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"[Gaya hidup yang tidak sehat meningkatkan prevalensi DM di masyarakat perkotaan.Lansia termasuk angregat yang rentan mengalami DM, dikarenakan terjadinyapenurunan fungsi tubuh. Salah satugejala DM yang timbul akibat peningkatan kadargula darah adalah penurunan sensitivitas kaki yang ditandai dengan rasa kebas dankesemutan.Penulisan Karya Ilmiah ini bertujuan untuk memberikan gambaran latihansenam kaki sebagai intervensi keperawatan pada risiko cedera lansia dengan DM.Hasil asuhan keperawatan keluarga yang dilakukan selama 6 minggu menunjukkanperbaikan sensitivitas kaki yang dibuktikan dengan pengukuran Ankle Brachial Index(ABI) meningkat dari 0,7 menjadi 1,2. Dukungan keluarga dibutuhkan untukmempertahankan kepatuhan melakukan senam kaki secara rutin.;Unhealthy life style increase DM prevalence in urban society. Elderly at risk todevelop DM caused by decreasing body function. One of DM symptom caused byhigh blood glucose level was decreased foot sensitivity.This paper purposes to givean illustration of foot exercise as nursing intervention for the risk of injury in elderlywith DM. The result after six weeks intervention show the improvement of footsensitivity which is analyzed based on Ancle Brachial Index measurement increasefrom 0,7 to 1,2.The family?s support is needed in order to increase adherence towardfoot exercise implementation, Unhealthy life style increase DM prevalence in urban society. Elderly at risk todevelop DM caused by decreasing body function. One of DM symptom caused byhigh blood glucose level was decreased foot sensitivity.This paper purposes to givean illustration of foot exercise as nursing intervention for the risk of injury in elderlywith DM. The result after six weeks intervention show the improvement of footsensitivity which is analyzed based on Ancle Brachial Index measurement increasefrom 0,7 to 1,2.The family’s support is needed in order to increase adherence towardfoot exercise implementation]"

"ABSTRAKGula darah tidak terkontrol dan neuropati pada kaki adalah masalah kesehatan yang muncul pada lansia diabetes melitus tipe 2 (DMT2). Upaya pengontrolan masalah pada lansia DMT2 dapat dilakukan dengan kegiatan manajemen pengontrolan gula darah dan kesehatan kaki. Latihan kaki menggunakan bola tenis diberikan pada lansia DMT2 dalam keluarga dan Manajemen Pengendalian Diabetes Melitus (MAPAN DM) diberikan kepada kelompok lansia DMT2 sebanyak 58 orang, intervensi diberikan selama 30-60 menit per sesi sebanyak 12 sesi. Hasil implementasi dalam asuhan keperawatan keluarga dan kelompok, didapatkan penurunan rerata nilai gula darah sebanyak 5,1% dan neuropati pada kaki 41,7%. MAPAN DM berpengaruh terhadap penurunan gula darah (p value<0,05) dan neuropati pada kaki (p value < 0,05). Latihan kaki menggunakan bola tenis berpengaruh terhadap penurunan gula darah dan neuropati pada kaki. Latihan kaki dan Manajemen diri disarankan untuk dilakukan sebagai upaya pengontrolan gula darah dan mencegah komplikasi penyakit pada lansia DMT2.

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ABSTRACTUncontrolled blood sugar and foot neuropathy are health problems that arise in elderly type 2 diabetes mellitus (DMT2). Efforts to control the problem in elderly DMT2 can be done with activities to control blood sugar and foot health. Foot exercises using tennis balls were given to elderly DMT2 in the family and Manajemen Pengendalian Diabetes Melitus (MAPAN DM) was given to a group of elderly DMT2 58 people were selected, intervention was given for 30-60 minutes per session as many as 12 sessions. The results of the implementation in family and elderly group, obtained a mean change in blood sugar values ​​of 5.1% and foot neuropathy 41.7%. MAPAN DM influences the decrease in blood sugar (p value <0.05) and neuropathy in the foot (p value <0.05). Foot exercises using tennis balls affect the decrease in blood sugar and neuropathy in the legs. Foot exercises and self-management are recommended to be done as an effort to control blood sugar and disease complications prevention in DMT2 elderly."

