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Preloading Pre Spinal Anestesi Mempengaruhi Tekanan Sistolik dan Diastolik Pasien Andriyan, Aric Frendi; Novera, Iswenti; Insani, Elok
Jurnal Keperawatan Vol 17 No 2 (2025): Jurnal Keperawatan: Juni 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v17i2.1834

Abstract

Komplikasi yang paling umum dari spinal anestesi adalah hipotensi, hal ini disebabkan terjadinya vasodilatasi pembuluh darah sehingga menyebabkan ketidakstabilan hemodinamik. Salah satu cara untuk mencegah hipotensi adalah dengan memberikan preloading cairan. Tujuan: untuk mengetahui pengaruh pemberian preloading cairan terhadap hemodinamik yaitu tekanan darah pasien dengan teknik spinal anestesi di RSUD dr. Rasidin Padang. Metode: Penelitian ini merupakan penelitian Pre Eksperiment dengan desain One-Group Pre Test-Post Test. Penelitian dilakukan pada bulan Desember 2022 – Januari 2023 dengan sampel 36 responden. Pengambilan sampel dengan purposive sampling. Uji yang dilakukan menggunakan uji paired sample t-test. Pengukuran hemodinamik dilakukan sebelum preloading cairan lalu dilakukan observasi dan dilakukan lagi pengukuran hemodinamik setalah dilakukan anestesi spinal. Hasil: Penelitian ini menunjukkan bahwa terdapat pengaruh pemberian preloading cairan terhadap tekanan sistole pasien dengan teknik spinal anestesi di RSUD dr. Rasidin Padang (p=0,000), terdapat pengaruh pemberian preloading cairan terhadap tekanan diastole pasien dengan teknik spinal anestesi di RSUD dr. Rasidin Padang (p=0,000). Kesimpulan: Terdapat pengaruh pemberian preloading cairan terhadap hemodinamik tekanan sistolik dan diastolic pasien dengan teknik spinal anestesi di RSUD dr. Rasidin Padang.
Effectiveness of Peppermint Aromatherapy in Reducing the Incidence of PONV in Post-Anesthesia Bone Patients Fatimah, Fatimah; Amran, Ikhsan; Novera, Iswenti; Elfira, Yenni; Irwadi, Irwadi; A’la, Futi Hanna
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.v7i5.6550

Abstract

Post Operative Nausea and Vomiting (PONV) is a common complication after surgery with spinal anesthesia, with an incidence reaching 20–30%. PONV can prolong hospitalization, increase treatment costs, and reduce patient comfort. Peppermint aromatherapy is an effective, easy, and patient-accepted alternative to reduce PONV symptoms. Peppermint contains menthol which is carminative and antispasmodic, and can provide a relaxing effect through stimulation of the central nervous system. Objective to determine the effect of peppermint aromatherapy on the incidence of PONV in patients after spinal anesthesia. Method: This study was a quasi-experiment with a pre and post test design without control. Thirty post-spinal anesthesia patients were given peppermint aromatherapy, then PONV incidence was measured before and after the intervention using the Gordon scale. Data analysis used the Wilcoxon test. Results: Peppermint aromatherapy has been proven to be effective in reducing the incidence of PONV in patients after spinal anesthesia. Of the 30 respondents, the majority experienced nausea (73.3%) and vomiting (26.7%) before the intervention. After aromatherapy, 36.7% did not experience symptoms, and only 6.7% still vomited. The Wilcoxon test showed a significant difference (p = 0.000), indicating that peppermint aromatherapy was statistically effective in reducing PONV. Conclusions: Peppermint aromatherapy is effective in reducing the incidence of PONV in post-spinal anesthesia patients, as indicated by a decrease in nausea and vomiting symptoms after the intervention.