The Prevalence of Physical Mobility Barriers in Type II Diabetes Patients

Oct 13, 2025 by wbrum.org 13 views

Nursing Care in Type II Diabetes Patients with Physical Mobility Obstacles due to Diabetic Gangrene at RSUD Dr. Pirngadi Medan

Introduction

Diabetes mellitus is a health condition characterized by an increase in blood glucose levels due to lack of insulin, both absolutely and relatively. According to the American Diabetes Association (ADA) in 2003, Diabetes Mellitus is a metabolic disorder group characterized by hyperglycemia. Prolonged hyperglycemia can cause damage to various organs of the body, especially the eyes, kidney, nervous system, heart, and blood vessels. A definition of the World Health Organization (WHO) in 1980 states that diabetes mellitus is a collection of anatomical and chemical problems caused by a number of factors, including insulin deficiency.

In Indonesia, the Indonesian Endocrinology Association (Perkeni) in 1993 and its revision in 2002 has established a standard for managing diabetes mellitus, which reflects the latest developments in the understanding of this disease. One of the main challenges in diabetes management, especially type II diabetes, is an increase in the incidence of diabetic gangrene, which is often associated with resistance to physical mobility in patients. Research shows that urbanization can cause a surge of 5-10 times in the population of type 2 diabetes, related to lifestyle changes and more sedative behavior.

The Prevalence of Physical Mobility Barriers in Type II Diabetes Patients

Obstacles of physical mobility in patients with type II diabetes mellitus, especially those who experience diabetic gangrene, are complex problems. Diabetic gangrene is a serious condition that can occur due to nerve damage and blood vessels, which results in inadequate blood flow to the extremities. This condition can worsen the quality of life of patients, reduce their ability to carry out daily activities, and increase the risk of further complications.

Based on epidemiological data, risk factors that contribute to increasing cases of type II diabetes include aging, obesity, unhealthy body fat distribution, and lack of physical activity. In patients who experience mobility barriers, physical activity becomes increasingly limited, which can lead to a negative cycle in which mobility limitations further worsen the condition of diabetes.

The Role of Nursing Care in Managing Physical Mobility Barriers

In the context of nursing care, nurses have a key role in assessing and managing physical mobility obstacles in diabetes patients. Holistic nursing care includes evaluating the physical condition of the patient's psychological and social aspects, as well as the development of integrated care plans. Strategies that can be applied include setting the appropriate mild physical activity schedule, monitoring skin conditions to prevent infection, as well as education about the importance of good blood sugar control.

Effective nursing care must also include a multidisciplinary approach, which involves doctors, nutritionists, and physiotherapists, to ensure all aspects of the patient's health are considered. With this approach, patients are expected to improve their quality of life despite facing challenges from diabetic gangrene.

Challenges in Providing Nursing Care to Patients with Physical Mobility Barriers

Despite the importance of nursing care in managing physical mobility barriers, there are several challenges that healthcare providers face. These challenges include:

Limited resources and equipment to provide adequate care
Lack of awareness and education among healthcare providers about the importance of nursing care in managing physical mobility barriers
Limited access to multidisciplinary care teams
Limited availability of rehabilitation services and equipment

Conclusion

Handling physical mobility barriers in patients with type II diabetes with diabetic gangrene requires serious attention and comprehensive approach. In-depth knowledge of the condition of diabetes, as well as appropriate nursing interventions can help patients not only manage their diabetes but also in improving their quality of life. Therefore, it is important for health workers to collaborate and provide support needed by patients in their treatment.

Recommendations for Future Research

Based on the findings of this study, several recommendations for future research are proposed:

Conducting further research on the prevalence and impact of physical mobility barriers in patients with type II diabetes
Developing and evaluating the effectiveness of nursing interventions to manage physical mobility barriers
Investigating the role of multidisciplinary care teams in providing comprehensive care to patients with physical mobility barriers
Developing and implementing policies and guidelines to improve access to rehabilitation services and equipment for patients with physical mobility barriers.

