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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 Pandawa : Pusat Publikasi Hasil Pengabdian Masyarakat Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan 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 Natural: Jurnal Pelaksanaan Pengabdian Bergerak Bersama Masyarakat 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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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.
Asuhan Keperawatan Pada Tn. A dengan Gangguan Sistem Imunologi: (Febris Akut di Ruang Dahlia Rsud Dr. Soeselo Kabupaten Tegal) Putri Dwi Kamala; Tati Karyawati; Ahmad Zakiudin
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 3 No. 4 (2025): Desember : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v3i4.1816

Abstract

Febrile illnesses can be caused by a wide variety of viruses, bacteria, and other pathogenic microbes, and their production originates from outside the body. These substances, known as exogenous pyrogens, can enter the human system through contaminated water, food, or direct human-to-human transmission. Once inside the body, exogenous pyrogens stimulate the immune system by triggering the release of endogenous pyrogens such as cytokines, which in turn act on the hypothalamus to increase body temperature as a defense mechanism. This physiological response, while protective, can also indicate an underlying infection that may need prompt medical treatment. According to the World Health Organization (WHO) in 2020, the number of fever cases worldwide reached approximately 11–20 million people annually, with an estimated 128,000–161,000 deaths each year due to complications from febrile illnesses (Meirita et al., 2024). The global burden of fever varies by region; for example, in the United States, South America, and Western Europe, the incidence of fever is estimated to reach 4–5% of the population. In contrast, several Asian countries report higher prevalence rates, such as Japan with 6–9%, India with 5–10%, and Guam with 14% (Ulum et al., 2024). These statistics highlight the ongoing public health challenge posed by febrile illnesses, emphasizing the need for improved surveillance, prevention strategies, and treatment protocols worldwide.
Asuhan Keperawatan pada An. A dengan Post Operasi Limpadenopati di Ruang Mawar 2 RSUD Dr. Soeselo Kabupaten Tegal Hilda Erliana; Ahmad Zakiudin; Sukirno Sukirno
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 3 No. 4 (2025): Desember : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebida
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v3i4.1826

Abstract

Lymphadenopathy is a condition characterized by the enlargement of lymph nodes, commonly encountered in clinical practice, and may indicate both infectious and non-infectious disorders. This condition often causes anxiety as it is frequently associated with chronic diseases or malignancies. This study aims to describe nursing care in patients with lymphadenopathy through a case study approach and theoretical review. The method used was a descriptive case study with data collected through interviews, physical examinations, observations, and documentation. The results revealed the main complaint of pain in the anterior neck following surgical intervention. The identified nursing diagnoses included acute pain, knowledge deficit, and risk of infection. Interventions were carried out in the form of infection prevention, pain management, and health education. Evaluation showed significant improvements. The study concludes that comprehensive nursing care for patients with lymphadenopathy is effective in reducing symptoms, alleviating anxiety, increasing patient knowledge, and positively impacting quality of life.
Asuhan Keperawatan pada Ny.Z dengan Post Operasi Ekstraksi Katarak Ekstrakapsular (EKEK) Indikasi Katarak Senilis di Ruang Mawar 2 RSUD Dr.Soeselo Kabupaten Tegal Muhammad Farhan; Ahmad Zakiudin; Tati Karyawati
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 3 (2024): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i3.167

Abstract

The eye is one of the main human visual organs whose function is to convert stimuli into visual perception. This organ is very sensitive and susceptible to various disorders. The eyes are a visual organ that allows us to observe the environment around us, obtain information and carry out various daily activities (Ameliany, 2022). Cataracts can be classified based on their severity into incipient, immature, mature and hypermature cataracts. Apart from that, cataracts can also be differentiated based on the age at which they appear, namely congenital, juvenile, presenile and senile (Khairunnisa, 2023).
Penyuluhan Tentang Ileus Obstruktif dan Kompres Hangat di RSUD Dr. Soeselo Kabupaten Tegal Ahmad Zakiudin; Tati Karyawati; Naila Naila
Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat. Vol. 3 No. 4 (2025): November : Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/natural.v3i4.1918

Abstract

Obstructive ileus is a digestive system disorder characterized by a blockage caused by abnormalities in the intestinal lumen, intestinal wall, or foreign objects outside the intestine. Blockages in this intestinal area can cause accumulation or buildup at the site of the blockage. Patients with obstructive ileus generally experience complaints such as nausea, vomiting, abdominal distension, bowel disorders, flatus (gas) disorders, and the most common symptom is abdominal pain. The goal of this community service is to enable families to understand the definition, causes, and management of obstructive ileus and to practice applying warm compresses to minimize pain in the affected area. The methods used in this activity were counseling, interactive discussions, and practice of applying warm compresses. The media used were leaflets and flipcharts. The results obtained from this health education activity can improve patient (family) knowledge and practice in applying warm compresses to relieve pain. It is hoped that after this activity, patients (families) can apply knowledge of how to manage pain independently as an initial preventative measure to reduce pain
Asuhan Keperawatan Pada Ny. S Dengan Gangguan Sistem Muskuloskeletal : Post Op ORIF Fraktur Sepertiga Radius Distal Dextra Di Ruang Mawar 2 RSUD dr. Soeselo Kabupaten Tegal Afifah Ismatul Maula; Ahmad Zakiudin
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.733

