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All Journal Manuju : Malahayati Nursing Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Indonesian Journal of Global Health research Jurnal Inovasi Penelitian International Journal of Robotics and Control Systems Jurnal Pengabdian Masyarakat Bidang Sosial dan Humaniora Jurnal Pengabdian Mandiri Jurnal Inovasi Global Journal of Wound Research and Technology Borneo Nursing Journal Jurnal Penelitian Perawat Profesional
Asmat Burhan
Fakultas Kesehatan, Universitas Harapan Bangsa
Agriculture, Biological Sciences & Forestry Humanities Astronomy Control & Systems Engineering Education Electrical & Electronics Engineering Engineering Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Network Transformation in Elderly Pressure Ulcers: From Necrosis to Granulation Through the Time Approach Indah Susanti; Amelia Andini; Wulan Mei Mustika Dewi; Rantiningsih Sumarni; Asmat Burhan
Malahayati Nursing Journal Vol 8, No 2 (2026): Volume 8 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i2.24305

Abstract

ABSTRACT Pressure ulcers are prevalent in older patients who are immobile and can substantially impact their quality of life and add to the burden on the health care system. Factors that can slow wound healing are infections, necrotic tissue, moisture, and blood supply. The TIME model, which stands for tissue management, control infection or inflammation, moisture balance, and epithelial edge advancement, can be used to improve the healing of chronic wounds. This study aims to evaluate the effectiveness of the TIME approach in accelerating the healing of stage III pressure ulcers in elderly patients. This case included an older woman, 70 years of age, with a sacral (Stage 3) pressure ulcer. Treatment consisted of sharp debridement, irrigation (0.9% saline), and dressings of Cutimed Sorbact, cadexomer iodine (0.9%), then polyurethane foam over four treatment sessions. High-protein nutrition and scheduling, turning every three hours, complemented the treatment. Progress was monitored using the Bates-Jensen Wound Assessment Tool (BWAT). After four treatment sessions, necrotic tissue had decreased from 75% to 10% and granulation tissue had increased up to 90%. Clinical signs of infection improved. The initial BWAT score of 49 (indicating degeneration of the wound) was closer to partial regeneration by the final session. in facilitating wound healing in a high-risk patient. More studies are needed with a comparative study design and larger populations to verify this and enable wider clinical adoption. Keywords: Debridement, Geriatric Nursing, Pressure Injury, Wound Healing.  ABSTRAK Ulkus tekan sering terjadi pada pasien lansia yang mengalami kesulitan bergerak, dan hal ini dapat memperburuk kualitas hidup mereka serta menambah beban pada sistem layanan kesehatan. Proses penyembuhan luka dapat terhambat oleh berbagai faktor, termasuk infeksi, jaringan mati, kelembapan yang berlebihan, serta masalah aliran darah. Pendekatan TIME, yang mencakup manajemen jaringan, pengendalian infeksi atau peradangan, keseimbangan kelembapan, serta stimulasi tepi epitel, telah diterapkan untuk mempercepat proses penyembuhan luka kronis.Penelitian ini bertujuan untuk menilai efektivitas metode TIME dalam mempercepat penyembuhan ulkus tekan tahap III pada pasien lansia. Laporan kasus ini membahas seorang pasien wanita berusia 70 tahun yang mengalami ulkus dekubitus di area sakrum. Intervensi dilaksanakan dalam empat sesi, yang mencakup debridemen tajam, irigasi dengan NaCl 0,9%, serta penggunaan balutan Cutimed Sorbact, cadexomer iodine, dan foam poliuretan. Dukungan nutrisi yang kaya protein dan tindakan mobilisasi tersedia setiap tiga jam. Untuk evaluasi, digunakan alat penilaian luka Bates-Jensen (BWAT). Setelah melakukan empat intervensi, area nekrotik mengalami penurunan dari 75% menjadi 10%. Selain itu, jaringan granulasi meningkat mencapai 90%, dan gejala infeksi menunjukkan perbaikan. Skor BWAT awal sebesar 49 menunjukkan adanya kerusakan degeneratif, yang kemudian menunjukkan pergeseran menuju fase regenerasi parsial. Pendekatan TIME yang diterapkan dengan sistematis dan secara individu terbukti dapat mempercepat proses penyembuhan ulkus tekan pada pasien yang memiliki risiko tinggi. Penting untuk melakukan studi tambahan dengan desain komparatif dan melibatkan populasi yang lebih besar guna memperkuat temuan ini. Kata Kunci: Debridemen, Keperawatan Geriatri, Cedera Tekanan, Penyembuhan Luka.
Description of Hypotension in Cesarean Section Patients Under Spinal Anesthesia Using Conventional and Enhanced Recovery after Surgery Methods Eko Yulianto; Dwi Novitasari; Asmat Burhan
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4422

