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Faktor-Faktor Yang Mempengaruhi Tingkat Nyeri Tenggorokan Pasca Operasi Dengan Penggunaan Endoracheal Tube Pada Pasien Bedah Saraf Amelia, Khusnul; Olfah, Yustiana; Donsu, Jenita Doli Tine
Jurnal Riset Kesehatan Nasional Vol. 8 No. 2 (2024)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37294/jrkn.v8i2.607

Latar Belakang : Nyeri tenggorokan pasca operasi dapat mempengaruhi beberapa aspek yaitu nyeri, gatal di tenggorokan dan rasa nyeri untuk menelan. Tindakan intubasi dapat menyebabkan komplikasi berupa nyeri tenggorokan. Tujuan : untuk mengetahui faktor-faktor yang mempengaruhi tingkat nyeri tenggorokan pasca operasi terhadap penggunaan endotracheal tube pada pasien bedah saraf di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Metode : Penelitian ini dilakukan pada bulanebruari sampai Maret 2024 dengan pengambilan sampel menggunakan teknik konsekutif sampling sebanyak 80 responden pasien bedah saraf. Nyeri pasien diukur menggunakan NRS. Analisis data menggunakan Chi Square dan Regresi Logistik. Jenis penelitian ini adalah penelitian kuantitatif dengan desain observasional menggunakan desain cross-sectional. Hasil : Hasil penelitian didapatkan bahwa hasil uji Chi Square diperoleh nilai signifikansi pada umur (p=0.027), jenis kelamin (p=0.048), durasi penggunaan ETT (p=0.007), ukuran endotracheal tube (ETTp=0.001), dan tekanan manset (p=0.000). Hasil uji Logistic Reggretion tekanan manset mempunyai OR tertinggi yaitu 6,565 (0,000), disusul variabel lain yaitu usia (OR 0,064; p = 0,027), jenis kelamin (OR 4,021; p = 0,048), durasi ETT. penggunaan (OR 1,956; p = 0,007 ), ukuran ETT dan (OR 2,455; p = 0,001). Kesimpulan dan saran : secara keseluruhan usia, Jenis kelamin, lama penggunaan ETT, ukuran ETT, tekanan cuff dapat mempengaruhi tingkat nyeri tenggorokan pasca operasi pada penggunaan selang endotrakeal pada pasien bedah saraf. Kata kunci : Sakit Tenggorokan, Intubasi Endotrakea, Pasca Operasi

Pengaruh Terapi Perilaku Kognitif Terhadap Tingkat State Anxiety Pada Mahasiswa Keperawatan Selama Menjalani Praktik Klinik Suci Ramadhani; Donsu, Jenita Doli Tine; Laasara, Nurun
Caring : Jurnal Keperawatan Vol. 12 No. 1 (2023): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v12i1.1335

State anxiety in nursing students occurs of being triggered by stress during clinical practice. The problems decreasing student performance. Therefore, an intervention is needed to create an adaptive coping strategy, one alternative is using Cognitive Behavioral Therapy. The aim of this study is to determine the effect of Cognitive Behavioral Therapy on the level of state anxiety. The type of this study uses a quasi-experimental research with purposive sampling thechnique. The study was conducted on April 18-26, April 2022. The research respondent were student of the 4th term on Anesthesiology Nursing students who are undergoing clinical practice. Total population consist of 95 respondents with the sample used is 54 respondents. P-value show 0.000, it means there is a significant influence on the Cognitive Behavioral Therapy intervention on the level of state anxiety. State anxiety that occurs in nursing student during clinical practice can be overcome by using Cognitive Behavioral Therapy intervention. State anxiety mahasiswa keperawatan muncul akibat adanya peningkatan stres selama menjalani praktik klinik. Problematika yang terjadi menurunkan kinerja mahasiswa. Oleh karena itu, dibutuhkan intervensi yang ditujukan untuk menciptakan strategi koping yang adaptif, salah satu alternatifnya dengan menggunakan Terapi Perilaku Kognitif. Diketahuinya pengaruh Terapi Perilaku Kognitif terhadap tingkat state anxiety. Jenis penelitian yang digunakan adalah kuasi eksperimental dengan teknik purposive sampling. Penelitian dilakukan pada 18-26 April 2022. Responden penelitian yaitu mahasiswa Keperawatan Anestesiologi semester 4 yang sedang menjalani praktik klinik. Total populasi terdiri dari 95 responden dengan sampel yang digunakan adalah sebanyak 54 responden. Nilai p-value menunjukkan 0.000, artinya terdapat pengaruh Terapi Perilaku Kognitif terhadap tingkat state anxiety. State anxiety yang terjadi pada mahasiswa keperawatan selama menjalani praktik klinik dapat diatasi dengan menggunakan intervensi Terapi Perilaku Kognitif.

