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Kriteria Prediktor Upper Lip Bite Test (ULBT) dengan Mallampati sebagai Penentuan Kesulitan untuk Tindakan Intubasi Oskar Funjama Rumkorem; Tophan Heri Wibowo; Ita Apriliyani
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2022: Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2022)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (143.615 KB) | DOI: 10.35960/snppkm.v2i1.1060

Abstract

Upper lip bite test (ULBT) dan Mallampati merupakan salah satu dari berbagai bedsite test yang digunakan untuk memprediksi kesulitan intubasi laringoskopi. Statistik kriteria predictor ULBT dan Mallampati menunjukkan responden yang diprediksi terjadi intubasi sulit benar- benar terjadi intubasi sulit sebanyak 3 responden (7,5%), responden yang diprediksi terjadi intubasi sulit tetapi kenyataannya terjadi intubasi mudah sebanyak 0 responden (0%), responden yang diprediksi terjadi intubasi mudah benar-benar terjadi intubasi mudah sebanyak 36 responden (90%), responden yang diprediksi terjadi intubasi mudah tetapi kenyataannya terjadi intubasi sulit sebanyak 1 responden (2,5%), proporsi responden dengan prediksi intubasi sulit memiliki kemungkinan benar-benar mendapatkan sulit (75%), proporsi responden dengan prediksi intubasi mudah kemungkinan benar-benar mendapatkan intubasi mudah sebanyak (100%) dan Akurasi sebanyak (97,5%).
Gambaran Tingkat Kecemasan Pasien Pre Operatif setelah Pemberian Informasi Anestesi dengan Menggunakan Media Leaflet di RS Pelabuhan Cirebon Nani Nuraeni; Tophan Heri Wibowo; Madyo Maryoto
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2022: Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2022)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (253.949 KB) | DOI: 10.35960/snppkm.v2i1.1098

Abstract

Data kecemasan berbasis pamflet pendidikan kesehatan pada kelompok intervensi menunjukkan 31 (86,11%) kecemasan berat, 1 kecemasan sedang (2,75%), dan 4 kecemasan panik (11,11%). Tujuan dari penelitian ini adalah untuk mengetahui gambaran tingkat kecemasan pada pasien pra operasi setelah pemberian informasi anestesi dengan menggunakan media Leaflet di RS Pelabuhan Cirebon. Metode yang digunakan Deskriptif Kuantitatif desain penelitian Cross Sectional. Tempat penelitian di Kamar operasi RS Pelabuhan Cirebon. Waktu penelitian Oktober 2021 – Februari 2022. Populasinya yaitu pasien yang operasi general anestesi di Rumah Sakit Pelabuhan Cirebon yang rata-rata 120 orang/bulan, menggunakan teknik accidental sampling dengan jumlah sampel 30. Instrumen digunakan leaflet anestesi dan lembar kuesioner. Analisis data univariat. Hasil penelitian berdasarkan karakteristik responden didapatkan hasil mayoritas umur 21-30 tahun 12 orang (40,0%), jenis kelamin perempuan 24 orang (80,0%), pendidikan SLTA 13 orang (43,3%), pekerjaan IRT 17 orang (56,7%), dan mayoritas tidak pernah operasi 25 orang (83,3%). Tingkat kecermasan responden pre operasi sebagian besar mengalami cemas berat (36,7%). Kesimpulan gambaran tingkat kecemasan pasien pre operatif setelah pemberian informasi anestesi dengan menggunakan media leaflet sebagian besar tingkat kecemasan berat (36,7%). Saran semua perawat rumah sakit memberikan informasi yang tepat kepada pasien sebelum mereka menjalani operasi, meminimalkan rasa cemas pasien akan operasi.
Gambaran Tingkat Kecemasan Pasien Pre Operasi dengan Anestesi Spinal berdasarkan Karakteristik Responden di Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto Nanda Farah Feliska; Tophan Heri Wibowo; Dwi Novitasari
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2022: Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2022)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (156.306 KB) | DOI: 10.35960/snppkm.v2i1.1136

