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The Effect of Ozone Therapy Stimulation on Diabetes Wound Healing Process Anan Rizky; Dudut Tanjung; Khairunnisa Khairunnisa
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.19602

Abstract

Health problems that are currently developing include diabetes mellitus (DM) with various complications including diabetic ulcers. Diabetic ulcers are the main cause of prolonged pain and even amputation in DM patients. Diabetic wounds are a complication of diabetes that often occurs in the extremities, increasing morbidity and lessens the patient's personal satisfaction. Ozone therapy is one method used to speed up the healing process for diabetic ulcers. This study plans to examine the impact of ozone treatment feeling on diabetic injury mending. The exploration strategy utilizes a semi exploratory technique with a pretest and posttest non-identical benchmark group plan. The testing strategy is a non-likelihood inspecting method.The population in this study were all patients suffering from diabetic wounds who received wound care at the Edwcare clinic in Langsa city.  The respondents of this study were patients suffering from diabetic wounds who received wound care at the Edwacare wound care center in Langsa City, Indonesia  consisting of 28 respondents who received modern wound care dressings and 28 respondents received wound care combined with modern dressings and ozone therapy. The research instrument for assessing wound severity used the Bates-Jensen Wound Assessment Tool. Data analysis used the Friedman and Kruskal Wallis tests. Based on the research results, it was found that there was a more significant effect between wound care using a combination of modern dressings and ozone therapy with a Mean Rank value of 39.75 compared to wound care that only received modern dressing wound care with a Mean Rank value of 17.25 with a value of p -value <0.05. The conclusion is that the effect of ozone stimulation significantly influences the healing process of diabetic wounds and is recommended as a nursing intervention that can be applied in treating diabetic wounds.Keywords:  Diabetes mellitus, diabetic wounds, ozone therapy, stimulation
Pengaruh Pelatihan Bantuan Hidup Dasar (BHD) Terhadap Pengetahuan dan Keterampilan Siswa di SMA Yapim Sei Glugur Pancur Batu Ndruru, Anita; Tanjung, Riswani; Tanjung, Dudut
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.30799

Abstract

Siswa SMA adalah salah satu aset yang berperan penting dalam pembangunan kesehatan karena Siswa SMA termasuk awam yang jumlahnya lebih banyak dibandingkan usia diatasnya. Sehingga penting diberikan pendidikan kesehatan dan pelatihan BHD pada siswa SMA. Penelitian ini bertujuan untuk menganalisis pengaruh pelatihan bantuan hidup dasar (BHD) terhadap pengetahuan dan keterampilan Siswa di SMA Yapim Sei Gelugur Pancur Batu. Metode penelitian yang digunakan adalah penelitian kuantitatif dengan desain penelitian quasy-experiment pretest posttest non equivalent group. Teknik pengambilan sampel yang dilakukan pada penelian ini adalah dengan teknik probability sampling yaitu simple random sampling. Sampel dalam penelitian terbagi atas 2 kelompok yaitu kelompok kontrol (36 responden) dan kelompok intervensi (36 responden). Pengumpulan data pengetahuan menggunakan kuesioner dan keterampilan menggunakan lembar observasi. Analisis data menggunakan uji t-dependent wilcoxon dan uji t-independent mann whithney. Berdasarkan selisih yang diperoleh, menyatakan bahwa terdapat perbedaan yang bermakna pengetahuan dan keterampilan setelah diberikan pelatihan BHD. Kesimpulan dari penelitian ini adalah terdapat perbedaan rata-rata penegtahuan dan keterampilan secara signifikan setelah diberikan pelatihan BHD. Diharapkan tenaga kesehatan yang berada di fasilitas kesehatan terdekat rutin dalam memberikan edukasi BHD terhadap siswa SMA, agar tindakan BHD tidak mudah dilupakan oleh siswa SMA.
Efektivitas Emotional Freedom Technique Terhadap Kualitas Tidur Pasien Hemodialisis di Rumah Sakit Khusus Ginjal Rasyida Medan Flora, Many; Tanjung, Dudut; Karota, Evi
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.30819

