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All Journal Jurnal Keperawatan Jurnal Keperawatan Muhammadiyah Jurnal Informasi Kesehatan Indonesia (JIKI) IJOHCM MALANG JOURNAL OF MIDWIFERY (MAJORY) Quality : Jurnal Kesehatan Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan Jurnal Abdi Medika Jurnal Vokasi Kesehatan Journal of Local Therapy INOVASI LOKAL : Pemberdayaan Masyarakat dalam Pembangunan Berkelanjutan HEALTH FRONTIERS (MULTIDISCIPLINARY JOURNAL FOR HEALTH PROFESSIONALS) Journal of Innovative and Creativity Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Borneo Nursing Journal Jurnal Keperawatan Terapan
Rudi Hamarno
Poltekkes Kemenkes Malang
Humanities Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Hubungan Status Fisik Pra Anestesi Dengan Waktu Pulih Sadar Pasien Post Operasi Dengan General Anesthesia Hamarno, Rudi; Arif, Taufan; Arifaen, Aditya Mauludin Afkar Nur Arij; Ciptaningtyas, Maria diah
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.23184

Abstract

Introduction: The duration of recovery of consciousness in postoperative patients with general anesthesia is a common problem after the patient is transferred to the recovery room. The recovery period of patients after surgery and general anesthesia is influenced by several factors, one of which is the physical condition before anesthesia based on ASA status. The purpose of this study was to determine the relationship between ASA status and the recovery time of patients after surgery with general anesthesia in the recovery room. Method: The study design used a "cross-sectional" approach. The average population per month was 139 postoperative patients using general anesthesia aged 26-65 years. The sampling method used purposive sampling with 59 respondents. Determination of respondents was based on the inclusion criteria of patients undergoing elective surgery aged 26-65 years, patients who received ASA status 1 and 2. Data analysis tests used descriptive statistical tests to determine the characteristics of respondents. Results: Bivariate analysis used the Spearman rank test to determine the relationship between pre-anesthesia physical status and the recovery time of patients after surgery with general anesthesia. The results of the bivariate test of ASA physical status with a p-value of 0.000. Discussion: Pre-anesthesia physical status is related to the recovery time of patients after surgery with general anesthesia. Physical status conditions with accompanying illnesses can interfere with the anesthesia process and post-anesthesia recovery.
Hubungan Pengetahuan Dengan Self-Efficacy Dalam Melakukan Deteksi Dini Tanda Bahaya Oleh Ibu Nifas Faista Ardani; Rita Yulifah; Sheilla Tania Marcelina; Rudi Hamarno
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.3446

Abstract

The risk of death in the mother is 60% after giving birth and almost 50% of deaths during the postpartum period occur in the first 24 hours of delivery. The causes of death in postpartum mothers are bleeding, eclampsia and infection. The better the postpartum mother's knowledge, the higher the postpartum mother's self-efficacy in detecting early danger signs during the postpartum period. The aim of this research is to determine the relationship between knowledge and self-efficacy regarding early detection of danger signs during the postpartum period in the Kepanjen Community Health Center Work Area. This research design uses correlational analytics with a cross sectional approach carried out on a sample of 44 respondents. This research sample was taken using a positive sampling technique. The data collection instrument used was a questionnaire. The research results show that the majority of postpartum mothers have good knowledge and high self-efficacy. The statistical test results show a significance figure of 0.000 using the Spearman Rank Test with a significance level of α > 0.05. The results of the research show that there is a significant and very strong relationship between knowledge and self-efficacy in early detection of danger signs by postpartum mothers with a coefficient value of 0.760 with a positive relationship direction. Postpartum mothers' good knowledge and high self-efficacy about the signs of the dangers of postpartum contribute significantly to postpartum mothers' ability to detect early and overcome emerging health problems.
EFEKTIFITAS ANTARA TEKNIK RELAKSASI GENGGAM JARI DAN RELAKSASI NAFAS DALAM TERHADAP PENURUNAN INTENSITAS NYERI POST OPERASI APPENDIKTOMI DI RUANG EDELWEIS A RSUD KARSA HUSADA BATU Pramudiva Kencana Wungu, Pinggan Ratu; Yuliwar, Roni; Hamarno, Rudi; Marsaid
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.28535

