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All Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Jurnal Ilmiah Wahana Pendidikan PROFESSIONAL HEALTH JOURNAL Jurnal Cakrawala Ilmiah SEMINAR NASIONAL PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT Riset Informasi Kesehatan JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Jurnal Ilmu Kesehatan dan Gizi Pandawa : Pusat Publikasi Hasil Pengabdian Masyarakat Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Jurnal Ilmiah Kesehatan Mandira Cendikia Jurnal Praba: Jurnal Rumpun Kesehatan Umum Borneo Nursing Journal
Tophan Heri Wibowo
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Gambaran Kestabilan MAP (Mean Arterial Pressure) dan Heart Rate Pasien Spinal Anestesi Di RSUD dr. R. Goeteng Taroenadibrata Purbalingga Eka Septia Ningsih; Tophan Heri Wibowo; Adiratna Sekar Siwi
PROFESSIONAL HEALTH JOURNAL Vol. 5 No. 2 (2024): Juni
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v5i2.551

Abstract

Giving spinal anesthesia has advantages such as reducing the risk of acute complications which often occur, namely blood pressure instability in the form of a decrease in blood pressure or hypotension. Appropriate and rapid action to reduce blood pressure after administering spinal anesthesia must be taken to avoid complications. Hemodynamic changes occur due to sympathetic vasomotor blockade due to spinal anesthesia. The aim of this research is to determine the stability of Mean Arterial Pressure and heart rate in spinal anesthesia patients at RSUD dr. R Goeteng Taroenadibrata Purbalingga. The type of research carried out is quantitative research with a descriptive design. The approach used during the research was cross sectional. The sampling technique used purposive sampling for 64 patients. The measuring instruments used are a bedsite monitor scale and an observation sheet. Data analysis used univariate tests in the form of frequency distribution tables. The research results showed that the average age was 51.77 years and the most dominant gender was female (53.1%). Most of them had no history of disease (71.9%). Description of the stability of Mean Arterial Pressure in spinal anesthesia patients with an average MAP of 96.16. The heart rate of spinal anesthesia patients was an average of 79.06 beats per minute.
GAMBARAN KUALITAS PEMULIHAN PADA PASIEN POST GENERAL ANESTESI DI RUANG RAWAT INAP RSUD HJ. ANNA LASMANAH BANJARNEGARA Annisa Arum Sari; Septian Mixrova Sebayang; Tophan Heri wibowo
Jurnal Cakrawala Ilmiah Vol. 3 No. 8: April 2024
Publisher : Bajang Institute

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Abstract

Proses pemulihan yang tertunda merupakan suatu kejadian yang tidak diharapkan dalam anestesi, penyebab dari pulih sadar yang tertunda disebabkan oleh berbagai faktor seperti usia, jenis kelamin, dan berat badan pasien, masalah dalam pembedahan dan anestesi seperti lamanya operasi dan teknik anestesi yang dilakukan, serta faktor genetik dan penyakit penyerta yang mempengaruhi peningkatan dari obat-obatan anestesi yang diberikan. Penelitian ini bertujuan untuk mengetahui gambaran kualitas pemulihan pasien post general anestesi di ruang rawat inap Rumah Sakit Umum Daerah Hj. Anna Lasmanah Banjarnegara. Metode: Penelitian ini yaiti penelitian kuantitatif dengan pendekatan cross-sectional . Populasi pada penelitian ini adalah pasien yang telah menjalani operasi dengan general anestesi di ruang rawat inap Rumah Sakit Umum Daerah Hj. Anna Lasmanah Banjarnegara, yang dipilih dengan metode accidental sampling dengan total sampel 30. Hasil: Didapatka tingkat kepuasan yang tinggi, dengan 86,7% responden memberikan skor sangat baik (161-200) dan 13,3% memberikan skor baik (111-160). Karakteristik pasien, termasuk usia dominan (73,3% pada rentang 17-45 tahun), jenis kelamin mayoritas laki-laki (60%), status fisik ASA mayoritas ASA 1 (80%), durasi operasi mayoritas 30 menit (53,3%), dan urgensi operasi mayoritas elektif (80%).
Efektivitas Preloading Koloid Terhadap Kejadian Hipotensi Pada Pasien Sectio Caesarea Dengan Spinal Anestesi Di Rumah Sakit Islam Purwokerto Meliana Hardian Rahmawati; Tophan Heri Wibowo; Wilis Sukmaningtyas
Borneo Nursing Journal (BNJ) Vol. 8 No. 1
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.259

