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GAMBARAN KEJADIAN HIPOTENSI PADA PASIEN SECTIO CAESAREA DENGAN SPINAL ANESTESI DI RUMAH SAKIT EMANUEL BANJARNEGARA Puspitasari, Nevalia Kinanda; Handayani, Rahmaya Nova; Firdaus, Eza Kemal
Jurnal Ilmu Kedokteran dan Kesehatan Vol 10, No 12 (2023): Volume 10 Nomor 12
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v10i12.12606

Abstract

Abstrak: Gambaran Kejadian Hipotensi Pada Pasien Sectio Caesarea Dengan Spinal Anestesi Di Rumah Sakit Emanuel Banjarnegara. Anestesi spinal umumnya digunakan pada sectio caesarea karena keseimbangan risiko dan manfaat dari anestesi spinal. Namun, ada efek samping yang terkait dengan anestesi spinal seperti hipotensi. Tujuan umum penelitian ini yaitu untuk mengetahui karakteristik responden meliputi Usia, IMT dan Paritas serta untuk mengidentifikasi gambaran kejadian hipotensi pada pasien sectio caesarea dengan spinal anestesi di Rumah Sakit Emanuel Banjarnegara. Jenis penelitian merupakan deskriptif kuantitatif. Sampel penelitian merupakan pasien sectio caesarea yang dilakukan tindakan anestesi spinal yang memenuhi kriteria. Adapun teknik sampling yang digunakan convenience sampling menghasilkan 55 responden. Instrumen penelitian dengan lembar observasi dan monitor anestesi. Hasil penelitian didapatkan sebagian besar mengalami kejadian hipotensi adalah berusia berisiko (<20 tahun atau > 35 tahun) sebanyak 88,2%, IMT gemuk (>25 kg/m2) sebanyak 83,3% dan paritas primipara sebanyak 77,8%. Pasien sectio caesarea dengan spinal anestesi mengalami hipotensi 74,5% orang dan 25,5% orang tidak hipotensi. Sebagai hasil dari penelitian ini, perhatian harus diberikan pada terjadinya hipotensi selama anestesi spinal untuk mengurangi risiko yang merugikan.
Peningkatan Pengetahuan dan Keterampilan Dalam Penanganan Pertolongan Pertama Pada Luka Bakar Desa Ledug Purwokerto Khoirussalim, Moh; Handayani, Rahmaya Nova; Rahmawati, Arni Nur
Nanggroe: Jurnal Pengabdian Cendikia Vol 3, No 6 (2024): September
Publisher : Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13683311

Abstract

Burns are a type of tissue damage or loss caused by contact with heat sources such as fire, boiling water, hot oil, electric shockand chemicals. Special treatment or first aid for burns is by removing accessories attached to the skin. Then pour room temperature water on the burned area for 15 minutes or use running water and bandage using a soft cloth or cotton that has been moistened with water. The purpose of this community service is to improve the knowledge and skills of the community in handling first aid for burns in Ledug Village, Kembaran District, BanyumasRegency. The method of community service is by lecture and demonstration methods. Participans who attended and participated in the activity were 40 people. The activity was carried out in the yard of the Alwakafiyah Mushola RW 05 Ledug Village, Purwokerto on Tuesday, July 9, 2024. The media used were powerpoint, leaflets, and videos. Results of community service characteristics of participants based on age, the largest is 56-75 years old with 25 participants, participants based on education are elementary school with 25 participants, while the largest participant based on occupation are housewives with 35 participants. Level of knowledge before education, 13 participants (32.5%), have sufficient knowledge. Meanwhile, after being given education, 31 participants (77,5%) are in the good category. Level of skills before given education and demonstration, all participants are unskilled, 40 participants (100%), meanwhile, after being given education and demonstration, 24 participants (50%), have skilled and 10 participants (40%) have less skilled.
Implementasi Relaksasi Benson dalam Menurunkan Skala Nyeri pada Pasien Post Operasi Futuh, Muhammad Fathul; Handayani, Rahmaya Nova; Surtiningsih, Surtiningsih
Jurnal Peduli Masyarakat Vol 6 No 3 (2024): Jurnal Peduli Masyarakat: September 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i3.4289

