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All Journal PROSIDING SEMINAR NASIONAL COPING (Community of Publishing in Nursing) Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Ilmu Kedokteran dan Kesehatan Journal of Maternity Care and Reproductive Health Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal) Borneo Nursing Journal (BNJ) Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Jurnal Peduli Masyarakat Journal of Management Nursing Jurnal Pengabdian Masyarakat Bhinneka Jurnal Keperawatan 'Aisyiyah Journal of Global Pharma Technology SEMINAR NASIONAL PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT Madani: Multidisciplinary Scientific Journal Nanggroe: Journal Of Scholarly Service Riset Informasi Kesehatan Jurnal Pengabdian Harapan Ibu (JPHI) Nanggroe: Journal of Scholarly Service Java Nursing Journal Sinergi Abdimas: Jurnal Pengabdian Masyarakat Jurnal Ilmiah Kesehatan Mandira Cendikia Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal)
Rahmaya Nova Handayani
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Journal : Java Nursing Journal

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The Correlation between Body Mass Index (BMI) and Recovery Time on General Anesthesia Patient Using Endotracheal Tube (ET) Maryadi, Adi; Rahmaya Nova Handayani; Eza Kemal Firdaus; Asmat Burhan
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.24

Abstract

Conscious recovery time is the time it takes for the patient to be removed from the conscious recovery room when the patient is fully conscious. Patients who are unconscious within more than 15 minutes are considered prolonged, even to respond to a stimulus in highly susceptible patients requires 30-45 minutes after general anesthesia drugs are stopped. One of the causes of lengthening the time to recover consciousness is the Body Mass Index (BMI) in patients which can increase the potential of anesthetic drugs given. The purpose of this study was to determine the relationship between Body Mass Index (BMI) and conscious recovery time in general anesthesia patients using Endotracheal Tube (ET) at RSUD Dr. Soedirman Kebumen. The method of ths study was correlation analitik with a cross-sectional approach. The sample of this study amounted to 48 respondents with consecutive sampling technique. Data analysis was carried out using the Kendall Tau test. The results of the study obtained 86.5% of respondents had a fast conscious recovery time (<15 minutes) and 13.5% of respondents had a prolonged conscious recovery time (>15 minutes). Of the results of the kendall tau correlation test obtained results with a significancy p value of 0.000 < 0.05 which means there is a relationship between the body's mass index to the recovery time of consciousness after general anesthesia with the endotracheal tube. The conclusion of this study is that majority of respondents who have a quick recovery time of less tha 15 minutes are respindents with a normal body mass index. Patient with a fat or obese BMI will receive a higher dose of anesthetic medication compared to patients in the thin category. When the anesthetic drug is given a higher concentration, the effect of the ansthetic drug will be longer.
Postoperative Cognitive Dysfunction in Craniotomy: Mechanisms, Challenges, and Future Directions Suandika, Made; Yantoro , Awal Tunis; Suhendro , Anton; Wijayanti, Indri; Handayani, Rahmaya Nova; Yulianto, Dwi Agus; Kisdyanti, Yuniar Melissa
Java Nursing Journal Vol. 3 No. 2 (2025): March - June 2025
Publisher : Global Indonesia Health Care (GOICARE)

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Postoperative cognitive dysfunction (POCD) is a clinical concern that can affect patients undergoing craniotomy, often impairing memory, attention, and executive function. Despite advances in neurosurgical and anesthetic techniques, POCD remains prevalent and under-recognized. This review aims to explore the underlying mechanisms and contributing factors of POCD in the context of craniotomy under general anesthesia. A narrative literature review method was employed to examine publications retrieved from major databases including PubMed, Scopus, and ScienceDirect between 2015 and 2025. Selected studies focused on adult patients and provided insights into both clinical manifestations and molecular pathways linked to POCD. The analysis revealed that factors such as advanced age, duration of anesthesia, and neuroinflammatory responses significantly influence the development of POCD. Mitochondrial dysfunction and oxidative stress were frequently cited as key contributors to neuronal damage following surgery. In terms of clinical management, the literature suggests that early cognitive assessment and tailored anesthetic strategies may reduce the risk of long-term impairment. Although definitive treatment remains elusive, this review highlights the importance of early identification and multidisciplinary approaches to mitigate POCD in post-craniotomy patients. Future research should prioritize standardized diagnostic criteria and explore neuroprotective interventions to improve cognitive outcomes following neurosurgical procedures.
The Effect of Left Lateral Positioning on Hypotension in Cesarean Section Patients Under Spinal Anesthesia Immediately After Injection Frengky, Frengky JF; Rahmaya Nova Handayani; Septian Mixrova Sebayang
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.130

