Identification of Nursing Problems in Hospitalized Patients with Diabetes Mellitus
Downloads
Introduction: One of the duties of nurses when managing patients with diabetes mellitus is establishing a nursing diagnosis. This study aimed to identify the nursing problems that arise in hospitalized patients with diabetes mellitus. Methods:A descriptive analytical study involving 100 medical records of inpatients with diabetes mellitus from June, July and August 2019 was conducted. The data collection was done through an observation sheet according to the Indonesian Nursing Diagnosis Standards (SDKI). Results: There were 30 types of nursing problems identified with the total number of nursing problems found being 332. The most frequent nursing problems were D.0142 Risiko Infeksi (Risk of Infection) 30.12%, D.0027 Ketidakstabilan Kadar Glukosa Darah (Instability of Blood Glucose Levels) 14.16%, D.0011 Risiko Penurunan Curah Jantung (Risk of Decreased Cardiac Output) 12.65%, D.0017 Risiko Perfusi Serebral Tidak Efektif (Risk of Cerebral Perfusion Not Effective) 8.73%, D.0037 and Risiko Ketidakseimbangan Elektrolit (Risk of Electrolyte Imbalance) 4.52%. Conclussion: This research found there to be 30 variations of nursing problems among the hospitalized patients with diabetes mellitus with the most frequent nursing problems in the physiological category and nutrition and fluid sub-categories.
American Diabetes Association. (2018). Economic Costs of Diabetes in the U.S. in 2017. Care Diabetes Journals, 1–12. https://doi.org/10.2337/dci18-0007
Carmona, E. V., Lima, M. H., & Araujo, E. P. (2013). Nursing diagnoses of diabetic patient medical charts : A descriptive study Nursing diagnoses patient medical descriptive study of diabetic charts : a. Online Brazilian Journal of Nursing, (January). https://doi.org/10.5935/1676-4285.20133894
Crawford, K. (2013). Guidelines for Care of the Hospitalized Patient with Hyperglycemia and Diabetes Diabetes Hyperglycemia Diabetes medications Insulin Hypoglycemia. Critical Care Nursing Clinics of NA, 25(1), 1–6. https://doi.org/10.1016/j.ccell.2012.11.001
Critchley, J. A., Carey, I. M., Harris, T., Dewilde, S., Hosking, F. J., & Cook, D. G. (2018). Glycemic Control and Risk of Infections Among People With Type 1 or Type 2 Diabetes in a Large Primary Care Cohort Study. 41(October), 2127–2135. https://doi.org/10.2337/dc18-0287
Cui, Y., Liang, X., Gu, H., Hu, Y., Zhao, Z., & Yang, X. (2016). Cerebral perfusion alterations in type 2 diabetes and its relation to insulin resistance and cognitive dysfunction. Brain Imaging and Behavior. https://doi.org/10.1007/s11682-016-9583-9
Decroli, E. (2019). Diabetes Melitus Tipe 2 (1st ed.). Padang: Pusat Penerbitan Bagian Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Andalas.
Dewilde, S., Harris, T., Hosking, F. J., & Cook, D. G. (2018). Risk of Infection in Type 1 and Type 2 Diabetes Compared With the General Population : A Matched Cohort Study. Diabetes Care, 2045(1), 1–9. https://doi.org/10.2337/dc17-2131/-/DC1.
Jansen, J. F. A., Buss, F. C. G. Van, Haar, H. J. Van De, Matthias, J. P., Hofman, P. A. M., Boxtel, M. P. J. Van, ... Backes, W. H. (2016). Cerebral blood flow , blood supply , and cognition in Type 2 Diabetes Mellitus. Scientific Reports, (February), 1–9. https://doi.org/10.1038/s41598-016-0003-6
Kemenkes. (2014). Situasi dan Analisis Diabetes. Jakarta Selatan: Pusat Data dan Informasi Kementerian Kesehatan RI.
Kementerian Kesehatan RI. (2018). Hasil Utama Riskesdas 2018. Badan Penelitian Dan Pengembangan Kesehatan.
