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GAMBARAN WAKTU PULIH SADAR PADA PASIEN PASCA ANESTESI UMUM DENGAN DERAJAT HIPERTENSI 1 DI RUMAH SAKIT DJUANDA KUNINGAN JAWA BARAT El Fawwaz, Febbry Rayhan; Yudono, Danang Tri; Suandika, Made
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 22 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14567182

Abstract

Hipertensi merupakan penyakit sistemik yang sering dijumpai di seluruh dunia. Proses pulih sadar dari anestesi umum menjadi proses yang harus diawasi secara serius. Tujuan : Penelitian ini bertujuan untuk mengetahui gambaran waktu pulih sadar pada pasien pasca anestesi umum dengan derajat hipertensi 1 di Rumah Sakit Djuanda Kuningan Jawa Barat. Metode : Penelitian ini termasuk penelitian kuantitatif dengan jenis penelitian yang digunakan yakni deskriptif observasional. Rancangan penelitian yang digunakan yaitu rancangan survei dengan pendekatan cross sectional. Sebjek atau sampel yang digunakan dalam penelitian ini adalah pasien pasca anestesi umum dengan derajat hipertensi 1 yang berjumlah 44 pasien. Penentuan subjek tersebut dilakukan dengan teknik Purposive sampling. Pengumpulan data dilakukan dengan lembar observasi aldrete score. Hasil : Hasil analisis penelitian menunjukan usia responden yang paling dominan yaitu lansia akhir (54,5%) dengan jenis kelamin perempuan (56,8%), status fisik ASA yang paling dominan yaitu ASA II (75,0%), lama operasi paling dominan yaitu operasi sedang (45,5%), jenis obat yang paling dominan yaitu sevofluran (56,8%), indeks masa tubuh (IMT) yang paling dominan yaitu gemuk (65,9%) dan waktu pulih sadar yang paling dominan yaitu cepat (86,4%)
Pelaksanaan Senam Sehat Bagi Anak Usia Dini di PAUD Patryadira Desa Kalikesur Sufyan, Muhammad Ali; Handayani, Rahmaya Nova; Setianingsih, Sitti; Suandika, Made; A, M Aryadi; Agus, Dwi
Jurnal Pengabdian Harapan Ibu (JPHI) Vol. 7 No. 1 (2025): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v7i1.979

Abstract

Patryadira Early Childhood Education (PAUD) is one of the PAUD playgroup schools located in Kalikesur Village, Kedungbanteng District. A total of 25 children participated in healthy gymnastics activities, which aim to maintain their health. The community service program carried out at PAUD Patryadira Kalikesur Village aims to improve children's motor skills through healthy gymnastics. This activity was organized by UHB 2025 KKN students in collaboration with the Principal of Patryadira PAUD. The results obtained from this activity show that healthy gymnastics movements can improve children's motor skills at PAUD Patryadira, as well as help teachers in overcoming various problems that exist in schools.
Edukasi Cuci Tangan pada Anak Usia Dini di PAUD Bani Malik AZ ZAHRA, FITRAH ANNISA; Handayani, Rahmaya Nova; setianingsih, sitti; A, M Aryadi; Suandika, Made; Agus, dwi
Jurnal Pengabdian Harapan Ibu (JPHI) Vol. 7 No. 1 (2025): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v7i1.980

Abstract

Early childhood is an important period in a child's development, where rapid growth occurs. At this stage, health behaviors, such as proper handwashing, are crucial for children to understand, given their low immune system. The purpose of this community service activity is to increase the knowledge of PAUD Bani Malik students about how to wash hands properly for early childhood. This activity was carried out on January 22, 2025 at PAUD Bani Malik, kembaran District, Banyumas Regency, involving 25 children. this activity is very important to increase understanding and change behavior, and implement a healthy lifestyle through proper hand washing habits. PAUD Bani Malik students enjoyed participating in the proper handwashing education because it was carried out by singing while learning and hands-on practice
Relationship of Lemon Score with Prediction of Difficulty Intubation in General Anesthesia Patients Rista, Rista; Danang Tri Yudono; Made Suandika
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.v3i1.86

Abstract

Background: General anesthesia is the most widely practiced anesthetic technique, and mishandling of the airway may lead to serious and even life-threatening complications. Intubation success is maximized when the LEMON assessment is applied to cases where the anesthesia assessment also assesses for prediction of intubation difficulty.  Purpose: This study aims to find out the relationship between the LEMON scoring and the prediction of intubation difficulty encountered during general anesthesia. Methods: This quantitative study follows a cross-sectional design with data being collected within one single period. The sample consisted of 52 individuals undergoing general anesthesia with endotracheal intubation (ETT). Chi-square testing was performed with Fisher's Exact Test as the alternative for statistical analysis. Results: The analysis yielded a p-value of 0.019, which is below the 0.05 cutoff, demonstrating a significant association between the LEMON score and the prediction of intubation difficulty in patients undergoing general anesthesia at RSUD Dr. Soedirman Kebumen. Conclusions: A statistically significant association was found between the LEMON score and the prediction of intubation difficulty. The implication is that LEMON scoring can be another useful tool for anesthetic pre-evaluation in predicting probable airway management concerns during general anesthesia in patient.
The Correlation of Sympathetic Block Elevation and Body Mass Index with the Incidence of Hypotension in Sectio Caesarea Patients with Spinal Anesthesia Indra, Indra pranata; 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.v3i1.89

