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Description of Hemodynamic Changes in Section Caesarea Patients with Spina; Anesthesia in Sijunjung Regional General Hospital Nofyanto, Deden; Sukmaningtyas, Wilis; Triyudono, Danang
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.38

Abstract

Background: Every anesthetic action must Background: Every anesthetic action must pay attention to the patient's condition because this anesthetic action causes effects on all body systems, including hemodynamic changes in the patient's body. To see if there are hemodynamic changes that occur, blood pressure and pulse monitoring can be done during the Sectio Caesarea surgery process. Purpose: to know the description of hemodynamic changes in Sectio Caesaria patients with spinal anesthesia at Sijunjung Regional General Hospital. Methods: The type of research used is observational research with descriptive research type. The population in this study were all patients with cesarean section with spinal anesthesia at the Sijunjung Regional General Hospital in July - August with a sample size of 20 patients. Research instruments used ECG monitors and observation sheets using descriptive data analysis. Findings: blood pressure and pulse of respondents before spinal anesthesia were seen entirely, namely 20 respondents (100%) with normal blood pressure and pulse and after spinal anesthesia as many as 14 people (70%) experienced hypotension and 6 respondents (30%) with normal blood pressure. While the pulse rate in respondents after spinal anesthesia was 11 people (50%) experiencing tachycardia and 9 people (45%) with a normal pulse. Conclusion: then it means that there is a picture of hemodynamic changes in sectio caesaria patients with spinal anesthesia at the Sijunjung Regional General Hospital.
Overview of Thirst Level in Pre-Operative Patients Muhammad Pandu Wira Sena Isnantopo, Noor; Sukmaningtyas, Wilis; Triyudono, Danang
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.48

Abstract

Background: Fasting before surgery has the effect of reducing the acidity and volume of the stomach which affects the risk of nausea and vomiting leading to aspiration pnomonia and gastric regurgitation that may occur during anesthesia. Purpose: The study aims to determine the description of the level of thirst in preoperative patients at the Central Surgical Installation (IBS) of Dr. H. Moch. Ansari Saleh Banjarmasin Hospital. Methods: This study used descriptive method with cross sectional design. The sampling technique with total sampling obtained 35 respondents. Data analysis using descriptive analysis. Findings: The study showed 18 respondents (51.4%) had fasted for 5-8 hours before surgery, 13 respondents (37.1%) had a habit of drinking more than 2000 ml of water per day, this study showed that the level of thirst of respondents in the mild category was 31.4%, the level of moderate thirst was 42.9% and the level of severe thirst was 25.7%. Conclusion: That more respondents experienced moderate thirst.
Operating Room Orientation Using Visual Media Virtual Reality Box (Vr.Box) On Decreasing The Level of Fear of Pre Operation Patients Hidayat, Wahyu; Sukmaningtyas, Wilis; Bisma Yudha, Magenda
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.72

Abstract

Background: Effective new patient orientation is crucial in reducing preoperative anxiety, which can significantly impact patient outcomes. Anxiety in patients often stems from unmet needs for security and fear of imminent threats. The Virtual Reality Box (VR Box) has emerged as a potential tool to alleviate this anxiety by providing a distracting and calming experience. Purposes: This study evaluates the impact of operating room orientation on preoperative anxiety levels, with a focus on its effectiveness when combined with VR Box technology. Methods: This study utilized the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to measure anxiety levels in patients before and after receiving operating room orientation. The intervention involved providing comprehensive orientation about the nursing process and surgical environment. A total of [number] preoperative patients participated in the study, and their anxiety levels were assessed pre- and post-orientation. Findings: The analysis revealed a reduction in average anxiety levels from 20.1% before the orientation to 16.2% after the orientation, indicating a 3.9% decrease in anxiety. This suggests that the orientation process effectively mitigated some of the anxiety associated with preoperative procedures. Conclusion: The findings demonstrate that operating room orientation can significantly reduce preoperative anxiety. The integration of orientation strategies with tools such as the VR Box could enhance patient comfort and preparedness, potentially improving overall surgical outcomes. Future research should explore the long-term benefits and potential enhancements of combining orientation with advanced anxiety-reducing technology.
Pelatihan Penanganan Awal pada Kegawatdaruratan Kejang Demam pada Anak Dengan Teknik Tepid Water Sponge di Balai Desa Ledug Kembaran Banyumas Hapsari, Amelya Prabawati; Sukmaningtyas, Wilis; Sekar Siwi, Adiratna
Jurnal Abdimas Kesehatan (JAK) Vol. 7 No. 2 (2025): Juni
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v7i2.890