Abstract

Background: Hypotension is one of the complications that often occurs in cesarean section patients undergoing spinal anesthesia. One non-pharmacological measure that can be taken to prevent hypotension is to change the patient's position to the left side immediately after the spinal anesthesia injection. Purpose: This study aimed to examine the effect of left lateral positioning on the incidence of hypotension in cesarean section patients at Pusri Palembang Hospital. Methods: A quantitative approach with a pre-experimental one group pretest-posttest design was used. A total of 52 patients were selected using purposive sampling. Data were analyzed using the Wilcoxon Signed Ranks Test. Results: The results showed a statistically significant difference in mean arterial pressure (MAP) before and after the left lateral positioning, with a Z value of -6.283 and a p-value < 0.001. The average MAP increased from 65.81 mmHg to 77.77 mmHg, and the average heart rate decreased from 112.40 bpm to 80.58 bpm. These results indicate that the left lateral position is effective in stabilizing patient hemodynamics and reducing the risk of hypotension. Conclusions: This finding supports the use of left lateral positioning as a simple, non-invasive, and cost-effective initial intervention in obstetric spinal anesthesia management.
Co-Authors A, Anggiatwan A, M Aryadi Achmad Djuneadi Adi Ryanto Adiratna Sekar Siwi Adriyani, Fauziah Hanum Nur Afandy, Dian Nurnatasha Afrilies, Marlia Hafny Agus, Dwi Amana, Titin Selwia Arni Nur Rahmawati Asmat Burhan Atun Raudotul Ma&#039;rifah Atun Raudotul Ma’rifah Atun Raudotul Ma’rifah Atun Raudotul Ma’rifah AZ ZAHRA, FITRAH ANNISA Bambang P, Yohanes Burhan, Asmat Cahyaningrum, Etika Dewi Cahyono, Anar Catur Sayekti Denni, Febby Febrian Denny Agustiningsih Diah Rahmawati Dwi Novitasari Eko Hermawan Krisiyanto Evi Dayanti Eza Kemal Firdaus Fadlillah Fadlillah Fandi Gunawan Farah Fildzah Fauziah, Dian Nur febriyanti febriyanti Feti Kumala Dewi Firdaus, Eza Kemal Frengky, Frengky JF Futuh, Muhammad Fathul Gatri Asti Putri HARNITA HARNITA Hasibuan, Verawati Hidu, Asfan La Hikmanti, Arlyana Indri Heri Susanti, Indri Heri Ita Aprilyani Jerau, Emiliani Elsi Kelvin Angling Kusumo Kharisma Aditama Khoirussalim, Moh Kisdyanti, Yuniar Melissa Linda Yanti Ma?rifah, Atun Raudotul Made Suandika Mariah Ulfah Maryadi, Adi Mawuntu, Jordan Herling Turang Meliana, Vanessa Febri Muhammad Galih Widyanto Mulyaningsih, Amalia Erna Muris, Theresia Uci Ikayun Murniati - Murniati . Murniati Murniati Murniati Murniati Muti, Refa Teja Nailli, Yuris Tri Nisha, Zuhrotun Noor Yunida Triana Nurjanah, Putri Aulia Pramesti Dewi Puspitasari, Nevalia Kinanda Ririn Isma Sundari Rohmah, Ayu Nurita Sasmitha, Anggraeny Rara Savitri, Annistia Intan Septian Mixrova Sebayang Setianingsih, Sitti Setyawati, Martyarini Budi Setyo, Tri Panji Sofia Nanda Arista Suci Khasanah Sufyan, Muhammad Ali Suhendro , Anton Surtiningsih SURTININGSIH, SURTININGSIH Suryani, Roro Lintang Susanto, Amin Susilawati, Evawani Syabilla Afifuddin Suat Syahputra, Yoga Tanjung, Ar-Rahman Tri Panji Setyo Utami, Firda Aulia Putri Vian Putria Isma Wibowo, Tophan Heri Wijayanti, Indri Yantoro , Awal Tunis Yantoro, Awal Tunis Yazid Muhammad Fardan Yudha, Magenda Bisma Yulianto, Dwi Agus