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Yudono, Danang Tri
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GAMBARAN KEJADIAN POST OPERATIVE NAUSEA AND VOMITING PADA ANESTESI UMUM MENGGUNAKAN LARYNGEAL MASK AIRWAY DI RUMAH SAKIT JATIWINANGUN PURWOKERTO Marfungah, Sari Fatul; Yudono, Danang Tri; Dewi, Feti Kumala
Jurnal Ilmu Kedokteran dan Kesehatan Vol 10, No 11 (2023): Volume 10 Nomor 11
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v10i11.12332

Abstract

Abstrak: Gambaran Kejadian Post Operative Nausea And Vomiting Pada Anestesi Umum Menggunakan Laryngeal Mask Airway Di Rumah Sakit Jatiwinangun Purwokerto. Laryngeal Mask Airway (LMA) adalah alat supraglotis airway digunakan untuk memfasilitasi dan menjamin tertutupnya bagian dalam laring untuk ventilasi spontan. Penggunaan LMA dapat menyebabkan komplikasi gastrointestinal termasuk mual dan muntah yang dapat terjadi antara 0,02 sampai 5%, dan dapat meningkatkan kejadian PONV (Post Operative Nausea And Vomiting). Tujuan penelitian ini adalah untuk mengetahui gambaran kejadian post operative nausea and vomiting (PONV) pada anestesi umum menggunakan laryngeal mask airway di Rumah Sakit Jatiwinangun Purwokerto. Penelitian ini menggunakan desain crosssectional kuantitatif observasional deskriptifl. Tempat penelitian terletak di ruang pemulihan Instalasi Bedah Sentral Rumah Sakit Jatiwinangun Purwokerto. Penelitian dimulai tanggal 10 Juli – 02 Agustus 2023. Sampel sebanyak 45 pasien dengan teknik total sampling. Skala eberhart dan lembar observasi adalah instrument penelitian yang digunakan. Analisis data berupa univariat menghasilkan distribusi frekuensi dan presentase dari setiap variabel. Hasil penelitian menunjukkan bahwa kejadian post operative nausea and vomiting pada anestesi umum menggunakan laryngeal mask airway dari 45 responden yaitu diperoleh sebagian besar responden mengalami Post Operative Nausea And Vomiting ringan sebesar 21 responden (46,7%). Kejadian PONV ringan telah didominasi oleh remaja berusia 12-25 tahun (44,4%), berjenis kelamin perempuan (55,6%), dengan lama operasi 1-2 jam (62,2%), berstatus tidak merokok (77,8%), serta memiliki riwayat motion sickness (66,7%).
GAMBARAN SURGICAL APGAR SCORE (SAS) PADA PASIEN SECTIO CAESAREA DENGAN ANESTESI SPINAL DI RUANG INSTALASI BEDAH SENTRAL RUMAH SAKIT ISLAM BANJARNEGARA Rochyati, Ida; Yudono, Danang Tri; Suandika, Made
Jurnal Medika Malahayati Vol 8, No 1 (2024): Volume 8 Nomor 1
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jmm.v8i1.12738

