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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

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.

Efektivitas Dexketoprofen 100 mg Bolus IV untuk Manajemen Nyeri pada Pasien Endoskopi Urologi dengan Masalah Kardiovaskuler Suyasa, Agus Baratha; Dewi, Ni Nyoman Ari Kundari; Wahyuningsih, Luh Gde Nita Sri; Devi, Ni Luh Putu Lusiana
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.v7i3.6601

Nyeri menimbulkan perasaan tidak nyaman untuk pasien khususnya pada pasien yang sedang menjalani tindakan endoskopi urologi. Dexketoprofen merupakan salah satu contoh dari obat analgetik golongan NSAIDs, biasanya digunakan untuk perawatan nyeri pada pasien pre, intra dan pasca pembedahan. Belum ada ditemukan penelitian mengenai efektivitas pemberian dexketoprofen sebagai analgesik tunggal. Tujuan penelitian ini yaitu untuk mengetahui efektivitas dexketoprofen 100 mg bolus IV untuk manajemen nyeri pada pasien endoskopi urologi dengan masalah kardiovaskuler. Jenis penelitian adalah Pre-Eksperimental, dengan rancangan penelitian Intact-Group Comparison. Sampel pada penelitian ini yaitu berjumlah 100 orang responden, yaitu 50 sebagai kelompok perlakuan dan 50 lainnya sebagai kelompok kontrol yang diambil dengan teknik non probability sampling dengan jenis purporsive sampling. Data dikumpul menggunakan lembar observasi melalui pengamatan langsung oleh peneliti, dan dianalisis dengan inferensial statistik. Penelitian ini menemukan bahwa nilai p < 0,001 yang berarti secara statistik terdapat perbedaan bermakna antara kelompok dexketoprofen dengan kelompok ketorolac pada responden dengan endoskopi urologi.

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

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%.

The Culture of Patient Safety in Anesthesiology Nursing Services Devi, Ni Luh Putu Lusiana
Indonesian Journal of Global Health Research Vol 7 No 2 (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.v7i2.7308

Patient safety principles have not been optimally implemented in anesthesiology services. Nurse anesthetists, as providers of anesthetic nursing services, must have a good patient safety culture so that they can ensure patients remain safe during the anesthesia process. This study aims to determine the description of patient safety culture among nurse anesthetists in Indonesia. This quantitative study with a cross-sectional approach involved 369 nurse anesthetists as samples. The sampling technique used was purposive sampling. The research instrument used was the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire developed by the Agency for Healthcare Research and Quality (AHRQ) in Indonesian, with a Cronbach's Alpha value of ≥ 0.70 and a range of 0.809-0.918 for all items consisting of 12 components. Data analysis in this study used descriptive statistics, namely frequency distribution with percentage or proportion measures. This study shows that the majority of nurse anesthetists have a patient safety culture in the poor category (57%), with the lowest scores in the dimensions of non-punitive response to errors and staffing, while the highest scores were in the dimension of teamwork within the unit. Service providers need to take proactive measures to identify and change system weaknesses at all levels of service.

Determinants of Multidisciplinary Team Knowledge about Case Managers: A Quantitative Study Devi, Ni Luh Putu Lusiana; Dewi, Ni Nyoman Ari Kundari
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.7309

The implementation of the case manager (CM) has not been optimal according to what was expected. Even though there is a positive perception about the role of CM held by nurses and NA as part of the Professional Care Providers (PPA) is very necessary. The knowledge factor is the factor that has the most influence on positive perceptions about the role of CM. There are many things that can influence nurses' and NAs' knowledge about CM. This study aims to determine the factors related to nurses' and NAs' knowledge about CM. This quantitative correlational research used a cross-sectional approach involving 384 nurses and 129 NAs. The sampling technique used is multistage random sampling and simple random sampling. Each respondent has filled out a structured questionnaire via Google Form and has been analyzed using descriptive statistics, chi-square test, and binary logistic regression. This study used a questionnaire on knowledge about CM with a Cronbach Alpha value of 0.634. This research found that the majority of nurses and NAs had insufficient knowledge about CM, 248 people (65%) and 80 people (62%). The factors age, education and length of service were associated with nurses' knowledge about CM (p=0.001; p<0.001; and p<0.001). The factors age and years of service were associated with NA's knowledge about CM (p=0.017; and p=0.024). This study also found that knowledge was a determining factor in nurses' knowledge about CM (OR=2.53; 95%CI 1.60-4.01; p<0.001). These findings support the theory that age, education and years of service are related to knowledge about CM. Socialization about case managers and increasing the role of case managers in services needs to be carried out by hospital management.

