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Wilis Sukmaningtyas
Universitas Harapan Bangsa
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Journal : Java Nursing Journal

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Overview of Blood Pressure After Spinal Anesthesia with Preload and Without Preload 20cc Ringer Lactate in The Operating Room Dedi, Dedi Irawan; Sukmaningtyas, Wilis; Susanto, Amin
Java Nursing Journal Vol. 3 No. 1 (2025): February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.88

Abstract

Background: Spinal anesthesia is known to affect blood pressure by raising or lowering blood pressure levels, including MAP and pulse rate. While colloidal fluid therapy is indicated for the management of such variations, it remains longer in the intravascular space and supports blood pressure stabilization.  Purpose: This study attempts to analyze the time and amount of Ringer Lactate fluid administration to stabilize blood pressure back to normal levels after spinal anesthesia. Methods: Quantitative research was adopted with an analytical, cross-sectional observation design. Data collection was facilitated using sheets for observing blood pressure and measuring blood pressure using a Tension meter. The study was performed over one month, from July to August, at Awal Bros Batam Hospital. A total of 40 respondents were taken for this study using total sampling. The data collected were analyzed using univariate analytical methods. Results: From the analysis, the mean average time taken for blood pressure changes after spinal anesthesia is 12.15 minutes standard deviation of 3.363. The time taken varied from a minimum of 5 minutes to a maximum of 20 minutes. As for the volume of Ringer Lactate fluid, on average, the volume given was 20 ccc/KGBB. Blood pressure change after spinal anesthesia had a mean of 99.65 standard deviations of 30.783, with the minimum measurement at 22 and the maximum at 167. Conclusion: This study shows the importance of giving Ringer Lactate fluid to stabilize blood pressure following spinal anesthesia, where both time and volume correlate positively with changes in blood pressure
The Effect of Peppermint Aromatherapy (Mentha Piperita Leaf) On Reducing Post Dural Puncture Headache Pain in Post-Spinal Anesthesia Patients Riski Ardi Saputro; Suandika, Made; Sukmaningtyas, Wilis
Java Nursing Journal Vol. 3 No. 1 (2025): February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.98

Abstract

Background: Post-Dural Puncture Headache (PDPH), as observed clinically, is one of the most common complications of spinal anesthesia. It generally develops within 12-72 hours of the procedure. Though there are pharmacological treatments, these have largely been overshadowed by several tried-and-tested non-pharmacological techniques, which include peppermint aromatherapy, in relieving symptoms of PDPH. Purpose: This study was aimed at determining the effectiveness of peppermint aromatherapy in reducing head pain associated with PDPH among post-spinal anesthesia patients at Cilacap Regional General Hospital. Methods: A quasi-experimental study design with one group and pretest-posttest design was conducted on 39 patients experiencing PDPH. Pain was measured using the Numeric Rating Scale (NRS) prior to and post-administration of peppermint aromatherapy. The intervention was two drops of peppermint aromatherapy mixed with 100 ml of mineral water and inhaled through the humidifier for 15 minutes. Wilcoxon tests were done for statistical analysis. Results: The mean PDPH pain level before the intervention was 5.69. After inhaling peppermint aromatherapy, the mean pain level dropped significantly to 1.64 (p < 0.05). The results are interpreted with respect to the significance indicated by this difference in levels while comparing PDPH symptoms before and after treatment with peppermint aromatherapy. Conclusion: Hence, peppermint aromatherapy is a highly effective treatment modality for both patients suffering from PDPH and those who have undergone spinal anesthesia. It could be recommended as a non-pharmacological adjunct therapy in the management of PDPH. Further validations of the findings are needed through a larger sample size and controlled groups.
The Overview of Mean Arterial Pressure (MAP) Changes in Patients After General Anesthesia at Juanda Kuningan Hospital West Java: English Pramudya Gurensky, Ganea; Sukmaningtyas, Wilis; Burhan, Asmat
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.v1i2.8

Abstract

Purpose: to determine the description of changes in Mean Arterial Pressure (MAP) of patients after general anesthesia at Juanda Kuningan Hospital, West Java. Methods: This research is descriptive quantitative with a cross sectional approach. The sample in this study were all surgery patients with general anesthesia who met the criteria, while the sampling technique used was total sampling resulting in 100 respondents. Data analysis using univariate test. Findings: The results of the analysis showed that the most dominant age of respondents was early elderly (34%), with female gender (58%) and the most dominant Body Mass Index (BMI) was normal (91%). Normal MAP (70-100 mmHg) was obtained before induction of anesthesia as much as (77%), normal MAP (70-100 mmHg) after general anesthesia in the recovery room as much as (93%%). Conclusions: These results describe that changes in MAP values after general anesthesia can occur and the majority of pre-induction anesthesia MAP values of respondents will experience a decrease in MAP values during post-general anesthesia in the recovery room. So it is very important to maintain normal MAP values (70-100 mmHg) so as to reduce the risk of postoperative complications that can occur in patients.
The The Overview of Knowledge Level of Seven Semester Students of Anesthesiology Nursing Study Program on Evidence Based Practice 2 Course At Harapan Bangsa University Purwokerto: English Area Dhiatamaa, Sketsa; Sukmaningtyas, Wilis; Burhan, Asmat
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.v1i2.10

