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All Journal Jurnal Kreativitas PKM JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Global Health research Journal of Language and Health Jurnal Pengabdian Kepada Masyarakat Itekes Bali
Maharyawan, I Wayan Agus
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Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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Prehospital Handling of Traffic Accidents in High School PGRI 4 Denpasar Putra, I Gde Agus Shuarsedana; Maharyawan, I Wayan Agus
Jurnal Abdimas ITEKES Vol 1 No 1 (2021): Jurnal Abdimas ITEKES Bali September
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jai.v1i1.399

Abstract

Traffic accidents are the eighth leading cause of death in Indonesia. Data from the Traffic Corps of the Police of the Republic of Indonesia states that every year 28,000-38,000 people die from traffic accidents in Indonesia. This number makes Indonesia ranked first in the country with the highest ratio of deaths from traffic accidents in the world (Kompas, 2017). In 2018 there was an accident with a death toll of 261 people. The number of victims of serious injuries/hospitalization due to transportation accidents was 190 people. Bali is classified as an area with heavy traffic and has a high number of traffic accidents. One of the efforts made is to seek to reduce the number of deaths due to pre-hospital snacking errors. Efforts made in this community service program are to educate students about handling pre-hospital patients at SMA PGRI 4 Denpasar which begins with counseling about fractures and continues with the introduction of pre-hospital handlers in fracture patients. This program aims to increase knowledge about the definition of fracture and train students on pre-hospital handling in road accidents so as to reduce the death rate in accident victims due to the first mishandling on the road. In the implementation of this activity, the activity begins with the provision of a pre-test questionnaire which is filled out by the participants, then counseling about fractures is carried out using the lecture method and finally a post-test aimed at SMA PGRI 4 Denpasar students. The results of the activity showed an increase in students' knowledge about fractures and could train students about handling fractures in road accidents.
Effectiveness of Educational Videos on Reducing Anxiety in Pre-Anesthesian Patients Sari, Ni Kadek Nirmala; Maharyawan, I Wayan Agus; Lewar, Emanuel Ileatan; Devi, Ni Luh Putu Lusiana
Journal of Language and Health Vol 5 No 1 (2024): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v5i1.3288

Abstract

Surgery and anesthesia are actions that can cause problems for someone who will undergo them, one of the problems that is often found is anxiety. Several research results report that anxiety can affect 60-80% of patients undergoing surgery. Objective: To determine the effectiveness of health education using video media in reducing preoperative patient anxiety. Method:This research uses a pre-experimental method with one group pretest and posttest design. This research was conducted in March-April 2023 at Buleleng Regional Hospital. The sample in this study involved 42 patients undergoing elective surgery. The research instrument was a questionnaire sheet which was then analyzed using the Kolmogorov – Smirnov statistical test. Results:Providing complete anesthesia education was 42 (100.0%) respondentsn. The results of the pre-education research on gold were 23 (54.8%) respondents who were seriously anxious, 16 (38.1%) respondents were moderately anxious, 2 (4.8%) respondents were very anxious, 1 (2.4%) respondent was mildly anxious. The results of the post-education research were 25 (59.5%) respondents who were seriously anxious, 14 (33.3%) respondents were moderately anxious, 2 (4.8%) respondents were very anxious, and 1 (2.4%) respondent was mildly anxious. Conclusion:Effectiveness of educational videosanesthesia is able to increase patient understanding and knowledge so that it can reduce the anxiety level of pre-anesthesia patients at Buleleng Regional Hospital.
Penilaian Praanestesia Kardiovaskular pada Bedah Geriatri Devi, Ni Luh Putu Lusiana; Setiabudi, I Ketut; Wahyuningsih, Luh Gde Nita Sri; Putri, I Gusti Ayu Nandita Arta; Maharyawan, I Wayan Agus; Dewi, Ni Nyoman Ari Kundari
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.v7i3.6604

Abstract

Asesment pra anestesi merupakan bagian vital. Asesment pra anestesi wajib dilakukan pada pasien lanjut usia (lansia) demi optimalisasi secara perioperative. Penelitian ini bertujuan untuk memberikan gambaran tentang bagaimana potensial risiko kardiovaskuler yang muncul pada pasien lansia selama pembedahan. Penelitian kuantitatif deskriptif ini menggunakan desain cross-sectional dengan melibatkan 40 orang pasien lansia yang menjalani pembedahan. Teknik sampling yang digunakan yakni total sampling. Data dikumpulkan menggunakan kuesioner kemudian dianalisa data yang digunakan adalah Analisa univariate yakni distribusi frekuensi dan proporsi. Hasil penelitian ini menunjukkan bahwa mayoritas pasien lansia yang dilakukan pembedahan termasuk pada kategori ASA II sebanyak 55%, dengan penggunaan obat rutin dan riwayat penyakit sebelumnya seperti DM dan hipertensi. Penelitian ini juga mengungkapkan bahwa mayoritas pasien tidak dilakukan pemeriksaan EKG sebanyak 88%.
Pemberian Penyuluhan Kesehatan Sebagai Upaya Pengendalian Hipertensi Kepada Keluarga Pasien Yang Akan Dilakukan Anestesi Lewar, Emanuel Ileatan; Yusniawati, Yustina; Maharyawan, I Wayan Agus; Putra, I Gde Agus Shuasedana; Angelina Djami, Rani Valentina
Jurnal Abdimas ITEKES Vol 5 No 1 (2025)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jai.v5i1.663

