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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Indonesian Journal of Health Research Innovation
Arifah Rakhmawati
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Dentistry Health Professions Medicine & Pharmacology Nursing Physics Public Health

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The Effectiveness of Position Arrangements on the Length of Recovery of Patients' Consciousness Level with General Anesthesia in the Recovery Room of RSUD Matraman Teguh Dwi Kumbara; Arifah Rakhmawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.540

Abstract

Aims : This study aims to determine the effectiveness of semi-Fowler's and lateral positioning on the length of recovery of consciousness in patients with general anesthesia. Methods : A sample of 60 respondents was carried out using an independent T test with a significance of α = 0.05. If the test results in this study have an effect then it is obtained (ρvalue <0.05). Researchers will carry out the Normality Test and Homogeneity Test as a condition in the independent T test. Results : Researchers found that a patient's position changes how long it takes for them to wake up after surgery with general anesthesia by 87%. The largest number of respondents (35%) were between the ages of 36 and 40. This was followed by the age range of 26 to 30 years, with 16 respondents (26.7%), the age range of 20 to 25 years, with 13 respondents (21.6%), and the age range of 31 to 35 years, with at least 10 respondents (16.7%). Body temperature had a big effect on how long it took for people with general anesthesia to get better after surgery. The speed or length of a patient's return to awareness after surgery depends on the type of general anesthetic drug used. Studies show that the most widely used drug is propofol + ketamine + midazolam, followed by propofol + midazolam and fentanyl. Most of the time, a slow recovery is caused by leftover anesthetics, sedatives, or painkillers. A drug overdose can also make it take longer for a person to wake up. Conclusion : Researchers found that a patient's position and body temperature had a big effect on how long it took for them to wake up after surgery with general anesthesia. The most widely used drug is propofol + ketamine + midazolam, followed by propofol + midazolam and fentanyl. Slow recovery is caused by leftover anesthetics, sedatives, or painkillers.
Factors Influencing Stroke Occurrence in Outpatient Patients in Bekasi District Hospital Abdul Khamid; Arifah Rakhmawati
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. SpecialEdition (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9iSpecial Edition.548

Abstract

Aims: According to medical record data obtained from the Bekasi Regency Hospital, the number of stroke patients has increased in the last three years, with 1,721 people (1.52%) of the total number of patients as many as 112,925 people in 2016, 2,060 people (1.82%) out of a total of 113,240 patients in 2017, and 2,875 people (2.53%) out of a total of 113,728 patients in 2018. These statistics show that the incidence of stroke is increasing year after year. Methods : Analytic with a cross-sectional approach is used in the research procedure. All stroke patients who completed outpatient examinations at the Bekasi District Hospital in December 2018 were included in this study, with a total sample size of 103 persons (Systematic Random Sampling). Univariate and bivariate analysis with the chi square test are utilized as analytical methods. Result : The occurrence of stroke is a risk factor because the function of cells, tissues, and organs decreases with age as a natural process of aging. Influence is a common source of behavior problems in children and young people. The majority of stroke patients in this study were above the age of 55, accounting for 42.7% of all stroke patients. Estrogen plays a role in boosting HDL levels. With a vascular illness mechanism, hypertension frequently produces abnormalities in the function and structure of a person's brain. Conclusion: Each of the four variables has an effect on the occurrence of stroke. With a p value of 0.05, this indicates that age, gender, history of hypertension, and history of diabetes all have an impact on the incidence of stroke.
EFEKTIVITAS RELAKSASI BENSON DAN GENGGAM LIMA JARI TERHADAP TINGKAT KECEMASAN PADA PASIEN PRE OPERASI DI KAMAR OPERASI RSUD KABUPATEN BEKASI Armi; Arifah Rakhmawati; Admila Yudistia
Indonesian Journal of Health Research Innovation Vol. 2 No. 1 (2025): Indonesian Journal of Health Research Innovation
Publisher : Yayasan Menawan Cerdas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64094/t1v68n85

Abstract

Respons filologi maupun psikologi pasien bisa ditimbulkan oleh tindakan operasi yang direncanakan. Pada pasien pre operasi, respons psikologi (kecemasan) menjadi salah satunya respons paling umum. Guna mengurangi kecemasan, tindakan yang bisa ditempuh melalui terapi non-farmakologi, berupa teknik relaksasi benson maupun teknik genggam lima jari. Tujuan untuk mengetahui efektifitas tehnik relaksasi benson dan tehnik genggam lima jari terhadap taraf kecemasan pasien pre operasi di RSUD Kabupaten Bekasi. Riset ini memanfaatkan metode Quasi-Experiment dengan desain pre-test maupun post-test, rancangan without control group design, pengambilan sampelnya memanfaatkan teknik purposive sampling, dengan uji wilxocon. Populasi 82 pasien, dibagi 2 kelompok perlakuan yaitu 41 pasien teknik relaksasi benson serta 41 pasien terapi genggam lima jari. Nilai negative ranks pada Mean Rank sejumlah 9,50 serta Sum Rank sejumlah 171,00. Terjadi penurunan skor dari Pre-Test ke Post-Test pada tehnik relaksasi benson. Sedangkan skor negative ranks pada Mean Rank dengan nilai 16,00 dan Sum Rank sebesar 496,00. Terjadi penurunan skor dari Pre-Test ke Post-Test pada teknik genggam lima jari. Relaksasi benson dan tehnik genggam lima jari merupakan metode yang dapat menurunkan kecemasan, tak menimbulkan efek samping, hemat biaya, terjangkau serta mudah guna mengaplikasikannya di masyarakat.
Co-Authors Abdul Khamid Admila Yudistia Armi Teguh Dwi Kumbara