Abstract

Abstrak: Gambaran Surgical Apgar Score (SAS) Pada Pasien Sectio Caesarea  Dengan Anestesi Spinal Di Ruang Instalasi Bedah Sentral Rumah Sakit Islam Banjarnegara. Persalinan Sectio Caesarea  (SC) merupakan salah satu jenis prosedur pembedahan. Tingkat risiko komplikasi dan kematian yang tinggi setelah Sectio Caesarea  membutuhkan sistem penilaian dengan menggunakan SAS yang terdiri dari 3 komponen yaitu perkiraan kehilangan darah (EBL), denyut jantung (HR) dan tekanan arteri rerata (MAP) dimana terjadinya morbiditas maupun mortalitas. Tujuan penelitian untuk mengetahui gambaran Surgical Apgar Score (SAS) pada pasien Sectio Caesarea  dengan anestesi spinal di Ruang IBS RSI Banjarnegara. Metode penelitian dengan jenis penelitian yang digunakan adalah penelitian deskriptif. Penelitian ini menggunakan rancangan penelitian survei dengan rancangan pendekatan cross sectional, yaitu setiap objek hanya diamati satu kali saja dan pengukuran dilakukan secara bersamaan. Hasil peneliti hasil karakteristik dari usia 24 responden (63.2%), hasil karakteristik dari Indeks Massa Tubuh (IMT) 21 responden (55,3%), hasil dari Surgical Apgar Score (SAS) 23 responden (60.5%), hasil dari tingkat resiko morbiditas 11 responden (28.9%) dan mortalitas 11 responden (28.9%). Didapatkan bahwa usia produktif dan Indeks Massa Tubuh (IMT) kategori normal memiliki hasil Surgical Apgar Score (SAS) (60.5%) dalam kategori normal sehingga morbiditas (20.5%) dan mortalitas (3.4%) dapat terkontrol.
Hubungan Tingkat Stres dengan Kualitas Tidur pada Mahasiswa Tingkat Akhir Dimasa Pandemi Penyakit COVID-19 di Universitas Harapan Bangsa, Purwokerto Oktaviani, Fani Try; Apriliyani, Ita; Yudono, Danang Tri; Dewi, Feti Kumala
Health Information : Jurnal Penelitian Vol 13 No 2 (2021): Juli-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v13i2.379

Abstract

Final semester students who are working on thesis often experience stressful events, especially during the COVID-19 disease, the learning system is carried out online, and experience sleep disturbances. The purpose of this study was to determine the relationship between stress levels and sleep quality in final semester students. The research design used quantitative methods, cross-sectional data collection, with a population of 66 students in the final semester of the nursing study program at Harapan Bangsa University. Data was collected using a Depression, Anxiety and Stress Scale (DASS-42) and Pittsburgh Sleep Quality Index (PSQI) questionnaire which were distributed online using a google form. The majority of respondents experienced mild stress (48.5%), and moderate sleep disturbances (71.2%). Data analysis used Spearman's-rank statistical test method, p value 0.001, and r 0.445. There is a relationship between stress levels and sleep quality for final year students at Harapan Bangsa University.
Gambaran Tingkat Nyeri Pada Pasien Pasca Operasi Sectio Caesarea Dengan Teknik Anestesi Spinal di Bangsal Rumah Sakit Umum Daerah dr. R. Goeteng Taroenadibrata Purbalingga Radetyo, Septiadi Putra; Yudono, Danang Tri; Yanti, Linda
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13729967

Abstract

Pain after caesarean section surgery is one of the problems that often affects patients. This study aims to describe the level of pain in patients after caesarean section surgery using spinal anesthesia techniques in the ward of the Regional General Hospital, dr. R. Goeteng Taroenadibrata Purbalingga. The research method used is descriptive qualitative with a cross-sectional approach. Data were collected on post-caesarean section patients who met the inclusion criteria during the study period. Pain levels were measured using the Numeric Rating Scale (NRS) pain scale at intervals of 2 hours and 5 hours after caesarean section surgery. The results of research on 25 patients after caesarean section surgery using spinal anesthesia technique with respondents who experienced pain levels 2 hours after caesarean section surgery were 14 patients (56%) experiencing severe pain. Then, for the pain level 5 hours after caesarean section surgery, 13 patients (52%) experienced mild pain. The conclusion of the study showed that, for 2 hours after caesarean section surgery using spinal anesthesia technique in the ward of the Regional General Hospital, dr. R. Goeteng Taroenadibrata Purbalingga, 14 patients felt severe pain (56%). Meanwhile, the results of research on patient pain levels for 5 hours were 13 patients (52%) experiencing mild pain.
Pengaruh Coloading Terhadap Perubahan Kenaikan Tekanan Darah Pada Pasien Spinal Anestesi Pranandaru, Aditya; Sebayang, Septian Mixrova; Yudono, Danang Tri
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13683369