Abstract

Prosedur persalinan yang paling umum dilakukan di dunia medis adalah sectio caesarea dengan anestesi spinal. Komplikasi yang paling seringkali ditemukan pada pasien yang menjalani tindakan sectio caesarea dengan spinal anestesi adalah hipotensi. Hipotensi atau tekanan darah rendah ialah ketika tekanan darah < 90/60 mmHg. Tujuan studi ini yaitu untuk mengetahui efektivitas preloading koloid dalam mencegah terjadinya hipotensi pada pasien yang menjalani sectio caesarea dengan spinal anestesi. Penelitian ini menerapkan desain penelitian kuantitatif melalui pre eksperimen dengan metode Posttest Only Control Group. Populasi penelitian sebanyak 92 pasien. Teknik sampling menggunakan total sampling sebanyak 30 pasien sectio caesarea dengan spinal anestesi. Temuan penelitian mengungkapkan bahwasanya kejadian hipotensi pada kelompok intervensi (diberi preloading koloid) tidak terjadi, hampir seluruhnya normal sejumlah 14 partisipan (93,3%). Pada kelompok kontrol (tidak diberi preloading koloid) sebagian besar mengalami kejadian hipotensi sebanyak 8 responden (53,3%). Uji Mann Whitney U diperoleh hasil Z = -4.669 dan p = 0,000 (p ≤ 0,05). Hal ini menandakan ada efektivitas preloading koloid pada kejadian hipotensi pada pasien sectio caesarea dengan spinal anestesi. Saran bagi peneliti berikutnya diharapkan untuk melaksanakan riset lanjutan dengan cakupan yang lebih luas, baik dari segi jumlah sampel, variasi karakteristik pasien, maupun jenis cairan koloid yang digunakan.
Gambaran Intensitas Nyeri pada Pasien Post Operasi Sectio Caesarea dengan Metode Enhanced Recovery After Surgery (ERAS) di Rumah Sakit Islam Fatimah Cilacap Nur Mutmainah; Tophan Heri Wibowo; Septian Mixrova Sebayang
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 4 No. 2 (2026): Mei : JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v4i2.1656

Abstract

Postoperative pain following Sectio Caesarea (SC) is a common clinical problem, reported within the first 24 hours in approximately 50-85% of patients. This postoperative pain can affect maternal comfort, early mobilization, and the recovery process. Theoretically, post-SC pain is associated with tissue trauma and nociceptive responses. Enhanced Recovery After Surgery (ERAS) is an increasingly implemented method because it is considered capable of accelerating postoperative recovery and reducing pain intensity after surgical procedures. This study aimed to describe the distribution of post-Sectio Caesarea pain intensity based on patient characteristics. This research employed a descriptive quantitative design with an observational approach. Data were collected using a total sampling technique from all post-SC patients managed with the ERAS method at RSI Fatimah over a one-month period, with a total of 50 respondents. The research instrument used was the Visual Analogue Scale (VAS). Data were analyzed univariately in the form of frequency and percentage distributions. The results showed that the majority of respondents were in early adulthood (26-35 years), accounting for 40 respondents (80.0%), multiparous women totaled 30 respondents (60.0%), maternal indications were found in 33 respondents (66.0%), and 27 respondents (54.0%) had no previous history of SC. Within the first 2 hours after SC, most mothers experienced mild pain (scale 1-3), totaling 31 respondents (62.0%). At 8 hours after analgesic administration, mild pain remained predominant, with 36 respondents (72.0%). In conclusion, most mothers who underwent Sectio Caesarea using the ERAS method experienced mild pain during the early postoperative period.
Perbandingan Anestesi Epidural dengan Subarachnoid Block terhadap Kualitas Pemulihan Pasien Bedah Ortopedi: Systematic Literature Review Adista Veradina; Made Suandika; Tophan Heri Wibowo
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 3 (2026): Juli: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i3.9272

