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All Journal Jurnal Keperawatan Indonesia Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS Jurnal Berita Ilmu Keperawatan Abdimas Talenta : Jurnal Pengabdian Kepada Masyarakat Jurnal Keperawatan Silampari International Journal of Nursing and Health Services (IJNHS) Jurnal Kesehatan Jurnal Ilmu Keperawatan Medikal Bedah Jurnal Keperawatan Priority Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ners Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Caring : Indonesian Journal of Nursing Science Jurnal Kesehatan Tambusai MAHESA : Malahayati Health Student Journal DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Madani: Multidisciplinary Scientific Journal Jurnal Abdimas Maduma Jurnal Berita Ilmu Keperawatan Vitamedica: Jurnal Rumpun Kesehatan Umum International Journal of Health and Medicine Jurnal Pengabdian Masyarakat SAPANGAMBEI MANOKTOK HITEI
Dudut Tanjung
Faculty Of Nursing, Universitas Sumatera Utara, Medan, Indonesia
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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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
Patient Experience after Mechanical Heart Valve Replacement Surgery at Central General Hospital Haji Adam Malik Medan Teti Hariani Pane; Dudut Tanjung; Refli Hasan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21229

Abstract

Overall postoperative quality of life improves in patients undergoing mechanical mitral valve replacement. Heart valve replacement surgery is the definitive treatment for heart valve abnormalities. Patients undergoing heart surgery will experience mental and physical difficulties after leaving the hospital. Support is an important factor that a person needs when facing health problems. The aim of this study was to explore the experiences of patients undergoing mechanical heart valve replacement surgery to find better treatment plans. This type of research is qualitative research with a descriptive phenomenological approach. The participants in this study were 13 people who were patients who had undergone mechanical heart valve replacement surgery. This research was conducted in June-August 2023 at the Haji Adam Malik General Hospital. The data collection method uses in-depth interviews and research data is analyzed using the Colaizzi method. There are 5 themes identified, namely 1) Patients experience an improvement in their health condition after mechanical heart valve replacement surgery 2) Patients experience sleep disturbances 3) Patients experience anxiety regarding possible complications that occur after mechanical heart valve replacement surgery 4) Patients comply with the home care plan, and 5) Family support in efforts to maintain health after undergoing mechanical heart valve replacement surgery. The research results showed that the majority of participants reveal physical changes, namely complaints before surgery has reduced or disappeared completely but experiences sleep disturbances due to pain, anxiety. Participants also expressed their willingness to follow the treatment plan at home with support from the family. It is especially recommended that cardiovascular nurses involve the family to provide support in efforts to optimize the patient's health status after mechanical heart surgery.Keywords: Heart valve disease, Mechanical heart valve replacement surgery, Patient experience
Differences in Effective Duration of Cold Compress Administration on Reducing Pain Intensity in Fracture Patients Masrida Hanum; Dudut Tanjung; Yetty Mahcrina
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21560

Abstract

Fracture is one of the problems in health care centers around the world. The condition of the tissue around the fracture will experience damage to its integrity so that it can cause pain, trauma, joint stiffness, and musculoskeletal disorders. Pain is a sensory or emotional experience related to tissue damage. Sharp and stabbing pain is felt due to bone infection due to muscle spasms or pressure on sensory nerves. Non-pharmacological therapies include cold compresses that can reduce pain, reduce inflammatory responses, and reduce blood flow and reduce edema. This therapy is more effectiveand easy to do independently by patients. Cold pack for compresses are also useful for reducing muscle tension and reducing swelling so that patients are more comfortable and relaxed. This study aims to assess the difference in the duration of cold compresses using cold packs on reducing the intensity of acute pain in fracture patients at the Haji Adam Malik Central General Hospital. The research method is Quasi-Experimental with a pretest, posttest group design approach. Sampling using the consecutive sampling technique so that 66 respondents were obtained. The research instrument used the Numeric Rating Scale. The data were analyzed using the Wilcoxon and Mann Whitney U tests. The results showed that the mean value for the 20 minute compress group was 23.85, while the mean value for the 30 minute compress group was 43.15 with a p value <0.05. It can be concluded that giving a cold compress for 30 minutes is much more effective than giving a cold compress for 20 minutes. It is hoped that nurses in providing nursing care can apply a cold compress for 30 minutes using a cold pack as an independent nursing action in managing fracture pain in the hospital. Keywords: Cold Pack, Pain, Fracture
Effect of Oat Lotion Toward Itching Sensation in Hemodialysis Patients with Pruritus at Hospitals Toruan, Elisabeth Novita Angriani L.; Tanjung, Dudut; Siregar, Cholina Trisa
Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan Vol 10 No 2 (2022): Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan
Publisher : School of Nursing, Faculty of Medicine and Health Science, Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (356.088 KB) | DOI: 10.20527/jdk.v10i2.33

