Main Article Content
Abstract
Diabetes Mellitus is a disease characterized by blood glucose levels that exceed normal (hyperglycemia) due to the body's lack of insulin, both absolute and relative. Diabetes Mellitus has complications that occur in patients, such as diabetic ulcers which will affect the patient's quality of life. The presence of diabetic ulcers is considered to be the main cause of amputation of the lower extremities in Diabetes Mellitus patients. This condition can cause Diabetes Mellitus patients to have anxiety about the disease they are suffering from. Anxiety arising from diabetic ulcers can be treated nonpharmacologically by guided imagery. Guided imagery relaxation is a method that can be used to reduce anxiety by imagining a state or a series of pleasant experiences in a guided manner by involving the senses. The purpose of the case study was to compile a resume of nursing care for diabetic ulcer patients and to identify the application of guided imagery to reduce anxiety levels in diabetic ulcer patients. The method used is descriptive research with a case study design through the nursing care process, namely assessment, nursing diagnosis, intervention, implementation, and evaluation. Data collection techniques by observation, interviews, and documentation. This case study instrument uses a nursing assessment format, Hamilton Rating Scale for Anxiety (HARS) assessment format, a nursing kit, and a blood glucose level checking tool. The results of the application of guided imagery were given to 2 (two) diabetic ulcer patients who were carried out for 15 minutes within 1 week with 3 times the application of guided imagery. It was found that anxiety could be resolved. In conclusion, the application of guided imagery is useful for dealing with anxiety in diabetic ulcer patients.
Keywords
Article Details
References
-
American Diabetes Association. (2017). Standards of Medical Care In Diabetes. American Diabetes Association Journal. Retrieved from: http://professional.diabetes.org/sites/professional.diabetes.org/files/media/dc_ 40_s1_final.pdf.
Aprianto, D. (2015). Efektifitas Teknik Relaksasi Imajinasi Terbimbing dan Nafas Dalam terhadap Penurunan Kecemasan pada Pasien Pre Operasi. Skripsi. Tidak diterbitkan.
Bulechek, G.M., Butcher H.K., Dotcherman J.M. (2016). Nursing Interventions Classification (NIC) 6th Indonesian Edition. Singapore: Elsevier.
Dharma, K.K. (2017). Metodologi Penelitian Keperawatan (Pedoman Melaksanakan dan Menerapkan Hasil Penelitian). (Jusirman & A. Maftuhin, Eds.). Jakarta: CV. Trans Info Media.
Fuadiyah, R. A., Aristiati, K., & Kuntjoro, T. (2016) Efektifitas Guided Imagery and Music (GIM) Terhadap Kadar Hormon Kortisol pada Ibu Post-Partum Blues di Wilayah Kota Semarang. Masters Thesis, Postgraduate Program.
Hasdianah. (2012). Mengenal Diabetes Mellitus pada Orang Dewasa dan Anak – Anak dengan Solusi Herbal. Yogyakarta: Nuha Medika.
Herdman, T. & Kamitsuru, S. (2018). NANDA International Nursing Diagnosa: Definitions and Classifications: 2018-2020. Jakarta: EGC.
Nguyen, T.T.N. (2012). Utilization of Guided Imagery within The Four Phases of Adlerian Therapy. Research Paper. The Faculty of the Adler Graduate School.
Nursalam. (2013). Metodologi Penelitian Ilmu Keperawatan Pendekatan Praktis. Jakarta: Salemba Medika.
Puspitasari, Aryanti, D., Ismonah., & Arif, M. S. (2016). Efektivitas Autogenic Relaxation dan Guided Imagery terhadap Penurunan Tingkat Kecemasan Pasien Diabetes Mellitus dengan Komplikasi Luka di RSUD Ambarawa. 1–10. http://ejournal.stikestelogorejo.ac.id/index.php/ilmukeperawatan/article/view/489.
Rohmah, N. & W, S. (2016). Proses Keperawatan: Teori & Aplikasi. Yogyakarta: Ar-Ruzz Media.
Setiadi. (2012). Konsep dan Penulisan Dokumentasi Asuhan Keperawatan. Yogyakarta: Graha Ilmu.
Shaddri, I., Dharmayana, I.W., & Sulian, I. (2018). Penggunaan Teknik Guided Imagery terhadap Tingkat Kecemasan Siswa mengikuti Aktivitas Konseling Kelompok. Consilia: Jurnal Ilmiah Bimbingan dan Konseling, Vol 1, No 3.
Smeltzer, S.C. & Bare, B.G. (2015). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth. Jakarta: EGC.
Tarwoto. (2013). Keperawatan Medikal Bedah Gangguan Sistem Endokrin. Jakarta: Trans Info Media.
Veranita, Wahyuni, D., & Hikayati. (2016). Hubungan Antara Kadar Glukosa Darah dengan Derajat Ulkus Kaki Diabetik. Jurnal Keperawatan Sriwijaya, Vol 3, No 2.
Purnama, B. (2015). Guided Imagery terhadap Tingkat Kecemasan Menjelang Persalinan pada Ibu Hamil. Jurnal Keperawatan Sriwijaya, Vol. 3, No. 2.
World Health Organization. (2016). Global Report on Diabetes. Retrieved from: https://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf?sequence=1