"Diabetes Melitus merupakan penyakit tidak menular serta penyakit kronis yang terjadi orang dewasa yang membutuhkan pengawasan medis berkelanjutan dan pendidikan perawatan diri. Diabetes melitus mampu mempengaruhi vaskularisasi sehingga menyebabkan terjadinya perubahan pada makrovaskular umumnya mengenai otak, jantung dan pembuluh darah dan mikrovaskular dapat terjadi pada mata dan ginjal serta terjadi perubahan pada sistem saraf atau neuropati seperti europati motorik, sensorik, ataupun neuropati otonom. Tujuan penulisan karya ilmiah ini adalah untuk menganalisis penerapan intervensi senam kaki diabetes dalam memberikan asuhan keperawatan pada pasien diabetes melitus. Senam kaki diabetes juga dapat meningkatkan perfusi, mencegah perburukan neuropati pada pasien diabetes mellitu. Intervensi dilakukan selama lima hari perawatan dan dimulai intervensi pada hari ketiga perawatan. Hasilnya menunjukkan bahwa senam kaki diabetes dapat meningkatkan sirkulasi perifer yang ditandai perubahan pulse oximetry, CRT dan nilai ABI. Selain itu terjadi penurunan keluhan yang dirasakan oleh pasien. Melihat keefektifan senam kaki diabetic pada pasien diabetes melitus maka diharapkan intervensi ini dapat digunakan sebagai perawatan rutin pada pasien diabetes melitus

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Diabetes Mellitus is a non-communicable and chronic disease that occurs in adults and requires ongoing medical supervision and self-care education. Diabetes mellitus can affect vascularization, causing changes in the macrovasculature generally affecting the brain, heart, and blood vessels and microvasculature can occur in the eyes and kidneys as well as changes in the nervous system or neuropathy such as motor, sensory neuropathy or autonomic neuropathy. The aim of writing this scientific work is to analyze the application of diabetic foot exercise interventions in providing nursing care to diabetes mellitus patients. Diabetic foot exercises can also increase perfusion, preventing worsening neuropathy in diabetes mellitus patients. The intervention was carried out for five days of treatment and began on the third day. The results show that diabetic foot exercises can improve peripheral circulation as indicated by changes in pulse oximetry, CRT, and ABI values. Apart from that, there was a decrease in complaints felt by patients. Seeing the effectiveness of diabetic foot exercises in diabetes mellitus patients, it is hoped that this intervention can be used as routine care for diabetes mellitus patients"

"Meningkatnya kepadatan penduduk berdampak pada meningkatnya prevalensi hipertensi di area perkotaan. Perawat mempunyai peran dan tanggung jawab dalam mengatasi masalah hipertensi di perkotaan, yaitu dengan memberikan asuhan keperawatan berbasis keluarga. Penulisan karya ilmiah akhir ners ini bertujuan menggambarkan asuhan keperawatan keluarga dengan gaya hidup monoton pada masalah hipertensi di Kelurahan Sukamaju Baru, Depok.Penulisan ini didasarkan pada aplikasi intervensi berupa manajemen olahraga: jalan kaki pada penderita hipertensi dan dianalisis berdasarkan berbagai konsep dan penelitian terkait.Hasil intervensi menunjukkan bahwa manajemen olahraga: jalan kaki berhasil mengatasi hipertensi. Perawat dapat menggunakan olahraga: jalan kaki sebagai intervensi non-medis dalam memberikan asuhan keperawatan keluarga dengan hipertensi.

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The high populations density has impacted on the high hypertension prevalence in the urban areas. The nurses have roles and responsibilities to overcome the hypertension problem in the urban areas by providing family nursing care. The goal of this report was to describe family nursing care for family with sedentary lifestyle and hypertension problem at Kelurahan Sukamaju Baru, Depok.This paper was written based on the application of exercise management: walking to family with hypertension and was analyzed based on some relevant concepts and literatures.The results showed that exercise managements: walking could decrease blood pressure. Nurses can use exercise managements: walking as a non-medical intervention in providing family nursing care to family with hypertension."

