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All Journal PROSIDING SEMINAR NASIONAL Jurnal Bidan Prada Jurnal Kebidanan Dan Kesehatan Tradisional Media Kesehatan Politeknik Kesehatan Makassar Manuju : Malahayati Nursing Journal Jurnal Sehat Mandiri Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Health Sciences and Pharmacy Journal Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Peduli Masyarakat Jurnal Inovasi Penelitian Jurnal Menara Medika Jurnal Kesehatan Tambusai Jurnal Ilmiah Wahana Pendidikan Action Research Literate (ARL) Journal of Management Nursing Jurnal Pengabdian Masyarakat Kolaborasi Jurnal Pengabdian Masyarakat Jurnal Cakrawala Ilmiah NUSANTARA: Jurnal Pengabdian Kepada Masyarakat Borneo Community Health Sevice Journal Cerdika: Jurnal Ilmiah Indonesia SEMINAR NASIONAL PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT Madani: Multidisciplinary Scientific Journal Nanggroe: Journal Of Scholarly Service Jurnal Keperawatan Notokusumo Journal of Educational Innovation and Public Health Nanggroe: Journal of Scholarly Service Java Nursing Journal Jurnal Inovasi Global Jurnal Ilmiah Kesehatan Mandira Cendikia Jurnal Abdimas Kesehatan Holistik Jurnal Kesehatan LANCAH Jurnal Inovasi dan Tren Borneo Nursing Journal Medika: Jurnal Ilmiah Kesehatan Jurnal Keperawatan Terapan Indonesian Journal of Global Health Research
Wilis Sukmaningtyas
Fakultas Kesehatan, Universitas Harapan Bangsa
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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.
Description of The Incident of Hypotension in Elderly Receiving Spinal Anesthesia at Cilacap Regional Hospital Dilla Ainun Nurjanah; Martyarini Budi Setyawati; Wilis Sukmaningtyas
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.v16i4.1211

Abstract

Spinal anesthesia is a type of regional anesthesia performed by injecting local anesthetic drugs into the subarachnoid space which can cause hypotension with an incidence of 16% - 33%. Hypotension is a drop in systolic blood pressure below 90mmHg. Risk factors that can increase the incidence of hypotension in spinal anesthesia include age. In young adults, hypotension is usually less severe than the elderly with the same high spinal anesthesia. The purpose of this study was to determine the picture of hypotension events in the elderly who received spinal anesthesia techniques at the Central Surgical Installation of Cilacap Hospital. The design of this study is quantitative descriptive with sampling using convenience sampling techniques. The study was conducted in June 2023. The sample of this study was elderly >60 years old totaling 52 respondents. The results of this study showed the incidence of hypotension as many as 38 respondents (67.3%) and not hypotension 17 respondents (32.7%). This study shows that the elderly are one of the factors in the incidence of post-spinal anesthesia hypotension.
Overview Of Postoperative Nausea and Vomiting (Ponv) in Caesarean Section Patients with Spinal Anesthesia at Fatimah Islam Hospital, Cilacap. Tiara Octa Afrilya; 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.v16i4.1220

Abstract

Spinal anesthesia has been established as the most effective and safest procedure for Sectio Caesarea. One of the most common side effects of spinal anesthesia is operative Nausea and Vomiting (PONV) or Nausea vomiting, which typically occurs within the first 24 hours after surgery. This study seeks to determine the description of Operative Nausea and Vomiting (PONV) based on age, surgery duration, and fasting duration in patients undergoing Caesarean section at RSI Fatimah Cilacap under spinal anesthesia. This research method employs quantitative analytic observation with a cross-sectional design and convenience sampling. The results revealed that the majority of respondents were between the ages of 20 and 35 (90.6%), with an incidence of PONV of 58.6%; the duration of surgery was between one and two hours (90.6%), with an incidence of 51.7%; and fasting duration was less than six hours (50%) with an incidence of 87.7%. This study found that 53.1% of participants experienced Operative Nausea and Vomiting (PONV).
Implementasi Range of Motion Pasif terhadap Percepatan Bromage Score Pasien Pasca Anestesi Spinal di Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto Ikhlas Mapolawa; Wilis Sukmaningtyas; Feti Kumala Dewi
Nusantara: Jurnal Pengabdian kepada Masyarakat Vol. 6 No. 3 (2026): Agustus: NUSANTARA Jurnal Pengabdian Kepada Masyarakat
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/nusantara.v6i3.10072

