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Gambaran Tingkat Pengetahuan Mahasiswa Keperawatan Anestesiologi Program Sarjana Terapan Universitas Harapan Bangsa tentang Keselamatan Kesehatan Kerja (K3) di Ruang Operasi Hannan Putri Rosaeva; Magenda Bisma Yudha; Tophan Heri Wibowo
Journal of Educational Innovation and Public Health Vol. 4 No. 4 (2026): Oktober : Journal of Educational Innovation and Public Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v4i4.9945

Abstract

Occupational Health and Safety (OHS) in the operating room is an essential component of healthcare services because healthcare personnel are exposed to various occupational hazards in a high-risk environment. As future healthcare professionals, anesthesiology nursing students are expected to possess adequate knowledge of OHS to ensure safe clinical practice and improve patient safety. This study aimed to describe the level of OHS knowledge among Applied Bachelor of Anesthesiology Nursing students at Universitas Harapan Bangsa based on age and gender. This research employed a descriptive quantitative design with a cross-sectional approach involving 135 respondents selected using the Slovin formula and stratified random sampling technique. Data were collected using a structured questionnaire and analyzed descriptively through frequency and percentage distributions. The results showed that most respondents were 21 years old (51.1%) and female (69.6%). The majority of respondents demonstrated good knowledge of OHS across age and gender categories, and no respondents were classified as having poor knowledge. These findings indicate that Applied Bachelor of Anesthesiology Nursing students at Universitas Harapan Bangsa generally have good knowledge of Occupational Health and Safety in the operating room. Strengthening OHS education through academic learning and clinical practice is expected to further enhance students' competence in implementing safe and professional perioperative care.
Hubungan Indeks Massa Tubuh dan Usia dengan Lama Waktu Pulih Sadar Pasien Pasca General Anestesi di RSUD Pandega Pangandaran Sandrina Malakiano; Tophan Heri Wibowo; Roro Lintang Suryani
Jurnal Medical Laboratory Vol. 5 No. 2 (2026): Juli: Jurnal Medical Laboratory
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesetiakawanan Sosial Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/medlab.v5i2.625

Abstract

Time to recover consciousness after general anesthesia is an indicator of anesthesia success which is influenced by various factors, including Body Mass Index (BMI) and age. High BMI can slow down the elimination of anesthesia drugs, while old age is associated with a decrease in the body's metabolic function which can affect the process of regaining consciousness. This study aims to determine the relationship between BMI and age and the recovery time of patients after general anesthesia at Pandega Pangandaran Hospital. This study used a quantitative method with an observational analytical design on 78 respondents. Data were collected through observation sheets and analyzed using the Spearman test. The results of the study showed that most of the respondents experienced a fast recovery time (≤15 minutes), which was 64 respondents (82.1%). There was a significant relationship between age and the time of conscious recovery (ρ-value <0.001; cc = 0.503), while BMI did not show a significant relationship with the time of conscious recovery (ρ-value = 0.275; cc = -0.125). The conclusion of this study showed that age was related to the time of conscious recovery of patients after general anesthesia, whereas BMI did not show a relationship in this study. The results of this study can be considered for anesthesiologists in monitoring and planning post-anesthesia care, especially by paying attention to the patient's age factor as one of the factors related to the speed of consciousness recovery.
Edukasi dan Implementasi Aromaterapi Peppermint untuk Mengurangi Post Operative Nausea and Vomiting pada Pasien Pasca Sectio Caesarea dengan Anestesi Spinal Shafa Hana Mutia; Tophan Heri Wibowo; Susilo Rini
Bima Abdi: Jurnal Pengabdian Masyarakat Vol. 6 No. 4 (2026): Bima Abdi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Pendidikan Bima Berilmu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53299/ba-jpm.v6i4.5587

