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Jenita Doli Tine Donsu
Poltekkes Kemenkes Yogyakarta

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HUBUNGAN KETINGGIAN BLOK DENGAN HEMODINAMIK INTRA SPINAL ANESTESI DI RUMAH SAKIT MUHAMMADIYAH YOGYAKARTA Arfin Kurniadita; Jenita Doli Tine Donsu; Induniasih Induniasih
Caring : Jurnal Keperawatan Vol. 10 No. 1 (2021): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (503.802 KB) | DOI: 10.29238/caring.v10i1.571

Abstract

Background: Regional anesthetics Sub Arachnoid Block (SAB) produces a certain block height which causes hemodynamic instability. This happens because vasodilation of blood vessels and sympathetic nerves are blocked so that it dominates the performance of the parasympathetic nerves. Objective: To determine the relationship of block height with intra-spinal hemodynamic anesthesia at surgery room in PKU Muhammadiyah Yogyakarta Hospital Research Methods: This research is a non-experimental quantitative research with analytic correlational research design and cross sectional survey research design. The study sample consisted of 50 respondents spinal anesthesia patients. sampling with consecutive sampling, the statistical test used is the chi square test. Research Results: The height of the spinal anesthesia respondent block majority of respondents experienced surgery and skin block height (block under Thoracalis 7). The majority of intra-spinal anesthesia hemodynamic respondents had stable blood pressure, pulse, and MAP. There is a significant relationship between block height (surgery, skin / block under thoracalis 7 and high spinal block / above thoracalis 6) with intra-spinal anesthesia blood pressure. There is a significant relationship between the height of the block height block (surgery, skin / block below thoracalis 7 and high spinal block / above thoracalis 6) with intra-spinal anesthesia pulse. There is a significant relationship between the height of the block height block (surgery, skin / block below thoracalis 7 and high spinal block / above thoracalis 6) with intra spinal anesthesia MAP. Conclusion: There is a corelations between the height of the block with hemodynamic intra spinal anesthesia in the IBS RS PKU Muhammadiyah Yogyakarta..
Pengaruh Passive Leg Raising (PLR) terhadap Perubahan Tekanan Darah pada Pasien dengan General Anestesi di RSUD Dr. Soedirman Kebumen Jihan Sajidah; Jenita Doli Tine Donsu; Harmilah Harmilah
Caring : Jurnal Keperawatan Vol. 9 No. 1 (2020): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (580.515 KB) | DOI: 10.29238/caring.v9i1.577

Abstract

Induction in patients with general anesthesia can cause blood pressure instability due to vasodilation of arteries and veins. This complication of blood pressure instability must be prevented to restore oxygenation of tissues and organs by giving Passive Leg Raising (PLR). The purposes of this research is to knowing the effect of Passive Leg Raising (PLR) toward the blood pressure change of patients with general anesthesia at Dr. Soedirman Hospital Kebumen. This type of research is quassy experiment with a “pretest-posttest with control group design”. The population was surgical patients with general anesthesia at Dr. Soedirman Kebumen Hospital in January-March 2020. The sampling technique used is random sampling, with inclusion criteria 1. Patients aged 22-55 years, 2. Physical status ASA I-II, 3. Pasien with general anesthesia techniques LMA, TIVA, and Face. The sample consisted of 62 consisting of 31 respondents of the intervention group and 31 respondents of the control group. Data analysis used univariate and bivariate with Paired t-test and Independent t-test. The results was showing that there was a change of blood pressure after given PLR. It was showing by the result of a pretest less than posttest with p value 0.000 and the intervention group experienced a significant increase change over the control group in blood pressure evidenced by the value p value of < 0.05. The conclusion that Passive Leg Raising (PLR) can be influencing blood pressure of patient with general anesthesia
Relaksasi Benson Terhadap Tingkat Persepsi Nyeri pada Pasien Post Laparatomy di RSUD Nyi Ageng Serang. Agus Renaldi; Maryana Maryana; Jenita Doli Tine Donsu
Caring : Jurnal Keperawatan Vol. 9 No. 1 (2020): Maret
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (553.776 KB) | DOI: 10.29238/caring.v9i1.578

Abstract

Background: In studies suggest that post-laparotomy pain occurs in 15% of cases, potentially 35% of pain. Pain is a major problem in the treatment of post operative pain which is a defense mechanism that arises when there is damage to tissue and cause the individual to react in a way memundahkan painful stimulus. Aim: Identifying benson relaxation effect on the rank of the perception of pain in post-laparotomy patients in hospitals Nyi Ageng Serang. Method: This type of research is a quasi-experimental study. This study design using pre-test and post-test design with control group. In the intervention group was given treatment in the form of benson relaxation, while the control group was not given relaxation benson that her pain will be measured by the Numeric Rating Scale (NRS). The samples in this research were 35 respondents 35 respondents intervention group and the control group. The sampling technique used is consecutive sampling. Data collection from January to March 2020. Results: The data collected were processed using the Wilcoxon test and Mann Whitney test. Wilcoxon test results in the intervention group was obtained p = 0.000 (p <0.05) and the control group was obtained p = 0.000 (p <0.05). At the Mann Whitney test was obtained p = 0.000 (p <0.05), so that Ha is accepted. Conclusion: There is the influence of Benson relaxation therapy on the level of pain perception in patients with post-laparotomy.