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Penyuluhan Kesehatan Tentang Gout Arthritis dan Pembuatan Obat Non Farmakologi dengan Jus Nanas dan Madu di Desa Purwodadi Kecamatan Tonjong Kabupaten Brebes Ahmad Zakiudin; Tati Karyawati; Ahmad Akhyarudin
Harmoni Sosial : Jurnal Pengabdian dan Solidaritas Masyarakat Vol. 2 No. 1 (2025): Januari : Harmoni Sosial : Jurnal Pengabdian dan Solidaritas Masyarakat
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/harmoni.v2i1.1142

Abstract

Gout arthritis (gout) is a disease that occurs suddenly and repeatedly, characterized by the formation of monosodium uric acid crystal deposits that attack the joints, due to high levels of uric acid in the blood (hyperuricemia). The aim of this activity is to be able to understand gouty arthritis and the practice of making non-pharmacological drugs from pineapple juice and honey to reduce uric acid levels in the body. This health education can increase the knowledge of Purwodadi village residents to do their best to treat gout arthritis using traditional medicine. Health education for residents can increase knowledge and skills in using simple traditional medicines
Influence of Guided Imagination on Pain Intensity in Fracture Patients at Bumiayu Regional Hospital Ahmad Zakiudin; Tati Karyawati; Ismi Roikhatul Janah
International Journal of Health and Medicine Vol. 1 No. 3 (2024): July : 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.v1i3.51

Abstract

SA survey by the Indonesian Ministry of Health found that 25% of fracture sufferers died, 45% experienced physical disabilities, 15% experienced psychological stress due to anxiety and even depression and 10% recovered well. Both open and closed fractures will affect nerve fibers which can cause pain and discomfort. Efforts that can be made to reduce pain in fracture patients are with one of the non-pharmacological techniques, namely guided imagination. The aim of this research is to determine the effect of guided imagination on reducing pain intensity in fracture patients at Bumiayu Hospital 2024. The type of research is Quasi Experiment research with a One Group Pre-test Post-test design. The population in this study were all fracture patients at Bumiayu Regional Hospital in the period 4 March - 2 April 2024, totaling 52 people and the sample was taken using a purposive sampling method, namely 35 people. Data collection used a numerical scale research instrument sheet or The Pain Numerical Rating Scale (PNRS). The data analysis used is univariate and bivariate analysis. The results of this study show that statistical analysis showed that the difference in average pain intensity in fracture patients before guided imagination was 6.83 and after guided imagination was 3.46 with a probability value of (p=0.000), so Ho was rejected and Ha was accepted, meaning that guided imagination had an effect on reducing the intensity. pain in fracture patients. In conclusion, there is an effect of providing guided imagery on pain intensity in fracture patients at Bumiayu Regional Hospital in 2024.
Pemberian Edukasi dan Pemeriksaan HB dalam Upaya Menciptakan Remaja Puteri Bebas Anemia Tati Karyawati; Ahmad Zakiudin; Siska Aulia; Ridho Imanulloh
Kesejahteraan Bersama : Jurnal Pengabdian dan Keberlanjutan Masyarakat Vol. 1 No. 3 (2024): Juli: Kesejahteraan Bersama : Jurnal Pengabdian dan Keberlanjutan Masyarakat
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/bersama.v1i3.394

Abstract

Anemia is a health and nutrition problem in adolescents, because if adolescents experience anemia. Adolescent girls are one of the groups that are susceptible to anemia. This is because during that period they also experience menstruation, especially if adolescent girls do not have sufficient knowledge about anemia. This community service aims to increase the knowledge of adolescent girls about anemia and through providing health education about adolescent anemia and hemoglobin level checks. This community service was carried out by providing health education and hemoglobin level checks directly to 25 seventh grade female students of Nurul Huda Middle School on November 30, 2023. The results of the HB values that showed no anemia were 14 female students (56%) and the results of the HB values that showed anemia were 11 female students (44%).
Penyuluhan Tentang Hipertensi dan Pembuatan Obat Non Farmakologi Dengan Rebusan Daun Seledri di Desa Purwodadi Ahmad Zakiudin; Tati Karyawati; Andita Andita
Kesejahteraan Bersama : Jurnal Pengabdian dan Keberlanjutan Masyarakat Vol. 2 No. 3 (2025): Juli : Kesejahteraan Bersama : Jurnal Pengabdian dan Keberlanjutan Masyarakat
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/bersama.v2i3.1970

