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"[ABSTRAKDiabetic Kidney Disease DKD pada Diabetes Melitus Tipe 2 DMT2 merupakan komplikasi kronik yang dapat dicegah dan ditunda progresifitasnya dengan pengontrolan glikemik yang baik dan penatalaksanaan yang tepat dari komorbid lainnya Pengontrolan glikemik menjadi tanggung jawab bersama antara multidisiplin profesi kesehatan di ruang rawat dokter perawat dietisien farmasis dengan pasien serta keluarga Model Self care Orem sangat sesuai untuk diaplikasikan dan dikembangkan di ruangan pada asuhan keperawatan pasien dengan penyakit kronik Pasien dapat bersinergi secara aktif sesuai kemampuannya dalam mencapai tujuan dari setiap intervensi keperawatan Disamping itu pendekatan model self care Orem sesuai untuk mempersiapkan pasien dalam meningkatkan kemampuan self care untuk pasca rawat Pelaksanaan praktek berbasis pembuktian pengukuran suhu kaki dengan termometer infrared dapat menjadi perangkat tambahan untuk menilai adanya gejala inflamasi lokal sehingga upaya deteksi dini menjadi lebih komprehensif Pelaksanaan kegiatan inovasi pemantauan dan pemeriksaan kesehatan mandiri pada pasien DM dapat meningkatkan upaya promosi kesehatan pada pasien DM

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ABSTRACTDiabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ;Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ;Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ;Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients , Diabetic Kidney Disease DKD in Type 2 Diabetes Mellitus T2DM is a chronic complication that can be prevented and delayed its progresivity with a good glycemic control and appropriate treatments Glycemic control is a shared responsibility between the multidisciplinary health professions in the ward doctors nurses dietisien pharmacists and patients and families Orem rsquo s Self care model is appropriate to be applied and developed in the acute care of patients with chronic diseases Patients can actively work together within its capabilities in achieving the objectives of each nursing intervention Besides Orem rsquo s self care model approach appropriate to prepare the patient to improve the ability of self care for post hospitalization Implementation of evidence based practice the measurement of foot temperature with an infrared thermometer may be enhancements to assess the presence of local inflammatory symptoms so that early detection efforts become more comprehensive Implementation of innovation activity monitoring and self health assesment can improve health promotion efforts in diabetic patients ]"

"Diabetes melitus merupakan faktor risiko berkembangnya disfungsi seksualitas pada wanita yang dapat mempengaruhi hasrat seksual, lubrikasi, dispareunia, dan menurunnya kemampuan mencapai orgasme. Masalah disfungsi seksualitas pada pasien diabetes melitus masih merupakan hal yang tabu untuk dibahas secara terbuka karena sulitnya pasien untuk mengungkapkan masalah seksualitasnya kepada petugas kesehatan. Tujuan penelitian adalah untuk mengeksplorasi pengalaman disfungsi seksualitas pasien wanita dengan diabetes melitus. Metode penelitian ini menggunakan desain kualitatif dengan pendekatan studi fenomenologi. Partisipan wanita sejumlah 6 orang dengan kriteria inklusi berusia 18-45 tahun, wanita diabetes melitus tipe 2 dengan disfungsi seksual, memiliki pasangan pernikahan yang masih hidup, yang diambil dengan menggunakan teknik purposive sampling. Pengumpulan data dilakukan dengan metode wawancara mendalam dan menggunakan catatan lapangan field note. Setiap partisipan diberikan kuesioner FSFI female sexual function index untuk menentukan status disfungsi seksualnya. Data dianalisa dengan metode konten analisis kualitatif. Tujuh tema yang ditemukan: 1 ketidaknyamanan fisik saat melakukan aktifitas seksual; 2 adanya penurunan hasrat seksual pada isteri usia lebih dari 30 tahun; 3 ketidakpuasan aktifitas seksual yang dilakukan; 4 keterpaksaan dalam mendiskusikan masalah seksual pada petugas kesehatan; 5 kurangnya informasi tentang aktifitas seksual; 6 ketidakberdayaan menjalani pengobatan masalah seksual; dan 7 penurunan peran seksual sebagai istri. Dapat disimpulkan bahwa disfungsi seksual pada wanita diabetes melitus tipe 2 ada dan mengganggu baik secara fisik maupun psikologis. Namun, masih terdapat keengganan bagi wanita untuk dapat mendiskusikan masalahnya secara terbuka. Oleh sebab itu, disarankan bagi perawat untuk memulai komunikasi secara terbuka mengani masalah seksualitas wanita dengan diabetes melitus tipe 2.

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Diabetes mellitus is a risk factor for developing female sexual dysfunction which affected sexual desire, lubrication, dispareunia sexual pain, and orgasm decreased. Sexual dysfunction problem in type 2 diabetic patients is still a taboo subject to be discussed because that was hard to be revealed to their healthcare personnel. The aim of the study was to explore sexual dysfunction experience of type 2 diabetes mellitus woman. A qualitative with a phenomenology design was used. This study was involved six women with type 2 diabetes mellitus who met the inclusion criterion ages 18 45 years, married, gathered using a purposive sampling method. Data were collected using an in depth interview and field notes. Each participant was screened using a FSFI quessionaire to determine sexual dysfunction status. Data were analyzed using qualitative content analysis. Seven themes emerged 1 physical discomfort while having sexual activities 2 presence of sexual desire decreased in spouse with ages more than 30 years old 3 dissatisfaction with sexual activity 4 hesitance feeling while discussing sexual problem with healthcare providers 5 lack of information about sexual activity 6 feeling powerlessness while undergone sexual problem treatment 7 decreased in sexual roles as a wife. In conclude that the sexual dysfunction among women with type 2 diabetes mellitus is existing and disturbing physically and psychology. But there has been hesitated of women to openly disccussed the problem. It is suggested for nurses to initiate open communication about sexual problem among women with type 2 diabetes mellitus."