Limitations of the Study

This study has several limitations, including:

The study was conducted in a single hospital setting, which may limit the generalizability of the findings
The study only included patients with type II diabetes, which may not be representative of all patients with diabetes
The study did not investigate the impact of physical mobility barriers on the quality of life of patients with type II diabetes.

Future Directions

Future research should focus on developing and evaluating the effectiveness of nursing interventions to manage physical mobility barriers, as well as investigating the role of multidisciplinary care teams in providing comprehensive care to patients with physical mobility barriers. Additionally, policies and guidelines should be developed and implemented to improve access to rehabilitation services and equipment for patients with physical mobility barriers.
Frequently Asked Questions (FAQs) about Nursing Care in Type II Diabetes Patients with Physical Mobility Obstacles due to Diabetic Gangrene

Q: What is diabetic gangrene and how does it affect patients with type II diabetes?

A: Diabetic gangrene is a serious condition that can occur due to nerve damage and blood vessels, which results in inadequate blood flow to the extremities. This condition can worsen the quality of life of patients, reduce their ability to carry out daily activities, and increase the risk of further complications.

Q: What are the risk factors that contribute to increasing cases of type II diabetes?

A: Based on epidemiological data, risk factors that contribute to increasing cases of type II diabetes include aging, obesity, unhealthy body fat distribution, and lack of physical activity.

Q: What is the role of nursing care in managing physical mobility barriers in patients with type II diabetes?

A: In the context of nursing care, nurses have a key role in assessing and managing physical mobility obstacles in diabetes patients. Holistic nursing care includes evaluating the physical condition of the patient's psychological and social aspects, as well as the development of integrated care plans.

Q: What strategies can be applied to manage physical mobility barriers in patients with type II diabetes?

A: Strategies that can be applied include setting the appropriate mild physical activity schedule, monitoring skin conditions to prevent infection, as well as education about the importance of good blood sugar control.

Q: What is the importance of a multidisciplinary approach in providing nursing care to patients with physical mobility barriers?

A: Effective nursing care must also include a multidisciplinary approach, which involves doctors, nutritionists, and physiotherapists, to ensure all aspects of the patient's health are considered.

Q: What are the challenges in providing nursing care to patients with physical mobility barriers?

A: Despite the importance of nursing care in managing physical mobility barriers, there are several challenges that healthcare providers face, including limited resources and equipment to provide adequate care, lack of awareness and education among healthcare providers about the importance of nursing care in managing physical mobility barriers, limited access to multidisciplinary care teams, and limited availability of rehabilitation services and equipment.

Q: What are the recommendations for future research in nursing care for patients with physical mobility barriers?

A: Based on the findings of this study, several recommendations for future research are proposed, including conducting further research on the prevalence and impact of physical mobility barriers in patients with type II diabetes, developing and evaluating the effectiveness of nursing interventions to manage physical mobility barriers, investigating the role of multidisciplinary care teams in providing comprehensive care to patients with physical mobility barriers, and developing and implementing policies and guidelines to improve access to rehabilitation services and equipment for patients with physical mobility barriers.

Q: What are the limitations of the study?

A: This study has several limitations, including the study was conducted in a single hospital setting, which may limit the generalizability of the findings, the study only included patients with type II diabetes, which may not be representative of all patients with diabetes, and the study did not investigate the impact of physical mobility barriers on the quality of life of patients with type II diabetes.

Q: What are the future directions for nursing care in patients with physical mobility barriers?

A: Future research should focus on developing and evaluating the effectiveness of nursing interventions to manage physical mobility barriers, as well as investigating the role of multidisciplinary care teams in providing comprehensive care to patients with physical mobility barriers. Additionally, policies and guidelines should be developed and implemented to improve access to rehabilitation services and equipment for patients with physical mobility barriers.