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All Journal International Journal of Public Health Science (IJPHS) Jurnal Anestesi Perioperatif Jurnal Kesehatan Hesti Wira Sakti PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Kesehatan Tambusai Jurnal Keperawatan Profesional Jurnal Kesehatan Masyarakat Borneo Nursing Journal
Reko Priyonggo
Institut Teknologi, Sains, Dan Kesehatan RS. DR. Soepraoen Kesdam V/BRW
Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Effectiveness of hypnotherapy as complementary intervention in reducing post-cesarean pain: A PRISMA-based systematic review of literature released during the 2015-2024 period Annes Rindy Permana; Widigdo Rekso Negoro; Sindu Sintara; Muhammad Rodli; Suryanto Suryanto; Reko Priyonggo
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26893

Abstract

Cesarean section is a common surgical procedure often associated with moderate to severe postoperative pain. Hypnotherapy has been proposed as a complementary, non-pharmacological intervention; however, evidence specific to post-cesarean pain management remains limited. The purpose of this PRISMA-based systematic review was to evaluate hypnotherapy as an intervention for reducing postoperative pain associated with cesarean section. Literature searches were conducted in Google Scholar and PubMed for studies published between 2015 and 2024 using predefined inclusion and exclusion criteria. From 326 identified records, four studies met all eligibility criteria and were included in the qualitative synthesis. Despite heterogeneity in study design and intervention protocols, all included studies consistently reported reductions in postoperative pain intensity among participants receiving hypnotherapy compared with standard postoperative care, with pain outcomes primarily measured using validated scales such as the Numerical Rating Scale. These findings suggest that hypnotherapy may support conventional analgesic strategies as an adjunctive intervention during early postoperative recovery. Nevertheless, the scarcity of existing research and the presence of methodological limitations suggest the need for rigorously designed randomized controlled trials to provide more robust evidence.
Preoperative Anxiety Levels and the Incidence of Postoperative Nausea and Vomiting in Patients Undergoing General Anesthesia Widigdo Rekso Negoro; Sindu Sintara; Annes Rindy Permana; Muhammad Rodli; Reko Priyonggo; Suryanto
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.27115

Abstract

Postoperative nausea and vomiting (PONV) are common complications after general anesthesia, negatively impacting patient comfort, recovery, and hospital stay. While many factors contribute to PONV, psychological aspects such as preoperative anxiety are often underestimated despite their influence on postoperative outcomes. This study aimed to analyze the relationship between preoperative anxiety levels and the incidence of PONV in patients undergoing surgery under general anesthesia. Using a cross-sectional design, 45 elective surgical patients were assessed for anxiety using the Hamilton Anxiety Rating Scale (HARS), and PONV incidence was recorded within 24 hours post-surgery. Chi-square analysis revealed a significant association between anxiety levels and PONV occurrence (p = 0.002). Among patients with moderate to severe anxiety, 73.3% experienced PONV, compared to only 26.7% among those with mild anxiety. These findings indicate that higher preoperative anxiety increases the risk of PONV. Therefore, integrating psychological assessment and anxiety management into perioperative care is crucial to reducing postoperative complications and improving anesthetic outcomes through a more holistic patient care approach.
Surgical Team Compliance with the Surgical Safety Checklist in the Central Operating Theater: A Cross-Sectional Study Widigdo Rekso Negoro; Agus Budi Prasetyo; Ircham Saifudin; Reko Priyonggo; Muhammad Rodli; Annes Rindy Permana
Jurnal Keperawatan Profesional Vol 14, No 2 (2026): Nursing in a Multicultural Environment
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i2.15605

Abstract

Surgical procedures are high-risk interventions that require consistent implementation of the SSC to reduce preventable adverse events. However, differences in workflow and clinical urgency between elective and emergency procedures may influence surgical team compliance with SSC implementation. This study aimed to analyze the relationship between the type of surgical procedure and surgical team compliance with the SSC in the COT of a maternal and child hospital. A non-experimental observational study with a cross-sectional design was conducted involving 65 surgical procedures selected through accidental sampling from a population of 148 procedures. Data were collected through direct observation of SSC implementation during the sign-in, time-out, and sign-out phases and analyzed using the chi-square test. Most observed procedures were elective surgeries (55.4%). SSC compliance was achieved in 52.3% of procedures during the Sign-in phase, 67.7% during the time-out phase, and 72.3% during the sign-out phase. A statistically significant association was identified between the type of surgical procedure and SSC compliance (p=0.006). these findings support the need to strengthen SSC implementation through regular compliance audits, continuous surgical team training, and reinforcement of patient safety culture. Because of the cross-sectional design, the findings indicate an association rather than a causal relationship.
Gambaran Pelaksanaan Komunikasi Terapeutik Penata Anestesi dan Tingkat Kecemasan Pasien Praoperasi Sectio Caesarea dengan Teknik SAB di RSUD Haryoto Lumajang Tahun 2026 Putri Amini Zulfa; Merisdawati MR; Reko Priyonggo; Muhammad Rodli
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.975

