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All Journal Jurnal Ilmu Kedokteran dan Kesehatan Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan JURNAL ILKES (Jurnal Ilmu Kesehatan) JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Peduli Masyarakat Jurnal Kesehatan Tambusai Jurnal Ilmiah Wahana Pendidikan Journal of Nursing Education & Practice (JNEP) Journal of Management Nursing Journal Of Human And Education (JAHE) Kolaborasi Jurnal Pengabdian Masyarakat Cerdika: Jurnal Ilmiah Indonesia Madani: Multidisciplinary Scientific Journal Jurnal Pengabdian Harapan Ibu (JPHI) Java Nursing Journal JUKEJ: Jurnal Kesehatan Jompa Jurnal Medika: Medika
Wibowo, Tophan Heri
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Gambaran Skor Index of Nausea, Vomiting and Recthing (INVR) dan Fatigue pada Pasien Pasca General Anestesi Suseno, Sodri; Wibowo, Tophan Heri; Suandika, Made
Jurnal Penelitian Perawat Profesional Vol 6 No 4 (2024): Agustus 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i4.2584

Abstract

Post operative nausea and vomiting (PONV) sekarang dianggap sebagai komplikasi paling sering terjadi. Selain itu, alasan lain yang paling banyak dikeluhkan oleh pasien pasca operasi yaitu fatigue. Kedua hal tersebut merupakan masalah yang harus dikaji lebih dalam agar tidak terjadi komplikasi yang lebih serius. Dalam hal ini peneliti melakukan penelitian terkait deteksi gejala PONV dan fatigue dengan instrumen yang telah ditentukan. Tujuan Penelitian untuk mengetahui bagaimana gambaran skoring Index Of Nausea, Vomiting and Rectching (INVR) dan fatigue pada pasien pasca general anestesi. Metode penelitian ini menggunakan metode penelitian deskriptif. Teknik pengambilan sampel menggunakan teknik sampling incidental. Pasien yang mengalami kelelahan dan mual muntah pasca operasi (PONV) merupakan sub variabel dari variabel penelitian ini. Teknik pengumpulan data Teknik wawancara terstruktur. Analisis univariat digunakan untuk analisis data. Hasil penelitian Untuk skoring INVR berdasarkan 59 responden didapatkan bahwa pasien mengalami gejala PONV dengan gejala mual muntah ringan 25(42,4%) dan untuk skoring fatigue didapatkan bahwa yang paling banyak adalah kategori fatigue gejala sedang 30(50,8 %). Kesimpulan dalam penelitian Untuk skoring INVR dari 59 responden disimpulkan bahwa gejala PONV dengan gejala mual muntah ringan 25(42,4%) responden dan skoring fatigue berdasarkan instrument FAS dapat disimpulkan dalam kategori fatigue gejala sedang 30(50,8 %).
Pengaruh Usia Terhadap Kualitas Hidup Pasien Myocardial Infarction Wibowo, Tophan Heri
Viva Medika Vol 12 No 02 (2019)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v11i02.458

Abstract

ABSTRACT Patients with previous myocardial infarction and stroke are the highest risk group for further coronary and cerebral events. myocardial infarction alters physical, psychosocial, spiritual well-being and adversely affects overall quality of life This study aimed to determine the effect of age and the quality of life among myocardial infarction patients. This study utilized descriptive correlational research with cross sectional approach. The study utilized set of instruments, an adapted instrument of MacNew Quality of Life After Myocardial Infarction (MacNew QLMI) questionnaire to measure the quality of life myocardial infarction. The results of this study were obtained middle age group were 66,7 %. Quality of life for physical domain has an average weighted mean of 4.51. the results of the data analysis using the Mann Whitney test were obtained emotional domain p=0,995 (p<0,05), physical domain p=0,624 (p<0,05), social domain p=0,191 (p<0,05). It means that the age does not influence the quality of life of patients with Myocardial Infarction. Keywords: Age, Quality of Life, Myocardial infarction
Kebutuhan Spiritual Pada Pasien Kanker Dalam Menjalani Kemoterapi di RSU Dadi Keluarga Siwi, Adiratna Sekar; Utami, Ririn Wahyu; Wibowo, Tophan Heri
Viva Medika Vol 16 No 2 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i2.853

