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Wilis Sukmaningtyas
Universitas Harapan Bangsa
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Gambaran Persiapan Pelaksanaan Patient Safety Di Ruang IBS Rumah Sakit X Azizah, Wafa Nur; Suandika, Made; Sukmaningtyas, Wilis
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 3 (2024): SEPTEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i3.2332

Abstract

Patient safety is the most important global issue today, with the highest number of reported claims for medical errors occurring in patients. Hospital patient safety must provide services that meet quality standards and ensure a sense of security and protection from the impact of services provided in order to realize the rights of the community to quality and safe services. This study aims to determine the Overview of Preparation for Patient Safety Implementation in the IBS Room. This study uses quantitative observation method with descriptive deSign in this study, using total sampling with a sample of 32 respondents, Surgical safety checklistobservation sheet, and data analysis using univariate analysis. The results of this study were obtained in age characteristics, most of them had an age range of> 39 years as many as 18 respondents (56.3%). In gender, 23 respondents (71.9%) were male. In the length of work, 20 respondents (62.5%) worked for a long time. In the implementation of the Surgical safety checklist, the Sign inphase was completed by 24 respondents (75.0%), the Time out phase was incomplete as many as 19 respondents (59.4%), the Sign out phase was incomplete as many as 18 respondents (56.3%).
Implementasi Pemberian Hand Massage Terhadap Penurunan Tingkat Kecemasan Pre Operasi Pada Pasien Sectio Caesarea Dengan Anastesi Spinal di RSU Muhammadiyah Siti Aminah Bumiayu Febriyanti, Vivin Dwi; Sukmaningtyas, Wilis; Adriyani, Fauziyah Hanum Nur
Borneo Community Health Service Journal VOLUME 4 NOMOR 2 TAHUN 2024
Publisher : Fakultas Ilmu Kesehatan Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35334/neotyce.v4i2.5622

Abstract

Sectio caesarea is a surgical delivery process where the baby is removed through an incision in the mother's stomach (laparotomy) and uterus (hysterectomy). Each delivery method has a psychological impact on the mother, especially anxiety. One strategy for dealing with anxiety using non-pharmacological techniques is providing reflexology or hand massage. The aim of this PkM is to provide hand massage to reduce tension and reduce anxiety in preoperative caesarean section patients with spinal anesthesia. The method used was to provide hand massage twice in 10 minutes to 30 participants and use the APAIS measuring instrument in the VK Room. The results of this activity showed that the level of anxiety before implementation in the anxious category was 15 participants (50.0%), seriously anxious was 12 participants (40.0%) and mildly anxious was 3 participants (10.0%). After implementation, the majority of participants were moderately anxious, 19 (63.3%), mildly anxious, 9 (30.0%), and severely anxious, 2 (6.7%). The decrease in participants' anxiety had an average value before the hand massage was 59% and after the hand massage was 45% with a difference of 14%.
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 Nika, Fifi Sephia; Sukmaningtyas, Wilis; Burhan, Asmat; Yantoro, Awal Tunis
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.
Implementasi Terapi Hipnosis 5 Jari untuk Penurunan Stres dan Kestabilan Tekanan Darah pada Pasien Pre Operasi dengan General Anestesi Dewi, Hefty Kusuma; Suandika, Made; Sukmaningtyas, Wilis
Jurnal Peduli Masyarakat Vol 6 No 3 (2024): Jurnal Peduli Masyarakat: September 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i3.4320

Abstract

Hipertensi sering kali menyebabkan kondisi berbahaya bagi penderitanya, dengan kemungkinan menimbulkan ketegangan atau Stres akibat penyakit tersebut yang biasanya membutuhkan pengobatan jangka panjang. Tujuan dilakukan pengabdian kepada masyarakat ini ialah guna memahami hasil implementasi terapi hipnosis 5 jari untuk penurunan Stres dan tekanan darah pada sebelum operasi dengan anestesi umum. Metode pengabdian kepada masyarakat ini dilakukan dengan cara melibatkan pendekatan personal untuk memberikan implementasi terapi hipnosis 5 jari kepada masing-masing peserta. Khalayak sasaran dalam pengabdian kepada masyarakat ini adalah pasien pre operasi dengan general anestesi di RSUD dr. R Goeteng Taroenadibrata Purbalingga sebanyak 30 peserta. Hasil pengabdian kepada masyarakat menunjukan sebelum dilakukan hipnosis 5 jari yaitu Stres ringan 26 (63,3%) peserta setelah dilakukan hipnosis 5 jari tingkat Stres normal 15 (50%) peserta dan Stres ringan 15 (50%) peserta. Tingkat tekanan darah sebelum dilakukan hipnosis 5 jari hipertensi tingkat 1 30 (100%) peserta setelah dilakukan hipnosis 5 jari pra hipertensi 20 (66,7%). Kesimpulan dari kegiatan pengabdian kepada masyarakat ini terapi hipnosis 5 jari dapat menurunkan Stres dan tekanan darah pada pasien pre operasi dengan general anestesi.
Penerapan Yoga Dalam Upaya Mengurangi Kecemasan Pada Lansia di Panti Wreda Budi Dharma Kasih Purbalingga Wahyuni, Sri; Sukmaningtyas, Wilis; Nur Ardiyani, Fauziah Hanum
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.13864741

