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Palliative Approach To Improving The Quality Of Life Of Terminal Patients Isrofah, Isrofah; Rahmat, Rezqiqah Aulia
International Journal of Health Sciences Vol. 4 No. 2 (2026): IJHS : International Journal of Health Sciences
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

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Abstract

ABSTRACT The palliative approach is a comprehensive effort aimed at improving the quality of life of terminally ill patients through symptom management, psychological, social, and spiritual support. This study aims to analyze the effectiveness of the palliative approach in improving the quality of life of terminally ill patients. The research method used a quantitative approach with a cross-sectional design on 100 terminally ill patients in the palliative care unit. Data were collected using a quality of life questionnaire and analyzed using descriptive and inferential statistical tests. The results showed that patients who received a comprehensive palliative approach had higher quality of life scores than those who did not receive optimal intervention (p<0.05). It was concluded that the palliative approach plays a significant role in improving the quality of life of terminally ill patients. Keywords: Palliative, Quality of Life, Terminal Patients, Nursing
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