Abstract

Salah satu aspek penting masalah yang dialami pasien hemodialisis adalah kualitas tidur yang buruk. Salah satu terapi komplementer yang dapat digunakan untuk meningkatkan kualitas tidur adalah Emotional Freedom Technique (EFT). Tujuan penelitian ini adalah untuk menganalisis efektivitas EFT terhadap kualitas tidur pada pasien hemodialisis. Metode yang digunakan adalah quasi experimental design nonequivalent control group pretest posttest design. Pengambilan sampel menggunakan non probability sampling dengan metode convenience sampling. Responden dalam penelitian ini adalah pasien hemodialisis yang berjumlah 58 orang. Data dianalisis menggunakan wilcoxon signed rank test dan mann whitney u test. Hasil penelitian menunjukkan bahwa terdapat perbedaan rata-rata kualitas tidur pada kelompok intervensi dan kontrol dengan nilai p-value=0.003 (p<0,05). Ketukan yang diberikan selama EFT dapat mengirimkan sinyal ke area otak yang dapat meningkatkan serotonin serta mengurangi kortisol dalam tubuh sehingga menimbulkan rasa tenang. Kesimpulan diketahui Emotional Freedom Technique efektif terhadap kualitas tidur pada pasien hemodilisis dan disarankan dapat menjadi pilihan dalam intervensi keperawatan untuk meningkatkan kualitas tidur pada pasien hemodialisis.
Asuhan Keperawatan Pada Tn. TS Dengan Diagnosis Medis SOL Intrakranial O/T (L) Temporoparietal Dd/ 1. High Grade Glioma 2. CNS Infection AKI Dd Ckd (CR 2,25) di Rumah Sakit Umum Pusat Haji Adam Malik Medan Sairomaito Harahap; Dudut Tanjung; Edianto Edianto; Dina Afriani; Saodah Hanim
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 1 (2025): VitaMedica : Jurnal Rumpun Kesehatan Umum 
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i1.262

Abstract

Background : Nurses play an important role in providing nursing care to Space Occupying Lession (SOL) patients. Nurses directly assist patients and educate them about their disease and prevent rehospitalization. During hospitalization, patients require hemodynamic stabilization monitoring, use of various monitoring and life support devices, postoperative patient care, and crisis management in the event of loss of consciousness or sedation programs. Purpose : This case study aims to perform 30ᵒ head elevation with SOL Intracranial o/t (L) Temporoparietal who has head pain. Methods : This research is a case report where the source of research data comes from the patient and the patient's family using interview techniques, observation, physical examination, and documentation study of nursing management prioritized according to the SDKI (Indonesian Nursing Diagnosis Standard), SLKI (Indonesian Nursing Outcomes Standard), and SIKI (Indonesian Nursing Intervention Standard): acute pain, decreased intracranial adaptive capacity and impaired physical mobility. Results : Decreased pain quality, increased intracranial adaptive capacity, and decreased physical mobility impairment indicate improvement in the patient's condition along with the nursing care provided. Conclusion : The results of routine nursing implementation coupled with the application of evidence-based nursing practice 30ᵒ head elevation intervention (30ᵒ head position intervention) to reduce pain along with the collaboration of pharmacological therapy administration of ketorolac injections were found to reduce the pain scale from a scale of 3 - 4 (mild - moderate) NRS to a pain scale of 2 (mild) NRS.
Asuhan Keperawatan Pada Ny.S Dengan Osteoartritis (OA) Genu Grade III Post Total Knee Replacement Sinistra di Rumah Sakit Umum Pusat Haji Adam Malik Medan Dudut Tanjung; Diyan Marsella Sirait; Edianto Edianto; Dina Afriani; Saodah Hanim
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 1 (2025): VitaMedica : Jurnal Rumpun Kesehatan Umum 
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i1.263

Abstract

Background: Osteoarthritis (OA) is a degenerative disease that often causes pain, disability and limited mobility, especially in the elderly. Total Knee Replacement (TKR) is one of the preferred surgical interventions in severe OA to reduce pain and improve joint function. Objective: This case report aims to evaluate nursing care in a 76-year-old female patient with OA genu grade III postoperative TKR sinistra accompanied by acute pain, impaired physical mobility, and risk of infection. Methods: This study is a case report using interview techniques, observation, physical examination, and documentation study. Nursing management was carried out based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcome Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Prioritized nursing diagnoses include acute pain, impaired physical mobility, and risk of infection. Results: After 3x24 hours of intervention, there was a decrease in the patient's pain scale from 5 to 3 (0-10 scale). Left lower limb muscle strength increased, with active range of motion. The surgical wound remained dry with no sign of infection, and the patient was able to sit on the edge of the bed with minimal assistance. Conclusion: The application of nursing care based on SDKI, SLKI, and SIKI showed significant results in improving the patient's condition. The Evidence-Based Nursing (EBN) approach contributed greatly to the recovery of patients after TKR surgery. This intervention can be a reference for nurses in designing nursing care in similar cases.
Asuhan Keperawatan Pada Tn. K Dengan Closed Fracture Pelvic Post ORIF di Rumah Sakit Umum Pusat Haji Adam Malik Cahaya Artha Anastasia Gultom; Dudut Tanjung; Edianto Edianto; Dina Afriani; Saodah Hanin
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 1 (2025): VitaMedica : Jurnal Rumpun Kesehatan Umum 
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i1.264