Kementerian Kesehatan RI. (2019). INFODATIN HARI DIABETES SEDUNIA TAHUN 2018. Pusat Data Dan Informasi Kementerian Kesehatan RI.
Liamis, G., Liberopoulos, E., Barkas, F., Elisaf, M., Liamis, G., Liberopoulos, E., & Barkas, F. (2014). Diabetes Mellitus and Electrolyte Disorders. World Journal of Clinical Cases, 2(10), 488–497. https://doi.org/10.12998/wjcc.v2.i10.488
Malone, M. (2014). The Effect of Diabetes Mellitus on Costs and Length of Stay in Patients with Peripheral Arterial Disease Undergoing Vascular Surgery. European Journal of Vascular & Endovascular Surgery, 48(4), 447–451. https://doi.org/10.1016/j.ejvs.2014.07.001
Melo, R. P. De, Ven, M., Oliveira, D., Araujo, T. L. De, De, L., Silva, F., ... Moorhead, S. (2011). Risk for decreased cardiac output : validation of a proposal for nursing diagnosis. British Association of Critical Care Nurses, 16(6). https://doi.org/10.1111/j.1478-5153.2011.00453.x
Okur, M. E., Karantas, I. D., Hospital, H. G., & Siafaka, P. (2017). Diabetes Mellitus : A Review on Pathophysiology , Current Status of Oral Diabetes Mellitus : A Review on Pathophysiology , Current Status of Oral Medications and Future Perspectives. Acta Pharmaceutica Sciencia, (April). https://doi.org/10.23893/1307-2080.APS.0555
Perkeni. (2015). Konsensus Pengelolaan dan Pencegahan Diabetes Melitus tipe 2 di Indonesia 2015. In Pengurus Besar Perkumpulan Endokrinologi Indonesia (PB Perkeni) (Vol. 1). https://doi.org/10.1017/CBO9781107415324.004
Piccinini, C. J. (2020). Development of Type 2 Diabetes Mellitus in People With Intermediate Hyperglycemia. (April), 48–49. https://doi.org/10.1097/NUR.0000000000000504
PPNI. (2017). Standar Diagnosis Keperawatan Indonesia : Definisi dan Indikator Diagnostik (Edisi 1). Jakarta Selatan: DPP PPNI.
PPNI. (2018). Standar Intervensi Keperawatan Indonesia : Definisi dan Tindakan Keperawatan (1, Ed.). Jakarta Selatan: DPP PPNI.
Ribeiro, E., Lopes, C. T., Lucia, V., Maria, R., Lucia, A., & Leite, B. (2016). Risk factors for decreased cardiac output after coronary artery bypass grafting : a prospective cohort study. https://doi.org/10.1177/1474515116681373
Sutoto. (2019). Standar Nasional Akreditasi Rumah Sakit (1.1). Jakarta Selatan: Komisi Akreditasi Rumah Sakit (KARS).
Teixeira, A. M., & Cassia, R. De. (2017). Risk factors for unstable blood glucose level : integrative review of the risk factors related to the nursing diagnosis. Rev. Latino-Am. Enfermagem, 25(e2893). https://doi.org/10.1590/1518-8345.1688.2893
WHO. (2016a). Diabetes Fact Sheet. Diabetes Fact Sheet, (April), 17–19.
WHO. (2016b). Global Report on Diabetes. WHO Library Cataloguing-in-Publication Data Global.
Woyesa, S. B., Gebisa, W. C., & Anshebo, D. L. (2019). Assessment of Selected Serum Electrolyte and Associated Risk Factors in Diabetic Patients. Dove Press Journal, 12, 2811–2817.
Authors who publish with Jurnal Ners agree to the following terms:
- Authors transfer the Copyright and grant Jurnal Ners the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ners.
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ners.
Jurnal Ners requires a formal written declaration and transfer of copyright from the author(s) for each article published. We, therefore, ask you to complete and return this form, retaining a copy for your own records. Your cooperation is essential and appreciated. Any delay will result in a delay in publication. The form can be downloaded HERE.
