NURSING DIAGNOSIS IN PATIENTS WITH HYPOGLYCEMIA IN THEEMERGENCY DEPARTMENT
DOI:
https://doi.org/10.29082/IJNMS/2025/Vol9/Iss2/717Keywords:
Emergency Department, Hypoglycemia, Nursing DiagnosisAbstract
Hypoglycemia is a condition involving decreased blood glucose levels. It can cause symptoms affecting multiple systems and have serious consequences if left untreated. Nurses play a crucial role in swiftly and appropriately detecting and treating hypoglycemia in the emergency department. Research on nursing diagnoses was the first step in determining interventions for hypoglycemic patients in the emergency department of the Muhammadiyah Babat General Hospital. The study employed a descriptive retrospective design using secondary data from medical records. The study sample included 73 hypoglycemia patients admitted to the emergency room from January to December 2024, selected using consecutive sampling, and data was collected on May, 2025. The data was analyzed descriptively. The results showed that all patients experienced similar signs and symptoms: low blood glucose levels, drowsiness, decreased appetite, weakness, dizziness, strange behavior, and physical weakness. The nursing diagnosis that emerged for all patients was blood glucose level instability. These findings suggest that hypoglycemia has a consistent clinical impact and requires a structured nursing response. Decreased intracranial adaptive capacity, a diagnosis listed in the nursing pathway that is usually associated with severe hypoglycemia, was not found in this study. This may be due to limitations in neurological assessments and supporting examinations.
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References
Amin, Y. (2020). Analisis Faktor Yang Berhubungan Dengan Hipoglikemia Pada Pasien Diabetes Mellitus Tipe 2 Di Igd Rsud Blambangan Dan Igd Rsud Genteng Banyuwangi. 2012, 6–23. http://repository.ub.ac.id/id/eprint/2308/
Arifin, A., Najmi, M. A., Samudra, J., Farel, S., Reza, S., & Sandya, D. (2022). Klasifikasi Dalam Mendeteksi Penyakit Hipoglikemia Dengan Menggunakan Metode Random Forest dan Adaboost. 542–549. https://conference.upnvj.ac.id/index.php/senamika/article/view/2211/1760
Budiawan, H., Permana, H., & Emaliyawati, E. (2020). Faktor Risiko Hipoglikemia Pada Diabetes Mellitus: Literature Riview. Healthcare Nursing Journal, 2(2), 20–29. https://doi.org/10.35568/healthcare.v2i2.688
Diabetes, A. A. (n.d.). American Diabetes Association Releases 2023 Standards of Care in Diabetes to Guide Prevention, Diagnosis, and Treatment for People Living with Diabetes. https://diabetes.org/newsroom/american-diabetes-association-2023-standards-care-diabetes-guide-for-prevention-diagnosis-treatment-people-living-with-diabetes
Dwi, A., Muharikah, N., Difananda, N., Arief, R. Q., Program, S., Gizi, F., Psikologi, D., Kesehatan, U., Sunan, A., & Surabaya, I. (2024). Diet dan Kejadian Hipoglikemia pada Diabetes Mellitus: Sebuah Kajian Literatur Diet and the Occurrence of Hypoglycemia in Diabetes Mellitus: A Literature Review. Jenggala, 3(1), 2870–7976. https://share.google/UwmTVtlLAXiyPPcD9
Dwiyatna, N. I., Erianti, S., & Wisanti, E. (2022). Gambaran Penanganan Hipoglikemia Yang Dilakukan Keluarga Pada Pasien Diabetes Mellitus. Jurnal Keperawatan Abdurrab, 6(1), 38–48. https://doi.org/10.36341/jka.v6i1.2183
Elsayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Hilliard, M. E., Isaacs, D., Johnson, E. L., Kahan, S., Khunti, K., Leon, J., Lyons, S. K., Perry, M. Lou, Prahalad, P., Pratley, R. E., Seley, J. J., Stanton, R. C., & Gabbay, R. A. (2023). 16. Diabetes Care in the Hospital: Standards of Care in Diabetes—2023. Diabetes Care, 46(January), S267–S278. https://doi.org/10.2337/dc23-S016
Ervina, Y., Flauryta, ;, Zahara, I., Qurotul, N., & Atiqah, N. (2023). Asuhan Keperawatan Pada Pasien Diabetes Mellitus Tipe Ii Dengan Pemberian Intervensi Manajemen Hipoglikemia Di Ruang Igd Rsud Pakuhaji. Cahaya Ilmu Bangsa Medic Nutricia Jurnal Kesehatan, 1(5), 21–30. https://doi.org/10.5455/mnj.v1i2.644
