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Perbandingan Preloading dan Coloading Cairan Kristaloid Ringer Laktat terhadap Tekanan Darah pada Pasien Spinal Anestesi  di RS Roemani Muhammadiyah Semarang Marinda Nadila Tari; Astika Nur Rohmah; Gatot Suparmanto
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 3 (2025): Juli : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i3.696

Abstract

Spinal anesthesia is commonly used in surgical procedures but often leads to hypotension due to sympathetic blockade, which can seriously affect the patient's hemodynamic stability. To prevent this, the administration of lactated Ringer crystalloid fluid using preloading (before anesthesia) and coloading (during anesthesia) methods is widely implemented. This study aimed to compare the effects of preloading and coloading on blood pressure stability in patients undergoing spinal anesthesia at Roemani Muhammadiyah Semarang Hospital. A quantitative research method with a comparative observational design and cross-sectional approach was used, involving 40 patients divided equally into preloading and coloading groups. Blood pressure was measured before and after fluid administration, and data were analyzed using paired t-test and independent t-test. Results showed significant changes in blood pressure in both groups (p=0.000; p<0.05). Furthermore, the independent t-test indicated a significant difference between the two methods (p=0.019; p<0.05), with preloading proving more effective in maintaining blood pressure stability than coloading. In conclusion, there is a significant comparison between preloading and coloading of lactated Ringer crystalloid fluid on blood pressure in spinal anesthesia patients, with preloading showing a superior stabilizing effect on blood pressure.
Perbedaan Pengaruh Pemberian Video dan Demonstrasi terhadap Keterampilan Penanganan Fraktur Tertutup Siswa SMA Saputri, Mareta Nawang; Afni, Anissa Cindy Nurul; Suparmanto, Gatot; Saputro, Sutiyo Dani
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6479

Abstract

Proporsi cedera patah tulang akibat kecelakaan lalu lintas meningkat di seluruh dunia, dan patah tulang tertutup adalah salah satunya. Lingkungan sekolah merupakan tempat dengan risiko tinggi terjadinya cedera patah tulang tertutup yang sebagian besar terjadi karena cedera atau benturan keras, seperti kecelakaan, olahraga, atau karena jatuh. Hal ini membutuhkan penanganan yang tepat dan cepat. Pentingnya pemahaman penolong dan penanganan yang baik maka perlu adanya pelatihan keterampilan tentang pertolongan penanganan patah tulang tertutup. Penelitian ini bertujuan untuk menganalisis perbedaan setelah diberikan video dan demonstrasi terhadap keterampilan penanganan fraktur tertutup pada siswa di sekolah menengah atas. Penelitian ini menggunakan desain Quasi Eksperiment dengan rancangan Posttest-Only Control Design. Populasi dalam penelitian ini adalah siswa kelas XI SMA N 1 Ngemplak Boyolali, Indonesia. Pengambilan sampel dengan simple random sampling mendapatkan 88 responden yang dibagi menjadi 2 kelompok yaitu 44 responden kelompok intervensi dan 44 responden kelompok kontrol. Analisis bivariat menggunakan uji Mann-Whitney. Setelah diberikan edukasi dengan demonstrasi, keterampilan kelompok demosntrasi memiliki nilai maksimum 98 (2,3%) dan minimum 64 (4,5%), sedangkan kelompok videol memiliki nilai maksimum 79 (6,8%) dan minimum 52 (2,3%). Uji Mann-Whitney terhadap tingkat keterampilan penanganan fraktur tertutup pada kelompok demonstrasi dan kelompok video menunjukkan nilai p-velue sebesar 0,000 (P-velue < 0,05). terdapat perbedaan pengaruh video dan demonstrasi terhadap keterampilan penanganan fraktur tertutup pada siswa SMA.
PENGARUH MEDIA ANIMASI TERHADAP PENCEGAHAN SCABIES PADA SANTRI MTsT DI YAYASAN PONDOK PESANTREN TERPADU AL HIKAM BANYUDONO: THE INFLUENCE OF ANIMATION MEDIA ON THE PREVENTION OF SCABIES IN MTsT STUDENTS AT THE AL HIKAM BANYUDONO INTEGRATED ISLAMIC BOARDING SCHOOL FOUNDATION Gatot Suparmanto; Fransiskawati , Amelia
Intan Husada : Jurnal Ilmiah Keperawatan Vol. 13 No. 02 (2025): Vol. 13 No.2 , Juli 2025
Publisher : Politeknik Insan Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52236/ih.v13i2.744

