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All Journal Jurnal Ilmu Kedokteran dan Kesehatan INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) JIK- JURNAL ILMU KESEHATAN JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Global Health research Action Research Literate (ARL) Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Kolaborasi Jurnal Pengabdian Masyarakat Jurnal Ilmiah Kesehatan Promotif Jurnal Cakrawala Ilmiah Jurnal Keperawatan Madani: Multidisciplinary Scientific Journal Nanggroe: Journal Of Scholarly Service Riset Informasi Kesehatan Journal of Advanced Health Informatics Research Nanggroe: Journal of Scholarly Service Java Nursing Journal Jurnal Inovasi Global Jurnal Ilmiah Kesehatan Mandira Cendikia Jurnal Info Kesehatan Journal of Wound Research and Technology Borneo Nursing Journal Jurnal Keperawatan Tropis Papua
Firdaus, Eza Kemal
School Of Nursing, Faculty Of Health, Universitas Tanjungpura, Indonesia
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Relationship Between Length of Surgery and Shivering in Postoperative Abdominal Surgery Patients Yuswanto, Subur; Triyudono, Danang; 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.v2i2.47

Abstract

Background: Abdominal surgery is a type of major surgical operation performed in the abdominal area with incision in the wall layer. The surgery has a risk, one of which is the incidence of shivering and the long period of surgery causes a continuous process of losing body heat. Objective: to know the relationship between the length of surgery and the incidence of shivering in postoperative abdominal surgery patients in the central surgical installation of RSUD Hj. Anna Lasmanah Banjarnegara. Methods: This research design uses cross sectional. Sampling technique with total sampling obtained 50 with abdominal surgery... Instruments include age, gender, BMI, type of anesthesia, length of surgery and incidence of shevering. Findings: age with the majority of the early adult category 26-35 years at 14 (28.0%) for the majority of female gender at 35 (70%) and the highest BMI with normal at 31 (62%).The length of operation of postoperative abdominal surgery patients with the majority in the fast category less than 1 hour at 29 (58%). Conclusion: there is a relationship between the length of surgery and the incidence of shivering in abdominal surgery patients in the Central Surgical Installation of Hj. Anna Lasmanah Banjarnegara Hospital with a p_value of 0.004 (<0.05) with a relationship in the moderate category with rho 0.416 with a relationship in the moderate category with rho 0.416
Overview of Intra Anesthesia Hemodynamic Status in Patients with Spinal Anesthesia Action Rahman; Lintang Suryani, Roro; 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.v2i2.51

Abstract

Background: Hemodynamic observation during spinal anesthesia is necessary to assess the status of a patient's cardiovascular system. Hemodynamic decline is one of the most common acute complications that can occur in spinal anesthesia. Purpose: to determine the description of intra-anesthesia hemodynamic status in patients with spinal anesthesia at Morowali Hospital. Methods: This research design uses descriptive design. The sampling technique with total sampling obtained 85 patients who performed spinal anesthesia. The research instrument contains monitoring the patient's vital signs including systole blood pressure, diastole, pulse frequency, and MAP value. Results: The age of patients is most with early adulthood at 33 (38.8%) and the least with the elderly category at 2 (2.4%). The gender of the respondents was mostly female with 51 (60%). The type of surgery with the majority with major surgery amounted to 51 (60%) and the most ASA status with ASA 2 amounted to 74 (87.1%). Conclusion: hemodynamic status based on systole and diastole blood pressure in the normal category was 63 (74.1%), based on pulse frequency the majority with normal status was 58 (68.2%), based on MAP values the majority with normal was 53 (62.4%).
Gambaran Saturasi Oksigen Pada Pasien Perokok Pasca Anestesi Umum Di Recovery Room Rumah Sakit Khusus Bedah Jatiwinangun Rizkiaturrahma, Farah; Sukmaningtyas, Wilis; Firdaus, Eza Kemal
Action Research Literate Vol. 8 No. 10 (2024): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v8i11.620

