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Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Published by Asosiasi Riset Ilmu Kesehatan Indonesia
ISSN : 30310121     EISSN : 30310113     DOI : 10.61132
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Protein menerima manuskrip dalam bidang Ilmu Kesehatan, Kedokteran, Sosial Humaniora dan Ilmu Multidisiplin termasuk penelitian dasar ilmu kesehatan umum, psikologi, ilmu farmasi, keperawatan dan kebidanan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 255 Documents
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Pengaruh Pijat Endorphin dan Aroma Terapi Lavender terhadap Tingkat Nyeri Ibu Post Sectio Caesarea Heti Putri Utami; Mudy Oktiningrum; Kristina Maharani
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.v3i4.1774

Abstract

The rate of deliveries by cesarean section (CS) continues to increase globally and is projected to reach 29% by 2030. Although CS is medically effective in ensuring maternal and neonatal safety, the procedure often results in moderate to severe postoperative pain, which may hinder early mobilization, slow recovery, and reduce the mother’s overall quality of life. Effective pain management is therefore crucial. Non-pharmacological therapies such as endorphin massage and lavender aromatherapy have been recognized as complementary approaches that stimulate the release of relaxation hormones, provide natural analgesic effects, and help reduce anxiety. This study aimed to analyze the effect of combining endorphin massage and lavender aromatherapy on reducing pain levels in post-cesarean section mothers. A quasi-experimental design with a pre–posttest control group was employed. A total of 34 respondents were selected using purposive sampling and divided into intervention and control groups. The study was conducted in the maternity ward of SMC Telogorejo Hospital from March to April 2025. The intervention group received endorphin massage combined with lavender aromatherapy for 10–30 minutes, while the control group was given deep breathing relaxation only. Pain levels were measured before and after the intervention using the Numeric Rating Scale (NRS). Data were collected through questionnaires and medical records, and analyzed using univariate and bivariate techniques with the Mann–Whitney test. Results showed a p-value of 0.000 and Z = -3.774, indicating a significant effect of the intervention. These findings suggest that endorphin massage combined with lavender aromatherapy is effective in reducing postoperative pain. Further studies with larger samples are recommended to explore the optimal duration and frequency of therapy.
Pengaruh Senam Lansia terhadap Hipertensi di Wilayah Kerja Puskesmas Krueng Barona Jaya Aceh Besar Miftahul Jannah; Urip Pratama; Mansuriza Mansuriza
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.v3i4.1775

Abstract

Hypertension in the elderly is one of the common and significant health problems. The purpose of this study was to determine the effect of elderly exercise on hypertension in the working area of ​​the Krueng Barona Jaya Aceh Besar Community Health Center. The study method applied was a quasi-experimental design through a pre-test-post-test approach with a total population of 413 hypertension sufferers and a total sample of 15 people. The sample collection method was through Snowball Sampling. This research was conducted on April 20-24, 2025 in Meunasah Village, Papeun, with the research instrument in the form of an observation sheet with a measuring instrument using a sphygmomanometer. First, blood pressure was measured before the intervention, using a blood pressure monitor. Next, the elderly were given 20 minutes of exercise, followed by another 30-minute evaluation to assess changes in blood pressure. The results showed that before being given elderly exercise activities, the average systolic blood pressure of respondents was 179.60 mmHg and diastolic blood pressure was 102.73 mmHg, while after being given elderly exercise activities, the average systolic blood pressure of respondents was 170.80 mmHg and diastolic pressure was 92.80 mmHg with a difference of 8.8 mmHg systolic blood pressure and 10.13 mmHg diastolic blood pressure using a paired t-test of ρ value 0.000 (ρ <0.05). The conclusion is that there is an effect of elderly exercise on hypertension. It is hoped that hypertension sufferers and researchers will carry out routine elderly exercise activities, educational institutions will provide books on hypertension and complementary materials to increase students' knowledge and insight, and further research will be able to use the findings of this study as reference material and can improve this study through different variables.
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.P Dengan Sc Indikasi IUFD Akibat Solusio Plasenta di Ruang Nusa Indah RSUD Dr. Soeselo Kabupaten Tegal Saskiana Dewi; Tati Karyawati; Siti Fatimah
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.v3i4.1793

Abstract

When problems such as antepartum hemorrhage, fetal distress, atypical fetal presentation, and gestational hypertension occur, a cesarean section can save the lives of both mother and baby. A cesarean section (CS) is a surgical technique in which the uterus and abdominal wall are opened to deliver the fetus. In many countries, cesarean sections are the most common surgical procedure, and over the past 30 years, their use has gradually increased. Intrauterine fetal death is the death of a fetus weighing 500 grams or more in the womb at 20 weeks of gestation or later. The partial or complete separation of a normally implanted placenta after 22 weeks before birth is known as placental abruption. he purpose of this paper is to provide nursing care to Mrs. P with a Caesarean section indicating intra uterine fetal death (IUFD) due to placental abruption in the Nusa Indah room of dr. Soeselo Regional General Hospital, Tegal Regency, according to nursing standards. The method used is descriptive with a case study approach. The data collection techniques in this scientific paper are in the form of interviews, observations, documentation studies and literature studies. From the case review, the main complaint was pain in the operated area, pain increased when moving, pain like being squeezed with a pain scale of 5, pain that comes and goes. The patient appeared to be grimacing in pain and restless, the patient always held the area that had been operated on, the results of the vital signs examination obtained: BP: 139/100 mmHg, pulse: 103 x / minute, S: 36.5oC, RR: 20 x / minute, there was a bandage on the lower abdomen along 15 cm with a horizontal line, the patient did not know and was confused about the birth control used after the CS. The nursing problems identified were acute pain, risk of infection, and knowledge deficit. Interventions were developed based on the theory in the SDKI, SLKI, and SIKI, as well as the client's condition, and were implementable
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 Kebidanan Komprehensif Pada Ny.R Umur 23 Tahun G1P0A0 Dengan Kekurangan Energi Kronik (KEK) Kisty Syakilatih Fauzah; Endang Susilowati; Mupliha Mupliha
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.v3i4.1796