Abstract

Elderly is the stage of old age in the development of men and women aged 60 years and over. As a person gets older, their physical abilities decrease so that their social role is reduced, their essential needs are disturbed and anxiety arises. This community service (PkM) activity aims to provide education and apply yoga exercises to reduce anxiety in the elderly. This PkM method is carried out by providing material using power points about anxiety and the benefits of yoga for the elderly and carrying out yoga therapy according to the SOP using video media about elderly yoga exercises. Yoga is done 3 times, namely on Monday, Wednesday and Friday with a duration of 20 minutes. , then assess the level of knowledge and anxiety level pre-implementation and post-implementation of presentation of material and yoga therapy by conducting an evaluation using the HRS-A questionnaire instrument and knowledge level questionnaire. The average value of the level of knowledge before education was in the highest category, namely Sufficient as many as 15 participants or (83.3%) after education increased to the good category as many as 3 participants or (83.3%) and the average value of anxiety before implementing yoga was 50.0% and after applying yoga the average anxiety level was 38.89%. There is a difference in the amount of decline between pre and post of 11.11%. From the results of Community Service it can be concluded that there is an increase in knowledge and a decrease in anxiety. The expected output from this PkM activity is that the elderly can apply yoga in an effort to reduce anxiety, a video containing yoga therapy for the elderly, and the publication of community service articles.
Gambaran Perubahan Kadar Gula Darah Sewaktu pada Pasien Sectio Caesarea Dengan Spinal Anestesi di RSUD Dr. Soedirman Kebumen ibadillah yusmana; Made Suandika; Wilis Sukmaningtyas
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 9 No 2 (2024): Vol. 9 No. 2 Desember 2024
Publisher : Universitas Aufa Royhan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/health.v9i2.1682

Abstract

Sectio Caesarea adalah salah satu tindakan pembedahan untuk mengekstraksi janin melalui insisi pada dinding abdomen dan rahim. Tindakan anestesi pada operasi dapat mempengaruhi seluruh sistem pada tubuh manusia yang akan menyebabkan perubahan kestabilan homeostasis yang dapat memicu terjadinya respon stres. Tujuan penelitan ini untuk mengetahui gambaran perubahan kadar gula darah sewaktu pada pasien sectio caesarea dengan spinal anestesi di RSUD dr. Soedirman Kebumen. Metode penelitian yang digunakan adalah deskriptif kuantitatif dengan pendekatan cross sectional. Teknik sampling dengan consecutive sampling sebanyak 124 responden. Data diambil dengan lembar observasi mengenai perubahan kadar gula darah pada pasien pre dan pasca spinal anestesi serta alat pengecekan kadar gula darah dengan menggunakan Easy Touch GCU.Sebagian besar responden 100 (80,6%) rentang 26 – 35 mengalami perubahan kadar gula darah sewaktu. Responden pasca anestesi lebih rentan mengalami hiperglikemi yaitu sejumlah 10 responden (8,1%).
Efektifitas Buli-Buli Hangat Untuk Meningkatkan Suhu Tubuh Pada Pasien Hipotermi Pasca Operasi Hikmal Akbar; Septian Mixrova Sebayang; Wilis Sukmaningtyas
Borneo Nursing Journal (BNJ) Vol. 7 No. 1 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v7i1.87