Abstract

Tindakan anestesi khususnya general anestesi inhalasi mempunyai risiko yang cukup besar mengalami desaturasi atau penurunan saturasi oksigen dari nilai normal. Saturasi oksigen adalah presentasi total oksigen dalam darah yang terikat oleh hemoglobin atau jumlah oksigen yang diangkut oleh hemoglobin (Malawat & Cahyadi, 2018). Saturasi oksigen pasca anestesi, khususnya anestesi umum inhalasi juga sangat berpengaruh pada keadaan sistem kesehatan paru. Tujuan penelitian ini yaitu untuk mengidentifikasi karakteristik saturasi oksigen pada pasien perokok pasca anestesi umum berdasarkan usia, durasi operasi dan frekuensi perokok. Penelitian ini menggunakan desain penelitian observasional analitik. Teknik sampling pada penelitian ini menggunakan teknik non-probability sampling dengan teknik consecutive sampling. Populasi penelitian 75 responden. Hasil penelitian menunjukkan bahwa berdasarkan usia responden dewasa awal memiliki nilai kategori saturasi oksigen Normal terdapat 17 responden (22,7%) dan pada lansia akhir memiliki nilai kategori saturasi oksigen Hipoksia terdapat 5 responden (6,7%). Berdasarkan durasi operasi kecil nilai kategori saturasi oksigen Normal terdapat 44 responden (58,7%). Untuk kategori saturasi oksigen Hipoksia keduanya memiliki kejadian hipoksia yang sama yaitu 3 responden (4%) operasi kecil dan 3 responden (4%) operasi sedang. Berdasarkan frekuensi perokok pada perokok ringan nilai kategori saturasi oksigen Normal terdapat 53 responden (70,7%) dan perokok sedang nilai kategori saturasi oksigen Hipoksia terdapat 6 responden (8%). Berdasarkan hasil tersebut, dapat diambil kesimpulan adanya penurunan saturasi oksigen pada pasien perokok pasca anestesi umum di recovery room Rumah Sakit Khusus Bedah Jatiwinangun. Hal ini dipengaruhi oleh keberagaman karakteristik para responden baik dari sisi usia, durasi operasi dan frekuensi perokok.
Hubungan Lama Operasi Dengan Kejadian Shivering Pada Pasien Pasca Spinal Anestesi Di Ruang Pulih Sadar RSUD Dr R Goeteng Taroenadibrata Yazid Muhammad Fardan; Rahmaya Nova Handayani; Eza Kemal Firdaus
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 3 No. 2 (2024)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Anestesi spinal menyebabkan gangguan fungsi termogulasi sehingga menghambat respon kompensasi terhadap suhu. Dampak yang timbul pasca tindakan spinal anestesi yang sering terjadi adalah shivering yang merupakan pergerakan otot untuk mengkompensasi kehilangan suhu berlebih. Tujuan: Mengetahui hubungan lama operasi terhadap kejadian shivering pada pasien pasca spinal anestesi di ruangan pulih sadar RSUD Dr R goeteng taroenadibrata. Metode: Penelitian ini menggunakan metode penelitian kuantitatif dengan jenis penelitian observasional analitik dan desain menggunakan cross sectional.  Teknik Pengambilan sampel menggunakan consecutive sampling yang berjumlah 82 responden pada penelitin ini analisis data  menggunakan uji spearman rank. Hasil: Penelitian ini menunjukan hasil bahwa lama operasi cepat mendominasi dengan jumlah 48 responden (58.5%) dan kejadian shivering sebanyak 42 reponden (51.2%) dengan derajat 3 yang paling banyak sebanyak 21 responden (25.6%). Kesimpulan: Adanya hubungan antara lama operasi dengan kejadian shivering pasca spinal anestesi di ruang pulih sadar RSUD Dr.R Goeteng Taroenadibrata dengan hasil uji spearman rank p-value 0.000<0.05.
Description of Time and Volume of Hydroxyethyl Starch 130/0.4 (6%) Fluid Administration to Restore Hemodynamics to Normal after Spinal Anesthesia in Cesarean Section Juniansyah, Deby; Firdaus, Eza Kemal; Novitasari, Dwi
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.4334