Abstract

Delayed recovery of motor function following spinal anesthesia may prolong recovery room stay and delay early mobilization. Passive Range of Motion (ROM) is a simple non-pharmacological intervention that may accelerate motor recovery. To describe the implementation of passive ROM in accelerating Bromage Score recovery among patients after spinal anesthesia at Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto. This community service program involved 30 postoperative spinal anesthesia patients who met the inclusion criteria. Activities included patient education, assessment of Bromage Score before intervention, passive ROM implementation for 5–10 minutes, and post-intervention evaluation. Data were analyzed descriptively using frequency distribution. Most participants were 17–45 years old (76.7%), male (60%), classified as ASA I (66.7%), received 10 mg hyperbaric bupivacaine (46.6%), and had no previous surgical history (66.7%). Before intervention, all participants had Bromage Score 3 (100%). Following passive ROM, 60% achieved Bromage Score 1, with an average recovery time of 41 minutes. Passive ROM is a practical, safe, and feasible intervention that may accelerate motor recovery after spinal anesthesia and support early postoperative mobilization.
Implementasi Murottal Ar-Rahman untuk Mengurangi Kecemasan pada Pasien Spinal Anestesi di Ruang Preoperasi RST Wijaya Kusuma Purwokerto Rahmi Zahra Akyunin; Wilis Sukmaningtyas; Feti Kumala Dewi
Nusantara: Jurnal Pengabdian kepada Masyarakat Vol. 6 No. 3 (2026): Agustus: NUSANTARA Jurnal Pengabdian Kepada Masyarakat
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/nusantara.v6i3.10073

Abstract

Preoperative anxiety is a common psychological reaction in patients preparing for surgery, especially for those receiving spinal anesthesia, since they stay aware during the operation. Uncontrolled anxiety can adversely impact hemodynamic stability, raise anesthetic needs, and prolong postoperative recovery. Surah Ar-Rahman murottal therapy has arisen as a non-drug intervention that encourages relaxation and mental well-being. This research focused on assessing variations in preoperative anxiety levels after the application of Surah Ar-Rahman murottal therapy in individuals receiving spinal anesthesia. This community service initiative utilized an implementation method that involved a pretest–posttest framework with 30 elective surgical patients at RST Wijaya Kusuma Purwokerto from February to April 2026. Anxiety was assessed with the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Participants listened to a 10-minute audio rendition of Surah Ar-Rahman prior to surgery. Before the intervention, the majority of participants suffered from moderate anxiety (46.7%). After the intervention, most participants indicated mild anxiety (63.3%), 20.0% had no anxiety, and none were classified as severely anxious. The application of Surah Ar-Rahman murottal therapy significantly minimized preoperative anxiety and could act as a safe, supplementary non-drug approach in perioperative anesthesia nursing care.
Gambaran Persepsi Dan Tingkat Kepuasan Mahasiswa Terhadap Proses Pembelajaran Berbasis Hybrid Learning Pada Program Studi Keperawatan Anestesiologi Universitas Harapan Bangsa Bunga Evaliana; Wilis Sukmaningtyas; Arni Nur Rahmawati
Borneo Nursing Journal (BNJ) Vol. 8 No. 2 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2.1196

Abstract

Pembelajaran berbasis hybrid learning merupakan salah satu inovasi dalam dunia pendidikan yangmengombinasikan pembelajaran tatap muka dan pembelajaran daring. Metode ini diharapkan dapatmeningkatkan fleksibilitas dan efektivitas proses pembelajaran. Namun, dalam pelaksanaannya, persepsi dantingkat kepuasan mahasiswa menjadi indikator penting untuk menilai keberhasilan pembelajaran tersebut.Penelitian ini bertujuan untuk mengetahui gambaran persepsi dan tingkat kepuasan mahasiswa terhadap prosespembelajaran berbasis hybrid learning di Program Studi Keperawatan Anestesiologi Universitas HarapanBangsa. Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan cross-sectional. Sampelpenelitian berjumlah 151 responden yang dipilih menggunakan teknik stratified sampling. Data dikumpulkanmenggunakan kuesioner melalui Google Form dan dianalisis secara univariat menggunakan distribusi frekuensi.Hasil penelitian menunjukkan bahwa responden didominasi oleh perempuan (72,2%), dengan sebagian besarberusia 22–23 tahun (70,9%). Sebagian besar mahasiswa memiliki persepsi positif terhadap pembelajaranberbasis hybrid learning (93,4%). Sementara itu, tingkat kepuasan mahasiswa didominasi oleh kategori cukuppuas dan kurang puas, yang masing-masing sebesar 35,8%. Berdasarkan hasil penelitian tersebut, dapatdisimpulkan bahwa pembelajaran berbasis hybrid learning telah dipersepsikan secara positif oleh sebagian besarmahasiswa, namun tingkat kepuasan yang diperoleh masih belum optimal. Oleh karena itu, diperlukan upayapeningkatan kualitas pembelajaran, terutama pada aspek interaksi dan komunikasi, guna meningkatkan kepuasanmahasiswa secara menyeluruh.
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 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 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 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 Ardiyani, Fauziah Hanum 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