Abstract

Hypertension is a condition characterized by elevated blood pressure, where the systolic pressure exceeds 140 mmHg and the diastolic pressure exceeds 90 mmHg. If not properly treated, hypertension can lead to severe complications, increased morbidity, and even mortality. This condition occurs when the heart works harder than usual to pump blood (systolic) and the blood flow returning to the heart (diastolic) also experiences increased pressure. One of the efforts to prevent the progression of hypertension from a primary to a secondary stage is through non-pharmacological treatments. One such treatment includes the use of natural remedies like celery leaves. Celery leaves contain active compounds such as flavonoids and potassium that are believed to help lower blood pressure by relaxing blood vessels and increasing the excretion of sodium through urine.This community service activity was carried out in Purwodadi Village and aimed to increase public awareness, especially among families, regarding hypertension and its non-pharmacological management using natural ingredients that are easy to find and affordable. The method used involved health education through counseling and direct demonstrations of how to prepare and consume celery leaf boiled water. Participants were actively involved in learning how to select, clean, boil, and properly consume the celery leaf water as a herbal drink.The results of the activity showed a significant improvement in community knowledge and understanding related to hypertension and the benefits of using celery leaves as a traditional remedy. It is hoped that after this activity, the local community will be able to independently apply this knowledge and routinely use boiled celery water as a preventive measure to maintain normal blood pressure and reduce the risk of complications. This effort is part of promotive and preventive health services to improve the quality of life and promote a healthy lifestyle at the village level.
Asuhan Keperawatan Pada Ny. S Keluarga Tn. N Dengan Gangguan Sistem Kardiovaskuler : Hipertensi Di Desa Purwodadi RT 04 RW 04 Kecamatan Tonjong Kabupaten Brebes Vina Rohmatul Ummah; Ahmad Zakiudin; Anna Maulina Lestari
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 3 (2025): Juli : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i3.512

Abstract

Post-cesarean section (SC) patients with premature rupture of membranes (PROM) require comprehensive nursing care due to their high risk of pain, infection, and limited mobility. This case study aims to describe the nursing care process applied to a 39-year-old woman post-SC with PROM indication. The study was conducted over five days in Nusa Indah Room at RSUD dr. Soeselo, Tegal. Data collection included interviews, observation, physical examination, and medical record review. The nursing interventions were guided by the Indonesian Nursing Diagnosis Standards (SDKI), Interventions (SIKI), and Outcomes (SLKI). Results showed a reduction in pain scale from 6 to 2, improved mobility, and wound healing without signs of infection or bleeding. These findings indicate that structured and holistic nursing care, combined with patient education and family involvement, can significantly enhance recovery outcomes. The implications suggest the need for clinical protocols in managing post-SC patients with PROM to ensure consistent, evidence-based nursing practice.
Hubungan Pencahayaan Rumah Dengan Kejadian Tuberkulosis Paru Di Wilayah Kerja Puskesmas Tonjong Kabupaten Brebes Tahun 2021 Ahmad Zakiudin; Nurhastati Rakhmatillah
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 1 No. 3 (2021): NOVEMBER : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v1i3.2197

Abstract

Tuberculosis is an infectious disease caused by the bacteria mycobacterium tuberculosis which spreads through the air and is transmitted through droplets when a person coughs, sneezes, talks, and spits anywhere. Tuberculosis is still a disease with a high level of morbidity, accompanied by very easy transmission, namely through the air. Therefore, this tuberculosis disease must be handled immediately and carefully if cases are found in an area. The purpose of this study was to determine the relationship between house lighting and the incidence of pulmonary tuberculosis in the working area of ​​Tonjong Health Center, Brebes Regency. This research method is analytical research. The method used in this research is a survey method which is carried out by distributing questionnaires and direct interviews to respondents with a cross sectional study approach. The data obtained were analyzed statistically using the Chi-Square test. From the statistical test results, it was found that the p-value = 0.002, this means that it is smaller than the value of α = 0.05. So it can be concluded that H0 is rejected, meaning that there is a significant relationship between home lighting and the incidence of pulmonary tuberculosis in the work area of ​​the Tonjong Community Health Center, Brebes Regency in 2021. In connection with the results of this study, it is hoped that the community will be able to improve the condition of the house according to the criteria for a healthy house. Such as the addition of ventilation holes, glass tiles. This is because the addition of ventilation can affect sufficient lighting intensity and reduce high humidity levels
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.