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All Journal Buletin Agrohorti Bunda Edu-Midwifery Journal (BEMJ) Jurnal Delima Harapan Jurnal Kreativitas PKM Borneo Nursing Journal (BNJ) Indonesian Journal of Global Health research Jurnal Pengabdian kepada Masyarakat Nusantara PROFICIO: Jurnal Pengabdian Masyarakat Jurnal Media Informatika Journal of Health and Nutrition Research Jurnal Keperawatan 'Aisyiyah Holistik Jurnal Kesehatan
Widaningsih, Ida
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Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Indonesian Journal of Global Health research

 1 
Implementation of Mindfulness in 66-years-old Female with Diabetic Post Surgery: A Case Report to Inform Nursing Role to Deliver Holistic Care Widaningsih, Ida; Kurniawan, Titis; Ibrahim, Kusman; Nursiswati, Nursiswati
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5291

Abstract

Currently, there are no suggested psychological interventions or outcomes in the diabetic management guidelines. This case report presents the management of a 66-year-old female patient, Mrs. R, with diabetes mellitus, hypertension, and gastroesophageal reflux disease (GERD) who underwent exploratory laparotomy for retained stone exploration in the common bile duct (CBD). This Case report aimed to explore the implementation of mindfulness in patients post-operative. The patient experienced significant hyperglycemia, with blood glucose levels peaking at 436 mm Hg. Psychological assessment revealed a severe anxiety score of 31, which likely contributed to her unstable glycemic control. Throughout her unstable glycemic control. Throughout her severe condition, the patient was managed with total parenteral nutrition (TPN) due to fasting and green gastric contents, as part of the nursing intervention. Comprehensive nursing interventions, including regular blood glucose monitoring, insulin administration, and psychological support were employed. Mindfulness techniques such as guided meditation and breathing exercises have been introduced to alleviate hospital-induced distress and manage blood glucose levels. Following these interventions, her blood glucose level decreased to 167 mmHg, and the patient reported feeling calmer and more spiritually connected (Hamilton Rating Scale/ HARS 18). This case describes the management of post-surgical diabetic patients, highlighting the benefits of integrating psychological interventions to improve glycemic control and overall patient outcomes. Therefore, psychological interventions, particularly mindfulness, are needed for integration in diabetes management, especially in hospitals.
Co-Authors , Krisantini Andini, Andini Deni Alamsah Diny Dinarti Erika Utami Ermaya, Asep Fatdo Wardani, Ika Kania Fathur Rohmah, Hajar Nur Hajar Nur Fathur Rohmah Hardiyanti, Masitoh Hayati, Nanur Ida Maryati Ika Kania Fatdo Wardani Imroah, Iim Ismawati Ismawati Julianti, Neneng Karsidah, Karsidah Kurnia, Rosi Kusman Ibrahim Kusumawardani, Annisa Try Larasati, Lytha lia yulia Marlina Marlinda Mayang Nur Mega Ingka Lestari Miladi, Qonita Nur Musmundiroh, Musmundiroh Neneng Julianti Nurasiah Nurasiah Nursiswati Nursiswati Putri Haryanto, Annisa Nur Asy Syam Rina Anggraeni, Rina Saritesa, Nining Sarjono, Kalih Simanjuntak, Herlina Sintia, Lisna Suminar, Ratna Sustiawanti, Ferantika Titis Kurniawan Veronica, Ela