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Wibowo, Tophan Heri
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Asuhan Keperawatan Gangguan Integritas Kulit/Jaringan pada Diabetes Mellitus Tipe 2: Nursing Care for Skin/Tissue Integrity Disorders in Type 2 Diabetes Mellitus Rohmah Dina Nur Kusuma; Sebayang, Septian Mixrova; Wibowo, Tophan Heri
Journal of Nursing Education and Practice Vol. 2 No. 3 (2023): Journal of Nursing Education & Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v2i3.141

Abstract

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia that occurs due to insulin secretion, or both. The disorder causes abnormalities in the metabolism of carbohydrates, fats, and proteins. Purpose: To describe nursing care for skin/tissue integrity disorders in Mr. S with type II diabetes mellitus in the Ar Rahman room RSI Purwokerto. Method: Descriptive research design in the form of a case study with a nursing process approach consisting of assessment, nursing diagnosis, intervention, implementation, and evaluation. Nursing care was carried out to Mr. S for 3x24 hours. Data collection techniques using observation, interviews, physical examination, and documentation. Results: The nursing evaluation which was carried out on June 16-18 2022 was carried out using the SOAP method, including subjectively the patient stating that his body was still weak, the wound had not healed and the pain had decreased. Objective, K/u: weak, GDS: 320mg/dl, a wound with a length of 3 cm and a width of 2 cm is visible, on the dressing there is seepage of liquid reddish yellow smelling and festering, the patient can tilt right and left, the total score of the BJWAT assessment increases from 28 to 29. Analysis, the problem not resolved, continue the intervention. Conclusion: Evaluation on the third day of tissue damage, skin damage, pain and redness has not been resolved.
Implementasi Relaksasi Genggam Jari dalam Penurunan Skala Nyeri pada Pasien Pasca Anestesi General Crismarini, Alenta; Wibowo, Tophan Heri; Surtiningsih, Surtiningsih
Jurnal Peduli Masyarakat Vol 6 No 3 (2024): Jurnal Peduli Masyarakat: September 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i3.3948

Abstract

Secara global, terdapat 310 juta operasi yang dilaksanakan setiap tahun, bekisar 40 sampai 50 juta di AS dan 20 juta di Eropa. Dibandingkan dengan anestesi regional, lebih dari 80% operasi dilakukan dengan anestesi general. Permasalahan yang sering ada pada pasca anestesi general adalah nyeri pasca operasi. Relaksasi genggam jari bisa menjadi cara non farmakologis untuk menangani nyeri. Di Ruang Melati RSUD Kota Kendari menunjukkan dari 32 responden setelah diberikan implementasi relaksasi genggam jari didapat hasil sebesar 19 peserta mengalami penurunan menjadi nyeri ringan (59,4%) dan nyeri sedang sebesar 13 peserta (40,6%). Berdasarkan uraian tersebut telah terbukti bahwa relaksasi genggam jari berpengaruh dalam penurunan skala nyeri pada pasien yang mengalami luka pasca operasi. Pengabdian Kepada Masyarakat (PkM) ini bertujuan untuk penurunan nyeri pasien pasca anestesi general menggunakan Relaksasi Genggam Jari. Kegiatan pengabdian kepada masyarakat dilakukan dengan mengimplementasikan langsung dengan menerapkan Teknik Relaksasi Genggam Jari. Khalayak sasaran PkM ini adalah pasien pasca anestesi general di Rumah Sakit Tingkat III Baladhika Husada Jember yang mengalami nyeri. Kegiatan ini diharapkan mampu menurunkan nyeri pada pasien pasca anestesi general serta nantinya bisa dijadikan media pembelajaran di Universitas Harapan Bangsa Purwokerto.
Pemberian Aromaterapi Orange untuk Menurunkan Kecemasan Pre Anestesi pada Pasien dengan Anestesi Umum Putra, Muhammad Ilham Bintang; Wibowo, Tophan Heri; Suryani, Roro Lintang
Jurnal Peduli Masyarakat Vol 6 No 3 (2024): Jurnal Peduli Masyarakat: September 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i3.4345

