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<![CDATA[Studi Kasus Kombinasi Centuki (Cendol Daun Katuk Dan Kacang Hijau) Untuk Meningkatkan Produksi Asi Pada Ibu Menyusui Di Puskesmas Banjarnegara 2 ]]>
<![CDATA[Anita, Debbi Tri]]>;
<![CDATA[Dewi, Feti Kumala]]>;
<![CDATA[Hikmanti, Arlyana]]>
<![CDATA[ Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2025 Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2025) ]]>
Publisher : <![CDATA[Universitas Harapan Bangsa ]]>
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DOI: 10.35960/snppkm.v4i1.1410
<![CDATA[Breast milk production after childbirth is not always optimal, as it is influenced by physiological and psychological factors. Non-pharmacological interventions using natural ingredients can support successful lactation. CENTUKI contains aliphatic compounds that are effective in increasing breast milk production and vitamin B1, which plays a role in converting carbohydrates into energy, strengthening the nervous system, and supporting breast milk production. This study aimed to identify maternal characteristics and evaluate the effectiveness of the CENTUKI combination (katuk leaf cendol and mung beans) in increasing breast milk volume at Banjarnegara 2 Health Center. This research employed a case study design involving 4 breastfeeding mothers with infants aged 0–6 months. The intervention consisted of administering 500 ml of CENTUKI daily for 5 consecutive days. Data were collected through interviews, observations, and measurements of breast milk volume using a breast pump before and after the intervention. The results showed that the average breast milk volume before intervention was 37.5 ml, which increased to 70 ml after 5 days, with an average increase of 32.5 ml. Respondents’ characteristics were mostly aged 20–35 years (75%), primiparous (75%), housewives (100%), and had a high school education (50%). The CENTUKI combination was proven effective in increasing breast milk production and may serve as a complementary intervention to support the success of exclusive breastfeeding]]>
<![CDATA[Perbedaan edukasi spinal anestesi menggunakan video dan booklet terhadap tingkat kecemasan pasien pre anestesi spinal ]]>
<![CDATA[Ubjaan, Natasya Putri]]>;
<![CDATA[Burhan, Asmat]]>;
<![CDATA[Dewi, Feti Kumala]]>
<![CDATA[ Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10 ]]>
Publisher : <![CDATA[Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati ]]>
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DOI: 10.33024/hjk.v19i10.1679
<![CDATA[Background: Spinal anesthesia often causes anxiety in preoperative patients, which may affect the anesthesia process and postoperative recovery. Preanesthetic education is therefore needed to reduce patients’ anxiety levels. Purpose: To determine the difference in the effectiveness of spinal anesthesia education using video and booklet media on anxiety levels in pre–spinal anesthesia patients. Method: This study employed a quantitative approach with a quasi-experimental pre-test–post-test with control group design. A total of 38 participants were divided into a video group and a booklet group. Data were collected using the APAIS (Amsterdam Preoperative Anxiety and Information Scale) questionnaire. Data analysis was conducted using the Wilcoxon test and the Mann–Whitney U test. Results: There was a significant reduction in anxiety levels before and after the educational intervention in both the video and booklet groups (p < 0.05). Furthermore, a significant difference in anxiety levels was found between the two groups after the intervention, with a mean rank of 45.82 in the video group and 31.18 in the booklet group (p < 0.05). Conclusion: Preanesthetic education using both video and booklet media is effective in reducing patients’ anxiety levels. However, video-based education is more effective than booklet-based education in reducing anxiety among pre–spinal anesthesia patients. Keywords: Anxiety; Booklet; Education; Preoperative; Spinal Anesthesia; Video. Pendahuluan: Spinal anestesi sering