Abstract

Febrile convulsions are seizures that occur in children aged 6 months to 5 years who experience an increase in body temperature above 38 ℃. Tepid water sponge is a warm compress with a wipe technique given to patients who have high fever to reduce or reduce body temperature, so that with controlled body temperature will reduce the risk of seizures. The purpose of this community service is to implement the provision of training so as to increase the knowledge and skills of mothers in the initial handling of febrile seizures in children with tepid water sponge techniques. The methods used in this training activity are pre-test and post-test questionnaire methods, lectures, demonstrations, and discussions after the implementation of training activities. A total of 30 mothers in Ledug Village on 5 June 2024 became participants who were given a pre test and post test to determine their level of knowledge. The results of measuring the knowledge and skills of mothers after the training showed that the majority of mothers could understand well related to the management of early management of febrile seizures as many as 21 people (70%). Evaluation of skill level was also given to the parents. The results showed that before the training, all 28 participants fell into the incompetent category. After the training, there was an increase in skills with the majority being in the highly competent category as many as 13 people (42.8%). This activity proved to be effective in improving the knowledge and skills of parents in Ledug Village about the initial handling of febrile seizures in children.
Pelatihan Bantuan Hidup Dasar Pada Kegawatdaruratan Bayi Saat Tersedak Menggunakan Teknik Chest Thrust di Desa Ledug Wahyuni, Tika; Sukmaningtyas, Wilis; Hanum NA, Fauziah
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.15335855

Abstract

Background: Infants are a population that is vulnerable to health problems. Health problems experienced by infants become emergencies if not handled properly. One of the emergencies that is often experienced by infants is choking. Choking is a condition where a foreign object blocks the throat for various reasons, blocking the flow of air. Handling of infants aged 0-1 years using the chest thrust technique. Objective: This Community Service aims to identify the level of knowledge and skills of pregnant women and mothers who have babies in providing basic life support in the event of a choking baby emergency. Method: This Community Service uses lecture and demonstration methods. Participants who attended and participated in the activity were 25 people. The activity was carried out at the Ledug Purwokerto Village Hall on Friday, September 30, 2024. The media used were in the form of powerpoint, leaflets and videos.  Results: The level of knowledge before education was carried out, 8 participants (32.0%) had insufficient knowledge, 4 participants (16.0%) had sufficient knowledge and 13 participants (52.0%) had good knowledge. Meanwhile, after being given education, 25 participants (100%) were in the good category. The skill level before being given education and demonstration, all participants were unskilled, 25 participants (100.0%). Meanwhile, after being given education and demonstration, 22 participants (65.6%) had skilled skills and 3 people (12.0%) had poor skills. Output: This community service is in the form of leaflets, videos, and journal publications.
Pelatihan Bantuan Hidup Dasar Pada Kegawatdaruratan Bayi Saat Tersedak Menggunakan Teknik Chest Thrust di Desa Ledug Wahyuni, Tika; Sukmaningtyas, Wilis; Hanum NA, Fauziah
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.15335855

Abstract

Background: Infants are a population that is vulnerable to health problems. Health problems experienced by infants become emergencies if not handled properly. One of the emergencies that is often experienced by infants is choking. Choking is a condition where a foreign object blocks the throat for various reasons, blocking the flow of air. Handling of infants aged 0-1 years using the chest thrust technique. Objective: This Community Service aims to identify the level of knowledge and skills of pregnant women and mothers who have babies in providing basic life support in the event of a choking baby emergency. Method: This Community Service uses lecture and demonstration methods. Participants who attended and participated in the activity were 25 people. The activity was carried out at the Ledug Purwokerto Village Hall on Friday, September 30, 2024. The media used were in the form of powerpoint, leaflets and videos.  Results: The level of knowledge before education was carried out, 8 participants (32.0%) had insufficient knowledge, 4 participants (16.0%) had sufficient knowledge and 13 participants (52.0%) had good knowledge. Meanwhile, after being given education, 25 participants (100%) were in the good category. The skill level before being given education and demonstration, all participants were unskilled, 25 participants (100.0%). Meanwhile, after being given education and demonstration, 22 participants (65.6%) had skilled skills and 3 people (12.0%) had poor skills. Output: This community service is in the form of leaflets, videos, and journal publications.
Implementasi Relaksasi Otot Progresif Terhadap Penurunan Tingkat Kecemasan Pasien Pre Sectio Caesarea Alifiani, Azizah Putri; Sukmaningtyas, Wilis; Utami, Tin
Jurnal Pengabdian Masyarakat - PIMAS Vol. 4 No. 3 (2025): Agustus
Publisher : LPPM Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/pimas.v4i3.1860