Abstract

Background : Cancer is a disease in which the growth and spread of cells is not normal which causes death if not treated properly. One of the therapies performed on cancer patients is chemotherapy. Cancer can affect the physical, psychological, social, economic, and spiritual. Spiritual needs can be met from the family or the environment which can increase the enthusiasm of the respondents in undergoing chemotherapy. Purpose : This study aims to determine the spiritual needs of cancer patients undergoing chemotherapy at Dadi Keluarga Hospital. Method : This type of research is quantitative using a descriptive research design with a cross sectional approach. The sampling technique of non-probability accidental sampling using the slovin formula obtained results of 239 respondents. This study used the Daily Spiritual Experience Scale (DSES) questionnaire. Results : data are mostly aged 46-65 years as many as 117 respondents (49%), female sex 181 respondents (75.7%), duration of chemotherapy 1-6 months 193 respondents (80.8%), the most type of cancer is breast cancer 148 respondents (62%), education last graduated from elementary/junior high school, 110 respondents (46%), employment status is not working 173 respondents (72.4%), do not have a family history of cancer 190 respondents (79.5%). The results of this study showed that most of the high spiritual needs were 178 respondents (74.5%).
Hubungan Usia Dengan Hipotermi pada Pasien Lanjut Usia Post General Anestesi di Ruang Pemulihan Rumah Sakit Jatiwinangun Purwokerto Wulandari, Ratri; Wibowo, Tophan Heri; Yudono, Danang Tri
Viva Medika Vol 15 No 2 (2022)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v15i2.855

Abstract

Kasus yang sering terjadi pada saat post anestesi diruang pemulihan salah satunya hipotermi, hipotermi dapat terjadi 5-65% pada pasien post general anestesi. Pada pasien lansia cenderung lebih besar mengalami hipotermi dibandingkan dengan pasien yang lebih muda. Tujuan penelitian ini adalah untuk mengetahui hubungan usia dengan hipotermi pada pasien lanjut usia post general anestesi diruang pemulihan rumah sakit Jatiwinangun Purwokerto. Metode jenis penelitian menggunakan kuantitatif, design analitik korelatif dan pendekatan cross sectional dengan jumlah sampel sebanyak 32 responden. Analisa menggunakan uji univariat dan uji Spearman Rank. Hasil penelitian menunjukan terdapat hubungan yang signifikan usia dengan hipotermi pada pasien lanjut usia dengan hasil Pvalue 0,001 (Pvalue <0,05). Hasil koefisien korelasi -0,560 yang berarti bahwa kekuatan hubungan nya adalah moderat dengan arah negatif.
Pengaruh Anestesi Spinal Terhadap Hemodinamik Pada Pasien Sectio Caesarea di Rumah Sakit Umum Cut Meutia Aceh Utara Nazar, Saiful; Wibowo, Tophan Heri; Wirakhmi, Ikit Netra
Viva Medika Vol 16 No 2 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i2.913

Abstract

Hemodynamic changes are a risk that can occur in the use of spinal anesthesia in sectio caesarea operations. The aim of this study was to determine the effect of spinal anesthesia on hemodynamics in sectio caesarea patients at Cut Meutia Hospital, North Aceh. This research method uses observational analytic with cross sectional with pretest & posttest only group. The sampling technique was carried out by means of a total sampling of 70 respondents. The research instrument that will be used in this study is the patient observation sheet. Data analysis was performed univariately and bivariately using the Wilcoxon test. The results showed that there were differences in hemodynamics (blood pressure) before and after spinal anesthesia in sectio caesarea patients with a p-value of 0.000 (p<0.05). There were differences in hemodynamics (pulse) before and after spinal anesthesia in sectio caesarea patients with a p-value of 0.000 (p <0.05). This study concluded that there was an effect of spinal anesthesia on hemodynamics in sectio caesarea patients at Cut Meutia Hospital, North Aceh
Gambaran Pengetahuan Pasien Pra Operasi Tentang Pentingnya Puasa Sebelum Tindakan Operasi di RSUD Pidie Jaya Aulia, Noval; Wibowo, Tophan Heri; Dewi, Feti Kumala
Viva Medika Vol 16 No 3 (2023)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i3.1039