menimbulkan kecemasan pada pasien preoperasi yang dapat berdampak pada proses anestesi dan pemulihan. Edukasi preanestesi diperlukan untuk menurunkan tingkat kecemasan tersebut. Tujuan: Untuk mengetahui perbedaan edukasi spinal anestesi menggunakan video dan booklet terhadap tingkat kecemasan pasien pre anestesi spinal. Metode: Penelitian kuantitatif dengan desain quasi experiment pre-test post-test with control group. Sampel berjumlah 38 partisipan yang dibagi menjadi kelompok video dan booklet. Instrumen menggunakan kuesioner APAIS. Analisis data menggunakan uji Wilcoxon dan Mann Whitney U. Hasil: Terdapat penurunan tingkat kecemasan yang signifikan sebelum dan sesudah pemberian edukasi baik pada kelompok video maupun booklet (p < 0.05). Selain itu, terdapat perbedaan tingkat kecemasan yang bermakna antara kedua kelompok setelah diberikan edukasi, dengan nilai mean rank kelompok video sebesar 45.82 dan kelompok booklet sebesar 31.18 (p < 0.05). Simpulan: Edukasi preanestesi spinal menggunakan media video dan booklet sama-sama efektif dalam menurunkan tingkat kecemasan pasien. Namun, edukasi menggunakan media video terbukti lebih efektif dibandingkan media booklet dalam menurunkan tingkat kecemasan pasien preanestesi spinal. Kata Kunci : Booklet; Edukasi; Kecemasan; Pre Operasi; Spinal Anestesi; Video.]]>
<![CDATA[Pengaruh Coloading Cairan Kristaloid Terhadap Perubahan Tekanan Darah Dan Heart Rate Pada Pasien Spinal Anestesi Di Rumah Sakit Emanuel Banjarnegara ]]>
<![CDATA[Nur Fatichahtus Sa'adah]]>;
<![CDATA[Danang Tri Yudono]]>;
<![CDATA[Feti Kumala Dewi]]>
<![CDATA[ Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Akademi Keperawatan Yarsi Samarinda ]]>
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DOI: 10.61878/bnj.v7i2.132
<![CDATA[Anestesi spinal merupakan teknik umum yang efektif yang memiliki risiko komplikasi seperti hipotensi dan bradikardia. Pemberian cairan kristaloid secara coloading adalah salah satu cara untuk mengurangi risiko tersebut. Penelitian ini bertujuan untuk mengetahui pengaruh coloading cairan kristaloid terhadap perubahan tekanan darah dan heart rate pada pasien anestesi spinal di RS Emanuel Banjarnegara. Studi ini menggunakan desain pra-eksperimental dengan pendekatan pretest-posttest design. Penelitian ini menggunakan metode kuantitatif, dan didapatkan sampel sebanyak 111 sampel. Pengambilan data dilakukan pada bulan Maret – April. Karakteristik usia sebagian besar responden berusia 26-35 tahun kategori dewasa awal sebanyak 56 responden (50,5%) dengan jenis kelamin yang paling dominan yaitu jenis kelamin Perempuan sebanyak 67 responden (60,4%), status pasien dengan ASA 2 sebanyak 84 responden (75.7%). Hasil analisis menggunakan uji Wilcoxon menunjukkan bahwa pemberian coloading cairan kristaloid mencegah terjadinya penurunan tekanan darah (p value 0,000 < 0,05), terjadi kenaikan rata – rata diastolik sebesar 8,73 mmHg dan rata – rata kenaikan sistole sebesar 23,25 mmHg dan terhadap penurunan heart rate (p value 0,000 < 0,05), rata – rata kenaikan heart rate setelah pemberian coloading cairan kriataloid sebesar 11,96 kali per menit pada pasien spinal anestesi di RS Emanuel Banjarnegara. Pemberian coloading efektif dalam menurunkan insidensi kejadian hipotensi dan bradikardi pada pasien spinal anestesi.]]>
<![CDATA[Pengaruh Pemberian Aromaterapi Peppermint Dan Lavender Terhadap Pasien Post Operative Nausea and Vomiting (PONV) Pada Pasien Post Operasi Sectio Caesarea Di RS Emanuel Banjarnegara ]]>
<![CDATA[Rere Ardia Cahyani]]>;
<![CDATA[Asmat Burhan]]>;
<![CDATA[Feti Kumala Dewi]]>
<![CDATA[ Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Akademi Keperawatan Yarsi Samarinda ]]>
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DOI: 10.61878/bnj.v8i1.151