Abstract

Operasi atau pembedahan merupakan pengalaman traumatik yang menimbulkan suatu ancaman terhadap jiwa tubuh, operasi yang direncanakan menimbulkan respon berbeda pada setiap pasien seperti kecemasan. Salah satu tindakan yang bisa dilakukan untuk menangani kecemasan tersebut yaitu dengan pemberian aromaterapi orange yang bertujuan untuk menurunkan kecemasan pasien dengan anastesi umum. Berdasarkan survey yang telah dilakukan pada tanggal 20 November 2023 menunjukkan bahwa beberapa pasien pre anestesi umum di RSUD Dr. Soedirman Kebumen belum mendapatkan implementasi tentang penanganan kecemasan pre anestesi umum. Hal ini mengindikasikan bahwa pasien RSUD Dr. Soedirman Kebumen di bulan Juli ada 174 pasien, dari jumlah tersebut ada 30 peserta yang mengalami kecemasan saat akan menjalani anestesi umum. Tujuan pengabdian ini adalah memberikan implementasi pemberian aromaterapi orange untuk menurunkan kecemasan pre anestesi pada pasien dengan anestesi umum di RSUD Dr. Soedirman Kebumen. Metode yang digunakan yaitu dengan mengimplementasikan pemberian aromaterapi orange kepada pasien yang akan menjalani anestesi umum. Instrumen penelitiannya dengan menggunakan kuesioner VAS. A menggunakan media leaflet dan video animasi. Hasil penelitian menunjukkan bahwa pada pretest kecemasan sebelum pemberian aromaterapi orange, mayoritas peserta mengalami kecemasan kategori sedang, yaitu sebanyak 28 dari 30 peserta (93,3%). Setelah pemberian aromaterapi orange, jumlah peserta dengan kecemasan kategori sedang menurun menjadi 19 peserta (63,3%).
Edukasi Tentang Pertolongan Pertama Pada Kecelakaan (P3K): Balut Luka Desa Ledug Purwokerto Savitri, Annistia Intan; Handayani, Rahmaya Nova; Wibowo, Tophan Heri
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.13823067

Abstract

Background:First Aid for Accidents (P3K) is an action that can be given to treat victims as soon as possible at the scene before medical personel take over the treatment. First aid for accidents in the home environment is very helpful in minimizing the occurrence of infection in victims. Purpose :The purpose of implementing this community service is to determine the level knowledge of resident regarding first aid for wound dressing accidents. Methode: The Community Service method is by lecture and demonstration methods. There were 30 participants present. The activity was carried out in Ledug Village on Monday, Juli 29 2024 with media used, namely power point, leaflets, and audio vinni. Results : Results of Community service the level of knowledge before education was carried out was 25 participants (83,3%) had low knowledge, 5 participants (16.7%) had high knowledge. Meanwhile, after being given education, 25 participants (83,3%) had high knowledge and 5 participants (16.7%) had low knowledge. The skill level obtained from the pre-test skill results almost all participants did not have the skills as many as 28 participants (93.3%) while after being given a demonstration and audi visual the skill level increased to 15 participants (60%) and 12 participants (40%) had not had an increase. Consclusion: based on the results of the pre-test and post test percentages, the level of knowledge and skills that have been carried out showed an increase in the output of Journal of  Education on First Aid (P3K) balut luka.
Gambaran Pengetahuan Penata Anestesi dan Perawat Icu Tentang Pengkajian Nyeri Nonverbal Adult Pain Scale Pada Pasien Tersedasi di RSUD Prof. Dr. Margono Soekarjo Purwokerto Afandy, Dian Nurnatasha; Handayani, Rahmaya Nova; Wibowo, Tophan Heri
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.13729987