Abstract

Pendahuluan Salah satu masalah kesehatan yang sering dijumpai dipondok pesantren adalah penyakit scabies. Beberapa permasalahan kesehatan yang ditemukan antara lain kurangnya pemahaman tentang pencegahan scabies.Scabies (kudis) tidak diobati, dapat menyebabkan komplikasi seperti infeksi bakteri sekunder, eksim, scabies berkerak (Norwegian scabies), dan masalah pada ginjal atau jantung. Penting untuk segera mencari pengobatan jika Anda mencurigai memiliki scabies, karena penyakit ini menular dan dapat menyebabkan rasa gatal yang sangat mengganggu. Satu Gerakan yang bisa dilaksanakan guna mengetahui pencegahan scabies yakni dengan edukasi menggunakan media animasi. Beberapa media kurang efektif dikarenakan subjek yang menjadi penelitian merupakan generasi yang terpapar dengan media audio visual dan menarik.Media animasi adalah media yang bersifat bergerak, dinamis, terlihat, terdengar, mudah dipahami, serta dikomunikasikan lewat sarana  elektronik. Tujuan penelitian  ini untuk mengetahui dari  pengaruh media animasi terhadap pencegahan scabies pada santri. Metode penelitian ini menggunakan one group pre-post test design. Teknik sampling memanfaatkan purposive sampling dengan total 40 individu. Instrumen yang dimanfaatkan yaitu kuesioner pencegahan scabies. Uji statistik menggunakan wilcoxon dikarenakan skala penelitian ini adalah skala ordinal. Hasil penelitian ini terdapat pengeruah media animasi p = 0.000 atau p value ? 0.05 menunjukkan bahwa subjek tertarik dengan media yang bergerak dan bergambar sehingga mudah dipahami dan dapat merubah persepsi dan kemudain merubah perilaku. Kesimpulan penelitian ini adalah bahwa media animasi dapat meningkatkan pemahaman serta merubah perspsi atau pandangan subjek  dalam penatalaksanan scabies.   Kata kunci : Media animasi;Scabies;Pencegahan
PENGARUH ELEVASI KAKI TERHADAP PENCEGAHAN HIPOTENSI PADA PASIEN SECTIO CAESAREA PASCA SPINAL ANESTESI DI RUANG PEMULIHAN RSUD WONOSARI M.Nur, nurhaliza; Dewi, Ratih Kusuma; Suparmanto, Gatot
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.48120

Abstract

Spinal anestesi merupakan teknik anestesi yang banyak digunakan pada tindakan sectio caesarea karena aman dan cepat. Namun, efek samping yang umum terjadi adalah hipotensi akibat blokade saraf simpatis yang menyebabkan vasodilatasi dan penurunan venous return. Hipotensi yang tidak ditangani dapat membahayakan ibu dan janin. Elevasi kaki merupakan intervensi nonfarmakologis sederhana yang dapat dilakukan untuk meningkatkan curah jantung dan tekanan darah melalui peningkatan venous return. Metode: Penelitian ini menggunakan desain pre-eksperimental dengan pendekatan one group pretest-posttest. Jumlah sampel sebanyak 30 responden yang diambil menggunakan teknik nonprobability sampling. Intervensi berupa elevasi kaki setinggi 30 cm selama 15 menit. Uji data yang dilakukan adalah dengan Uji Wilcoxon dan Uji paired Sample T-Test pada masing-masing kelompok Intervensi Hasil: Terdapat pengaruh yang signifikan antara elevasi kaki terhadap hipotensi pada pasien sectio caesarea pasca spinal anestesi di Ruang pemulihan RSUD Wonosari, dengan rincian P value Tekanan darah Sistol sebesar 0,000<0,05 p value tekanan darah diastol sebesar 0,000<0,05, p value MAP 0,000<0,05. Simpulan: Terdapat pengaruh yang signifikan antara elevasi kaki terhadap hipotensi pada pasien sectio caesarea pasca spinal anestesi di Ruang pemulihan RSUD Wonosari.  
The Superiority of Demonstration Over Video in Improving High School Students’ Skills in Closed Fracture Management Saputri, Mareta Nawang; Afni, Anissa Cindy Nurul; Suparmanto, Gatot
Critical Medical and Surgical Nursing Journal Vol. 14 No. 2 (2025): SEPTEMBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v14i2.61585

