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All Journal NUSANTARA: Jurnal Pengabdian Kepada Masyarakat Safari : Jurnal Pengabdian Masyarakat Indonesia Diagnosa: Jurnal Ilmu Kesehatan dan Keperawatan Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Jurnal Mahasiswa Ilmu Kesehatan Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan Nursing Applied Journal Medical Laboratory Journal Vitamedica: Jurnal Rumpun Kesehatan Umum Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Vitamin: Jurnal Ilmu Kesehatan Umum Protein: Jurnal Ilmu Keperawatan dan Kebidanan Harmoni Sosial : Jurnal Pengabdian Dan Solidaritas Masyarakat International Journal of Health and Medicine Bumi: Jurnal Hasil Kegiatan Sosialisasi Pengabdian Kepada Masyarakat Kesejahteraan Bersama : Jurnal Pengabdian dan Keberlanjutan Masyarakat Jurnal Praba: Jurnal Rumpun Kesehatan Umum Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Ahmad Zakiudin
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Journal : Protein: Jurnal Ilmu Keperawatan dan Kebidanan

 1 
Asuhan Keperawatan pada Ny. M dengan Gangguan Sistem Muskuloskeletal: Pre Operasi Fraktur Collum Femur Dextra di Ruang Mawar 2 RSUD Dr. Soeselo Kabupaten Tegal Anisa Nurul Adila; Ahmad Zakiudin; Yusriani Saleh Baso
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 2 No. 4 (2024): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v2i4.770

Abstract

According to WHO in 2020, the incidence of fractures was reported, with more than 13 million cases and a prevalence rate of 2.7%. Based on medical record data from RSUD dr. Soeselo, Tegal Regency, in 2023 the number of femoral neck fracture patients will be 129 people (1.34%). Femoral neck fractures usually require operative therapy rather than conservative therapy. The aim of this scientific paper is to provide nursing care to preoperative patients with femoral neck fractures at RSUD dr. Soeselo, Tegal Regency. The results of the assessment showed that the patient experienced pain in the upper right thigh, traction weighing 5 kg was applied. Nursing problems in this final scientific work include acute pain, anxiety and impaired physical mobility.
Asuhan Keperawatan Pada Tn. W Keluarga Ny. C dengan Gangguan Sistem Persyarafan : Stroke di Desa Kalibuntu RT 01 RW 01 Kecamatan Losari Kabupaten Brebes Sai Nur Hidayah; Ahmad Zakiudin; Esti Nur Janah
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 2 No. 4 (2024): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v2i4.777

Abstract

Stroke is a disease that causes nerve damage caused by bleeding or blockage in the affected part of the brain. This disease can cause disability or death. According to the World Health Organization (WHO), there has been a significant increase in deaths due to stroke since 2000, from 2 million to 8.9 million (11%) in 2019. Data from the Kecipir Health Center, stroke sufferers in Kalibuntu village were 20 people out of 2560 (0 .08%) the number of productive residents experienced a stroke. The results of the patient's assessment showed that his right hand had not been able to move since 6 years ago and his right leg also experienced weakness in movement so that it was difficult for him to walk. The nursing diagnoses raised were knowledge deficit, impaired physical mobility and ineffective family health management.
Asuhan Keperawatan pada An. M dengan Post Operasi Debridement Indikasi Combustio Grade II di Ruang Mawar 2 RSUD dr. Soeselo Kabupaten Tegal Risma Zulianti; Ahmad Zakiudin; Esti Nur Janah
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 2 No. 4 (2024): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v2i4.778

Abstract

Combustio is an injury caused by fire chemicals, electricity which can cause skin and tissue damage (Antoro, 2023). The purpose of this writing is to find out and provide nursing care to An. M with post operative debridement indicating grade II combustio in the mawar room RSUD dr. Soeselo Kabupaten Tegal in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was foundthat the main complaint was pain. There were three diagnoses found, namely acute pain, impaired skin integrity and knowledge deficit. Interventions are prepared based on the theory of SDKI,SLKI, and SIKI as well as on the client’s condition and can be implemented.
Asuhan Keperawatan pada Tn. Z Dengan Gangguan Sistem Endokrin: Post OP Struma Nodusa Non Toksik di Ruang Mawar 2 RSUD Dr. Soeselo Kabupaten Tegal Fayiko Yulia Muhfaj; Ahmad Zakiudin; Yusriani Saleh Baso; Sukirno Sukirno
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 2 No. 4 (2024): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v2i4.779