Abstract

Tindakan pembedahan sectio caesarea dengan anestesi spinal dapat menimbulkan mual dan muntah pasca operasi yang dapat mengganggu kenyamanan pasien. Kegiatan Pengabdian kepada Masyarakat (PkM) ini bertujuan untuk memberikan edukasi dan mengimplementasikan aromaterapi peppermint sebagai upaya nonfarmakologi dalam membantu mengurangi PONV pada pasien pasca sectio caesarea dengan anestesi spinal. Kegiatan dilaksanakan pada 30 pasien di recovery room melalui pemberian pre-test, edukasi mengenai manfaat dan tata cara penggunaan aromaterapi peppermint, post-test, serta implementasi aromaterapi peppermint menggunakan metode inhalasi melalui kertas blotter selama 5–10 menit. Tingkat PONV diukur menggunakan Rhodes Index of Nausea, Vomiting and Retching (RINVR) sebelum dan sesudah implementasi. Hasil kegiatan menunjukkan adanya penurunan tingkat PONV, dari 29 peserta (96,7%) dalam kategori sedang sebelum implementasi menjadi 29 peserta (96,7%) dalam kategori ringan setelah implementasi. Rata-rata skor PONV juga mengalami penurunan dari 11,73 menjadi 5,97. Pada aspek pengetahuan, kategori baik meningkat dari 0 peserta menjadi 18 peserta (60,0%) setelah diberikan edukasi. Kegiatan ini menghasilkan luaran berupa artikel ilmiah yang ditujukan untuk dipublikasikan pada jurnal pengabdian kepada masyarakat. Berdasarkan hasil tersebut, implementasi aromaterapi peppermint menunjukkan adanya penurunan tingkat PONV, sedangkan edukasi menunjukkan peningkatan pengetahuan peserta mengenai penggunaan aromaterapi peppermint. Aromaterapi peppermint dapat menjadi salah satu terapi nonfarmakologi pendamping yang sederhana dan mudah diterapkan untuk membantu mengurangi PONV pada pasien pasca sectio caesarea dengan anestesi spinal.
Penerapan Kombinasi Aromaterapi Lavender dengan Relaksasi Benson untuk Menurunkan Nyeri Pasien Post Operasi Sectio Caesarea di Rumah Sakit Islam Purwokerto Sinta Nuraeni; Tophan Heri Wibowo; Amin Susanto
Jurnal Insan Pengabdian Indonesia Vol. 4 No. 3 (2026): September : Jurnal Insan Pengabdian Indonesia
Publisher : PT. ALHAFI BERKAH INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62007/jouipi.v4i3.1031

Abstract

Postoperative pain is one of the common problems experienced by patients after cesarean section and may interfere with comfort, mobility, and the recovery process. Non-pharmacological interventions can be used as complementary methods to support postoperative pain management. This community service activity aimed to apply a combination of lavender aromatherapy and Benson relaxation to help reduce pain and improve patients’ knowledge regarding non-pharmacological pain management after cesarean section. The activity was conducted in the Al-Barokah inpatient ward at Rumah Sakit Islam Purwokerto from June 23 to August 3, 2026, involving 26 cooperative patients who had undergone elective cesarean section. The activity consisted of education, demonstration, implementation of lavender aromatherapy using three drops of lavender oil in a diffuser for 15 minutes, Benson relaxation, and pain assessment using the Numeric Rating Scale (NRS) before and after the intervention. The results showed an increase in patient knowledge, with the mean score increasing from 6.5 before education to 10.8 after education. Pain distribution also changed from predominantly severe pain before intervention to predominantly mild pain after intervention. Before intervention, 15 participants (57.7%) experienced severe pain and 11 participants (42.3%) experienced moderate pain. After intervention, 20 participants (77%) experienced mild pain and 6 participants (23%) experienced moderate pain, with no participants experiencing severe pain. The combination of lavender aromatherapy and Benson relaxation has potential as a simple complementary non-pharmacological intervention for postoperative pain management.
Gambaran Waktu Pulih Sadar Menggunakan Modified Aldrete Score pada Pasien Pasca Total Intravenous Anesthesia di RSI Fatimah Cilacap Halimah Hasana Noor; Tophan Heri Wibowo; Roro Lintang Suryani
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.2123

Abstract

Latar Belakang: Total Intravenous Anesthesia (TIVA) merupakan teknik anestesi umum yang banyak digunakan karena memiliki onset kerja cepat dan profil pemulihan yang baik. Meskipun demikian, waktu pulih sadar pasien pasca-TIVA tetap perlu dipantau secara ketat di ruang pemulihan menggunakan instrumen objektif seperti Modified Aldrete Score untuk mencegah terjadinya komplikasi pascaoperasi. Tujuan: Mengetahui gambaran waktu pulih sadar menggunakan Modified Aldrete Score pada pasien pasca-TIVA di RSI Fatimah Cilacap, serta mendeskripsikan distribusinya berdasarkan jenis kelamin, usia, status fisik ASA, IMT, dan jenis operasi. Metode: Penelitian deskriptif kuantitatif dengan pendekatan cross-sectional. Sampel diambil dengan teknik total sampling terhadap 44 pasien pasca-TIVA di Ruang IBS RSI Fatimah Cilacap. Data dikumpulkan melalui observasi langsung menggunakan lembar observasi Modified Aldrete Score dan dianalisis secara univariat. Hasil: Karakteristik responden sebagian besar berjenis kelamin perempuan (59,1%), usia 18–44 tahun (72,7%), ASA I (54,5%), IMT overweight (52,3%), dan menjalani operasi sedang (56,8%). Sebagian besar responden (70,5% atau 31 pasien) mengalami waktu pulih sadar normal (≤ 15 menit), sedangkan 29,5% (13 pasien) mengalami pemulihan lambat (> 15 menit). Ditemukan kecenderungan bahwa seluruh responden kelompok lansia (≥ 60 tahun) mengalami pulih sadar lambat, dan proporsi keterlambatan juga lebih tinggi pada responden dengan status ASA II. Selama observasi, ditemukan 1 responden (2,3%) mengalami komplikasi mual muntah ringan di ruang pemulihan. Kesimpulan: Mayoritas pasien pasca-TIVA di RSI Fatimah Cilacap mencapai waktu pulih sadar dalam kategori normal, namun kelompok usia lanjut dan status ASA II cenderung mengalami keterlambatan pulih sadar, sehingga pemantauan berkala menggunakan Modified Aldrete Score tetap esensial untuk mendeteksi dini risiko tersebut.
Hubungan Antara Waktu Tunggu Dengan Tingkat Kecemasan Pasien Sebelum Induksi Anestesi Di Ruang Pra-Anestesi Rumah Sakit Tentara Wijayakusuma Purwokerto Tia Aprilia Rengen; Tophan Heri Wibowo; Septian Mixrova Sebayang
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.2144