Abstract

Background: Pelvic fractures are common injuries resulting from high-energy trauma, such as traffic accidents or falls from height. These injuries can cause decreased mobility function, pain, and risk serious complications. A common treatment that can be done is Open Reduction Internal Fixation (ORIF) to improve bone stability and patient mobility function. Objective: this study is to provide nursing care for patients with post-ORIF pelvic fractures to improve nursing outcomes, including pain management, physical mobility, and skin integrity. Methods: This study used a case report approach where the source of research data came from interviews, observations, physical examinations, and patient documentation. Nursing care was organized based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Intervention Standards (SIKI), and Indonesian Nursing Outcome Standards (SLKI). Results: After the intervention, the patient showed a decrease in pain from scale 6 to scale 3 with the use of PMR. Improved physical mobility was observed through regular ROM exercises, and skin integrity was maintained with position changes and routine wound care. No complications occurred post intervention. Conclusion: Comprehensive nursing care in patients with post-ORIF pelvic fractures can accelerate healing and reduce the risk of complications. Integrated interventions, including pain management, mobility, and skin care, play an important role in supporting patient recovery. The nurse's role in observation and collaboration with the medical team is essential to improve patient outcomes and quality of life.
Nursing Care for Avascular Necrosis Patients After Total Hip Replacement Surgery: Case Report Tanjung, Dudut; Yannis, Nafi; Edianto, Edianto; Afriani, Dina
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.5977

Abstract

Avascular Necrosis (ANV) is a pathological condition caused by impaired blood supply to the subchondral femur bone, causing necrosis and deformity of bone tissue. This condition causes severe pain, joint stiffness, and impaired physical mobility. Chronic avascular necrosis requires surgery to stabilize physical function. Total Hip Replacement surgery is one of the surgical options to relieve pain and restore joint function in patients with avascular necrosis. Nursing care for ANV patients is very important in managing pain, preventing complications, and promoting recovery. Through comprehensive nursing care, nurses have a significant impact on the physical and emotional health of patients, helping them live healthier and more functional lives. This article aims to implement nursing care for avascular necrosis patients undergoing surgery at Haji Adam Malik General Hospital, Medan. This study is a case report of a 63-year-old patient who had suffered from avascular necrosis for 10 years and underwent Total Hip Replacement surgery. Assessment data were collected through physical examination and supplemented with laboratory and radiology results. The postoperative diagnoses that are the priority in this patient are acute pain, impaired physical mobility, impaired skin integrity, and self-care deficit. Nurses focus on the criteria for treatment outcomes in reducing pain levels, increasing joint range of motion and physical mobility, improving skin integrity, and improving self-care. The intervention results are pain control that allows earlier mobilization and can be a reference for professional nurses in improving the quality of service, especially for avascular necrosis patients undergoing Total Hip Replacement (THR) surgery.
Phase I Cardiovascular Rehabilitation, Risk Stratification, and Length of Hospitalization in Post-Percutaneous Coronary Intervention (PCI) Patients Tanjung, Muhammad Sukri; Tanjung, Dudut; Sitohang, Nur Asnah; Ardinata, Dedi
Jurnal Kesehatan Vol 15 No 3 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i3.4732

Abstract

Percutaneous Coronary Intervention (PCI) is one of the most effective actions for patients with Acute Coronary Syndrome (ACS), which can improve prognosis and minimize hospitalization time. To optimize medical therapy programs, PCI must be complemented with further preventive measures, such as cardiovascular rehabilitation, including lifestyle modification and risk stratification. This study aims to analyze the relationship between phase I cardiovascular rehabilitation, risk stratification, and length of hospitalization in post-PCI patients. The study design was a retrospective cohort sourced from electronic medical record data. Respondents were divided into groups: those exposed and those not exposed to phase I cardiovascular rehabilitation. Risk stratification and length of hospitalization were studied as study outcomes. Among 201 patients who were followed up during hospitalization, high-risk stratification was more in the unexposed group: exposed group (92.2%: 90.8%; RR 0.85, 95%CI 0.340-2.104). Length of hospitalization ≥3 days was more in the unexposed group: exposed group (63.1%: 59.2%; RR 0.904 95%CI (0.639-1.279). Length of hospitalization ≥3 days was more in the high stratification group: low stratification (63.6%: 35.3%; RR 0.555 95%CI (0.289-1.066). Phase I cardiovascular rehabilitation was not associated with risk stratification and length of hospitalization. Patient risk stratification was related to the length of hospitalization of post-PCI patients. Phase I cardiovascular rehabilitation is an integral part of medical therapy that can reduce adverse events in post-PCI patients.
Strengthening Community Service Collaboration Through Basic Life Support (BLS) Training Dudut Tanjung; Lutfi Henderlan Harahap; Syahferi Anwar; Ismayadi Ismayadi; Yusuf Hanafiah; Athira Demitri; Balqis Nurmauli Damanik; Murni Noviani
International Journal of Health and Medicine Vol. 1 No. 4 (2024): October : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v1i4.95