Abstract

The thyroid gland is an endocrine organ that has a dual role in regulating the level of metabolism and regulates fat and carbohydrate metabolism. The shape resembles a butterfly and is the largest gland in the human body (Jamal & Maracilu, 2023). The thyroid gland is in the front of the neck just below the larynx and sticks to the trachea. This gland has two lobes, namely the right lobe and the left lobe that is connected by Isthmus which is a small piece of tissue (Arsana, 2023). The thyroid gland produces important hormones such as T4 and T3 needed by the body for metabolic functions. The production of this hormone depends on the intake of iodine from food and salt (Dewi et al., 2023).
Asuhan Keperawatan pada Ny. M dengan Gangguan Sistem Muskuloskeletal: Post Op Hemiarthoplasty pada Fraktur Collum Femur Dexstra di Ruang Mawar 2 RSUD Dr. Soeselo Kabupaten Tegal Ridho Azi Saputra; Ahmad Zakiudin; Esti Nur Janah
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 2 No. 4 (2024): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v2i4.780

Abstract

Fractures can lead to disabilities in individuals, which may result from trauma due to accident (Ramadhan & Pristianto, 2022)s. The purpose of this paper is to develop and apply nursing care for Mrs. M, who underwent post-operative hemiarthroplasty for a femoral neck fracture, in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. This paper utilizes a descriptive method with a focus on the nursing process approach. The results of the nursing care show that the patient reports pain at the surgical site on the upper right leg, post-operative hemiarthroplasty, with pain described as a pulling sensation in the upper right leg, at a pain scale of 6, and continuous. The client states that she can only lie in bed, with all post-operative activities being assisted by family members. She also reports that she has not received health education on early mobilization and has limited understanding of early immobilization. The nursing diagnoses identified are acute pain, impaired physical mobility, and knowledge deficit. Interventions were based on the SIKI (Nursing Care Standards) and implementation followed the planned interventions. Upon evaluation, one diagnosis—knowledge deficit—was resolved, acute pain was partially resolved, and impaired physical mobility remained unresolved. The results of the nursing care are consistent with the theory. This paper aims to improve skills in providing nursing care.
Asuhan Keperawatan Pada Tn. T dengan Diagnosa Medis Post Operasi Soft Tissue Tumor (STT) Lengan Kanan di Ruang Mawar 2 RSUD Dr. Soeselo Kabupaten Tegal Astrit Apriliana Putri; Ahmad Zakiudin; Yusriani Saleh Baso
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1738

Abstract

A tumor is a collection of abnormal cells that develop due to excessive and uncontrolled cell division (Angkotasan & Vioneery, 2022). Currently, tumors are considered one of the leading causes of morbidity and mortality worldwide (Maryati, 2023). The purpose of this study is to provide an in-depth understanding and description of nursing care for Mr. T, a patient with a medical diagnosis of post-operative soft tissue tumor (STT) in the right arm, who was treated in Room Mawar 2 at RSUD dr. Soeselo, Tegal Regency, in accordance with standardized nursing care guidelines. This study employed a descriptive case study method, with data obtained through interviews, observations, physical examinations, and documentation reviews. Based on the case analysis, the patient’s main complaint was severe pain following surgery. Three priority nursing diagnoses were identified: acute pain, knowledge deficit related to the disease and its management, and risk of infection due to post-surgical wound. Nursing interventions were planned and implemented according to SDKI (Standar Diagnosa Keperawatan Indonesia), SIKI (Standar Intervensi Keperawatan Indonesia), and SLKI (Standar Luaran Keperawatan Indonesia), adapted to the patient’s condition. The interventions included pain management techniques, health education, wound care, and infection prevention strategies. The results showed that after the nursing care was carried out, the patient reported a decrease in pain intensity, demonstrated increased knowledge regarding his condition, and exhibited no signs of infection. This study highlights the importance of systematic nursing care in post-operative soft tissue tumor patients to reduce complications, promote recovery, and improve quality of life. The findings are expected to contribute as a reference for nursing practice and further research on tumor management in clinical settings.
Keperawatan pada Ny. D dengan Gangguan Sistem Endokrin: Post-Op Tumor Mammae Dextra di Ruang Mawar 2 RSUD Dr. Soeselo Kabupaten Tegal Desy Liani; Ahmad Zakiudin; Yusriani Saleh Baso
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1776