Abstract

Maternal mortality remains a challenge in Indonesia, and one contributing factor is chronic malnutrition (CED), which impacts pregnancy, childbirth, the postpartum period, and the newborn. The 2022 registration report shows that of the 3,249,203 pregnant women whose MUAC was measured, 283,833 had a MUAC of less than 23.5 cm (at risk of CED), meaning 8.7% of these pregnant women were at risk of CED. In the Brebes area, the 2022 report recorded 3,475 pregnant women with CED. At the Bantarkawung Community Health Center in 2023, there were 36 cases of preeclampsia, 22 cases of transverse lie, 107 cases of CED, and anemia. Objective: Provide comprehensive midwifery care in accordance with standards of care for pregnant women, women giving birth, newborns, postpartum women, and family planning. Research method: Qualitative descriptive method, the type of research approach used in this study is a comprehensive case study approach. Results: Comprehensive care was provided to Mrs. R who suffered from chronic energy deficiency, and was successfully overcome. Delivery was carried out by caesarean section, the baby was born normally, and the postpartum period went smoothly, and the mother chose a contraceptive method, namely a three-monthly birth control injection. Conclusion: Comprehensive obstetric care has been proven effective in overcoming chronic energy deficiency, ensuring a safe delivery, a normal baby born, a normal postpartum period, and compliance with contraceptive methods.
Hubungan Pengetahuan dan Peran Keluarga dengan Kepatuhan Melakukan Pemeriksaan IVA pada Ibu PUS Prakonsepsi di UPT Puskesmas Ajangale Fatimah Jamir; Andi Tenri Angka; Ummu Kalsum; Syarifah sahirah
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 3 No. 2 (2025): April: 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.v3i2.1797

Abstract

VIA is a simple test. The VIA test is a method for early detection of cervical cancer by applying 3-5% acetic acid or vinegar. It has a 96% accuracy rate; abnormal areas will turn white. If there is no color change, it can be assumed that there is no cervical infection. This VIA test is important for fertile couples, including preconception women with PUS. To determine the relationship between knowledge and family role with compliance with VIA testing in preconception women with PUS at the Ajangale Community Health Center (UPT). This study used an observational research method with a cross-sectional approach. The population in this study were all PUS women aged 20-35 years at the UPT Ajangale Community Health Center. Sampling was carried out using a total sampling technique, obtaining 30 respondents. Data collection was carried out using a questionnaire. The collected data were then processed and analyzed using the SPSS statistical program and analyzed using the chi-square test. The study showed a relationship between compliance with VIA testing and two variables studied: knowledge (p=0.000) and family role (0.000). Compliance with VIA testing in preconceptional women with PUS is influenced by both knowledge and family role. This study focused on preconception women with PUS at the Ajangale Community Health Center, aiming to understand the factors that influence their compliance with VIA testing. By analyzing the relationship between knowledge and family role with VIA compliance, the study highlights the importance of educating women about the benefits of early cervical cancer detection and the pivotal role families play in supporting health-seeking behaviors.
Asuhan Keperawatan pada Tn. N dengan Gangguan Sistem Endokrin : Diabetes Melitus di Ruang Dahlia RSUD dr. Soeselo Kabupaten Tegal Meita Eni Peniar; Tati Karyawati; Muhammad Silahudin
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.v3i4.1799

Abstract

The endocrine system is a ductless body control system that produces hormones to regulate various organs and physiological processes. Hormones act as important biological messengers in the human body. One of the most essential hormones is insulin, which plays a key role in blood sugar regulation. Insufficient insulin production or impaired insulin action can cause disruption of blood glucose control, leading to diabetes mellitus. Diabetes mellitus is a chronic metabolic disorder characterized by persistently high blood glucose levels caused by impaired insulin secretion, insulin action, or both. The purpose of this paper is to apply nursing care to Mr. N, a patient with endocrine system disorders: diabetes mellitus, treated in the Dahlia Ward of Dr. Soeselo Regional Hospital, Tegal Regency. This descriptive case study method was used to explain the nursing process in a structured manner. The main complaint presented by the client was pain in the wound on the left foot. Four nursing diagnoses were identified during the assessment, namely unstable blood glucose levels, acute pain, impaired skin/tissue integrity, and knowledge deficit. Nursing interventions were developed and implemented based on the Standar Diagnosis Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), and Standar Intervensi Keperawatan Indonesia (SIKI). The case highlights the importance of comprehensive nursing care in diabetes management, with a focus on blood glucose stabilization, pain management, wound care, and patient education. The results of this study are expected to provide additional references for clinical practice and strengthen the role of nurses in preventing complications of diabetes mellitus.
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.

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