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Wilis Sukmaningtyas
Universitas Harapan Bangsa
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Terapi Senam Terhadap Penurunan Nyeri Osteoartritis Pada Lansia di Panti Jompo Wreda Dharma Kasih Gulo, Sinansari; Sukmaningtyas, Wilis; Firdaus, Eza Kemal
Nanggroe: Jurnal Pengabdian Cendikia Vol 3, No 7 (2024): Oktober
Publisher : Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13898957

Abstract

Background. Elderly is someone who reaches the age of 60 years and above. The elderly will also experience health problems caused by aging, usually affecting the joints, namely osteoarthritis. Osteoarthritis is chronic inflammation in the joints that causes tissue damage to the cartilage. There are several factors that cause osteoarthritis, namely age and gender, obesity, genetics, joints, muscle strength, and knee alignment. Osteoarthritis in the elderly can be reduced or treated with exercise therapy. Based on a pre-survey at the Budi Dharma Kasih Nursing Home, it was found that more than half of the elderly experienced osteoarthritis pain due to a lack of understanding in reducing this pain. Objective. This community service (PkM) activity aims to implement exercise for the elderly. Method : This PkM method is carried out by providing Ostearthritis material, then exercise therapy, followed by a discussion containing a question and answer session regarding the material presented, as well as an evaluation using pre and post questionnaires after exercise therapy. Results. The results obtained after carrying out exercise therapy activities for the elderly were an increase in pain with the moderate pain group before implementation amounting to (0.0%) after implementation increasing by (55.6%), the severe pain group before implementation amounting to (100.0%) after implementation it decreased by (44.4%). Outer. There are three expected outcomes from this PkM activity, namely, 1. The elderly can apply exercise therapy 2. Videos containing exercises, 3. Publication of community service articles.
HUBUNGAN USIA DENGAN PERUBAHAN TEKANAN DARAH PADA PASIEN PRE OPERASI DI RSUD BREBES Rada, Muh Husein; Sukmaningtyas, Wilis; Yanti, Linda; Yudono, Danang Tri
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 22 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14579678

Abstract

Latar Belakang : Tekanan darah ialah aspek yang amat vital dalam system sirkulasi peningkatan ataupun turunnya tekanan darah yang dapat memengaruhi homeostatis didalam tubuh. Adanya kondisi perubahan tekanan darah normal ke tekanan darah tinggi di preoperasi dapat mempengaruhi prosedur operasi yang akan dijalani oleh pasien hal ini dikarenakan beberapa obat anestesi dapat menurunkan tekanan darah selama proses pembiusan. Bertambahnya usia diketahui dapat membuat arterial menjadi kaku, kontribusi terhadap kerusakan endotel yang dapat memperbesar resistensi perifer total dan demikian juga tekanan darah. Tujuan : Mengidentifikasi korelasi usia terhadap fluktuasi tekanan darah dalam pre operasi. Metode : Studi analitik observasional ini menggunakan studi potong-lintang. Sampel penelitian meliputi 128 orang yang mengikuti penelitian dengan menggunakan metode purporsive sampling. Analisis data menggunakan uji Chi-Square. Hasil : Studi ini menemukan bahwasannya didapatkan hasil Chi-Square terlihat p-value dengan nilai 0,000 < 0,05 yang menunjukan adanya korelasi usia dengan perubahan tekanan darah pada pasien pre operasi. Simpulan : Semakin tua usia dapat mempengaruhi perubahan tekakan darah menjadi meningkat.
Terapi Senam Terhadap Penurunan Nyeri Osteoartritis Pada Lansia di Panti Jompo Wreda Dharma Kasih Gulo, Sinansari; Sukmaningtyas, Wilis; Firdaus, Eza Kemal
Nanggroe: Jurnal Pengabdian Cendikia Vol 3, No 7 (2024): Oktober
Publisher : Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.13898957

Abstract

Background. Elderly is someone who reaches the age of 60 years and above. The elderly will also experience health problems caused by aging, usually affecting the joints, namely osteoarthritis. Osteoarthritis is chronic inflammation in the joints that causes tissue damage to the cartilage. There are several factors that cause osteoarthritis, namely age and gender, obesity, genetics, joints, muscle strength, and knee alignment. Osteoarthritis in the elderly can be reduced or treated with exercise therapy. Based on a pre-survey at the Budi Dharma Kasih Nursing Home, it was found that more than half of the elderly experienced osteoarthritis pain due to a lack of understanding in reducing this pain. Objective. This community service (PkM) activity aims to implement exercise for the elderly. Method : This PkM method is carried out by providing Ostearthritis material, then exercise therapy, followed by a discussion containing a question and answer session regarding the material presented, as well as an evaluation using pre and post questionnaires after exercise therapy. Results. The results obtained after carrying out exercise therapy activities for the elderly were an increase in pain with the moderate pain group before implementation amounting to (0.0%) after implementation increasing by (55.6%), the severe pain group before implementation amounting to (100.0%) after implementation it decreased by (44.4%). Outer. There are three expected outcomes from this PkM activity, namely, 1. The elderly can apply exercise therapy 2. Videos containing exercises, 3. Publication of community service articles.
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.
Hubungan Status Fisik Asa (American Socety Of Anesthesiologist) Dengan Waktu Pencapaian Bromage Score 2 Pada Pasien Pasca Anestesi Spinal Di RS Khusus Bedah Jatiwinangun Purwokerto Rahmat Danus; Wilis Sukmaningtyas; Adiratna Sekar Siwi
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v7i2.106

Abstract

Spinal Anestesi Spinal anestesi merupakan blok regional dengan menyuntikkan obat anestesi ke dalam ruang subarachnoid. Anestesi dapat berdampak pada sistem syaraf pusat. Efek pada sistem syaraf pusat lainnya termasuk mengantuk, kepala terasa ringan, gangguan visual dan pendengaran, dan kecemasan. Faktor- faktor yang mempengaruhi pemulihan motorik ekstermitas inferior pasien pasca anestesi spinal, adalah jenis dan dosis obat anestesi, penyebaran obat, efek vasokontriksi, lengkung tulang belakang, umur, jenis kelamin, obesitas, posisi operasi serta status fisik America Society of Anesthesiologist (ASA). Penelitian ini bertujuan untuk mengetahui hubungan status fisik America Society of Anesthesiologist (ASA) dengan waktu pencapaian bromage score 2 pada pasien spinal anestesi di ruang pemulihan. Jenis penelitian ini adalah kuantitatif dengan metode observasional analitik. Jenis penelitian ini menggunakan desain penelitian korelasi analitik dengan pendekatan crossectional. Sampel yang digunakan sebanyak 56 sampel. Analisa data menggunakan uji korelasi spearman. Hasil penelitian menunjukkan bahwa kedua kelompok data tersebut memiliki hubungan karena nilai signifikansi p-value= 0,000 yaitu kurang dari 0,05, artinya hubungan antara status fisik (ASA) dan waktu pencapaian bromage score 2 signifikan secara statistik. Kesimpulannya adalah terdapat hubungan status fisik (ASA) dengan waktu pencapaian bromage score 2 dan semakin tinggi ASA maka semakin lama waktu pencapaian bromage score 2
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