Jurnal Riset Ilmiah
Vol. 3 No. 4 (2026): SINERGI : Jurnal Riset Ilmiah, April 2026 (In Press)

ASUHAN KEPERAWATAN BERBASIS EVIDENCE PADA PASIEN DIABETES MELLITUS TIPE 2 DENGAN DIABETIC FOOT ULCER DERAJAT WAGNER GRADE 2: STUDY KASUS

Isrofah Isrofah (Universitas Pekalongan)
Mustiah Yulistiani (Universitas Muhammadiyah Purwokerto)
Nurul Hidayati Listiyaningrum (Universitas Pekalongan)



Article Info

Publish Date
23 Apr 2026

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

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Journal Info

Abbrev

SINERGI

Publisher

Subject

Economics, Econometrics & Finance Law, Crime, Criminology & Criminal Justice Public Health Social Sciences Other

Description

SINERGI : Jurnal Riset Ilmiah accomodates original research, or theoretical papers. We invite critical and constructive inquiries into wide range of fields of study with emphasis on interdisciplinary approaches: Humanities and Social sciences, that include: Engineering, Economics, Health, Social, ...