Factors Influencing Anesthesiologists in Conducting Pre-Anesthesia Assessments on Surgical Patients with Cardiovascular Disorders Parwati, Putu Atika; Devi, Ni Luh Putu Lusiana
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.7312

Pre-anesthesia assessment is very important in ensuring the success of surgical procedures, especially in cases involving comorbidities, such as cardiovascular disorders. Pre-anesthesia assessment is often only performed by 19.5% of anesthesiologists, and the results are not recorded immediately after the procedure in the patient's medical records due to time constraints. This study aims to determine the factors that influence anesthesiologists in conducting pre-anesthesia assessments on surgical patients with cardiovascular disorders. The research design used was a correlational analytical study with a cross-sectional approach. The population was anesthetists in Indonesia, and the sample was selected using purposive sampling. Univariate analysis was performed by determining the frequency distribution and percentage of general characteristics of respondents, while bivariate analysis with chi-square was performed to determine the relationship between factors affecting anesthetists in conducting pre-anesthesia assessment on surgical patients with cardiovascular disorders. The sample size in this study was 245 respondents. The results of the study showed that factors associated with the implementation of pre-anesthesia assessment in surgical patients with cardiovascular disorders were length of service (p 0.020), workload (p 0.018), and number of anesthesiologists (p 0.009).

Factors Related to Patient Safety Culture in the Operating Room Devi, Ni Luh Putu Lusiana; Setiabudi, I Ketut; Wahyuningsih, Luh Gde Nita Sri; Putri, I Gusti Ayu Nandita Arta
Indonesian Journal of Global Health Research Vol 6 No 2 (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.v6i2.3988

Patient safety culture remains a major concern globally, particularly in anesthesia and surgical services. Considering that surgical and anesthesia services involve various types of invasive procedures that can cause death or complications. This study aims to determine factors related to patient safety culture in the operating room. This quantitative correlation research involved 56 nurses and nurse anesthetists at Hospital A and Hospital B. The sampling technique used was cluster sampling-total sampling. Each respondent has filled out a structured questionnaire via Google Form and has been analyzed using descriptive statistics, chi-square test. To ensure the validity and reliability of the questionnaire, content validity was assessed by experts in the field to confirm that the questions covered all relevant aspects of patient safety culture in the operating room. Reliability was evaluated using Cronbach's alpha, which demonstrated a high level of internal consistency. These measures ensured that the questionnaire accurately and reliably captured the factors related to patient safety culture among the participating nurses and nurse anesthetists. This research found that patient safety culture in the operating room was in the poor category as many as 30 nurses and nurse anesthetists (54%). Training and knowledge about patient safety factors were associated with patient safety culture in the operating room (p= 0.045 and p<0.001). Support from hospital management is very necessary to be able to accommodate all staff in the operating room in implementing an optimal patient safety culture through outreach and training.

Factors Related to Pain Intensity Post-SC with Spinal Anesthesia Devi, Ni Luh Putu Lusiana; Setiabudi, I Ketut; Harditya, Kadek Buja; Dewi, Ni Nyoman Ari Kundari; Wahyuningsih, Luh Gde Nita Sri
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.v6iS6.4816

Pain is the most common complaint found in perioperative patients, so optimal pain management is needed. Proper pain management can be done if the officer is able to know the intensity of pain felt by the patient and what factors are related. The aim of this study was to determine the pain intensity of post-CS patients with spinal anesthesia.This quantitative correlation study with a cross-sectional approach will be conducted involving 87 respondents based on the Slovin Formula. Sampling was carried out using purposive sampling to determine the selected sample. This study will use univariate data analysis techniques (frequency distribution and percentage), and bivariate data analysis (chi-square test). The results of the data analysis showed that the majority of patients had postoperative pain intensity on a scale of <2 as many as 52 people (60%). Age factors, gravida status, BMI, preoperative analgesics, and preoperative pain intensity have p-values> 0.05, namely 0.623, 0.137, 0.341, 0.570, 0.620. It can be concluded that there is no relationship between age, BMI, pre-operative pain intensity, and pre-operative analgesic administration with post-operative pain intensity in CS patients with spinal anesthesia.

The Relationship between Knowledge and the Application of Ethical Principles of Anesthesia Principals Dewi, Ni Nyoman Ari Kundari; Suyasa, Agus Baratha; Devi, Ni Luh Putu Lusiana; Wahyuningsih, Luh Gde Nita Sri
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.v6iS6.4817

Anesthesia technicians in providing health services should be guided by the code of ethics of anesthesia technicians. This can certainly have a positive impact on health services and patients of course. This study aims to determine the relationship between knowledge and ethical principles of anesthesia. The anesthesia team is said to have a high risk of committing deviations in providing services.The impact that can arise if anesthesiologists do not apply ethical principlesnamely patient satisfaction can be reduced towards the services provided, due to the suboptimal performance of anesthesiologists. The purpose of this study was to determine the relationship between knowledge and the application of ethical principles of anesthesiologists in Bali. This study used a correlational analytical approach with a cross-sectional approach. The sample in this study was 141 respondents taken using probability sampling techniques with simple random sampling types. Data were collected using questionnaires and analyzed using statistical inference. The questionnaire used was a standard questionnaire with a reliability value of 0.6. The results showed that there was a relationship between knowledge and the application of ethical principles of anesthesiologists in respondents, which found a p-value of <0.001.

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