Perawatan Kaki Spa Kaki Atasi Masalah Ketidakefektifan Perfusi Jaringan Perifer Pada Pasien Diabetes Millitus Tipe II

Abstract

In 2018 there was an increase in people with diabetes mellitus, starting from 6.9% in 2013 to 8.5%. Java Island, especially Central Java, had diabetes mellitus in 2018 amounting to 2.1%. One of the problems experienced is the neuropathic system, including: decreased sensation, pain, and paresthesia, one of the actions that can be taken to overcome these problems is a diabetic foot spa. The purpose of this study was to describe the management of foot care with the ineffective peripheral tissue perfusion nursing problem. This descriptive research uses a case study approach. Methods of data collection by observation, measurement, and documentation. The case study instrument uses the medical surgical nursing care format, nursing kit, measurement sheet. Results: The study found that the subject data said the feet felt tingling, dry, numb, thick. The objective data obtained were: the feet looked dry, there were no wounds, no edema, TTV: BP: 120/80 mmHg-130/90 mmHg, RR: 20-21x / minute, N: 80-98x / minute, S: 36,30C-36,60C, GDS: 173 mg / dL-190 mg / dL, ABI: 1.3-1.4. Nursing problem is ineffective peripheral tissue perfusion. The nursing action plan that will be carried out is a diabetic foot spa for 5 visits. Nursing actions include conducting an assessment of the condition of the feet, observation, doing a diabetic foot spa. The results after doing diabetic foot spa for 5 visit for 2 weeks showed that problem of ineffective peripheral tissue perfusion was resolved. Conclusion: diabetic foot spa action can improve blood circulation in diabetes mellitus patients