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All Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Jurnal Pengabdian Masyarakat Multidisiplin Jurnal ComunitA Servizio Journal of Nursing and Health (JNH) Akper Yakpermas Banyumas Khatulistiwa Nursing Journal PROFESSIONAL HEALTH JOURNAL SEHATI: Jurnal Kesehatan GENIUS JOURNAL (General Nursing Science Journal) Kolaborasi Jurnal Pengabdian Masyarakat Jurnal Kesehatan Amanah SEMINAR NASIONAL PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT Metta: Jurnal Penelitian Multidisiplin Ilmu Jurnal Medika: Medika Multidisciplinary Indonesian Center Journal Sanitas: Journal of Health, Medical, and Psychological Studie Borneo Nursing Journal
Tophan Heri Wibowo
Universitas Harapan Bangsa
Religion Aerospace Engineering Humanities Astronomy Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Energy Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Edukasi Prosedur Persiapan Anestesi Spinal Menggunakan Buku Saku Untuk Meningkatkan Pengetahuan pada Pasien Sectio Caesarea di RSU Siaga Medika Purbalingga Sutrisno Sutrisno; Tophan Heri Wibowo; Rahmaya Nova Handayani
Journal of Health, Medical, and Psychological Studies Vol 2 No 1 (2026): : August: Sanitas: Journal of Health, Medical, and Psychological Studies
Publisher : CV SCRIPTA INTELEKTUAL MANDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65310/8gdtn831

Abstract

Caesarean section is a surgical procedure that commonly uses spinal anesthesia as the method of analgesia. Limited patient knowledge regarding spinal anesthesia preparation can increase anxiety and reduce both physical and psychological readiness prior to surgery. This community service activity aimed to improve the knowledge of preoperative caesarean section patients through education using a pocketbook at RSU Siaga Medika Purbalingga. The method applied was direct education with a pre-test and post-test design involving 25 preoperative patients. The results showed a significant improvement in participants’ knowledge levels. The average score increased from 65.60 before education to 87.20 after education, with a difference of 21.60. Before the intervention, knowledge levels were categorized as good (16%), moderate (56%), and poor (28%). After the intervention, the proportion of good knowledge increased to 88% and moderate to 12%, with no participants remaining in the poor category. These findings indicate that pocketbook-based education is effective in enhancing patient knowledge. This simple, practical, and accessible medium supports better understanding and improves patient readiness before surgery, contributing to higher-quality preoperative care based on a patient-centered approach.
Pemberian Edukasi Tentang Mobilisasi Dini untuk Mempersingkat Rawat Inap Pasien Pasca Spinal Anestesi di UPTD RSUD dr. M. Thomsen Nias Indah Leadersheep Halawa; Made Suandika; Tophan Heri Wibowo
Jurnal Medika: Medika in progres
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/dydr2e96

Abstract

Mobilisasi dini merupakan salah satu intervensi penting pada pasien pasca operasi dengan spinal anestesi untuk mempercepat proses pemulihan dan mengurangi risiko komplikasi akibat imobilisasi berkepanjangan. Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan meningkatkan pengetahuan pasien mengenai mobilisasi dini pasca spinal anestesi melalui edukasi kesehatan menggunakan media leaflet di UPTD RSUD dr. M. Thomsen Nias. Metode pelaksanaan menggunakan pendekatan edukatif partisipatif melalui ceramah, diskusi, pembagian leaflet, dan edukasi langsung kepada pasien serta keluarga pasien. Kegiatan dilaksanakan pada tanggal 4 Februari 2026 sampai 10 Februari 2026 dengan jumlah responden sebanyak 30 pasien pasca spinal anestesi. Evaluasi dilakukan menggunakan kuesioner pre-test dan post-test untuk mengetahui tingkat pengetahuan pasien sebelum dan sesudah edukasi. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan pasien setelah diberikan edukasi. Pada pre-test, responden dengan kategori pengetahuan kurang sebanyak 47%, cukup 40%, dan baik 13%. Setelah edukasi diberikan, hasil post-test menunjukkan peningkatan kategori baik menjadi 70%, kategori cukup 20%, dan kategori kurang menurun menjadi 10%. Hasil menunjukkan bahwa edukasi menggunakan media leaflet efektif meningkatkan pengetahuan pasien mengenai mobilisasi dini pasca spinal anestesi. Kesimpulan kegiatan ini adalah edukasi kesehatan mengenai mobilisasi dini mampu meningkatkan pengetahuan pasien pasca spinal anestesi sehingga diharapkan dapat membantu mempercepat proses pemulihan dan mendukung pengurangan lama rawat inap pasien.
Edukasi dan Implementasi Tentang Mobilisasi Dini pada Pasien Pasca Sectio Caesarea dengan Anestesi Spinal di RSU Karya Bakti Ujung Bandar Rantauprapat Juniaman Zega; Danang Tri Yudono; Tophan Heri Wibowo
Jurnal Medika: Medika in progres
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/p9dgc130

