Nursing Care In Patients With Diabetes Mellitus With Priority Problems Of Basic Physical Mobility Needs In RSUD. Dr. Pirngadi Medan
Nursing Care in Patients with Diabetes Mellitus with Priority Problems of Basic Physical Mobility Needs in RSUD Dr. Pirngadi Medan
Introduction
Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia, namely high levels of glucose in the blood. This condition can occur due to abnormalities in insulin secretion, insulin work, or both. According to the American Diabetes Association (ADA) in 2003, chronic hyperglycemia has the potential to cause long-term damage to various organs of the body, especially the eyes, kidneys, nerves, heart disease, and blood vessels. On the other hand, the World Health Organization (WHO) in 1980 states that diabetes mellitus is difficult to explain in a short definition, but can be understood as a collection of anatomical and chemical problems due to insulin deficiency and insulin function disorders.
In Indonesia, type I diabetes mellitus is relatively rarely found, in contrast to type II diabetes mellitus which covers more than 90% of diabetes people. Type I diabetes in Western countries reaches 10%, while in tropical countries, such as Indonesia, this figure is much lower. Type I generally appears in childhood or adolescents, while type II is more common after the age of 40 years. Unfortunately, many diabetics do not realize that they suffer from this disease, may be caused by the lack of information about the symptoms of diabetes.
The Importance of Physical Mobility in Diabetes Patients
In the context of treatment of diabetes mellitus patients at RSUD Dr. Pirngadi Medan, one of the main priorities is the fulfillment of the basic needs of physical mobility. Physical mobility becomes crucial for diabetes patients because it is directly related to the management of blood sugar levels and preventing complications that may arise. Patients who experience mobility disorders are at higher risk of various health problems, such as foot wounds and infections, which often occur in diabetics.
The success of nursing care for patients with diabetes mellitus not only depends on blood sugar control, but also includes efforts to improve and maintain the physical mobility of the patient. The nurse team in the hospital must be able to provide comprehensive care, including physical rehabilitation programs that can help patients to increase muscle strength and endurance.
Analysis of Basic Needs of Physical Mobility in Patients with Diabetes Mellitus
The basic needs of physical mobility in patients with diabetes mellitus include:
- Maintaining muscle strength and endurance: Regular physical activity can help patients to maintain muscle strength and endurance, which is essential for mobility.
- Improving balance and coordination: Patients with diabetes mellitus are at higher risk of falls and injuries, therefore, improving balance and coordination is crucial.
- Enhancing flexibility: Regular physical activity can help patients to improve flexibility, which is essential for mobility.
- Preventing complications: Regular physical activity can help patients to prevent complications such as foot wounds and infections.
Nursing Intervention
Nursing interventions in helping patients with diabetes mellitus with the needs of physical mobility include:
- Patient and family education: Provide information about the importance of physical activity and ways to maintain mobility.
- Preparation of exercise plans: Helping patients make training plans in accordance with their physical abilities.
- Monitoring Blood Sugar Levels: Perform routine monitoring of blood sugar levels before and after physical activity to prevent hypoglycemia.
- Providing physical therapy: Providing physical therapy to help patients to improve muscle strength and endurance, balance and coordination, and flexibility.
Conclusion
Nursing care in patients with diabetes mellitus with a focus on physical mobility at RSUD Dr. Pirngadi Medan is very important to improve the quality of life of patients. With a deep understanding of the condition of diabetes and the needs of physical mobility, health workers can provide better and comprehensive interventions. In addition, good education about diabetes and prevention of complications can empower patients to take proactive steps in managing their health.
Recommendations
Based on the analysis of the basic needs of physical mobility in patients with diabetes mellitus, the following recommendations are made:
- Regular physical activity: Patients with diabetes mellitus should engage in regular physical activity to maintain muscle strength and endurance, improve balance and coordination, and enhance flexibility.
- Monitoring blood sugar levels: Patients with diabetes mellitus should monitor their blood sugar levels regularly to prevent hypoglycemia.
- Providing physical therapy: Patients with diabetes mellitus should receive physical therapy to help them to improve muscle strength and endurance, balance and coordination, and flexibility.
- Education and prevention: Patients with diabetes mellitus should receive education about diabetes and prevention of complications to empower them to take proactive steps in managing their health.
