PELIBATAN CARE GIVER KELUARGA PADA MANAJEMEN HIPERGLIKEMIA KLIEN DIABETES MELITUS

Latar belakang: Hiperglikemia merupakan kondisi peningkatan kadar glukosa
dalam darah yang sering dialami pasien diabetes melitus tipe 2. Ketidakseimbangan
kadar glukosa darah yang tidak dikendalikan dapat menimbulkan komplikasi serius.
Pelibatan caregiver keluarga dalam manajemen hiperglikemia menjadi pendekatan
penting dalam meningkatkan kualitas perawatan di rumah.Metode: Penelitian ini
menggunakan desain studi kasus dengan pendekatan deskriptif terhadap dua klien
DM tipe 2 yang mengalami ketidakstabilan kadar glukosa darah dan memiliki
caregiver utama dari anggota keluarga. Intervensi dilakukan melalui enam kali
kunjungan rumah dengan pendekatan edukasi lima pilar manajemen hiperglikemia.
Pengumpulan data dilakukan melalui wawancara, observasi, dan pemeriksaan
glukosa darah menggunakan glukometer. Data dianalisis secara naratif.Hasil:
Pelibatan caregiver keluarga menunjukkan dampak positif terhadap peningkatan
kepatuhan klien dalam menjalani diet, minum obat, aktivitas fisik, dan pemantauan
kadar gula darah. Kadar glukosa klien menurun dari >300 mg/dL menjadi
mendekati normal. Caregiver juga mengalami peningkatan pemahaman serta
keterlibatan aktif dalam perawatan.Kesimpulan: Edukasi dan pelibatan caregiver
keluarga terbukti membantu menstabilkan kadar glukosa darah dan meningkatkan
kualitas hidup klien diabetes melitus.

Background: Hyperglycemia is a condition of increased blood glucose levels
commonly found in type 2 diabetes mellitus patients. Poorly controlled blood
glucose imbalance may lead to serious complications. The involvement of family
caregivers in hyperglycemia management serves as an essential approach to
improving the quality of home-based care. Methods: This study employed a
descriptive case study design. was conducted on two type 2 DM clients with
unstable blood glucose levels who had a primary caregiver from family members.
The intervention consisted of six home visits involving education based on the five
pillars of hyperglycemia management. Data were collected through interviews,
observations, and blood glucose monitoring using a glucometer. Analysis was
conducted narratively. Results: The involvement of family caregivers had a
positive effect on clients’ adherence to diet, medication, physical activity, and blood
glucose monitoring. Clients’ glucose levels decreased significantly from >300
mg/dL to near normal levels. Caregivers also showed improved understanding and
active participation in care. Conclusion: Education and the active involvement of family
caregivers help stabilize blood glucose levels and improve the quality of life for clients with
diabetes mellitus.