Abstract

Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative management aimed at faster recovery from major surgery, reducing the risk of complications, and shortening the length of stay compared to conventional perioperative methods. Hypotension is a side effect of a cesarean section with spinal anesthesia. This study aims to describe hypotension in patients undergoing cesarean sections with conventional spinal anesthesia methods and the Enhanced Recovery After Surgery (ERAS) method. This study used a quantitative research method with a descriptive design and a cross-sectional approach. The sampling technique was purposive sampling with a total of 40 cesarean section patients, consisting of 20 respondents in the conventional spinal anesthesia group and 20 respondents in the ERAS spinal anesthesia group. Blood pressure measurements were taken before and after spinal anesthesia using a bedside monitor. The data obtained included age and blood pressure, which were analyzed using statistics. The results showed that in the conventional spinal anesthesia group, 15 respondents experienced hypotension (75%), and 5 respondents did not experience hypotension (25%). In the Enhanced Recovery After Surgery (ERAS) spinal anesthesia group, 7 respondents experienced hypotension (35%), and 13 respondents did not experience hypotension (65%).
Differences in the Time to Achieve Bromage Score (2) in Post-Spinal Anesthesia Caesarean Section Patients between the Use of Conventional Methods and Eracs Norma Arlena; Dwi Novitasari; Asmat Burhan
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4436

Abstract

Pregnancy, labor, and delivery lead to significant physiological changes, and having accurate knowledge of these changes is crucial for an effective spinal anesthetic technique during a caesarean section. Optimizing the mother's health before, during, and after a caesarean section is the goal of the ERACS care method, which is a specialized approach to surgical procedures. Issues with lower limb mobility, anxiety, and dependence on others are some mental health problems that may arise from prolonged recovery periods. Spinal anesthesia patients are evaluated using the Bromage scale to determine if they are ready to be released from the post-anesthesia room. Researchers at Panglima Sebaya Hospital aimed to compare the time taken by standard operating room procedures and ERACS to reach a Bromage Score (2) after spinal anesthesia in caesarean section patients. This study employed a cross-sectional design based on observational analytical research, which is a non-experimental quantitative technique. Out of 84 patients, 47 were treated with standard SC techniques, and 47 were treated with ERACS SC. The findings indicated that the conventional method took 181–240 minutes (3–4 hours) to achieve a Bromage score (2), while the ERACS method only took 60–120 minutes (1–2 hours). A significance value of 0.000 (2-tailed) was determined based on the independent t-test results. The results showed that the ERACS method required less time than the conventional method to achieve Bromage Score (2) in CS patients post-spinal anesthesia.
Hubungan Pemberian Preloading Cairan Kristaloid terhadap Perubahan Map Post Spinal Anestesi pada Pasien Sectio Caesarea Tiwi Femilia Tika; Asmat Burhan; Arlyana Hikmanti
Jurnal Penelitian Perawat Profesional Vol. 8 No. 3 (2026): Juni 2026, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v8i3.2175

Abstract

Sectio caesarea merupakan tindakan pembedahan yang sering menggunakan spinal anestesi. Salah satu komplikasi yang dapat terjadi adalah hipotensi akibat penurunan tekanan arteri rata-rata. Pemberian cairan kristaloid sebelum tindakan anestesi dilakukan untuk membantu menjaga kestabilan hemodinamik pasien. Penelitian ini bertujuan mengetahui hubungan pemberian preloading cairan kristaloid terhadap perubahan tekanan arteri rata-rata setelah spinal anestesi pada pasien sectio caesarea di Rumah Sakit Islam Fatimah Cilacap. Penelitian menggunakan metode kuantitatif dengan desain analitik observasional. Sampel berjumlah 30 responden yang dipilih menggunakan teknik purposive sampling sesuai kriteria inklusi. Pengukuran tekanan arteri rata-rata dilakukan sebelum pemberian cairan kristaloid dan pada menit ke-5, 10, 15, dan 20 setelah spinal anestesi. Data dianalisis menggunakan uji chi-square. Hasil penelitian menunjukkan adanya perubahan tekanan arteri rata-rata setelah spinal anestesi dan terdapat hubungan bermakna antara pemberian preloading cairan kristaloid dengan perubahan tekanan arteri rata-rata pada pasien sectio caesarea.
The Overview Of Management Documentation Hypertension Patients: A Qualitative Study: English Indah Susanti; Paulus Subiyanto; Asmat Burhan
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.v16i3.1042