Abstract

Sectio caesarea semakin banyak dilakukan di negara berkembang, berdasarkan data Kemenkes RI 2019, persentase persalinan dengan SC di Provinsi Jawa Tengah mencapai 17,1%.Tingginya tingkat kecemasan adalah salah satu tantangan utama yang dihadapi pasien selama menjalani operasi, karena dapat memengaruhi proses persalinan serta kondisi fisik dan mental baik ibu maupun janin. Terapi relaksasi otot progresif terbukti berhasil mengurangi kecemasan pasien sebelum operasi dengan cara merilekskan ketegangan otot dan meningkatkan produksi hormon endorfin. Tujuan dari PkM ini adalah mengimplementasikan relaksasi otot progresif pada pasien pre sectio caesarea dengan anestesi spinal untuk menurunkan tingkat kecemasan. Metode yang diterapkan dalam kegiatan pengabdian kepada masyarakat ini dengan mengimplementasikan relaksasi otot progresif selama 10 menit pada 30 peserta dengan menggunakan instrument kecemasan APAIS. Hasil kegiatan ini menunjukkan sebelum pelaksanaan relaksasi otot progresif terdeteksi adanya kecemasan ringan pada 8 peserta (26,7%) dan kecemasan sedang pada 22 peserta (73,3%). Setelah dilakukannya implementasi, mayoritas peserta mengalami tingkat kecemasan ringan dengan jumlah 25 peserta (83,3%) dan kecemasan sedang sebanyak 5 peserta (16,7%). Pengurangan kecemasan peserta melalui relaksasi otot progresif tercatat sebesar 49,1%, dan setelah implementasi, hasilnya mencapai 32%, dengan selisih sebesar 17,1%.   Kata kunci : kecemasan pre operasi, relaksasi otot progresif, sectio caesarea  
Edukasi Hipertensi Pada Pasien Pascaoperasi Dengan Riwayat Hipertensi Di RSUD Dr. Soedirman Kebumen Juarsa, Salsabila Saila; Sukmaningtyas, Wilis; Utami, Tin
Jurnal Pengabdian Masyarakat - PIMAS Vol. 4 No. 3 (2025): Agustus
Publisher : LPPM Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/pimas.v4i3.1926

Abstract

Hipertensi adalah kondisi kronis dengan tekanan darah melebihi 140/90 mmHg yang berisiko menimbulkan komplikasi serius. Pada pasien pascaoperasi, hipertensi sering terjadi akibat respons stres tubuh, nyeri, atau kurangnya kontrol faktor risiko. Edukasi perioperatif penting untuk meningkatkan kepatuhan terhadap pengobatan, pemantauan tekanan darah, dan perubahan gaya hidup. Kegiatan pengabdian ini bertujuan meningkatkan pengetahuan pasien pascaoperasi dengan riwayat hipertensi melalui edukasi menggunakan buku saku. Metode yang digunakan adalah edukasi individu kepada 20 peserta, dievaluasi dengan kuesioner sebelum dan sesudah edukasi. Hasil menunjukkan peningkatan signifikan: sebelum edukasi, peserta dengan kategori cukup dan baik masing-masing sebanyak 10 peserta (50%), dan tidak ada yang masuk kategori kurang. Setelah edukasi, seluruh peserta (100%) masuk kategori baik. Rata-rata pengetahuan meningkat dari 72% menjadi 88%. edukasi dengan media sederhana seperti buku saku terbukti efektif dalam meningkatkan pemahaman pasien terhadap hipertensi pascaoperasi.
Gambaran tingkat kecemasan pasien preoperasi sectio caesarea Ibrahim, Nawal; Sukmaningtyas, Wilis; Yanti, Linda
Health Sciences and Pharmacy Journal Vol. 9 No. 2 (2025)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32504/hspj.v9i2.1191

