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ASUHAN KEPERAWATAN BERBASIS EVIDENCE PADA PASIEN DIABETES MELLITUS TIPE 2 DENGAN DIABETIC FOOT ULCER DERAJAT WAGNER GRADE 2: STUDY KASUS Isrofah, Isrofah; Yulistiani, Mustiah; Listiyaningrum, Nurul Hidayati
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 4 (2026): SINERGI : Jurnal Riset Ilmiah, April 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i4.2486

Abstract

Diabetic foot ulcer (DFU) is a common chronic complication of type 2 diabetes mellitus associated with peripheral neuropathy, poor glycemic control, infection, and increased risk of amputation. This case report aims to describe evidence-based nursing care for a patient with type 2 diabetes mellitus presenting with a Wagner grade 2 diabetic foot ulcer using the SDKI, SIKI, and SLKI frameworks. A 58-year-old male presented with a plantar ulcer on the right foot for three weeks, accompanied by pain, seropurulent exudate, erythema, and elevated blood glucose levels (random blood glucose 286 mg/dL; HbA1c 9.4%). Wound assessment revealed a 3.2 × 2.4 cm ulcer with a depth of 0.8 cm, partial slough, moderate exudate, and no gangrene, consistent with Wagner grade 2 classification. Priority nursing diagnoses included impaired tissue integrity, acute pain, risk of infection, and unstable blood glucose levels. Nursing interventions focused on aseptic wound care, infection monitoring, offloading, pain management, patient education, and glycemic control. After five days of care, clinical improvements were observed, including reduced pain, decreased exudate, improved wound condition, and better glycemic trends. These findings are consistent with current evidence emphasizing comprehensive DFU management, including wound care, pressure reduction, infection control, and optimal glycemic management to enhance healing and prevent complications
Rehat Dulu: Healthy youth mentoring for boarding school girls group at Muhammadiyah 2 senior high school Ardiana Priharwanti; Isrofah; Eko Budi Prasetyo
Abdimas Polsaka Vol. 4 No. 2 (2025): Volume 4 Number 2 September 2025
Publisher : LPPM Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/abdimaspolsaka.v4i2.233

Abstract

Adolescence is a colorful and dynamic period, accompanied by a series of emotional upheavals that adorn the journey of a human being about to grow up. Adolescents, the largest age group in the Indonesian population structure, are the focus of attention and a strategic intervention point for human resource development. The most important step that must be taken is to increase attention to adolescent girls, because they face greater risks and are more vulnerable to the social environment. In addition to being the largest group (23% of the total population), adolescents have never received comprehensive and consistent attention. The group of adolescents who are in Islamic boarding schools or pondok environments, also known as boarding schools, are groups that often receive less attention, especially in terms of health. Reproductive health and mental health in adolescent girls are issues in Islamic boarding schools or pondok environments. Reproductive health is a state of perfect physical, cognitive, and social health, not only in the absence of disease or disorders, but also in terms of sexual and reproductive well-being. This includes the right of every individual to have a safe, satisfying, and fulfilling sexual life, as well as the right to have the ability to reproduce and the freedom to decide their own will in terms of reproduction without discrimination, pressure, or coercion. Adolescent reproductive rights are increasingly becoming an important topic to study in the modern era. This community service program aims to provide health education on reproductive health, mental health, and PHBS through "take a break" assistance. The purpose of implementing this program is for groups of students to be independent and effective in improving their health status through increased knowledge and changes in good practices, as a result of the program in the form of improving the quality of services to the community (groups of students) and scientific publications