Abstract

Fractures and orthopedic surgeries are common procedures that require optimal regional anesthesia techniques to support patient recovery. This study aims to compare the effectiveness of epidural anesthesia and subarachnoid block (SAB) on the quality of recovery in orthopedic surgery patients through a systematic literature review. The literature search was conducted in the PubMed, ScienceDirect, and Google Scholar databases for the period 2015–2025, using the PRISMA guidelines. A total of 6 studies that met the inclusion criteria were analyzed narratively. The results indicate that epidural techniques and spinal-epidural combinations such as CSEA, CSA, and SCSE tend to yield better recovery outcomes compared to SAB, particularly regarding hemodynamic stability, duration of analgesia, postoperative pain control, and early mobilization. Additionally, the incidence of hypotension, urinary retention, and back pain is lower with epidural or combination techniques. However, SAB remains superior in terms of rapid onset of action and ease of technique. In conclusion, epidural techniques better support multidimensional recovery quality in orthopedic patients compared to SAB.
EDUKASI HIPERTENSI PADA LANSIA DI POSYANDU LANSIA DESA LEDUG, KECAMATAN KEMBARAN, KABUPATEN BANYUMAS Fahri Mufti Aziz; Tophan Heri Wibowo; Ita Apriliyani
Jurnal Ilmiah Wahana Pendidikan Vol 12 No 8.D (2026): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

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Abstract

Hipertensi merupakan salah satu masalah kesehatan utama pada lansia yang berisiko menyebabkan komplikasi serius seperti penyakit jantung, stroke, dan gagal ginjal. Rendahnya pengetahuan dan kesadaran lansia menjadi salah satu faktor tingginya kejadian hipertensi. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan lansia tentang hipertensi melalui edukasi di Posyandu Lansia Desa Ledug, Kecamatan Kembaran, Kabupaten Banyumas. Metode yang digunakan meliputi tahap persiapan, skrining peserta, serta pelaksanaan edukasi dengan pre-test dan post-test menggunakan kuesioner sebanyak 25 soal. Kegiatan diikuti oleh 30 lansia dengan karakteristik mayoritas berusia 50–60 tahun dan berpendidikan SMP. Hasil menunjukkan adanya peningkatan pengetahuan peserta, dimana sebelum edukasi kategori pengetahuan baik sebesar 20,0% meningkat menjadi 76,7% setelah edukasi, sedangkan kategori kurang menurun. Hal ini menunjukkan bahwa edukasi kesehatan efektif dalam meningkatkan pemahaman lansia mengenai hipertensi. Dengan demikian, kegiatan edukasi ini diharapkan dapat meningkatkan kesadaran serta mendorong penerapan pola hidup sehat pada lansia guna mencegah komplikasi hipertensi.
Pengaruh Terapi Musik terhadap Nyeri Pascabedah Ortopedi di RSUD Dr. R. Goeteng Taroenadibrata Purbalingga Bekti Yunitha Euro Rastawutun; Tophan Heri Wibowo; Adiratna Sekar Siwi; Amin Susanto
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 4 No. 3 (2026): September : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v4i3.980

