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                <text>Latar belakang : Diabetes Melitus (DM) merupakan kelompok penyakit metabolik yang ditandai dengan tingginya kadar glukosa di dalam darah (hiperglikemia) yang disebabkan karena gangguan sekresi insulin, penurunan kerja insulin atau akibat dari keduanya, Keadaan hiperglikemia kronis dari diabetes berhubungan dengan kerusakan jangka panjang, gangguan fungsi dan kegagalan berbagai organ, terutama mata, ginjal, saraf, jantung, dan pembuluh darah (American Diabetes Association, 2015). World Health Organization (WHO) tahun 2012 menyatakan prevalensi DM setiap tahunnya mengalami peningkatan, berdasarkan estimasi International Diabetes Federation (IDF) Pasien DM dunia di tahun 2013 berjumlah 382 juta dan diperkirakan meningkat menjadi dua kali lipat yaitu sekitar 592 juta penderita di tahun 2035. Indonesia mengalami peningkatan jumlah penderita dari peringkat ke 7 menjadi peringkat ke 4 diantara Negara-negara dengan jumlah penderita diabetes terbanyak di dunia setelah India, China dan Amerika Serikat. Badan kesehatan dunia (WHO) memperkirakan pada tahun 2030 penyandang diabetes (DM) di Indonesia sebanyak 21,3 juta jiwa. Kondisi ini membuat Indonesia menduduki peringkat empat setelah Amerika Serikat, China, dan India. Penyakit Diabetes Mellitus menyebar di seluruh provinsi di Indonesia salah satunya provinsi DKI Jakarta. Prevalensi penderita yang terdiagnosa Diabetes Mellitus di DKI Jakarta dengan usia ≥ 15 tahun sebesar 2,5% dengan jumlah perkiraan penderita sebanyak 190.232 jiwa (Riskesdas, 2013)..&#13;
Tujuan : tujuan studi kasus ini adalah memperoleh gambaran hasil implementasi Perawatan Kaki Pada Klien Diabetes Melitus Tipe II Yang Mengalami Perfusi Perifer Tidak Efektif. &#13;
Metode : Penelitian ini adalah penelitian naratif studi literatur yang menggambarkan implementasi Perawatan Kaki Pada Klien Diabetes Melitus Tipe II Yang Mengalami Perfusi Perifer Tidak Efektif.&#13;
Hasil : hasil penelitian ini menunjukan bahwa perawatan kaki mampu meningkatkan keefektifan perfusi perifer pada pasien diabetes melitus khususnya tipe 2.&#13;
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                <text>Ulkus diabetikum adalah salah satu komplikasi diabetes yang cukup berbahaya karna dapat  mengakibatkan amputasi jika tidak segera ditangani. Perawatan luka yang tepat bagi pasien ulkus yaitu teknik perawatan modern dressing, medical collagen sponge sangat cocok sebagai dressing primer dalam  tindakan perawatan luka, karna dapat merangsang percepatan pertumbuhan jaringan luka dan mengandung antimikroba. Tujuan Penelitian: Menganalisis hasil implementasi perawatan luka dengan menggunakan medical collagen sponge sebagai dressing primer pada penderita diabetes melitus tipe II penderita gangguan integritas jaringan di Puskesmas Citra Medika Kota Lubuklinggau. Metode Penelitian : Penelitian ini menggunakan metode deskripsi studi kasus, selama 14 hari perawatan dengan 3 hari satu kali kunjungan,. Skor penyembuhan luka diukur menggunakan kuisioner Bates-Jensen Wound Assessment Tool (BJWAT) Hasil Penelitian : Setelah dilakukan perawatan luka hasil penelitian menunjukkan luka pasien I mengalami penurunan dengan skor 27 menjadi 17 dimana tidak terdapat eksudat dan jaringan nekrotik pada luka pasien, sedangkan pada pasien II skor luka 27 menjadi 16 dimana tidak ada jaringan nekrotik pada luka dan luka tampak kemerahan Kesimpulan : Penerapan perawatan luka dengan menggunakan medical collagen sponge penderita diabetes mellitus tipe II dengan masalah keperawatan gangguan integritas jaringan terbukti efektif menyembuhkan luka pada penderita diabetes melitus tipe II.</text>
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