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Wilis Sukmaningtyas
Fakultas Kesehatan, Universitas Harapan Bangsa
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Efektivitas Preloading Koloid Terhadap Kejadian Hipotensi Pada Pasien Sectio Caesarea Dengan Spinal Anestesi Di Rumah Sakit Islam Purwokerto Meliana Hardian Rahmawati; Tophan Heri Wibowo; Wilis Sukmaningtyas
Borneo Nursing Journal (BNJ) Vol. 8 No. 1
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.259

Abstract

Prosedur persalinan yang paling umum dilakukan di dunia medis adalah sectio caesarea dengan anestesi spinal. Komplikasi yang paling seringkali ditemukan pada pasien yang menjalani tindakan sectio caesarea dengan spinal anestesi adalah hipotensi. Hipotensi atau tekanan darah rendah ialah ketika tekanan darah < 90/60 mmHg. Tujuan studi ini yaitu untuk mengetahui efektivitas preloading koloid dalam mencegah terjadinya hipotensi pada pasien yang menjalani sectio caesarea dengan spinal anestesi. Penelitian ini menerapkan desain penelitian kuantitatif melalui pre eksperimen dengan metode Posttest Only Control Group. Populasi penelitian sebanyak 92 pasien. Teknik sampling menggunakan total sampling sebanyak 30 pasien sectio caesarea dengan spinal anestesi. Temuan penelitian mengungkapkan bahwasanya kejadian hipotensi pada kelompok intervensi (diberi preloading koloid) tidak terjadi, hampir seluruhnya normal sejumlah 14 partisipan (93,3%). Pada kelompok kontrol (tidak diberi preloading koloid) sebagian besar mengalami kejadian hipotensi sebanyak 8 responden (53,3%). Uji Mann Whitney U diperoleh hasil Z = -4.669 dan p = 0,000 (p ≤ 0,05). Hal ini menandakan ada efektivitas preloading koloid pada kejadian hipotensi pada pasien sectio caesarea dengan spinal anestesi. Saran bagi peneliti berikutnya diharapkan untuk melaksanakan riset lanjutan dengan cakupan yang lebih luas, baik dari segi jumlah sampel, variasi karakteristik pasien, maupun jenis cairan koloid yang digunakan.
Pelatihan Bantuan Hidup Dasar pada Kegawatdaruratan Bayi Saat Tersedak Menggunakan Teknik Back Blow di Desa Ledug Ariani Putri Hidayat; Wilis Sukmaningtyas; Eza Kemal Firdaus
Jurnal Inovasi Global Vol. 2 No. 8 (2024): Jurnal Inovasi Global
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jig.v2i8.149

Abstract

Tersedak merupakan suatu kegawatdaruratan yang sangat berbahaya, karena dalam beberapa menit akan terjadi kekurangan oksigen secara general atau menyeluruh sehingga hanya dalam hitungan menit klien akan kehilangan reflek nafas, denyut jantung dan kematian secara permanen dari batang otak. Penanganan tersedak pada anak sangat tergantung pada peran orangtua. Pengetahuan orangtua yang berbeda akan mengakibatkan penanganan tersedak pada anak yang berbeda pula. Perlu ada pendidikan untuk mengubah atau mempengaruhi perilaku orangtua tentang penanganan tersedak, salah satunya melalui penyuluhan. Hasil yang telah dilakukan menghasilkan pre test dengan kategori cukup 10 peserta (33%) dan kategori kurang 20 peserta (66,7%) setelah pemaparan materi meningkat menjadi kategori baik 14 peserta (46,7%) dan kategori cukup 16 (53,3%). Sementara itu di keterampilan para peserta cukup menguasai dengan dibuktikannya sebelum di demonstarikan dalam kategori tidak terampil hamper semua peserta. Berdasarkan hal tersebut, penulis mendemonstrasikan tindakan back blow menggunakan pantom lalu menerangkan kembali melalui audio visual keterampilan para peserta menjadi cukup baik di dalam kategori terampil sebanyak 27 peserta (90%) dan tidak terampil 3 peserta (10%).
Edukasi Kesehatan Tentang Penanganan Pertama Kegawatdaruratan Kejang demam pada Anak di Desa Ledug Salsabila Putri Hendrila; Wilis Sukmaningtyas; Eza Kemal Firdaus
Jurnal Inovasi Global Vol. 2 No. 10 (2024): Jurnal Inovasi Global
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jig.v2i10.183