<![CDATA[Sectio caesarea merupakan metode persalinan melalui pembedahan yang berisiko menimbulkan komplikasi salah satunya adalah Postoperative Nausea and Vomiting (PONV). Kondisi ini dapat mengganggu kenyamanan pasien dan memperpanjang waktu pemulihan. Sebagai alternatif penanganan, intervensi non-farmakologis seperti aromaterapi peppermint dan lavender dapat menjadi pilihan yang efektif. Penelitian ini bertujuan untuk mengetahui efektivitas sebelum dan sesudah pemberian aroma terapi peppermint dan lavender dalam mengurangi PONV pada pasien yang menjalani operasi Sectio Caesarea. Penelitian ini menggunakan desain kuasi-eksperimental dengan pre-test dan post-test pada 70 pasien. Sampel dibagi menjadi dua kelompok masing-masing 35: satu kelompok menerima aromaterapi peppermint (eksperimen) dan kelompok lainnya aromaterapi lavender (kontrol). Data PONV diukur menggunakan skala numerik sebelum dan sesudah intervensi, lalu dianalisis dengan uji Wilcoxon. Hasil penelitian menunjukkan bahwa nilai rata-rata sebelum dilakukan pemberian aromaterapi peppermint yaitu 4,428 dan sesudah di lakukan 3,60 nilai sedangkan rata-rata sebelum dilakukan pemberian aromaterapi lavender yaitu 5.06 dan sesudah di lakukan 4.60. Wilcoxon menunjukkan bahwa perbedaan nilai PONV setelah di lakukan antara kelompok eksperimen aromaterapi pappermint adalah 0,00 dan kontrol aromaterapi lavender 0,028 signifikan (p < 0,05), dua kelompok eksperimen ini menunjukkan bahwa terdapat penurunan tingkat PONV sebelum dan sesudah pemberian aromaterapi peppermint dan lavender. Penelitian ini mendukung penggunaan aromaterapi peppermint dan lavender sebagai metode yang efektif dalam manajemen PONV dan memberikan dasar untuk penerapan klinis yang lebih luas.]]>
<![CDATA[Pengaruh Edukasi Terhadap Pengetahuan Manajemen Nyeri Pada Pasien Pasca Bedah Orthopedi Di RSUD Dr. Mohammad Zyn Sampang ]]>
<![CDATA[Ailsya Farhana]]>;
<![CDATA[Asmat Burhan]]>;
<![CDATA[Feti Kumala Dewi]]>
<![CDATA[ Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Akademi Keperawatan Yarsi Samarinda ]]>
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DOI: 10.61878/bnj.v8i1.249
<![CDATA[Latar belakang : Bedah ortopedi adalah prosedur medis yang menangani kondisi muskuloskeletal, dan manajemeninyeri yang efektif sangat penting untuki kenyamanan pasien dan penyembuhan yang dipercepat pasca operasi. Penelitianiini bertujuan untukimengetahui pengaruh pendidikan pada pengetahuan manajemen nyeri di antara pasien operasi pasca bedah ortopedi di RSUD Dr. Mohammad Zyn Sampang. Penelitian ini menggunakanidesain one-groupipretest-posttest, yang melibatkan 77 responden dengan Teknik Purposive sampling. Media dalam penelitian ini menggunakan media leaflet terkait manajemen nyeri farmakologis dan non farmakologis serta menggunakan kuesioner untuk mengetahui tingkat pengetahuan manajemen nyeri sebelum dan sesudah edukasi. Temuan mengungkapkan bahwa mayoritas responden berusia >35 tahun sebanyak 38 reponden (49,4%) dan berjenis kelamin laki-laki sebanyak 52 responden (67,5%). Sebelum pendidikan pengetahuan manajemen nyeri sebagian besar responden menunjukkan pengetahuan cukup sebesar 37 responden (48,1%) dan sesudah diberikan pendidikan manajemen nyeri sebagian responden menunjukkan pengetahuan baik sebesar 68 responden (88,3%). Hasil penelitian ini mununjukkan adanya pengaruh edukasi terhadap pengetahuan manajemen nyeri pada pasien pasca bedah orthopedi dibuktikan dengan nilai P 0,000 (0,005). Ada pengaruhiedukasi terhadap pengetahuani manajemen nyerii pada pasien pasca bedah orthopedi di RSUD dr. Mohammad Zyn Sampang.]]>
<![CDATA[Hubungan Usia Dan Lama Operasi Dengan Kejadian Shivering Pada Pasien Pasca Spinal Anestesi (Sectio Caesarea) Di Rumah Sakit Emanuel Banjarnegara ]]>
<![CDATA[Bintang Ramadhan]]>;
<![CDATA[Asmat Burhan]]>;
<![CDATA[Feti Kumala Dewi]]>
<![CDATA[ Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025) ]]>
Publisher : <![CDATA[Akademi Keperawatan Yarsi Samarinda ]]>
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DOI: 10.61878/bnj.v8i1.339