"ABSTRAKKlien dengan diabetes sangat beresiko mengalami kecelakaan lalu lintas, diantaranya dapat disebabkan oleh komplikasi akut yakni, hipoglikemia dan hiperlikemia, komplikasi kronis yakni, penyakit mikrovaskular, penyakit makrovaskular dan neuropati. Penelitian ini bertujuan untuk memperoleh pemahaman yang mendalam pengalaman klien diabetes saat berkendara di Kota Depok. Metode penelitian menggunakan fenomenologi. Enam orang dewasa dengan diabetes dipilih dengan purposive sampling. Tujuh tema diperoleh dengan metode content analysis Colaizzi yang merupakan perwakilan makna yang terkandung dari pengalaman berkendaraan pada klien DM. Ketujuh tema tersebut saling terkait. Penelitian ini memberikan gambaran dan data dasar bahwa terdapat beberapa kondisi yang meningkatkan resiko terjadinya kecelakaan pada klien diabetes yang aktif berkendara. Oleh sebab itu, diharapkan adanya regulasi dan edukasi klien diabetes yang aktif berkendara.

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ABSTRACTClients with diabetes are particularly at high risk of traffic accidents that might be caused by the acute complications such as, hypoglycemia and hyperglycemia as well as chronic complications such as, micro-vascular diseases, macro-vascular diseases and neuropathy. This study aimed to get an in-depth understanding about the experience of diabetic clients during driving car or riding motorcycle at Depok city. Six participants were recruited using a purposive sampling method. A Colaizzi content analysis was employed. Seven Themes emerged depicted the meaning of experiences of driving among DM clients. The seven themes were interdependence. This study concluded that diabetes clients who actively drive had high risk of having road accident. This study suggested the necessity of regulation and education for clients with diabetes who actively drive"