Abstract

Background: Appendicitis is the most common cause of acute abdominal pain, typically managed through appendectomy. Postoperative pain is a major issue that affects patient recovery. Non-pharmacological interventions, such as finger hold relaxation and deep breathing techniques, are considered effective in reducing pain intensity. Objective: This study aimed to compare the effectiveness of these two techniques. Methods: A quasi-experimental design with a two-group pre-test and post-test approach was used, involving 30 patients at Karsa Husada Batu Regional Hospital. The analysis used is the bivariate Wilcoxon Sign Rank Test and Mann Whitney U Test. Results: The results of the study showed that the level of anxiety before CA mammary surgery patients were given progressive muscle relaxation was 9(60%) seriously anxious and before the patients were given slow deep breathing 8(53.3%) were seriously anxious. After the intervention, 2 (13.3%) patients had the criteria for Severe Anxiety and in the slow deep breathing relaxation technique group 6 (40%) had the criteria for Severe Anxiety. Conclusion: Both techniques were found to be equally effective in reducing postoperative pain following appendectomy.
Profil Gula Darah Penderita Diabetes Mellitus Tipe II Pada Pasien Yang Mengkonsumsi Jus Apel Rome Beauty Di Wilayah Kerja Puskesmas Janti Hilmia Maula Dewi; Rudi Hamarno; Joko Wiyono; Maria Diah Ciptaningtyas
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.381

Abstract

Diabetes Melitus Tipe 2 merupakan masalah kesehatan global yang memerlukan pendekatan manajemen holistik, termasuk intervensi non-farmakologis. Apel varietas Rome Beauty, kaya akan pektin dan flavonoid, diyakini berpotensi membantu mengendalikan kadar glukosa darah. Penelitian deskriptif observasional dengan pendekatan cross-sectional ini bertujuan untuk mengetahui profil kadar gula darah sewaktu pada 24 pasien Diabetes Melitus Tipe 2 di Puskesmas Janti yang mengonsumsi jus apel Rome Beauty pada Mei 2025. Hasil pengukuran menunjukkan adanya penurunan rata-rata kadar gula darah sewaktu dari 229,58 mg/dL menjadi 212,42 mg/dL setelah tujuh hari konsumsi. Temuan ini mengindikasikan bahwa konsumsi jus apel Rome Beauty berpotensi memberikan dampak positif terhadap kestabilan glukosa darah. Disimpulkan bahwa terdapat perubahan kadar glukosa darah yang dapat diamati selama periode konsumsi. Untuk memastikan hubungan kausal, penelitian lanjutan dengan desain eksperimental dan kontrol yang ketat sangat direkomendasikan.
Pengaruh Meremas Squishy Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Dengan General Anestesi Di Instalasi Bedah Rumah Sakit Wava Husada Karmelia Dwi Maharani; Rudi Hamarno; Imam Subekti; Erlina Suci Astuti
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.382

Abstract

Kecemasan pra operasi merupakan masalah psikologis yang umum dialami pasien, khususnya pada tindakan dengan general anestesi, yang dapat berdampak negatif terhadap kondisi fisiologis pasien selama operasi. Salah satu intervensi nonfarmakologis yang sederhana untuk mengurangi kecemasan adalah teknik relaksasi meremas squishy yang memberikan efek menenangkan melalui stimulasi sensorik. Penelitian ini bertujuan untuk mengetahui pengaruh intervensi meremas squishy terhadap tingkat kecemasan pasien pre operasi dengan general anestesi di Instalasi Bedah RS Wava Husada. Penelitian menggunakan desain quasi-eksperimen dengan pendekatan Non-Equivalent Group Pre-test dan Post-test pada 36 responden yang mengalami kecemasan sedang hingga berat. Kelompok perlakuan diberikan intervensi meremas squishy selama 2–5 menit pada 30–60 menit sebelum operasi, sedangkan tingkat kecemasan diukur menggunakan kuesioner Amsterdam Preoperative Anxiety and Information Scale (APAIS). Hasil analisis Mann-Whitney menunjukkan adanya perbedaan signifikan antara skor kecemasan pre-test dan post-test dengan nilai p = 0,000 (<0,05). Hasil ini membuktikan bahwa teknik meremas squishy efektif dalam menurunkan kecemasan pra operasi. Intervensi ini dapat direkomendasikan sebagai alternatif sederhana dalam asuhan keperawatan untuk meningkatkan kenyamanan pasien sebelum tindakan pembedahan.
Pengaruh Pemberian Hot Pack Terhadap PONV (Post Operative Nausea and Vomitus) Pada Pasien Post Operasi Dengan General Anestesi Di IHC Rumah Sakit Lavalette Malang Fadghom Febrian Dharma Rodansyah; Rudi Hamarno; Nurul Hidayah; Erlina Suci Astuti
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.405