Abstract

The itching sensation felt by hemodialysis patients who experience pruritus causes discomfort and can even affect the patient's quality of life. Complementary therapy in the form of topical such as oat lotion can be done to overcome the itching sensation in hemodialysis patients who experience pruritus. The purpose of this research is to identify the effect of oat lotion toward itching sensation on hemodialysis patients who experienced pruritus at Medan City Hospital. Data is collected using a questionnaire consisting of a demographic data questionnaire, 5D-IS, and self-reported form. This research uses a quasi-experimental study with a total of 80 respondents consisting of 40 respondents from the intervention group and 40 respondents from the control group selected by simple random sampling technique. The results of statistical analysis with the Mann Whitney U Test showed that there is a difference in itching sensation between the intervention group and the control group after administration of oat lotion (p < 0.05).
Effectiveness of Information–Motivation–Behavioral (IMB) Skills Model on Diabetes Mellitus Patients Knowledge Barutu, Exodus Maruaba; Tanjung, Dudut; Sitohang, Nur Asnah
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5543

Abstract

Diabetes mellitus (DM) is characterized by increased blood glucose levels caused by insulin deficiency or insulin resistance. Knowledge of diabetes mellitus plays an important role in reducing diabetes-related complications and improving its prevention.Knowledge about diabetes influences decision-making related to physical activity, diet, medication use, and health monitoring, including diabetes assessment and foot care. Model Information-Motivation-Behavioral Skills (IMB) is effective in being implemented in providing health education to patients.The purpose of the research is toanalyzing the effectiveness of the information–motivation–behavioral (IMB) skills model on the knowledge of diabetes mellitus patients. The research design was quasi-experimental nonequivalent control group design. The sampling technique was purposive sampling. The number of samples was 66 respondents. The instruments used are DKQ-24 (Diabetes Knowledge Questionnaire). Data analysis used dependent t-test and independent t-test. The results of data analysis showed the influence of the IMB skills model on pre- and post-test knowledge in the intervention and control groups with a p value = 0.000 (<0.05). The results of statistical tests also showed that there was a difference in the influence of the intervention between the intervention and control groups with a p value = 0.000 (<0.005). This study proves that the IMB skills model is effective in improving the knowledge of diabetes mellitus patients.
Co-Authors Afriani, Dina Agus Santoso Ahmad, Ikhsanuddin Alisarjuni Padang Anan Rizky Anita Ndruru Anwar, Syahferi Ardinata, Dedi - Asrizal, A Asrizal, Asrizal Asrizal Athira Demitri Balqis Nurmauli Damanik Balqis Nurmauli Damanik Balqis Nurmauli Damanik Barutu, Exodus Maruaba Bitcar Dalimunthe Bungaria, Sri Cahaya Artha Anastasia Gultom Dedi Ardinata Dedi Ardinata Dina Afriani Dina Aryanti Dina Aryanti Diyan Marsella Sirait E, Edianto edianto edianto Edianto, Edianto Elly Nurachmah Elmeida Effendy Emil Salim Evi Karota Evi Sara Hotmauli Br Manullang Hanim, Saodah 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 Many Flora Maraksa, Deddy Wandra Marta Imelda Br Sianturi Masrida Hanum Meidiana Dwidiyanti Miftahul Khoiriyah Siregar Mula Tarigan Munif, Badrul Murni Noviani Nasution Nasution, Siti Saidah Nilawati 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 Ria Apriliani Waruwu 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 Syah Fara Dillasani Sirait Tanjung, Muhammad Sukri Tanjung, Riswani Tasrif Hamdi 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