Abstract

Kecemasan pre operasi yaitu nyeri pasca operasi, kegagalan operasi, kematian selama anestesi. Angka kejadian kecemasan pre-operasi di IBS Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto sangat tinggi. Hal ini didukung dengan data 8 dari 10 pasien (80%) yang menjalani operasi mengalami kecemasan menggunakan kuesioner APAIS. Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat kecemasan pasien pre-operasi anestesi spinal berdasarkan karakteristik responden di IBS Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto. Metode penelitian menggunakan deskriptif Kuantitatif desain cross sectional. Pengambilan data dilakukan pada Juli 2022. Populasi penelitian pasien pre-operasi di RSB Jatiwinangun Purwokerto sebanyak 76 pasien pada Juli 2022. Pengambilan sampel menggunakan teknik purposive sampling, sampel berjumlah 43 pasien yang menjalani operasi spinal anestesi sesuai kriteria inklusi. Ukuran sampel ditentukan menggunakan rumus Slovin. Instrumen menggunakan kuesioner APAIS (Amsterdam Preoperative Anxiety and Information Scale), analisis data univariat mendeskripsikan karakteristik usia, jenis kelamin, pendidikan. Hasil sebagian besar pasien berusia dibawah 25 tahun 21 (48,8%), berjenis kelamin perempuan 24 (55,8%), sebagian besar pasien berpendidikan SLTA 13 (30,2%) dan sebagian besar pasien dengan kecemasan ringan 18 (41,9%). Hasil penelitian menunjukkan sebagian besar pasien menggambarkan tingkat kecemasan ringan sebanyak 18 (41,9%). Saran bagi peneliti selanjutnya untuk mengidentifikasi hubungan tingkat kecemasan pasien pre-operasi dan faktor yang mempengaruhi kecemasan pasien pre-operasi.
Gambaran Pengetahuan Pasien Pra Operasi Tentang Pentingnya Puasa Sebelum Tindakan Operasi di RSUD Pidie Jaya Noval Aulia; Tophan Heri Wibowo; Feti Kumala Dewi
Viva Medika Vol 16 No 3 (2023): VOLUME 16 / Nomor 03 /JULI/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i3.1039

Abstract

Pre-surgical information for patients is important for patients to know so that they are better prepared for the surgical process. Inadequate pre-surgical preparation can be a cause of anesthetic accidents. This study aims to describe the knowledge of preoperative patients about the importance of fasting before surgery at Pidie Jaya Hospital. This research method is quantitative with a descriptive approach. Sampling technique with nonprobability sampling by means of accidental sampling as many as 104 respondents who perform operations. Data analysis was performed univariately. The results showed that the majority of patients aged > 35 years were 59 respondents (56.7%), the majority were male, 63 respondents (60.6%), the majority had junior high school education, 61 respondents (58.7%), the majority 37 respondents (35.6%) worked as farmers, the majority had never undergone surgery, namely 92 respondents (88.5%). The majority of preoperative patients' knowledge about the importance of fasting is in the less category, namely as many as 43 respondents (41.3%). This study concluded that the knowledge of preoperative patients about the importance of fasting at Pidie Jaya General Hospital was mostly in the less category
KECEMASAN SANTRI PONDOK PESANTREN TERHADAP KASUS COVID-19 DI PONDOK PESANTREN MAMBAUL IHSAN KECAMATAN KERTANEGARA KABUPATEN PURBALINGGA Tono Aminudin; Tophan Heri Wibowo; Ita Apriliyani; Feti Kumala Dewi
Jurnal Penelitian Multidisiplin Ilmu Vol 1 No 3 (2022): Oktober 2022
Publisher : Melati Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59004/metta.v1i3.165

Abstract

Corona Virus Disease 2019 (Covid-19) is a type of infectious disease transmitted by Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2). Anxietyunclear feeling of fear accompanied by feelings of uncertainty, insecurity, helplessness and isolation. This study aims to identify the level of Anxiety of Islamic Boarding School Students against Covid-19 Cases at Mambaul Ihsan Islamic Boarding School. The research method is descriptive research with a sampling technique using purpose sampling. This study identifies the anxiety status of students by using 20 standard questionnaire questions from Zung Self. -Rating Anxiety Scale (SAS/SRAS). The results of the research from the number of respondents 171 students aged 13-17 years, male students 53 students (31%) and female students 118 students (69%), obtained the results 167 students (97.7%) were not anxious / normal, 4 students (2.3%) mild anxiety, and no moderate or severe anxiety (0%).
Description of Throat Pain in Post-General Anesthesia Patients with Endotracheal Tube at dr. Soedirman Hospital, Kebumen, in 2023 Mia Nistiani; Tophan Heri Wibowo; Adiratna Sekar Siwi
Viva Medika Vol 16 No 4 (2023): VOLUME 16 / Nomor 04 /NOVEMBER/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1224

