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All Journal IJP (Indonesia Jurnal Perawat). Jurnal Kebidanan dan Keperawatan Aisyiyah
Dewi Hartinah
Universitas Karya Husada Semarang
Humanities Education Health Professions Nursing Public Health

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CASE REPORT CARING PATIENT COVID-19 WITH DIABETUS MELLITUS Iswatun Qasanah; Dewi Hartinah; Eko Winarto; Kurdiningsih Kurdiningsih
Indonesia Jurnal Perawat Vol 7, No 2 (2022): INDONESIA JURNAL PERAWAT
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/ijp.v7i2.1773

Abstract

Abstrak Gejala klinis Covid-19 bervariasi, mulai dari demam, batuk, lemas dan diare Informasi Kementrian Kesehatan RI tahun 2021 pasien terkonfirmasi positif 105,836, pasien sembuh 102,625 dan meninggal 2.887 dengan postif rate 6,22% dan mortality rate 2,73%. Kondisi penyakit penyerta seperti diabetes melitus 26.8%. Diabetes Melitus merupakan suatu penyakit komorbid yang paling rentan terinfeksi Covid-19. Pada kasus Covid-19 dengan komorbid diabetus melitus yang kami laporkan didapatkan data seorang wanita usia 65 tahun yang masuk ke RS suspect covid dengan gejala klinis sesak nafas, batuk, mual, perut sakit dan terkonfirmasi pada hari ke-2 perawatan. Terapi oksigen menggunakan HFNC telah dilakukan dengan fraksi oksigen 100% menunjukan hasil analiss gas darah PH 7,27, PCO2 41,0, PO2 62,0, HCO3 18,8, Standar BE -7,7. Pasien tidak menunjukan perbaikan dengan saturasi oksigen yang terus menurun. Kesimpulan dari laporan kasus ini didapatkan bahwa hypoxemia pada kasus covid dengan komorbid DM sulit untuk ditangani. Kemungkinan penyebabnya adalah kegagalan sistemik terutama pada sistem kardiopulmonal pada penyakit kronis. Saran yang dapat diberikan pada kasus covid dengan cvomorbid DM lebih ditekankan pada penemuan kasus dini dan intervensi yang cepat untuk mencegah perburukan lebih lanjut.Kata Kunci : Covid-19, Diabetes Melitus, Hipoksemia.
Design of BWAT method development in diabetic foot ulcers patients in hospital: Action research Dewi Hartinah; Blacius Dedi; Widiyaningsih Widiyaningsih
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 19, No 1 (2023): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.3031

Abstract

Diabetic foot ulcers (DFU) are one of the complications of diabetes that has a serious impact and requires high treatment costs. However, they can be prevented early through a series of assessments. The most recommended initial assessment method to determine the risk of complications is the BWAT Method. However, nurses’ BWAT method is still considered too long and complicated. In addition, the hospital also has a different handling program from the BWAT method, so it is necessary to develop the BWAT method and adjust this method to the SOP, which is expected to be more easily applied by nurses. This study aims to design the development of the Bates-Jensen Wound Assessment Tools (BWAT) method for DFU patients with the development of Hospital SOPs. The research method is qualitative action research, while data collection uses focus group discussion (FGD) on 10 participants determined through purposive sampling techniques, with minimum nurse criteria and a minimum length of work of 5 years. Data analysis using the Collaizi model expert judgment was given to three speakers to design SOPs for the BWAT method of wound assessment. The study results obtained four themes related to wound assessment in DFU patients and a draft SOP for wound assessment by developing the BWAT method for DFU patients who received treatment at the hospital. The SOP development trial found that with the same flow but with shorter language, the SOP is easier to understand and easier for nurses to implement; however, improvements are still needed from this SOP, namely in the form of additional evaluation items in the SOP that are expected to be used to improve communication between health care providers to facilitate the process of providing sustainable nursing services.
Co-Authors Blacius Dedi Eko Winarto Iswatun Qasanah Kurdiningsih Kurdiningsih Widiyaningsih Widiyaningsih