Abstract

Background Evidence Based Practice (EBP) is scientific evidence with clinical expertise, pathophysiological knowledge, knowledge of psychosocial issues, and patient preference decision making. Based on data from WHO and the European Commission, health and social services must be supported by the best research evidence. Evidence Based Practice (EBP) plays an integral role in health care and has been recognized internationally as an ideal problem-solving approach. The ability of students to engage in understanding Evidence Based Practice is also still low, faculty in Iran who explain that knowledge of students involved regarding Evidence Based Practice is still low (47.1%). Meanwhile, undergraduate students' understanding of the main evidence-based practices in terms of assessment, discovery, and research applications is still low, namely (39%). Objective: To determine the level of knowledge of students of the Fellowship Study Program in the 7th semester of the applied undergraduate program regarding the Evidence Based Practice 2 course at Harapan Bangsa University. Methods: This study used a quantitative method with a cross sectional approach. The sample in this study used a non-probability sampling technique with a total sampling of 151 respondents. Results : The most dominant age of respondents with a good level of knowledge in the Evidence Based Practice 2 course in this study was 21-22 years old, with a percentage of 112 respondents (94.1%), gender with a good level of knowledge in the Evidence Based course The most dominant Practice 2 in this study was female, as many as 75 respondents with a percentage of (93.8%), the level of knowledge of respondents in the Evidence Based Practice 2 course in this study. The most dominant were respondents with a good level of knowledge, as many as 138 respondents with a percentage (91.4%).
An Overview of The Level of Occupational Stress of Anesthesiologists In The Surgical Room of The Hospital In The Banyumas District Area: English Assyifa, Ibnu; Sukmaningtyas, Wilis; Burhan, Asmat
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.v1i2.14

Abstract

Background: Every profession and employee in both developed and developing countries is affected by occupational stress, which is a global problem. Due to the great burden and responsibility of safeguarding human lives, the anesthesia care profession is particularly vulnerable to stress. And high levels of occupational stress can cause health problems, such as mental and behavioral disorders such as fatigue, anxiety, and depression, as well as other physical disorders such as cardiovascular disease and musculoskeletal disorders that affect service functions. The role of expert anesthesiologist has a function in pre, intra, post anesthesia care services and emergency management. Objective: To identify the characteristics of anesthesiologist's work stress level based on age, gender, working period, working hours and latest education in the surgical room. Methods: This research is descriptive quantitative with a cross sectional approach. The study population was 39 respondents, the focus of observation in this study was a description of the stress level of anesthesia administrators in the surgical room of the Banyumas Regency Hospital. Results: This study shows the level of stress with mild stress category with a total of 19 respondents with a percentage (48.7%) and moderate work stress as many as 4 respondents with a percentage (10.3%). Conclusion: The results of this study indicate the presence of mild and moderate work stress in surgical room anesthesiologists at the Banyumas Regency Regional Hospital.
The The Correlation between Motivation and Anesthetists’ Working Performance in Banyumas Regency: English Achmad Fadilah, Rizal; Sukmaningtyas, Wilis; Burhan, Asmat
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.v1i2.16

Abstract

Background: The performance of health workers is a very crucial issue to be studied in order to maintain and improve health services. The impact that occurs if the performance of health workers in the hospital is not good can cause patients and families to feel dissatisfied, patients and families will not use health services again. One of the factors that affect performance is motivation. Objective: Knowing the relationship between motivation and the performance of anesthesiologists in the Banyumas Regency area. Research: The research method is correlation analytics research with a cross sectional approach. The sampling technique used total sampling, a total of thirty-nine respondents. Data collection using work motivation and performance questionnaires. Bivariate analysis using spearman-rank. Results: The results of the study obtained a percentage of 39 respondents of anesthesiologists in the Banyumas Regency area with sufficient motivation as many as 28 respondents (71.79%) and respondents who had sufficient performance as many as 31 respondents (79.98%). The results of spearman-rank analysis showed a significant relationship, work motivation with the performance of anesthesiologists with a correlation value of 0.733 and a 2-tailed sig of 0.000. Conclusion: Advice for the anesthesiologist profession who is especially incorporated in the organization at the DPC IPAI Banyumas Branch Secretariat which researchers recommend is expected to improve the quality and quantity of health services to patients and families, namely by carrying out predetermined procedures and friendly, so that patients and families feel comfortable and served with satisfaction for the services provided.
Reletationship between ASA Physical Status and Recovery Time After General Anesthesia at RSUD Dr. M. Ashari Pemalang Agustriliani, Ricke Pramesti; Sukmaningtyas, Wilis; Burhan, Asmat
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.v1i2.21