Abstract

Post-operative care is a critical phase in the recovery process, beginning immediately after the completion of surgery until the patient is stabilized and transferred to the inpatient ward. Among various surgical procedures, lumpectomy is a common intervention performed to manage mammary tumors, aiming to preserve breast tissue while removing the tumor (Arif et al., 2021). This paper presents a case study of Mrs. D, a patient with an endocrine disorder who underwent a right breast lumpectomy at Mawar 2 Ward, Dr. Soeselo Regional General Hospital, Tegal Regency. The study employed a descriptive method to explore the patient’s condition and nursing interventions. Upon assessment, the main complaint reported by the patient was pain localized in the post-operative area. Based on the findings, two primary nursing diagnoses were established: acute pain related to surgical trauma and knowledge deficit related to post-operative care and self-management. Nursing interventions were designed and implemented according to the Indonesian Nursing Diagnosis Standard (SDKI), the Indonesian Nursing Outcomes Standard (SLKI), and the Indonesian Nursing Interventions Standard (SIKI). Interventions included pain management strategies, such as pharmacological support and non-pharmacological relaxation techniques, as well as health education to improve patient knowledge and self-care ability. The case highlights the importance of comprehensive nursing care that addresses both physical discomfort and the patient’s understanding of recovery, thereby promoting optimal health outcomes after breast surgery.
Asuhan Keperawatan pada Ny. D dengan Post Operasi Tumor Mammae Dextra di Ruang Mawar 2 RSUD dr. Soeselo Kabupaten Tegal Iin Nurlatipah; Ahmad Zakiudin; Sukirno Sukirno
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1794

Abstract

Mammary tumor is a condition where an abnormal mass or lump forms in the breast, caused by excessive and continuous cell reproduction. This condition often develops unnoticed and can be dangerous if not promptly treated. In 2018, the incidence rate of breast cancer in Indonesia was 136.2 per 100,000 people, making it one of the most common cancers in Southeast Asia, ranking 8th in the region. If untreated, mammary tumors have the potential to spread to other parts of the body, and in many cases, can be fatal for the patient. One of the common medical treatments for mammary tumors is surgery. This surgery aims to remove the tumor and prevent further spread. In this context, the role of nurses is critical, as according to Orem's theory, nurses have the responsibility to help improve the health status of patients, especially in situations where patients are unable to perform self-care. In such cases, nursing assistance is necessary to ensure that the patient can undergo proper post-operative care. This study aims to provide an overview of nursing care for patients with post-operative right mammary tumor in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. The nursing care provided includes several important steps: patient assessment, nursing diagnosis, planning, implementation of care, and evaluation of the care outcomes. This research uses a descriptive case study design, offering an in-depth view of the nursing approach applied to patients after mammary tumor surgery. With this approach, the study aims to provide clearer insights into the role of nurses in supporting patient recovery and improving the quality of care in hospitals.
Asuhan Keperawatan Pada Ny. T dengan Gangguan Sistem Pencernaan: Ileus Obstruksi di Ruang Mawar 2 RSUD dr. Soeselo Kabupaten Tegal Naila Nur Azizah; Ahmad Zakiudin; Sukirno Sukirno
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1800