Abstract

Spinal anesthesia is a technique of administering local anesthetic drugs into the subarachnoid space. Spinal anesthesia is often used because it has several advantages, but can cause complications such as hypotension. One method to reduce the occurrence of hypotension is by administering coloading fluid. This study aims to determine the effect of coloading on changes and the time of increase in blood pressure in spinal anesthesia patients, this study is an experimental study with a pre-experimental research design with a pretest-posttest design approach. This study used quantitative methods, and obtained a sample of 58 samples. The results of the analysis using the willcoxon test showed that there was an effect of coloading on changes and time of increase in blood pressure in spinal anesthesia patients with a p value of 0.000 (<0.05). Coloading is effective in reducing the incidence of hypotension in spinal anesthesia patients.
Hubungan IMT dan Usia Terhadap Waktu Pulih Sadar Menggunakan Laryngeal Mask Airway Hasanah, Sintiya; Yudono, Danang Tri; Suandika, Made
Bali Medika Jurnal Vol 11 No 2 (2024): Bali Medika Jurnal Vol 11 No 2 Desember 2024
Publisher : Stikes Wira Medika Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36376/bmj.v11i2.409

Abstract

Pemulihan kesadaran pasca general anestesi merupakan indikator penting dalam penilaian efektivitas anestesi dan keselamatan pasien. Faktor-faktor seperti Indeks Massa Tubuh (IMT) dan usia pasien diduga mempengaruhi waktu pemulihan. Penelitian ini bertujuan untuk mengeksplorasi hubungan antara IMT dan usia dengan waktu pemulihan kesadaran setelah general anestesi menggunakan Laryngeal Mask Airway (LMA) di RSUD Prof. Dr. Margono Soekarjo. Studi ini bersifat deskriptif korelasional dengan pendekatan kuantitatif dan desain cross-sectional. Sampel terdiri dari 127 pasien yang menjalani general anestesi dengan LMA selama periode November 2023 hingga Oktober 2023. Data dikumpulkan melalui rekam medis dan observasi langsung di Unit Perawatan Pasca Anestesi (PACU). Analisis statistik menggunakan uji korelasi Spearman untuk menguji hubungan antara IMT dan usia dengan waktu pemulihan. Sebagian besar responden (52,8%) memiliki berat badan normal, dan 23,6% berada pada kategori usia lansia akhir (56-65 tahun). Hasil uji korelasi menunjukkan hubungan signifikan antara IMT dan waktu pemulihan (r = 0,497, p < 0,001), serta antara usia dan waktu pemulihan (r = 0,389, p < 0,001). Analisis regresi multivariat mengonfirmasi bahwa IMT dan usia merupakan prediktor signifikan waktu pemulihan kesadaran. Terdapat hubungan signifikan antara IMT dan usia dengan waktu pemulihan kesadaran pasca general anestesi menggunakan LMA. Temuan ini menyoroti pentingnya mempertimbangkan profil IMT dan usia dalam pengelolaan dosis anestesi dan perencanaan pemulihan pasien.   Recovery of consciousness after general anesthesia is an important indicator in assessing the effectiveness of anesthesia and patient safety. Factors such as Body Mass Index (BMI) and patient age are thought to affect recovery time. This study aims to explore the relationship between BMI and age with recovery time after general anesthesia using Laryngeal Mask Airway (LMA) at Prof. Dr. Margono Soekarjo Hospital. This study is descriptive correlational with a quantitative approach and cross-sectional design. The sample consisted of 127 patients who underwent general anesthesia with LMA during the period from November 2023 to October 2023. Data were collected through medical records and direct observation in the Post Anesthesia Care Unit (PACU). Statistical analysis used the Spearman correlation test to examine the relationship between BMI and age with recovery time. Most respondents (52.8%) had normal body weight, and 23.6% were in the late elderly age category (56-65 years). The results of the correlation test showed a significant relationship between BMI and recovery time (r = 0.497, p < 0.001), and between age and recovery time (r = 0.389, p < 0.001). Multivariate regression analysis confirmed that BMI and age were significant predictors of recovery time. There was a significant relationship between BMI and age with recovery time after general anesthesia using LMA. These findings highlight the importance of considering BMI and age profiles in managing anesthetic doses and patient recovery planning.
GAMBARAN WAKTU PULIH SADAR PADA PASIEN PASCA ANESTESI UMUM DENGAN DERAJAT HIPERTENSI 1 DI RUMAH SAKIT DJUANDA KUNINGAN JAWA BARAT El Fawwaz, Febbry Rayhan; Yudono, Danang Tri; Suandika, Made
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 22 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14567182

