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GAMBARAN KEJADIAN HIPOTENSI PADA PASIEN SECTIO CAESAREA DENGAN SPINAL ANESTESI DI RUMAH SAKIT EMANUEL BANJARNEGARA Puspitasari, Nevalia Kinanda; Handayani, Rahmaya Nova; Firdaus, Eza Kemal
Jurnal Ilmu Kedokteran dan Kesehatan Vol 10, No 12 (2023): Volume 10 Nomor 12
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v10i12.12606

Abstrak: Gambaran Kejadian Hipotensi Pada Pasien Sectio Caesarea Dengan Spinal Anestesi Di Rumah Sakit Emanuel Banjarnegara. Anestesi spinal umumnya digunakan pada sectio caesarea karena keseimbangan risiko dan manfaat dari anestesi spinal. Namun, ada efek samping yang terkait dengan anestesi spinal seperti hipotensi. Tujuan umum penelitian ini yaitu untuk mengetahui karakteristik responden meliputi Usia, IMT dan Paritas serta untuk mengidentifikasi gambaran kejadian hipotensi pada pasien sectio caesarea dengan spinal anestesi di Rumah Sakit Emanuel Banjarnegara. Jenis penelitian merupakan deskriptif kuantitatif. Sampel penelitian merupakan pasien sectio caesarea yang dilakukan tindakan anestesi spinal yang memenuhi kriteria. Adapun teknik sampling yang digunakan convenience sampling menghasilkan 55 responden. Instrumen penelitian dengan lembar observasi dan monitor anestesi. Hasil penelitian didapatkan sebagian besar mengalami kejadian hipotensi adalah berusia berisiko (<20 tahun atau > 35 tahun) sebanyak 88,2%, IMT gemuk (>25 kg/m2) sebanyak 83,3% dan paritas primipara sebanyak 77,8%. Pasien sectio caesarea dengan spinal anestesi mengalami hipotensi 74,5% orang dan 25,5% orang tidak hipotensi. Sebagai hasil dari penelitian ini, perhatian harus diberikan pada terjadinya hipotensi selama anestesi spinal untuk mengurangi risiko yang merugikan.

Telemonitoring and Telerehabilitation Can Improve Health Status for Heart Failure? A Review Firdaus, Eza Kemal; Wijayanti, Indri; Purwatiningsih, Purwatiningsih
Journal of Advanced Health Informatics Research Vol. 1 No. 1 (2023)
Publisher : Peneliti Teknologi Teknik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59247/jahir.v1i1.22

This review aims to enhance the health status of patients with heart failure. This review will look into the possibilities of telemonitoring and Telerehabilitation as a nursing care delivery paradigm. “Reviews of the literature focus on problems, approaches, formulas, and suggestions for additional research. PUBMED, SAGE Journal, Wiley Online Library, Proquest, and ScienceDirect were all used to conduct extensive research on the subject. Among the telemonitoring and Telerehabilitation methods found in treating heart failure patients were websites, phone calls, and applications.” Telemonitoring and Telerehabilitation can decrease rehospitalization and mortality in heart failure patients while enhancing health status, self-care, self-efficacy, clinical management, and education

Pengalaman Pasien yang Pertama Kali Akan Menjalani Operasi di RSUD dr. R. Goeteng Taroenadibrata Purbalingga Putri, Tisya Noor Qomara; Firdaus, Eza Kemal; Yanti, Linda
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.13823090