Abstract

Background: Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Accurate pain assessment requires health workers to use appropriate tools tailored to the patient's condition. Purpose: To evaluate the knowledge of anesthetists and ICU nurses regarding the nonverbal pain assessment using the Nonverbal Adult Pain Scale sedated patients at RSUD Prof. Dr. Margono Soekarjo Purwokerto. Research Method: This descriptive quantitative study employed a cross-sectional design with a total sampling technique involving 85 participants. Data were collected through questionnaires. Results: The majority of participants were aged 21-30 years (40.0%), held a DIV/S1 level of education (37.6%), and had 0-5 years of experience (36.5%). Analysis revealed that 68.2% of anesthetists and ICU nurses had a good level of knowledge regarding NVPS. Knowledge was particularly strong among those aged 31-40 years, with a D4/S1 education level and 0-5 years of work experience. The majority of respondents with sufficient knowledge were aged 21-30 years, nurse education, and experience >10 years. Meanwhile, for those with less knowledge, the majority are aged 31-40 years, have a DIII education, and have work experience of 6-10 years.
Gambaran Kesulitan Intubasi Berdasarkan Pengulangan Intubasi di Rumah Sakit Umum Daerah Provinsi Papua Barat Mawuntu, Jordan Herling Turang; Wibowo, Tophan Heri; Handayani, Rahmaya Nova
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.13855429

Abstract

Difficult intubation is a condition in which direct laryngoscopic intubation, with placement of the intubation tube below the laryngeal inlet, is problematic or impossible. Risk factors for difficult intubation include a short and thick neck, a large tongue, impaired neck and jaw mobility, or obesity. The main scope of interest in this article is obesity. In obese patients (body mass index [BMI]>35), difficult intubation is caused by fat accumulation in the oral cavity, cheeks, and a relatively thick tongue. This type of research is a non-experimental qualitative study. The design of this study is descriptive. With a Cross Sectional approach. The sampling technique in this study is total sampling. Total sampling is a sampling technique where the number of samples is the same as the population. Based on the research results obtained from the results of patient anamnesis, it was found that most respondents did not have difficulty intubation or as many as 46 respondents did not experience difficulty intubation or 92.0%, and for respondents who experienced difficulty intubation as many as 4 respondents or 8.0 %.
Hubungan Jumlah Perdarahan Terhadap Kejadian Shivering Pasca Spinal Anestesi di Rumah Sakit Karya Medika I Cikarang Barat Hasibuan, Verawati; Wibowo, Tophan Heri; Handayani, Rahmaya Nova
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.13855433

Abstract

Shivering or the occurrence of teething 1 is one form of response in thermogenesis, which is characterized by an increase in muscular activity that often occurs after anesthesia, especially spinal anesthesia in patients undergoing surgery. Risk factors for shivering after anesthesia include age, duration of surgery, cold environmental temperature and amount of bleeding. The amount of bleeding can affect thermoregulation so that the body compensates for the decrease in body temperature to increase heat production. The purpose of this study was to determine the relationship between the amount of bleeding and the incidence of shivering after spinal anesthesia at Karya Medika I Hospital, West Cikarang. This type of research is a descriptive analytical design study with a cross sectional approach. Sampling using probability sampling technique with saturated sampling (census) of 30 respondents, Research instrument observation sheet The results of the study showed that there was a significant relationship between the amount of bleeding and the incidence of shivering in patients with spinal anesthesia with the results of the Spearman Rank test p value of both variables is 0.001-0.05.
Pengaruh Kompres Es Sebelum Injeksi Spinal di Area Tusukan Terhadap Kejadian Nyeri Tusukan Jarum Spinal Anestesi Pada Pasien Sectio Caesarea di RSUD Labuha Provinsi Maluku Utara Hidu, Asfan La; Wibowo, Tophan Heri; Handayani, Rahmaya Nova; Susanto, Amin
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.13743878