Abstract

Salah satu komplikasi yang muncul setelah tindakan anestesi adalah hipotermi salah satu penghangatan dengan konduksi panas adalah dengan menggunakan terapi kompres hangat. Buli-buli hangat untukpengembalian suhu tubuh. Penelitian tentang efektivitas pemberian buli-buli terhadap hipotermia pada pasien post operasi. Pemberian kompres hangat pada daerah tubuh akan memberikan sinyal ke hipotalamus melalui spinal cord. Ketika reseptor yang peka terhadap panas di hipotalamus dirangsang, sistem efektor mengeluarkan sinyal yang memulai berkeringat dan vasodilatasi perifer. Perubahan ukuran pembuluh darah akan memperlancar sirkulasi oksigenisasi mencegah terjadinya spasme otot, memberikan rasa hangat. Program ini bertujuan untuk mengetahui seberapa efektif pemberian buli-buli hangat pada pasien hipotermi pasca operasi dan meningkatkan pengetahuan dan keterampilan keluarga pasien dalam menangani hipotermia melalui metode ceramah, demonstrasi, dan penggunaan media visual seperti video. Jumlah peserta yang terlibat sebanyak 30 Pasien yang diberi pre-test dan post-test untuk mengevaluasi peningkatan suhu tubuh pasien. Hasilnya menunjukkan peningkatan signifikan dalam peningkatan suhu tubuh setelah pemberian buli-buli hangat. Dengan adanya program ini, diharapkan dapat meningkatkankeselamatan pada pasien yang mengalami hipotermia post operasi. Selain itu, program ini juga menghasilkan media edukasi seperti video untuk digunakan oleh masyarakat luas.
Gambaran Terjadinya Nyeri Tenggorokan Pasca Anastesi General Yang Diberikan Dexametasone Di Charitas Hospital Palembang Ria Anggrina; Septian Mixrova Sebayang; Wilis Sukmaningtyas
Borneo Nursing Journal (BNJ) Vol. 7 No. 1 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v7i1.89

Abstract

General anestesi merupakan tindakan menghilangkan rasa sakit secara sentral disertai hilangnya kesadaran (reversible). Tindakan general anestesi terdapat beberapa teknik yang dapat dilakukan adalah general anestesi denggan teknik intravena anestesi dan general anestesi dengan inhalasi yaitu dengan face mask (sungkup muka) dan dengan teknik intubasi yaitu pemasangan endotrecheal tube atau gabungan keduanya inhalasi dan intravena. penelitian ini bertujuan untuk melihat gambaran terjadinya nyeri tenggorokan pasca general anastesi yang diberikan dexametasone di Charitas Hospital Palembang. Penelitian ini menggunakan penelitian deskriptif dengan sampel 72 responden post general anastesi.dari hasil penelitian ini menunjukan bahwa responden dengan rentang usia adalah dewasa muda 20-44 tahun sebanyak 72 peserta (100.0%). Jenis kelamin sebagian besar responden adalah perempuan sebanyak 61 peserta (84.7%) dan laki-laki sebanyak 11 responden (15.3%). Ukuran ETT sebagian besar responden adalah ukuran 7 sebanyak 61 peserta (84.7%) dan ukuran ETT nomor 7,5 sebanyak 11 responden (15.3%), responden dengan nyeri ringan sebanyak 68 responden (94,4%), responden dengan nyeri sedang sebanyak 4 responden (5,6%). Diharapakan pasien dengan post operasi dengan general anastesi menggunakan ETT tidak mengalami nyeri hebat sehingga pasien lebih Nyaman.
Implementasi Hot Pack Untuk Peningkatan Suhu Tubuh Pada Pasien Hipotermi Pasca Operasi Dzuhuri, Muh Adnan; Sukmaningtyas, Wilis; Yudha, Magenda Bisma
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 4 No 5 (2024): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v4i5.409

Abstract

Introduction: As a kind of therapy, surgery involves cutting into the patient in order to reach the targeted location of the body. The risk of hypothermia is a potential consequence of anesthesia. A dangerous drop in core temperature, below 36 degrees Celsius, causes hypothermia. One way to alleviate cold symptoms is using a warm compress. An alternative to using hot packs to raise core temperature is a warm compress. Hot packs have many advantages over buli-buli, the most notable of which is that they can be reused and never run out of steam. Objective: This community service activity is to implement hot packs on hypothermic patients. Method: As part of their community service, volunteers take patients' temperatures using electronic thermometers. Including thirty individuals who were found to have hypothermia. Result: Impact of Volunteer Work Hypothermia after administration of a hot pack, with a pre-package average temperature of 35.20 degrees Celsius Average core temperature before administration of the hot pack: 36.50 °C Body temperature values ranged from 34.10C before implementation to 36.70C thereafter, with a low value of 35.10C and a high value of 35.90C before and after, respectively. Conclusion: This proves that there is an increase in body temperature in hypothermic patients after implementing Hot packs.
Implementasi Terapi Musik Klasik Untuk Mengurangi Kecemasan Pada Pasien Pre Operasi Sectio Caesarea Dengan Spinal Anestesi Zidan, Fahmi; Sukmaningtyas, Wilis; Firdaus, Eza Kemal
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 4 No 5 (2024): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v4i5.413

