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"Ulkus diabetikum merupakan salah satu komplikasi kronis diabetes melitus (DM). Tujuan penelitian ini untuk mengetahui hubungan stres dengan penyembuhan ulkus diabetikum dalam konteks asuhan keperawatan pada pasien DM di Siloam Hospitals. Stres dinilai dengan skala Depression Anxiety and Stress Scale 21 (DASS21). Penelitian ini menggunakan rancangan crossectional study. Jumlah sampel penelitian 76 responden terdiri teknik pengambilan sampel yaitu consecutive sampling. Analisis statistik yang digunakan yaitu uji Chi Square dan regresi logistik ganda.Hasil penelitian menunjukan adanya hubungan yang bermakna antara lamanya riwayat DM (p=0,022), adanya hubungan obesitas dengan penyembuhan ulkus diabetikum (p=0,036), tidak ada hubungan stres dengan penyembuhan ulkus diabetikum (p=0,574). Pasien perlu mendapat perawatan ulkus, pendidikan kesehatan, pemeriksaan kaki secara teratur, pasien harus mematuhi terhadap saran petugas kesehatan. Perlu dilakukan penelitian mengenai kenyamanan pasien dalam melakukan aktivitas sehari-hari dengan menggunakan sepatu atau sendal khusus ulkus diabetikum. Pada penelitian ini belum dilakukan hubungan albumin, Hb dengan penyembuhan ulkus diabetikum. Penelitian lanjutan hendaknya dilakukan dengan penambahan variabel tersebut.

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Diabetic ulcer is one of chronic complications of Diabetes Mellitus. The purpose of this research is to understand about the relationship between stress with diabetic ulcer recuperation in nursing care of diabetes mellitus? patients context at Siloam Hospitals. Stress is valued by the Depression Anxiety and Stress Scale 21 (DASS21). This research use crossectional study design. The member of research sample are 76 patients consist of removal sample namely consecutive sampling, statistic analysis was using both of uji chi square and multiple logistic regression.

The result of this research showed that there is a significant correlation between long diabetes mellitus history (p= 0,022). There is a correlation between obesity with diabetic ulcer healing is p= 0,036, there is not the correlation between sress with diabetic ulcer is p=0,574. The patients needed the ulcer care, health education, feet investigation regularly and obey medicals?suggestion. In the other word, still need further research about pleasureable of patients to use both special shoes and slipper for diabetic ulcer in doing their daily activity. This research has not been conducted on the relationship of albumin, hemoglobin with diabetic ulcer healing. Further research should be done with the addition of these variables."

"Ulkus diabetikum merupakan salah satu komplikasi yang sering terjadi pada pasien diabetes mellitus. Ulkus diabetikum tidak hanya menyebabkan ketidaknyamanan fisik tetapi juga menyebabkan ketidaknyamanan psikologis berupa stres. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara strategi koping dengan tingkat stres pada pasien ulkus diabetikum di Rumah Perawatan Luka RUMAT . Jenis penelitian ini adalah kuantitatif dengan desain cross-sectional, pengambilan sampel menggunakan metode purposive sampling sejumlah 93 responden pasien ulkus diabetikum . Sebanyak 93 pasien ulkus diabetikum diwawancarai dengan menggunakan Brief COPE untuk mengukur strategi koping dan Perceived Stress Scale untuk mengukur stres, kemudian dianalisis menggunakan uji t-independen. Hasil penelitian ini didapatkan bahwa terdapat hubungan yang bermakna antara emotion-focused coping dan stres p: 0,003, ?: 0,05 namun tidak terdapat hubungan bermakna antara problem-focused coping dengan stres p: 0,996; ?: 0,05. Penelitian ini merekomendasikan perlunya penelitian lanjutan terkait aspek psikologis pasien ulkus diabetikum.

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Diabetic ulcer is one of the complications that occurs among diabetic patients. It caused physical discomfort and also psychological discomfort stress. This study aimed to identify correlation between coping strategy and stress on diabetic ulcer patients in RUMAT Wound Care. This research was quantitative with cross sectional design, using purposive sampling with 93 respondents. Total of 93 diabetic ulcer patients were interviewed using Brief COPE to measure coping strategies and Perceived Stress Scale to measure stress, then analyzed by independent t test. Results of this study found that there were significant correlation between emotion focused coping and stress p 0,003, 0,05 while there were no correlation between problem focused coping and stress p 0,996, 0,05 . This study recommended further research on psychological aspects of diabetic ulcer patients."