Abstract

Introduction: The number of fracture injuries caused by accidents is rising globally, with closed fractures being a common type. The school environment poses a high risk for such injuries, often due to falls, sports activities, or accidents. Prompt and proper treatment is essential. Therefore, it is important for students to be trained in handling closed fractures, particularly in using splint bandages correctly. This study aimed to analyze the difference in students’ skills in handling closed fractures after receiving education via videos versus demonstrations.  Methods: This research used a quasi-experimental design with a posttest-only control group. The independent variable was the instructional method (video or demonstration), while the dependent variable was the students’ skills in handling closed fractures. The study involved first-grade high school students in Boyolali, Indonesia. A total of 88 students were selected through simple random sampling and divided equally into two groups: 44 in the intervention group (demonstration) and 44 in the control group (video). The Mann-Whitney test was used for bivariate analysis.  Results: After the intervention, the demonstration group achieved a maximum score of 98 and a minimum of 64, while the video group scored a maximum of 79 and a minimum of 52. The Mann-Whitney test revealed a significant difference in skill levels between the two groups, with a p-value of 0.000 (p < 0.05). Conclusion: There is a significant difference in the effectiveness of video and demonstration methods on students' skills in handling closed fractures. The demonstration method proved to be more effective, as it provides students with direct, hands-on experience that enhances understanding and skill application. Future research should examine long-term skill retention and include larger, more diverse samples to enhance generalizability.
The Effect of Calf Raise Exercise on Heart Rate, Oxygen Saturation, and Blood Pressure in Anesthesiology Nursing Students Rohmah, Astika Nur; Wardhani, Riska Risty; Dewi, Ratih Kusuma; Suparmanto, Gatot
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6874

Abstract

Physical exercise is a body activity that is carried out in a planned, structured and repetitive manner with the aim of improving or maintaining physical fitness and overall health. The busyness experienced by students in terms of theoretical and practical learning makes students do less physical exercise, and this can have implications for decreased muscle flexibility and the risk of muscle injury. Lack of physical exercise has a significant impact on the cardiovascular system, especially on heart rate (HR), oxygen saturation (SpO2), and blood pressure (BP). The purpose of this study was to determine the effect of the calf raise exercise on heart rate, oxygen saturation and blood pressure. This research method is using a pre-experimental with a pre-post one-group design. This research method is using a pre-experimental with a pre-post one-group design. The number of samples in this study was 170. Using the total sampling technique by using inclusion we’re resting HR less than 100 x/min and BP within normal limits, namely systolic less than 120 mmHg and diastolic less than 110 mmHg, the statistical test in this study was the Friedman test. The mean results after the calf raise training for heart rate were 93.47±8.65, oxygen saturation 98.27±1.26, systolic blood pressure 120.28±10.97, and diastolic blood pressure 79.97±7.25. The conclusion of this research is that there are differences in heart rate variables, oxygen saturation, blood pressure at six measurement time points with a p-value of 0.000 each.
Association Between Sources of Social Support and Depression Among Nursing Students During the COVID-19 Pandemic Kurniawan, Dedi; Fitriawan, Akbar Satria; Setyaningsih, Wiwit Ananda Wahyu; Wulandari, Apri Nur; Wijoyo, Eriyono Budi; Samutri, Erni; Suparmanto, Gatot; Achmad, Bayu Fandhi; Retnaningsih, Listyana Natalia; Sudiarti, Putri Eka
Nurse Media Journal of Nursing Vol 14, No 2 (2024): (August 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i2.56407

Abstract

Background: Nursing students have a higher risk of depression due to their high academic burden, social isolation, pandemic loneliness, abrupt online learning, and financial difficulties during the COVID-19 pandemic lockdown. Although the disruption of social network patterns during the pandemic has been observed in previous studies, it is still not fully understood which source of social support is associated with depression among nursing students.Purpose: This study aimed to assess the correlations between sources of social support and depression among nursing students during the COVID-19 pandemic.Methods: An online cross-sectional study was conducted between May and September 2021. Nursing students (n=734) from seven universities across four provinces in Indonesia were recruited as participants using convenience sampling methods. Data were obtained through online questionnaires consisting of the Multidimensional Scale of Perceived Social Support (MSPSS) to assess social support and the Patient Health Questionnaire-9 (PHQ-9) to assess depression. Spearman-Rank correlation tests were used to examine the correlations between sources of social support and depression.   Results: Most of the nursing students (85.1%) were female, with a mean age of 19.94 years (SD=1.42). Many nursing students (n=313; 42.6%) experienced depression. Most of the students (n=465; 63.4%) perceived high family support, moderate friends (n=415; 56.5%) and significant others’ support (n=437; 59.5%). Of the three sources of social support (family, friends, and significant others), only family support had a significant inverse correlation with depression (Rho=-0.492, p<0.001).Conclusion: Family support had a significant inverse and moderate correlation with depression among nursing students during the COVID-19 pandemic. Our findings provided information to nursing educators to incorporate a strategy to maintain robust family support and regular depression assessments as part of the online learning curriculum. Therefore, it can be used to ameliorate depression among nursing students.
Effect Of Pre-Earthquake Disaster TrainingEarth About Wrapsing Splains Against Student/Student Knowledge Level At Sma Negeri 1 Pundong Bantul Tri Wulandari, Endah; Anggita Cahyani, Devi; Suparmanto, Gatot
Jurnal Kesehatan Kusuma Husada Vol. 16 No. 1, Januari 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v16i1.1478

