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Wilis Sukmaningtyas
Universitas Harapan Bangsa
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GAMBARAN WAKTU PULIH SADAR PADA PASIEN POST GENERAL ANESTESI DI RSUD CILACAP Ayunda Frisqi Herlianingsih; Tophan Heri Wibowo; Wilis Sukmaningtyas
Jurnal Cakrawala Ilmiah Vol. 4 No. 5: Januari 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

General anestesi atau umum yaitu keadaan reversibel yang berpengaruh status fisiologis tubuh yang ditandai dengan hilangnya nyeri, hilangnya kesadaran, hilangnya memori (amnesia) dan relaksasi serta dapat mempengaruhi sistem sirkulasi, sistem respirasi dan sistem saraf pusat. Pulih sadar pasca general anestesi dapat didefinisikan sebagai suatu kondisi tubuh dimana konduksi neuromuskular, refleks protektif jalan nafas dan kesadaran telah kembali setelah dihentikannya pemberian obat-obatan anestesi dan proses pembedahan juga telah selesai. Keterlambatan pulih sadar terjadi ketika pasien gagal mendapatkan kembali kesadaran dalam waktu 30 – 60 menit setelah anestesi, hal itu merupakan efek residual dari obat anestesi, sedatif, analgesik, hipotermia, gangguan metabolik berat atau stroke perioperasi. Beberapa faktor yang mempengaruhi pulih sadar adalah efek obat anestesi (Premedikasi & induksi), usia, berat badan (indek massa tubuh), jenis operasi, status fisik dan gangguan asam basa / elektrolit. Metode : Penelitian ini termasuk penelitian kuantitatif dengan rancangan deskriptif. Pendekatan yang digunakan saat penelitian adalah cross sectional yaitu suatu penelitian dengan mempelajari dinamika korelasi antara faktor-faktor risiko dengan efek, dengan cara pendekatan observasi yang dilakukan sekali saja. Hasil : sebagian besar pulih sadar 11-15 menit dengan usia antara 26 – 45 tahun (45,1%), berjenis kelamin perempuan (64,6%), IMT normal (59,3%).
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): November - February 2025
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): November - February 2025
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.
Gambaran Faktor Waktu Pulih Sadar pada Pasien Post General Anestesi di Ruang Instalasi Bedah Sentral RSUD dr. R. Goeteng Taroenadibrata Purbalingga Wahyuni, Nur; Wilis Sukmaningtyas; Asmat Burhan
LANCAH: Jurnal Inovasi dan Tren Vol. 1 No. 2 (2023): November
Publisher : Lembaga Otonom Lembaga Informasi dan Riset Indonesia (KITA INFO dan RISET) - Lembaga KITA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35870/ljit.v1i2.2117

Abstract

Proses pemulihan sadar dari anestesi, kondisi pasien harus dipantau sebelum pasien dapat dipindahkan ke ruang perawatan. Faktor yang mempengaruhi pemulihan kesadaran adalah efek obat anestesi (premedikasi dan induksi), usia, berat badan (indeks massa tubuh), jenis operasi, lama anestesi, status fisik dan gangguan asam basa/elektrolit. Tujuan penelitian ini untuk Mengetahui Gambaran Faktor Waktu Pulih Sadar pada pasien Post General Anestesi di RSUD dr. R. Goeteng Taroenadibrata Purbalingga. Metode penelitian kuantitatif rancangan deskriptif dengan pendekatan cross sectional. Pengambilan sampel menggunakan purposive sampling jumlah sampel 88. Instrument penlitian lembar observasi. Hasil Penelitian ini sebagian besar waktu pulih sadar cepat dalam waktu (≤15 menit) dengan nilai aldrete score 9 berdasarkan karakteristik Usia 26-45 tahun sebanyak (30,7%), Berjenis kelamin perempuan sebanyak (40,9%), IMT normal sebanyak (28,4%), Tekanan darah normal sebanyak (30,7%). Kesimpulan Gambaran waktu pulih sadar pada pasien post general anestesi sebagian besar mengalami waktu pulih sadar secara cepat yaitu (≤15 menit ) sebanyak 61,4% dengan aldret score minimal 9.
Pelatihan Bantuan Hidup Dasar (BHD) Kepada Masyarakat Awam di Desa Pajala Kabupaten Muna Barat Provinsi Sulawesi Tenggara Ardan, Achmad; Sukmaningtyas, Wilis; Susanto, Amin
Nanggroe: Jurnal Pengabdian Cendikia Vol 4, No 1 (2025): April
Publisher : Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15226965

Abstract

Background. Basic life support is a basic aspect of rescue action in relation to cardiac arrest. To support the success and quality of life of patients, important aspects include prevention of cardiac arrest, early cardiopulmonary resuscitation (CPR)/cardiopulmonary resuscitation (CPR), activation of the emergency response system, effective advanced life support, and integrated post-cardiac arrest management. The purpose of this community service activity is to provide basic life support training to the general public so that they can provide assistance when an emergency arises. This PKM method is carried out with the practice of Basic Life Support Training. The results of this community service obtained data on the characteristics of participants dominated by men, namely 18 participants (60%), while for participants with female gender there were 12 respondents (40%). The characteristics of education obtained data that the high school education history was 16 participants (53%), for the characteristics of employment status, data obtained that it was dominated by farmers as many as 16 participants (54%). The level of BHD implementation with a good category is 20 respondents (67%), while for the less category level is 10 respondents (33%). The output produced is in the form of leaflets and scientific publications. This PKM activity is expected to fulfill the author’s final assignment in taking the Anesthesiology Nursing Study Program at Harapan Bangsa University, Purwokerto.
Pelatihan Bantuan Hidup Dasar (BHD) Kepada Masyarakat Awam di Desa Pajala Kabupaten Muna Barat Provinsi Sulawesi Tenggara Ardan, Achmad; Sukmaningtyas, Wilis; Susanto, Amin
Nanggroe: Jurnal Pengabdian Cendikia Vol 4, No 1 (2025): April
Publisher : Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15226965

Abstract

Background. Basic life support is a basic aspect of rescue action in relation to cardiac arrest. To support the success and quality of life of patients, important aspects include prevention of cardiac arrest, early cardiopulmonary resuscitation (CPR)/cardiopulmonary resuscitation (CPR), activation of the emergency response system, effective advanced life support, and integrated post-cardiac arrest management. The purpose of this community service activity is to provide basic life support training to the general public so that they can provide assistance when an emergency arises. This PKM method is carried out with the practice of Basic Life Support Training. The results of this community service obtained data on the characteristics of participants dominated by men, namely 18 participants (60%), while for participants with female gender there were 12 respondents (40%). The characteristics of education obtained data that the high school education history was 16 participants (53%), for the characteristics of employment status, data obtained that it was dominated by farmers as many as 16 participants (54%). The level of BHD implementation with a good category is 20 respondents (67%), while for the less category level is 10 respondents (33%). The output produced is in the form of leaflets and scientific publications. This PKM activity is expected to fulfill the author’s final assignment in taking the Anesthesiology Nursing Study Program at Harapan Bangsa University, Purwokerto.
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.
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 Hikmal Akbar Hikmal Akbar Hikmanti, Arlyana Hilda Nesa Dwiningrum 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 Maya Safitri Maya Safitri Meliana Hardian Rahmawati 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 Rahmat Danus 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 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 Septian Mixrova Sebayang Setyawati, Martyarini Budi 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 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