Implementasi Keperawatan Perawatan Luka Pada Pasien Diabetes Melitus Tipe II Dengan Gangguan Integritas Kulit Di Rumah Sakit Bhayangkara Mohamad Hassan Palembang Tahun 2026

Latar Belakang : Diabetes Melitus Tipe II merupakan penyakit metabolik kronik
yang ditandai dengan hiperglikemia akibat gangguan sekresi insulin dan resistens
insulin. Salah satu komplikasi yang sering terjadi pada pasien diabetes melitus tipe
II adalah gangguan integritas kulit berupa ulkus yang dapat menyebabkan infeksi,
gangren, hingga amputasi. Perawatan luka merupakan tindakan penting dalam
asuhan keperawatan untuk mempercepat proses penyembuhan luka dan mencegah
komplikasi lebih lanjut.Tujuan Penelitian : Mendeskripsikan implementasi
keperawatan perawatan luka pada pasien diabetes melitus tipe II dengan gangguan
integritas kulit di Rumah Sakit Bhayangkara Mohamad hasan Palembang Tahun
2026.Metode Penelitian : Penelitian ini menggunakan metode deskriptif dengan
pendekatan studi kasus pada satu pasien diabetes melitus tipe II dengan masalah
keperawatan gangguan integritas kulit. Pengumpulan data dilakukan melalui
wawancara, observasi, pemeriksaan fisik, serta studi dokumentasi rekam medis.
Implementasi keperawatan dilakukan melalui tahap pengkajian, diagnosa
keperawatan, perencanaan, implementasi, dan evaluasi keperawatan. Tindakan
keperawatan yang dilakukan meliputi observasi karakteristik luka, perawatan luka
menggunakan teknik steril dengan NaCl 0,9%, penggantian balutan sesuai kondisi
luka, pemantauan tanda infeksi, edukasi perawatan luka dan pengendalian kadar glukosa darah, serta kolaborasi pemberian terapi medis.Hasil Penelitian : Hasil
studi kasus menunjukkan adanya perbaikan kondisi luka setelah dilakukan
implementasi perawatan luka selama perawatan. Luka tampak lebih bersih, jaringan
granulasi mulai terbentuk, eksudat berkurang, tanda infeksi menurun, dan pasien
serta keluarga mampu memahami cara perawatan luka secara mandiri.Kesimpulan
: Implementasi keperawatan perawatan luka pada pasien diabetes melitus tipe II
dengan gangguan integritas kulit efektif membantu mempercepat proses
penyembuhan luka, mengurangi risiko komplikasi, dan meningkatkan pengetahuan
pasien serta keluarga dalam melakukan perawatan luka secara mandiri.
Background: Type II Diabetes Mellitus is a chronic metabolic disease
characterized by hyperglycemia due to impaired insulin secretion and insulin
resistance. One of the common complications experienced by patients with Type II
Diabetes Mellitus is impaired skin integrity in the form of ulcers, which can lead to
infection, gangrene, and even amputation. Wound care is an important nursing
intervention to accelerate the wound healing process and prevent further
complications.Research Objective: To describe the implementation of nursing
wound care in patients with Type II Diabetes Mellitus with impaired skin integrity
at Bhayangkara Mohamad Hasan Hospital in 2026.Research Method: This study
used a descriptive method with a case study approach involving one patient with
Type II Diabetes Mellitus who experienced impaired skin integrity. Data were
collected through interviews, observations, physical examinations, and medical
record documentation studies. The nursing implementation was carried out through
the stages of assessment, nursing diagnosis, planning, implementation, and nursing
evaluation. Nursing interventions included observing wound characteristics,
performing wound care using sterile techniques with 0.9% NaCl solution, changing
dressings according to wound condition, monitoring signs of infection, providing education on wound care and blood glucose control, and collaborating in medical
therapy administration.Research Results: The results of the case study showed an
improvement in the wound condition after the implementation of wound care during
the treatment period. The wound appeared cleaner, granulation tissue began to
form, exudate decreased, signs of infection were reduced, and the patient and family
were able to understand how to perform wound care independently.Conclusion:
The implementation of nursing wound care in patients with Type II Diabetes
Mellitus with impaired skin integrity was effective in accelerating the wound
healing process, reducing the risk of complications, and improving the knowledge
of patients and families in independently performing wound care.