Abstract

Background: Distal radius fracture is the most common fracture of the radius bone near the wrist joint. The prevalence of fractures in Indonesia in 2024 was 3.8%, indicating that approximately 20 million people experienced fractures. Therefore, nursing care planning is required to address musculoskeletal disorders. Objective: To describe the nursing care for patients with Musculoskeletal System Disorders: Post-Op ORIF Fracture of One-Third Distal Radius Dextra. Method: This study used a descriptive narrative method by providing an overview of nursing care through a nursing process approach. Results: Nursing diagnoses that emerged in the patient included acute pain, impaired physical mobility, risk of infection, and knowledge deficit. Interventions performed included pain management, mobilization support, infection prevention, and health education. Conclusion: After two days of nursing implementation, one diagnosis was fully resolved and three diagnoses were partially resolved due to time constraints. Discharge planning was provided including deep breathing relaxation techniques, passive ROM exercises, and wound dressing changes every two days.
Asuhan Keperawatan Pada Ny. T Dengan Gangguan Sistem Kardiovaskular: Congestive Heart Failure (CHF) Di Ruang Mawar 1 RSUD dr. Soeselo Kabupaten Tegal Dila Ulhaq; Ahmad Zakiudin
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.735

Abstract

Introduction: Congestive Heart Failure (CHF) is a complex clinical syndrome caused by the inability of the heart to pump blood adequately to meet the body's metabolic demands. This condition may result in dyspnea, edema, activity intolerance, fatigue, and reduced quality of life. Comprehensive nursing care is essential to address patients' needs and improve health outcomes. Methods: This study employed a descriptive case study approach. Data were collected through interviews, observation, physical examination, and medical record review. Nursing care was provided using the nursing process, including assessment, nursing diagnosis, planning, implementation, and evaluation. Results: The assessment of Mrs. T identified four nursing diagnoses: ineffective breathing pattern, hypervolemia, activity intolerance, and knowledge deficit. Nursing interventions included semi-Fowler positioning, fluid balance monitoring, passive Range of Motion (ROM) exercises, and health education. Following two days of nursing implementation, three nursing diagnoses were resolved, namely ineffective breathing pattern, activity intolerance, and knowledge deficit. Hypervolemia was partially resolved due to persistent fluid imbalance. Discussion: The findings indicate that the application of systematic nursing care can improve several clinical problems experienced by CHF patients. However, fluid balance management remains a challenge, highlighting the importance of patient adherence to fluid restriction and continuous monitoring to prevent worsening symptoms.
Asuhan Keperawatan Pada Ny. S Dengan Gangguan Sistem Persarafan: Stroke Hemoragik (Intracerebral Hemorrhage) Di Ruang Mawar 1 RSUD Dr. Soeselo Kabupaten Tegal Khilyatun Niswah; Ahmad Zakiudin
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.736

Abstract

Intracerebral hemorrhage (ICH) is the most common type of hemorrhhagic stroke and a leading cause of death and disability in Indonesia. The prevalence of stroke in Indonesia reached 0.83% in 2023, with ICH cases at RSUD dr. Soeselo, Tegal Regency recording 203 cases in 2024 and increasing significantly to 304 cases in 2025. This study aims to describe comprehensive nursing care for a patient with Intracerebral Hemorrhage. The method used was descriptive narrative through a nursing process approach. Nursing assessment of Ny. S (73 years old) revealed subjective data including headache, nausea and vomiting, and weakness in the left hand and foot, while objective data showed blood pressure 180/80 mmHg, MAP 113.3 mmHg, muscle strength of left extremities 2/2, and CT scan results showing a hyperdense lesion (volume 17.17 cc) with perifocal edema in the right thalamus and right corona, partially filling the ventricular system. Four nursing diagnoses were established: decreased intracranial adaptive capacity related to cerebral edema, impaired physical mobility related to decreased muscle strength, knowledge deficit related to lack of information exposure, and risk of falls. Nursing interventions included intracranial pressure management, mobilization support, health education, and fall prevention. After three days of nursing implementation, three nursing diagnoses were resolved, while impaired physical mobility was partially resolved, resulting in discharge planning recommendations including ROM exercises, gradual mobilization, and family involvement in patient care.
Asuhan Keperawatan Keluarga Pada Ny. S Dengan Gout Arthritis: Studi Kasus Di Dukuh Karanganyar Desa Tonjong Kabupaten Brebes Putri Anggraeni; Ahmad Zakiudin
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.750

