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Journal : Java Nursing Journal

The Effect of Peppermint Aromatherapy (Mentha Piperita Leaf) On Reducing Post Dural Puncture Headache Pain in Post-Spinal Anesthesia Patients Riski Ardi Saputro; Suandika, Made; Sukmaningtyas, Wilis
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.98

Abstract

Background: Post-Dural Puncture Headache (PDPH), as observed clinically, is one of the most common complications of spinal anesthesia. It generally develops within 12-72 hours of the procedure. Though there are pharmacological treatments, these have largely been overshadowed by several tried-and-tested non-pharmacological techniques, which include peppermint aromatherapy, in relieving symptoms of PDPH. Purpose: This study was aimed at determining the effectiveness of peppermint aromatherapy in reducing head pain associated with PDPH among post-spinal anesthesia patients at Cilacap Regional General Hospital. Methods: A quasi-experimental study design with one group and pretest-posttest design was conducted on 39 patients experiencing PDPH. Pain was measured using the Numeric Rating Scale (NRS) prior to and post-administration of peppermint aromatherapy. The intervention was two drops of peppermint aromatherapy mixed with 100 ml of mineral water and inhaled through the humidifier for 15 minutes. Wilcoxon tests were done for statistical analysis. Results: The mean PDPH pain level before the intervention was 5.69. After inhaling peppermint aromatherapy, the mean pain level dropped significantly to 1.64 (p < 0.05). The results are interpreted with respect to the significance indicated by this difference in levels while comparing PDPH symptoms before and after treatment with peppermint aromatherapy. Conclusion: Hence, peppermint aromatherapy is a highly effective treatment modality for both patients suffering from PDPH and those who have undergone spinal anesthesia. It could be recommended as a non-pharmacological adjunct therapy in the management of PDPH. Further validations of the findings are needed through a larger sample size and controlled groups.
Description of Anesthesia Maintenance Drug Therapy In General Anesthesia Patients luthfi, Ahmad Luthfi Virgiawan Habibi; Suandika, Made; Bisma Yudha, Magenda
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.99

Abstract

Background: The purpose of general anesthesia is analgesia, eliminating anxiety, amnesia, and loss of consciousness, and suppressing cardiovascular, motor, and hormonal responses to surgical stimulation. Administering sedative and analgesic drugs is an important component in treating all critical patients. Sedatives and analgesics are used for pain management, helping to relieve patient anxiety and discomfort during invasive diagnostic and therapeutic procedures. The main indications for the use of sedatives and analgesics are to treat pain, anxiety, and agitation, amnesia, help in adjusting breathing with mechanical ventilation, and overcome decreased cellular metabolism in patients. The choice of anesthetic drug should be based on patient characteristics and conditions related to surgery and costs. The patient's condition must be really good to receive anesthesia, therefore, to avoid undesirable effects from administering anesthetic drugs, the choice of anesthetic drugs should be based on patient characteristics and conditions related to surgery and costs. During surgery, patients receive various anesthetics as maintenance anesthesia. Purpose: To understand the description of anesthesia maintenance drug therapy in general anesthesia patients at RSI Purwokerto. Method: This research is descriptive quantitative research with a cross-sectional approach. The sample used in this study was 92 general anesthesia patients at RSI Purwokerto. The sampling technique in this research used purposive sampling. Research Results: The anesthesia maintenance drug used at RSI Purwokerto was Sevoflurane as much as 80 (87%), and midazolam was used as much as 2 (2.2%). Conclusion: Most of the anesthesia maintenance drugs given to patients at RSI Purwokerto are sevoflurane.
The description of post-operative nausea and vomiting in curettage while under general anesthesia Hani, Winarni; Burhan, Asmat; Heri Wibowo, Tophan; Suandika, Made
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.101

