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All Journal Nurse Media Journal of Nursing Jurnal Ilmu Kedokteran dan Kesehatan Journal of Midwifery and Nursing Jurnal Medika Malahayati Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Health Sciences and Pharmacy Journal JURNAL MUTIARA NERS Indonesian Trust Health Journal JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Peduli Masyarakat BERNAS: Jurnal Pengabdian Kepada Masyarakat Jurnal Ilmiah Wahana Pendidikan Journal of Nursing Education & Practice (JNEP) Madani: Multidisciplinary Scientific Journal Jurnal Keperawatan Notokusumo Al Makki Health Informatics Journal Java Nursing Journal JUKEJ: Jurnal Kesehatan Jompa Jurnal Pustaka Keperawatan Indonesian Trust Health Journal Jurnal CARING (Center of Research Publication in Midwifery and Nursing)
Sebayang, Septian Mixrova
Institut Kesehatan Sumatera Utara
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Asuhan Keperawatan Gangguan Integritas Kulit/Jaringan pada Diabetes Mellitus Tipe 2: Nursing Care for Skin/Tissue Integrity Disorders in Type 2 Diabetes Mellitus Rohmah Dina Nur Kusuma; Sebayang, Septian Mixrova; Wibowo, Tophan Heri
Journal of Nursing Education and Practice Vol. 2 No. 3 (2023): Journal of Nursing Education & Practice
Publisher : MPI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jnep.v2i3.141

Abstract

Background: Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia that occurs due to insulin secretion, or both. The disorder causes abnormalities in the metabolism of carbohydrates, fats, and proteins. Purpose: To describe nursing care for skin/tissue integrity disorders in Mr. S with type II diabetes mellitus in the Ar Rahman room RSI Purwokerto. Method: Descriptive research design in the form of a case study with a nursing process approach consisting of assessment, nursing diagnosis, intervention, implementation, and evaluation. Nursing care was carried out to Mr. S for 3x24 hours. Data collection techniques using observation, interviews, physical examination, and documentation. Results: The nursing evaluation which was carried out on June 16-18 2022 was carried out using the SOAP method, including subjectively the patient stating that his body was still weak, the wound had not healed and the pain had decreased. Objective, K/u: weak, GDS: 320mg/dl, a wound with a length of 3 cm and a width of 2 cm is visible, on the dressing there is seepage of liquid reddish yellow smelling and festering, the patient can tilt right and left, the total score of the BJWAT assessment increases from 28 to 29. Analysis, the problem not resolved, continue the intervention. Conclusion: Evaluation on the third day of tissue damage, skin damage, pain and redness has not been resolved.
Implementasi Teknik Penurunan Nyeri Menggunakan Metode Kompres Hangat pada Pasien Post Sectio Caesarea dengan Spinal Anestesi Agustari, Fadilla; Novitasari, Dwi; Sebayang, Septian Mixrova
Jurnal Peduli Masyarakat Vol 5 No 4 (2023): Jurnal Peduli Masyarakat: Desember 2023
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v5i4.2281