<![CDATA[Pendahuluan: Shivering merupakan komplikasi umum pasca spinal anestesi yang dapat mengganggu kenyamanan pasien dan meningkatkan kebutuhan oksigen tubuh. Faktor-faktor yang diduga berhubungan dengan kejadian shivering antara lain usia dan lama operasi. Penelitian ini bertujuan untuk mengetahui hubungan usia dan lama operasi dengan derajat shivering pada pasien post spinal anestesi tindakan sectio caesarea. Metode: Penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan cross-sectional. Sampel berjumlah 50 responden yang diambil dengan teknik purposive sampling di RS Emanuel Banjarnegara. Data dikumpulkan melalui lembar observasi derajat shivering menurut kriteria Alfonsi dan dianalisis menggunakan uji Spearman Rank. Hasil: Sebagian besar responden berusia 26–35 tahun (60%) dan menjalani operasi ≤ 60 menit (66%). Derajat shivering terbanyak adalah derajat 1 (40%). Hasil uji Spearman menunjukkan adanya hubungan yang signifikan antara usia dan derajat shivering (ρ = 0,470; p = 0,001), serta antara lama operasi dan derajat shivering (ρ = 0,546; p = 0,000). Kesimpulan: Terdapat hubungan yang signifikan antara usia dan lama operasi dengan derajat shivering pada pasien pasca spinal anestesi sectio caesarea. Pasien usia produktif dan dengan durasi operasi singkat cenderung mengalami shivering ringan atau tidak sama sekali.]]>
<![CDATA[Pengaruh Mobilisasi Dini ROM Pasif terhadap Waktu Pulih Sadar pada Pasien Lansia Pasca General Anestesi di RSD Gunung Jati Kota Cirebon ]]>
<![CDATA[Dani, Dwi Darmawan]]>;
<![CDATA[Novitasari, Dwi]]>;
<![CDATA[Dewi, Feti Kumala]]>
<![CDATA[ Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan ]]>
Publisher : <![CDATA[Pustaka Galeri Mandiri ]]>
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DOI: 10.55382/jurnalpustakakeperawatan.v4i2.1267
<![CDATA[As people age, physiological changes significantly impact the cardiovascular, respiratory, renal, and central nervous systems, as well as drug elimination processes. These changes make elderly individuals more vulnerable to the side effects of general anesthesia, potentially prolonging recovery time and increasing the risk of postoperative complications. This study aims to assess the effect of early passive Range of Motion (ROM) mobilization on the recovery time of consciousness in elderly patients post-general anesthesia at RSD Gunung Jati, Cirebon. The study used a quasi-experimental design with a posttest-only non-equivalent control group. A total of 42 elderly patients participated, divided into two groups: 21 patients in the intervention group who received 10 minutes of passive ROM mobilization, and 21 patients in the control group who received standard postoperative care. Recovery of consciousness was assessed using the Modified Aldrete Score, monitored every 5 minutes until a score of ?9 was achieved. Data were analyzed using the Shapiro-Wilk test for normality and the Mann-Whitney test to examine the effect of ROM mobilization on recovery time. The results showed the intervention group had a mean recovery time of 22.86 minutes (SD 2.28), compared to 27.14 minutes (SD 6.90) in the control group. Statistical analysis revealed a significant effect (p < 0.000). These findings support the claim that early passive ROM mobilization effectively accelerates recovery of consciousness in elderly patients after general anesthesia and should be considered as an adjunct strategy in the Post Anesthesia Care Unit (PACU).]]>
<![CDATA[Gambaran Pengetahuan Pasien Pra Operasi Tentang Pentingnya Puasa Sebelum Tindakan Operasi di RSUD Pidie Jaya ]]>
<![CDATA[Noval Aulia]]>;
<![CDATA[Tophan Heri Wibowo]]>;
<![CDATA[Feti Kumala Dewi]]>
<![CDATA[ Viva Medika Vol 16 No 3 (2023) ]]>
Publisher : <![CDATA[LPPM Universitas Harapan Bangsa ]]>
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DOI: 10.35960/vm.v16i3.1039
