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Wibowo, Tophan Heri
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Journal : Madani: Multidisciplinary Scientific Journal

 1 
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.
Gambaran Perubahan Hemodinamik Post Anestesi Spinal Dan General Anestesi Soamole, Muhammad Zulhaq Nurul Aqsha; Wibowo, Tophan Heri; Khasanah, Suci
Madani: Jurnal Ilmiah Multidisiplin Vol 3, No 2 (2025): March
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background : Anesthesia has an emphasis and potentiation effect related to its relative strength and quality. For surgery in Indonesia, it has been recorded with a percentage of 12.8% (Firdaus, 2022). In connection with surgical procedures, one of the most necessary actions is anesthesia. Anesthesia techniques are broadly divided into two types, namely general anesthesia and regional anesthesia (spinal anesthesia). The act of anesthesia also has its own advantages and disadvantages, one of which is the change in hemodynamics that occurs in patients who have been given anesthesia. The factors that can affect hemodynamics such as comorbidities, the status of the American Society of Anesthesiologists (ASA) and the length of surgery. Method : This research is in the category of quantitative research with a type of research that uses descriptive observation techniques. The approach used during the study is cross sectional, which is a research by learning a simple dynamic technique with an observation approach that is carried out only once. Results : Based on the study, it was found that patients who had been given anesthesia often experienced significant hemodynamic changes
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