Abstract

Pre-surgical information for patients is important for patients to know so that they are better prepared for the surgical process. Inadequate pre-surgical preparation can be a cause of anesthetic accidents. This study aims to describe the knowledge of preoperative patients about the importance of fasting before surgery at Pidie Jaya Hospital. This research method is quantitative with a descriptive approach. Sampling technique with nonprobability sampling by means of accidental sampling as many as 104 respondents who perform operations. Data analysis was performed univariately. The results showed that the majority of patients aged > 35 years were 59 respondents (56.7%), the majority were male, 63 respondents (60.6%), the majority had junior high school education, 61 respondents (58.7%), the majority 37 respondents (35.6%) worked as farmers, the majority had never undergone surgery, namely 92 respondents (88.5%). The majority of preoperative patients' knowledge about the importance of fasting is in the less category, namely as many as 43 respondents (41.3%). This study concluded that the knowledge of preoperative patients about the importance of fasting at Pidie Jaya General Hospital was mostly in the less category
Description of Throat Pain in Post-General Anesthesia Patients with Endotracheal Tube at dr. Soedirman Hospital, Kebumen, in 2023 Nistiani, Mia; Wibowo, Tophan Heri; Siwi, Adiratna Sekar
Viva Medika Vol 16 No 4 (2023)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1224

Abstract

Complications that many respondents complained about after surgery with general anesthesia, namely Post-Operative Sore Throat (POST). Post-surgery sore throat is a minor complication that occurs in ETT intubated patients and results in dysphonia, dysphagia and odynophagia. In Indonesia, 20%–60% of respondents complain of sore throat after surgery with GA-ETT. The purpose of this study was to see the description of post-general anesthesia sore throat with ETT at Dr. Soedirman Kebumen. The design of this study is a descriptive cross-sectional approach using the POST instrument. The research was conducted from March to April 2023 in the recovery room with 50 respondents. Data collection by accidental sampling and analyzed using univariate test. The results of the study showed that many respondents did not experience throat pain, totaling 20 respondents (40%) and complaining that the most complaints were mild pain, amounting to 17 respondents (34%). This study shows that the majority of patients only complain of mild pain and no sore throat. So after ETT intubation at Dr. Soedirman Kebumen can minimize the level of sore throat.
Hubungan Usia dan Durasi Operasi Dengan Waktu Pulih Sadar Pada Pasien Pasca General Anestesi Di Recovery Room Meilani, Krisma Nia; Setyawati, Martyarini Budi; Sebayang, Septian Mixrova; Wibowo, Tophan Heri
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 4 (2025): Volume 12 Nomor 4
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i4.19162

Abstract

Pulih sadar dari anestesi umum adalah ketika pemberian obat dihentikan setelah pembedahan dan tubuh mengalami pemulihan dengan hantaran neuromuskular, refleks protektif jalan napas serta kesadaran telah kembali. Menurut studi prospektif terhadap 18.000 pasien di ruang pemulihan, 24% mengalami masalah anestesi dan yang paling sering terjadi adalah pulih sadar terlambat. Mengetahui korelasi antara usia dan waktu pulih sadar serta durasi operasi dan waktu pulih sadar pada pasien yang menjalani aestesi umuma dalah tujuan dari penelitian ini. Sedangkan metode pada penelitian ini adalah kuantitatif dengan rancangan penelitian korelasional menggunakan cross sectional. Hasil korelasi menggunakan uji spearman rank untuk variabel usia dan waktu pulih sadar menunjukkan terdapatnya hubungan dengan p value (0,002) dengan koefisien korelasi (0,386) dan hasil korelasi untuk variabel durasi operasi dengan waktu pulih sadar juga menunjukkan terdapatnya hubungan dengan p value (0,004) dengan koefisien korelasi (0,357).
Gambaran Tingkat Kemandirian Lansia dengan Rheumatoid Arthritis dalam Pemenuhan Activity Daily Living (ADL) Savitri, Nurmalita Ayu; Sukmaningtyas, Wilis; Wibowo, Tophan Heri
Cerdika: Jurnal Ilmiah Indonesia Vol. 2 No. 7 (2022): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v2i7.426

