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      "referencetext": "Alfaqih, M., Anugerah, A. & Khayudin, B. (2022) Manajemen Penatalaksanaan Diabetes Mellitus. Guepedia.\r\nAlimurdianis et al. (2024) “Gambaran Penderita Ulkus Diabetikum yang Menjalani Tindakan Operasi,” Scientific Journal, 3(4). Available at:\r\nhttps:\/\/journal.scientic.id\/index.php\/sciena\/article\/view\/151\/129\r\nAnggraini, S. & Fadila, Z. (2022) “Kualitas Hidup Pasien Gagal Ginjal Kronik Dengan Dialisis Di Asia Tenggara : a Systematic Review,” Hearty, 11(1). Available at \r\n:https:\/\/ejournal.uika-bogor.ac.id\/index.php\/Hearty\/article\/view\/7947\/3987\r\nAryani, R., Hasniati & Vidigal, J. (2025) Mengenal Diabetes Mellitus Lebih Dekat. PT Nuansa Fajar Cemerlang.\r\nAtmi, H., Rahmah, N. & Anita, C. (2025) “Gangguan Integritas Jaringan Pada Ulkus Diabetikum,” LPPM Universitas ‘Aisyiyah Yogyakarta, 3. Available at:https:\/\/proceeding.unisayogya.ac.id\/index.php\/prosemnaslppm\/article\/view\/1254\/602.\r\nBudiono, S.B.P. (2022) Konsep Dasar Keperawatan. Bumi Medika. \r\nDenggos, Y. (2023) “Penyakit Diabetes Mellitus Umur 40-60 Tahun di Desa Bara Batu Kecamatan Pangkep,” pp. 55–61. Available at:\r\nhttps:\/\/www.researchgate.net\/publication\/370056283_Penyakit_Diabetes_Mellitus_Umur_40-60_Tahun_di_Desa_Bara_Batu_Kecamatan_Pangkep.\r\nEnikmawati A, Handayani S, Sarifah S, et al. (2025) “Manajemen penatalaksanaan luka ulkus diabetik melalui edukasi pencegahan infeksi pada pasien diabetes mellitus,” Jurnal Ilmiah Keperawatan, 11. Available at:\r\nhttps:\/\/journal.stikespemkabjombang.ac.id\/index.php\/jikep\/article\/view\/2057\/1292\r\nHartono, S.E. (2024) “Hubungan Tingkat Pendidikan, Lama Menderita Sakit Dengan Tingkat Pengetahuan 5 Pilar Penatalaksanaan Diabetes Mellitus Di Wilayah Kerja Puskesmas Sungai Durian Kabupaten Kbu Raya Kalimantan Barat,” 9(1). Available at: \r\nhttps:\/\/ejournal.annurpurwodadi.ac.id\/index.php\/TSCS1Kep\/article\/view\/502.\r\nHarun, H. et al. (2024) “Peningkatan Pengetahuan Dan Kemandirian Keluarga Dalam Melakukan Perawatan Luka,” Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 7 NOMOR 3. Available at:\r\nhttps:\/\/scholar.google.com\/citations?view_op=view_citation&hl=en&user=XYKyKF0AAAAJ&citation_for_view=XYKyKF0AAAAJ:HDshCWvjkbEC\r\nHikmawati, H., Jayatri, J. a Wijayat Fitri (2024) “Perawatan luka dengan metode moist wound healing dan salep terhadap integritas kulit dan jaringan pada luka diabetes melitus tipe 2: studi kasus pada wanita lanjut usia,” Kisi Berkelanjutan: Sains Medis dan Kesehatan, 1(4). Available at:https:\/\/www.kisiberkelanjutan.com\/index.php\/smk\/article\/view\/22\r\nKementerian Kesehatan Republik Indonesia (2023) \"Pedoman Nasional Pelayanan Kedokteran Tata Laksana Penyakit Ginjal Kronik, Kementerian Kesehatan Republik Indonesia\". Jakarta: Kementerian Kesehatan Republik Indonesia.\r\nKevin, W. et al. 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(2026) “Edukasi Manajemen Harian Perawatan Luka Diabetes Melitusdi Bangsal Melati Barat Rsud Dr.Soehadi Prijonegoro Sragen,” Jurnal Padamu Negeri, 3. Available at:\r\nhttps:\/\/journal.smartpublisher.id\/index.php\/jpn\/article\/view\/1284\/1073 \r\nRamadhani Aurellia Helena, P.S. (2026) “Efektifitas Pemanfaatan Madu Sebagai Terapi Komplementer Dalam Percepatan Penyembuhan Luka : Literature Review,” 22(1). Available at:\r\nhttps:\/\/cibinstitute.id\/index.php\/medicnutricia\/article\/view\/6217\/5482 \r\nRizqullah, M.A. (2023) “Penerapan Perawatan Luka Dengan Nacl Pada Pasien Dengan Ulkus Diabetik Di Puskesmas Pucangsawit,” pp. 302–309. Available at:\r\nhttps:\/\/journal.mandiracendikia.com\/index.php\/JIK-MC\/article\/view\/549\/433.\r\nSetiawan, H. et al. (2023) Keperawatan Dasar. Rizmedia Pustaka Indonesia. \r\nSugiarto, N.I. (2024) “Perawatan Pasien Diabetes Mellitus (DM) Dengan Komplikasi Ulkus Diabetikum Dan Cronic Kidney Disease (CKD) : Case Report.” Available at:\r\nhttps:\/\/jurnal.stikesbethesda.ac.id\/index.php\/p\/article\/view\/565\/393.