Abstract

Sectio Caesarea  merupakan operasi yang dapat menurunkan angka kematian ibu saat persalinan pervaginam. Teknik anestesi spinal mempunyai kelebihan karena kesederhanaan tekniknya dan efektivitasnya dalam memberikan blok sensorik dan motorik, terutama pada operasi ekstremitas bawah . Nyeri akibat spinal anestesi di pengaruhi oleh ukuran jarum spinal yang digunkanan. Kompres dingin dengan es dapat memperlambat konduksi saraf perifer, mengurangi pelepasan mediator inflamasi, dan menimbulkan efek anestesi kulit cepat. Penelitian ini bertujuan untuk mengetahui pengaruh kompres es sebelum injeksi spinal terhadap nyeri tusukan jarum pada pasien SC. Metode yang digunakan adalah eksperimen kuantitatif dengan desain post-test only with control group, melibatkan data primer melalui wawancara dengan pasien SC pasca spinal. Pengukuran nyeri dilakukan pada dua kelompok: kelompok perlakuan (kompres es) dan kelompok kontrol. Analisis menggunakan uji Mann Whitney-U. Hasil Uji statistik menunjukkan nilai p value 0,0001 (<0,05), yang berarti kompres es sebelum injeksi spinal signifikan mengurangi nyeri tusukan jarum spinal pada pasien SC.
Penerapan Teknik Relaksasi Benson Untuk Menurunkan Nyeri Pada Pasien Post Sectio Caesarea di RSUD dr. R Goeteng Taroenadibrata Purbalingga Ismayani, Novita; Wibowo, Tophan Heri; Suryani, Roro Lintang
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 4 No 5 (2024): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v4i5.406

Abstract

Introduction: The number of SC deliveries in recent times has increased tremendously. This is a variable phenomenon related to social, economic and cultural levels SC has become a very safe procedure in many parts of the world so it is considered almost perfect. Procedures, operations may cause discomfort and alter tissue continuity. (Number, 2022). Objective: Based on this PkM, namely to determine the results of the application of benson therapy to reduce pain levels in post SC patients. Methods: The upcoming PKM method applies the benson relaxation technique as a nursing care approach to post SC surgery patients who experience pain. After being given benson relaxation therapy there was a decrease in the pain scale from 6 to scale 3. Community service activities are carried out by implementing directly by applying the Benson Relaxation technique. The target audience of this PkM is pregnant women who have undergone labor through the SC technique at RSUD dr. R Goeteng Taroenadibrata Purbalingga. Results: The results that have been carried out participants experienced an increase in pain before being given the application of benson relaxation techniques as many as 27 participants (90%) experienced moderate pain (4-7), after being given benson relaxation participants experienced a decrease in pain levels, namely 25 participants (83%) experienced a decrease to mild pain (<4). Outputs: The output of the activity used is a publication article that is expected to be able to hunt down Objective: This community service activity aims to help reduce post-SC pain with benson relaxation, patients can overcome it with non-pharmacological therapy independently. Method: This community service activity is carried out directly by providing the application of the benson relaxation technique, then continuing to evaluate so that the giver of the application of the benson relaxation technique can find out whether the target has decreased pain or not. The activity of applying the benson relaxation technique was carried out for 1 day for 10-15 minutes in the afternoon. The activity measures the patient's pain intensity using the VAS (Visual Analog Scale) measuring instrument. this activity is implemented directly to reduce pain in post SC patients at Dr. R Goeteng Taroenadibrata Purbalingga Hospital in the Bougenvile Room from July 15-28, 2024. Result: Participants experienced an increase in pain before being given the application of benson relaxation techniques as many as 27 participants (90%) experienced moderate pain (4-7), after being given benson relaxation participants experienced a decrease in pain levels, namely 25 participants (83%) experienced a decrease to mild pain (<4). Conclusion: Community Service participants in the application of benson relaxation techniques to reduce pain in SC patients in the Bougenvile Ward Room of RSUD dr. R Goeteng Taroenadibrata Purbalingga as a whole amounted to 30 participants, most in the age range 21-35 as many as 22 participants (73%), and the highest level of education is high school education as many as 14 participants (46.7%), with the most history of previous operations there has never been a history of previous operations as many as 21 participants (70%). Participants experienced increased pain before being given the application of benson relaxation techniques as many as 27 participants (90%) experienced moderate pain (4-7), after being given benson relaxation participants experienced a decrease in pain levels, namely 25 participants (83%) experienced a decrease to mild pain (<4).
EFEKTIVITAS AROMATERAPI CAJUPUT OIL TERHADAP POST OPERATIVE NAUSEA AND VOMITING (PONV) PADA PASIEN ELEKTIF DENGAN GENERAL ANESTESI DI RSUD DR. SOEKARDJO KOTA TASIKMALAYA Romdani, Rifki Maulana; Burhan, Asmat; Wibowo, Tophan Heri; Suandika, Made
Jurnal Kesehatan Tambusai Vol. 5 No. 4 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i4.35097

