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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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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.
Terapi Relaksasi Otot Progresif Terhadap Post Operative Nausea and Vomiting (PONV) Pasien Sectio Caesarea dengan Spinal Anestesi Sri Burhani Putri; Eza Kemal Firdaus; Dwi Novitasari
JIK-JURNAL ILMU KESEHATAN Vol 9, No 1 (2025): JIK-April Volume 9 Nomor 1 Tahun 2025
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i1.1159

Abstract

Mual dan Muntah Pasca Operasi (PONV) merupakan salah satu komplikasi umum yang dialami pasien setelah menjalani operasi caesar dengan spinal anestesi. PONV dapat mempengaruhi kenyamanan dan pemulihan pasien secara keseluruhan. Terapi relaksasi otot progresif merupakan salah satu teknik non-farmakologis yang dapat membantu mengurangi gejala PONV dengan menurunkan tingkat kecemasan dan meningkatkan relaksasi pada pasien. Penelitian ini bertujuan untuk mengetahui pengaruh terapi relaksasi otot progresif terhadap PONV pada pasien post sectio caesarea dengan spinal anestesi. Penelitian ini menggunakan desain quasi-eksperimental dengan pendekatan pretest-posttest pada kelompok intervensi dan kelompok kontrol. Sampel penelitian ini adalah 40 pasien sectio caesarea yang memenuhi kriteria inklusi, dengan masing-masing 20 pasien pada kelompok intervensi dan 20 pasien pada kelompok kontrol. Hasil penelitian menunjukkan bahwa terdapat penurunan yang signifikan pada intensitas PONV pada kelompok intervensi dibandingkan dengan kelompok kontrol dengan p-value 0,001. Pasien yang menerima terapi relaksasi otot progresif melaporkan gejala PONV yang lebih ringan dibandingkan dengan kelompok kontrol. Terapi relaksasi otot progresif efektif dalam menurunkan intensitas PONV pada pasien sectio caesarea dengan spinal anestesi. Intervensi ini dapat dianggap sebagai salah satu tindakan komplementer untuk meningkatkan kenyamanan pasien pasca operasi.
The Correlation between Body Mass Index (BMI) and Recovery Time on General Anesthesia Patient Using Endotracheal Tube (ET) Maryadi, Adi; Rahmaya Nova Handayani; Eza Kemal Firdaus; Asmat Burhan
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.24

Abstract

Conscious recovery time is the time it takes for the patient to be removed from the conscious recovery room when the patient is fully conscious. Patients who are unconscious within more than 15 minutes are considered prolonged, even to respond to a stimulus in highly susceptible patients requires 30-45 minutes after general anesthesia drugs are stopped. One of the causes of lengthening the time to recover consciousness is the Body Mass Index (BMI) in patients which can increase the potential of anesthetic drugs given. The purpose of this study was to determine the relationship between Body Mass Index (BMI) and conscious recovery time in general anesthesia patients using Endotracheal Tube (ET) at RSUD Dr. Soedirman Kebumen. The method of ths study was correlation analitik with a cross-sectional approach. The sample of this study amounted to 48 respondents with consecutive sampling technique. Data analysis was carried out using the Kendall Tau test. The results of the study obtained 86.5% of respondents had a fast conscious recovery time (<15 minutes) and 13.5% of respondents had a prolonged conscious recovery time (>15 minutes). Of the results of the kendall tau correlation test obtained results with a significancy p value of 0.000 < 0.05 which means there is a relationship between the body's mass index to the recovery time of consciousness after general anesthesia with the endotracheal tube. The conclusion of this study is that majority of respondents who have a quick recovery time of less tha 15 minutes are respindents with a normal body mass index. Patient with a fat or obese BMI will receive a higher dose of anesthetic medication compared to patients in the thin category. When the anesthetic drug is given a higher concentration, the effect of the ansthetic drug will be longer.
The Correlation Between Pre-Operative Fasting Duration and Post-Operative Nausea and Vomiting Occurrence on Patients with General Anestehesia Karmana, Dede; Mixrova Sebayang, Septian; Kemal Firdaus, Eza; Sukmaningtyas, Wilis
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.33

Abstract

Background: Preoperative fasting is a procedural measure implemented before surgery or anesthesia to avert regurgitation or vomiting. PONV incidence is influenced by surgical, anesthetic, and patient-related factors. The purpose of the study is to ascertain the duration of preoperative fasting observed by participants and the prevalence of PONV according to personality traits. Purpose: Determine the correlation between the duration of preoperative fasting and the occurrence of PONV in patients undergoing general anesthesia at RSUD Dr. Soekardjo Tasikmalaya. Methods: Observatory, descriptive, and cross-sectional designs are utilized. The sampling method was with sixty respondents ranging in age from seventeen to forty-five years, ASA I to II. Data is collected via observation and evaluation. Findings: The study observed that among 37 individuals (61.7%), preoperative fasting for 6-8 hours was beneficial, while for 23 individuals (38.3%), fasting for >8 hours were detrimental. At the age of 17-25 years, 10 individuals (47.6%) develop PONV, while 11 individuals (52.4%) do so between the ages of 26-45. Among women, 17 individuals (81.0%) have PONV, while 20 individuals (95.2%) have ASA I physical status, and 1 individual (4.8%) has ASA II physical status. Conclusion: There is a significant link (p < 0.013) between preoperative fasting time and postoperative nausea and vomiting (PONV) in patients under general anesthesia. Fasting before surgery should be long enough to avoid PONV
Description Of Age And Bmi In The Hypothermia And Normothermia Group In Caesarea Sectio Patients With Spinal Anesthesia Jaya Zega, Firman; Mixrova Sebayang, Septian; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.46

Abstract

Background: Hypothermia results in increased risk of bleeding, myocardial ischemia, longer post-anesthesia recovery, impaired wound healing, and increased risk of infection. This is due to the influence of anesthetic use, age, nutritional status, and body mass index. The research aims to determine the description of age and BMI in the hypothermia and normothermia groups in caesarean section patients with spinal anesthesia at the Efarina Etaham Pematang Siantar Hospital. Methods: This type of research is descriptive with a cross sectional approach. The study population was all 40 caesarean section patients with spinal anesthesia in September 2023. The research sample used a total sampling method, namely the entire population was the research sample of 40 respondents. Data analysis using univariate analysis. Findings: The results of the research showed that the body temperature of the respondents experienced hypothermia after anesthesia, the majority aged >35 years, all of them experienced hypothermia as many as 11 respondents (100.00%) and the minority of respondents aged <20-35 years as many as 2 respondents (15.38%) and as many as 25-35 years old. 2 respondents (12.50%). Body temperature after spinal anesthesia showed that the body temperature of the respondents experienced hypothermia, the majority of BMI <18.5 or underweight category were 11 respondents (91.67%) and the minority were Normal BMI (BMI 18.5-22.9) as many as 4 respondents (14.29%). Conclusion: Body temperature changes when spinal induction anesthesia is given.