang perawatan diri.

---

Diabetes mellitus is a chronic metabolic disorders that causes a hyperglycemia. Diabetes is caused by an absolute or relative insulin deficiency or both which could lead to acute and chronic complications. A medical approach is not the only approach used in the diabetes management. A multidisciplinary approach including nursing approaches have been considered useful in managing the diseases. The implementation of the Roy?s adaptation model in the nursing care of diabetic patients is one of the examples. Utilization of results from previous studies as the basis for the practice of evidence-based nursing about insulin education showed an increasing of patients? insulin injections ability. Whilst the implementation of a nursing innovation on patient?s knowledge about diabetes self-care."

"Insiden disfungsi seksual pada pria diabetes sangat banyak dan sampai saat ini belum pernah dilakukan eksplorasi mendalam tentang pengalaman mereka. Penelitian ini bertujuan memperoleh gambaran pengalaman disfungsi seksual pada klien pria diabetes di RSUPN Dr. Cipto Mangunkusumo Jakarta dengan metode penelitian kualitatif dan pendekatan fenomenologi. Dilakukan wawancara mendalam kepada 7 partisipan. Temuan memberikan informasi rinci tentang pengalaman pria diabetes menghadapi disfungsi seksual dengan 11 tema utama, diantaranya gambaran disfungsi seksual, dampak, respon support sistem dan kebutuhan pelayanan kesehatan.Disimpulkan bahwa disfungsi seksual terjadi < 5 tahun semenjak terdiagnosa diabetes mellitus yang berdampak pada diri; pasangan dan sosial, klien berupaya mencari cara penyelesaian sesuai persepsinya dan mengharapkan dukungan keluarga, tenaga dan pelayanan kesehatan untuk memperbaiki fungsi seksual mereka.

---

The incidence of sexual dysfunction on diabetic men clients is prodigious and until now has not been done in-depth exploration of their experiences. The research purpose is to identify the description of sexual dysfunction experiences oin diabetic men at RSUPN Dr. Cipto Mangunkusumo Jakarta, using qualitative research methods and phenomenology approach. In-depth interviews were conducted with 7 participans. The findings provide detailed information on diabetic men sexual dysfunction experiences, 11 themes were derived, including sexual dysfunction experiences overview and it's impact, the responses of support system and health care needs.Concluded that sexual dysfunction was occured < 5 years since diagnosed of diabetes mellitus. It is to be an effect to them self, social and couple relationship. Clients was seeking the problem solving by their perception with all the hope and support from family (couple), health professionals and health services to improve their sexual function."

"Diabetes melitus merupakan kelompok gangguan metabolik yang bersifat kronik yang ditandai dengan hiperglikemia yang disebabkan adanya kelainan sekresi insulin, resistensi insulin atau keduanya dan dapat mengakibatkan kerusakan jangka panjang atau kegagalan pada beberapa organ tubuh. Penanganan diabetes melitus tidak hanya melalui pendekatan medis tetapi perlu dilakukan secara multidisiplin yang sakah satunya melibatkan disiplin ilmu keperawatan. Pelayanan keperawatan yang dilakukan oleh ners spesialis dapat dilakukan dengan menerapkan teori model keperawatan seperti model konservasi Levine.Pemanfaatan hasil penelitian terdahulu sebagai dasar praktik evidence based nursing practice tentang edukasi nutrisi terlihat dapat meningkatkan kepatuhan pasien diabetes melitus dalam perencanaan makan. Inovasi keperawatan tentang edukasi pasien melalui media audiovisual perawatan diri pasien diabetes terlihat juga bermanfaat bagi pasien untuk peningkatan pengetahuan pasien tentang perawatan dirinya.

---

Diabetes Mellitus as a group of chronic metabolic disturbances which is identified with hyperglicemia caused by malfunction of insulin secretion or both which in long term could damages some parts of body. Diabetes Mellitus is not only managed through a medical approach. Nursing science approaches have been contributed to diabetes prevention and management. One of them is a theory of nursing based on Levine?s conservation.Results derived from previous research on patient?s adherence to diabetes diet were utilized as basis for a practice of evidence based nursing. Nursing innovation regarding patient education on self care delivered through an audiovisual showed improvement on patient's knowledge."