Abstract

Hipertensi merupakan penyakit sistemik yang sering dijumpai di seluruh dunia. Proses pulih sadar dari anestesi umum menjadi proses yang harus diawasi secara serius. Tujuan : Penelitian ini bertujuan untuk mengetahui gambaran waktu pulih sadar pada pasien pasca anestesi umum dengan derajat hipertensi 1 di Rumah Sakit Djuanda Kuningan Jawa Barat. Metode : Penelitian ini termasuk penelitian kuantitatif dengan jenis penelitian yang digunakan yakni deskriptif observasional. Rancangan penelitian yang digunakan yaitu rancangan survei dengan pendekatan cross sectional. Sebjek atau sampel yang digunakan dalam penelitian ini adalah pasien pasca anestesi umum dengan derajat hipertensi 1 yang berjumlah 44 pasien. Penentuan subjek tersebut dilakukan dengan teknik Purposive sampling. Pengumpulan data dilakukan dengan lembar observasi aldrete score. Hasil : Hasil analisis penelitian menunjukan usia responden yang paling dominan yaitu lansia akhir (54,5%) dengan jenis kelamin perempuan (56,8%), status fisik ASA yang paling dominan yaitu ASA II (75,0%), lama operasi paling dominan yaitu operasi sedang (45,5%), jenis obat yang paling dominan yaitu sevofluran (56,8%), indeks masa tubuh (IMT) yang paling dominan yaitu gemuk (65,9%) dan waktu pulih sadar yang paling dominan yaitu cepat (86,4%)
HUBUNGAN USIA DENGAN PERUBAHAN TEKANAN DARAH PADA PASIEN PRE OPERASI DI RSUD BREBES Rada, Muh Husein; Sukmaningtyas, Wilis; Yanti, Linda; Yudono, Danang Tri
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 22 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14579678

Abstract

Latar Belakang : Tekanan darah ialah aspek yang amat vital dalam system sirkulasi peningkatan ataupun turunnya tekanan darah yang dapat memengaruhi homeostatis didalam tubuh. Adanya kondisi perubahan tekanan darah normal ke tekanan darah tinggi di preoperasi dapat mempengaruhi prosedur operasi yang akan dijalani oleh pasien hal ini dikarenakan beberapa obat anestesi dapat menurunkan tekanan darah selama proses pembiusan. Bertambahnya usia diketahui dapat membuat arterial menjadi kaku, kontribusi terhadap kerusakan endotel yang dapat memperbesar resistensi perifer total dan demikian juga tekanan darah. Tujuan : Mengidentifikasi korelasi usia terhadap fluktuasi tekanan darah dalam pre operasi. Metode : Studi analitik observasional ini menggunakan studi potong-lintang. Sampel penelitian meliputi 128 orang yang mengikuti penelitian dengan menggunakan metode purporsive sampling. Analisis data menggunakan uji Chi-Square. Hasil : Studi ini menemukan bahwasannya didapatkan hasil Chi-Square terlihat p-value dengan nilai 0,000 < 0,05 yang menunjukan adanya korelasi usia dengan perubahan tekanan darah pada pasien pre operasi. Simpulan : Semakin tua usia dapat mempengaruhi perubahan tekakan darah menjadi meningkat.
Hubungan Coping Dengan Kualitas Tidur Pre Operatif Pada Pasien General Anestesi di Ruang Bangsal RSUD Prof. Dr. Margono Soekarjo Valentina, Aida Nur Dewi; Sebayang, Septian Mixrova; Yudono, Danang Tri
Madani: Jurnal Ilmiah Multidisiplin Vol 3, No 3 (2025): April 2025
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15193449