"Nyeri merupakan masalah utama pada pasien post operasi laparatomi. Penatalaksanaan nyeri non farmakologi dapat dilakukan dengan menggunakan komunikasi terapeutik yang baik. Tujuan penelitian ini adalah mengetahui hubungan komunikasi terapeutik perawat dengan tingkat nyeri pada pasien post operasi laparatomi. Penelitian ini menggunakan desain deskriptif analitik dengan pendekatan cross sectional pada 76 pasien post operasi laparatomi yang diambil dengan cara purposive sampling.Hasil penelitian menunjukkan ada hubungan antara komunikasi terapeutik perawat dengan tingkat nyeri pada pasien post operasi laparatomi p=0,002. Semakin baik kemampuan komunikasi terapeutik perawat maka akan menurunkan tingkat nyeri pada pasien post operasi laparatomi. Rekomendasi penelitian ini, sebagai tambahan pengetahuan bagi perawat khususnya terkait komunikasi terapeutik dan tingkat nyeri pada pasien post operasi laparatomi dengan cara melakukan evaluasi dan pelatihan bagi perawat terkait komunikasi terapeutik.

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Pain is the main problem in patients post operation laparatomi. Non pharmacological pain management can be done with using a good therapeutic communication. The purpose of this research was to know the correlation between therapeutic communication with pain levels in patients post laparatomi. This research uses descriptive analytic design with cross sectional approach on 76 patients post laparatomy taken by means of purposive sampling.

The results has shown that was any correlation between therapeutic communication with pain levels in patients post operation laparatomi p 0.002. It means that a good therapeutic communication skill will decrease the level of pain in patients post laparatomi. The recommendations of this study will improve the knowledge of nurses especially therapeutic communication and related pain levels in patients post laparatomy by way of doing evaluation and training for nurse related therapeutic communication."

"ABSTRAKUlkus diabetikum merupakan salah satu komplikasi dari diabetes melitus dan termasuk luka kronik. Ulkus diabetikum menyebabkan berbagai gangguan kenyamanan baik fisik, psikologis maupun sosial. Tujuan penelitian ini adalah untuk mengetahui hubungan derajat luka dengan interaksi sosial pada pasien ulkus diabetikum. Desain penelitian menggunakan pendekatan cross-sectional dengan jumlah sampel 69 pasien di Rumat. Analisis data menggunakan uji T-independen menyatakan tidak ada hubungan yang bermakna antara derajat luka dengan interaksi sosial p: 0,448, ?: 0,05 . Hasil penelitian didapatkan faktor yang berhubungan dengan interaksi sosial yaitu bau p:0.009 , status psikologis p:0,010 and stres p: 0,005 . Penelitian ini menunjukkan untuk memperhatikan kenyamanan psikologis pada gangguan kenyamanan fisik dalam peningkatan kenyamanan sosial pasien ulkus diabetikum.

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ABSTRACTDiabetic ulcer as a chronic wound is one of chronic complication of Diabetes Mellitus. Diabetic ulcer causes a variety of discomfort such as physics, psychology also social. The aim of this research was to identify the correlation between wound degree with social interaction to the diabetic ulcer patient. Cross sectional design applied in this study with 69 samples that recruiting in Rumat. Statistic analyze using independent t test showed wound degree has no significant relationship with social interaction p 0,448, 0,05 . This study found the related factor of social interaction are odor p 0.009 , psychology p 0,010 and stress p 0,005 . This study recommended the importance of paying attention to psychological comfort of physical discomfort to increase social comfort diabetic ulcer patient."

"ABSTRAKUlkus kaki diabetikum merupakan salah satu komplikasi kronis Diabetes Melitus yang biasanya muncul 10 tahun setelah onset Diabetes Melitus. Ulkus kaki diabetikum dapat menimbulkan sensasi nyeri dan ketidaknyamanan yang dapat mempengaruhi kualitas tidur pasien. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara tingkat keparahan ulkus dengan kualitas tidur pada pasien ulkus kaki diabetikum di Rumah Perawatan Luka RUMAT Wilayah Bekasi dan Jakarta. Desain penelitian ini menggunakan analisis kuantitatif dengan pendekatan potong lintang Cross-Sectional . Sebanyak 73 pasien ulkus kaki diabetikum dilibatkan dan diwawancarai melalui teknik purposed random sampling. Kuesioner yang digunakan adalah PSQI Pittsburgh Sleep Quality Index untuk menilai kualitas tidur pasien dan format pengkajian luka Wagner untuk menilai derajat keparahan ulkus pasien. Hasil penelitian dianalisis menggunakan uji chi square dan menunjukkan adanya hubungan yang bermakna antara tingkat keparahan ulkus dengan kualitas tidur pada pasien ulkus kaki diabetikum p=0,004; ? ? =0,05. Pasien dengan luka yang lebih parah berisiko 5,2 kali lebih tinggi memiliki kualitas tidur buruk dibandingkan dengan pasien dengan derajat luka yang lebih ringan 95 CI: 1,783;15,475. Melalui hasil penelitian ini direkomendasikan peningkatan perawatan luka untuk proses penyembuhan yang lebih berkualitas. Hal tersebut untuk mewujudkan kualitas tidur yang lebih baik.