Abstract

Penanganan pertama kejang demam pada anak merupakan tindakan krusial yang perlu diketahui oleh orang tua untuk mencegah komplikasi lebih lanjut. Penelitian ini bertujuan untuk mengukur efektivitas edukasi kesehatan dalam meningkatkan pengetahuan orang tua mengenai penanganan pertama kejang demam pada anak usia 6 bulan hingga 5 tahun. Metode penelitian yang digunakan adalah eksperimen semu dengan desain pre-test dan post-test pada 30 responden di Desa Ledug. Edukasi diberikan melalui metode ceramah dan demonstrasi menggunakan media visual seperti video dan PowerPoint. Hasil penelitian menunjukkan peningkatan signifikan pada pengetahuan responden setelah edukasi, dengan nilai pre-test pada kategori baik sebesar 63,3% meningkat menjadi 93,3% pada post-test. Kesimpulannya, edukasi kesehatan ini efektif dalam meningkatkan pengetahuan orang tua mengenai penanganan kejang demam, sehingga dapat mengurangi risiko komplikasi pada anak yang mengalami kejang demam.
Hubungan Usia dan Lama Puasa dengan Kejadian Hipotensi Pada Pasien dengan Anestesi Spinal di RSUD Kardinah Tegal M Rizqy Diaz Alfarizi; Wilis Sukmaningtyas; Maya Safitri
Medika: Jurnal Ilmiah Kesehatan Vol. 5 No. 2 (2025): Medika: Jurnal Ilmiah Kesehatan
Publisher : Universitas Nahdlatul Ulama Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69503/medika.v5i2.1014

Abstract

Hypotension is the most common complication that occurs following spinal anesthesia and can be influenced by various factors, including age and the duration of preoperative fasting. Untreated hypotension may lead to decreased tissue perfusion, reduced consciousness, organ ischemia, and even shock. This study aims to determine the relationship between age and fasting duration with the incidence of hypotension in patients undergoing spinal anesthesia at Kardinah Regional Hospital, Tegal. A quantitative approach was employed using a descriptive correlational design with a cross-sectional method. A total of 98 respondents were selected through purposive sampling. Data were collected using observation sheets and analyzed using the Chi-Square test. The results showed that the majority of respondents were in the 46–55 year age group (43.9%) and had fasted for more than 8 hours (58.2%). A total of 64.3% of respondents experienced hypotension after spinal anesthesia. Statistical analysis revealed a significant relationship between age and the incidence of hypotension (p = 0.000), as well as between fasting duration and the incidence of hypotension (p = 0.000). It can be concluded that the older the patient and the longer the fasting duration, the higher the risk of developing hypotension.
Pengaruh Guided Imagery Terhadap Skala Nyeri pada Pasien Post Operasi Fraktur di RSUD Ajibarang Rizki Fauzi; Wilis Sukmaningtyas; Tin Utami
Malahayati Nursing Journal Vol 7, No 7 (2025): Volume 7 Nomor 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i7.20747

Abstract

ABSTRACT Surgery is the most common solution for fracture patients. Pain during fracture surgery, which is often felt two hours after the procedure, is one of the most common complaints expressed by patients. For those who suffer from pain, the application of non-pharmacological methods has a major influence on pain management. Guided imagery is one of the most popular non-pharmacological pain management methods. The purpose of this study was to determine the effect of guided imagery on the pain scale in patients who had undergone fracture surgery at Ajibarang Hospital. This research method was a pre-experimental with one group pre-post test design. The sampling technique used was purposive sampling of 38 post-fracture surgery respondents. Before and after guided imagery therapy, the pain scale was measured using a numeric rating scale (NRS). With a p value of 0.000, the findings indicate that guided imagery therapy has an impact on the pain scale in patients who have undergone fracture surgery. As a result, in addition to medical therapy, guided imagery therapy can be used as an additional method for pain management. Keywords : Guided Imagery, Pain, Fracture, Post-Operative  ABSTRAK Operasi merupakan solusi yang paling sering digunakan bagi penderita patah tulang. Rasa nyeri selama operasi patah tulang, yang sering kali dirasakan dua jam setelah prosedur, merupakan salah satu keluhan yang paling sering diutarakan oleh pasien. Bagi mereka yang menderita nyeri, penerapan metode nonfarmakologis memiliki pengaruh yang besar terhadap penanganan nyeri. Guided imagery merupakan salah satu metode penanganan nyeri nonfarmakologis yang paling populer. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh guided imagery terhadap skala nyeri pada pasien yang telah menjalani operasi fraktur di RSUD Ajibarang. Metode penelitian ini adalah pra eksperimen dengan one group pre-post test design. Teknik sampling yang digunakan adalah purposive samplingsebanyak 38 responden post operasi fraktur. Sebelum dan setelah terapi imajinasi terbimbing, skala nyeri diukur menggunakan numeric rating scale (NRS). Dengan nilai p 0,000, temuan tersebut menunjukkan bahwa terapi imajinasi terbimbing berdampak pada skala nyeri pada pasien yang telah menjalani operasi fraktur. Hasilnya, selain terapi medis, terapi imajinasi terbimbing dapat digunakan sebagai metode tambahan untuk manajemen nyeri. Kata Kunci: Guided Imagery, Nyeri, Fraktur, Post Operasi
THE OVERVIEW OF HYPOTENSION OCCURENCE ON PATIENTS WITH SPINAL ANAESTHESIA IN JATIWINANGUN SURGICAL HOSPITAL: KEJADIAN HIPOTENSI PADA PASIEN DENGAN ANESTESI SPINAL DI RUMAH SAKIT KHUSUS BEDAH JATIWINANGUN Fifi Sephia Nika; Wilis Sukmaningtyas; Asmat Burhan; Awal Tunis Yantoro
Jurnal Keperawatan Terapan Vol 9 No 2 (2023): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i2.4031

