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All Journal Jurnal Kesehatan Holistic Al-Asalmiya Nursing: Journal of Nursing Sciences Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Community Development Journal: Jurnal Pengabdian Masyarakat Madaniya Eastasouth Journal of Impactive Community Services Indo Green Journal International Journal of Technology and Education Research Science: Indonesian Journal of Science Indo Green Journal Jurnal Ilmiah Ilmu Kesehatan World Health Digital Journal (wolgitj) NMI THE JOURNAL OF Nursing Management Issues
ASTIKA HANDAYANI
Akademi Keperawatan Kesdam I/Bukit Barisan Pematangsiantar
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Asuhan keperawatan medikal bedah pada tn. R dengan gangguan sistem muskuloskeletal postoperasi fraktur femur dextra Nia Ramadani; Astika Handayani
THE JOURNAL OF Nursing Management Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/nmi.v3i3.4174

Abstract

Background: Femoral fracture is one of the musculoskeletal injuries that often occurs due to trauma and generally requires Open Reduction and Internal Fixation (ORIF) surgery. Postoperative conditions often cause nursing problems in the form of acute pain, impaired skin integrity, and impaired physical mobility so that comprehensive nursing care is needed. Purpose: To implement medical surgical nursing care for Mr. R with musculoskeletal system disorders in post-op right femoral fracture. Method: A qualitative study with a descriptive design using a case study approach was conducted on one patient treated in the Anggrek Ward of Vita Insani Hospital, Pematangsiantar, for three days, from April 15–17, 2026. Data were collected through interviews, observation, physical examination, and documentation study, then analyzed descriptively based on the stages of the nursing process. Results: The study identified three primary nursing diagnoses: acute pain, impaired skin integrity, and impaired physical mobility. Interventions included pain management, deep breathing relaxation, skin integrity care, range-of-motion exercises, and gradual mobilization. After three days, pain intensity decreased from 8 to 1, the surgical wound remained clean and dry without signs of infection, and mobility gradually improved, although not yet optimal. Conclusion: The systematic application of the nursing process can support the recovery of post-op patients with right femur fractures by reducing pain, maintaining skin integrity, and increasing physical mobility.   Keywords: Musculoskeletal Disorder; Nursing Care; Postoperative; Right Femur Fracture.   Pendahuluan: Fraktur femur merupakan salah satu cedera muskuloskeletal yang sering terjadi akibat trauma dan umumnya memerlukan tindakan operasi Open Reduction and Internal Fixation (ORIF). Kondisi pascaoperasi sering menimbulkan masalah keperawatan berupa nyeri akut, gangguan integritas kulit, dan gangguan mobilitas fisik sehingga diperlukan asuhan keperawatan yang komprehensif. Tujuan: Untuk melaksanakan asuhan keperawatan medikal bedah pada Tn. R dengan gangguan sistem muskuloskeletal pada post op fraktur femur dextra. Metode: Penelitian kualitatif dengan desain deskriptif melalui pendekatan studi kasus terhadap satu pasien yang dirawat di Ruang Anggrek Rumah Sakit Vita Insani Pematangsiantar selama 3 hari, yaitu tanggal 15–17 April 2026. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi, kemudian dianalisis secara deskriptif berdasarkan tahapan proses keperawatan. Hasil: Hasil penelitian menunjukkan tiga diagnosis keperawatan utama, yaitu nyeri akut, gangguan integritas kulit, dan gangguan mobilitas fisik. Intervensi yang diberikan meliputi manajemen nyeri, teknik relaksasi napas dalam, perawatan integritas kulit, latihan rentang gerak (range of motion), dan mobilisasi bertahap. Evaluasi setelah 3 hari menunjukkan penurunan intensitas nyeri dari skala 8 menjadi 1, kondisi luka operasi tetap bersih dan kering tanpa tanda infeksi, serta peningkatan kemampuan mobilitas pasien secara bertahap meskipun belum optimal. Simpulan: Penerapan proses keperawatan secara sistematis mampu mendukung pemulihan pasien post op fraktur femur dextra melalui penurunan nyeri, pemeliharaan integritas kulit, dan peningkatan mobilitas fisik.   Kata Kunci: Asuhan Keperawatan; Fraktur Femur Dextra; Gangguan Muskuloskeletal; Post Operasi.
Asuhan Keperawatan Medikal Bedah pada Ny. S dengan Gangguan Sistem Kardiovaskuler pada Penyakit Jantung Koroner (PJK) di Rumah Sakit Vita Insani Pematangsiantar Ruth Kristina Hutabarat; Astika Handayani
Indo Green Journal Vol. 4 No. 3 (2026): Green 2026
Publisher : Published by Institut Teknologi Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/green.v4i3.793