Abstract

Postoperative pain is one of the most common complaints among patients undergoing orthopedic surgery and may interfere with comfort, mobilization, and recovery. Music therapy is a non-pharmacological intervention that can provide relaxation and distraction effects to reduce pain perception. This study aimed to analyze the effect of music therapy on postoperative pain among orthopedic surgery patients at dr. R. Goeteng Taroenadibrata Regional General Hospital, Purbalingga. This study used a quantitative quasi-experimental design with a two-group pretest-posttest approach. A total of 36 respondents were recruited using purposive sampling and divided equally into intervention and control groups. Pain intensity was measured using the Numeric Rating Scale. Data were analyzed using the Wilcoxon Signed Rank Test and Mann-Whitney Test. The mean age of respondents was 39.75±9.28 years, with a predominance of female respondents. There was a significant reduction in pain intensity in the intervention group after music therapy (p<0.001). The control group also showed a significant reduction in pain intensity after receiving standard care (p<0.001). However, the decrease in pain intensity differed significantly between groups, indicating that music therapy provided an additional benefit in postoperative pain management. Music therapy can be considered a complementary non-pharmacological intervention for postoperative orthopedic patients. 
Edukasi dan Implementasi Aromaterapi Jahe Terhadap Post Operative Nausea and Vomiting pada Pasien General Anestesi Post Operasi di Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto Ramadani Nursaputri; Tophan Heri Wibowo; Asmat Burhan
Pandawa : Pusat Publikasi Hasil Pengabdian Masyarakat Vol. 4 No. 3 (2026): Juli : Pandawa : Pusat Publikasi Hasil Pengabdian Masyarakat
Publisher : Asosiasi Riset Ilmu Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/pandawa.v4i3.3028

Abstract

Postoperative Nausea and Vomiting (PONV) is one of the common complications experienced by patients after undergoing surgery under general anesthesia. This condition may cause discomfort, delay the recovery process, and increase the risk of postoperative complications if not managed appropriately. Therefore, effective and easily applicable management strategies are required, one of which is non-pharmacological complementary therapy using ginger aromatherapy. This Community Service Program aimed to improve patients’ knowledge regarding PONV and to implement ginger aromatherapy as an intervention to reduce nausea and vomiting in postoperative patients undergoing general anesthesia. The activities included health education using leaflets and the implementation of ginger aromatherapy through an inhalation technique using a diffuser for 15 minutes. A total of 30 participants were involved in this program. The assessment results showed that before the intervention, most participants experienced moderate PONV, comprising 27 participants (90%), while 3 participants (10%) experienced mild PONV. After the administration of ginger aromatherapy, the severity of PONV decreased, with 29 participants (96.7%) categorized as having mild PONV and 1 participant (3.3%) categorized as having moderate PONV. No participants were classified as having severe or very severe PONV after the intervention. In addition, participants’ knowledge improved following the educational intervention. Before education, 28 participants (93.3%) had poor knowledge, whereas after education, 21 participants (70%) demonstrated good knowledge. These findings indicate that health education can improve participants’ knowledge and that the implementation of ginger aromatherapy may help reduce the severity of PONV and improve patient comfort during the postoperative recovery period. This program is expected to provide a practical and easily applicable complementary therapy option in anesthesia nursing care.
Co-Authors Adiratna Sekar Siwi Adista Veradina Amin Susanto Annisa Arum Sari Arief Raunaq Al Marduf Asmat Burhan Ayunda Frisqi Herlianingsih Bekti Yunitha Euro Rastawutun Danang Tri Yudiono Danang Tri Yudono Debi Ari Setiawan Diah Febri Cahyani Dwi ASTUTI Eka Septia Ningsih Fahri Mufti Aziz Fajar Kurniadi Hilda Nesa Dwiningrum Iis Setiawan Mangku Negara Indri Heri Susanti Indri Wijayanti Ita Apriliyani Made Suandika Mariah Ulfah Mega Rapita Sari Meliana Hardian Rahmawati Murniati Mutiara Ustia Nengsih nasihhudin - - Nur Mutmainah Ramadani Nursaputri Refa Teja Muti Reni Dwi Setyaningsih Rica Arafik Patturahman Risky Hidayat Rizky Arianda Ketaren Roro Lintang Suryani Sepfia Ananda Belista Septian Mixrova Sebayang Siti Haniyah Tri Sumarni Wahyu Dwi Prakoso Wijaya, Aditya Wilis Sukmaningtyas Yulia Nur Isnaini