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"[ABSTRAK Diabetes melitus merupakan sekelompok gangguan metabolisme tubuh, ditandaidengan hiperglikemik kronis yang dapat mengakibatkan komplikasi akut dankronis. Salah satu peran perawat sebagai pemberi asuhan adalah memberikanasuhan keperawatan yang berkualitas melalui pendekatan Teori Self Care Orem.Penggunaan pendekatan teori ini diharapkan dapat membantu perawat dalammenanggulangi keterbatasan yang dimiliki pasien dan melibatkan pasien secaraaktif dalam proses perawatannya melalui peilaku perawatan mandiri. Tujuanpenulisan karya ilmiah akhir ini adalah menganalisis hasil proses belajar residensikeperawatan medikal bedah melalui penerapan asuhan keperawatan, penerapanevidence based nursing practice, dan inovasi keperawatan. Data yang diperolehselama praktik klinik menunjukkan sebagian besar pasien diabetes melitusmengalami komplikasi ulkus kaki diabetik yang disebabkan oleh perilakuperawatan kaki mandiri belum optimal. Hasil penerapan evidence based nursingpractice berupa kegiatan edukasi perawatan kaki mandiri dapat meningkatkanpengetahuan dan membentuk perilaku perawatan kaki sebagai tindakanpencegahan dini. Hasil kegiatan inovasi keperawatan melalui pengkajiankesehatan mandiri adalah pasien dapat melakukan pengkajian mandiri terhadapkebutuhan edukasi dan mendapatkan edukasi sesuai kebutuhan mereka.Kesimpulan dari karya ilmiah akhir ini adalah perlunya peningkatan kualitasasuhan keperawatan pada pasien diabetes melitus melalui pendekatan teori keperawatan untuk meningkatkan kemandirian pasien dalam pengelolaan penyakitnya.ABSTRACT Diabetes mellitus is a metabolic disorder that characterized by chronic

hyperglycemia which could lead to acute and chronic complications. One of nurse

roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory

of Self Care as guide of nursing practice. With this theoretical approach, nursing

is expected to be able to overcome the limitations and inability of the patients and

actively involve patients in the treatment process through self-care behaviors. The

aims of this paper is to analyze the implementation of nursing care, application of

evidence based nursing practice, and innovation program which integrated to

clinical practice. Based on patient collective data, that was found that the majority

of diabetes mellitus patients had been hospitalized with diabetic foot ulcers

complications that caused by non-optimal foot self-care behavior. The results of

evidence based nursing practice showed that the diabetic foot care education

program can improve the knowledge and build the foot self-care behavior as early

prevention action. The results of innovation program through self-health

assessment program are patients could assess their needs of educations and get

health education according to assessment results. In conclusion, it?s needed to

improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ;Diabetes mellitus is a metabolic disorder that characterized by chronic

hyperglycemia which could lead to acute and chronic complications. One of nurse

roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory

of Self Care as guide of nursing practice. With this theoretical approach, nursing

is expected to be able to overcome the limitations and inability of the patients and

actively involve patients in the treatment process through self-care behaviors. The

aims of this paper is to analyze the implementation of nursing care, application of

evidence based nursing practice, and innovation program which integrated to

clinical practice. Based on patient collective data, that was found that the majority

of diabetes mellitus patients had been hospitalized with diabetic foot ulcers

complications that caused by non-optimal foot self-care behavior. The results of

evidence based nursing practice showed that the diabetic foot care education

program can improve the knowledge and build the foot self-care behavior as early

prevention action. The results of innovation program through self-health

assessment program are patients could assess their needs of educations and get

health education according to assessment results. In conclusion, it?s needed to

improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ;Diabetes mellitus is a metabolic disorder that characterized by chronic

hyperglycemia which could lead to acute and chronic complications. One of nurse

roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory

of Self Care as guide of nursing practice. With this theoretical approach, nursing

is expected to be able to overcome the limitations and inability of the patients and

actively involve patients in the treatment process through self-care behaviors. The

aims of this paper is to analyze the implementation of nursing care, application of

evidence based nursing practice, and innovation program which integrated to

clinical practice. Based on patient collective data, that was found that the majority

of diabetes mellitus patients had been hospitalized with diabetic foot ulcers

complications that caused by non-optimal foot self-care behavior. The results of

evidence based nursing practice showed that the diabetic foot care education

program can improve the knowledge and build the foot self-care behavior as early

prevention action. The results of innovation program through self-health

assessment program are patients could assess their needs of educations and get

health education according to assessment results. In conclusion, it?s needed to

improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. , Diabetes mellitus is a metabolic disorder that characterized by chronic

hyperglycemia which could lead to acute and chronic complications. One of nurse

roles in managing diabetes mellitus is deliver nursing care using Orem’s Theory

of Self Care as guide of nursing practice. With this theoretical approach, nursing

is expected to be able to overcome the limitations and inability of the patients and

actively involve patients in the treatment process through self-care behaviors. The

aims of this paper is to analyze the implementation of nursing care, application of

evidence based nursing practice, and innovation program which integrated to

clinical practice. Based on patient collective data, that was found that the majority

of diabetes mellitus patients had been hospitalized with diabetic foot ulcers

complications that caused by non-optimal foot self-care behavior. The results of

evidence based nursing practice showed that the diabetic foot care education

program can improve the knowledge and build the foot self-care behavior as early

prevention action. The results of innovation program through self-health

assessment program are patients could assess their needs of educations and get

health education according to assessment results. In conclusion, it’s needed to

improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ]"