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All Journal Open Access Indonesian Journal of Medical Reviews West Science Interdisciplinary Studies West Science Interdisciplinary Studies
Nurdiani, Maria Delviana
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Humanities Economics, Econometrics & Finance Environmental Science Health Professions Medicine & Pharmacology Social Sciences

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Descriptive Analysis of Blood Pressure Changes Before and After Spinal Anesthesia in Patients with Respiratory System Comorbidities at Khidmad Sehat Afiat Regional General Hospital in 2023 Nurdiani, Maria Delviana
West Science Interdisciplinary Studies Vol. 1 No. 01 (2023): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v1i01.1586

Abstract

Surgery using the Sectio caesarea (C-section) method is frequently performed on pregnant women, especially in Indonesia. Therefore, the Obstetric Anesthesia Guidelines recommend the use of spinal/epidural anesthesia techniques over general anesthesia for most C-section cases. However, this anesthesia procedure can induce changes in hemodynamic parameters, such as a decrease in blood pressure. To determine blood pressure changes before and after spinal anesthesia in patients undergoing C-section at RSUD Depok. This study is a qualitative descriptive case study using case analysis and cross-case analysis methods. Data collection was conducted using observation sheets as research instruments. Participants in this study consisted of two patients undergoing the C-section procedure. Findings from the study indicate that before the administration of spinal anesthesia, systolic blood pressure, diastolic blood pressure, and MAP were within the normal range. However, after spinal anesthesia administration, there was a decrease in systolic blood pressure, diastolic blood pressure, and MAP between the fifth and tenth minutes. This is associated with the onset time of the spinal anesthesia drug, which typically occurs within five to ten minutes after administration, and the typical effect of reducing blood pressure of the drug, especially in patients undergoing C-section at RSUD Depok. A decrease in blood pressure occurs after the administration of bupivacaine-type spinal anesthesia drug, with a dose of 0.5% bunascan 20 mg.
Description of Anxiety Level in Patients Sectio Caesarian Preoperation with Spinal Anesthesia at X Public Hospital Nurdiani, Maria Delviana; Nabila, Amirotun
West Science Interdisciplinary Studies Vol. 3 No. 02 (2025): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v3i02.1666

Abstract

Preoperative anxiety is an anticipatory response to an experience that is considered by the patient as a threat in the role of life, body integrity, and even life itself (Agustin, 2020). Influential factors are husband's support, postpartum complications, age, parity, and type of SC (Irawati, 2017 in Imani, 2020). The sources of preoperative anxiety are broadly divided into two, namely anxiety about anesthesia and anxiety about surgical procedures. (Jawaid M et.al, 2016). Spinal anesthesia techniques can be performed in Sectio Caesarea with the main advantages of this technique are the risk of aspiration in the mother is lower, the baby is not exposed to drugs that cause respiratory depression, the patient remains conscious during surgery and maintains the airway, and requires minimal postoperative and analgesia treatment (Morgan, 2013). Aim of study: This study aims to describe the level of anxiety of preoperative Sectio Caesarea patients with spinal anesthesia at the X Public Hospital. Method of Research: This study was a descriptive survey with a cross sectional design conducted from February to March 2022. The population in this study was 208 patients with a sample of 32 patients. The sampling technique used in this research is Quota Sampling. Result: The results of this study were 43.8% of respondents experienced mild anxiety. In the age group less than 30 there are 25% of patients who experience moderate anxiety. The results of the study indicate that at all levels of education, respondents generally experience mild anxiety and it is also found that at the level of experience, respondents generally experience mild anxiety. Conclusion: More than half (56.3%) of respondents are under 30 years old with the dominant education level of respondents being SMA (46.9%). Almost half (43.8%) of respondents who underwent cesarean section surgery with spinal anesthesia at the X Public Hospital experienced mild anxiety.
Descriptive Analysis of Blood Pressure Changes Before and After Spinal Anesthesia in Patients with Respiratory System Comorbidities at Khidmad Sehat Afiat Regional General Hospital in 2023 Nurdiani, Maria Delviana
West Science Interdisciplinary Studies Vol. 1 No. 01 (2023): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v1i01.1586

Abstract

Surgery using the Sectio caesarea (C-section) method is frequently performed on pregnant women, especially in Indonesia. Therefore, the Obstetric Anesthesia Guidelines recommend the use of spinal/epidural anesthesia techniques over general anesthesia for most C-section cases. However, this anesthesia procedure can induce changes in hemodynamic parameters, such as a decrease in blood pressure. To determine blood pressure changes before and after spinal anesthesia in patients undergoing C-section at RSUD Depok. This study is a qualitative descriptive case study using case analysis and cross-case analysis methods. Data collection was conducted using observation sheets as research instruments. Participants in this study consisted of two patients undergoing the C-section procedure. Findings from the study indicate that before the administration of spinal anesthesia, systolic blood pressure, diastolic blood pressure, and MAP were within the normal range. However, after spinal anesthesia administration, there was a decrease in systolic blood pressure, diastolic blood pressure, and MAP between the fifth and tenth minutes. This is associated with the onset time of the spinal anesthesia drug, which typically occurs within five to ten minutes after administration, and the typical effect of reducing blood pressure of the drug, especially in patients undergoing C-section at RSUD Depok. A decrease in blood pressure occurs after the administration of bupivacaine-type spinal anesthesia drug, with a dose of 0.5% bunascan 20 mg.
Description of Anxiety Level in Patients Sectio Caesarian Preoperation with Spinal Anesthesia at X Public Hospital Nurdiani, Maria Delviana; Nabila, Amirotun
West Science Interdisciplinary Studies Vol. 3 No. 02 (2025): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v3i02.1666