Abstract

Persalinan merupakan suatu proses pengeluaran janin melalui rahim yang bisa dijalankan melalui dua cara yaitu persalinan secara normal (lahir melalui vagina) dan juga persalinan abnormal dengan tindakan sectio caesarea. Sebelum dilakukannya pembedahan dilakukannya pemberian anestesi spinal. Masalah umum yang biasa terjadi pada tindakan pembedahan yaitu rasa nyeri. Nyeri adalah sensasi dan perasaan yang tidak nyaman secara sensori maupun emosional yang timbul akibat kerusakan aktual atau potensial pada jaringan tubuh. Salah satu tindakan non farmakologi yang dapat dilakukan adalah menggunakan kompres hangat. Tujuan dilakukannya program ini untuk membantu penurunan skala nyeri pada ibu hamil yang telah menjalani sectio caesarea. Program ini dilakukan dengan mengimplementasikan kompres hangat durasi 15-20 menit yang dilakukan 6 jam setelah operasi. Kegiatan Pengabdian kepada Masyarakat dilakukan di ruang Teratai RSUD Hj. Anna Lasmanah. Jumlah peserta pengabdian kepada Masyarakat sebanyak 30 peserta terhadap pasien post sectio caesarea. Penilaian dan pengukuran nyeri dilakukan sebelum serta setelah penerapan kompres hangat dengan menggunakan Skala Penilaian Numerik (NRS) Berdasarkan hasil implementasi kompres hangat dapat menurunkan nyeri dengan skala nyeri sebelum 7,46 dengan nilai standar deviasi 0,91 dan skala nyeri sesudah 5,03 dengan standar deviasi 1,28 dengan penurunan rata-rata yaitu 2,43. Kegiatan PkM menghasilkan luaran publikai jurnal ilmiah dan buku saku. Hasil kegiatan dapat diterbitkan pada Jurnal Ilmiah berkala.
Implementasi Terapi Dzikir untuk Menurunkan Nyeri Pasien Post Operasi Laparatomi Najibulloh, Muhamad; Novitasari, Dwi; Sebayang, Septian Mixrova
Jurnal Peduli Masyarakat Vol 6 No 2 (2024): Jurnal Peduli Masyarakat: Juni 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i2.3194

Abstract

Laparatomi merupakan pembedahan dengan sayatan besar di perut untuk mendapatkan akses ke rongga peritoneum. Tiap pasien yangmana menghadap suatu trauma berat terkait (pressure, temperatur, hingga kimiawi) maupun pasca prosesi pembedahan hendaknya dilaksanakan suatu penanganan akan rasa nyeri akut, disebabkan dampak nyeri tersebut bisa menimbulkan Respon Stress Metabolik (MSR) yangmana kemudian akan berefek di seluruh sistem tuuh serta memperparah kondisi pasien. Oleh karena itu, dengan melakukan terapi dzikir diharapkan rasa nyeri penderitaan pasien post operasi laparatomi berhasil berkurang intensitasnya. Tujuan program PkM ini adalah meminimalisir rasa nyeri pada pasien post operasi laparatomi menggunakan teknik terapi dzikir. Mitra yangmana dirujuk program berikut yakni RSUD Dr. Soedirman Kebumen, dengan peserta kegiatan adalah pasien post operasi laparatomi sejumlah 30 peserta. Metode yang dilakukan adalah melakukan sosialisasi, kemudian implementasi, setelahnya dilakukan diskusi serta evaluasi. Kegiatan dimulai dari tahap persiapan, dilanjutkan dengan pelaksanaan dan tahap akhir dengan hasil kegiatan berjalan dengan lancar Berdasarkan hasil implementasi terapi dzikir dapat menurunkan skala nyeri, sebanyak 10 pasien merasakan nyeri sedang dan 20 pasien merasakan nyeri berat terkontrol sebelum dilakukan implementasi, setelah dilakukan implementasi terapi dzikir skala nyeri menurun dengan pasien merasakan nyeri sedang sejumlah 25 pasien, serta nyeri ringan sejumlah 5 pasien. Kegiatan ini menurunkan skala nyeri di pasien post operasi laparatomi juga dimanfaatkan menjadi mediator studi berwujud video pengukuran nyeri menggunakan metode Skala Penilaian Numerik (NRS).
Implementasi Terapi Musik untuk Menurunkan Nyeri Pasien Post Operasi Laparatomi Aprilianto, Andreas Kristian; Novitasari, Dwi; Sebayang, Septian Mixrova
Jurnal Peduli Masyarakat Vol 6 No 2 (2024): Jurnal Peduli Masyarakat: Juni 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i2.3511