Abstract

Post Operative Nausea and Vomiting (PONV) merupakan salah satu efek samping yang sering muncul setelah tindakan pembedahan dengan anestesi umum dan dapat memperlambat proses pemulihan pasien. Salah satu pendekatan non-farmakologis yang berpotensi menurunkan PONV adalah pemberian hot pack, yang diharapkan mampu menstimulasi kembali gerak peristaltik usus yang menurun pasca operasi. Penelitian ini bertujuan untuk menganalisis pengaruh pemberian hot pack terhadap tingkat PONV pada pasien pasca operasi dengan anestesi umum di RS IHC Lavalette Kota Malang. Desain penelitian menggunakan quasi experimental dengan pendekatan pre-test post-test control group. Sebanyak 68 responden dipilih menggunakan rumus Slovin dan dibagi menjadi kelompok intervensi serta kontrol sesuai kriteria inklusi dan eksklusi. Intervensi dilakukan dengan pemberian hot pack pada area abdomen region 7–9 selama 15 menit pada suhu 40°C. Intensitas PONV diukur menggunakan Nausea Vomiting Scale (NVS) sebelum dan sesudah intervensi. Hasil uji Wilcoxon menunjukkan penurunan tingkat PONV yang signifikan pada kelompok intervensi, dari rata-rata 2,53 menjadi 1,59 (penurunan sebesar 0,94; p<0,05), sedangkan hasil uji Mann-Whitney menunjukkan tidak terdapat perbedaan signifikan antara kelompok intervensi dan kontrol setelah perlakuan (p=0,321). Hal ini mengindikasikan bahwa hot pack berpengaruh terhadap penurunan PONV dalam kelompok intervensi, namun belum menunjukkan perbedaan nyata dibandingkan kelompok kontrol. Intervensi hot pack dapat dipertimbangkan sebagai alternatif non-farmakologis untuk mendukung pemulihan pasien pasca operasi, meskipun penelitian lanjutan dengan kontrol variabel lebih ketat disarankan.
PERBEDAAN KEPATUHAN TIM BEDAH DALAM PELAKSANAAN SURGICAL SAFETY ANTARA PASIEN OPERASI ELEKTIF DAN EMERGENCY DI RSU KARSA HUSADA KOTA BATU Nanda Priatna; rudi hamarno; rony yuliwar
Jurnal Keperawatan Terapan Vol 5 No 2 (2019): Jurnal Keperawatan Terapan (e-journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v5i2.352

Abstract

Patient safety with surgery becomes the main focus in medical action, as it involves invasive procedure. The obidience of surgical team is very important to reduce the risk at the surgery procedure. At 2007, WHO has released a method for keep the patient safety in Surgical Safety Checklist (SSC) form, to reduce the mortality of patient. The purpose of this research is to know the difference of obidience of surgical team in implementation of surgical safety between elective and emergency surgical patient at operating room of Karsa Husada Hospital. The research design that used is comparative design with cross-sectional approach, with the amount of sample is 22 person and used the purposive sampling according to the both inclusion and exclusion criteria. The method of collecting data implemented by non-participative observation to the surgical team that conducting the operation each 15 times to both the elective dan emergency surgery patient. The research instrument that used was SSC observation form. The tabulating data that used was analytic comparative technic with Chi Square test. The results show the obidience of surgical team in surgical safety checklist implementation at elective surgical patient is 80% was scored obey, meanwhile at emergency surgical patient is only 7% was scored obey, and the significance score is 0,000, that means there is a difference of obidence of surgical team in the implementation of surgical safety between elective and emergency surgery patient. Keywords: Obedience, surgical team, surgical safety, elective, emergency
PERAWATAN LUKA INFUS TERHADAP KEJADIAN PHLEBITIS Rudi Hamarno; Tutik Herawati; Bramunanto Suprayoga
Jurnal Keperawatan Terapan Vol 5 No 1 (2019): JURNAL KEPERAWATAN TERAPAN
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v5i1.892