The primary research issue explored in this thesis is the psychological and emotional challenges faced by patients undergoing surgery for the first time. These challenges include anxiety, fear, and concerns regarding the surgical procedure, potential pain, and the overall experience in the operating room. The objective of this study is to understand the experiences of first-time surgery patients and identify the factors influencing their preoperative psychological state. This research adopts a qualitative methodology with a phenomenological approach, aiming to delve into the personal experiences and perceptions of individuals related to a specific phenomenon—in this case, the patients’ preoperative experience. This approach involves collecting descriptive data through interviews and observations to gain a deep insight into participants’ lived experiences. The study reveals that preoperative preparedness is shaped by several key factors. Mental preparation is crucial in reducing anxiety and fostering cooperation during surgery. Physiological preparation ensures the patient’s physical readiness. Psychological preparation, including health education, helps alleviate stress for both the patient and their family, minimizes the risk of postoperative complications, and improves overall outcomes. The research concludes that preoperative experiences are largely influenced by emotional factors such as anxiety and curiosity. Additionally, family support plays a critical role in the patient’s recovery. The study recommends enhancing psychological preparation through health education to reduce stress and improve outcomes, emphasizing the significance of involving the family in decision-making and providing support throughout the process.

Pengaruh Pemberian Anestesi Induksi Sevofluran Dengan Penurunan Hemodinamik Pada Pasien General Anestesi di RSUD Labuha Halmahera Selatan Permata Sari, Ayu Eka; Suandika, Made; Firdaus, Eza Kemal
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.13827721

General anesthesia involves a complete loss of consciousness. General anesthesia can be given to patients by intravenous injection or by inhalation (Royal College of Physicians (UK), 2011). Inhalation anesthesia is a drug in the form of a volatile gas or liquid, which is administered through the patient's respiratory system (Edgington et al., 2018). Hemodynamics is the flow of blood in the body's circulatory system, either through the magna circulation (large circulation) or the parva circulation (circulation in the lungs). Under normal conditions, hemodynamics will always be maintained in physiological conditions with neurohormonal control (Muftilov et al., 2021). The study aims to determine the effect of administering sevoflurane inhalation induction anesthesia on decreased hemodynamics. This research method is quantitative descriptive with data collection techniques using the observation method. The results of the analysis using the Wilcoxon test with SPSS 22. The results of the study using 44 respondents were used as research samples to determine the effect of administering sevoflurane inhalation induction anesthesia on decreased hemodynamics. From the results obtained that blood pressure 000, pulse.0-013, respiration 0 .001 and MAP .000 which concluded there is an influence between the administration of sevoflurane on the decrease in patient hemodynamics before induction and after induction, while for oxygen saturation 1,000 which concluded no significant influence between the administration of sevoflurane on the decrease in hemodynamics.

Pengalaman Mahasiswa Keperawatan Anestesiologi yang Pertama Kali Akan Menjalani Praktik di Rumah Sakit Tanamal, Uswatun Chasana; Firdaus, Eza Kemal; Yanti, Linda
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.13864776

This study examined the experiences of anesthesiology nursing students during their first clinical experience. Students often feel unprepared, anxious, and afraid of making mistakes, due to a lack of mastery of theory and practice, as well as concerns related to trust from anesthesia administrators. This study used a qualitative method with a phenomenological approach. i.e. the researcher identifies the essence of the participant's experience of a phenomenon experienced. This study found that nursing students experience significant stress during their initial clinical practice. This stress is caused by the new environment, fear of making mistakes, and pressure from senior staff, which can negatively affect their mood, health, and relationships. However, stress can also motivate students to learn and improve their skills. This study concluded that nursing students in anesthesiology experience a range of emotions during their initial hospital practice. Initially, they faced negative feelings such as anxiety and lack of confidence, which manifested as physical symptoms such as nervousness and confusion. However, these challenges are mitigated through positive thinking and preparation, leading to personal growth and self-esteem after practice.