Abstract

Background General anesthesia is the process of eliminating consciousness using medications. Curettage is the procedure to remove leftover conception material from the uterus. Currently, 37.5% of curettage procedures are due to blighted ovum. The curettage procedure causes discomfort, so it needs to be assisted with anesthesia. Purpose: to determine the incidence of PONV in post-curettage patients under general anesthesia. Method Descriptive research with a cross-sectional design. The respondents were 47 women who underwent curettage due to incomplete abortion, retained placenta, and blighted ovum, selected using a purposive sampling technique. The instruments used are a demographic data questionnaire and The Rhodes Index Nausea, Vomiting and Retching (RINVR). Data analysis employs frequency distribution. Result The characteristics of the respondents are dominated by young adults (89.4%) who have experienced PONV (23.4%). Other characteristics include that all of them do not smoke and use opioids. Based on the RINVR scale, the respondents predominantly experience light PONV (46.8%). Conclusion Post-curettage patients under general anesthesia predominantly experience light PONV (Postoperative Nausea and Vomiting).
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)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

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.
Co-Authors A, M Aryadi Adhiansyah, Rama Bagus Adiratna Sekar Siwi Aditrisna, Dita Arum Adriani, Prasanti Afdaleni Afifah, Ishma Rayhana Afriansyah, Iqbal Anggi Afrilies, Marlia Hafny Agus Triyanto Agus, Dwi Agustin, Ayu Tri Agustin, Seli Ais Asri Sanubari. NM Akbar, Fazri Alfian Heri Triyono Amalia, Cindy Amana, Titin Selwia Amar Hanif, Muhammad Amin Susanto Amin Sutanto Amir, Melani Setiaputri An An Farida Anas, Fauriza Hayatul Andini, Amelia Anggiani Nuralinda Ania, Fegy Indahliani ANISA FATMAWATI Anita Lontaan Apriliano, Raihan Rafiif Apriliyanti, Risni Ardyani, Meyla Livia Arie Pahlawan Arif Imam Hidayat Aris Ahmat Arni Nur Rahmawati Asiyah, Ruth Sabadilla Fitri Ayu Kartika Sari, Venna Ayuni, Siska Putri AZ ZAHRA, FITRAH ANNISA Azizah, Wafa Nur Azkiyah, Isnaeni Maulina Bagas Arya Wibawa Bagus Tyas Anggoro Bambang P, Yohanes Bintang Khaerunnisa, Masayu Bisma Yudha, Magenda Burhan, Asmat Cahyaningrum, Etika Dewi Chintya Chintya Dewi Nurul Khayati Danang Tri Y Danang Tri Yudono Danang Tri Yudono Dani Prastiwi Debi Ari Setiawan Debi Ari Setiawan Desy Dwi Kustiyanti Desy Nawangsari Dewi, Anggi Gusti Dewi, Hefty Kusuma DM, Peppy Octaviani Dwi ASTUTI Dwi Astuti Dwi Mustikasari Dwi Novitasari Edi Wibowo Edi Wibowo Eko Julianto El Fawwaz, Febbry Rayhan Elvina, Windy Ema Wahyu Ningrum Emiliani Elsi Jerau Eni Fathatun Nisa Anwari Erik Kuncoro Erikson Tjeleni, Stevanus Erni Erlina Fajar Ilham Fathoni Fanisa Wulandari Farhan Fawwaz Farhan, M Faristanty, Audria Noviand Fauzan Zulqifni febriyanti febriyanti Feti Kumala Dewi Fety Kumala Dewi Feybe Meyti Kindangen Firda Nugrahani Firdaus Firdaus Firdaus, Eza Kemal Fitriani Nissa Rahayu Fredy, Fredy Marta Fristela Takaliuang Galih Samodra Hadi Heri Nurhanto Hadi Kurniawan, Hadi Hani, Winarni Haniif Jaka Pradipta Hanni Arfien Eman Harahap, Flora Juliyanti Harus, Sigit Hasan, Adhariannur