ASUHAN KEPERAWATAN PADA KLIEN DIABETES MELLITUS (GANGREN) DENGAN MASALAH KEPERAWATAN PERFUSI PERIFER TIDAK EFEKTIF DI RUANG RPD RSUD BLAMBANGAN 2022

Diabetes Mellitus (DM) is a disease due to endocrine disorders that lead to the destruction process of pancreatic cells and cause insulin deficiency. This disease is referred to a chronic system associated with abnormal insulin production and the inability to use insulin. DM is a chronic metabolic disease that shows nursing problems such as ineffective peripheral perfusion. Ineffective Peripheral Perfusion is a decrease in blood circulation at the capillary level which can disrupt the body's metabolism. This study aimed to provide nursing care to clients with diabetes mellitus (gangrene) with ineffective peripheral perfusion at Internal Medicine ward in RSUD Blambangan. This research used qualitative approach with case study method. The participants of this case study were two clients who suffered from Diabetes Miletus (Gangrene) with ineffective peripheral perfusion nursing problems at Internal Medicine Ward in RSUD Blambangan in August 2022. The study used medical surgical nursing care format. The data were collected by performing interview, observation and documentation, while the validity of data was tested by using triangulation. The sources of data in this case were the clients’ family, the nurses and the documentation. The priority diagnosis that was found on client 1 and client 2 was ineffective peripheral perfusion. The same diagnosis could occur because both clients had similar diabetes mellitus (gangrene). After 3 days of nursing care, the client's management was improved. It can be seen from the results of the evaluation that showed the problems on both clients were partially resolved. It is recommended for patients to carry out regular health examination and to apply the health education that has been given.

Keywords: Diabetes Mellitus (gangrene), Ineffective Peripheral Perfusion