Abstract

Background: Hypotension is a frequent complication seen in spinal anesthesia. During spinal anesthesia, hypotension is more common with increasing block height, and an elevated body mass index (BMI) is considered a risk factor. Purpose: The aims of this research were to study the incidence of hypotension associated with spinal anesthesia for cesarean section and to relate block height to BMI. Methods: This is a cross-sectional correlational analytic study. A purposive sampling technique was used in picking 42 participants. The main instrument used for data collection was observation sheets. Results: The Spearman rank test for bivariate data showed that 35.7% of participants with a BMI greater than 25 experienced hypotension. In addition, 64.3% of participants with mild block elevation also developed hypotension. The Spearman rank test indicated a correlation value of -0.483 with a p-value of 0.001, signifying a strong and negative statistically significant relationship between hypotension and elevation of sympathetic block. Conclusion: There exists a significant relation between BMI and incidence of hypotension, with correlation values of -0.461 and a p-value of 0.002, further asserting that both BMI and block height are important characteristics that can be utilized in predicting the hypotension following spinal anesthesia in cesarean section patients
Hemodynamic Picture After Spinal Anesthesia Sectio Caesarea Fredy, Fredy Marta; Triyudono, Danang; Sebayang, Septian; 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.v3i1.95

Abstract

Background: Sectio caesarea is a surgical procedure through an abdominal and uterine wall incision to remove the fetus, placenta and amniotic fluid. SC action with spinal anesthesia has an impact on body hemodynamics, such as changes in blood pressure, changes in pulse rate and changes in MAP.  Purpose: The purpose of this research is to document the vital signs of patients undergoing post-spinal anesthesia for sectio secaria surgery at Sriwijaya Hospital Palembang. Methods: Research of this kind is known as descriptive research. This research used a purposeful sampling strategy to select 93 individuals who had spinal anesthesia for a caesarean delivery. Results: The frequency and percentages of blood pressure, pulse, and MAP of pregnant women having spinal acupuncture with anesthesia were determined by univariate data analysis. The majority of the 93 participants who had spinal anesthesia for caesarean section surgery had hypertension (60.2% of the total), asthma (72%) in 67 participants, systolic blood pressure below 90 mmHg in 45 participants (48.38%), and diastolic blood pressure below 60 mmHg in 46.2%.  There were 52 cases of tachycardia (55.9% of the total), 33 cases of abnormal heartbeats (35.5% of the total), and 8 cases of brachycardias (8.6% of the total). In terms of population, 80 individuals (86.02%) reported normal levels, whereas 13 (13.98%) reported high levels. Conclusion: The majority of participants who had spinal anesthesia for section caesarian surgery reported abnormal MAP readings, pulse tachycardia, and hypotension.
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).
Analysis of differences smoking status with perianestesis oxygen desaturation to patients’ general anesthesia and regional anesthesia in the Operating Theatre Lubuk Basung Hospital Martin, weddy; Suandika, Made; Firdaus, Eza Kemal
Riset Informasi Kesehatan Vol 13 No 2 (2024): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v13i2.891

Abstract

Background: The rising prevalence of tobacco use in Indonesia over the past decade has prompted concerns about the potential health risks, particularly in the context of surgical procedures involving anesthesia. This study aimed to examine the association between smoking status and the incidence of peri anesthesia oxygen desaturation in patients undergoing general and regional anesthesia. This assessment is becoming increasingly crucial as active smokers may be at an elevated risk of oxygen desaturation, a significant complication that can occur during the administration of anesthesia, both general and regional. Method: This research is descriptive and analytic with a cross-sectional design and a total sampling of 108 respondents. The data were collected through observation of the oxygen desaturation occurring during the initial 15 minutes of anesthesia. Results: The results showed a statistically significant difference in oxygen desaturation between active and passive smokers, with a p-value of 0.000. Conclusion: Most of the respondents 56 people (51.9%) had passive smoking status and 52 respondents (48.1%) with active smoking status. The mean peri anesthesia oxygen saturation in general anesthesia and regional anesthesia patients is 90.00 with a minimum value of 91.00 and a maximum value of 100.00, with a standard deviation of 2.54309.
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