Mallampati score and intubation succes in neurosurgery patients Yusuf, Hanafi; Donsu, Jenita Doli Tine; Maryana, Maryana; Herawati, Lucky
JHeS (Journal of Health Studies) Vol. 8 No. 2 (2024): September
Publisher : Universitas 'Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhes.3692

Surgical procedures involving the nervous system have an incidence of intubation failure in all age categories and cause severe complications such as hypoxia, aspiration, and increased intracranial pressure, which can worsen the patient's neurological condition. Accurate preoperative assessment is important to predict intubation-related complications. One of the important predictors of intubation success is the Mallampati score. Several studies on Mallampati Score showed different results, so this study aimed to find out the relationship between Mallampati score and intubation success in neurosurgery patients. This study is an observational analysis with a cross-sectional design, conducted from February 12 to March 23, 2024. The sampling technique used a total sampling with 33 respondents. Data analysis was carried out using the Chi-Square test. Most respondents with Mallampati Score 1-2 successfully underwent intubation (42.4%). Respondents with Mallampati scores in grades 3-4 mostly experienced failed intubation (39.4%). There was a statistically significant association between Mallampati scores and intubation success in neurosurgical patients. The Mallampati score can be used as part of a comprehensive airway assessment. Additional instruments and comprehensive clinical evaluation improve the success of intubation and reduce the risk of complications. Respondents with Mallampati scores in grades 3-4 mostly experienced failed intubation (39.4. Additional instruments and comprehensive clinical evaluation can improve the success of intubation and reduce the risk of complications. Future research is encouraged to study how cultural and demographic factors affect Mallampati's score and its predictive value in different populations, which could provide insights into its generalization and application in various healthcare contexts.

Program Kesehatan Melalui Pendekatan Interprofesional Colaboration (IPC) Menuju Desa Sehat Bebas Tuberkulosis Herawati, Lucky; Donsu, Jenita Doli Tine; Palestin, Bondan; Delima, Rosa; Yuniritha, Eva
Jurnal Pengabdian Harapan Ibu (JPHI) Vol. 6 No. 2 (2024): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v6i2.926

Abstrak Melalui program pemerintah maka tuberculosis menjadi salah satu masalah yang harus mendapat perhatian khusus dan pendampingan dari berbagai disiplin ilmu. Pengabdian masyarakat bertujuan untuk menerapkan Iptek dari penelitian tuberculosis dengan pendampingan program kesehatan melalui pemberdayaan masyarakat dalam pendekatan Interprofessional Collaboration (IPC) menuju desa sehat bebas Tuberkulosis, di Desa Panggungharjo. Kolaborasi antara bidang kesehatan lingkungan untuk menjaga lingkungan tetap aman dan nyaman, bebas kuman tuberkulosis melalui gerakan buka jendela. Bidang keperawatan, memberikan pelayanan preventif, kuratif dan promotif dalam menurunkan angka morbiditas dan mortalitas. Bidang gizi, memberikan penguatan asupan tinggi kalori tinggi protein (TKTP) dalam meningkatkan daya tahan tubuh. Bidang fisioterapi memberikan menguatan fungsi paru melalui latihan refleksi kaki dan senam pernapasan. Kesimpulan bahwa kegiatan pengabdian masyarakat melalui pendekatan Interprofessional Collaboration menuju desa sehat memberikan dampak positif terhadap masyarakat, pemerintah dan petugas kesehatan dalam upaya sinergi.