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Di Indonesia tercatat lebih dari 1,2 juta pasien menjalani operasi setiap tahunnya. Pasien yang telah menjalani operasi sering kali mengalami masalah umum ketika mereka di rawat di rumah sakit setelah operasi. Salah satu masalah yang sering muncul pada post operasi adalah nyeri post operasi. Teknik relaksasi Benson bisa menjadi salah satu cara non-farmakologis untuk menangani nyeri. Di RSUD Nyi Ageng Serang menunjukkan bahwa dari 59 partisipan dengan nyeri sedang yang telah diberikan relaksasi Benson, 32 partisipan mengalami penurunan skala nyeri menjadi nyeri ringan. Berdasarkan uraian tersebut telah terbukti bahwa tekhnik relaksasi Benson berpengaruh dalam menurunkan nyeri pada pasien yang mengalami luka post operasi. Khalayak sasaran PKM ini adalah pasien post operasi Di RSUD Hj. Anna Lasmanah Banjarnegara yang mengalami nyeri. kegiatan PkM menunjukkan sebelum intervensi, tingkat nyeri berada dalam kategori sedang dengan nilai rata-rata 5,36 dan setelah intervensi skala nyeri berada dalam kategori ringan dengan nilai rata-rata 2,4. Rata-rata tingkat penurunan nyeri sebesar 2,96. Kesimpulan dari kegiatan PkM ini adalah relaksasi Benson dapat di aplikasikan untuk menurunkan nyeri pada pasien post operasi. Kegiatan ini diharapkan mampu menurunkan nyeri pada pasien post operasi serta nantinya bisa dijadikan media pembelajaran Di Universitas Harapan Bangsa Purwokerto.
Edukasi Relaksasi Otot Progresif terhadap Dismenorea pada Remaja Putri Sasmitha, Anggraeny Rara; Handayani, Rahmaya Nova; Jerau, Emiliani Elsi
Jurnal Peduli Masyarakat Vol 6 No 3 (2024): Jurnal Peduli Masyarakat: September 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i3.4406

Abstract

Dismenorea adalah istilah medis dari kondisi nyeri haid atau kram perut yang terjadi setiap kali saat menstruasi. Penanganan dismenorea dapat dilakukan melalui intervensi nonfarmakologi, salah satunya adalah dengan teknik relaksasi otot progresif. Tujuan dari kegiatan Pengabdian kepada Masyarakat (PkM) ini adalah untuk memperluas pemahamam remaja putri mengenai manfaat relaksasi otot progresif dalam mengatasi dismenorea. Metode yang digunakan dalam PkM ini yaitu ceramah dan demonstrasi, dengan media berupa presentasi Power Point, leaflet, dan video. Kegiatan PkM ini dilaksanakan di SMAN 5 Purwokerto pada 19 Agutus 2024. Peserta dalam kegiatan PkM ini sebanyak 40 orang Siswi kelas XI. Pelaksanaan PkM diawali dengan kegiatan pre test dan diakhiri kegiatan post test. Pre test dan post test dilakukan dengan mengisi lembar checklist untuk mengetahui tingkat pengetahuan peserta PKM. Setelah kegiatan PkM, mayoritas peserta memiliki pengetahuan dalam kategori cukup sejumlah 23 orang (57,5%) dan dalam kategori baik sejumlah 14 orang (35%). Rata-rata pengetahuan peserta sebelum edukasi adalah 6,98, sedangkan setelah edukasi meningkat menjadi 11,65. Luaran dari PkM ini meliputi leaflet dan publikasi ilmiah. Kesimpulan dari kegiatan ini adalah teknik relaksasi otot progresif dapat di aplikasikan sebagai salah satu terapi non farmakologi untuk mengatasi disminorea.
Edukasi Tentang Pertolongan Pertama Pada Kecelakaan (P3K): Balut Luka Desa Ledug Purwokerto Savitri, Annistia Intan; Handayani, Rahmaya Nova; Wibowo, Tophan Heri
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13823067

Abstract

Background:First Aid for Accidents (P3K) is an action that can be given to treat victims as soon as possible at the scene before medical personel take over the treatment. First aid for accidents in the home environment is very helpful in minimizing the occurrence of infection in victims. Purpose :The purpose of implementing this community service is to determine the level knowledge of resident regarding first aid for wound dressing accidents. Methode: The Community Service method is by lecture and demonstration methods. There were 30 participants present. The activity was carried out in Ledug Village on Monday, Juli 29 2024 with media used, namely power point, leaflets, and audio vinni. Results : Results of Community service the level of knowledge before education was carried out was 25 participants (83,3%) had low knowledge, 5 participants (16.7%) had high knowledge. Meanwhile, after being given education, 25 participants (83,3%) had high knowledge and 5 participants (16.7%) had low knowledge. The skill level obtained from the pre-test skill results almost all participants did not have the skills as many as 28 participants (93.3%) while after being given a demonstration and audi visual the skill level increased to 15 participants (60%) and 12 participants (40%) had not had an increase. Consclusion: based on the results of the pre-test and post test percentages, the level of knowledge and skills that have been carried out showed an increase in the output of Journal of  Education on First Aid (P3K) balut luka.
Gambaran Pengetahuan Penata Anestesi dan Perawat Icu Tentang Pengkajian Nyeri Nonverbal Adult Pain Scale Pada Pasien Tersedasi di RSUD Prof. Dr. Margono Soekarjo Purwokerto Afandy, Dian Nurnatasha; Handayani, Rahmaya Nova; Wibowo, Tophan Heri
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13729987