Abstract

Hemodynamic variables such as blood pressure, mean arterial pressure (MAP), and pulse can change during cesarean section surgery performed under regional anesthesia. To stabilize the patient's hemodynamic status, colloid fluid treatment is administered because it has a longer half-life in the intravascular fluid. The research aims to understand the timing and volume of administering hydroxyethyl starch/HES 130/0.4 (6%) to restore hemodynamics to normal after spinal anesthesia in cesarean section surgery. The research method employs a quantitative study with an analytical observational design (cross-sectional). Data collection instruments include a hemodynamic observation sheet and a bedside monitor data measurement tool. This research was conducted over two months, from May to June. The sample for this research consists of 40 respondents using total sampling. The research location was conducted at Pusri Hospital in Palembang Indonesia. The study collected data by directly observing the respondents and recording the time and volume of hydroxyethyl starch 130/0.4 (6%) required for the hemodynamic status to return to normal. Data analysis was conducted using univariate analysis techniques. The results of the research analysis indicate that the time required for hemodynamic changes after spinal anesthesia has a standard deviation of 3.363, a mean value of 12.15, a maximum value of 20, and a minimum value of 5. HES 130/0.4 (6%), the amount of fluid given, and changes in blood flow after spinal anesthesia have a standard deviation of 30.783, a mean value of 99.65, a maximum value of 167, and a minimum value of 22.
Gambaran Derajat dan Lama Kejadian Shivering pada Pasca Anestesi Umum di Ruang Pemulihan Dewi, Ony Sandra; Sebayang, Septian Mixrova; Firdaus, Eza Kemal
Jurnal Penelitian Perawat Profesional Vol 6 No 3 (2024): Juni 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i3.2608

Abstract

Setiap pembedahan akan dilakukan anestesi dengan tahapan pre anestesi, intra anestesi dan yang terakhir pasca anestesi. Periode pemulihan pasca anestesi dikenal sebagai waktu dengan risiko tinggi untuk terjadinya komplikasi dan salah satu komplikasi yang sering terjadi setelah menjalani anestesi berupa kejadian shivering. Mengetahui Gambaran Derajat dan lama kejadian Shivering pada pasca Anestesi Umum di Ruang Pemulihan RSAU dr. M. Salamun. Desain penelitian ini menggunakan desain deskriptif. Teknik sampling dengan Total Sampling. Adapun jumlah sampel sebanyak 40 orang dan dilakukan analisis kepada seluruh sampel. Pengumpulan data dilakukan dengan cara melakukan pemberian kuesioner kepada seluruh sampel yang akan dilakukan tindakan anestesi umum. Usia responden paling banyak dengan kategori dewasa awal sejumlah 13 pasien (32,5%), Jenis kelamin responden paling banyak adalah perempuan sejumlah 28 pasien (70%), Indek masa tubuh mayoritas dengan kategori normal sejumlah 25 pasien (62,5%) dan lama operasi mayoritas dengan kategori sedang 1-2 jam sejumlah 28 pasien (70%). Pasien anestesi umum mengalami shivering sejumlah 16 pasien (40%) dan Kejadian shivering mayoritas pada menit ke 10 sejumlah 8 pasien (20%)
Gambaran Kadar SGOT dan SGPT pada Pasien Pasca Induksi Anestesi Umum: Studi Yunian, Puput; Suandika, Made; Firdaus, Eza Kemal
Jurnal Penelitian Perawat Profesional Vol 7 No 1 (2025): Februari 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i1.4732