Hasanah, Sintiya Hendrik Eko Santoso Heri Wibowo, Tophan HERU PURNAWAN Hidayanti, Fadila I Kadek Suardana I Nyoman Sunarta ibadillah yusmana Icha Ervina Agustin Imam Fauzan Arifin Indra, Indra pranata Indri Heri Susanti Indri Heri Susanti Indri Heri Susanti Indri Heri Susanti, Indri Heri Indri Wijayanti Indriyani Suci Pangestu Ira Patriani Irine Dwitasari Wulandari Irine Dwitasari Wulandari Isrofah Ita Apriliviani Jerau, Emiliani Elsi Julianus, Julianus Karina, Yuni Khaerul Amin Trisetyo Khairin Wanda Aurelia Khofifah Shinta Anggraini kilimandu, Rivandi umbu Kisdyanti, Yuniar Melissa Lailatul Nisa Laily Isroin, Laily Leni Hartati Lestishiyami, Lesy Lintang Suryani, Roro Livia Ardyani, Meyla Lolandia Septin, Cita luthfi, Ahmad Luthfi Virgiawan Habibi M. Aidil M. Alfarizi Made Bintang Langga Bayang Bujangga Maemunah Sa&#039;diyah Magenda Bisma Yudha Maharani, Cindy Manurung, Noritha Mariah Ulfah Martin, Weddy Martyarini Budi Martyarini Budi S Martyarini Budi S Meiyrlina, Seftya Dwi Mixrova Sebayang, Septian Mochammad Farrel Rizki Ramdhani Mukti, Refa Teja Mulina, Napa Muris, Theresia Uci Ikayun Murniati Murniati Murniati Muti, Refa Teja Nabitha, Kanaya Nailli, Yuris Tri nasihhudin - - Nata Lia Putri, Tia Naufal Ulil Albab Nida Fitriani Niken Oktaviani Nisha, Zuhrotun Noor Yunida Triana Nova H, Rahmaya Nur Baety Sa’diyah Nurdiamsyah, Pratomo Peppy Octaviani Peppy Octaviani Peppy Octaviani DM Permata Sari, Ayu Eka Pramesti Dewi Pramesti Dewi Priyatama, Rajendra Puput Dwi Agustianingsih Putri, Ferra Ayu Apriliya Rahayu, Fitriani Nissa Rahmadani, Retno Dea Rahmannisa, Putri Haifa Rahmawati, Oktaviani Nur Rahmaya Nova Handayani Rahmaya Nova Handayani Rahmiwati Aprian Rani Prabandari Refa Teja Muti Refa Teja Muti Refianti Putri Kusuma Kusuma Reni Dwi Setyaningsih Restania, Tesa Rifqi Pratama Wahyuaji Riranto, Jepri Ririn Isma Sundari Riski Ardi Saputro Rista, Rista Rochmat, Tri Rochyati, Ida Romdani, Rifki Maulana Roro Lintang Suryani Roro Lintang Suryani Rumantika Rumantika Salsabila, Kamilia Tasya Salsabila, Salwa Dwi Sapitri, Novi Sebayang, Septian Sebayang, Septian Mixrova Seli Febriyanti Septian Mixrova Sebayang Septian Mixrova Sebayang Setianingsih, Sitti Setyawati, Martyarini Budi Setyawati, Martyarini Budi Shafiyah Rizky Handayani siti fadilah Siti Haniya Siti Haniyah suci khasanah Sufyan, Muhammad Ali Suhendro , Anton Sukma Satriyawan, Ade Sulistianingrum, Andini Sumarno , Altharikh Syah Alam Sunarti Sunarti Surtiningsih Surtiningsih Suryani, Roro Lintang Susanto, Amin Suseno, Sodri Susilo Rudatin Sutanto Sutanto Syabilla Afifuddin Suat Syahputra, Yoga Syawalina, Mutiara Tanjung, Ar-Rahman Teja Muti, Refa Thopan Heri Wibowo Tin Utami Tophan Heri Wibowo Tophan Heri Wibowo Tophan Heri Wibowo Tophan Heri Wibowo Tri Sumarni Tri Yudono, Danang Triana, Noor Yunida Triyudono, Danang Tumbey, Chrynscialdy Waldi Rahman Wantonoro Wantonoro, Wantonoro Wasis Eko Kurniawan Wasis Eko Kurniawan Wibowo, Tophan Heri Widya, Chandra Lucyana Wijayanti, Indri Wilis Sukmaningtyas Wirakhmi, Ikit Netra Wismoyo, Novantyadi Gayuh Woung Ru Tang Woung Ru-Tang Woung-Ru Tang Yantoro , Awal Tunis Yantoro, Awal Tunis Yudha, Magenda Bisma Yudono, Danang Tri Yulianto, Dwi Agus Yunian, Puput Yunida Triana, Noor Yurindani, Nabila Azizah Yuris Triliani