Abstract

The digestive system plays a role in processing food into nutrients so that they can be absorbed and utilized by the body, but it is often found that the digestive system experiences disorders that can be caused by various factors such as infection, inflammation, motility disorders, or even neoplasms (Suryati et al., 2025).One of the diseases caused by digestive system disorders is ileus obstruction, which is a disorder of the digestive system that occurs due to a mechanical blockage in the intestine and is often found in patients with intestinal obstruction. One of the diseases resulting from digestive system disorders isileus obstruction, which is a disorder of the digestive system caused by a mechanical obstruction in the intestines and is commonly found in patients who visit the emergency room. It is estimated that approximately 2-8% and 15% of patients require treatment in the surgical unit (Andi Nailah et al., 2024). Obstructive ileus occurs in the small intestine and can be caused by incarcerated hernia, intussusception, intestinal adhesions or adhesions, ascariasis, volvulus, tumors, or gallstones entering the ileum (Su’un, Gani, & Purnama, 2024). The purpose of this writing is to understand and provide nursing intervention  for Mrs. T with a digestive system disorders: a case of ileus obstruction in Mawar 2 ward dr. Soeselo Regional General Hospital, Tegal Regency. The method used in this writing is a descriptive method. From the case review, it was found that the patient's main complaint was pain in the lower right abdomen. Three diagnoses emerged: acute pain, anxiety, and knowledge deficit. Interventions were developed based on SDKI, SLKI, and SIKI, which can be implemented.
Asuhan Keperawatan pada An. A dengan Gangguan Sistem Muskuloskeletal: Post Operasi Ruptur Tendon Patella di Ruang Mawar 2 RSUD dr. Soeselo, Kabupaten Tegal Marsela Dita Fahera; Ahmad Zakiudin; Sukirno Sukirno
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 4 (2025): Oktober : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v3i4.1804

Abstract

Disorders of the musculoskeletal system encompass a wide range of conditions affecting the bones, joints, and muscles. Bone-related disorders include osteoporosis, fractures, spinal deformities, osteopenia, osteomalacia, Paget’s disease of bone, osteopetrosis, achondroplasia, osteogenesis imperfecta, and osteomyelitis. Joint-related disorders consist of arthritis, bursitis, tendinitis, tendon injuries, tennis elbow, and carpal tunnel syndrome, while muscle disorders include myalgia, fibromyalgia, muscle injuries, muscular dystrophy, muscle atrophy, cramps, and spasms (Astuti et al., 2024). Fractures may lead to complications in surrounding tissues, such as soft tissue edema, bleeding into muscles and joints, joint dislocation, nerve damage, vascular injury, and tendon rupture (Rumapea, 2024). A patellar tendon rupture occurs when the fibrous tissue connecting the patella to the quadriceps muscle tears, and complete ruptures typically require surgical repair. The objective of this study was to design and implement a nursing care plan for patient A, who underwent post-operative management of a patellar tendon rupture in Mawar Ward 2 at RSUD dr. Soeselo, Tegal Regency, in 2025. This study applied a descriptive case study method. The findings revealed that the main complaint reported by the patient was pain in the left knee. Three nursing diagnoses were identified: acute pain, impaired physical mobility, and risk of infection. Nursing interventions were structured based on standardized guidelines from SDKI, SLKI, and SIKI, enabling systematic implementation. The results highlight the importance of comprehensive and evidence-based nursing care to optimize recovery outcomes for patients with post-operative tendon rupture.
Co-Authors Aas Naita Adi Nur Faozan Aerofa Tri Aryani Ahmad Akhyarudin Andita Andita Anisa Nurul Adila Anna Maulina Lestari Asri Hidayatun Nasiha Astrit Apriliana Putri Desy Liani Devi Munfaiqoh Diah Nur Aisyah Djoko Aji Eli Suhesti Esti Nur Janah Esti NurJanah Farida Erlany Fayiko Yulia Muhfaj Hani Naviatul Latifah Hilda Erliana Icha Hayuning Wulan Ida Ayu Putu Sri Widnyani Iin Nurlatipah Ikbal Kanebi Indah Mutiarawati Ismi Roikhatul Janah Isnaeni Rahmawati Khikmatul Khoeriyah Khoerunnisa Dian Maulida Lena Alfiana Marsela Dita Fahera Mega Ayu Nabila Meli Afrilia Muhammad Farhan Nabiel Azkiya Naila Nur Azizah Nessy Meinika Putri Nur Umi Aminatussholihah Nurhastati Rakhmatillah Putri Dwi Kamala Rahma Amelia Ridho Azi Saputra Ridho Imanulloh Riko Feli Alfakon Risma Zulianti Sai Nur Hidayah Septiana Nur Salsabila Sholifatul Maulidia Silvia Desti Arlina siska aulia SITI FATIMAH Sujono Sujono Sukirno Sukirno Tati Karyawati Tri Niar Sari Vicky Liza Nabila Vina Rohmatul Ummah Willi Nur Aeni Yusriani Saleh Baso