"ABSTRAK Lansia merupakan kelompok rentan yang memiliki penyakit kronik karena menurunnya kemampuan fisik, psikologis dan sosialnya. Prevalensi lansia DM diJawa Barat mengalami peningkatan dari 1,3% menjadi 2% di tahun 2013. Lansiamemerlukan dukungan dari masyarakat sekitarnya, terutama kader dalammemberikan pelayanan kesehatan terkait DM. Salah satu jenis pelayanankesehatan yang diberikan kepada kelompok lansia di posbindu PTM diantaranyapemeriksaan adanya gula dalam urine sebagai deteksi awal adanya penyakitdiabetes mellitus, pemeriksaan aktivitas sehari ? hari, pemeriksaan status gizi, dankegiatan olah raga. Dukungan dari keluarga, teman, dan kader kesehatan sangatpenting untuk membuat perubahan gaya hidup dalam hal diet dan pola aktivitas.Praktik residensi bertujuan memberi gambaran pemantauan diet dan aktivitassebagai bentuk pemberdayaan kader dalam mempertahankan kadar gula darahpada lansia DM. Hasil evaluasi kegiatan didapatkan : terjadi peningkatanpengetahuan kader dari rata-rata 3,29 menjadi 9,84; peningkatan sikap kader darirata-rata 33,29 menjadi 36,50; peningkatan keterampilan kader dari rata-rata 29,29menjadi 32,50, dan penurunan kadar gula setelah dilakukan pemantauan diet danaktivitas sebesar 63%. Pendidikan kesehatan dapat dilakukan secara individualmaupun berkelompok oleh petugas kesehatan atau kader yang telah mendapatpelatihan. Pemberdayaan kader dapat meningkatkan pengetahuan, sikap danketerampilan kader. Puskesmas perlu memberikan bimbingan dan pembinaan bagikader kesehatan untuk meningkatkan asuhan keperawatan lansia DM. ABSTRACT Elderly who is vulnerable groups have the disease chronicle because declines in physicalperformance, social and psychological. The prevalence of seniors dm in west java has increasedfrom 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,especially kaders in providing health services associated dm on elderly. One of the healthservices provided for the elderly in posbindu PTM examination of the sugar in urine as thedetection of the beginning of disease diabetes mellitus, the daily activities investigation day, anutrition status, and activities sports. Support of the family, friends, and healthcare veryimportant to make lifestyle change in the diet and the activity. The research aims to give a senseof monitoring of diet and activity as a form of cadres in empowerment maintain blood sugarconcentration on elderly dm. The evaluation of these activities : increased cadre of knowledgethan average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoringdiet and activity of 63 %. Health education can be carried out individual and groups for healthworkers or cadres have received the training. Empowerment cadres can increase of knowledge ,attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres toincrease the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physicalperformance, social and psychological. The prevalence of seniors dm in west java has increasedfrom 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,especially kaders in providing health services associated dm on elderly. One of the healthservices provided for the elderly in posbindu PTM examination of the sugar in urine as thedetection of the beginning of disease diabetes mellitus, the daily activities investigation day, anutrition status, and activities sports. Support of the family, friends, and healthcare veryimportant to make lifestyle change in the diet and the activity. The research aims to give a senseof monitoring of diet and activity as a form of cadres in empowerment maintain blood sugarconcentration on elderly dm. The evaluation of these activities : increased cadre of knowledgethan average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoringdiet and activity of 63 %. Health education can be carried out individual and groups for healthworkers or cadres have received the training. Empowerment cadres can increase of knowledge ,attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres toincrease the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physicalperformance, social and psychological. The prevalence of seniors dm in west java has increasedfrom 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,especially kaders in providing health services associated dm on elderly. One of the healthservices provided for the elderly in posbindu PTM examination of the sugar in urine as thedetection of the beginning of disease diabetes mellitus, the daily activities investigation day, anutrition status, and activities sports. Support of the family, friends, and healthcare veryimportant to make lifestyle change in the diet and the activity. The research aims to give a senseof monitoring of diet and activity as a form of cadres in empowerment maintain blood sugarconcentration on elderly dm. The evaluation of these activities : increased cadre of knowledgethan average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoringdiet and activity of 63 %. Health education can be carried out individual and groups for healthworkers or cadres have received the training. Empowerment cadres can increase of knowledge ,attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres toincrease the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physicalperformance, social and psychological. The prevalence of seniors dm in west java has increasedfrom 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,especially kaders in providing health services associated dm on elderly. One of the healthservices provided for the elderly in posbindu PTM examination of the sugar in urine as thedetection of the beginning of disease diabetes mellitus, the daily activities investigation day, anutrition status, and activities sports. Support of the family, friends, and healthcare veryimportant to make lifestyle change in the diet and the activity. The research aims to give a senseof monitoring of diet and activity as a form of cadres in empowerment maintain blood sugarconcentration on elderly dm. The evaluation of these activities : increased cadre of knowledgethan average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoringdiet and activity of 63 %. Health education can be carried out individual and groups for healthworkers or cadres have received the training. Empowerment cadres can increase of knowledge ,attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres toincrease the care of nursing elderly dm. ;Elderly who is vulnerable groups have the disease chronicle because declines in physicalperformance, social and psychological. The prevalence of seniors dm in west java has increasedfrom 1.3 % to 2 percent in 2013. Elderly requiring support from the community surrounding,especially kaders in providing health services associated dm on elderly. One of the healthservices provided for the elderly in posbindu PTM examination of the sugar in urine as thedetection of the beginning of disease diabetes mellitus, the daily activities investigation day, anutrition status, and activities sports. Support of the family, friends, and healthcare veryimportant to make lifestyle change in the diet and the activity. The research aims to give a senseof monitoring of diet and activity as a form of cadres in empowerment maintain blood sugarconcentration on elderly dm. The evaluation of these activities : increased cadre of knowledgethan average 3,29 become 9,84. Increased cadre of attitude than average 33,29 become 36,50.Cadres increasing skill than average 29,29 become 32,50. The decline in a sugar after monitoringdiet and activity of 63 %. Health education can be carried out individual and groups for healthworkers or cadres have received the training. Empowerment cadres can increase of knowledge ,attitudes and skill cadres. Puskesmas needs to give guidance and flanking for health cadres toincrease the care of nursing elderly dm. "

"ABSTRAKUlkus diabetes merupakan komplikasi kronik dari penyakit diabetes melitus yang disebabkan oleh adanya gangguan mikrovaskuler dan makrovaskuler. Karya ilmiah ini bertujuan untuk menganalisis asuhan keperawayan yang diberikan pada pasien dengan ulkus diabetes melitus pedis dextra. Intervensi yang diberikan berupa pengontrolan glukosa darah, manajemen nutrisi, penggantian balutan luka yang tepat dan edukasi kesehatan. Hasil evaluasi dari implementasi keperawatan menunjukkan hasil pemeriksaan glukosa darah sewaktu GDS dan glukosa point of care testing glucose POCT cenderung stabil, peningkatan nafsu makan, derajat ulkus tidak bertambah dengan penurunan jumlah eksudat. Pemantauan glukosa darah, status nutrisi, dan edukasi kepada pasien dan keluarga perlu dimaksimalkan untuk membantu proses penyembuhan ulkus diabetes.

