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Clinical Predictors of Functional Disability in Knee Osteoarthritis: Risk Stratification Approach as Implications of Nursing Practice Yannis, Nafi; Tanjung, Dudut; Dedi Ardinata; Tasrif Hamdi; Nur Asnah Sitohang
Caring: Indonesian Journal of Nursing Science Vol. 7 No. 1 (2025): Vol. 7 No. 1 (2025): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/ijns.v7i1.21284

Abstract

Osteoarthritis (OA) of the knee is one of the most common musculoskeletal disorders and a leading cause of disability in the elderly. The severity of osteoarthritis can be assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), which is a widely used tool to measure pain, stiffness, and physical dysfunction in patients with OA. This study aimed to analyze the relationship between the demographic and clinical characteristics of patients with knee osteoarthritis and their WOMAC scores. The study used a quantitative, cross-sectional observational design. The relationship between functional disability (measured by the WOMAC score) and various factors was analyzed. The independent variables included age, sex, occupation, body mass index (BMI), OA grade, and duration of OA to the WOMAC score. Significant correlations were found between the WOMAC score and both OA grade (p=0.049) and OA duration (p=0.030). Furthermore, the multiple linear regression analysis revealed that OA duration (p=0.038) and OA grade (p=0.036) were significant predictors of the WOMAC score, collectively explaining 13.0% of its variance (R² value = 0.130).  The findings of this study indicate that OA grade and duration of illness are significant predictors of the level of disability as measured by the WOMAC scores. OA levels and disease duration were the primary predictors of functional disability, explaining 13.0% of the WOMAC score variance. Nursing interventions should focus on risk stratification based on these clinical markers, prioritizing early intervention for newly diagnosed patients, irrespective of their age or BMI.
Education Of Knowledge And Basic Life Support Training For Teenage Students Syahferi Anwar; Tanjung, Dudut; Damanik, Balqis Nurmauli; Sianturi, Marta Imelda Br; Lubis, Izmi Arisa Putri; Padang, Alisarjuni
Jurnal Pengabdian Masyarakat Sapangambei Manoktok Hitei Vol. 4 No. 2 (2024): Jurnal Pengabdian Masyarakat SAPANGAMBEI MANOKTOK HITEI
Publisher : Universitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36985/nc678661

Abstract

Individuals and groups, including the general public, are currently required to be able to provide immediate assistance when facing emergency conditions. To ensure assistance is provided according to proper procedures, it is necessary to offer training on Basic Life Support (BLS). Students of SMK Kesehatan Haji Sumatera Utara, who are teenagers with significant potential, are ideal candidates for such training. Although they are organized into a KKR Cadre Team or Youth Health Cadre group, they currently lack the necessary knowledge and need to be equipped with BLS skills. The purpose of this service is to enhance the knowledge and technological capabilities of students at SMK Kesehatan Haji Sumatera Utara regarding Basic Life Support in emergency cases. The method used includes interactive lectures, questions and answers, pre-tests, interventions, and post-tests. The results of the counseling and training showed a marked improvement in knowledge about Basic Life Support and an increase in the skills required to administer BLS. It is essential to carry out continuous counseling and socialization efforts within the school, particularly in the area of Basic Life Support
PELATIHAN BANTUAN HIDUP DASAR UNTUK MENINGKATKAN KESIAPSIAGAAN DAN KEBERANIAN SISWA SMA AL-FITYAN MEDAN Damanik, Balqis Nurmauli; Syahferi Anwar; Tanjung, Dudut; Ismayadi, Ismayadi; Nilawati; Manurung, Irma Valentina
Jurnal Pengabdian Masyarakat Sapangambei Manoktok Hitei Vol. 4 No. 2 (2024): Jurnal Pengabdian Masyarakat SAPANGAMBEI MANOKTOK HITEI
Publisher : Universitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36985/nzs7nm37