Hadiatma, M. (2020). Asuhan Keperawatan Pada Ny. S Dengan Hipoglikemia Pada Pasien Diabetes Mellitus Di Instalasi Gawat Darurat RSUD Dr. Moewardi. Hipoglikemia Pada Pasien Dabetes Militus, 32. https://eprints.ums.ac.id/22033/
Lega, I. C., Yale, J. F., Chadha, A., Paty, B., Roscoe, R., Snider, M., Steier, J., Bajaj, H. S., Barnes, T., Gilbert, J., Honshorst, K., Kim, J., Lewis, J., MacDonald, B., MacKay, D., Mansell, K., Senior, P., Rabi, D., & Sherifali, D. (2023). Hypoglycemia in Adults. Canadian Journal of Diabetes, 47(7), 548–559. https://doi.org/10.1016/j.jcjd.2023.08.003
Lowe, R. N., Williams, B., & Claus, L. W. (2022). Diabetes: how to manage patients experiencing hypoglycaemia. Drugs in Context, 11, 1–12.https://doi.org/10.7573/dic.2021-9-11
Manalu, & Purba. (2020). Pengetahuan Dan Sikap Dengan Penatalaksanaan Pasien Hipoglikemia Pada Pencerita DM Type II RSU Mitra Medika Medan. Jurnal Keperawatan Flora, 13(1), 65–72. https://www.jurnal.stikesflora-medan.ac.id/
Putri. (2024). Asuhan Keperawatan Pasien yang Mengalami Diabetes Mellitus Tipe II Dengan KetidakstabilanKadar Glukosa Darah di RSUD Pasar Rebo Jakarta Timur. Αγαη, 15(1), 37–48. https://share.google/UwmTVtlLAXiyPPcD9
RI, K. (2023). Mengenal Penyakit Hipoglikemia. https://upk.kemkes.go.id/new/mengenal-penyakit-hipoglikemia
Riduansyah, M., Eka Fayuning Tjomiadi, C., Suryaningsih, S., & Studi Sarjana Keperawatan Fakultas Kesehatan Universitas Sari Mulia, P. (2023). Faktor-Faktor Yang Mempengaruhi Kejadian Hipoglikemia Pada Pasien Diabetes Mellitus Tipe Ii: Narrative Review. CNJ (Caring Nursing Journal), 7(1), 7–12. http://journal.mbunivpress.or.id/index.php/cnj/article/view/609
Romalina, R., & Daniati, M. (2023). Peningkatan Pengetahuan Keluarga Tentang Penanganan Hipoglikemia Pada Pasien Diabetes Mellitus Di Rsud Kota Tanjungpinang. Segantang Lada : Jurnal Pengabdian Kesehatan, 1(1), 59–65. https://doi.org/10.53579/segantang.v1i1.94
Setyawan, R. I. (2022). Asuhan Keperawatan pada Tn.W dengan Diangnosis Medis Hipoglikemia di Ruang B2 Rumah Sakit Pusat Angkatan Laut Dr. Ramelan Surabaya. https://repository.stikeshangtuah-sby.ac.id/id/eprint/252/
Sukmadani Rusdi, M. (2020). Hipoglikemia Pada Pasien Diabetes Melitus. Journal Syifa Sciences and Clinical Research, 2(2), 83–90. https://doi.org/10.37311/jsscr.v2i2.4575
Temorubun, B., & Pattikayhatu, G. A. (2023). Asuhan Keperawatan Gawat Darurat Pada Pasien Dengan Hipoglikemia Di Ruang Instalasi Gawat Darurat Rumah Sakit Stella Maris Makassar. 5, 1–14. http://repository.stikstellamarismks.ac.id/1057/1/GREGORIUS RIKKY B. (NS2214901063) & CHRISTIN CHATERINE S. (NS2214901025).pdf
Tim Pokja PPNI. (2019). SDKI. https://perawat.org/149-diagnosis-keperawatan-indonesia/
Widayanti, A. (2021). Asuhan Keperawatan Pada By. Ia Dengan Hipoglikemia Di Ruang Peristi Rsi Sultan Agung Semarang. http://repository.unissula.ac.id/23515/1/D3 Ilmu Keperawatan_40901800008_fullpdf.pdf
Widyatama Putri, K., Rachmawati, D., Cahyo Sepdianto, T., Keperawatan, P., & Kesehatan Kemenkes Malang, P. (2023). Faktor-Faktor yang Mempengaruhi Kejadian Hipoglikemia pada Pasien Diabetes Melitus Tipe II Factors Influencing Hypoglycemia in Type II Diabetes Mellitus Patients. Bali Medika Jurnal, 10(1), 108–118. https://doi.org/10.36376/bmj.v9i3
World Health Organization (WHO). (2024). Diabetes. https://www.who.int/news-room/fact-sheets/detail/diabetes
Yale, J. F., Paty, B., & Senior, P. A. (2018). Hypoglycemia. Canadian Journal of Diabetes, 42, S104–S108. https://doi.org/10.1016/j.jcjd.2017.10.010
Yulia Annisa, V., & Suropati, A. S. (2023). Hipoglikemia pada Pasien dengan Riwayat Diabetes Mellitus Hypoglycemia In Patient With History Of Diabetes Mellitus. Proceeding of The 16th Continuing Medical Education, 135–144. https://proceedings.ums.ac.id/kedokteran/article/view/2799
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