Abstract

Serum Glutamate Oxaloacetate Transaminase (SGOT) dan Serum Glutamate Pyruvate Transaminase (SGPT) adalah enzim yang dihasilkan oleh hati dan berperan penting dalam mendeteksi kerusakan hati. Peningkatan kadar enzim ini dapat menjadi indikasi awal hepatotoksisitas, khususnya setelah penggunaan anestesi umum. Penelitian ini bertujuan untuk menganalisis kadar SGOT dan SGPT pada pasien pasca induksi anestesi umum di RSU Nirmala Purbalingga. Penelitian ini menggunakan desain deskriptif dengan data sekunder yang dikumpulkan melalui checklist. Sampel terdiri dari 60 pasien yang diambil dengan teknik purposive sampling di ruang IBS RSU Nirmala Purbalingga selama periode Juli hingga Agustus 2024. Hasil penelitian menunjukkan mayoritas responden berusia dewasa (61,7%), berjenis kelamin laki-laki (51,7%), dengan nilai SGOT normal (58,3%) dan SGPT normal (63,3%). Persentase jenis operasi antara bedah minor dan mayor sama (50%). Pasien lansia dan yang menjalani operasi mayor lebih berisiko mengalami peningkatan kadar SGOT dan SGPT. Penelitian ini menekankan pentingnya pemantauan fungsi hati pada pasien yang menjalani anestesi umum, terutama pada kelompok usia dan jenis operasi tertentu.
HUBUNGAN TINGKAT KECEMASAN PADA PRE ANESTESI DENGAN KEJADIAN PONV PADA PASIEN GENERAL ANESTESI DI RSUD SEJIRAN SETASON BANGKA BARAT Zilvia Harlina; Septian Mixrova Sebayang; Eza Kemal Firdaus
Jurnal Cakrawala Ilmiah Vol. 3 No. 6: Februari 2024
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This study aims to determine the relationship between general anesthesia patient anxiety and the incidence of PONV at the RSUD Sejiran Setason West Bangka. This type of research is quantitative research with Spearman Rank correlation data analysis. In this case, the research variables are the anxiety level of general anesthesia patients and the incidence of PONV. Measuring the level of patient anxiety using the Hamilton Rating Scale for Anxiety (HRS-A) instrument and measuring the incidence of PONV using an observation sheet. The sample for this study was 30 patients with general anesthesia at Sejiran Setason Hospital, West Bangka in August 2023. The sample selection for this study used consecutive sampling technique. The results of the research showed that the level of general anesthesia patients anxiety at Sejiran Setason Hospital, West Bangka Regency was mild anxiety as much as 67%, moderate anxiety as much as 30%, and severe anxiety as much as 3%. Meanwhile for no anxiety and very severe anxiety it is 0%. In the case of PONV incident in a sample of general anesthesia patients in the category of nausea only was 40%, nausea and vomiting was 13%, and 47% did not experience PONV. The results of the Spearman rank analysis showed that the relationship between anxiety and the incidence of PONV in general anesthesia patients at Sejiran Setason Regional Hospital, West Bangka Regency had a low correlation, in the same direction, and the relationship between the two variables was not significant.
Amputation-Free Survival and Time-to-Healing in Diabetic Foot Ulcers: A Multistate Competing-Risks Survival Analysis Asmat Burhan; Maria Angelica Dela Cruz; Grace Tan Wei Ling; Indah Susanti; Napat Kittisak; Eza Kemal Firdaus; Septian Mixrova Sebayang
Journal of Wound Research and Technology Vol. 2 No. 2 (2025): June - October 2025
Publisher : Indonesian Science Media

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70196/jwrt.v2i2.69

Abstract

Background: Diabetes-related foot ulcers (DFUs) remain a major burden in low-resource services, with wide variation in healing and limb outcomes. Evidence using competing-risks or multistate methods to accurately estimate amputation-free survival (AFS) and time-to-healing, and to identify modifiable risks within routine care remains limited. Purposes: This study aimed to estimate AFS and time-to-healing and to test associations of peripheral arterial disease (PAD), kidney function, infection, glycemia, and off-loading with these endpoints among adults with DFUs. Methods: In a multicenter prospective cohort in Indonesia (October 1, 2022-September 30, 2023), we enrolled 620 adults with active DFUs meeting predefined criteria; exclusions included prior major amputation, non-diabetic ulcers, malignancy, incomplete dates, or day-0 loss to follow-up. Outcomes were AFS (first amputation or death) and time-to-healing (complete epithelialization), each under competing risks (amputation/death or healing). We estimated cumulative incidence with Aalen-Johansen and modeled transitions using cause-specific Cox and Fine-Gray sub-distribution hazards, adjusting for prespecified covariates; multiple imputation addressed missingness, proportional hazards diagnostics were performed, and subgroup/sensitivity analyses were prespecified. Results: Among 620 participants (PAD 41.9%, neuropathy 47.1%, infection 35.6%), the 12-month cumulative incidence was: healed 71%, minor amputation 14%, major amputation 4%, and death 8%. PAD, reduced eGFR (<60), infection, and higher HbA1c worsened AFS (sHR 1.78, 1.55, 1.42, and 1.09 per 1% respectively), while higher HbA1c and infection slowed healing (sHR 0.90 and 0.71); PAD reduced healing (0.79), and off-loading improved healing (1.22). Findings were consistent across sensitivity and subgroup analyses, indicating robustness. Conclusion: Most patients healed within 12 months, yet one in four experienced amputation or death. Results support routine vascular triage or revascularization, infection bundles, glycemic or renal optimization, and mandated off-loading within DFU pathways, and motivate further prospective evaluations of durability, safety, and cost-effectiveness.
Asuhan Keperawatan Pada Ny. S Dengan Diagnosa Medis Hiperglikemia Di Ruang HCU RSUD Prof. Dr. Margono Soekarjo Melia Maida; Eza Kemal Firdaus
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v7i2.98