Tension and pulse at Intubation before and after 5 minutes on Neurology Patients with General Anaesthesia Donsu, Jenita Doli Tine; Herawati, Lucky; Palestin, Bondan; Pratiwi, Reza Dwi; Hutasoit, Mastha
Riset Informasi Kesehatan Vol 14 No 1 (2025): 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.v14i1.917

Background: General anesthesia is still the best choice for neurosurgery, even it must be maintained so that the airway remains open. Airway management measures that can be carried out in several ways include intubation using laryngoscopy. There may be an increase in the hemodynamic response, namely blood pressure and pulse rate starting from 5 seconds after intubation. However, it is still being debated by experts. The aim of this study was to determine blood pressure and pulse frequency after being given Fentanyl and after the 5th minute of intubation in neurosurgical patients under general anesthesia. Method: An observational research design, 30 neurosurgical patients using fentanyl 2 mcg/kg BW and intubation techniques. The variables measured were blood pressure and pulse frequency after being given Fentanyl and after 5 minutes of intubation. The instruments used were an intra-anesthetic Hemodynamic Observation Sheet, a watch, and a bedside monitor. Data was analyzed using the independent T-test with a level of confidence of 95%. Results: The results showed that there was an increase in the average Systolic blood pressure (p-value 0.009) and pulse frequency (before intubation) and after intubation at the 5th minute (p-value 0,000). Conclusion: The study can trigger anesthesia experts to look forward to this problem appropriately

The Relationship Between Intubation Prediction Score And Successful Endotracheal Tube Insertion In Neurosurgical Patients Syahputri, Rheisa Aurellia; Mendri, Ni Ketut; Donsu, Jenita Doli Tine
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 20 No. 2 (2024): 2
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/jtk.v20i2.2401

Endotracheal tube insertion or intubation is an important procedure in patients undergoing surgery under general anesthesia. Failure to insert an endotracheal tube can be fatal and even life-threatening to the patient. Assessment of intubation difficulty prediction can anticipate the occurrence of intubation failure and increase the success rate of intubation, one of which is the Intubation Prediction Score (IPS) assessment can be done by anesthesiologists. This study to determine the relationship between Intubation Prediction Score and successful endotracheal tube insertion in neurosurgical patients. This study used analytic observational research with a cross-sectional study design. The sample size was 52 respondents who were selected using consecutive sampling technique. This research was conducted at Dr. Sitanala Tangerang Hospital in February-March 2024. Data analysis using Spearman Rank non-parametric test. The results of the study showed that the majority of respondents had easy intubation prediction with successful intubation of endotracheal tube insertion. The results of the Spearman Rank test showed a p-value <0.001 (p-value <0.05) and a strong positive correlation direction of 0.728 which means that the higher the IPS value, the higher the failure of endotracheal tube insertion. Conclusion of the study, there is a significant association of Intubation Prediction Score with successful endotracheal tube insertion in neurosurgical patients.

Penggunaan Monopoli Kartu Bergambar Sebagai Media Peningkatan Pengetahuan Anak Tentang Diare di SDN Sumber 1, Sleman, Yogyakarta Nur Latifah Sri Maharani; Donsu, Jenita Doli Tine; Palestin, Bondan
Caring : Jurnal Keperawatan Vol. 14 No. 2 (2025): 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v14i2.2823