Abstract

Background: General anesthesia is a state that changes the physiological condition of the body by removing consciousness, this consists of 3 components namely, hypnotics, analgesics, and muscle relaxation. Patients who have been given anesthetic drugs will recover and regain consciousness. ASA physical status is one of the factors that can determine the length of recovery of consciousness in patients. Methods: The method is a quantitative analytic observational research method with a cross-sectional approach. The sampling technique using consecutive sampling techniques obtained 46 respondents with inclusion and exclusion criteria. Result: The results showed that the most ASA physical status was ASA 2 (47.8%), while the most time to recover consciousness was in the delayed category (56.5%). The correlation test using Kendall's tau showed a significance of p = 0.000 (p < 0.05) with a correlation coefficient of 0.765. Conclusion: There is a strong association between ASA physical status and time to recover consciousness after general anesthesia.
THE Effect of Listening to Asmaul Husna on Anxiety of Preoperative Patients in RSI Purwokerto : English Wahyuni, Dwi; Sukmaningtyas, Wilis; Burhan, Asmat
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.v1i2.23

Abstract

Background: Surgery is a medical treatment that uses invasive techniques by making an incision on the body part to be treated and ends with wound closure and suturing. This can cause both physiological and psychological stress. The psychological response to stress can be anxiety. This occurs because of the fear of bad possibilities that will happen that will harm the patient himself. Purpose: Knowing the effect of listening to Asmaul Husna on anxiety of preoperative patients at RSI Purwokerto. Methods: Design quasy experiment using Pretest-Posttest Control Group Design with sampling technique using purposive sampling technique as many as 116 respondents. The instrument used the Hamilton Anxiety Rating Scale (HARS). Data analysis using the Mann Whitney-U test. Results: We confirmed the effect of Asmaul Husna on anxiety. Paired T-test analysis of the control group with z= -0.37 with p = 0.70, while in the experimental group the mean ± SD was 0.27 ± 0.48 (CI 95% 0.14, 0.40) with p = 0.000. Mann Whitney-U analysis showed a value of z = -2.927, with p = 0.003. This shows that there is an effect of listening to Asmaul Husna on reducing the anxiety of preoperative patients at RSI Purwokerto. Conclusions: there is an effect of listening to Asmaul Husna on reducing anxiety of preoperative patients at RSI Purwokerto.
The Correlation Between Pre-Operative Fasting Duration and Post-Operative Nausea and Vomiting Occurrence on Patients with General Anestehesia Karmana, Dede; Mixrova Sebayang, Septian; Kemal Firdaus, Eza; Sukmaningtyas, Wilis
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.33

Abstract

Background: Preoperative fasting is a procedural measure implemented before surgery or anesthesia to avert regurgitation or vomiting. PONV incidence is influenced by surgical, anesthetic, and patient-related factors. The purpose of the study is to ascertain the duration of preoperative fasting observed by participants and the prevalence of PONV according to personality traits. Purpose: Determine the correlation between the duration of preoperative fasting and the occurrence of PONV in patients undergoing general anesthesia at RSUD Dr. Soekardjo Tasikmalaya. Methods: Observatory, descriptive, and cross-sectional designs are utilized. The sampling method was with sixty respondents ranging in age from seventeen to forty-five years, ASA I to II. Data is collected via observation and evaluation. Findings: The study observed that among 37 individuals (61.7%), preoperative fasting for 6-8 hours was beneficial, while for 23 individuals (38.3%), fasting for >8 hours were detrimental. At the age of 17-25 years, 10 individuals (47.6%) develop PONV, while 11 individuals (52.4%) do so between the ages of 26-45. Among women, 17 individuals (81.0%) have PONV, while 20 individuals (95.2%) have ASA I physical status, and 1 individual (4.8%) has ASA II physical status. Conclusion: There is a significant link (p < 0.013) between preoperative fasting time and postoperative nausea and vomiting (PONV) in patients under general anesthesia. Fasting before surgery should be long enough to avoid PONV
Description of Hemodynamic Changes in Section Caesarea Patients with Spina; Anesthesia in Sijunjung Regional General Hospital Nofyanto, Deden; Sukmaningtyas, Wilis; Triyudono, Danang
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.38