Abstract

ABSTRAK Hipertensi merupakan peningkatan tekanan darah sistolik melebihi 140 mmHg dan atau tekanan darah diastolik melebihi 90 mmHg. Adanya kondisi hipertensi dapat mempengaruhi prosedur operasi yang akan dijalani oleh pasien, hal ini karena beberapa obat anestesi dapat menurunkan tekanan darah selama proses pembiusan. Maka penting untuk memantau penggunaan obat anti hipertensi yang sedang dikonsumsi oleh pasien agar tidak terjadi penurunan tekanan darah secara berlebihan akibat pengaruh obat anti hipertensi dan juga obat anestesi yang diberikan. Sebab kondisi penurunan tekanan darah secara berlebihan justru akan menjadi masalah baru, terutama apabila operasi sedang berlangsung dan memperpanjang waktu pulih sadar pasca anestesi umum. Tujuan dari PKM ini adalah untuk meningkatkan pengetahuan keluarga dan pasien tentang resiko komplikasi hipertensi pada saat menjalani prosedur anestesi dan pembedahan. Metode yang digunakan pada PKM ini adalah penyuluhan dan pendekatan kepada keluarga dan pasien yang akan melakukan operasi dan anestesi di poli anestesi tentang hipertensi, penggunaan obat hipertensi, prosedur pembedahan dan anestesi dengan penyakit hipertensi dan tatalaksana agar tensi tetap stabil dan teratur baik selama proses pembedahan, maupun selama perawatan. Adapun kegiatan ini dilakukan dengan persiapan materi, leaflet, dan pemberi penyuluhan serta melakukan posttest, selanjutnya pada tahap proses yaitu memberikan edukasi secara langsung, dan setelah kegiatan penyuluhan dilakukan posttest untuk mengevaluasi pemahaman peserta tentang materi yang diberikan. Hasil yang diperoleh yaitu dari 20 peserta yang mengikuti setelah dilakukan pretest dan posttest maka diperoleh hasil pretest dengan rata rata nilai pretest 60, dan setelah dilakukan pemberian edukasi dan posttest diperoleh hasil rata rata nilai posttest adalah 90. Kesimpulan pada PKM ini yaitu pemberian penyuluhan tentang upaya pengendalian hipertensi kepada keluarga pasien dapat meningkatkan pengetahuan keluarga pasien dan pasien akan pentingnya menjaga tekanan darah pasien ketika akan dilakukan tindakan operasi di praanestesi, maka dari itu penting melakukan pendekatan dan pendampingan kepada pasien dan keluarga akan pengendalian hipertensi agar pasien dapat memahami bahaya dari hipertensi. Kata Kunci: Pengetahuan keluarga, Hipertensi Praoperasi, Anestesi
Implementation of Anesthesia Management Care (ASKAN) in Pre-Regional Anesthesia Maharyawan, I Wayan Agus; Lewar, Emanuel Ileatan
Indonesian Journal of Global Health Research Vol 6 No 3 (2024): 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.v6i3.3131

Abstract

Anesthesia administrators have the main duties in the anesthesia management care service (ASKAN) which includes pre-, intra- and post-anesthesia anesthesia services. Knowledge about writing anesthesia is still lacking. Insufficient knowledge will impact patient satisfaction. The implementation of ASKAN still has different understandings between fellow anesthesia administrators in the implementation of anesthesia management care. This study aims to find out how ASKAN is implemented in pre-regional anesthesia patients. So it can be used as material to set ASKAN standards for regional anesthesia patients. This research uses a qualitative descriptive method with a focus group discussion (FGD) approach. There were 7 participants in this study who met the inclusion criteria. Sample selection was carried out using the total sampling carried outwith zoom media. Researchers act as measuring tools and ask semi-structured questions. Analysis of this research data uses Content Analysis. The recording results were typed and analyzed using an inductive thematic approach which was then systematically identified throughout the data set. The assessment carried out during regional anesthesia is a history of the disease with AMPLE, a physical examination that focuses on the spine and extremities. Apart from focusing on regional anesthesia, the anesthetist also reviews general anesthesia preparations such as LEMONS, MOANS. Psychological preparation of the patient before surgery and physical preparation of the patient such as meeting hemodynamics is a priority so that problems do not occur during intra-anesthesia. Anesthetic problems that often arise during regional anesthesia are cardiovascular problems, anxiety, pain, nausea and vomiting. The results of this research can be used by other people, especially the anesthesia management profession, as a guide for providing anesthesia management care in regional anesthesia procedures.
Multiple Case Study: Cognitive Status in Pre-Elderly Patients Undergoing Transurethral Resection of Prostate (TURP) Procedure with Spinal Anesthesia Kumara, I Made Ghana Astamurti; Rismawan, Made; Maharyawan, I Wayan Agus
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.5602