Diarrhea is a significant public health problem in Indonesia due to high morbidity and mortality rates, especially in the toddler and child age groups. Effective prevention efforts are very important from an early age, especially through increasing the knowledge of elementary school children about this disease. Health education delivered through interesting and fun methods, such as educational games, is believed to be able to increase the effectiveness of learning. This study aims to determine the increase in children's knowledge about diarrhea after being given education using a picture card monopoly game at elementary school. The study used a pre-experimental design with a pretest-posttest one group design approach. The study population was third and fourth grade students with a sample size of 54 respondents obtained through total sampling. Data collection was carried out using a knowledge test instrument measured before and after the intervention. Data analysis used the Wilcoxon test. The results showed that there was a significant increase in the average value of children's knowledge from before (59.5) to after the intervention (78.0), with a value of p=0.000 which indicates a statistically significant difference. The average difference of 18.5 points strengthens the effectiveness of this educational media in increasing children's knowledge about diarrhea. The conclusion of this study is that the use of picture card monopoly game is effective in increasing' knowledge about diarrhea.

Pengaruh Senam Hipertensi Terhadap Peningkatan Kualitas Hidup di Posyandu Lansia Nogosaren Siti Firani Rahmawati; Donsu, Jenita Doli Tine; Palestin, Bondan
Caring : Jurnal Keperawatan Vol. 14 No. 2 (2025): 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/caring.v14i2.2824

One condition that is closely associated with the aged population is hypertension. It is referred to as a "silent killer" because, although it frequently shows no symptoms, it can cause serious problems. A person's health can deteriorate due to hypertension, which can have a detrimental impact on their quality of life. 32 senior citizens at the Nogosaren Elderly Integrated Health Post (Posyandu Elderly) had hypertension in 2023, whereas 2,647 cases of hypertension were reported at the Gamping II Community Health Center. Exercise for hypertension is a type of physical activity intended for older adults with hypertension with the goals of managing stress, which is one of the primary causes of elevated blood pressure, and losing weight. Two times a week at the very least, this 30-minute workout is done. Goal: to ascertain how exercise for high blood pressure affects older people's quality of life. This study used a one-group pre-test-post-test quasi-experimental design. 32 senior citizens were chosen for the sample using total sampling. The Wilcoxon test was used to examine the data at a significance level of p < 0.05. The quality of life scores before and after the hypertension exercise intervention differed significantly, according to the statistical analysis, with a p-value of 0.000 (p ? 0.05). Elderly people's quality of life is significantly improved by hypertension exercise. It is advised that nursing care practices incorporate this intervention and that it be maintained as a long-term program in senior health services.

Giving Celery Leaf Boiled Water in Lowering Blood Pressure in the Elderly with Essential Hypertension Donsu, Jenita Doli Tine; Hapsari, Ayu Putri; Palestin, Bondan
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.v6i5.3662

One of the non-communicable diseases is a cardiovascular disease that causes the 5th highest death in Indonesia, characterized by a person's condition of having an abnormal increase in blood pressure in the arteries. This study was to determine the administration of celery leaf decoction water in lowering blood pressure in the elderly with essential hypertension in Sidoluhur village, the working area of the Godean I Health Center, Sleman Regency. The type of quantitative with a quasi-experimental approach of pretest-posttest control group design 2 groups on February 6-March 02, 2024 for the elderly with essential hypertension. The data collection techniques carried out by the researcher using primary data and secondary data totaling 110 respondents and data analysis using the wilcoxon sign rank test. The pre-test intervention group had morning systolic blood pressure 154.40 mmHg, morning diastolic blood pressure 79.86 mmHg. The average blood pressure of the elderly on the post-test 145.98 mmHg, afternoon systolic blood pressure and afternoon diastolic blood pressure 89.91 mmHg. The control group pre-test 152.32 mmHg morning systolic blood pressure, morning diastolic blood pressure 81.73 mmHg. The average blood pressure of the elderly in the post-test 144.78 mmHg, afternoon systolic blood pressure and afternoon diastolic blood pressure 85.80 mmHg. The results of bivariate analysis of the intervention group with a p-value of <0.05 and a control group with a p-value of <0.05. There is an effect of giving celery leaf boiled water on lowering blood pressure in the elderly with essential hypertension.

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