Abstract

Background: Every anesthetic action must Background: Every anesthetic action must pay attention to the patient's condition because this anesthetic action causes effects on all body systems, including hemodynamic changes in the patient's body. To see if there are hemodynamic changes that occur, blood pressure and pulse monitoring can be done during the Sectio Caesarea surgery process. Purpose: to know the description of hemodynamic changes in Sectio Caesaria patients with spinal anesthesia at Sijunjung Regional General Hospital. Methods: The type of research used is observational research with descriptive research type. The population in this study were all patients with cesarean section with spinal anesthesia at the Sijunjung Regional General Hospital in July - August with a sample size of 20 patients. Research instruments used ECG monitors and observation sheets using descriptive data analysis. Findings: blood pressure and pulse of respondents before spinal anesthesia were seen entirely, namely 20 respondents (100%) with normal blood pressure and pulse and after spinal anesthesia as many as 14 people (70%) experienced hypotension and 6 respondents (30%) with normal blood pressure. While the pulse rate in respondents after spinal anesthesia was 11 people (50%) experiencing tachycardia and 9 people (45%) with a normal pulse. Conclusion: then it means that there is a picture of hemodynamic changes in sectio caesaria patients with spinal anesthesia at the Sijunjung Regional General Hospital.
Co-Authors Achmad Fadilah, Rizal Adiratna Sekar Siwi Adriani, Prasanti Adriyani, Fauziyah Hanum Nur Adzana Salsabila Nezga Pratama Yanrin Agustriliani, Ricke Pramesti Alfarizi, M Rizqy Diaz Alifiani, Azizah Putri Amin Susanto Andini Sulistianingrum Apriyanti, Meli Ardan, Achmad Area Dhiatamaa, Sketsa Asmat Burhan Asmat Burhan Assyifa, Ibnu Awal Tunis Yantoro Ayunda Frisqi Herlianingsih Azizah, Wafa Nur Bisma Yudha, Magenda Burhan, Asmat Danang Tri Yudhono Dea Oktria Nur Dedi, Dedi Irawan Devi Ratna Puspitasari Dewi, Hefty Kusuma Didik Dhani Irawan Dilla Ainun Nurjanah Dwi Atika Safitri Dwi Novitasari Dwi Novitasari Dwi Septi Wulandari Dwi Wahyuni Dzuhuri, Muh Adnan Elfi Aprilia Farhan Fawwaz Febriyanti, Vivin Dwi Feti Kumala Dewi Fhadilah Putri Syiva Alifa Firdaus, Eza Kemal Fitrianingsih Fitrianingsih Gangsar Haryo Narendra Gita Afriyani R Gulo, Sinansari Hanum NA, Fauziah Hapsari, Amelya Prabawati Hikmal Akbar Hikmanti, Arlyana Hilda Nesa Dwiningrum ibadillah yusmana Ibrahim, Nawal Iis Setiawan Ikhwan Yuda Kusuma Irawan, Didik Dhani Juarsa, Salsabila Saila Karmana, Dede Kemal Firdaus, Eza Linda Yanti Made Suandika Madyo Maryoto Madyo Maryoto Magenda Bisma Yudha Marfuatus Solikhah Maria Paulina Irma Susanti Mariah Ulfah Martyarini Budi Setyawati Maya Safitri Maya Safitri Maya Safitri Mixrova Sebayang, Septian Muhammad Def Muhammad Pandu Wira Sena Isnantopo, Noor Nika, Fifi Sephia Nofyanto, Deden Noor Rochmah Ida Ayu TP Novita Sari Nur Ardiyani, Fauziah Hanum Nur Wahyuni Nuraeni Nuraeni Nurinnisa Shiddiqiyah Pramudya Gurensky, Ganea Rada, Muh Husein Rahmat Danus Ramlan Ramlan Refa Teja Muti Reni Dwi Setyaningsih Restu Pujianto Retno Kristanti Retno Monicha Sari Ria Anggrina Ricky Irawan Riski Ardi Saputro Riski Saputra Risky Hidayat Riyan Makhfudin Rizkiaturrahma, Farah Rizqi Nur Azkiyah Roro Lintang Suryani S.Pd. M Kes I Ketut Sudiana . Sahrani, Atifah Syifa Sari, Finda Antika Sekar Pertiwi Sekar Siwi, Adiratna Septian Mixrova Sebayang sinta desiyanti Sintya Dwi Utami Siti Robi'ah Yuniatun Sri Rahayu Sri Wahyuni suci khasanah Suci Khasanah Sugiharti, Rosi Kurnia Suryo Ediyono Susanto, Amin Susilo Rini Tiara Octa Afrilya Tin Utami Tin Utami Tophan Heri Wibowo Tophan Heri Wibowo Tri Sumarni Tri Sumarni Triyudono, Danang Ulfah , Mariah Wahyu Dwi Rahmawati Wahyu Hidayat Wahyuni, Tika Wasis Eko Kurniawan Wijaya, Aditya Windiarti, Prahesti Anita Wirakhmi, Ikit Netra Wulandari, Dwi Septi Yantoro, Awal Tunis Yudha, Magenda Bisma Yudono, Danang Tri Yunita Bonis Zidan, Fahmi