Abstract

Kecemasan praoperasi pada pasien sectio caesarea dapat dipicu oleh stres terkait prosedur pembedahan. Tingkat kecemasan yang berlebihan berpotensi menghambat proses penyembuhan dan memperburuk kondisi pasien selama operasi. Penelitian ini bertujuan menggambarkan tingkat kecemasan pasien sectio caesarea praoperasi di RST Wijaya Kusuma Purwokerto. Desain penelitian menggunakan deskriptif observasional kuantitatif dengan pendekatan Cross-sectional. Penelitian dilaksanakan di ruang rawat inap Gayatri RST Wijaya Kusuma Purwokerto pada 1–29 November 2023. Teknik sampling yang digunakan adalah total sampling dengan jumlah sampel 35 pasien. Instrumen penelitian berupa kuesioner Amsterdam Preoperative Anxiety and Information Scale (APAIS), sedangkan analisis data dilakukan menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa 17 responden (48,6%) berusia antara 17 sampai 25 tahun, mereka yang disurvei, 25 (71,6%) belum pernah menjalani operasi, sedangkan 10 (28,4%) sebelumnya pernah menjalani operasi penyelamatan. Dari mereka yang disurvei, 11 (31,4%) memiliki pendidikan SMP dan sebanyak 18 responden (51,4%) menggolongkan kecemasan sebelum operasi sectio caesarea sebagai kecemasan dengan tingkat sedang. Dari. Penelitian ini disimpulkan sebagian besar responden tingkat kecemasan preoperasi pada pasien sectio caesarea berada pada kategori sedang, belum pernah menjalani tindakan pembedahan, meskipun terdapat sebagian kecil yang memiliki riwayat pembedahan. Dari segi latar belakang pendidikan, sebagian besar responden memiliki tingkat pendidikan terakhir setara Sekolah Menengah Pertama (SMP).
Gambaran Saturasi Oksigen Pada Pasien Perokok Pasca Anestesi Umum Di Recovery Room Rumah Sakit Khusus Bedah Jatiwinangun Rizkiaturrahma, Farah; Sukmaningtyas, Wilis; Firdaus, Eza Kemal
Action Research Literate Vol. 8 No. 10 (2024): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v8i11.620

Abstract

Tindakan anestesi khususnya general anestesi inhalasi mempunyai risiko yang cukup besar mengalami desaturasi atau penurunan saturasi oksigen dari nilai normal. Saturasi oksigen adalah presentasi total oksigen dalam darah yang terikat oleh hemoglobin atau jumlah oksigen yang diangkut oleh hemoglobin (Malawat & Cahyadi, 2018). Saturasi oksigen pasca anestesi, khususnya anestesi umum inhalasi juga sangat berpengaruh pada keadaan sistem kesehatan paru. Tujuan penelitian ini yaitu untuk mengidentifikasi karakteristik saturasi oksigen pada pasien perokok pasca anestesi umum berdasarkan usia, durasi operasi dan frekuensi perokok. Penelitian ini menggunakan desain penelitian observasional analitik. Teknik sampling pada penelitian ini menggunakan teknik non-probability sampling dengan teknik consecutive sampling. Populasi penelitian 75 responden. Hasil penelitian menunjukkan bahwa berdasarkan usia responden dewasa awal memiliki nilai kategori saturasi oksigen Normal terdapat 17 responden (22,7%) dan pada lansia akhir memiliki nilai kategori saturasi oksigen Hipoksia terdapat 5 responden (6,7%). Berdasarkan durasi operasi kecil nilai kategori saturasi oksigen Normal terdapat 44 responden (58,7%). Untuk kategori saturasi oksigen Hipoksia keduanya memiliki kejadian hipoksia yang sama yaitu 3 responden (4%) operasi kecil dan 3 responden (4%) operasi sedang. Berdasarkan frekuensi perokok pada perokok ringan nilai kategori saturasi oksigen Normal terdapat 53 responden (70,7%) dan perokok sedang nilai kategori saturasi oksigen Hipoksia terdapat 6 responden (8%). Berdasarkan hasil tersebut, dapat diambil kesimpulan adanya penurunan saturasi oksigen pada pasien perokok pasca anestesi umum di recovery room Rumah Sakit Khusus Bedah Jatiwinangun. Hal ini dipengaruhi oleh keberagaman karakteristik para responden baik dari sisi usia, durasi operasi dan frekuensi perokok.
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