Abstract

Benign Prostatic Hyperplasia(BPH) in pre-elderly often causes problems such as discomfort when urinating. The action that can be taken is to perform Transurethral Resection of Prostate (TURP) surgery with Spinal Anesthesia technique. The risks that can occur are Postoperative Cognitive Dysfunction (POCD), such as decreased cognitive function, memory impairment and decreased attention that can occur within a certain period of time. Objective: To determine the cognitive status in pre-elderly patients who underwent TURP procedure with spinal anesthesia. The design of this study was a Multiple Case Study with a qualitative descriptive approach of 5 pre-elderly patient participants who underwent spinal anesthesia. The data collection tools used in this study are interview sheets and MMSE (Mini-Mental State Examination) observation sheets which are used to enter patient observation. Results of the five participants, only two experienced moderate cognitive status disorders and three participants did not experience post-operative cognitive status disorders. Age is a factor in the occurrence of post-operative cognitive status disorders. Two of the five participants in this study experienced moderate cognitive status disorders.
Optimalisasi Manajemen Nyeri melalui Terapi Distraksi Emosional dan Visual bagi Anak dan Keluarga dengan Perawatan Paliatif Care Yusniawati, Yustina Ni Putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana; Maharyawan, I Wayan Agus; Devi, Ni Luh Putu Lusiana; Dewi, Ni Nyoman Ari Kundari; Parwati, Putu Atika; Tripayana, I Nyoman; Suyasa, Agus Baratha; Putri, I Gusti Ayu Nandita Arta; Sukmawati, Ni Wayan Eni
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.22093

Abstract

ABSTRAK Kanker pada anak adalah pertumbuhan sel abnormal yang dapat menyebar (metastasis) dan membutuhkan perawatan paliatif. Jenis kanker yang umum antara lain leukimia, tumor otak, neuroblastoma, dan osteosarcoma. Penyebab pasti belum diketahui, namun faktor genetik, paparan karsinogen, dan virus Epstein-Barr (EBV) berperan. Gejala meliputi demam menetap, nyeri berat, kelelahan, dan gangguan tumbuh kembang. Program PKM ini bertujuan mengajarkan manajemen nyeri dan pendampingan orang tua melalui terapi distraksi emosional dan visual. Pasien dan keluarga merasakan manfaat positif. Metode menggunakan action research: perencanaan, pelaksanaan, observasi, dan evaluasi. Kegiatan melibatkan Yayasan Peduli Anak Kanker Bali dan dilaksanakan melalui mewarnai, diskusi, dan pohon harapan. Hasil pretest menunjukkan rata-rata nyeri skala 4, dan posttest menunjukkan penurunan ke skala 1–2.  Kesimpulannya, terapi distraksi efektif mengurangi nyeri secara nonfarmakologis dan perlu diterapkan secara berkelanjutan dalam perawatan paliatif anak. Kata Kunci: Anak, Keluarga, Manajemen Nyeri, Distraksi Emosional dan Visual.  ABSTRACT Childhood cancer is characterized by abnormal cell growth that can metastasize and requires palliative care. Common types include leukaemia, brain tumours, neuroblastoma, and osteosarcoma. Although the exact cause remains unknown, contributing factors include genetics, exposure to carcinogens, and the Epstein-Barr virus (EBV). Symptoms may include persistent fever, severe pain, fatigue, and developmental delays. This community service program aims to educate parents on pain management and provide support through emotional and visual distraction therapy. The method applied is action research, consisting of planning, implementation, observation, and evaluation phases. Activities were conducted in collaboration with the Bali Childhood Cancer Care Foundation and included colouring, discussion, and a hope tree session. Pretest results indicated an average pain score of 4, which decreased to 1–2 in the post-test. Patients and families reported positive outcomes. In conclusion, distraction therapy is effective in reducing pain non-pharmacologically and should be sustainably implemented in pediatric palliative care. Keywords: Children, Family, Pain Management, Emotional and Visual Distraction
Co-Authors Angelina Djami, Rani Valentina Devi, Ni Luh Putu Lusiana Dewi, Ni Nyoman Ari Kundari Kumara, I Made Ghana Astamurti LEWAR, EMANUEL ILEATAN Made Rismawan Parwati, Putu Atika Putra, I Gde Agus Shuarsedana Putra, I Gde Agus Shuasedana Putri, I Gusti Ayu Nandita Arta Sari, Ni Kadek Nirmala Setiabudi, I Ketut Sukmawati, Ni Wayan Eni Suyasa, Agus Baratha Tripayana, I Nyoman Wahyuningsih, Luh Gde Nita Sri Yusniawati, Yustina Yusniawati, Yustina Ni Putu