Abstract

Penyakit Jantung Koroner (PJK) merupakan penyakit pada sistem kardiovaskuler yang disebabkan oleh penyempitan atau penyumbatan arteri koroner sehingga mengurangi aliran darah dan suplai oksigen ke otot jantung. Kondisi ini dapat menyebabkan nyeri dada, sesak napas, penurunan curah jantung, intoleransi aktivitas, serta gangguan pola tidur. Menurut World Health Organization WHO (2023) menunjukan bahwa penyakit jantung koroner (PJK) terjadi sekitar 40% dari 8.091.734.930 diseluruh dunia yaitu 3.236.693.972. Bertujuan untuk memberikan asuhan keperawatan medikal bedah pada pasien penyakit jantung koroner (PJK). Penelitian ini menggunakan metode kualitatif deskriptif dengan pendekatan studi kasus. Subjek penelitian adalah satu orang pasien penyakit jantung koroner yang dirawat di Ruang Melati Rumah Sakit Vita Insani Pematangsiantar selama 3 hari, mulai tanggal 29 April sampai 01 Mei 2026. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaanfisik,dandokumentasi. Asuhan keperawatan Ny.S menunjukan pasien mengalami nyeri dada sebelah kiri, skala nyeri 6 yang menjalar kebahu, diagnosa yang ditegakan yaitu penurunan curah jantung, poa napas tidak efektif, dan nyeri akut. Setelah dilakukan asuhan keperawatan selama 3 hari terdapat penurunan curah jantung berkurang, pola napas tidak efektif berkurang, dan nyeri akut berkurang dan dapat teratasi. Asuhan keperawatan medikal bedah  pada pasien penyakit jantung koroner (PJK) menunjukan kondisi klinis dan seluruh masaah keperawatan dapat teratasi.
Gerontological Nursing Care For Mr. S With Urinary Incontinence At The Pematangsiantar Social Service Unit For The Hearing And Speech Impaired And The Elderly Riskayana Sinaga; Astika Handayani
International Journal of Technology and Education Research Vol. 4 No. 03 (2026): July- September, International Journal of Technology and Education Research (I
Publisher : International journal of technology and education research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63922/ijeter.v4i03.6646

Abstract

Introduction: Urinary incontinence is a condition characterized by the inability to control urine output, resulting in involuntary urine leakage. According to the World Health Organization (WHO), the global elderly population is projected to reach 2.1 billion by 2050. This study aims to provide gerontological nursing care. Methods: A qualitative research design was employed, specifically a descriptive study using a case study approach. The sample consisted of one respondent—an elderly individual experiencing urinary incontinence. The study was conducted from April 12 to April 16, 2026, at the Pematangsiantar Social Service Unit for the Hearing and Speech Impaired and the Elderly. Results: Assessment revealed that the client was experiencing stress urinary incontinence accompanied by self-care deficits and sleep pattern disturbances. Following five days of nursing care—comprising Kegel exercises, fluid management, and personal hygiene—the frequency of urination decreased from 20 times to 10 times per 24 hours. During a 10-hour observation period, the frequency of urination dropped from 11 times to 8 times; urine leakage diminished, self-care ability improved, and sleep quality enhanced. All nursing problems were determined to be partially resolved. Conclusion: Five days of gerontological nursing care helped improve the condition of the client suffering from urinary incontinence. Recommendation: Nurses are expected to provide ongoing education regarding Kegel exercises, bladder training, fluid intake management, and scheduled toileting to improve urinary control and the quality of life for elderly individuals with urinary incontinence
Emergency Nursing Care For Mr. D With Cardiovascular System Disorders In Congestive Heart Failure (CHF) at Vita Insani Hospital Pematangsiantar Nabila Dewi Syahfitri; Astika Handayani
International Journal of Technology and Education Research Vol. 4 No. 03 (2026): July- September, International Journal of Technology and Education Research (I
Publisher : International journal of technology and education research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63922/ijeter.v4i03.6647

Abstract

Congestive Heart Failure (CHF) is a clinical syndrome resulting from the heart's inability to pump blood effectively to meet the body's metabolic demands. Globally, the number of Congestive Heart Failure (CHF) cases in 2023 was estimated to reach approximately 58 million sufferers out of a total world population of around 8.1 billion people. It is expected that researchers will be able to implement emergency nursing care for patients with cardiovascular system disorders in Congestive Heart Failure (CHF).: This study utilized a qualitative research method with a descriptive approach focused on one patient with a medical diagnosis of CHF at Vita Insani Hospital, Pematangsiantar, (98 bpm). For the diagnosis of decreased intracranial adaptive capacity, it was partially resolved with an improvement in the GCS score to 10 (E3, V2, M5). The ineffective breathing pattern was resolved, with the breathing pattern returning to regular at a normal respiratory rate of 22 breaths per minute, no further chest muscle retractions, and a stable, optimal oxygen saturation at 99%. The implementation of comprehensive emergency nursing care for patients with cardiovascular system disorders in Congestive Heart Failure (CHF) is effective in addressing nursing problems related to decreased cardiac output and increased intracranial adaptive capacity, patients experiencing a cardiovascular crisis.
Medical Surgical Nursing Care For Mr. L With Respiratory System Disorders Due To Pulmonary Tuberculosis In The Cenderawasih Ward, Vita Insani Hospital Pematangsiantar Feza Kaifa Syira; Astika Handayani
International Journal of Technology and Education Research Vol. 4 No. 04 (2026): International Journal of Technology and Education Research (IJETER)
Publisher : International journal of technology and education research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63922/ijeter.v4i04.6769

