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Edukasi Pasien untuk Mengurangi Ketidaknyamanan Pasca Ekstubasi Endotracheal Tube General Anestesi Aldi Hartono, Mochamad; Setyawati, Martyarini Budi; Handayani, Rahmaya Nova
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 6 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i6.691

Abstract

Introduction: General anesthesia with endotracheal intubation frequently results in post-extubation discomfort manifested as sore throat, hoarseness, and respiratory distress due to airway trauma. Non-pharmacological education is essential to enhance patients’ understanding in minimizing these complaints. Objective: This community service activity aims to provide information and improve patients’ knowledge regarding the management of discomfort following ETT extubation. Methods: The activity commenced with participant identification, informed consent, and coordination with healthcare personnel. Thirty participants who underwent general anesthesia with ETT took part in this program. The activity employed an educational approach through interactive lectures and demonstrations to facilitate a deeper understanding of the material. Education was delivered for approximately 10 minutes using brochures and videos, beginning with a pre-test and concluding with a post-test. Evaluation was conducted using a questionnaire to measure the effectiveness of the educational intervention in enhancing patients’ knowledge after extubation. Results: The findings demonstrated an improvement in participants’ knowledge, wherein prior to the education, all participants (100%) had limited understanding, while after the intervention, the majority (25 participants; 83.3%) exhibited very good knowledge. The educational intervention proved effective in improving patients’ understanding of discomfort management following extubation. Conclusion: Education utilizing brochures and videos was effective in enhancing patients’ knowledge regarding the management of discomfort after extubation.
Gambaran Hemodinamik Pasien pada Pembedahan Laparaskopi dan Laparatomi dengan General Anestesi di RSUD Kardinah Tegal Cahyani, Regita Lintang; Handayani, Rahmaya Nova; Adriyani, Fauziah Hanum Nur
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 5 No. 3 (2025): November : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v5i3.8324

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Among various surgical procedures, laparotomy and laparoscopy are among the most frequently performed, especially in cases involving abdominal organs. Both procedures use general anesthesia, but there are differences that affect patient stability, particularly regarding hemodynamic aspects such as blood pressure, pulse rate, and oxygen saturation. These factors can stem from organ manipulation during surgery, bleeding, increased intra-abdominal pressure, or the effects of anesthesia. This study aims to describe the hemodynamic conditions of patients during the pre- and intraoperative phases of laparotomy and laparoscopy. Using a comparative quantitative descriptive study design using a cross-sectional approach, the sample consisted of 52 patients, divided into 26 patients undergoing laparotomy and 26 patients undergoing laparoscopy. An observation sheet was used to collect data. The results of observations during the preoperative phase showed that all patients were hemodynamically stable and within the normal range. However, during surgery, laparotomy patients tended to experience a more significant decrease in blood pressure compared to the laparoscopy group, with an average of 107.3/65.65 mmHg. In contrast, in patients undergoing laparoscopy, a more pronounced increase in heart rate was identified, with an average of 73.26 beats per minute. Despite this difference in response, oxygen saturation levels generally remained stable both pre- and intraoperatively in both patient groups.
Pengaruh Pemberian Posisi Duduk 3 Menit Setelah Induksi Spinal Anestesi Terhadap Pencegahan Hipotensi Pada Pasien Sectio Caesarea Di RSUD Tgk. Abdullah Syafi’i Beureuneun Kabupaten Pidie Provinsi Aceh Fadlillah, Fadlillah; Handayani, Rahmaya Nova; Aprilyani, Ita
Viva Medika Vol 16 No 2 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i2.912