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ABSTRACTDiabetic foot ulcer is one of Diabetes Mellitus chronic complications that occur around 10 years after Diabetes Mellituss onset. Ulcers made sense of pain and discomfort that affecting patient 39s sleep quality. This study identified the relation between ulcers severity with sleep quality among diabetic foot ulcer patients in Clinic of Wound Care RUMAT Bekasi and Jakarta. Design of this study is analytical with cross sectional approach. That are 73 patients with diabetic foot ulcer who participated and interviewed by a purposed random sampling technique. Two kinds or questionnaire are used, namely Pittsburgh Sleep Quality Index PSQI to assess patient 39 s sleep quality and Wagner 39s Wound Assessment Format to assess patients ulcer severity. The result are analyzed using Chi square test and showed a significant relationship between ulcer severity and sleep quality among diabetic foot ulcer patient rsquo s p 0,004 0,05. Patients with more ulcer severity had 5,2 time more risk to have poor sleep quality than patients with low severity ulcer 95 CI 1.783 15.475. From the results, it is recommended to improve wound care quality. It should be considered for better sleep quality among diabetic patients. "

"Ulkus diabetik merupakan salah satu komplikasi kronis diabetes melitus (DM). Terjadinya ulkus diabetik diawali dengan adanya neuropati dan penyakit vaskular perifer sebagai dampak hiperglikemia serta adanya trauma akibat kurangnya pasien melakukan perawatan kaki. Tujuan penelitian ini untuk mengetahui hubungan antara kepatuhan pasien dengan kejadian ulkus diabetik dalam konteks asuhan keperawatan pada pasien DM di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini menggunakan rancangan crossectional study. Jumlah sampel penelitian 88 responden terdiri dari 44 orang pasien DM dengan ulkus dan 44 orang pasien DM tanpa ulkus. Teknik pengambilan sampel yaitu consecutive sampling dan acak sederhana. Analisis statistik yang digunakan yaitu uji Chi Square dan regresi logistik ganda. Hasil penelitian menunjukan adanya hubungan yang bermakna antara kepatuhan pasien DM (p=0,000), kepatuhan memonitor glukosa darah (p=0,000), diet (p=0,000), aktivitas (p=0,023), perawatan kaki (p=0,000), kunjungan berobat (p=0,000) dengan kejadian ulkus diabetik. Kepatuhan kunjungan berobat merupakan faktor paling dominan berhubungan dengan kejadian ulkus diabetik (OR=8,95). Karakteristik demografi jenis kelamin merupakan faktor pengganggu. Sedangkan umur, tingkat pendidikan dan status ekonomi bukan faktor pengganggu. Kesimpulan penelitian ini adalah terdapat hubungan antara ketidakpatuhan pasien DM dengan kejadian ulkus diabetik. Saran peneliti yaitu pasien perlu mendapat pendidikan kesehatan, pemeriksaan kaki secara teratur, pasien harus mematuhi terhadap saran petugas kesehatan. Perlu dilakukan penelitian mengenai faktor-faktor yang berhubungan dengan ketidakpatuhan pasien DM.

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Diabetic ulcer is one of chronic complications of Diabetes Mellitus. Neuropathy and peripheral vascular disease are the beginning of ulcer, as the result of hyperglycemia condition, and a trauma caused by lack of foot care. The aim of this study is to identify the relation of patient adherence with diabetic ulcer occurance in the context of nursing care of patient with diabetes mellitus at Dr. Hasan Sadikin Hospital, Bandung. Crossectional study design was used in this study. The samples size were 88 patients with diabetes mellitus, consisted of 44 patients with diabetic ulcer and 44 patients without diabetic ulcer. Samples were selected by simple random and consecutive sampling technique. Chi Square and a multiple logistic regression were used to examine the relation of patient adherence with occurrence diabetic ulcers.

The result showed that there was a significant corelation of diabetes mellitus patient adherence (p=0,000), adherence of monitoring blood glucose level (p=0,000), diet (p=0,000), activities (p=0,023), foot care (p=0,000), and visiting health care provider (p=0,000) with diabetic ulcer occurence. Adherence of visiting health care provider was the most dominant factor related to diabetic ulcer occurence (OR=8,95). Sex was confounding factor. Whereas age, education and economic level were not confounding factors. It is concluded that there was a relationship between patient adherence and the occurance of diabetic ulcer. Recommendations of this research were patient need to get health education, regular foot examination, patient adherence to recommendations health care provider. Further research about factors related to nonadherence in diabetes mellitus patients need to be done."