Abstract

Elderly is someone who has entered the age of more than 60 years and over. Arthritis (arthritis) or rheumatism is the number two disease that attacks the elderly in Indonesia. Pain in rheumatoid arthritis patients appears and will cause discomfort and will also be hampered in carrying out various activities. The purpose of this study was to describe the level of independence of the elderly with rheumatoid arthritis in fulfilling daily living (ADL) activities. This research uses descriptive research method. The descriptive method in this study uses a literature review design (Library Study). The search strategy method to find journals used the keywords “Independence OR Independence AND Elderly OR Elderly AND Rheumatoid arthritis OR Rheumatic Disease AND Daily Activity OR Daily Activity OR Activity of Daily Living”. The results of the literature review are known from 7 journals, it can be concluded that 42,8% show that most of the elderly have a level of independence, in the category of moderate dependence, 7 journals show that most of the elderly are >60 years old, 71,4% of journals show that most of the gender of the elderly are women.
Faktor-Faktor Yang Mempengaruhi Tingkat Kecemasan Pada Pasien Sectio Caesarea (SC) Pra Spinal Anestesi Di Rumah Sakit Umum Daerah Kebumen Dealova, Apriyani; Wibowo, Tophan Heri; Handayani, Rahmayana Nova
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 7 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.11059026

Abstract

Persalinan buatan yang disebut sectio caesarea (SC) memerlukan insisi pada dinding depan perut dan rahin untuk melahirkan janin. Janin harus masih utuh dan beratnya lebih dari 500 gram. Menurut data Riskesdas 2018, survei nasional tahun 2018 menemukan bahwa 13.856 dari 78.736 persalinan, atau sekitar 17,6% dari seluruh persalinan, dilakukan di Indonesia. Ini menunjukkan bahwa metode sectio caesarea (SC) menghasilkan jumlah persalinan yang lebih tinggi dibandingkan dengan metode lain. Kecemasan mungkin terjadi setelah operasi sectio caesrea. Perasaan takut dan khawatir yang berlebihan adalah tanda-tanda gangguan kecemasan. Usia, pendidikan, dukungan keluarga, dan pengalaman operasi adalah beberapa faktor yang dapat menyebabkan kecemasan. Tujuan dari penelitian ini adalah untuk menemukan variabel yang memengaruhi tingkat kecemasan pasien yang menjalani sectio caesarea pra spinal anestesi. Penelitian ini dilakukan di RSUD Kebumen. Metode penelitian ini adalah desain deskriptif kuantitatif dengan pendekatan cross sectional. Pengambilan sampel yang dilakukan dengan teknik consecutive sampling sebanyak 33 responden. Instrumen penelitian ini menggunakan kuesioner. Hasil penelitian menunjukan bahwa responden dengan usia 20-35 tahun sebagian besar mengalami kecemasan sedang sebanyak 14 responden (42,4%), pada responden yang memiliki tingkat pendidikan rendah mengalami kecemasan sedang sebanyak 11 responden (33,3%). Semua responden memiliki dukungan keluarga baik dengan sebagian besar mengalami kecemasan sedang yaitu 17 responden (51,5%). Sebagian besar responden tidak mempunyai pengalaman SC sebelumnya dengan tingkat kecemasan sedang sebanyak 10 responden (30,3%), di RSUD Kebumen.
Co-Authors Adiratna Sekar Siwi Afandy, Dian Nurnatasha Anggi Sofyan, Reza Aulia, Noval Burhan, Asmat Crismarini, Alenta Darmawan, Wisnu Dwi Dealova, Apriyani El Halawah, Futuh Feti Kumala Dewi Handayani, Rahmayana Nova Hasibuan, Verawati Hidu, Asfan La Ismayani, Novita Jarod, Muhammad Jasmiati Jasmiati, Jasmiati Jerau, Emiliani Elsi Kirana, Swastika Nur Koban, Leonardo Ekarynansya Ola Belatan Made Suandika Mawuntu, Jordan Herling Turang Meilani, Krisma Nia Murniati Murniati . Nazar, Saiful Nistiani, Mia Pramesti Dewi Putra, Muhammad Ilham Bintang Rahmannisa, Putri Haifa Rahmaya Nova Handayani Ramadani, Putri Ayu Ramadhanti, Rindu Insyra Ratri Wulandari Riyani, Khoirina Putri Dwi Rohmah Dina Nur Kusuma Romdani, Rifki Maulana Savitri, Annistia Intan Savitri, Nurmalita Ayu Sebayang, Septian Mixrova Setyawati, Martyarini Budi Soamole, Muhammad Zulhaq Nurul Aqsha Suci Khasanah SURTININGSIH, SURTININGSIH Suryani, Roro Lintang Susanto, Amin Suseno, Sodri Talakua, Yoan Tika Utami, Ririn Wahyu Wilis Sukmaningtyas Wirakhmi, Ikit Netra Wismoyo, Novantyadi Gayuh Yudono, Danang Tri