Abstract

Abstract   The incidence of respiratory arrest and cardiac arrest in the community is closely related to the epidemiology of heart disease. According to data from the Indonesian Ministry of Health in 2024, the prevalence of heart disease in Indonesia is 17 per 1000 people, increasing the risk of unpredictable occurrences of cardiac arrest and respiratory arrest. Adolescents, as members of both family and community, must possess basic skills in providing basic life support (BLS) to reduce the risk of death complications due to heart disease. The objectives of the BLS training conducted at SMA Al-Fityan Medan are to (1) provide health education on heart disease to adolescents, (2) teach adolescents their role in daily life to reduce the risk of heart disease from an early age, and (3) provide BLS training to adolescents. This community service activity (PKM) includes health education and a BLS demonstration. The training proved beneficial, with a significant increase in participants' knowledge, as evidenced by comparing pre-test and post-test results (p<.000). Participants were also able to effectively perform BLS after the training. Education on heart disease and BLS training for adolescents is essential in preventing heart disease and its complications. Keywords: basic life support, adolescent, cardiovascular, SMA Al-Fityan Medan  
PENINGKATAN KETERAMPILAN PENANGANAN PASIEN GAWAT DARURAT MELALUI PELATIHAN BASIC TRAUMA CARDIAC LIFE SUPPORT (BTCLS) DI AKADEMI KEPERAWATAN KESDAM SIANTAR Anwar, Syahferi; Tanjung, Dudut; Ismayadi, Ismayadi; Damanik, Balqis Nurmauli; Pulungan, Ruslan Zuhair
Jurnal Pengabdian Masyarakat Sapangambei Manoktok Hitei Vol. 5 No. 1 (2025): Jurnal Pengabdian Masyarakat SAPANGAMBEI MANOKTOK HITEI
Publisher : Universitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36985/zgcbwk94

Abstract

  This community service project aims to enhance emergency handling competencies through Basic Trauma Cardiac Life Support (BTCLS) training at Akademi Keperawatan KESDAM Siantar. The activity was implemented using a participatory and intensive simulation-based approach that integrated theoretical instruction with practical field exercises over a six-day period. Evaluations conducted through pre-test and post-test assessments revealed an average knowledge score increase from 45.5 to 85.5 (an improvement of 87.91%) and an average skill score of 85. The utilization of resuscitation manikins and realistic emergency simulations significantly improved participants’ response speed and accuracy in critical situations. These results demonstrate the effectiveness of simulation-based training in enhancing emergency response quality, as well as boosting the confidence and professionalism of healthcare personnel. The contributions of this project to the advancement of nursing education serve as a benchmark for other institutions aiming to implement similar training programs to address modern challenges Keywords: BTCLS, Training, Service, Competence, Nursing
Pelatihan Kesiapsiagaan Bencana Berbasis Komunitas di Desa Marbun Toruan: Meningkatkan Ketahanan Lokal Melalui Simulasi dan Edukasi Ismayadi; Tanjung, Dudut; Tarigan, Mula
JURNAL ABDIMAS MADUMA Vol. 4 No. 1 (2025): April, 2025
Publisher : English Lecturers and Teachers Association (ELTA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52622/jam.v4i1.403

Abstract

Pengabdian pada masyarakat ini mengkaji pelaksanaan program pelatihan kesiapsiagaan bencana berbasis komunitas di Desa Marbun Toruan, dengan fokus pada peningkatan ketahanan lokal melalui latihan simulasi dan sesi edukasi. Program ini, yang melibatkan 60 warga setempat, terdiri dari fase pra-penilaian, intervensi edukasi, latihan simulasi, dan pasca-penilaian. Temuan menunjukkan bahwa peserta mengalami peningkatan signifikan dalam pengetahuan, sikap kesiapsiagaan, dan keterampilan praktis. Hasil utama meliputi peningkatan daya ingat pengetahuan, partisipasi aktif dalam latihan, dan kesadaran yang lebih tinggi tentang peran dan tanggapan kesiapsiagaan bencana. Hasil ini menunjukkan bahwa pelatihan bencana berbasis komunitas dapat secara signifikan meningkatkan kesiapan lokal, dengan implikasi untuk mengembangkan strategi intervensi yang disesuaikan di komunitas berisiko tinggi serupa Kata Kunci : Kesiapsiagaan bencana; ketahanan komunitas; pelatihan simulasi;manajemen darurat; mitigasi bencana
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.
Asuhan Keperawatan pada Tn.S dengan Gangguan Sistem Musculoskeletal; Fraktur Humerus Proksimal di Rumah Sakit Haji Adam Malik, Medan Bungaria, Sri; Tanjung, Dudut; E, Edianto; Afriani, Dina; Hanim, Saodah
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 12 (2025): Januari
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14561010