Limitations of the Study
This study has several limitations, including:
- Small sample size: The sample size of this study is small, which may limit the generalizability of the findings.
- Limited scope: This study only focuses on the basic needs of physical mobility in patients with diabetes mellitus, and does not explore other aspects of nursing care.
- Lack of control group: This study does not have a control group, which may limit the ability to determine the effectiveness of the nursing interventions.
Future Research Directions
Future research should focus on:
- Exploring the effectiveness of nursing interventions: Future research should explore the effectiveness of nursing interventions in improving the basic needs of physical mobility in patients with diabetes mellitus.
- Developing a comprehensive nursing care plan: Future research should develop a comprehensive nursing care plan that includes physical therapy, education, and prevention of complications.
- Evaluating the impact of nursing care on patient outcomes: Future research should evaluate the impact of nursing care on patient outcomes, including quality of life, blood sugar control, and prevention of complications.
Frequently Asked Questions (FAQs) about Nursing Care in Patients with Diabetes Mellitus with Priority Problems of Basic Physical Mobility Needs in RSUD Dr. Pirngadi Medan
Q: What is diabetes mellitus?
A: Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia, namely high levels of glucose in the blood. This condition can occur due to abnormalities in insulin secretion, insulin work, or both.
Q: What are the types of diabetes mellitus?
A: There are two main types of diabetes mellitus: Type I and Type II. Type I diabetes is relatively rare and typically appears in childhood or adolescence, while Type II diabetes is more common and typically appears after the age of 40 years.
Q: Why is physical mobility important for patients with diabetes mellitus?
A: Physical mobility is crucial for patients with diabetes mellitus because it is directly related to the management of blood sugar levels and preventing complications that may arise. Patients who experience mobility disorders are at higher risk of various health problems, such as foot wounds and infections.
Q: What are the basic needs of physical mobility in patients with diabetes mellitus?
A: The basic needs of physical mobility in patients with diabetes mellitus include maintaining muscle strength and endurance, improving balance and coordination, enhancing flexibility, and preventing complications.
Q: What are the nursing interventions for patients with diabetes mellitus with priority problems of basic physical mobility needs?
A: The nursing interventions for patients with diabetes mellitus with priority problems of basic physical mobility needs include patient and family education, preparation of exercise plans, monitoring blood sugar levels, and providing physical therapy.
Q: Why is patient and family education important for patients with diabetes mellitus?
A: Patient and family education is important for patients with diabetes mellitus because it provides them with the knowledge and skills they need to manage their condition and prevent complications.
Q: What are the benefits of regular physical activity for patients with diabetes mellitus?
A: Regular physical activity can help patients with diabetes mellitus to maintain muscle strength and endurance, improve balance and coordination, enhance flexibility, and prevent complications.
Q: How can patients with diabetes mellitus prevent complications?
A: Patients with diabetes mellitus can prevent complications by engaging in regular physical activity, monitoring their blood sugar levels, and receiving regular check-ups with their healthcare provider.
Q: What are the limitations of this study?
A: The limitations of this study include a small sample size, limited scope, and lack of control group.
Q: What are the future research directions for this study?
A: Future research should focus on exploring the effectiveness of nursing interventions, developing a comprehensive nursing care plan, and evaluating the impact of nursing care on patient outcomes.
Q: How can healthcare providers improve the quality of care for patients with diabetes mellitus?
A: Healthcare providers can improve the quality of care for patients with diabetes mellitus by providing comprehensive care, including physical therapy, education, and prevention of complications.
Q: What are the implications of this study for nursing practice?
A: The implications of this study for nursing practice are that nurses should prioritize the basic needs of physical mobility in patients with diabetes mellitus and provide comprehensive care, including physical therapy, education, and prevention of complications.
Q: How can patients with diabetes mellitus advocate for themselves in the healthcare system?
A: Patients with diabetes mellitus can advocate for themselves in the healthcare system by asking questions, seeking a second opinion, and seeking support from family and friends.
Q: What are the resources available for patients with diabetes mellitus?
A: There are many resources available for patients with diabetes mellitus, including the American Diabetes Association, the National Diabetes Information Clearinghouse, and the Centers for Disease Control and Prevention.