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ABSTRACTDiabetic foot ulcer was chronic complication of diabetes mellitus which caused by impaired microvascular and microvascular. This study aimed to analyze nursing care practice on client with diabetic foot ulcer on pedis dextra. Intervention given was controlling blood glucose, managing nutrition, wound dressing, and giving health education. The evaluation from implemented nursing care was blood glucose level and point of care testing glucose POCT glucose tend to stable, increased appetite, ulcus grading not become worst with decreasing exudate. Blood glucose monitoring , nutrition status, and education to the patient and family should be optimalize for helping wound healing process."

"[ABSTRAKKerentanan lansia terhadap masalah kesehatan seperti diabetes mellitus meningkat seiring dengan bertambahnya usia. Karya Ilmiah Akhir ini mengintegrasikan teori manajemen pelayanan keperawatan dan tiga model keperawatan yaitu Community as Partner, Family Centred Nursing dan Functional Consequencies. Asuhan keperawatan diberikan pada 32 lansia diabetisi di kelurahan Sukamaju Baru selama 9 bulan. Intervensi inovasi yang dikembangkan adalah booklet DM yang didasari pada program CERDIIK Kemenkes RI, Diabetes Self Management Education (DMSE) dan empat pilar penatalaksanaan DM. Hasil intervensi yang dilakukan menunjukkan adanya perubahan perilaku lansia diabetisi, kelompok pendukung dan sebaya dalam melakukan penatalaksanaan DM. Penurunan rata-rata kadar gula darah lansia kelompok sebaya sebesar 101,5 poin. Penggunaan booklet DM efektif dalam mengontrol kadar gula darah lansia diabetisi dengan wadah kelompok sebaya dan dukungan kader kelompok pendukung. program ini diharapkan dapat diteruskan dengan peningkatan keterlibatan keluarga, kader dan tenaga kesehatan.

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ABSTRACTThe vulnerability of the elderly to health problems such as diabetes mellitus increases with age. This final internship report integrated nursing service management theory with three nursing models, which are Community as Partner, Family Centred Nursing dan Functional Consequencies. A nursing care was provided to 32 elderly with diabetic at district Sukamaju Baru for 9 months. An innovative intervention was developed that was DM booklet based on CERDIIK program from Ministry of Health Indonesia, Diabetes Self Management Education (DMSE) and the four pillars of DM management of care. Result of intervention showed changes of healthy behavior from elderly with DM, support group dan peer group in providing DM care management. There was a reduce of elderly blood glucose level in average about 101,5 poin. The DM booklet usage was effective in controlling blood glucose level of elderly with DM who actively involved in peer group and support group of community workers. This program was expected to be sustained and get more family involvement, as well as involvement from community workers and health workers. , The vulnerability of the elderly to health problems such as diabetes mellitus increases with age. This final internship report integrated nursing service management theory with three nursing models, which are Community as Partner, Family Centred Nursing dan Functional Consequencies. A nursing care was provided to 32 elderly with diabetic at district Sukamaju Baru for 9 months. An innovative intervention was developed that was DM booklet based on CERDIIK program from Ministry of Health Indonesia, Diabetes Self Management Education (DMSE) and the four pillars of DM management of care. Result of intervention showed changes of healthy behavior from elderly with DM, support group dan peer group in providing DM care management. There was a reduce of elderly blood glucose level in average about 101,5 poin. The DM booklet usage was effective in controlling blood glucose level of elderly with DM who actively involved in peer group and support group of community workers. This program was expected to be sustained and get more family involvement, as well as involvement from community workers and health workers. ]"

