ASUHAN KEPERAWATAN KERUSAKAN INTEGRITAS KULIT PADA PASIEN DIABETES MELLITUS DENGAN LUKA GANGREN DI RSUD DR. SOETOMO SURABAYA

Abstract

Diabetes mellitus (DM) is a progressive chronic disease where the body is unable to metabolize fats, proteins and carbohydrates that lead to hyperglycemia (high blood glucose levels) and chronic complications of Diabetes Mellitus which often occurs due to abnormalities in nerves, blood vessels and the presence of infections that cause injury. Damage to the integrity of the skin tissue is a condition where an individual experiences or at risk of damage to the epidermis and dermis tissue or tissue of the mucous membranes, cornea, fascia, muscles, tendons, bones, cartilages, joint capsules and ligaments. The objective of the study is to carry out nursing care damage to skin integrity for patients with Diabetes Mellitus with gangrene in Dr. Soetomo Hospital Surabaya. The method used in this study is descriptive methods using case study approach. Nursing care was carried out for 3x24 hours from December 27 to 29, 2019. The results obtained within 3 days of implementation of the problem were resolved. It shown the healing process of wounds, no smell, no pus, reduced tissue necrosis and the granulation tissue appeared. The client has shown changes in wound area, 4 cm wound wide, 1 cm deep, granulation tissue is growing well, and adheres to the diet provided by the medical team. It is expected that hospitals can provide optimal health services, especially for patients with Diabetes Mellitus.