Abstract

Preoperative anxiety is an anticipatory response to an experience that is considered by the patient as a threat in the role of life, body integrity, and even life itself (Agustin, 2020). Influential factors are husband's support, postpartum complications, age, parity, and type of SC (Irawati, 2017 in Imani, 2020). The sources of preoperative anxiety are broadly divided into two, namely anxiety about anesthesia and anxiety about surgical procedures. (Jawaid M et.al, 2016). Spinal anesthesia techniques can be performed in Sectio Caesarea with the main advantages of this technique are the risk of aspiration in the mother is lower, the baby is not exposed to drugs that cause respiratory depression, the patient remains conscious during surgery and maintains the airway, and requires minimal postoperative and analgesia treatment (Morgan, 2013). Aim of study: This study aims to describe the level of anxiety of preoperative Sectio Caesarea patients with spinal anesthesia at the X Public Hospital. Method of Research: This study was a descriptive survey with a cross sectional design conducted from February to March 2022. The population in this study was 208 patients with a sample of 32 patients. The sampling technique used in this research is Quota Sampling. Result: The results of this study were 43.8% of respondents experienced mild anxiety. In the age group less than 30 there are 25% of patients who experience moderate anxiety. The results of the study indicate that at all levels of education, respondents generally experience mild anxiety and it is also found that at the level of experience, respondents generally experience mild anxiety. Conclusion: More than half (56.3%) of respondents are under 30 years old with the dominant education level of respondents being SMA (46.9%). Almost half (43.8%) of respondents who underwent cesarean section surgery with spinal anesthesia at the X Public Hospital experienced mild anxiety.
Descriptive Analysis of Blood Pressure Changes Before and After Spinal Anesthesia in Patients with Respiratory System Comorbidities at Khidmad Sehat Afiat Regional General Hospital in 2023 Nurdiani, Maria Delviana
West Science Interdisciplinary Studies Vol. 1 No. 01 (2023): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v1i01.1586

Abstract

Surgery using the Sectio caesarea (C-section) method is frequently performed on pregnant women, especially in Indonesia. Therefore, the Obstetric Anesthesia Guidelines recommend the use of spinal/epidural anesthesia techniques over general anesthesia for most C-section cases. However, this anesthesia procedure can induce changes in hemodynamic parameters, such as a decrease in blood pressure. To determine blood pressure changes before and after spinal anesthesia in patients undergoing C-section at RSUD Depok. This study is a qualitative descriptive case study using case analysis and cross-case analysis methods. Data collection was conducted using observation sheets as research instruments. Participants in this study consisted of two patients undergoing the C-section procedure. Findings from the study indicate that before the administration of spinal anesthesia, systolic blood pressure, diastolic blood pressure, and MAP were within the normal range. However, after spinal anesthesia administration, there was a decrease in systolic blood pressure, diastolic blood pressure, and MAP between the fifth and tenth minutes. This is associated with the onset time of the spinal anesthesia drug, which typically occurs within five to ten minutes after administration, and the typical effect of reducing blood pressure of the drug, especially in patients undergoing C-section at RSUD Depok. A decrease in blood pressure occurs after the administration of bupivacaine-type spinal anesthesia drug, with a dose of 0.5% bunascan 20 mg.
Exploring Anesthesia Practitioner Perspectives on Post-Spinal Anesthesia Assessment: Implications for Patient Safety and Recovery Nurdiani, Maria Delviana; Dani Ardian
Open Access Indonesian Journal of Medical Reviews Vol. 4 No. 4 (2024): Open Access Indonesian Journal of Medical Reviews
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/oaijmr.v4i4.633

Abstract

Post-spinal anesthesia assessment is a critical component of patient care, ensuring the safe and effective recovery of patients following spinal anesthesia. Anesthesia practitioners play a pivotal role in conducting these assessments, yet their perspectives and experiences remain under-explored. This study aimed to investigate anesthesia practitioner perspectives on post-spinal anesthesia assessment, with a focus on identifying factors influencing assessment practices, challenges encountered, and implications for patient safety and recovery. A qualitative descriptive study was conducted, employing semi-structured interviews with anesthesia practitioners involved in post-spinal anesthesia care. Thematic analysis was used to identify key themes and patterns within the data. Anesthesia practitioners emphasized the importance of comprehensive and individualized assessments, considering factors such as patient comorbidities, surgical procedures, and anesthetic agents used. Challenges identified included time constraints, communication barriers, and variations in assessment protocols. Practitioners highlighted the need for standardized assessment tools and improved interdisciplinary collaboration to enhance patient safety and optimize recovery outcomes. In conclusion, this study provides valuable insights into anesthesia practitioner perspectives on post-spinal anesthesia assessment. The findings underscore the importance of addressing challenges and implementing strategies to improve assessment practices, ultimately contributing to enhanced patient safety and recovery following spinal anesthesia.
Co-Authors Dani Ardian Nabila, Amirotun