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Jurnal Keperawatan Indonesia
Articles
VIEWS: 640
10.7454/jki.v21i2.497
Submitted: 2017-03-15
Published: 2018-07-19

EFEKTIFITAS LEMBAR PEMANTAUAN INSULIN TERINTEGRASI UNTUK MENGURANGI KEJADIAN HIPOGLIKEMIA PADA PASIEN DIABETES MELLITUS TIPE 2

Fakultas Ilmu Keperawatan UI
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Dikha Ayu Kurnia

Medical Surgical Department

Faculty of Nursing

Universitas Indonesia

Faculty of Nursing Universitas Indonesia, Depok 16424, Indonesia
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Debie Dahlia

Medical Surgical Nursing

Faculty of Nursing

Universitas Indonesia

Kejadian hipoglikemia lembar pemantauan insulin terintegrasi pasien DM Tipe 2 terapi insulin

Abstract

Hipoglikemia merupakan salah satu efek samping pemberian terapi insulin pada pasien Diabetes Melitus tipe 2. Penelitian ini bertujuan untuk mengembangkan dan menguji keefektifan lembar pemantauan insulin terintegrasi dalam memantau kejadian hipoglikemia pada pasien DM tipe 2 yang mendapatkan terapi insulin analog. Hasil menunjukkan rerata kejadian hipoglikemia lebih tinggi saat makan pagi (t (18)= 2,9732; p= 0,0059) dan sore (t (18)= 3.0956; p= 0,0043) setelah pemberian rapid-acting insulinmelalui pemantauan lembar insulin terintegrasi Namun, hasil penelitian ini juga menunjukkan bahwa tidak ada hubungan signifikan antara pemantauan asupan kalori, dosis insulin, dan perubahan pola tidur dengan kejadian hipoglikemia. Sehingga lembar pemantauan insulin terintegrasi tidak efektif dalam mencegah kejadian hipoglikemia. Penelitian ini merekomendasikan perawat untuk lebih memahami pengkajian hipoglikemia dalam lembar pemantauan insulin terintegrasi.

 

Kata Kunci: Kejadian hipoglikemia, lembar pemantauan insulin terintegrasi, pasien DM Tipe 2, terapi insulin

 

Abstract

 

The Effectiveness of the Integrated Insulin Monitoring Sheets to Decrease Hypoglycemia Incidence on the Diabetes Mellitus Type 2 Patients. Hypoglycemia is one of the side effects of insulin therapy administration for Type 2 Diabetes Mellitus patients. The study aimed to develop the integrated insulin monitoring sheets and examine its effectiveness in identifying and recording the incidence of hypoglycemia who received analog insulin therapies. The results showed that the integrated insulin monitoring sheet recorded the significantly higher incidence of hypoglycemia during the morning (t (18)= 2.9732; p= 0.0059) and evening (t (18)= 3.0956; p= 0.0043) meals after the administration of rapid-acting insulin). The record integrated insulin monitoring sheet, revealed no significant relationships between the incidence of hypoglycemia and the monitoring of calorie needs, insulin therapy administration, blood glucose, and level insomnia incidences. This study recommended activities that enable nurses to better understand the assessment of hypoglycemia.

 

Keywords: Diabetes Mellitus Type 2 Patients, hypoglycemia, insulin therapy, the integrated Insulin Monitoring Sheet

References

  1. Achtmeyer, C.E., Payne, T.H., & Anawalt, B.D. (2002). Computer order entry system decreased use of sliding scale insulin regimens. Methods of Information in Medicine. 41, 277–281.
  2. American Diabetes Association. (2011). Clinical practice recommendations-executive summary: Standards of medical care in diabetes. Diabetes Care, 34 (Suppl. 1), S9–S10.
  3. Baldwin, D., Villanueva, G., McNutt, R., & Bhatnagar, S. (2005). Eliminating inpatient sliding-scale insulin: A reeducation project with medical house staff. Diabetes Care. 28, 1008–1011.
  4. Black, J.M., & Hawks, J.H. (2009). Medical surgical nursing: Clinical management for positive outcome (8th Ed.). USA: Saunders Elsevier.
  5. Braithwaite, S. 2006). The transition from insulin infusions to long-term diabetes therapy: The argument for insulin analogs. Seminars and Thoracic Cardiavascular Surgery, 18, 366–378. Elsevier Inc.
  6. Center for Disease Control (2007). National diabetes fact sheet. Retrieved from: http://www.cdc.gov/diabetes/pubs/pdf/ndfs_2007.pdf.
  7. Fischer, K., Lees, J., & Newman, J. (1986). Hypoglycemia in hospitalized patients. The New England Journal of Medicine., 315 (20), 1245–1250.
  8. Furnary, A.P., Wu, Y., & Bookin, S.O. (2004). Effect of hyperglycemia and con- tinuous intravenous insulin infusions on outcomes of cardiac surgical procedures: The Portland Diabetic Project. Endocrine Practice, 10 (Suppl 2), 21–33.
  9. Lien, L.F., Spratt, S.E., Woods, Z., Osborne. K.K., & Feinglos, M.N. (2005). Optimizing hospital use of intravenous insulin therapy: Improved management of hyperglycemia and error reduction with a new nomogram. Endocrine Practice, 11, 240–253.
  10. PERKENI. (2011a). Konsensus Pengelolaan Diabetes Mellitus di Indonesia. Jakarta: PB. PERKENI.
  11. PERKENI. (2011b). Petunjuk praktis terapi insulin pada pasien diabetes mellitus. Jakarta: PB PERKENI.
  12. Rymaszewski, H.L., & Breakwell, S. (2013). A retrospective review of sliding scale vs. basal/bolus insulin protocols. The Journal for Nurse Practitioner, 9 (4), 214–218. https://doi.org/10.1016/j.nurpra.2013.03.001.
  13. Sastroasmoro, S., & Ismael, S. (2010)..Dasar-dasar metodologi penelitian klinis (Edisi ke-3). Jakarta : Sagung Seto.
  14. Smith, W., Winterstein, A., Johns, T., Rosenberg, E., & Sauer, B. (2005). Causes of hyperglycemia and hypoglycemia in adult inpatients. American Journal of Health System Pharmacy, 62 (7), 714–719.
  15. Trence, D.L., Kelly, J.L., Hirsch, l.B. (2003). The rationale and management of hypergly-cemia for in-patients with cardiovascular disease: Time for change. The Journal of Clinical Endocrinology and Metabolism, 88, 2430–2437.
  16. World Health Organization. (2008). Diabetes. Retrieved from http://www.who.int/media centre/factsheets/fs312/en/index.html.

How to Cite

Kurnia, D. A., & Dahlia, D. (2018). EFEKTIFITAS LEMBAR PEMANTAUAN INSULIN TERINTEGRASI UNTUK MENGURANGI KEJADIAN HIPOGLIKEMIA PADA PASIEN DIABETES MELLITUS TIPE 2. Jurnal Keperawatan Indonesia, 21(2), 69–76. https://doi.org/10.7454/jki.v21i2.497