Abstract

The community service project aims to enhance public knowledge and skills in providing immediate assistance during cardiac emergencies. Conducted in collaboration with the Indonesian Emergency and Disaster Nurses Association (HIPGABI) North Sumatra and the Regional Crisis Center Team North Sumatra, this program focuses on training participants in the fundamental techniques of Basic Life Support (BLS), including cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs). The training is specifically designed for the congregation of HKBP Resort Kwala Bekala Church. The involvement of HIPGABI North Sumatra and the Regional Crisis Center Team North Sumatra brings expertise and professionalism, ensuring that the training adheres to national standards and best practices in emergency response. The outcomes of this training are expected to strengthen community resilience and preparedness in dealing with health emergencies in Medan and the surrounding areas.
Effectiveness of Progressive Mobilization on Functional and Hemodynamic Status in Bedrest Patients in the ICU: Randomized Controlled Trial Aryanti, Dina; Tanjung, Dudut; Asrizal, A
Jurnal Berita Ilmu Keperawatan Vol. 15 No. 2 (2022): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v15i2.17937

Abstract

Patients with health problems who undergo bed rest for a long time can experience various health problems. Problems that can be felt by patients on functional and hemodynamic status. This study aims to identify the effectiveness of progressive mobilization on functional status and hemodynamics in bed rest patients. The research method used a qualitative design with a randomized controlled trial method. The number of samples in this study was 70 people for each group. The sample in this study was taken by simple random sampling method with a total of 70 people in the control group and 70 people in the intervention group. Bivariate statistical test used Friedman and Mann Whitney test, while multivariate test used logistic regression. The results of this study showed that there was a significant effect of progressive mobilization on functional and hemodynamic status (p<0.05). The conclusion of this study is that progressive mobilization is effective on the functional and hemodynamic status of the patient so that it can be applied in the ICU of the hospital as a nursing intervention
Co-Authors Afriani, Dina Agus Santoso Ahmad, Ikhsanuddin Anan Rizky Anita Ndruru Anwar, Syahferi Ardinata, Dedi - Asrizal, A Asrizal, Asrizal Asrizal Athira Demitri Balqis Nurmauli Damanik Balqis Nurmauli Damanik Barutu, Exodus Maruaba Bitcar Dalimunthe Bungaria, Sri Cahaya Artha Anastasia Gultom Dedi Ardinata Dina Afriani Dina Aryanti Dina Aryanti Diyan Marsella Sirait edianto edianto Edianto, Edianto Elly Nurachmah Elmeida Effendy Emil Salim Evi Karota Flora, Many Hanny Handiyani Hasan, Refli Hasibuan, Desi Lianti Sari Henrianto Karolus Siregar Ikhsanuddin Ahmad Ikhsanuddin Ahmad Harahap Irma Valentina Manurung Ismayadi Ismayadi Ismayadi Ismayadi ismayadi Ismayadi, Ismayadi Izmi Arisa Putri Lubis jismer panjaitan Karolina, Maha Sari Karota, Evi Khairunnisa Khairunnisa Kiking Ritarwan Linawati Togatorop Lubis, Citra Amelia Lubis, Wika Hanida Lubis, Yuni Suharnida Lutfhiani Lutfi Henderlan Harahap Mahyunita, Sri Maraksa, Deddy Wandra Masrida Hanum Meidiana Dwidiyanti Miftahul Khoiriyah Siregar Mula Tarigan Munif, Badrul Murni Noviani Nasution Nasution, Siti Saidah NILAWATI Niskarto Zendrato Nonika Roma Suryani Sianturi Nunung Febriany Sitepu Nunung Febriany Sitepu Nunung Febriany Sitepu Nur Asnah Sitohang, Nur Asnah Padang, Alisarjuni Pasaribu, Indah Septiani Pulungan, Ruslan Zuhair Reni Asmara Ariga Rika Endah Nurhidayah Riswani Tanjung Ruslan Zuhair Pulungan Sairomaito Harahap Salma Salma Saodah Hanim Saodah Hanin Sarah Ulliya Sari, Farida Linda Sediana Sagala Setiawan, Setiawan Sianturi, Marta Imelda Br Sijabat, Elinda Juniwati Simamora, Hengky Sumaiyah Sumaiyah Tanjung, Muhammad Sukri Tanjung, Riswani Tasrif Hamdi Teti Hariani Pane Toruan, Elisabeth Novita Angriani L. Waruwu, Ria Apriliani Wijayanti, Diyan Yuli Wiyanna Mathofani Siregar Yannis, Nafi Yesi Ariani Yetty Mahcrina Yuandani Yusuf Hanafiah