Abstract

Background: Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Accurate pain assessment requires health workers to use appropriate tools tailored to the patient's condition. Purpose: To evaluate the knowledge of anesthetists and ICU nurses regarding the nonverbal pain assessment using the Nonverbal Adult Pain Scale sedated patients at RSUD Prof. Dr. Margono Soekarjo Purwokerto. Research Method: This descriptive quantitative study employed a cross-sectional design with a total sampling technique involving 85 participants. Data were collected through questionnaires. Results: The majority of participants were aged 21-30 years (40.0%), held a DIV/S1 level of education (37.6%), and had 0-5 years of experience (36.5%). Analysis revealed that 68.2% of anesthetists and ICU nurses had a good level of knowledge regarding NVPS. Knowledge was particularly strong among those aged 31-40 years, with a D4/S1 education level and 0-5 years of work experience. The majority of respondents with sufficient knowledge were aged 21-30 years, nurse education, and experience >10 years. Meanwhile, for those with less knowledge, the majority are aged 31-40 years, have a DIII education, and have work experience of 6-10 years.
Gambaran Kesulitan Intubasi Berdasarkan Pengulangan Intubasi di Rumah Sakit Umum Daerah Provinsi Papua Barat Mawuntu, Jordan Herling Turang; Wibowo, Tophan Heri; Handayani, Rahmaya Nova
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13855429

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Difficult intubation is a condition in which direct laryngoscopic intubation, with placement of the intubation tube below the laryngeal inlet, is problematic or impossible. Risk factors for difficult intubation include a short and thick neck, a large tongue, impaired neck and jaw mobility, or obesity. The main scope of interest in this article is obesity. In obese patients (body mass index [BMI]>35), difficult intubation is caused by fat accumulation in the oral cavity, cheeks, and a relatively thick tongue. This type of research is a non-experimental qualitative study. The design of this study is descriptive. With a Cross Sectional approach. The sampling technique in this study is total sampling. Total sampling is a sampling technique where the number of samples is the same as the population. Based on the research results obtained from the results of patient anamnesis, it was found that most respondents did not have difficulty intubation or as many as 46 respondents did not experience difficulty intubation or 92.0%, and for respondents who experienced difficulty intubation as many as 4 respondents or 8.0 %.
Perbedaan Efektivitas Komunikasi Terapeutik Metode Helping Relationship dan Self Efficacy Terhadap Penurunan Kecemasan Pre-Operasi Pada Pasien Sectio Caesarea di RSUD Dr Soedirman Kebumen Utami, Firda Aulia Putri; Burhan, Asmat; Handayani, Rahmaya Nova
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13743825

Abstract

Fenomena persalinan secara section caesarea (SC) cukup tinggi terjadi di Indonesia, hasil Riskesdas tahun 2019 menunjukkan kelahiran dengan section caesarea (SC) sebesarr 17,6% dengan proporsi tertinggi di sumatera utara 23,9% dan terendah di papua 6,7%. .Kecemasan pada ibu hamil yang akan dilakukan section caesarea (SC) bermacam-macam alasan diantaranya cemas menghadapi ruang operasi dan peralatan operasi, terjadinya perubahan fisik, takut di bius, operasi gagal, masalah biaya yang membengkak dan cemas kalau bayinya meninggal. Salah satu cara mengatasi kecemasan adalah dengan pemberian komunikasi terapeutik metode helping relationship dan self efficacy. Tujuan : perbedaan efektivitas komuniksi terapeutik metode helping relationship dan self efficacy terhadap penurunan kecemasan pre-operasi pada pasien section caesarea (SC). Metode: penelitian ini kuantitatif, quasy experiment dengan menggunakan desain Pretest-Posttest Control Group design, dengan jumlah responden 80. Penelitian dilakukan pada 23 juli 2024 - 7 Agustus 2024 di RSUD Dr Soedirman Kebumen. Instrumen menggunakan Amsterdam Preoperative Anxiety and Information Scale (APAIS) dengan analisis statistik menggunakan uji Wilcoxon dan uji Mann Whitney-U. Hasil: untuk hasil helping relationship dan self efficacy keduanya tidak ada perbedaan, namun hasil mean rank lebih rendah helping relationship.
Hubungan Jumlah Perdarahan Terhadap Kejadian Shivering Pasca Spinal Anestesi di Rumah Sakit Karya Medika I Cikarang Barat Hasibuan, Verawati; Wibowo, Tophan Heri; Handayani, Rahmaya Nova
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13855433

