ASUHAN KEPERAWATAN PADA PASIEN DIABETES MELLITUS

DENGAN PENERAPAN INTERVENSI EMAS

DI RUANG PENYAKIT DALAM RSUD
RADEN MATTAHER JAMBI
TAHUN 2023

PROPOSAL

LAPORAN TUGAS AKHIR

Bety Susanti, S.Tr.Kep

NIM.PO71202220027

KEMENTRIAN KESEHATAN RI
POLITEKNIK KESEHATAN JAMBI JURUSAN KEPERAWATAN
PROGRAM STUDI NERS KEPERAWATAN
TAHUN 2023
ASUHAN KEPERAWATAN PADA PASIEN DIABETES MELLITUS
DENGAN PENERAPAN INTERVENSI EMAS
DI RUANG PENYAKIT DALAM RSUD
RADEN MATTAHER JAMBI
TAHUN 2023

LAPORAN TUGAS AKHIR

STUDI KASUS

Diajukan Sebagai Salah Persyaratan

Dalam Menyelesaikan Pendidikan
Profesi Ners Keperawatan

Bety Susanti
NIM.PO71202220027

KEMENTRIAN KESEHATAN RI
POLITEKNIK KESEHATAN JAMBI JURUSAN KEPERAWATAN
PROGRAM STUDI NERS KEPERAWATAN
TAHUN 2023

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HALAMAN PERNYATAAN ORISINALITAS

iii
HALAMAN PERSETUJUAN

iv
HALAMAN PENGESAHAN

v
RIWAYAT HIDUP PENULIS

vi
KATA PENGANTAR

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viii
 DAFTAR ISI

Halaman
HALAMAN JUDUL........................................................................................................ i
HALAMAN SAMPUL................................................................................................... ii
HALAMAN PERNYATAAN ORISINALITAS......................................................... iii
HALAMAN PERSETUJUAN...................................................................................... iv
HALAMAN PENGESAHAN........................................................................................ v
RIWAYAT HIDUP PENULIS..................................................................................... vi
KATA PENGANTAR.................................................................................................. vii
DAFTAR ISI................................................................................................................. xii
DAFTAR TABEL........................................................................................................ xiii
DAFTAR LAMPIRAN................................................................................................... x
BAB I PENDAHULUAN............................................................................................... 1
1.1. Latar Belakang................................................................................................1
1.2. Rumusan Masalah...........................................................................................5
1.3. Tujuan............................................................................................................ 5
1.3.1. Tujuan Umum..................................................................................... 6
1.3.2. Tujuan Khusus.................................................................................... 6
1.4. Manfaat.........................................................................................................6
1.4.1. Bagi Pasien...........................................................................................6
1.4.2. Bagi Ilmu Keperawatan........................................................................6
1.4.3. Bagi RSUD Raden Mattaher Jambi.................................................... 7
BAB II TINJAUAN PUSTAKA.................................................................................... 8
2.1. Konsep Penyakit Diabetes Melitus.............................................................. 8
2.1.1. Definisi.................................................................................................8
2.1.2. Etiologi.................................................................................................8
2.1.3. Manifestasi Klinis................................................................................9
2.1.4. Patofisologi........................................................................................11
2.1.5. Faktor Resiko.....................................................................................12
2.1.6. Klasifikasi..........................................................................................13
2.1.7. Pemeriksaan Diagnostik.................................................................... 13
2.1.8. Penatalaksanaan................................................................................ 14

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 2.1.9. Kompilikasi....................................................................................... 17
2.1.10. Pencegahan...................................................................................... 19
2.2. Konsep Intervensi EMAS...........................................................................19
2.2.1. Edukasi............................................................................................. 19
2.2.2. Manajemen Nutrisi.......................................................................... 20
2.2.3. Aktivitas Fisik................................................................................... 22
2.2.4. Pengelolaan Stres..............................................................................24
2.2.5. Modul Edukasi Diabetes Mellitus.................................................... 24
2.3 Konsep Asuhan Keperawatan......................................................................27
2.3.1. Pengkajian.........................................................................................27
2.3.2. Diagnosa Keperawatan......................................................................29
2.3.3. Intervensi Keperawatan.....................................................................30
2.3.4. Implementasi.....................................................................................36
2.3.5. Evaluasi.............................................................................................36
BAB III METODELOGI............................................................................................. 37
3.1 Desain/Rancangan........................................................................................ 37
3.1.1. Struktur Studi Kasus......................................................................... 35
3.2 Subjek.......................................................................................................... 38
3.2.1. Kriteria Inklusi.................................................................................. 38
3.2.2. Kriteria Eksklusi................................................................................ 38
3.3. Tempat dan Waktu...................................................................................... 38
3.4. Prosedur Tindakan...................................................................................... 38
3.4.1. Tahap Persiapan ................................................................................38
3.4.2. Tahap Pelaksanaan ............................................................................38
3.5. Instrumen Pengumpulan Data.................................................................... 40
3.6. Prosedur Pengumpulan Data.................................................................... 40
3.6.1. Wawancara....................................................................................... 40
3.6.2. Observasi.......................................................................................... 40
3.6.3. Pemeriksaan Fisik............................................................................. 40
3.6.4 Studi Dokumentasi dan Kepustakaan................................................ 40
3.7. Pengolahan dan Penyajian Data................................................................. 40
3.7.1. Data Reduction (Reduksi Data)........................................................ 40
3.7.2. Data Display..................................................................................... 40
3.7.3. Conclusion Drawing/Verification..................................................... 40

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 3.8. Etika Studi Kasus........................................................................................ 39
3.8.1. Klirens Etik (Ethical Clearance)....................................................... 42
3.8.2. Persetujuan (Informed Consent)....................................................... 42
3.8.3. Tanpa Nama (Anonimity)................................................................. 43
BAB IV STUDI KASUS ...............................................................................................44
4.1. Pengkajian ...............................................................................................44
4.2. Diagnosa Keperawatan ............................................................................46
4.3. Intervensi .................................................................................................46
4.4. Implementasi ...........................................................................................47
4.5. Evaluasi ...................................................................................................49
4.6. Hasil Evidance Based Practice (EBNP) ..................................................50
BAB V PEMBAHASAN ...............................................................................................52
5.1. Analisis Dan Diskusi Hasil ......................................................................52
5.1.1. Analisis ..........................................................................................52
5.1.2. Diskusi Hasil ..................................................................................54
5.2. Keterbatasan Pelaksanaan ........................................................................56
BAB IV PENUTUP .......................................................................................................57
6.2. Saran ........................................................................................................58
6.2.1. Bagi Pasien ....................................................................................58
6.2.2. Bagi Ilmu Keperawatan .................................................................58
6.2.3. Bagi RSUD Raden Mattaher Jambi ...............................................58
DAFTAR PUSTAKA

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 DAFTAR TABEL

Halama
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Tabel 2.1 Skrining Awal Nutrisi Oleh Perawat.............................................................. 22
Tabel 2.2 Modul Edukasi Diabetes Mellitus .................................................................. 25
Tabel 4.1 Evaluasi Pengukuran Kadar Glukosa Darah Pasien Diabetes Mellitus ......... 50

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 DAFTAR LAMPIRAN

Lampiran 1 Informasi Penelitian

Lampiran 2 Informed Consent
Lampiran 3 Format Studi Kasus Pasien 1
Lampiran 4 Format Studi Kasus Pasien 2
Lampiran 5 Lembar Bimbingan Laporan Tugas Akhir

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