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THE EFFECT OF MODIFIED RAMPED POSITION ON OXYGEN SATURATION IN OBESE PATIENTS UNDER GENERAL ANESTHESIA Ety Azhara Laila Najmi; Niken Anggraini Sri Saputri; Vita Purnamasari
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 2 (2026): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jian.v2i2.4844

Abstract

Background: Obese patients undergoing general anesthesia are at risk of decreased oxygen saturation due to physiological changes in the respiratory system and the effects of anesthetic agents. Patient positioning during ventilation is an important factor in maintaining oxygenation, one of which is the modified ramped position that can improve pulmonary ventilation and perfusion. Methods: This quantitative study used a pre-experimental design with a one-group pretest-posttest approach. The sample consisted of 35 respondents selected using a consecutive sampling technique. Data were collected using observation sheets and oxygen saturation (SpO₂) measurements with a pulse oximeter before and after the intervention. Data analysis was performed using the Wilcoxon Signed-Rank Test. Results: There was a significant effect of the modified ramped position on changes in oxygen saturation (p = 0.000 ≤ 0.05). Before the intervention, 96.7% of respondents experienced low oxygen saturation (<95%). After the intervention, 90% of respondents achieved normal oxygen saturation in the first minute, and all respondents (100%) achieved normal saturation by the second and third minutes. Conclusion: The modified ramped position was effective in improving oxygen saturation in obese patients under general anesthesia.
Pembelajaran Berbasis Praktik Rekayasa Bioteknologi dalam Produksi Cuka Buah Vita Purnamasari; Puguh Sujarta; Jeirel Wattilete; Mesak Wandik
Bakti Hayati: Jurnal Pengabdian Indonesia Vol. 4 No. 2 (2025)
Publisher : Jurusan Biologi FMIPA Universitas Cenderawasih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31957/bhjpi.v4i2.5224

Abstract

Practice-based learning is a pedagogical approach that emphasizes the active involvement of students through direct experience and real activities in the learning process. The objectives of this community service activity are (1) to train students' skills in engineering the fruit vinegar production process in a simple, safe, and practical manner; (2) to raise students' awareness of the use of local fruits as raw materials for value-added fermentation products. The training uses two methods, namely lecture, simulation, and practice. The community service activity was carried out on August 19, 2024, at SMA Negeri 7 Jayapura, with 40 students participating. The final result was that 75% had a good understanding of the fruit vinegar-making process, 7.5% had a very good understanding, 12.5% had a poor understanding, and 5% had a very poor understanding. This activity is able to train skills and raise awareness in the use of local fruits. 
PENINGKATAN HASIL BELAJAR KOGNITIF DAN HARGA DIRI MAHASISWA MELALUI METODE COOPERATIVE LEARNING TIPE JIGSAW Purnamasari, Vita; Sundari, Sri; Suryandari, Galuh
IJNP (Indonesian Journal of Nursing Practices) Vol. 1 No. 1 (2016): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v1i1.3420

Abstract

Cooperative Learning Jigsaw type is an innovative learning, the five principal elements of cooperative jigsaw can improve learning outcomes, interpersonal skills, self esteem and motivation. The purpose of research to determine the effect of cooperative learning on learning outcomes and self-esteem students Stikes Surya Global Yogyakarta. The research design is Quasy Experimental design of posttest pretest with control group design, research subjects of Stikes Surya Global 2nd semester with total sampling, the number of respondents is 221 students. Data analysis using Wilcoxon Signed Rank Test and Mann Whitney Test. The results showed that there were significant differences between intervention group and control group with P = 0.000 for cognitive learning and P = 0.000 for self esteem. The conclusion of this research is Cooperative Learning Jigsaw improve cognitive and student’s self esteem Stikes Surya Global Yogyakarta.
Co-Authors Ade Putri Regina, Ade Putri Regina Alatubir, Rosalinda Alpredo Diaz Agapi L. Aris Setyawan Aris Setyawan Azizah, Aisyah Nur Bayu Irawan Cakranegara, Pandu Adi Daniel ZK. Wambrauw Desi Maulia Endang Koni Suryaningsih, Endang Koni Ety Azhara Laila Najmi Evie L. Warikar Evie Lilly Warikar Fabianus Batlayeri Farmawaty, Farmawaty Fauzi, Ach Khoiri Andriyan Fawuni G.A.G. Rumbrawer Geofani A. Lobo Hasbi Ikhsanuddin Henderina J. Keiluhu Henderina J. Keiluhu, Henderina J. Hesti Yuni Ayu Lestari I Made Budi Irma Rahayu, Irma Iswati, Nining Jeirel Wattilete Jepron W. Wenda Kholifah Hasnah Kusuma, Nur Intan Lesdianti, Kiki Lestari, Hesti Yuni Ayu Lisye I. Zebua LISYE IRIANA ZEBUA livana ph Lolita Tuhumena Mahpolah Mahpolah, Mahpolah Mantek, Mesak Mariana Ondikeleuw Meiland A. Ronsumbre Mesak Wandik Nadia Risha Fabiola Sakhi Ngamelubun, Gerardinalia Nia Handayani Nicea Roona Paranoan Nilan, Tarsisiyanti J.A. Nugraheni, Cahaya Nurdini, Yaqutin Evi Olivia, Shara Sthella Pallo, Aryanti S. Prasetya, Oktafian Aldi Pratiwi, Nesa Anggun Puguh Sujarta R. Sapto Hendri Boedi Soesatyo Rahmadani, Dian Ayu Raini Panjaitan Ramandey, Euniche RPF. Ririn Zuhairini Rismawati, Alfadillah Eka Riyadi Riyadi Riyadi, Raden Sugeng Sakhi, Nadia Risha Fabiola Saputri, Niken Anggraini Sri Sarah Yigibalom Sari, Armenia Diah Selina A. Mansawan Seramina R.T. Sawegu Siti Daryati Siti Kamsiyati Siti Kamsiyati Siti Wahyuningsih Siti Wahyuningsih Soakakone, Hanna Suharno Suharno Suharno Suharno Suharno Suharno Sundari, Sri Supeni Sufaati Suryandari, Galuh Suwito Suwito Suyono, Ignatius Joko Syafira, Alya TJ, Aisyah Ruby Endima Triwiyono - Wambrauw, Daniel Z.K. Widiastuty Widiastuty Yuliana , Yuliana