Abstract

Hypotension is one of the side effects of spinal anesthesia. Giving a sitting position for three minutes after spinal injection is one of the actions taken to reduce the incidence of hypotension. The aim of this study was to determine the effect of giving a sitting position 3 minutes after induction of spinal anesthesia on the prevention of hypotension in sectio caesarea patients at Tgk. Abdullah Syafi'i Beureuneun, Pidie District, Aceh Province. This research method is a Quasi Experiment with a Posttest-Only Control Design approach. The number of samples in this study were 80 sectio caesarea patients who were divided into 2 groups, namely 40 experimental groups and 40 control groups. The instrument used in this study was an observation sheet on the incidence of hypotension in patients with sectio caesarea. Data analysis was performed univariately and bivariately using the Mann-Whitney test. The results showed that the characteristics of respondents based on age found the majority aged 20-35 years as many as 74 respondents (92.5%), based on the number of children or parity the majority were multipara (2-5) as many as 66 respondents (82.5%) and based on the education of the majority SMA as many as 59 respondents (73.3%). There is an effect of sitting position 3 minutes after induction of spinal anesthesia on the prevention of hypotension in sectio caesarea patients with a p-value of 0.000 (P<0.05). This study concluded that there was an effect of sitting position 3 minutes after induction of spinal anesthesia on the prevention of hypotension in sectio caesarea patients at Tgk. Abdullah Syafi'i Beureuneun, Pidie District, Aceh Province.
Analisis Faktor Yang Mempengaruhi Kejadian Post Operatif Nausea and Vomiting (Ponv) Pada Pasien Sectio Caesarea Dengan Anestesi Spinal Di RSUD Tgk Chik Ditiro Sigli Kabupaten Pidie Provinsi Aceh Muntasir, Eva; Handayani, Rahmaya Nova; Ningrum, Ema Wahyu
Viva Medika Vol 16 No 2 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i2.920

Abstract

Postoperative nausea and vomiting (PONV) is a side effect that often occurs after anesthesia, with an incidence of approximately 1/3 of all patients undergoing surgery. This study aims to analyze the factors that influence the incidence of postoperative nausea and vomiting (PONV) in sectio caesarea patients under spinal anesthesia at Tgk Chik Ditiro Sigli Hospital, Pidie District, Aceh Province. This research method uses a type of cross-sectional analytic survey. The sampling technique in this study used the Accidental Sampling technique for 51 respondents from a total population of 103 patients. The instrument in this study was patient observation sheets obtained through observation through interviews and patient medical records. Data analysis was performed univariately and bivariately using the chi-square test. The results showed that there was an effect of age (p=0.001), parity (p=0.006) and anxiety (p=0.000) on the incidence of post operative nausea and vomiting (PONV) in sectio caesarea. This study concludes that there is an effect of age, parity and anxiety on the incidence of postoperative nausea and vomiting (PONV) at Tgk Chik Ditiro Sigli General Hospital, Pidie District, Aceh Province
Pertolongan Pertama Anak Kejang Demam Handayani, Rahmaya Nova
Jurnal Pengabdian Masyarakat - PIMAS Vol. 3 No. 1 (2024): Februari
Publisher : LPPM Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/pimas.v3i1.1343

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Children are unique creatures with different physiological functions. This difference of course also has an impact on the health status of children, such as their susceptibility to fever and seizures, the first aid measures taken will have an impact on the subsequent health status of the child. However, based on some research results for handling first aid in various cases such as fever and seizures, most of them have sufficient knowledge around 50%, good around 15% and 35% are lacking. So, in this case, it is concluded that the handling of first aid in children still needs to be improved. This consultation focuses on the first treatment of children with fever and seizures. Because these 2 cases are the most common that occur in children. The purpose of the activity is to improve the knowledge and skills of handling first aid in children with fever and seizures in all parents at PAUD Sinar Mentari Purwokerto. The activity plan was carried out in the form of coordination of activities with puskesmas, coordination with parents, identification of health problems, joint problem solving in the form of counseling, training and preparation of activity reports. The results before being given counseling the majority of knowledge levels were lacking 66.6%, and after counseling with good knowledge 54.2%. There is an increase in parental knowledge and skills towards the first cut in children with febrile seizures.
Pengaruh Latihan Pasif Ekstremitas Bawah Terhadap Percepatan Bromage Score Pada Pasca Anestesi Spinal di Ruang Pulih Sadar Rumah Sakit Bedah Khusus Jatiwinangun Saputra, Sandi; Handayani, Rahmaya Nova; Hikmanti, Arlyana
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 6 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.10653046