Abstract

Shivering or the occurrence of teething 1 is one form of response in thermogenesis, which is characterized by an increase in muscular activity that often occurs after anesthesia, especially spinal anesthesia in patients undergoing surgery. Risk factors for shivering after anesthesia include age, duration of surgery, cold environmental temperature and amount of bleeding. The amount of bleeding can affect thermoregulation so that the body compensates for the decrease in body temperature to increase heat production. The purpose of this study was to determine the relationship between the amount of bleeding and the incidence of shivering after spinal anesthesia at Karya Medika I Hospital, West Cikarang. This type of research is a descriptive analytical design study with a cross sectional approach. Sampling using probability sampling technique with saturated sampling (census) of 30 respondents, Research instrument observation sheet The results of the study showed that there was a significant relationship between the amount of bleeding and the incidence of shivering in patients with spinal anesthesia with the results of the Spearman Rank test p value of both variables is 0.001-0.05.
Studi Kelengkapan Dokumentasi Pra Intra dan Pasca Anestesi di RSUD Dr. M. Ashari Pemalang Susilawati, Evawani; Handayani, Rahmaya Nova; Suryani, Roro Lintang
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13823202

Abstract

Medical records have a function to maintain and provide information for all parties involved in providing health services to patients. Completeness of anesthesia medical records is an important key element of good and quality anesthesia service practice. The study aims to determine the completeness of pre, intra, and post-anesthesia documentation at RSUD Dr. M. Ashari Pemalang. This research method is descriptive quantitative with a sample of 93 medical record documents taken with probability sampling technique. Data was collected by observing medical record documents then recording the completeness of documentation using a checklist. The results showed that the completeness of pre-anesthesia medical record documentation was 94.6% on the pre-anesthesia assessment form and 91.4% on the pre-induction assessment form. The completeness of intra-anesthesia medical record documentation was 96.8% on the anesthesia report form and 93.5% on the intra-anesthesia monitoring form. The completeness of post-anesthesia medical record documentation was 91.4% on the post-anesthesia documentation form. This means that the completeness of pre-, intra- and post-anesthesia medical record documentation at RSUD Dr. M. Ashari Pemalang has not reached the hospital’s minimum service standard of 100%. It is necessary to monitor and evaluate the implementation of anesthesia medical record documentation so that the achievement results are in accordance with hospital service standards.
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 Aldi Hartono, Mochamad Amana, Titin Selwia Aprilyani, Ita Arni Nur Rahmawati Asmat Burhan Atun Raudotul Ma&#039;rifah Atun Raudotul Ma’rifah Atun Raudotul Ma’rifah AZ ZAHRA, FITRAH ANNISA Bambang P, Yohanes Burhan, Asmat Cahyani, Regita Lintang 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 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 Jarod, Muhammad Jerau, Emiliani Elsi Kelvin Angling Kusumo Kharisma Aditama Khoirussalim, Moh Kholiqin, Nur Kisdyanti, Yuniar Melissa Linda Yanti Ma?rifah, Atun Raudotul Ma’rifah, Atun Raudotul Made Suandika Mariah Ulfah Maryadi, Adi Mawuntu, Jordan Herling Turang Meliana, Vanessa Febri Muhammad Galih Widyanto Mulyaningsih, Amalia Erna Muntasir, Eva Muris, Theresia Uci Ikayun Murniati - Murniati . Murniati Murniati Murniati Murniati Muti, Refa Teja Nailli, Yuris Tri Ningrum, Ema Wahyu Nisha, Zuhrotun Noor Yunida Triana Novaliyanto, Sakhfa Syesar Nurjanah, Putri Aulia Permata, Pramudya Putra Pramesti Dewi Pratiwi, Syavira Salsabilah Putri Nola Puspitasari, Nevalia Kinanda Ririn Isma Sundari Rohmah, Ayu Nurita Sandi Saputra 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 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