"Tingginya prevalensi DM dipengaruhi oleh gaya hidup modern masyarakat di daerah perkotaan. Perubahan gaya hidup tersebut adalah perubahan pola makan yang menjadi lebih banyak gula, garam, lemak, dan rendah serat. Prevalensi DM meningkat seiring dengan peningkatan usia. Perawat perlu memberikan intervensi keperawatan dalam aspek manajemen diet untuk lansia dengan DM. Karya ilmiah ini bertujuan untuk menggambarkan diet rendah kalori dan glukosa sebagai tindakan keperawatan pada masalah ketidakefektifan manajemen kesehatan. Asuhan keperawatan keluarga sudah diberikan selama 7 minggu untuk mengontrol nilai gula darah. Hasil yang diperoleh yaitu nilai gula darah lansia dengan DM cenderung turun dan mulai terkontrol stabil dari 323 mg/dL (GDS) menjadi 114 mg/dL (GDP) dan 157 mg/dL (GDS). Diet DM pada lansia tercapai karena ada faktor yang mempengaruhi keberhasilan yaitu kepatuhan dan dukungan sosial dari keluarga. Beberapa rekomendasi perawatan untuk DM lainnya antara lain mengenali DM, rajin melakukan aktivitas fisik secara terjadwal, mengelola stres, mengecek nilai gula darah secara rutin ke fasilitas pelayanan kesehatan, mengenyahkan asap rokok, dan meminum obat sesuai jadwal. Semua perawatan ini dikombinasikan dan dilakukan secara teratur untuk memperoleh hasil yang maksimal.

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The high prevalence of diabetes is influenced by the lifestyle of modern people in urban areas. Changes in lifestyle are dietary changes which become more sugar, salt, fat, and low in fiber. The prevalence of diabetes increasing by aging. Nurses need to provide interventions in the management aspects of the diet for the elderly with diabetes. This paper aims to describe the low calorie and glucose diet as the nursing intervention on the issue of ineffective health management. Family nursing care has been given for 7 weeks to control blood glucose level. The results showed that the blood glucose level of elderly with diabetes decreased and stabilized from 323 mg / dL (GDS) to 114 mg / dL (GDP) and 157 mg / dL (GDS). Diet DM in elderly is achieved in a part because there are factors that affect the success of diet is compliance elderly and social support from their family. Some treatment recommendations for DM include knowing more about DM, doing physical activity, managing stress, checking blood glucose level to health care facilities, staying far away from smoke, and taking the medicine regularly. All this combined treatment will be done to get maximal results."

"Masalah fisik sering sekali disertai dengan masalah psikososial dan tidak jarang menjadi penyebab ketidakefektifan terapi medis terhadap masalah fisik. Hal ini menunjukkan bahwa kesehatan psikososial sangat penting terhadap kesehatan klien dan jika diabaikan akan menimbulkan keterlambatan penyembuhan dan peningkatan risiko komplikasi. Salah satu masalah psikososial yang sering muncul adalah ansietas yaitu perasaan tidak nyaman dan kekhawatiran, sering sekali penyebabnya tidak diketahui. Karya ilmiah ini bertujuan mendeskripsikan asuhan keperawatan ansietas pada bapak P yang mengalami diabetes mellitus tipe dua dengan komplikasi gagal ginjal kronik. Asuhan keperawatan diberikan selama enam hari perawatan berupa hipnotis lima jari dan distraksi mendengarkan musik. Hasil intervensi menunjukkan masalah ansietas teratasi ditandai penurunan tanda dan gejala ansietas yang dimiliki bapak P. Disimpulkan bahwa hipnotis lima jari dan mendengarkan musik dapat menurunkan cemas pada pasien diabetes mellitus tipe dua dengan komplikasi gagal ginjal kronik.

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Physical problems often accompanied by psychosocial problems and causing ineffectiveness of medical therapy to physical problem. It suggests that psychosocial health is very important to the health of client. If it is ignored, it will cause delay healing and increase the risk of complication. One of the psychosocial problems is anxiety often showed by discomfort and worried feeling. The caused of them often unknown. This scientific paper aims to describe anxiety nursing care to patient with diabetes mellitus type two and chronic renal failure complication. Intervention was given during six days. The interventions were five fingers hypnotic and music therapy. The results showed that problem could be solved by five fingers hypnotic and music therapy marked by decrease of signs and symptoms of anxiety on patient. It was concluded that five fingers hypnotic and music therapy could reduce anxiety to patient with diabetes mellitus type two and chronic renal failure complication"