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Persepsi motorik terhadap pergerakan tungkai bawah ditunjukkan oleh skor pengukuran bromage. Menurut Lewis (2016), latihan pasif ekstremitas bawah yang efektif dapat meningkatkan kemampuan pergerakan kaki, yang merupakan salah satu persyaratan penting yang harus dipenuhi. Latihan ekstremitas bawah, yang mencakup mobilitas dan kemampuan bergerak bebas, dapat memberikan skor Bromage 2. Ini menunjukkan bahwa pasien pulih dari anestesi dengan skor bromage yang lebih baik dan pemulihan fungsional yang lebih baik. Tujuan utama penelitian ini adalah untuk mengetahui bagaimana latihan pasif ekstermitas bawah mempengaruhi skor percepatan bromage pada pasien yang menjalani anestesi spinal di ruang pulih sadar Rumah Sakit Bedah Khusus Jatiwinangun. Penelitian menggunakan desain quasi experimental design. Penelitian ini dilakukan pada tanggal 23 Juni-20 Juli 2023 dengan jumlah sampel sebanyak 40 orang. Analisa data menggunakan uji statistik shapiro wilk. Hasil penelitian didapatkan rata-rata percepatan Bromage Score pada kelompok intervensi dan kontrol yaitu 52,5 dalam waktu 1-2 jam. Hasail uji statistic p value 0,004 ( p<0,05). Simpulan terdapat pengaruh latihan pasif ekstremitas bawah terhadap percepatan Bromage Score pada pasien post operasi di Rumah Sakit Bedah Khusus Jatiwinangun.
Pengaruh Blanket Warmer Terhadap Hipotermi Pada Pasien Pasca General Anestesi di Rumah Sakit Jatiwinangun Purwokerto Jarod, Muhammad; Wibowo, Tophan Heri; Handayani, Rahmaya Nova
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 8 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.11112343

Abstract

Hipotermi merupakan konsekuensi yang signifikan dengan angka kematian mendekati 50%, sering terjadi pada pasien setelah operasi yang dilakukan dengan anestesi umum. Mitigasi hipotermi pada tubuh manusia dapat dilakukan dengan intervensi nonfarmakologis yang menggunakan teknik penghangatan, seperti penggunaan alat blanket warmer. Tujuan dari penelitian ini adalah untuk menilai dampak pemberian blanker warmer terhadap terjadinya hipotermi pada individu setelah pemberian anestesi umum. Metodologi penelitian yang digunakan dalam penelitian ini menggunakan desain pra-eksperimental termasuk desain one-group pretest-posttest. Teknik pengambilan sampel yang digunakan adalah metode nonprobability sampling, khususnya pendekatan konsekutif sampling. Penelitian ini menggunakan jumlah sampel sebanyak 38 partisipan. Tujuan khusus dari penelitian ini adalah untuk memastikan adanya hipotermi baik sebelum maupun sesudah pemberian blanket warmer, serta untuk mengevaluasi dampak penggunaan blanket warmer terhadap terjadinya hipotermi. Uji Wilcoxon menghasilkan nilai p sebesar 0,000, lebih kecil dari tingkat signifikansi yang telah ditentukan yaitu 0,05. Temuan penelitian ini menunjukkan adanya dampak penting penggunaan blanket warmer terhadap terjadinya hipotermi pada pasien yang menjalani anestesi umum di Instalasi Bedah Sentral RS Jatiwinangun Purwokerto.
PERSEPSI DAN MINAT MAHASISWA DALAM PROSES PEMBELAJARAN BERBASIS HYBRID LEARNING DI PROGRAM STUDI KEPERAWATAN ANESTESIOLOGI UNIVERSITAS HARAPAN BANGSA Pratiwi, Syavira Salsabilah Putri Nola; Handayani, Rahmaya Nova; Burhan, Asmat; Susanto, Amin
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 9 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.11183278