Abstract

Background; Proximal humeral fractures (PHF) are one of the most common fractures in adults, with prevalence ranging from 4% to 10% of all fractures. These fractures are often caused by low energy trauma such as falls from a standing position or medical conditions such as osteoporosis. Treatment of PHF can be conservative or surgical, depending on the type and severity of the fracture. Untreated complications can lead to joint stiffness and worsen the patient's quality of life. Therefore, the role of nurses in supporting patient self-care is very important, especially in providing appropriate education and interventions. Objective; This study aims to provide nursing care to patients with PHF who experience immobilization. Methods: This study used a case report design that analyzed a 44-year-old male patient with a diagnosis of neglected proximal humeral fracture and metatarsal fracture. Nursing diagnoses found include acute pain, impaired physical mobilization, and impaired skin integrity. Interventions include pain management with analgesic administration, physical mobilization support, and skin integrity care. Results; The results of nursing planning showed increased physical mobility and pain reduction after 3x24 hours, as well as improved skin integrity after two meetings. Conclusion; This nursing care shows the importance of the nurse's role in providing education to patients and families to support post-fracture recovery.
Pengaruh Pelatihan Bantuan Hidup Dasar (BHD) Terhadap Pengetahuan dan Keterampilan Siswa di SMA Yapim Sei Glugur Pancur Batu Anita Ndruru; Riswani Tanjung; Dudut Tanjung
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 Many Flora; Dudut Tanjung; Evi Karota
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.
Pengaruh Supportive Care Interventions Terhadap Kecemasan dan Nyeri pada pasien Praoperasi Fraktur Tulang Panjang Ria Apriliani Waruwu; Dudut Tanjung; Siti Saidah Nasution
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.47664

Abstract

Fraktur tulang panjang merupakan kondisi medis yang sering terjadi akibat trauma atau kondisi patologis, yang dapat menimbulkan nyeri intens dan kecemasan, terutama menjelang prosedur operasi. Penelitian ini bertujuan untuk menganalisis pengaruh Supportive Care Interventions (SCI) terhadap tingkat kecemasan dan nyeri pada pasien praoperasi fraktur tulang panjang. Desain penelitian menggunakan Randomized Controlled Trial (RCT) dengan jumlah sampel sebanyak 64 responden yang dibagi secara acak menjadi dua kelompok: kelompok intervensi yang menerima SCI dan kelompok kontrol yang menerima perawatan rutin, masing-masing terdiri dari 32 responden. Tingkat kecemasan diukur menggunakan State-Trait Anxiety Inventory (STAI), sedangkan nyeri diukur menggunakan Numerical Rating Scale (NRS). Analisis data dilakukan menggunakan uji t berpasangan dan t independen. Hasil penelitian menunjukkan penurunan yang signifikan pada tingkat kecemasan dan nyeri di kelompok intervensi dibandingkan kelompok kontrol (p = 0,00). Rerata kecemasan pada kelompok intervensi tercatat sebesar Mean = 20,125; SD = 3,290, sedangkan pada kelompok kontrol Mean = 0,906; SD = 3,888. Rerata nyeri pada kelompok intervensi sebesar Mean = 1,969; SD = 0,695, sementara pada kelompok kontrol Mean = 0,125; SD = 0,871. Kesimpulannya, Supportive Care Interventions terbukti efektif dalam menurunkan kecemasan dan nyeri pada pasien praoperasi fraktur tulang panjang. Kata kunci: fraktur tulang panjang, kecemasan, nyeri, supportive care interventions, praoperasi, RCT
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 E, Edianto edianto edianto Edianto, Edianto Elly Nurachmah Elmeida Effendy Emil Salim Evi Karota 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 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 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 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