Abstract

Anestesi spinal dapat melebarkan pembuluh darah dan menurunkan curah jantung. Hal ini disebabkan oleh blok simpatis yang menurunkan tekanan darah. Situasi ini terjadi dalam beberapa menit awal setelah pemberian. Oleh karena itu, tekanan darah harus dipantau untuk mencegah masalah yang lebih parah. Penelitian ini meneliti hipotensi pada pasien anestesi spinal. Penelitian kuantitatif cross-sectional ini melibatkan 65 partisipan. Hasil analisis uji deskriptif menunjukkan bahwa responden didominasi oleh lansia akhir (41,5%), laki-laki (78,5%), dengan indeks massa tubuh rata-rata (63,1%), dan dalam kondisi ASA II (43,1%). Tergantung pada kondisi pasien selama intra anestesi, anestesi spinal dapat menyebabkan hipotensi pada menit ke-5. Temuan penelitian ini dapat membantu mencegah hipotensi dengan mengungkapkan penyebabnya. Penelitian di masa depan harus meneliti dosis obat, tinggi blok tulang belakang, dan faktor lingkungan yang dapat menyebabkan hipotensi.
Gambaran Kejadian Hipotensi Pasca Spinal Anestesi Pasien Sectio Caesarea di Rumah Sakit Emanuel Banjarnegara Jaylening Wintri Dao; Amin Susanto; Wilis Sukmaningtyas
Journal of Educational Innovation and Public Health Vol. 4 No. 3 (2026): Juli: Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i3.9611

Abstract

Hypotension is a common complication following spinal anesthesia in cesarean section patients due to sympathetic blockade, which causes vasodilation and a decrease in blood pressure. This study aimed to describe the incidence of post-spinal anesthesia hypotension among cesarean section patients at Emanuel Hospital Banjarnegara.This study employed a quantitative method with a descriptive observational design and a cross-sectional approach. The sample consisted of 63 respondents selected using an accidental sampling technique. Data were collected through blood pressure monitoring every 3 minutes for 30 minutes following spinal anesthesia.The results showed that most respondents were aged 20–35 years (85.7%), had a fasting duration of ≤8 hours (79.4%), were classified as ASA II (100%), received fluid preloading of ≤500 mL (77.8%), were not administered vasopressors (68.3%), and had the highest level of spinal block at the L3–L4 intervertebral space (81%). Based on these characteristics, hypotension occurred most frequently among patients aged 20–35 years, with a fasting duration of ≤8 hours, ASA II status, fluid preloading of ≤500 mL, no vasopressor administration, and spinal block at the L3–L4 level.The mean systolic blood pressure before anesthesia was 130.35 mmHg and decreased to its lowest value of 111.68 mmHg at the third minute, then remained relatively stable until the 30th minute within the range of 115–120 mmHg. The mean diastolic blood pressure decreased from 81.73 mmHg to 67.14 mmHg at the third minute and remained stable within the range of 66–70 mmHg until the 30th minute.Of the 63 respondents, 37 patients (58.7%) experienced hypotension, while 26 patients (41.3%) did not. These findings indicate that post-spinal anesthesia hypotension remains a common occurrence among cesarean section patients. Therefore, strict hemodynamic monitoring is required, particularly during the early minutes after spinal anesthesia, along with appropriate consideration of fluid administration and vasopressor use.
Patient Satisfaction with Anesthesia Technician Services Cesarean Section Patients Under Eracs Heriyani Heriyani; Dwi Novitasari; Wilis Sukmaningtyas; Awal Tunis Yantoro; Agus Dwi Yulianto
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.481