Abstract

Complications that many respondents complained about after surgery with general anesthesia, namely Post-Operative Sore Throat (POST). Post-surgery sore throat is a minor complication that occurs in ETT intubated patients and results in dysphonia, dysphagia and odynophagia. In Indonesia, 20%–60% of respondents complain of sore throat after surgery with GA-ETT. The purpose of this study was to see the description of post-general anesthesia sore throat with ETT at Dr. Soedirman Kebumen. The design of this study is a descriptive cross-sectional approach using the POST instrument. The research was conducted from March to April 2023 in the recovery room with 50 respondents. Data collection by accidental sampling and analyzed using univariate test. The results of the study showed that many respondents did not experience throat pain, totaling 20 respondents (40%) and complaining that the most complaints were mild pain, amounting to 17 respondents (34%). This study shows that the majority of patients only complain of mild pain and no sore throat. So after ETT intubation at Dr. Soedirman Kebumen can minimize the level of sore throat.
Perbedaan Tingkat Nyeri Tenggorokan Pasca Ekstubasi Endotracheal Tube (ETT) dan Laryngeal Mask Airway (LMA) di RSUD Dr. Soedirman Kebumen Shafiyah Rizky Handayani; Tophan Heri Wibowo; Surtiningsih Surtiningsih; Made Suandika
SEHATI: Jurnal Kesehatan Vol 4, No 2 (2024)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v4i2.68

Abstract

General anesthesia is a condition in which the patient loses consciousness completely after taking certain medications. Sore throat is a common complication in postoperative patients with general anesthesia after extubation with laryngeal mask airway or endotracheal tube. The aim of this study was to compare the level of throat pain after extubation using an endotracheal tube versus a laryngeal mask airway. Methods: A quantitative cross-sectional approach was utilized, with accidental sampling as the technique. The study sample comprised 78 respondents who underwent surgery and were extubated with either an endotracheal tube or a laryngeal mask airway at Dr. Soedirman Hospital, Kebumen. Data analysis was conducted using the Mann-Whitney test. Results: Each group, consisting of endotracheal tube and laryngeal mask airway users, had 39 respondents. Throat pain was reported by 34 respondents (84.6%) in the endotracheal tube group and 27 respondents (69.2%) in the laryngeal mask airway group. The Mann-Whitney test yielded a p-value of 0.022, which is less than 0.05. Conclusion: There is a significant difference in the level of sore throat in postoperative patients with the laryngeal extubation technique with the laryngeal mask air way extubation technique and the endotracheal tube extubation technique at dr. Soedirman Kebumen Hospital.
Gambaran Kestabilan MAP (Mean Arterial Pressure) dan Heart Rate Pasien Spinal Anestesi Di RSUD dr. R. Goeteng Taroenadibrata Purbalingga eka septia ningsih; tophan heri wibowo; adiratna sekar siwi
PROFESSIONAL HEALTH JOURNAL Vol 5 No 2 (2024): Juni
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v5i2.551