"Komplikasi ulkus diabetikum pedis (UDP) terjadi pada 15% pasien DM tipe 2. Seluruh kasus UDP dalam serial kasus ini diawali oleh trauma pedis sehingga menyebabkan luka yang tidak menyembuh disertai demam, kelemahan tubuh, mual, anoreksia, dengan atau tanpa disertai gejala klasik DM. Suatu uji klnis mendapatkan sebanyak 69% penderita DM dengan komplikasi UDP menderita malnutrisi. Tata laksana nutrisi pada serial kasus ini adalah pemberian nutrisi optimal, meliputi makronutrien, mikronutrien, dan nutrien spesifik sesuai kebutuhan untuk memperbaiki dan mencegah malnutrisi, komplikasi lainnya, dan kekambuhan serta mendukung penyembuhan ulkus.Rentang usia pasien pada serial kasus ini adalah 52–70 tahun. Kebutuhan energi basal dihitung dengan persamaan Harris-Benedict. Kebutuhan energi total didapat dari perkalian kebutuhan energi basal dengan faktor stres. Pemberian nutrisi dilakukan bertahap sesuai toleransi sampai mencapai kebutuhan total.Makronutrien diberikan dengan komposisi sesuai dengan keadaan pasien.Pemberian protein sesuai dengan fungsi ginjal, pembatasan asam lemak jenuh dan kolesterol, karbohidrat terutama jenis kompleks, dan cukup serat.Garam diberikan sesuai tekanan darah.Diusulkan pemberian mikronutrien berupa vitamin dan mineral sesuai Angka Kecukupan Gizi (AKG) serta nutrien spesifik asam lemak omega-3.Pemantauan dilakukan terhadap perkembangan klinis, toleransi asupan makanan, kapasitas fungsional, status ulkus, laboratorium, dan antropometri.Seluruh pasien membutuhkan insulin dengan dosis yang terus meningkat untuk menjaga kadar glukosa darah dan mengalami penurunan berat badan, namun kebutuhan energi total dapat tercapai, luka membaik dan kapasitas fungsional meningkat. Tata laksana nutrisi yang diberikan harus bersifat individual disesuaikan dengan keadaan umum dan klinis pasien.Edukasi nutrisi selama dan pasca rawat penting diberikan dalam meningkatkan motivasi pasien menjalankan diet yang benar untuk menjaga status gizi. Status gizi dan kontrol glikemik yang baik penting dalam penyembuhan luka, mencegah kekambuhan dan timbulnya komplikasi diabetes melitus yang lain.

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Diabetic foot ulcers are common and estimated to affect 15% of all diabetic individuals. All patients had pedal trauma as an initiation of their non-healing wounds which were then developed to form ulcers. The ulcers presented with febrile, lethargy, nausea, anorexia, with or without diabetes mellitus classical symptoms. A clinical trial found 69% patients of this disease were malnourished. The goal of medical nutrition therapy on type 2 diabetes mellitus with diabetic foot ulcer is to provide the patients with appropriate nutrition containing macronutrient, micronutrient, and specific nutrient according to the requirement, to reverese and prevent malnutrition, other complications and recurrence, and support the wound healing.

Patient’s age range in this case series was 52–70 years old. Basal energy requirements calculated using Harris-Benedict equation and multiplyit by stress factor for the total energy requirements. Diets were gradually given according patient’s tolerance until total energy requirements were achieved.Macronutrients composition were given according to patient’s condition, with protein adjusted to renal function, limiting saturated fat and cholesterol, complex carbohydrate, sufficient fiber and sodium given according to blood pressure. Micronutrient recommendation was vitamin and mineral sejumlah as much as Recommended Dietary Allowance (RDA) and omega-3 fatty acid. Monitoring was done at clinical status, nutrition intake and tolerance, functional capacity, wound/ulcer status, laboratory and anthropometric assessment.

All patients needed increasing dose of insulin in maintainingglucose control and experienced mild weight loss, total energy requirements were achieved by all patients. Patient’s functional capacities were increased, and had improvement wound status. Nutrition therapy for patients should be given individuallyaccording to general and clinical condition. Nutrition education and motivation during and after hospitalization are important part of this disease’s management to keep the patient’s compliance on nutrition intake as recommended to maintain good nutritional status and glycemic control, prevent other complications and re-ulceration."

"[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]"