Implementasi Terapi Musik Klasik Untuk Mengurangi Kecemasan Pada Pasien Pre Operasi Sectio Caesarea Dengan Spinal Anestesi Zidan, Fahmi; Sukmaningtyas, Wilis; Firdaus, Eza Kemal
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 4 No 5 (2024): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v4i5.413

Introduction: Performing a sectio caesarea is done to ensure the safety of both the mother and the baby, since there are risks and difficulties that might arise during a natural delivery. Nonpharmacological treatment, namely distraction strategies, may help pregnant women manage their anxiety before, during, and after surgery by focusing their attention away from the worries that arise regarding the health of both mother and child. Using distraction strategies might help alleviate anxiety, particularly during pregnancy, by diverting one's attention to something else. If you suffer from severe anxiety, one method to alleviate it is to listen to music. Objective: Music therapy is an example of a non-pharmacological treatment that this community service aims to put into place so that patients can enhance their physical and mental well-being through the use of structured auditory stimuli that include melody, rhythm, harmony, timbre, form, and style. Method: As a kind of community service, this activity makes use of listening to five or ten minutes of classical music on headphones. Result: Fifteen individuals (or 50.0% of the total) reported moderate anxiety levels before classical music therapy was implemented, whereas six participants (20.0% of the total) reported severe anxiety levels. Among the individuals, 10 (33.3%) reported moderate anxiety, 19 (63.3%) mild anxiety, and 1 (3.3%) severe anxiety after the use of rose aromatherapy. Conclusion: Based on the results obtained, it can be concluded that classical music therapy can reduce the anxiety level of patients before cesarean section surgery with spinal anesthesia.

Terapi Senam Terhadap Penurunan Nyeri Osteoartritis Pada Lansia di Panti Jompo Wreda Dharma Kasih Gulo, Sinansari; Sukmaningtyas, Wilis; Firdaus, Eza Kemal
Nanggroe: Jurnal Pengabdian Cendikia Vol 3, No 7 (2024): Oktober
Publisher : Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13898957

Background. Elderly is someone who reaches the age of 60 years and above. The elderly will also experience health problems caused by aging, usually affecting the joints, namely osteoarthritis. Osteoarthritis is chronic inflammation in the joints that causes tissue damage to the cartilage. There are several factors that cause osteoarthritis, namely age and gender, obesity, genetics, joints, muscle strength, and knee alignment. Osteoarthritis in the elderly can be reduced or treated with exercise therapy. Based on a pre-survey at the Budi Dharma Kasih Nursing Home, it was found that more than half of the elderly experienced osteoarthritis pain due to a lack of understanding in reducing this pain. Objective. This community service (PkM) activity aims to implement exercise for the elderly. Method : This PkM method is carried out by providing Ostearthritis material, then exercise therapy, followed by a discussion containing a question and answer session regarding the material presented, as well as an evaluation using pre and post questionnaires after exercise therapy. Results. The results obtained after carrying out exercise therapy activities for the elderly were an increase in pain with the moderate pain group before implementation amounting to (0.0%) after implementation increasing by (55.6%), the severe pain group before implementation amounting to (100.0%) after implementation it decreased by (44.4%). Outer. There are three expected outcomes from this PkM activity, namely, 1. The elderly can apply exercise therapy 2. Videos containing exercises, 3. Publication of community service articles.

Terapi Senam Terhadap Penurunan Nyeri Osteoartritis Pada Lansia di Panti Jompo Wreda Dharma Kasih Gulo, Sinansari; Sukmaningtyas, Wilis; Firdaus, Eza Kemal
Nanggroe: Jurnal Pengabdian Cendikia Vol 3, No 7 (2024): Oktober
Publisher : Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13898957

