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Journal : Madani: Multidisciplinary Scientific Journal

Gambaran Status Hemodinamik Sebelum dan Sesudah Injeksi Spinal Anestesi Pada Pasien Transurethal Resection of The Prostate di RSI Purwokerto Rumadan, Elsafika; Susanto, Amin; Sebayang, Septian Mixrova
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 8 (2024): Vol. 2, No. 8, 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13624081

Abstract

Transurethral Resection of the Prostate (TURP) is a common surgical intervention for patients with benign prostatic hyperplasia. Spinal anesthesia is the preferred technique for TURP but carries a primary risk of hypotension. This study aims to describe the hemodynamic status before and after spinal anesthesia injection in TURP patients and to present general patient characteristics such as age and physical status according to the American Society of Anesthesiologists (ASA). This descriptive quantitative study uses a cross-sectional approach. Data were collected from 30 patients undergoing TURP with spinal anesthesia, observing hemodynamic changes before and after spinal anesthesia injection. The results showed that the majority of respondents were aged 55-64 years (56.7%) and had an ASA physical status of 1 (53.0%). Before spinal anesthesia, 36.7% of patients were hypertensive, and 63.3% were normal. All patients had normal pulse, oxygen saturation, respiration, and body temperature before spinal anesthesia. At the 5th minute after spinal anesthesia, 96.7% of patients experienced hypotension, all patients maintained normal pulse, oxygen saturation, and respiration, but 23.3% of patients experienced hypothermia. In conclusion, spinal anesthesia in TURP patients causes significant hemodynamic changes in blood pressure, with the majority of patients experiencing hypotension. Pulse, oxygen saturation, and respiration remained stable, while body temperature decreased in some patients. These findings highlight the importance of proper monitoring and management to anticipate hemodynamic complications during TURP procedures.
Pengaruh Coloading Terhadap Perubahan Kenaikan Tekanan Darah Pada Pasien Spinal Anestesi Pranandaru, Aditya; Sebayang, Septian Mixrova; Yudono, Danang Tri
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 9 (2024): September
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13683369

Abstract

Spinal anesthesia is a technique of administering local anesthetic drugs into the subarachnoid space. Spinal anesthesia is often used because it has several advantages, but can cause complications such as hypotension. One method to reduce the occurrence of hypotension is by administering coloading fluid. This study aims to determine the effect of coloading on changes and the time of increase in blood pressure in spinal anesthesia patients, this study is an experimental study with a pre-experimental research design with a pretest-posttest design approach. This study used quantitative methods, and obtained a sample of 58 samples. The results of the analysis using the willcoxon test showed that there was an effect of coloading on changes and time of increase in blood pressure in spinal anesthesia patients with a p value of 0.000 (<0.05). Coloading is effective in reducing the incidence of hypotension in spinal anesthesia patients.
Hubungan Coping Dengan Kualitas Tidur Pre Operatif Pada Pasien General Anestesi di Ruang Bangsal RSUD Prof. Dr. Margono Soekarjo Valentina, Aida Nur Dewi; Sebayang, Septian Mixrova; Yudono, Danang Tri
Madani: Jurnal Ilmiah Multidisiplin Vol 3, No 3 (2025): April 2025
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15193449

Abstract

Patients often harbour concerns and fears regarding the surgical process during the preoperative phase, thus developing negative expectations of the final outcome of the procedure. This contributes to patients perceiving surgery as a significant source of excessive stress.Therefore, effective coping strategies are needed to deal with such stressful situations including maintaining a positive mindset, praying, trying to accept the problems that occur, and sharing experiences with others. Coping strategies can overcome poor sleep quality. Poor sleep quality can be caused by various factors, especially in the preoperative context in general anaesthesia patients. The purpose of this study was to determine the relationship between coping and preoperative sleep quality using general anaesthesia at Prof. Dr. Margono Soekarjo Hospital. This study used descriptive correlational method with cross sectional design . The instruments used are the WOC questionnaire (measuring coping) and PSQI (measuring sleep quality). Data analysis in this study used Spearman Rho. The results of this study showed that all respondents used the EFC coping strategy (Emotional Focused Coping) with a percentage value of 100% (85 people), most respondents had poor sleep quality with a percentage value of 81.2% (69 respondents), obtained the results of data analysis p= 0.017 with a significance level of 0.05. This value means p < Sig. which means there is a relationship, so there is a relationship between coping and preoperative sleep quality in general anaesthesia patients in the ward room.