Abstract

Prevention of phlebitis is not only focused on infusion, but afterwards infusion must be protected entirely from complications. Preventing and minimizing the effects of intravenous therapy, especially the occurrence of phlebitis, infusion treatment must be optimally sought. Nurses who pay attention to aseptic principles can reduce phlebitis events (Brunner and Suddarth, 2001). The purpose of this study was to determine The Effect of Infusion Wound Care With On Phlebitis Incidents At The RSUD dr. R. Soedarsono Pasuruan City. The research design used was pre-experimental research with a sample size of 20 people and using purposive sampling technique. Data collection method used interview and observation and analysed by Chi Square test. The results of the study in the treatment group showed that the incidence of phelbitis in hospitalized patients was 10 percent phlebitis and 90 percent did not occur phlebitis. In the control group 70 percent occurred phlebitis and 30 percent did not occur phlebitis, and a significant value of 0.006 which stated that there was the effect of infusion treatments with on phlebitis incidents to inpatients. Suggestions that can be submitted to next researcher are the biggest factor causing phlebitis and examine other prevention of phlebitis.
Pengaruh Pemberian Kompres Hangat (Hot-Pack) Terhadap Pemulihan Kandung Kemih Post Spinal Anestesi Di Rsud Ngudi Waluyo Wlingi Tamara Mawahdah Anggraini; Rudi Hamarno; Eka Wulandari
Jurnal Keperawatan Terapan Vol 7 No 2 (2021): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v7i2.1798

Abstract

Head-up Position did not Correlated with the Recovery Time of Lower Extremity Motor Function in Spinal Anesthesia Patiens Taufan Arif; Rudi Hamarno; Bisma Surya Bharata; Arief Bachtiar
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p115-123

Abstract

Patients who are delayed in recovery after spinal anesthesia will be transferred to the post anesthesia care unit (PACU) which can lead to increased service costs and patient dissatisfaction. Lower extremity motor function recovery time after spinal anesthesia is the time it takes for patients to be able to move from the recovery room to the patient's original room. The purpose of this study was to determine the correlation of Head-up position to the recovery time of lower extremity motor function in spinal anesthesia patients in the recovery room. The design of the study was correlation with a “cross-sectional” approach. The population was post-spinal anesthesia patients in the recovery room who meet the criteria. The study used "purposive sampling" with 96 post-spinal anesthesia patients. The independent variable was the head-up position, while the dependent variable was the recovery time of lower extremity motor function. The analysis test used the Pearson correlation test. The results of the correlation test showed no correlation between head-up position and recovery time of lower extremity motor function in spinal anesthesia patients with p-value = 0.099 (>0.05). This was due to the longer the duration of surgery, the faster the effect of spinal anesthesia drugs will run out. It is recommended to apply the results of this study as a review of SOPs related to the intervention of giving a head-up position to post-spinal anesthesia patients in the recovery room.
Co-Authors Abdul Hanan Afnani Toyibah Alfarizi, Aulia Fahmi Almukarramah, Mukminah Almutairi, Reem Iafi Andrea, Kanesya Putri Arief Bachtiar Arif, Taufan Arifaen, Aditya Mauludin Afkar Nur Arij Arifatunnisa, Asri Bisma Surya Bharata Bramunanto Suprayoga Ciptaningtyas, Maria Diah Duhita Dyah Apsari, Duhita Dyah Eka Wulandari Erlina Suci Astuti Erlina Suci Astuti, Erlina Suci Fadghom Febrian Dharma Rodansyah Faista Ardani Habibi, Yumarsanni Herawati, Tutik Hidayatullah, Muhammad Sodik Hilmia Maula Dewi Imam Subekti Imam Subekti Joko Wiyono Karmelia Dwi Maharani Kasiati, ., Kasiati, Lailiyatul Mufidah Lucia Retnowati Luthfiyuddin Musthofa Mabruroh, Ulum Maharani, Karmelia Dwi Maria Diah Ciptaningtyas Marsaid marsaid Mawadati, Vida Nanda Priatna Naya Ernawati NURUL HIDAYAH Nurul Pujiastuti Oktavia, Devi Ayu Pramudiva Kencana Wungu, Pinggan Ratu Rahma Faradisa, Ahda Fina Rita Yulifah Roni Yuliwar rony yuliwar Salva Salsa Billa, Adinda Dwi Septiasih, Rossyana Setyarini, Anggun Sharon, Dinda Hapsari Cahya Mawar Sheilla Tania Marcelina Siswati Siswati Solikhah, Fitriana Kurniasari Supono Supono Supono Susi Milwatil Tamara Mawahdah Anggraini Tri Anjaswarni Tri Cahyo Sepdianto Tri Johan Agus Yuswanto Tyas, Maria Diah Ciptaning Wahyuni, Eko Sari Wiyono, Joko