Abstract

Pasien praoperasi Sectio Caesarea dengan teknik Subarachnoid Block sering mengalami kecemasan yang dapat memengaruhi kondisi psikologis sebelum tindakan. Komunikasi terapeutik penata anestesi berperan dalam memberikan informasi, rasa aman, dan dukungan kepada pasien selama periode praoperasi. Penelitian ini bertujuan menggambarkan pelaksanaan komunikasi terapeutik penata anestesi dan tingkat kecemasan pasien praoperasi SC dengan teknik SAB di RSUD Haryoto Lumajang Tahun 2026. Penelitian menggunakan desain deskriptif kuantitatif dengan pendekatan cross-sectional. Penelitian dilakukan di ruang persiapan operasi Instalasi Bedah Sentral RSUD Haryoto Lumajang pada Maret–Mei 2026. Sampel berjumlah 132 responden yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner komunikasi terapeutik dan Amsterdam Preoperative Anxiety and Information Scale (APAIS), kemudian dianalisis secara univariat. Sebagian besar responden berusia 18–31 tahun (59,8%), dengan rata-rata usia 30,04 tahun, berpendidikan SMA (44,7%), dan bekerja sebagai ibu rumah tangga (49,2%). Tingkat kecemasan sebagian besar berada pada kategori berat sebanyak 69 responden (52,3%), sedangkan 63 responden (47,7%) mengalami kecemasan sedang. Pelaksanaan komunikasi terapeutik penata anestesi sebagian besar berada pada kategori cukup sebanyak 63 responden (47,7%), diikuti kategori kurang 59 responden (44,7%), dan baik 10 responden (7,6%). Sebagian besar pasien praoperasi SC dengan teknik SAB mengalami kecemasan berat, sedangkan pelaksanaan komunikasi terapeutik penata anestesi berada pada kategori cukup.
Impact of lower limb elevation on blood pressure in cesarean patients: a quasi-experimental study Suryanto Suryanto; Widigdo Rekso Negoro; Sindu Sintara; Annes Rindy Permana; Muhammad Rodli; Reko Priyonggo
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27038

Abstract

Among the available anesthetic techniques, spinal anesthesia remains the preferred method for cesarean section procedures, because of its rapid onset and safety profile; however, it is frequently associated with hypotension that may compromise maternal and fetal stability. This study was conducted to assess the influence of lower limb elevation as a non-pharmacological intervention on blood pressure following spinal anesthesia. A one-group pretest-posttest quasi-experimental design was implemented to evaluate 90 cesarean section patients who met the inclusion criteria. Blood pressure values, including systolic and diastolic parameters, were obtained at baseline and at the 5th, 10th, and 15th minutes after spinal anesthesia, and the data analysis using paired t-tests indicated significant increases in systolic and diastolic blood pressure over time, with mean systolic pressure rising from 87.59 mmHg to 97.89 mmHg and mean diastolic pressure increasing from 59.56 mmHg to 67.21 mmHg at minute 15 (p < 0.001). This study provides context-specific clinical evidence on the hemodynamic effects of lower limb elevation among post-spinal anesthesia cesarean section patients in a clinical setting. However, the non-inclusion of a control group and randomization reduce the strength of causal interpretation. These findings provide support for the notion that lower limb elevation may enhance potential benefits as a supportive intervention for post-spinal hypotension and warrant further controlled studies to confirm its efficacy.
Co-Authors - Suwarman Abdul Muthalib Nawawi Abdul Muthalib Nawawi Agus Budi Prasetyo Amin Zakaria Arvin Wahyu Hartanto Bayu Budi Laksono Cahyani, Rina Asih Ircham Saifudin Kaslinda Nur Umifa Merisdawati MR Mokhtar Jamil Muhammad Fauzi Muhammad Rodli Muhammad Rodli Muhammad Rodli Muhammad Rodli Permana, Annes Rindy Putri Amini Zulfa Saputra, Candra Dwi Sindu Sintara Sindu Sintara Suryanto Suryanto Suryanto Suryanto Suryanto Suwarman Suwarman Widigdo Rekso Negoro Widigdo Rekso Negoro Winanda, Dedek