Abstract

Earthquakes are one of the natural disasters which in reality cause quite a large impact, especially the number of victims caused. One location that has a fatal risk is school. In fact, school safety needs to be a global priority to face the threat of earthquake disasters. This negative impact is caused by a lack of knowledge and preparedness to anticipate an earthquake disaster. There is a need to increase preparedness to reduce the bad risks that may occur. Therefore, the aim of this research is to determine the effect of pre-earthquake disaster training regarding splint dressing on the level of knowledge of students at SMA N 1 Pundong. The method used in this research was pre-experiment. The research design used was a one-group pretest-posttest design. The research results showed that there was an Asymp.sig value. (2-tailed) 0.000, because the value of 0.000 is smaller than <0.05, it can be concluded that "Ha is accepted" which means there is a difference between the pretest and posttest results, so it can be concluded that there is an influence from the Pre-Earthquake Disaster Training on Wraps Bidai on Knowledge in Students and Students of SMA Negeri 1 Pundong.
Edukasi Pertolongan pertama pada Syncope (Pentasy) Nasyiatul Aisyiyah di Balecatur, Gamping Sleman Tri Wulandari, Endah; Muhaji, Muhaji; Suparmanto, Gatot
Idea Pengabdian Masyarakat Vol. 5 No. 03 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ipm.v5i03.450

Abstract

Kondisi seseorang yang mengalami kehilangan kesadaran yang mendadak dan bersifat sementara akibat aliran darah dan oksigen ke otak yang berkurang disebut sebagai syncope atau pingsan. Individu yang mengalami syncope dapat menyebabkan cidera sebanyak 28%. Pengetahuan dan sikap dalam memberikan pertolongan pertama pada syncope menentukan keberhasilan dari pertolongan pertama agar terhindar dari cidera. Penanganan syncope merupakan salah satu isu kesehatan yang signifikan di Desa Balecatur, Sleman, mengingat tingginya populasi masyarakat yang sering melakukan aktivitas fisik berat di bawah cuaca panas. Rendahnya pengetahuan masyarakat tentang gejala dan penanganan pingsan yang tepat menjadi penyebab utama dalam lambatnya respon ketika kasus pingsan sehingga dapat menyebabkan resiko cidera. Edukasi dan demonstrasi kesehatan yang menyasar penanganan pertama kasus syncope menjadi solusi yang dipandang efektif untuk meningkatkan kesadaran dan kemampuan masyarakat dalam merespons situasi darurat tersebut. Meningkatkan pengetahuan dan keterampilan remaja untuk memberikan pertolongan pertama pada seseorang dengan syncope merupakan tujuan dari pengabdian ini. Selain itu, tujuan pengabdian ini mengajak remaja untuk dapat berperan sebagai penggerak atau motivator untuk lingkungan disekitarnya tentang bagaimana memberikan pertolongan pertama pada syncope.
HUBUNGAN SIKAP DENGAN KESIAPAN PERAWAT PADA PENANGANAN RESUSITASI JANTUNG PARU (RJP) DI RUANG IGD DAN ICU RSUD WONOGIRI Masyitoh, Septina Devi; Agustin, Wahyu Rima; Suparmanto, Gatot
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.32222

Abstract

Henti jantung merupakan penyebab utama kematian di beberapa negara. Apabila tidak ditangani sesegera mungkin dan dengan tindakan yang tidak tepat maka akan mengakibatkan kematian. Sikap perawat dan kesiapan perawat sangat diperlukan untuk mengoptimalkan asuhan keperawatan pasien yang sedang dalam kondisi gawat darurat. Penelitian ini bertujuan untuk mengetahui apakah sikap dapat berhubungan dengan kesiapan perawat pada penanganan RJP diruang IGD dan ICU RSUD Wonogiri. Penelitian ini merupakan penelitian kuantitatif dengan rancangan studi korelasi dan menggunakan metode clusster random sampling sehingga mendapatkan sampel sejumlah 34 responden. Pada penelitian ini menunjukkan bahwa sikap perawat mayoritas baik sebesar 18 responden (52.9%) dan kesiapan perawat mayoritas baik sebesar 24 responden (70.6%). Uji analisa bivariat menunjukkan bahwa variabel sikap dan kesiapan dengan p-value <0,04 kurang dari 0,05 maka artinya Ho ditolak dan Ha diterima. Hasil penelitian ini didapatkan ada hubungan antara sikap dengan kesiapan perawat pada penanganan resusitasi jantung paru (RJP) di ruang IGD dan ICU RSUD Wonogiri.