Abstract

Background: Gout arthritis is a metabolic disease caused by excessive uric acid levels in the blood (hyperuricemia), which leads to monosodium urate crystal deposition in the joints. Globally, the prevalence of gout arthritis ranges from 1–4% of the general population. In Indonesia, the national prevalence reaches approximately 7.3% based on medical diagnosis, and in Brebes Regency, cases reach 62.4%. At the Tonjong Health Center service area, the prevalence of gout arthritis in Karanganyar Hamlet, Tonjong Village, reaches 2.04%. Gout arthritis requires comprehensive nursing care including pain management and health education to prevent recurrence. Objective: To implement nursing care for Ny. S, family of Tn. S, with musculoskeletal system disorder: gout arthritis in Karanganyar Hamlet, Tonjong Village, Tonjong District, Brebes Regency. Method: This study used a case study design with a single patient/family subject. Data collection was conducted through interview, observation, physical examination, and study documentation on December 26–27, 2025 at the patient's home. Results: Assessment revealed Ny. S (72 years) experienced acute pain in the right knee joint with a pain scale of 3/10 and uric acid level of 7.3 mg/dL, along with knowledge deficit regarding gout arthritis. Two nursing diagnoses were established: acute pain and knowledge deficit. Nursing interventions included pain management education, non-pharmacological therapy (turmeric decoction), pharmacological therapy (allopurinol), and health education. Implementation was conducted over two visits. Evaluation results showed that acute pain was partially resolved (pain scale reduced to 2/10, uric acid 7.2 mg/dL) and knowledge deficit was resolved. Conclusion: Nursing care for patients with gout arthritis through pain management and health education can reduce pain intensity and improve family knowledge about the disease. Non-pharmacological intervention with turmeric decoction contributed to decreasing uric acid levels and pain. Keywords: gout arthritis, acute pain, knowledge deficit, family nursing care, non-pharmacological therapy
Asuhan Keperawatan Pada Ny. M Dengan Gangguan Sistem Persarafan: Stroke Non Hemoragik (SNH) Di Ruang Mawar 1 RSUD dr. Soeselo Kabupaten Tegal Dewi Robiatul Azizah; Ahmad Zakiudin
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 2 (2026): Juni : Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i2.752

Abstract

Introduction: Non-Hemorrhagic Stroke (NHS) or ischemic stroke is the most common type of stroke resulting from blood vessel blockage that inhibits oxygen supply to brain tissue. The prevalence of stroke in Indonesia was recorded at 10.9 cases per 1,000 population in 2013 and increased to 70 cases per 1,000 population (equivalent to 7.0%) in 2017. At RSUD dr. Soeselo, Tegal Regency, the prevalence of stroke cases was recorded at 647 people (3.74%) in 2023, 682 people (3.94%) in 2024, and 1,120 people (6.48%) in 2025. These cases frequently cause impairments in physical, emotional, cognitive, and social functioning, necessitating comprehensive care and management. Writing Method: This scientific writing used descriptive narrative methods through a nursing process approach, aiming to describe nursing care in patients with Non-Hemorrhagic Stroke. Results: Four nursing diagnoses were identified in Ny. M with Non-Hemorrhagic Stroke: ineffective cerebral perfusion risk, impaired physical mobility, knowledge deficit, and fall risk. Nursing interventions included intracranial pressure increase management, neurological monitoring, intravenous medication administration, mobilization support, health education, and fall prevention. Conclusion: After two days of nursing implementation, 2 nursing diagnoses were resolved and 2 others were partially resolved: ineffective cerebral perfusion risk via discharge planning delegated to the ward nurse, and impaired physical mobility with discharge planning including recommendations for gradual passive range of motion exercises and continued family involvement in patient care.
Co-Authors Aas Naita Adi Nur Faozan Aerofa Tri Aryani Afifah Ismatul Maula Ahmad Akhyarudin Andita Andita Anisa Nurul Adila Anna Maulina Lestari Asri Hidayatun Nasiha Astrit Apriliana Putri Ayu Pujiati Desy Liani Devi Munfaiqoh Dewi Robiatul Azizah Diah Nur Aisyah Dila Ulhaq Djoko Aji Eli Suhesti Esti Nur Janah Esti NurJanah Farida Erlany Fatiyah Alya Salsabila 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 Khikmatul Khoeriyah Khilyatun Niswah Khoerunnisa Dian Maulida Lena Alfiana Marsela Dita Fahera Mega Ayu Nabila Meli Afrilia Muhammad Farhan Naila Naila Naila Nur Azizah Nessy Meinika Putri Nurhastati Rakhmatillah PUTRI ANGGRAENI Putri Dwi Kamala Rahma Amelia Ridho Azi Saputra Ridho Imanulloh Riko Feli Alfakon Risma Zulianti Sai Nur Hidayah Sefila Meilda Naifah Sholifatul Maulidia 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