Abstract

Latar Belakang: Hiperglikemia terjadi ketika kadar glukosa darah meningkat melebihi kisaran normal, yaitu 80 hingga 90 mg/dl darah saat berpuasa atau 140 hingga 160 mg/100 ml darah saat tidak berpuasa. Perubahan metabolisme lipoprotein, peningkatan aktivitas protein kinase C, perubahan faktor pertumbuhan atau aktivitas sitokin, stres karbonil, aldose reduktase, stres oksidatif, hipoksia semu, hipoksia yang sesungguhnya, dan hiperglikemia, semuanya berperan. Tujuan: Salah satu tujuan utama dari penelitian ini adalah untuk meningkatkan praktik keperawatan dalam konteks pasien hiperglikemia melalui penggunaan pendekatan keperawatan. Metode: Penilaian, diagnosis keperawatan, perencanaan, implementasi, evaluasi, dan dokumentasi adalah langkah-langkah dalam proses keperawatan yang digunakan dalam metodologi penelitian ini melalui studi kasus kualitatif. Seorang pasien dengan hiperglikemia menjadi topik penelitian ini. Tanggal 6-7 Januari 2025, digunakan untuk penelitian ini di Rumah Sakit Prof. Hasil : Setelah dilakukan asukan keperawatan selama 2 hari kondisi pasien membaik, namun masalah keperawatan yang muncul belum semuanya teratasi. Kesimpulan : Selama dilakukan asuhan keperawatan 2 hari, semua masalah keperawatan belum teratasi, namun untuk kadar GDS membaik menjadi 145 mg/dL.
Co-Authors Amin Susanto Ariani Putri Hidayat Asmat Burhan Asmat Burhan Cristantie Effendy Dewi, Ony Sandra Dwi Novitasari Elsa Jessica Fildzah Husna Izzati Grace Tan Wei Ling Gulo, Sinansari Hanana Hanana Harmita, Devi Haryani - Indah Susanti Irawati, Diana Jaya Zega, Firman Juniansyah, Deby karlisa Karmana, Dede Laila Annes Setya Ningsih Linda Yanti Lintang Suryani, Roro Made Suandika Madyo Maryoto Maria Angelica Dela Cruz Martin, Weddy Maryadi, Adi Melati Fajarini Melia Maida Melia Maida Mixrova Sebayang, Septian Napat Kittisak Permata Sari, Ayu Eka Purwatiningsih Purwatiningsih Puspitasari, Nevalia Kinanda Putri, Tisya Noor Qomara Rahman Rahmaya Nova Handayani Rahmaya Nova Handayani Rahmaya Nova Handayani Rettob, Cicilia Dei Rizkiaturrahma, Farah Salsabila Agung Azzahra Salsabila Putri Hendrila Salu, Joni Santalia Banne Tondok Santalia Banne Tondok Sebayang, Septian Mixrova Septian Mixrova Sebayang Septian Mixrova Sebayang Silva, Jony Francisco Dos Santos Siti Naimah Siti Naimah Sitti Ramdasari Aksan Sitti Ramdasari Aksan Sri Burhani Putri Tanamal, Uswatun Chasana Triyudono, Danang Widyawati Widyawati Wijayanti, Indri Wilis Sukmaningtyas Wilis Sukmaningtyas Yazid Muhammad Fardan Yunian, Puput Yuswanto, Subur Zidan, Fahmi Zilvia Harlina