Abstract

Pembedahan dapat menimbulkan stres fisik dan psikologis, salah satunya kecemasan sebelum tindakan. Waktu tunggu sebelum induksi anestesi diduga berhubungan dengan tingkat kecemasan pasien. Tujuan penelitian ini untuk mengetahui hubungan waktu tunggu dengan tingkat kecemasan pasien sebelum induksi anestesi di ruang pra-anestesi RST Wijayakusuma Purwokerto. Penelitian ini menggunakan desain analitik observasional dengan pendekatan cross-sectional terhadap 77 pasien anestesi elektif yang dipilih menggunakan purposive sampling. Pengukuran kecemasan menggunakan Amsterdam Preoperative Anxiety and Information Scale (APAIS), sedangkan waktu tunggu diukur berdasarkan lama pasien berada di ruang pra-anestesi sebelum induksi anestesi. Analisis data menggunakan uji Spearman’s rho. Hasil penelitian menunjukkan waktu tunggu terbanyak adalah 20–29 menit sebanyak 30 responden (39,0%) dan tingkat kecemasan terbanyak adalah kecemasan berat sebanyak 27 responden (35,1%). Hasil uji menunjukkan koefisien korelasi r = 0,245 dan p = 0,032 (p < 0,05). Kesimpulan pengelolaan waktu tunggu sebelum induksi anestesi berhubungan dengan tingkat kecemasan pasien di ruang pra-anestesi, dengan kekuatan hubungan rendah. Pengelolaan waktu tunggu dan pemberian informasi yang memadai selama periode pra-anestesi disarankan untuk membantu mengurangi kecemasan pasien sebelum induksi anestesi.
Hubungan Indeks Masa Tubuh (IMT) dengan Kejadian Post Dural Puncture Headache pada Pasien Sectio Caesarea di RSI Fatimah Cilacap Kinanty Dwi Royani; Tophan Heri Wibowo; Ema Wahyu Ningrum
Populer: Jurnal Penelitian Mahasiswa Vol. 5 No. 3 (2026): September : Populer: Jurnal Penelitian Mahasiswa
Publisher : Universitas Maritim AMNI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58192/populer.v5i3.5567

Abstract

Post-Dural Puncture Headache (PDPH) is a complication of spinal anesthesia occurring in patients undergoing cesarean sections. Body Mass Index (BMI) is suspected to be associated with the incidence of PDPH, yet previous studies have yielded inconsistent findings. This study aimed to analyze the relationship between BMI and the incidence of PDPH in patients undergoing cesarean sections with spinal anesthesia at RSI Fatimah Cilacap. An observational analytic quantitative design was employed, with a sample of 48 respondents selected via purposive sampling. BMI data were obtained from medical records, while PDPH incidence was assessed using a questionnaire based on characteristic PDPH symptoms. Data analysis involved univariate and bivariate methods, utilizing the Spearman correlation test. The results showed that the most common BMI category was "normal" (14 respondents; 29.2%), followed by "underweight" (12 respondents; 25.0%), "overweight" (11 respondents; 22.9%), and "obese" (11 respondents; 22.9%). Twenty-three respondents (47.9%) experienced PDPH, while 25 respondents (52.1%) did not. The Spearman test yielded a correlation coefficient of -0.033 with a p-value of 0.826, indicating no significant relationship between BMI and the incidence of PDPH. These findings suggest that BMI is not a factor significantly associated with the incidence of PDPH among the respondents.