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Efektivitas Penggunaan Anestesi Regional terhadap Pengurangan Nyeri Pasca Operasi Polanunu, M. Akbar AliPolanunu
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 1 (2025): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i1.807

Abstract

Background: Postoperative pain is a major problem for patients undergoing surgery. Suboptimal pain management can lead to physiological and psychological complications, delay recovery, and reduce the patient's quality of life. One method of pain management is the use of regional anesthesia, which has the advantage of reducing pain intensity and reducing the need for additional analgesics. Objective: This study aimed to determine the effectiveness of regional anesthesia in reducing postoperative pain compared to general anesthesia. Methods: This study used a quasi-experimental design with a post-test only control group design. A sample of 60 elective surgery patients was divided into two groups: regional anesthesia (n=30) and general anesthesia (n=30). Pain intensity was measured using a Visual Analog Scale (VAS) at 6 and 12 hours postoperatively. Data were analyzed using an independent t-test. Results: The study showed that the average VAS score in the regional anesthesia group was lower than that in the general anesthesia group, both at 6 hours (2.8 ±1.1 vs. 5.4 ±1.5) and 12 hours (3.1 ±1.2 vs. 5.9 ±1.7) postoperatively. A t-test showed a significant difference (p < 0.05) between the two groups. Conclusion: Regional anesthesia has been shown to be effective in reducing postoperative pain intensity. This method can be considered as a primary strategy for perioperative pain management to accelerate patient recovery.
Efektivitas Pemberian Cairan Glukosa Oral 2 Jam Sebelum Operasi Terhadap Kadar Kortisol dan Glukosa Darah pada Pasien yang Menjalani Prosedur Laparaskopi Kolesistektomi M Akbar Ali Polanunu; Andi Fitrah Ramadhanty
Jurnal Rumpun Ilmu Kesehatan Vol. 6 No. 2 (2026): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v6i2.6671

Abstract

Background: Prolonged preoperative fasting can trigger surgical stress. Preoperative oral carbohydrate loading may reduce insulin resistance, improve patient comfort, and help preserve postoperative muscle function. Objective: This study aimed to compare changes in cortisol and blood glucose levels between patients receiving oral glucose 2 hours before surgery and those receiving placebo during laparoscopic cholecystectomy. Methods: This study used a single-blind randomized clinical trial involving patients undergoing elective laparoscopic cholecystectomy at Wahidin Sudirohusodo Hospital and its network hospitals in Makassar. Results: Mean cortisol levels at T2 were lower in the glucose group than in the placebo group, at 4.51 mcg/dl and 10.19 mcg/dl, respectively (p < 0.05). Blood glucose levels at T1 and T2 were also lower in the glucose group than in the placebo group (p < 0.05). A significant decrease in cortisol levels from T0 to T2 was also observed (p < 0.05). Conclusion: Oral glucose administration 2 hours before surgery was effective in reducing cortisol levels and maintaining blood glucose stability up to 24 hours postoperatively compared with placebo.
Edukasi Manajemen Pre Anestesi pada Pasien yang Akan Menjalani Prosedur Bedah di Rumah Sakit Andi Fitrah Ramadhanty; M Akbar Ali Polanunu; Nurfadillah Nurfadillah; Nurhidayat Tamam Hadi Kisworo; Muhammad Arif Rahman; Muh Nur Ihsan Rasyid; Subair Subair
Jurnal Pengabdian Masyarakat Kesosi Vol. 9 No. 2 (2026): Juli: Jurnal Abdimas KESOSI
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesetiakawanan Sosial Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/abdimas.v9i2.598

Abstract

Surgical procedures are medical interventions that require optimal anesthesia preparation to ensure patient safety and comfort during and after surgery. Patients' limited understanding of pre-anesthesia management often gives rise to preoperative anxiety and non-adherence to preoperative instructions, such as fasting before surgery and providing a complete medical history, which can increase the risk of anesthesia-related complications. This community service activity aimed to provide education to patients undergoing surgical procedures on pre-anesthesia management in order to improve their knowledge, compliance, and physical and psychological readiness. The activity was carried out at RSU Wisata UIT, targeting preoperative patients along with their accompanying family members, using lecture methods, question-and-answer discussions, and educational media (leaflets and PowerPoint slides), which began and ended with the administration of questionnaires (pre-test and post-test) to measure changes in participants' anxiety levels. The results showed a decrease in patients' anxiety levels after the education was provided, indicating that pre-anesthesia education intervention is effective in preparing patients for surgical procedures. This activity is expected to serve as a model for a sustainable intervention in efforts to improve the quality of anesthesia nursing care and patient safety in hospitals.