<![CDATA[Pre-surgical information for patients is important for patients to know so that they are better prepared for the surgical process. Inadequate pre-surgical preparation can be a cause of anesthetic accidents. This study aims to describe the knowledge of preoperative patients about the importance of fasting before surgery at Pidie Jaya Hospital. This research method is quantitative with a descriptive approach. Sampling technique with nonprobability sampling by means of accidental sampling as many as 104 respondents who perform operations. Data analysis was performed univariately. The results showed that the majority of patients aged > 35 years were 59 respondents (56.7%), the majority were male, 63 respondents (60.6%), the majority had junior high school education, 61 respondents (58.7%), the majority 37 respondents (35.6%) worked as farmers, the majority had never undergone surgery, namely 92 respondents (88.5%). The majority of preoperative patients' knowledge about the importance of fasting is in the less category, namely as many as 43 respondents (41.3%). This study concluded that the knowledge of preoperative patients about the importance of fasting at Pidie Jaya General Hospital was mostly in the less category]]>
<![CDATA[The Relationship between Stress Levels and Premenstrual Syndrome in Nursing Students at Harapan Bangsa University ]]>
<![CDATA[Nur Khoerotun Nisa]]>;
<![CDATA[Siti Haniyah]]>;
<![CDATA[Feti Kumala Dewi]]>
<![CDATA[ Viva Medika Vol 16 No 4 (2023) ]]>
Publisher : <![CDATA[LPPM Universitas Harapan Bangsa ]]>
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DOI: 10.35960/vm.v16i4.1193
<![CDATA[During the luteal phase of the menstrual cycle, which typically begins 7-10 days before menstruation and ends with menstruation, women of childbearing age often experience a collection of physical, behavioral, and emotional symptoms known as premenstrual syndrome (PMS). Stress levels are among the factors that can contribute to PMS. The objective of this study is to investigate the relationship between stress levels and PMS. This research employs a quantitative approach, using descriptive correlation methods and a cross-sectional design. The sample consisted of 62 respondents, selected through total sampling. Data were collected using a shortened Premenstrual Assessment Form (SPAF) questionnaire and the Perceived Stress Scale (PSS). Statistical analysis involved the Spearman Rank Test, which revealed a significant relationship between stress levels and PMS among Nursing Study Program students at Harapan Bangsa University Undergraduate Program. The p-value was 0.000, which is less than the significance level (α = 0.05), leading to the rejection of the null hypothesis (H0).The correlation coefficient (r) was calculated to be 0.456, indicating a moderate strength of correlation. This suggests that higher stress levels are associated with a greater perceived severity of PMS symptoms. Female students demonstrated an ability to both avoid stressors and manage stress, which can help reduce the occurrence of PMS symptoms]]>
<![CDATA[Factors Influencing the Incidence of Hypothermia in Spinal Anesthesia Patients at the Central Surgery Installation of Islamic Fatimah Hospital, Cilacap ]]>
<![CDATA[Elsha Paramadinah]]>;
<![CDATA[Danang Tri Yudono]]>;
<![CDATA[Feti Kumala Dewi]]>
<![CDATA[ Viva Medika Vol 16 No 4 (2023) ]]>
Publisher : <![CDATA[LPPM Universitas Harapan Bangsa ]]>
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DOI: 10.35960/vm.v16i4.1221
<![CDATA[The patient’s care body temperature below 36°C is usually diagnosed as hypothermia. The human thermoregulatory system maintains metabolic activity by keeping body temperature about 37ºC. Hypothermia is linked to anesthesia and surgery. This study examines the risk factors for hypothermia in spinal anesthesia patients at the Central Surgical Installation of RSI Fatimah Cilacap. Age, gender, BMI, and length are variables. This research method is using a quantitative analytical observational approach with total sampling technique. The results of this study showed that the most dominant age of respondents was adults 25-46 years (45.9%) with mild hypothermia (29.7%). The study also found 59.5% of participants were female and 29.7% had mild or moderate hypothermia. Most respondents (64.9%) had an average BMI 37.8% had mild hypoyhermia. Finally, 56.8% of respondents had 1-2-hour surgery, with 32.4% experiencing mild hypothermia. The conclusion of this study found that Body Mass Index (BMI) is the main risk factor for hypothermia with 64.9% of people having a normal BMI.]]>