Abstract

Pembedahan adalah tindakan pengobatan menggunakan cara invasif dengan membuat sayatan (insisi) pada permukaan kulit, biasanya diperlukan anestesi untuk memfasilitasi tindakan pembedahan. Tindakan anestesi mempunyai efek samping salah satunya adalah Postoperative Nausea and Vomiting (PONV). Postoperative Nausea and Vomiting (PONV) dapat diobati dengan pengobatan farmakologis dan nonfarmakologis. secara non farmakologi diantaranya aromaterapi, acupressure, distraksi, relaksasi dan mobilisasi. Penelitian ini bertujuan Mengetahui Efektivitas Pemberian Aromaterapi Cajuput oil terhadap Post Operative Nausea and Vomiting (PONV) pada Pasien Elektif dengan General Anestesi di RSUD dr. Soekardjo Kota Tasikmalaya. Penelitian dilaksanakan di RSUD dr. Soekardjo Kota Tasikmalaya. Jenis penelitian ini adalah Quasi Experimental atau eksperimen semu Desain Quasi Exsperimental yang digunakan dalam penelitian ini adalah Pretest Posttest Nonequivalent Control Group Design. Pengambilan sampel menggunakan teknik Total sampling sebanyak 56 responden, yang dibagi menjadi 2 kelompok yaitu kelompok eksperimen dan kelompok kontrol dengan masing-masing kelompok berjumlah 28 responden. Instrumen penelitian menggunakan lembar observasi. Hasil penelitian didapatkan jenis kelamin kelompok intervensi perempuan lebih banyak, kelompok kontrol sebaliknya dimana responden laki-laki lebih banyak. Status fisik ASA II paling banyak baik pada kelompok intervensi maupun kelompok kontrol. Tipe pembedahan, yang mengalami PONV paling banyak dengan operasi kecil pada kedua kelompok. Hasil pre post test kedua kelompok didapatkan perbedaan antara nilai pre-test dan post-test. Terdapat efektifitas Pemberian Aromaterapi Cajaput Oil terhadap Post Operative Nausea and Vomiting (PONV) Pada Pasien Elektif Dengan General Anestesi dengan p-value 0,000 (p<0,05).
Co-Authors Afandy, Dian Nurnatasha Anggi Sofyan, Reza Burhan, Asmat Crismarini, Alenta Darmawan, Wisnu Dwi El Halawah, Futuh Hasibuan, Verawati Haya, Alyka Fadiyah Hidu, Asfan La Ismayani, Novita Jasmiati Jasmiati, Jasmiati Jerau, Emiliani Elsi Koban, Leonardo Ekarynansya Ola Belatan Made Suandika Mawuntu, Jordan Herling Turang Murniati . Putra, Muhammad Ilham Bintang Rahmannisa, Putri Haifa Rahmaya Nova Handayani Ramadhanti, Rindu Insyra Rohmah Dina Nur Kusuma Romdani, Rifki Maulana Savitri, Annistia Intan Sebayang, Septian Mixrova Soamole, Muhammad Zulhaq Nurul Aqsha Suci Khasanah SURTININGSIH, SURTININGSIH Suryani, Roro Lintang Susanto, Amin Wismoyo, Novantyadi Gayuh