Abstract

Introduction: Performing a sectio caesarea is done to ensure the safety of both the mother and the baby, since there are risks and difficulties that might arise during a natural delivery. Nonpharmacological treatment, namely distraction strategies, may help pregnant women manage their anxiety before, during, and after surgery by focusing their attention away from the worries that arise regarding the health of both mother and child. Using distraction strategies might help alleviate anxiety, particularly during pregnancy, by diverting one's attention to something else. If you suffer from severe anxiety, one method to alleviate it is to listen to music. Objective: Music therapy is an example of a non-pharmacological treatment that this community service aims to put into place so that patients can enhance their physical and mental well-being through the use of structured auditory stimuli that include melody, rhythm, harmony, timbre, form, and style. Method: As a kind of community service, this activity makes use of listening to five or ten minutes of classical music on headphones. Result: Fifteen individuals (or 50.0% of the total) reported moderate anxiety levels before classical music therapy was implemented, whereas six participants (20.0% of the total) reported severe anxiety levels. Among the individuals, 10 (33.3%) reported moderate anxiety, 19 (63.3%) mild anxiety, and 1 (3.3%) severe anxiety after the use of rose aromatherapy. Conclusion: Based on the results obtained, it can be concluded that classical music therapy can reduce the anxiety level of patients before cesarean section surgery with spinal anesthesia.
Co-Authors Abdurrohman Rasyid Achmad Fadilah, Rizal Adiratna Sekar Siwi Adriani, Prasanti Adriyani, Fauziyah Hanum Nur Afrilya, Tiara Octa Agustriliani, Ricke Pramesti Alfarizi, M Rizqy Diaz Alifa, Fhadilah Putri Syiva Alifiani, Azizah Putri Amin Susanto Apriyanti, Meli Ardan, Achmad Area Dhiatamaa, Sketsa Areksah, Recy Asmat Burhan Assyifa, Ibnu Ayunda Frisqi Herlianingsih Azizah, Wafa Nur Bisma Yudha, Magenda Burhan, Asmat Danang Tri Yudhono Dea Oktria Nur Dedi, Dedi Irawan Depi Anggara Devi Ratna Puspitasari Dewi, Hefty Kusuma Didik Dhani Irawan Dwi Atika Safitri Dwi Novitasari Dwi Septi Wulandari Dwi Wahyuni Dzuhuri, Muh Adnan Elfi Aprilia Farhan Fawwaz Fauzi, Rizki Febriyanti, Vivin Dwi Feti Kumala Dewi Firdaus, Eza Kemal Fitrianingsih Fitrianingsih Gita Afriyani R Gulo, Sinansari Hanum NA, Fauziah Hapsari, Amelya Prabawati Hendrila, Salsabila Putri Hidayat, Ariani Putri 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 Mixrova Sebayang, Septian Muhammad Def Muhammad Pandu Wira Sena Isnantopo, Noor Narendra, Gangsar Haryo Nika, Fifi Sephia Nofyanto, Deden Noor Rochmah Ida Ayu TP Novita Sari Nur Ardiyani, Fauziah Hanum Nur Wahyuni Nuraeni Nuraeni Nurinnisa Shiddiqiyah Nurjanah, Dilla Ainun Ocha Rajabia Rahmah Pramudya Gurensky, Ganea Rada, Muh Husein Rahmanto, Edwin Teguh 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 Savitri, Nurmalita Ayu Sekar Pertiwi Sekar Siwi, Adiratna 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 Thopan Heri Wibowo 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 Wibowo, Tophan Heri Wijaya, Aditya Windiarti, Prahesti Anita Wirakhmi, Ikit Netra Wulandari, Dwi Septi Yanrin, Adzana Salsabila Nezga Pratama Yantoro, Awal Tunis Yudha, Magenda Bisma Yudono, Danang Tri Yunita Bonis Zidan, Fahmi