Abstract

Kegiatan Pengabdian kepada Masyarakat (PkM) ini berjudul “Edukasi & Implementasi Tentang Mobilisasi Dini Pada Pasien Pasca Sectio Caesarea Dengan Anestesi Spinal di RSU Karya Bakti Ujung Bandar Rantauprapat”. Judul ini dipilih karena masih banyak pasien pasca operasi sectio caesarea dengan anestesi spinal di RSU Karya Bakti Ujung Bandar Rantauprapat kurang pengetahuan dan keterampilan dalam melakukan mobilisasi dini yang benar. Mobilisasi dini adalah aktivitas yang dilakukan oleh pasien post pembedahan, mulai dari latihan ringan di atas tempat tidur (latihan pernapasan, latihan batuk efektif dan menggerakkan tungkai) sampai dengan pasien bisa turun dari tempat tidur, berjalan ke kamar mandi dan keluar kamar. Salah satu tujuan mobilisasi dini yaitu untuk meningkatkan sirkulasi darah dan Memulihkan kemampuan aktivitas pasien agar bisa bergerak secara normal dan memenuhi kebutuhan gerak sehari-hari. Program ini bertujuan untuk memberikan edukasi tentang mobilisasi dini pada pasien pasca sc dengan spinal anestesi sehingga pasien memiliki pengetahuan serta dapat mempraktikan secara mandiri mengenai mobilisasi dini setelah operasi, program ini akan dilakukan melalui metode ceramah, demonstrasi, dan penggunaan leaflet. Jumlah peserta yang terlibat sebanyak 30 pasien yang diberi pre-test dan post-test untuk mengevaluasi pengetahuan tentang mobilisasi dini post sc. Hasil yang diharapkan akan memberikan pengetahuan dan keterampilan pasien dalam melakukan mobilisasi dini post sc secara mandiri dan benar.
IMPLEMENTASI PENGGUNAAN COLD PACK DALAM MENGURANGI NYERI PADA PASIEN POST SECTIO CAESAREA DI RSUD CILACAP: THE USE OF COLD PACKS TO RELIEVE PAIN IN PATIENTS FOLLOWING A CAESAREAN SECTION AT CILACAP GENERAL HOSPITAL Dinda Cetrin Erike; Tophan Heri Wibowo; Madyo Maryoto
Jurnal Pengabdian Masyarakat Multidisiplin Vol 9 No 3 (2026): Juni
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jpm.v9i3.7931

Abstract

Pain is the primary complaint among patients following a cesarean section and can hinder the recovery process. One type of non-pharmacological therapy that may be used to help reduce pain is cold pack therapy. This therapy works by applying a cooling effect to the surgical wound area, thereby helping to reduce inflammation and pain intensity. Furthermore, postoperative pain management remains suboptimal, and the use of analgesics carries side effects; additionally, based on a preliminary survey at Cilacap Regional General Hospital, there has been no specific implementation of cold pack therapy. The objective of this Community Service activity is to determine the effectiveness of implementing cold pack therapy in reducing pain levels among patients following cesarean section surgery at Cilacap Regional General Hospital. The method used involved measuring pain levels using the Numeric Rating Scale (NRS) before and after cold pack application. The study included 30 participants. The results showed a reduction in pain levels after cold pack therapy was administered, with the majority of participants experiencing a decrease from moderate to mild pain. Conclusion: Cold pack therapy is effective as a complementary non-pharmacological intervention in reducing pain in patients following cesarean section surgery.
Implementasi Terapi Zikir untuk Menurunkan Tingkat Kecemasan pada Pasien Preoperasi dengan Anestesi Spinal Andika Juwita Plorentina; Tophan Heri Wibowo; Madyo Maryoto
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 4 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i4.938

Abstract

Latar belakang: Kecemasan merupakan respon psikologis yang sering dialami pasien sebelum menjalani tindakan operasi. Kecemasan dapat muncul akibat kurangnya informasi mengenai prosedur pembedahan maupun tindakan anestesi yang akan dilakukan. Jika kecemasan tidak ditangani dengan baik, kondisi ini dapat mempengaruhi kesiapan pasien sebelum operasi. Salah satu upaya nonfarmakologis yang dapat dilakukan untuk menurunkan kecemasan adalah terapi dzikir. Terapi dzikir merupakan intervensi spiritual yang dilakukan dengan mengucapkan kalimat-kalimat dzikir secara berulang sehingga dapat memberikan ketenangan dan membantu pasien lebih rileks sebelum tindakan operasi. Metode dalam kegiatan Pengabdian kepada Masyarakat (PkM) ini yaitu mengukur tingkat kecemasan pasien pre operasi dengan menggunakan instrumen Amsterdam Preoperative Anxiety and Information Scale (APAIS) sebelum dan sesudah diberikan implementasi terapi dzikir. Kegiatan dilaksanakan pada tanggal 30 September sampai 31 Oktober 2025 dengan jumlah peserta sebanyak 30 pasien pre operasi dengan spinal anestesi di RSI Fatimah Cilacap. Hasil analisis menunjukkan bahwa tingkat kecemasan sebelum implementasi terapi dzikir sebagian besar berada pada kategori cemas berat sebesar (73,3%) dan cemas sangat berat/panik sebesar (26,7%). Setelah diberikan terapi dzikir terjadi penurunan tingkat kecemasan dimana kategori cemas ringan sebesar (63,3%) dan cemas sedang sebesar (36,7%), serta tidak ditemukan lagi pasien dengan kecemasan berat maupun panik. Hal ini menunjukkan bahwa implementasi terapi dzikir mampu menurunkan tingkat kecemasan pada pasien pre operasi dengan spinal anestesi. Luaran dari kegiatan Pengabdian kepada Masyarakat ini berupa publikasi jurnal ilmiah.  
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)
Publisher : LPPM Universitas Harapan Bangsa