Abstract

Laparotomi adalah suatu teknik pembedahan besar melalui cara menyayat lapisan abdomen guna menemukan organ bermasalah. Nyeri merupakan dampak atas proses pembedahan laparatomi. Nyeri berdasarkan International Association for the Study of Pain (IASP) ialah suatu pengalaman sensoris serta emosional tak menyenangkan berhubungan atas rusaknya jaringan aktual maupun potensial. Terapi musik dinilai menjadi suatu strategi guna mempercepat proses penyembuhan, serta memberi rangsangan guna pelepasan hormone endorfin serta hormon pada tubuh dan memberikan rasa senang bermanfaat menjadi penurunan rasa nyeri. Program Pengabdian kepada Masyarakat tersebut dimaksudkan guna menurunkan nyeri pada pasien post operasi laparatomi menggunakan metode terapi musik. Program tersebut dijalankan melalui implementasi terapi musik instrumental berdurasi 15 menit. Aktivitas PkM dilakukan di ruang Teratai RSUD Dr. Soedirman Kebumen. Jumlah peserta Pengabdian pada Masyarakat sejumlah 30 peserta pasien post operasi laparatomi. Penilaian serta pengukuran rasa nyeri dilakukan menggunakan Numeric Rating Scale (NRS). Berdasarkan temuan implementasi sebelum diberikan terapi musik yakni 6,67 dan setelah diberikan mean mencapai 4,8 didapatkan perubahan yang signifikan dimana tingkat nyeri peserta menurun sehingga sebagian besar peserta PkM mengalami nyeri ringan sebanyak 27 peserta (90%).
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.
The Differences in Pre-Caesarean Anxiety Levels Between Primigravida and Multigravida Patients Putri, Farah Davanda; Sebayang, Septian Mixrova; Novitasari, Dwi
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.v3i1.94

Abstract

Background: Pre-operative anxiety before caesarean section is frequently encountered and may adversely affect the childbirth experience and maternal health outcome. Different groups of patients such as primigravida and multigravida women may experience varying levels of anxiety, which could impact their readiness for surgery and recovery. Purpose: The present study attempted to identify differences in the preoperative anxiety levels among primigravida and multigravida patients scheduled for a caesarean section. Methods: Forty-four respondents were recruited into this study; they were further divided into two groups of 22 primigravida and 22 multigravida patients, from a hospital in Indonesia. The anxiety levels were measured by the State-Trait Anxiety Inventory-S (STAI-S), which measures situational anxiety at a given moment. The Mann-Whitney U test was used to analyze the data in order to establish whether there is any significant difference between the two groups.  Results: From statistical analysis, the obtained result was p-value=0.066 (p>0.05). Therefore, there is no significant difference in pre-caesarean anxiety levels between primigravida and multigravida patients. Conclusion: The findings, therefore, suggest there is no statistically significant difference in preoperative anxiety levels between both groups; however, the outcome might be affected by some social support, past experiences, and psychological factors which were not taken into consideration in this study. The study indicates a need for individualized approaches to manage anxiety for caesarean delivery, irrespective of the pregnancy condition.
Hubungan Jumlah Dosis Pemberian Opioid Dengan Waktu Pulih Sadar Pasien General Anestesi Di RSUD Cilacap Riu, Ayunita Ria Anggriani; Sebayang, Septian Mixrova; Novitasari, Dwi
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 2 (2025): Volume 12 Nomor 2
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i2.17737