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Proses pembelajaran online yang terjadi selama masa pandemi covid-19 dinilai kurang efektif karena pembelajaran membutuhkan adanya interaksi antara peserta didik dan pengajar seperti pembelajaran praktikum, sehingga perlu dilakukan pembelajaran campuran atau hybrid learning. Selama proses pembelajaran hybrid terdapat beberapa kendala seperti persepsi mahasiswa dan minat mahasiswa untuk mengikuti proses pembelajaran hybrid. Penelitian ini dilakukan dengan tujuan untuk mengetahui persepsi dan minat mahasiswa terkait proses pembelajaran berbasis hybrid learning di Program Studi Keperawatan Anestesiologi Universitas Harapan Bangsa. Penelitian ini menggunakan desain deskriptif dan cross sectional sebagai pendekatannya. mahasiswa aktif prodi Sarjana Terapan Keperawatan Anestesiologi Universitas Harapan Bangsa angkatan 2019/2020 sebanyak 100 responden dijadikan sebagai responden menggunakan teknik convenience. Alat yang digunakan untuk mendapatkan data yaitu lembar kuesioner. Analisis dilakukan dengan distribusi frekuensi. Penelitian ini menunjukkan karakteristik mahasiswa Sarjana Terapan Keperawatan Anestesiologi di Universitas Harapan Bangsa sebagian besar memiliki jenis kelamin perempuan (60%) dan memiliki minat yang tinggi (51%). Persepsi mahasiswa terkait proses pembelajaran berbasis hybrid learning hampir seluruh responden memiliki persepsi yang positif (94%). Kesimpulan penelitian persepsi dan minat mahasiswa terkait proses pembelajaran berbasis hybrid learning dalam kategori positif dan tinggi.
KUALITAS HIDUP PENDERITA KANKER SERVIKS Setyo, Tri Panji; Ma’rifah, Atun Raudotul; Handayani, Rahmaya Nova
Jurnal Keperawatan 'Aisyiyah Vol. 4 No. 1 (2017): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.651 KB) | DOI: 10.33867/jka.v4i1.10

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Kanker serviks merupakan masalah kesehatan perempuan sehubungan dengan angka kejadian dan angka kematiannya yang tinggi, kanker serviks diperkirakan diderita oleh 500 ribu wanita tiap tahunnya. Penelitian bertujuan untuk mengetahui kualitas hidup penderita kanker serviks DI RSUD Prof. Dr. Margono Soekarjo Purwokerto. Jenis penelitian yang digunakan yaitu kualitatifdengan pendekatan secara fenomenologis. Partisipan dipilih menggunakan teknik sampling snowball sebanyak 5 partisipan. Teknik pengambilan data menggunakan wawancara mendalam dengan menggunakan pedoman wawancara. Hasil wawancara yang telah dilakukan menunjukkan bahwa semua partisipan yang menderita kanker serviks memiliki kualitas hidup yang baik, dimana partisipan masih tetap menjalani kesehariannya dengan baik tanpa merasa minder, malu maupun putus asa. Partisipan menilai bahwa penyakit yang dideritanya bukanlah suatu halangan untuk melakukan sesuatu, sehigga partisipan masih tetap aktif dalam beberapa kegiatan yang ada di masyarakat seperti pengajian, kumpulan ibu-ibu PKK maupun arisan. Kualitas hidup yang baik pula dicerminkan oleh partisipan dengan melakukan pendekatan diri kepada Tuhan dengan cara meningkatkan ibadahnya dan berdoa. Kesimpulan penelitian adalah partisipan memiliki kualtias yang baik dan keluarga merupakan faktor terpenting dalam menunjang baiknya kualitas pasien kanker serviks.
GAMBARAN KEBUTUHAN CAIRAN DAN ELEKTROLIT PADA PEMBEDAHAN NEFROTOMI: NARRATIVE REVIEW Suandika , Made; Febriyani, Ceria; Handayani, Rahmaya Nova; Wardani , Ayu; Djafar , Anisa Dwiyanti
JURNAL PENELITIAN TERAPAN KESEHATAN Vol 12 No 2 (2025): JURNAL PENELITIAN TERAPAN KESEHATAN
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jptk.v12i2.1161