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
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)
Publisher : LPPM Universitas Harapan Bangsa

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.
Penerapan Terapi Doa untuk Menurunkan Kecemasan Pasien Pre-Operasi dengan General Anestesi di RSUD Dr. R. Goeteng Taroendibrata Zafhira Araza; Tophan Heri Wibowo; Madyo Maryoto
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 4 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i4.946

Abstract

Introduction: Surgical procedures performed under general anesthesia commonly cause preoperative anxiety in patients. Uncontrolled anxiety may interfere with patient readiness, affect physiological stability, and potentially delay surgery. Therefore, a complementary non-pharmacological intervention is needed, one of which is spiritual therapy through prayer. Objective: The purpose of this service was to provide spiritual comfort and reduce preoperative anxiety in patients undergoing general anesthesia through the implementation of prayer therapy. Method: This public service was conducted by implementing guided prayer therapy consisting of istighfar, remembrance (dzikir), and a tawakal prayer for approximately 5–10 minutes before surgery. The activity was carried out at RSUD dr. R. Goeteng Taroenadibrata Purbalingga involving 30 Muslim patients scheduled for surgery under general anesthesia. Anxiety levels were measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) before and after the intervention. Result: Prior to the intervention, most patients experienced moderate anxiety (56.7%) and severe anxiety (40.0%). After prayer therapy, anxiety levels decreased with the majority categorized as mild anxiety (80.0%), some moderate anxiety (16.7%), and a small proportion without anxiety (3.3%). Patients also appeared calmer, more cooperative, and mentally better prepared to undergo surgery. Conclusion: Prayer therapy is effective as a non-pharmacological intervention to reduce preoperative anxiety in patients receiving general anesthesia and has the potential to be implemented as a complementary spiritual care approach in perioperative services.
Waktu Pulih Sadar Pasien Pasca General Anestesi Nabila Nada Fauziyyah; Tophan Heri Wibowo; Septian Mixrova Sebayang
Khatulistiwa Nursing Journal Vol. 7 No. 2 (2025): July 2025
Publisher : STIKes YARSI Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53399/knj.v7i2.341

Abstract

Background: Recovery of consciousness is an important indicator of successful outcomes following general anesthesia. Delays in regaining consciousness may lead to complications such as airway obstruction and neurological disorders. Objective: To determine the duration of consciousness recovery in patients after general anesthesia at RSUD Dr. Soedirman Kebumen. Method: A descriptive quantitative study with a cross-sectional design involving 60 patients selected through consecutive sampling. The instrument used was an observation sheet based on the Aldrete Score. Data were analyzed using a univariate approach and presented through frequency distribution and descriptive statistics. Result: The majority of respondents were adults (74.2%), female (53.2%), and had an ASA physical status of II (77.4%). The average recovery time was 11.43 minutes, ranging from 6 to 23 minutes. Conclusion: Most patients regained consciousness within a normal time range following general anesthesia.
Co-Authors Abdul Aziz trimardani Adiratna Sekar Siwi Amin Susanto Andika Juwita Plorentina Danang Tri Yudono Diah Febri Cahyani Dinda Cetrin Erike Dwi Novitasari Dwi Septi Wulandari eka septia ningsih Ema Hikmatul Fitri Eni Tri Astuti Fajar kurniadi Feti Kumala Dewi Ghaihab Dzikir Mufiid Alkatiri Haryani Yolanda Tri Septia Hilda Nesa Dwiningrum Indah Leadersheep Halawa Indri Heri Susanti Ita Apriliyani Ita Oktaviana Juniaman Zega Made Suandika Madyo Maryoto Mega Rapita Sari Mia Nistiani Murniati Murniati Mutiara Ustia Nengsih Nabila Nada Fauziyyah Nadini Chairani Nadini Nanda Farah Feliska Nani Nuraeni Noval Aulia Nurul Asiah Oskar Funjama Rumkorem Putri Elviningsih Zendrato Rahmaya Nova Handayani Ratri Wulandari Refa Teja Muti Ririn Wahyu Utami Roro Lintang Suryani Saiful Nazar Salim Rumra rumawandan Sepfia Ananda Belista Septian Mixrova Sebayang Shafiyah Rizky Handayani Silpiyani Silpiyani Siti Suciati Nur Khasanah suci khasanah Surtiningsih Surtiningsih Sutrisno Sutrisno Tono Aminudin Wahyu Dwi Prakoso Wasis Eko Kurniawan Wilis Sukmaningtyas Willis Sukmaningtyas Wirakhmi, Ikit Netra Zafhira Araza