"[ABSTRAK Nama WidiaWatiNPM 1206195810Program Studi Ners Spesialis Keperawatan Medikal BedahJudul Penerapan Asuhan Keperawatan Model Self Care Orem pada Pasien Diabetes Melitus dengan Ulkus di RSUPN Cipto Mangunkusumo Diabetes melitus merupakan penyakit metabolik yang terjadi karena kelainan sekresi insulin kerja insulin atau keduanya yang ditandai dengan Hiperglikemia Kondisi hiperglikemia yang tidak teratasi dapat menimbulkan berbagai komplikasi baik komplikasi akut maupun kronik Salah satu komplikasi kronik adalah ulkus diabetes Seiring dengan meningkatnya jumlah kejadian DM maka prevalensi ulkus diabetes akan meningkat juga Di Indonesia ulkus diabetes dan ganggren merupakan komplikasi diabetes yang paling banyak dirawat di rumah sakit Penanganan ulkus diabetes yang tidak optimal menyebabkan meningkatnya hari rawat inap Kondisi luka menimbulkan gangguan pemenuhan kebutuhan perawatan diri bagi pasien Perawat berperan penting dalam membantu pemenuhan Self Care pasien Untuk itu penerapan asuhan keperawatan model Self Care Orem berfokus pada kemampuan individu dalam melakukan tindakan perawatan mandiri mengenali dan mengatur kebutuhan perawatannya Penerapan Evidence Based Nursing adalah terapi Progressive Muscle Relaxation PMR dan latihan nafas merupakan latihan untuk meningkatkan kontrol glikemik dan menurunkan tingkat stress pada pasien DM tipe 2 Sedangkan Inovasi Keperawatan yang diberikan bertujuan meningkatkan Self Care dengan cara meningkatkan kemampuan pasien dalam Self Health Assessment Kata kunci Diabetes melitus Ulkus diabetes Model Self Care Orem ABSTRAK Nama WidiaWatiNPM 1206195810Program Studi Ners Spesialis Keperawatan Medikal BedahJudul Penerapan Asuhan Keperawatan Model Self Care Orem pada Pasien Diabetes Melitus dengan Ulkus di RSUPN Cipto Mangunkusumo Diabetes melitus merupakan penyakit metabolik yang terjadi karena kelainan sekresi insulin kerja insulin atau keduanya yang ditandai dengan Hiperglikemia Kondisi hiperglikemia yang tidak teratasi dapat menimbulkan berbagai komplikasi baik komplikasi akut maupun kronik Salah satu komplikasi kronik adalah ulkus diabetes Seiring dengan meningkatnya jumlah kejadian DM maka prevalensi ulkus diabetes akan meningkat juga Di Indonesia ulkus diabetes dan ganggren merupakan komplikasi diabetes yang paling banyak dirawat di rumah sakit Penanganan ulkus diabetes yang tidak optimal menyebabkan meningkatnya hari rawat inap Kondisi luka menimbulkan gangguan pemenuhan kebutuhan perawatan diri bagi pasien Perawat berperan penting dalam membantu pemenuhan Self Care pasien Untuk itu penerapan asuhan keperawatan model Self Care Orem berfokus pada kemampuan individu dalam melakukan tindakan perawatan mandiri mengenali dan mengatur kebutuhan perawatannya Penerapan Evidence Based Nursing adalah terapi Progressive Muscle Relaxation PMR dan latihan nafas merupakan latihan untuk meningkatkan kontrol glikemik dan menurunkan tingkat stress pada pasien DM tipe 2 Sedangkan Inovasi Keperawatan yang diberikan bertujuan meningkatkan Self Care dengan cara meningkatkan kemampuan pasien dalam Self Health Assessment Kata kunci Diabetes melitus Ulkus diabetes Model Self Care Orem ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model, ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model]"