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ABSTRAK Nephrotomy procedures, whether elective such as Percutaneous Nephrolithotomy (PCNL) or emergency due to renal trauma, carry a significant risk of disrupting fluid and electrolyte homeostasis. Perioperative fluid imbalance increases the risk of complications including hypovolemia, hypervolemia, electrolyte disturbances (hyperkalemia, hyponatremia), metabolic acidosis, and Acute Kidney Injury (AKI), particularly in patients with Chronic Kidney Disease (CKD). This narrative review aims to analyze perioperative fluid management requirements in nephrotomy surgery based on recent scientific literature. Articles were identified through Google Scholar and PubMed, with 15 publications from 2011–2024 selected based on relevance to perioperative fluid therapy and nephrotomy. The synthesis indicates that optimal fluid strategies include preoperative hydration optimization through Enhanced Recovery After Surgery (ERAS) protocols, intraoperative hemodynamic-based fluid therapy such as Perioperative Goal-Directed Therapy (PGDT), preference of balanced crystalloid solutions (Lactated Ringer/Acetated Ringer) to prevent hyperchloremic metabolic acidosis, and strict postoperative fluid monitoring to prevent fluid overload, especially in CKD patients with CRRT indication. In conclusion, perioperative fluid management in nephrotomy must be individualized, carefully monitored, and evidence-based to prevent postoperative renal complications and improve patient outcomes.
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 Denny Agustiningsih Diah Rahmawati Djafar , Anisa Dwiyanti Dwi Novitasari Eko Hermawan Krisiyanto Evi Dayanti Fadlillah Fadlillah Fadlillah, Fadlillah Fandi Gunawan Farah Fildzah Febriyani, Ceria febriyanti febriyanti Feryfiks Efa Manihing 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 Kerubun, Lala Indriyani Kevin Virirey Mondawitu Kharisma Aditama Khoirussalim, Moh Kisdyanti, Yuniar Melissa Linda Yanti Ma?rifah, Atun Raudotul Ma’rifah, Atun Raudotul Made Suandika Made Suandika Magenda Bisma Yudha Mariah Ulfah Martyarini Budi Maryadi, Adi Mawuntu, Jordan Herling Turang Mohammad Thoriq Hasan Muhammad Galih Widyanto Muhammad Hanif I’zaaz 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 Nurjanah, Putri Aulia Pramesti Dewi Pratiwi, Syavira Salsabilah Putri Nola Puspitasari, Nevalia Kinanda Rian Arif Kurniawan Ririn Isma Sundari Rohmah, Ayu Nurita Salim, Siti Namira J. Sandi Saputra Sasmitha, Anggraeny Rara Savitri, Annistia Intan Septian Mixrova Sebayang Setianingsih, Sitti Setyawati, Martyarini Budi Setyo, Tri Panji Sofia Nanda Arista Sridevi Suandika , Made 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 The Ayodhya Santam Budjana Utami, Firda Aulia Putri Vian Putria Isma Wardani , Ayu Wibowo, Tophan Heri Wijayanti, Indri Yantoro , Awal Tunis Yantoro, Awal Tunis Yazid Muhammad Fardan Yudha, Magenda Bisma Yulianto, Dwi Agus Yuniar Melissa Kisdyanti