Abstract

Waktu pemulihan setelah general anestesi yaitu keadaan bagaimana obat keluar dari tubuh setelah pemberian dihentikan, yang disebut prinsip farmakokinetik. Selain itu, faktor lain yang memengaruhi pemulihan adalah cara obat bekerja dalam tubuh. Untuk mengetahui hubungan antara jumlah dosis pemberian opioid dengan waktu pulih sadar pada pasien general anestesi. Penelitian ini adalah penelitian analitik observasional dengan pendekatan Cross Sectional. Teknik sampling menggunakan purposive sampling dengan jumlah sampel 98 responden. Hasil penelitian menunjukkan distribusi frekuensi responden berada dalam kelompok usia 12-25 sebanyak 40 responden (40.8%) dan jenis kelamin responden yang paling banyak yaitu perempuan sebanyak 50 responden (51.0%) serta IMT kategori yang paling banyak adalah normal sebanyak 82 (92,9%). Pengunaan dosis dengan kategori yang paling banyak yaitu tepat sebanyak 81 responden (82,7%). Waktu pulih sadar pada pasien general anestesi di RSUD Cilacap dengan kategori terbanyak yaitu 5-30 menit sebanyak 81 responden (85,7%. Setelah dilakukan uji bivariat dengan metode spearman rho menunjukkan nilai 0.667 atau p > 0,05. Tidak ada hubungan antara jumlah dosis pemberian opioid dengan waktu pulih sadar pada pasien general.  
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.
Overview of Changes in Blood Pressure and PulsOverview of Changes in Blood Pressure and Pulse in Spinal Anesthesia Sectio Caesarea Patients at Banjarnegara Islamic Hospitale in Spinal Anesthesia Sectio Caesarea Patients at Banjarnegara Islamic Hospital Rahmannisa, Putri Haifa; Sebayang, Septian Mixrova; Wibowo, Tophan Heri; Suandika, Made
Java Nursing Journal Vol. 1 No. 2 (2023): July - October 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.19

Abstract

Background: Hypotension is one of the complications that often occurs after induction of spinal anesthesia. This study aims to determine changes in blood pressure and pulse spinal anesthesia in sectio caesarea patients at Banjarnegara Islamic Hospital. Methods: This study used descriptive quantitative method with cross-sectional approach. This research was conducted in June 2023. The research sample was 44 respondents. The sampling technique was purposive sampling. This research instrument is by observing and recording the results of observations to the research observation sheet and matching observation data with medical records. Results: The results of this analysis showed a change in blood pressure and pulse, namely a decrease in blood pressure in the 15th minute on Systolic Blood Pressure as many as 17 people (38.6%) and Diastolic Blood Pressure as many as 15 people (34.1%). The pulse frequency before induction was predominantly normal as many as 36 respondents (81.8%) and when giving spinal anesthesia induction increased at minute 0 as many as 27 people (61.4%). Conclusion: blood pressure and pulse have changes when given spinal induction of anesthesia.
Co-Authors Abdurrahman, Muhammad Farhan Adiratna Sekar Siwi Agniansyah, Kakha Agustari, Fadilla Anggi Sofyan, Reza Anjani, Junisa Syafia Aprilianto, Andreas Kristian Baehaqi Burhan, Asmat Delfiando, Dicky Dewi Astuti Pasaribu Dewi, Ony Sandra Dwi Novitasari El Halawah, Futuh Elyani Sembiring Fauzan, Dipa Hilmi Firdaus, Eza Kemal Hamka Hamka, Hamka Harahap, Flora Juliyanti Haryanti, Dianita Herzigova, Jennifer Phoebe Hidayanti, Silvi Hidayat, Riski Hikmanti, Arlyana Ibrahim, Rikhap Indah Susanti Kim Chi, Do Thi Linda Yanti Made Suandika Medistiana, Serla Medistiana Meilani, Krisma Nia Najibulloh, Muhamad Ningrum, Ema Wahyu Nisa, Lailatul Nurillahi, Intan Sebi Pranandaru, Aditya Putri Larasati, Putri Putri, Farah Davanda Rahmannisa, Putri Haifa Ramadani, Putri Ayu Riu, Ayunita Ria Anggriani Rohmah Dina Nur Kusuma Rumadan, Elsafika Saputra, Jihan Sari, Dias Permata Setyawati, Martyarini Budi Silva, Vanessa A Breu Da Suhendro Suhendro Sukmaningtyas, Willis Suryani, Roro Lintang Susanto, Amin Syamsiar, Syamsiar Triana, Noor Yunida Valentina, Aida Nur Dewi Vijay Kumar Wibowo, Tophan Heri Widiyastuti Widiyastuti Yantoro, Awal Tunis Yudono, Danang Tri Yulianto, Dwi Agus