Abstract

Patient satisfaction is a complex concept that relies heavily on the patient's personal judgment. When expectations are not met, patients tend to seek alternative care that is perceived as easier and faster. The study aims to describe the characteristics and level of satisfaction with Anesthesia Technician services among SC patients with ERACS at Muhammadiyah Palembang Hospital. This study employed a cross-sectional design with a convenience sampling technique involving 48 patients undergoing Enhanced Recovery After Cesarean Surgery (ERACS). Data were collected using questionnaires that had been validated through expert judgment and tested for reliability using Cronbach’s alpha (α > 0.7). Data were analyzed descriptively to present respondent characteristics and bivariately using the Chi-square test to examine relationships between variables. The results of the study showed the characteristics of SC patients with ERACS at Muhammadiyah Palembang Hospital, based on age showed that the majority of patients were 26-35 years old with 27 respondents (56.2%), education showed that the majority of patients' education was high school with 22 respondents (45.8%), and characteristics based on work showed that the majority of patients' work was housewives 39 respondents (81.2%). Patient satisfaction levels showed that the majority of patients who underwent SC with ERACS had a high level of satisfaction, with 27 respondents (56.2%). This study shows that the majority of respondents are in the category of high satisfaction level, attributed to the quality of anesthesiologist services meeting patient expectations.
A Cross-Sectional Study on the Relationship Between Age, Surgery Duration, and Post-Anesthesia Hypothermia Incidenc: English Gangsar Haryo Narendra; Wilis Sukmaningtyas; Asmat Burhan
Viva Medika Vol 16 No 4 (2023)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1101

Abstract

Background: Hypothermia is a post-anesthesia complication commonly found in the recovery room after general and regional anesthesia. Patients undergoing surgery are at risk of hypothermia. Hypothermia can be defined as a body temperature of less than 36oC. Objective: to identify the relationship between age and length of surgery with the incidence of post-anesthesia hypothermia at Hospital dr.R.Goeteng Taroenadibrata Methods: This research method uses a quantitative approach with a cross-sectional approach. A sample of 86 post-anesthesia respondents with a purposive sampling technique and chi-square test to analyze the data. Results: This study shows a relationship between age and the incidence of hypothermia with a chi-square value with a probability value of 0.001 <0.05. This study also shows a connection between the length of surgery and the incidence of hypothermia at 69% with an X2 value with a probability value of p = 0.001. Conclusion: We confirmed that age and duration of surgery significantly affect patients' thermoregulation after general anaesthesia and regional anaesthesia, resulting in various signs and symptoms.
Comparison of Mean Arterial Pressure (MAP) Values in Elderly Patients Undergoing Transurethral Resection of the Prostate (TURP) with Regional Anesthesia at Banjarnegara Islamic Hospital in 2023. Fhadilah Putri Syiva Alifa; Martyarini Budi Setyawati; Wilis Sukmaningtyas; Awal Tunis Yantoro
Viva Medika Vol 16 No 4 (2023)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1175