Abstract

Pulmonary tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. According to the WHO (2024), an estimated 10.7 million people suffer from pulmonary tuberculosis worldwide. The purpose of this study is to address the nursing problem of ineffective airway clearance associated with sputum hypersecretion in pulmonary tuberculosis through nursing care. This research employed a descriptive qualitative method with a case study approach. The sample consisted of one respondent, a pulmonary tuberculosis patient at Vita Insani Hospital in Pematangsiantar. The study was conducted over three days from April 2 to 4, 2026. The research instruments included an informed consent form, an assessment form, an effective cough standard operating procedure (SOP), and a semi-Fowler's position. Meanwhile, the partially resolved problem was ineffective airway clearance, characterized by the patient being able to cough effectively and producing thinner sputum, but additional rhonchi were still heard thinly in both lung fields. The implementation of nursing care for patients with pulmonary tuberculosis through effective coughing exercises, airway management, and energy management has proven effective in overcoming respiratory disorders and physical weakness in patients.
Analisis Faktor Yang Mempengaruhi Penerapan Sasaran Keselamatan Pasien Di Ruang Rawat Inap Rumah Sakit Tentara TK IV 01.07.01 Pematangsiantar Astika Handayani; Arifah Devi Fitriani
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 9, No 2 (2025): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v9i2.6085

Abstract

Keselamatan pasien rumah sakit adalah suatu sistem dimana rumah sakit membuat asuhan pasien lebih aman. Upaya peningkatan mutu pelayanan dan keselamatan pasien di rumah sakit merupakan sebuah gerakan universal. Perbaikan pada kualitas pelayanan seharusnya sejalan dengan meningkatnya keselamatan pasien dengan penerapan sasaran keselamatan pasien dan meminimalkan terjadinya insiden. Penelitian ini bertujuan untuk menganalisis pengaruh pengetahuan, sikap, motivasi, supervisi dan fasilitas rumah sakit terhadap penerapan sasaran keselamatan pasien di Ruang Rawat Inap di Rumah Sakit Tentara TK IV 01.07.01 Pematangsiantar. Desain penelitian ini adalah observasional analitik dengan rancangan cross sectional. Sampel dalam penelitian ini sebanyak 72 perawat yang bertugas di Ruang Rawat Inap dengan tehnik pengambilan sampel dengan purposive sampling. Tehnik pengumpulan data dengan menggunakan instrumen berupa kuesioner pengetahuan, sikap, motivasi, supervisi dan fasilitas rumah sakit. Analisa data pada penelitian ini menggunakan uji chi-square dan analisa data multivariat dengan menggunakan uji Regresi Linear Berganda. Berdasarkan hasil analisis bivariat didapatkan bahwa terdapat pengaruh pengetahuan (p- value=0,000), sikap (p-value=0,001, motivasi (p-value=0,003), supervisi (p-value=0,000) dan fasilitas rumah sakit (p-value=0,000) terhadap penerapan sasaran keselamatan pasien. Berdasarkan hasil analisis multivariat didapatkan faktor paling dominan berpengaruh terhadap penerapan sasaran keselamatan pasien adalah supervisi dengan nilai standardized coefficient Beta=0,316. Kata Kunci: Pengetahuan, Sikap, Motivasi, Supervisi, Fasilitas RS, Sasaran Keselamatan Pasien Abstract Hospital patient safety is a system which hospitals make nursing care patient safe. Efforts to improve the quality of service and patient safety in hospitals are a universal movement. Improvements in service quality should be in line with increasing patient safety by implementing patient safety goals and minimizing incidents. This study aims to analyze the effect of knowledge, attitudes, motivation, supervision and hospital facilities on the implementation of patient safety targets in the Inpatient Room at the Army Hospital TK IV 01.07.01 Pematangsiantar. The design of this research is observational analytic with a cross sectional design. The sample in this study was 72 nurses who served in the Inpatient Room using a purposive sampling technique. Data collection techniques using instruments in the form of questionnaires on knowledge, attitudes, motivation, supervision and hospital facilities. Data analysis in this study used the chi- square test and multivariate data analysis using the Multiple Linear Regression test. Based on the results of bivariate analysis, it was found that there was an effect of knowledge (p-value=0.000), attitude (p-value=0.001, motivation (p-value=0.003), supervision (p- value=0.000) and hospital facilities (p-value = 0.000) on the implementation of patient safety goals. Based on the results of multivariate analysis, it was found that the most dominant factor influencing the implementation of patient safety targets was supervision with a standardized coefficient value of Beta = 0.316. Keywords: Knowledge, Attitude, Motivation, Supervision, Hospital Facilities, Patient Safety Goals
Co-Authors Amy Shakilla Hanim Ayunda Nestari Sitopu Damanik, Derma Wani Feza Kaifa Syira Fitriani, Arifah Devi Julianto Julianto Nabila Dewi Syahfitri Nabilah Siregar Nia Ramadani Purba, Wulan Sari Riskayana Sinaga Roismansyah Roismansyah Ruth Kristina Hutabarat Wulan Sari Purba Wulan Sari Purba