Abstract

Giving spinal anesthesia has advantages such as reducing the risk of acute complications which often occur, namely blood pressure instability in the form of a decrease in blood pressure or hypotension. Appropriate and rapid action to reduce blood pressure after administering spinal anesthesia must be taken to avoid complications. Hemodynamic changes occur due to sympathetic vasomotor blockade due to spinal anesthesia. The aim of this research is to determine the stability of Mean Arterial Pressure and heart rate in spinal anesthesia patients at RSUD dr. R Goeteng Taroenadibrata Purbalingga. The type of research carried out is quantitative research with a descriptive design. The approach used during the research was cross sectional. The sampling technique used purposive sampling for 64 patients. The measuring instruments used are a bedsite monitor scale and an observation sheet. Data analysis used univariate tests in the form of frequency distribution tables. The research results showed that the average age was 51.77 years and the most dominant gender was female (53.1%). Most of them had no history of disease (71.9%). Description of the stability of Mean Arterial Pressure in spinal anesthesia patients with an average MAP of 96.16. The heart rate of spinal anesthesia patients was an average of 79.06 beats per minute.
GAMBARAN SUHU TUBUH PASIEN POST ANESTESI BERDASARKAN JENIS ANESTESI PASIEN DI RSUD dr. R. GOETENG TAROENADIBRATA PURBALINGGA Putri Ayu Ramadani; Septian Mixrova Sebayang; Tophan Heri Wibowo; Roro Lintang Suryani
Jurnal Ilmiah Wahana Pendidikan Vol 10 No 9 (2024): Jurnal Ilmiah Wahana Pendidikan
Publisher : Peneliti.net

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.11180865

Abstract

Kasus yang sering terjadi setelah post anestesi di ruang recovery room salah satunya adalah penurunan suhu tubuh atau hipotermi. Salah satu penyebab terjadinya penurunan suhu tubuh post anestesi adalah jenis anestesi yang digunakan. Oleh karena itu faktor agen anestesi menjadi salah satu hal yang penting untuk diperhatikan agar dapat dikendalikan dalam penggunaannya sehingga dapat meminimalisir efek samping yang ditimbulkan terhadap pasien. Tujuan Mengetahui gambaran suhu tubuh pasien post anestesi berdasarkan jenis anestesi pasien di RSUD dr. R. Goeteng Taroenadibrata Purbalingga. Metode penelitian ini menggunakan metode kuantitatif retrospektif. Sampel pada penelitian ini meliputi 64 responden post anestesi. Hasil Penelitian ini menemukan sebagian besar mayoritas responden mengalami penurunan suhu tubuh atau hipotermi sebanyak 45 responden (70,3%), adapun karakteristik pasien meliputi usia sebanyak 33 responden (51,6%) usia dewasa awal, jenis kelamin laki-laki sebanyak 38 responden (59,4%), ASA I sebanyak 42 responden (65,7%), dan anestesi regional sebanyak 34 responden (53,1%). Kesimpulan Penelitian ini menunjukkan gambaran suhu tubuh post anestesi sebagian besar mengalami penurunan suhu tubuh atau hipotermi sebanyak (70.3%) responden. Saran untuk penelitian selanjutnya diharapkan penelitian lebih kompleks membahas tentang aspek aspek gambaran yang terjadi pada pasien post anestesi.
EDUKASI HIPERTENSI DAN PENGUKURAN TEKANAN DARAH PADA LANSIA DI PANTI WREDA BUDI DHARMA KASIH Putri Elviningsih Zendrato; Tophan Heri Wibowo; Roro Lintang Suryani
Multidisciplinary Indonesian Center Journal (MICJO) Vol. 1 No. 4 (2024): Vol. 1 No. 4 Edisi Oktober 2024
Publisher : PT. Jurnal Center Indonesia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62567/micjo.v1i4.301

Abstract

Elderly or elderly is the final stage of life characterized by physiological changes that are increasingly declining, one of which is in cardiovascular disease. Hypertension is a chronic condition characterized by increased blood pressure on the walls of arterial blood vessels. Based on a pre-survey at Panti Wreda Budi Dharma Kasih, it was found that more than half of the elderly experienced hypertension due to a lack of elderly knowledge about hypertension. This community service activity aims to educate the elderly about hypertension and invite the elderly to have a good lifestyle. This activity was carried out at Panti Wreda Budi Dharma Kasih attended by 27 participants. The PKM method is carried out by checking the blood pressure of the elderly using a sphygmomanometer and stethoscope. Screening of PKM participants is elderly people with a minimum age of 60 years who can hear and see. The provision of education is carried out by lecture method using power points containing the definition of hypertension and elderly causative factors and ways to prevent hypertension, then a question and answer session is held. Data collection on the level of knowledge was carried out using pre-education and post-education questionnaires. The results of this activity show an increase in knowledge in the elderly after providing education for 3 meetings.