Abstract

Basic Health Research (2017) stated that around 50% of men aged 50 years in Indonesia suffered from BPH (Benign Prostate Hyperplasia). One of the treatments for BPH is TURP (Transurethral Resection of the Prostate) using spinal anesthesia. A high degree of blockade (≥ T5) and elderly are the two main factors of complication causing changes in MAP (Mean Arterial Pressure) values ​​after spinal anesthesia, which is about 15.3 to 33%. MAP monitoring is very important because MAP describes the status of cerebral perfusion. The research purpose was to determine the comparison of MAP in each age group of the elderly undergoing TURP at Bajarnegara Islamic Hospital. The researcher applied a comparative analytic method with cross sectional approach. The research was conducted in March 2023 with 31 respondents. The samples were taken by using convenience sampling technique. The independent sample t test results showed (p = 0,870). Therefore, there were no significant differences of MAP in each age group of the elderly undergoing TURP at Bajarnegara Islamic Hospital.
Co-Authors Abdurrohman Rasyid Achmad Fadilah, Rizal Adiratna Sekar Siwi Adriani, Prasanti Adriyani, Fauziyah Hanum Nur Agus Dwi Yulianto Agustriliani, Ricke Pramesti Alfarizi, M Rizqy Diaz Alifiani, Azizah Putri Amin Susanto Amin Susanto Apriyanti, Meli Ardan, Achmad Area Dhiatamaa, Sketsa Areksah, Recy Ariani Putri Hidayat Asmat Burhan Asmat Burhan Assyifa, Ibnu Atun Raudotul Awal Tunis Yantoro Awal Tunis Yantoro Ayunda Frisqi Herlianingsih Azizah, Wafa Nur Bunga Evaliana Burhan, Asmat Danang Tri Yudhono Danang Tri Yudono Dea Oktria Nur Dedi, Dedi Irawan Depi Anggara Devi Ratna Puspitasari Dewi, Hefty Kusuma Didik Dhani Irawan Dilla Ainun Nurjanah Divya Deynilisa Dwi Atika Safitri Dwi Novitasari Dwi Septi Wulandari Dwi Wahyuni Dzuhuri, Muh Adnan Elfi Aprilia Farhan Fawwaz Fauziah Hanum Nur Ardiyani Febriyanti, Vivin Dwi Feti Kumala Dewi Fhadilah Putri Syiva Alifa Fifi Sephia Nika Firdaus, Eza Kemal Fitrianingsih Fitrianingsih Gangsar Haryo Narendra Gita Afriyani R Gulo, Sinansari Hanum NA, Fauziah Hapsari, Amelya Prabawati Heriyani Heriyani Hikmal Akbar Hikmal Akbar Hikmanti, Arlyana Hilda Nesa Dwiningrum Hilda Nesa Dwiningrum ibadillah yusmana Ibrahim, Nawal Iis Setiawan Ikhlas Mapolawa Ikhwan Yuda Kusuma Ikit Netra W Indri Heri Susanti Irawan, Didik Dhani Jaylening Wintri Dao Juarsa, Salsabila Saila Karmana, Dede Linda Yanti M Rizqy Diaz Alfarizi Made Suandika Madyo Maryoto Madyo Maryoto Magenda Bisma Yudha Marfuatus Solikhah Maria Paulina Irma Susanti Mariah Ulfah Maya Safitri Maya Safitri Meliana Hardian Rahmawati Mirzam Mirzam Mixrova Sebayang, Septian Muhamad Iksan Ramadhansyah Muhammad Def Muhammad Pandu Wira Sena Isnantopo, Noor Nensyi Ardiani Lorensa Nika, Fifi Sephia Nofyanto, Deden Noor Rochmah Ida Ayu TP Novita Sari Nur Wahyuni Nuraeni Nuraeni Nurinnisa Shiddiqiyah Nurmalita Ayu Savitri Ocha Rajabia Rahmah Pramudya Gurensky, Ganea Rada, Muh Husein Rafi Dwi Kusuma Rahmanto, Edwin Teguh Rahmat Danus Rahmat Danus Rahmawati, Arni Nur Rahmi Zahra Akyunin Ramlan Ramlan Refa Teja Muti Reni Dwi Setyaningsih Restu Pujianto Retno Kristanti Retno Monicha Sari Ria Anggrina Ria Anggrina Ricky Irawan Riski Ardi Saputro Riski Saputra Risky Hidayat Riyan Makhfudin Rizki Fauzi Rizkiaturrahma, Farah Rizqi Nur Azkiyah Roro Lintang Suryani S.Pd. M Kes I Ketut Sudiana . Sahrani, Atifah Syifa Salsabila Putri Hendrila Sari, Finda Antika Savitri, Nurmalita Ayu Sekar Pertiwi Sekar Siwi, Adiratna Septi Ajeng Nur Prihatini Septian Mixrova Sebayang Septian Mixrova Sebayang Setyawati, Martyarini Budi Shiddiqiyah, Nurinnisa sinta desiyanti Sintya Dwi Utami Siti Haniyah Siti Robi'ah Yuniatun Sri Rahayu Sri Wahyuni suci khasanah Suci Khasanah Sugiharti, Rosi Kurnia Sulistianingrum, Andini Suryo Ediyono Susanto, Amin Susilo Rini Talakua, Yoan Tika Thopan Heri Wibowo Tiara Octa Afrilya Tin Utami Tin Utami Topan Heri Wibowo Tophan Heri Wibowo Tophan Heri Wibowo Tophan Heri Wibowo Tri Rastuti Tri Sumarni Tri Sumarni Triyudono, Danang Ulfah , Mariah Wahyu Dwi Rahmawati Wahyu Hidayat Wahyuni, Tika Wasis Eko Kurniawan Wibowo, Tophan Heri Wijaya, Aditya Windiarti, Prahesti Anita Wirakhmi, Ikit Netra Wiwit Arif Hidayat Wulandari, Dwi Septi Yanrin, Adzana Salsabila Nezga Pratama Yantoro, Awal Tunis Yudono, Danang Tri Yunita Bonis Zidan, Fahmi