Abstract

Patients often harbour concerns and fears regarding the surgical process during the preoperative phase, thus developing negative expectations of the final outcome of the procedure. This contributes to patients perceiving surgery as a significant source of excessive stress.Therefore, effective coping strategies are needed to deal with such stressful situations including maintaining a positive mindset, praying, trying to accept the problems that occur, and sharing experiences with others. Coping strategies can overcome poor sleep quality. Poor sleep quality can be caused by various factors, especially in the preoperative context in general anaesthesia patients. The purpose of this study was to determine the relationship between coping and preoperative sleep quality using general anaesthesia at Prof. Dr. Margono Soekarjo Hospital. This study used descriptive correlational method with cross sectional design . The instruments used are the WOC questionnaire (measuring coping) and PSQI (measuring sleep quality). Data analysis in this study used Spearman Rho. The results of this study showed that all respondents used the EFC coping strategy (Emotional Focused Coping) with a percentage value of 100% (85 people), most respondents had poor sleep quality with a percentage value of 81.2% (69 respondents), obtained the results of data analysis p= 0.017 with a significance level of 0.05. This value means p < Sig. which means there is a relationship, so there is a relationship between coping and preoperative sleep quality in general anaesthesia patients in the ward room.
Gambaran Pemberian Infus Hangat Pada Pasien Shivering Pasca Spinal Anestesi di RSKD Ibu dan Anak Pertiwi Pemprov Sulawesi Selatan Pasang, Michael; Yudono, Danang Tri; Yanti, Linda
Madani: Jurnal Ilmiah Multidisiplin Vol 3, No 3 (2025): April 2025
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15328212

Abstract

The use of warm liquids to prevent and treat the occurrence of shivering has been scientifically proven to be effective. The purpose of this study is to find out the overview of giving warm infusions to shivering patients after spinal anesthesia at the special regional hospital for Mother and Child of the South Sulawesi Provincial Government. First, the researcher collected data using an observation sheet. The next step, all the data obtained from the observation sheet is input in excel. The data input is in the form of data on age, gender, body temperature, BMI, type of warm infusion fluid, temperature of warm infusion fluid, and degree of shivering incidence. The results showed that: The characteristics of the respondents in this study were the age category in early adulthood (26-35 years) as many as 13 people (39.4%), the majority gender of women as many as 26 people (78.8%), the body temperature of patients in the hypotermic category as many as 21 people (63.6%) and the BMI of respondents in the normal category as many as 15 people (45.5%). The type of intravenous fluid used in post-spinal anesthesia shivering patients used crystalloid fluid as many as 25 people (75.8%). The temperature of warm infusion fluid in the mild warm temperature category (37 oC) was 19 people (57.6%). Patients experienced shivering events in grade 16 as many as 16 people (48.5%) and as many as 13 people (39.4%) experienced shivering events in grade 2.
Co-Authors Apriliyani, Ita Asih, Sri Anjar Budi, Martyarini El Fawwaz, Febbry Rayhan Feti Kumala Dewi Hasanah, Sintiya Ihsan, Muhammad Galih Linda Yanti Made Suandika Marfungah, Sari Fatul Mariah Ulfah Oktaviani, Fani Try Pasang, Michael Pranandaru, Aditya Putriwardian, Kensa Dwimelita Rada, Muh Husein Radetyo, Septiadi Putra Rochyati, Ida Salsabila, Kamilia Tasya Sebayang, Septian Mixrova Susanto, Amin Valentina, Aida Nur Dewi Wilis Sukmaningtyas