ASUHAN KEPERAWATAN GERONTIK DENGAN PENERAPAN PENATALAKSANAAN DM MELALUI ARM SWING EXERCISE PADA MASALAH KEPERAWATAN KETIDAKSTABILAN KADAR GLUKOSA DARAH PENDERITA DIABETES MELLITUS TIPE II

Abstract
Older adults are individuals who have reached the age of 60 and above and experience biological and psychological changes. Older adults are a vulnerable group prone to elevated blood glucose levels due to impaired metabolic function and lack of knowledge about self-care. Type 2 diabetes mellitus is a chronic condition requiring long-term self-management, particularly in controlling blood glucose levels. One non-pharmacological intervention that can be implemented to help lower blood glucose levels and improve understanding is diabetes management through physical exercise, specifically the Arm Swing Exercise (ASE). This study aims to determine the effect of ASE on blood glucose stability and the improvement of knowledge among older adults with type 2 diabetes. The study design uses an experimental approach with pre-test and post-test measurements on two older adults. The intervention was conducted over five consecutive days. Data were obtained from blood glucose level measurements. The results showed a decrease in blood glucose levels in Mrs. R from 254 mg/dL to 225 mg/dL and in Mrs. S from 278 mg/dL to 243 mg/dL. It can be concluded that the nursing issues raised, namely unstable blood glucose levels and knowledge deficits, were successfully addressed, as evidenced by improved blood glucose levels. It is hoped that DM management through ASE will be effective as a nursing intervention that can be carried out independently to improve blood glucose stability and the knowledge of elderly people in managing diabetes mellitus.
Keywords
Gerontological Nursing, Diabetes Mellitus, Arm Swing Exercise
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