Background. Elderly is someone who reaches the age of 60 years and above. The elderly will also experience health problems caused by aging, usually affecting the joints, namely osteoarthritis. Osteoarthritis is chronic inflammation in the joints that causes tissue damage to the cartilage. There are several factors that cause osteoarthritis, namely age and gender, obesity, genetics, joints, muscle strength, and knee alignment. Osteoarthritis in the elderly can be reduced or treated with exercise therapy. Based on a pre-survey at the Budi Dharma Kasih Nursing Home, it was found that more than half of the elderly experienced osteoarthritis pain due to a lack of understanding in reducing this pain. Objective. This community service (PkM) activity aims to implement exercise for the elderly. Method : This PkM method is carried out by providing Ostearthritis material, then exercise therapy, followed by a discussion containing a question and answer session regarding the material presented, as well as an evaluation using pre and post questionnaires after exercise therapy. Results. The results obtained after carrying out exercise therapy activities for the elderly were an increase in pain with the moderate pain group before implementation amounting to (0.0%) after implementation increasing by (55.6%), the severe pain group before implementation amounting to (100.0%) after implementation it decreased by (44.4%). Outer. There are three expected outcomes from this PkM activity, namely, 1. The elderly can apply exercise therapy 2. Videos containing exercises, 3. Publication of community service articles.

Pengaruh Terapi Benson Terhadap Tingkat Penurunan Nyeri Pada Pasien Post Operasi Transurethral Resection of The Prostate di RSI Purwokerto Rettob, Cicilia Dei; Firdaus, Eza Kemal; Yanti, Linda
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 | DOI: 10.5281/zenodo.14851157

Benign prostatic hyperplasia (BPH) is a common condition in elderly men that often causes lower urinary tract symptoms. (LUTS). In men aged 60 to 90 years, the histological prevalence of BPH is 50 to 80%.The type of this research is experimental research using a pre-experimental design with a One group pretest posttest design. In this study, all BPH patients who underwent TURP surgery, totaling 30 patients, were included. It can be observed that the highest age group is 50-59 years with 11 respondents (36.7%) and the lowest is the 80-89 years age group with 3 respondents (10.0%). The highest level of education was junior high school, with 11 respondents (36.7%), and the lowest was higher education, with 4 respondents (13.3%). Previous surgical history was present in 19 respondents (63.3%) and absent in 11 respondents (36.7%). It can be observed that the highest condition before Benson therapy was a pain level of 4-6 (moderate pain) in 30 respondents (100%). Whereas it can be observed that the highest level of pain after Benson therapy was 1-3 (mild pain) in 29 respondents (96.7%) and the lowest level was 4-6 (moderate pain) in 1 respondent (3.3%).According to the Wilcoxon test results, a p-value of 0.05 means H0 is rejected and Ha is accepted, which is interpreted as a significant effect of Benson therapy on the level of pain reduction before and after the administration of Benson therapy. This shows that there is an effect of Benson therapy, evident in the 4-6 category (moderate pain) during the pre-treatment (before) phase, which changed to the 1-3 category (mild pain) and the 4-6 category (moderate pain) during the post-treatment (after) phase.

Analysis of differences smoking status with perianestesis oxygen desaturation to patients’ general anesthesia and regional anesthesia in the Operating Theatre Lubuk Basung Hospital Martin, weddy; Suandika, Made; Firdaus, Eza Kemal
Riset Informasi Kesehatan Vol 13 No 2 (2024): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v13i2.891

Background: The rising prevalence of tobacco use in Indonesia over the past decade has prompted concerns about the potential health risks, particularly in the context of surgical procedures involving anesthesia. This study aimed to examine the association between smoking status and the incidence of peri anesthesia oxygen desaturation in patients undergoing general and regional anesthesia. This assessment is becoming increasingly crucial as active smokers may be at an elevated risk of oxygen desaturation, a significant complication that can occur during the administration of anesthesia, both general and regional. Method: This research is descriptive and analytic with a cross-sectional design and a total sampling of 108 respondents. The data were collected through observation of the oxygen desaturation occurring during the initial 15 minutes of anesthesia. Results: The results showed a statistically significant difference in oxygen desaturation between active and passive smokers, with a p-value of 0.000. Conclusion: Most of the respondents 56 people (51.9%) had passive smoking status and 52 respondents (48.1%) with active smoking status. The mean peri anesthesia oxygen saturation in general anesthesia and regional anesthesia patients is 90.00 with a minimum value of 91.00 and a maximum value of 100.00, with a standard deviation of 2.54309.

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