\r\nSulistyowati, R. (2023) Asuhan Keperawatan Pada Klien Gagal Ginjal. UNISMA PRESS. \r\nTim Pokja SDKI DPP, PPNI, 2017, Standar Diagnosis Keperawatan Indonesia, Jakarta: DPP PPNI.\r\nTim Pokja SIKI DPP, PPNI, 2018, Standar Intervensi Keperawatan Indonesia, Jakarta: DPP PPNI.\r\nTim Pokja SLKI DPP , PPNI, 2019, Standar Luaran Keperawatan Indonesia, Jakarta: DPP PPNI.\r\nWijonarko, B. et al. (2024) Cara Mencegah Ulkus Diabetikum Dengan Senam Kaki Diabetik. Jakarta: Nuansa Fajar Cemerlang.\r\nWintoko, R. & Yadika, A.D.N. (2020) “Manajemen Terkini Perawatan Luka Update Wound Care Management,” Jurnal Kedokteran Universitas Lampung, 4(2), pp. 183–189. Available at:\r\nhttps:\/\/juke.kedokteran.unila.ac.id\/index.php\/JK\/article\/view\/2893\/2818.\r\nYuvita & Ijul (2025) “Literatur Review : Deteksi Diabetes Mellitus Melalui Pemeriksaan Laboratorium,” Jurnal Medika Nusantara, (April), pp. 42–53. Available at:https:\/\/journal.akbidbetara.ac.id\/index.php\/JMN\/article\/view\/21\/18",
      "date_type": "published",
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      "subjects": [
        "R1",
        "RB",
        "RT"
      ],
      "abstract": "Ulkus diabetikum merupakan komplikasi jangka panjang Diabetes Mellitus (DM) ditandai adanya luka terbuka di area kaki akibat gangguan sirkulasi, neuropati perifer, dan infeksi yang sulit sembuh. Kondisi ini berisiko menimbulkan amputasi serta menurunkan keadaan hidup pasien. Pada penderita Gagal Ginjal Kronik (GGK), proses penyembuhan luka menjadi lebih lambat karena penurunan fungsi imun dan gangguan metabolisme tubuh. GGK sendiri merupakan kerusakan ginjal progresif dengan durasi melebihi tiga bulan serta bersifat irreversibel, melalui penyebab utama hipertensi dan nefropati diabetik. Penanganan ulkus diabetikum pada pasien GGK memerlukan perawatan komprehensif, meliputi pembersihan luka secara steril, debridement jaringan nekrotik, pengelolaan eksudat, serta penggunaan balutan modern untuk menciptakan lingkungan lembap yang mendukung penyembuhan. Selain aspek fisik, pemenuhan rasa aman dan nyaman melalui komunikasi efektif dan pendekatan holistik juga berperan penting dalam meningkatkan kepatuhan dan keberhasilan terapi. Studi ini menyoroti asuhan keperawatan pada pasien GGK dengan ulkus diabetikum.",
      "divisions": [
        "dep_kep"
      ],
      "pages": 99,
      "rev_number": 32,
      "thesis_name": "other",
      "eprint_status": "archive",
      "institution": "Poltekkes Kemenkes Kupang",
      "date": "2026-02-10",
      "datestamp": "2026-05-05 02:11:02",
      "eprintid": 10011,
      "department": "D-III Keperawatan Kupang",
      "thesis_type": "diploma",
      "number": 99,
      "dir": "disk0\/00\/01\/00\/11",
      "userid": 9001,
      "publisher": "Poltekkes Kemenkes Kupang",
      "lastmod": "2026-05-05 02:11:02",
      "status_changed": "2026-05-05 02:11:02",
      "ispublished": "pub",
      "contributors": [
        {
          "name": {
            "given": 4024087801,
            "family": "Domianus Namuwali",
            "honourific": null,
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        {
          "name": {
            "given": 4028116901,
            "family": "Florentianus Tat",
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          "type": "http:\/\/www.loc.gov\/loc.terms\/relators\/REV"
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      ],
      "creators": [
        {
          "id": "jenabranco20@gmail.com",
          "name": {
            "given": "PO5303201230754",
            "family": "Jesuina Paulina De Araujo Castelo Branco",
            "honourific": null,
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        }
      ],
      "keywords": "Ulkus Diabetikum, Diabetes Mellitus, Gagal Ginjal Kronik, perawatan luka, rasa aman dan nyaman.",
      "type": "thesis",
      "title": "Asuhan Keperawatan Pemenuhan Rasa Aman Nyaman\r\nDengan Tindakan Perawatan Ulkus Diabetikum\r\nPada Tn. H Dengan Gagal Ginjal Kronik Dan Riwayat Dm\r\nDi Ruang Komodo Rsud. Prof. Dr. W.Z. Johannes Kupang",
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