Abstract

Latar belakang: Hipertensi adalah terjadinya peningkatan tekanan darah diatas normal. Prevalensi hipertensi di kota Yogyakarta sebesar 25%. Tujuan: Untuk mengetahui prinsip-prinsip dokumentasi asuhan keperawatan pada pasien hipertensi. Metode penelitian: Desain penelitian yang digunakan dalam penelitian ini dengan pendekatan kualitatif dengan model multikasus terpancang. penelitian dilakukan di ruang Elisabeth Gruyter’s 3 Rumah Sakit Panti Rapih Yogyakarta pada bulan Januari- September tahun 2017 sebanyak 161 pasien hipertensi. Jumlah sampel yang di ambil pada penelitian ini adalah dua Rekam Medis pasien yang menderita hipertensi disertai komplikasi dan hipertensi tanpa komplikasi. Kesimpulan dan Saran: Pasien kasus 1 menderita hipertensi tanpa komplikasi dan terkontrol dengan riwayat CA Cerebri, sedangkan pasien kasus 2 menderita hipertensi disertai dengan komplikasi CKD (chronic kidney disease) dan tidak terkontrol. Prinsip-prinsip dokumentasi sudah sesuai dengan data yang ada pada pasien. Diharapkan hasil penelitian ini dapat menjadi referensi untuk meningkatkan pelayanan optimal tentang penatalaksanaan untuk penderita hipertensi.
A Cross-Sectional Study on the Relationship Between Age, Surgery Duration, and Post-Anesthesia Hypothermia Incidenc: English Gangsar Haryo Narendra; Wilis Sukmaningtyas; Asmat Burhan
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.v16i4.1101

Abstract

Background: Hypothermia is a post-anesthesia complication commonly found in the recovery room after general and regional anesthesia. Patients undergoing surgery are at risk of hypothermia. Hypothermia can be defined as a body temperature of less than 36oC. Objective: to identify the relationship between age and length of surgery with the incidence of post-anesthesia hypothermia at Hospital dr.R.Goeteng Taroenadibrata Methods: This research method uses a quantitative approach with a cross-sectional approach. A sample of 86 post-anesthesia respondents with a purposive sampling technique and chi-square test to analyze the data. Results: This study shows a relationship between age and the incidence of hypothermia with a chi-square value with a probability value of 0.001 <0.05. This study also shows a connection between the length of surgery and the incidence of hypothermia at 69% with an X2 value with a probability value of p = 0.001. Conclusion: We confirmed that age and duration of surgery significantly affect patients' thermoregulation after general anaesthesia and regional anaesthesia, resulting in various signs and symptoms.
Overview Of Postoperative Nausea and Vomiting (Ponv) in Caesarean Section Patients with Spinal Anesthesia at Fatimah Islam Hospital, Cilacap. Tiara Octa Afrilya; Wilis Sukmaningtyas; Asmat Burhan
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.v16i4.1220

Abstract

Spinal anesthesia has been established as the most effective and safest procedure for Sectio Caesarea. One of the most common side effects of spinal anesthesia is operative Nausea and Vomiting (PONV) or Nausea vomiting, which typically occurs within the first 24 hours after surgery. This study seeks to determine the description of Operative Nausea and Vomiting (PONV) based on age, surgery duration, and fasting duration in patients undergoing Caesarean section at RSI Fatimah Cilacap under spinal anesthesia. This research method employs quantitative analytic observation with a cross-sectional design and convenience sampling. The results revealed that the majority of respondents were between the ages of 20 and 35 (90.6%), with an incidence of PONV of 58.6%; the duration of surgery was between one and two hours (90.6%), with an incidence of 51.7%; and fasting duration was less than six hours (50%) with an incidence of 87.7%. This study found that 53.1% of participants experienced Operative Nausea and Vomiting (PONV).
Co-Authors Ailsya Farhana Ain Syuhada binti Salleh Amelia Andini Amin Susanto Amin Susanto André Athrison Barbara Cathrine Nichole Bheta Chintia Agustina Bintang Ramadhan Dimas Putra Harsya Dwi Novitasari Eko Yulianto Farah Nuri Azizah Feti Kumala Dewi FIrolella Camia Angelo Gangsar Haryo Narendra Han Adam Renaldi Hikmanti, Arlyana Indah Susanti Indah Susanti Indah Susanti Indra Ariani Kaylan Wesle Elian Lutviana Lutviana Nattay Kittipong Naufal Hafidh Bilhaq Nurjaman Norma Arlena Nur Aisyah binti Hassan Paulus Subiyanto Pramudya Putra Permata Purwono, Purwono Rahmat Effan Fahri Mahendra Rahmaya Nova Handayani Rantiningsih Sumarni Rere Ardia Cahyani Rungnapa Pimchanok Septian Mixrova Sebayang Septian Mixrova Sebayang Stephany Daleska Cielo suci khasanah Supansa Srisawat Tiara Octa Afrilya Tiwi Femilia Tika Wahyu Utami Mauliddia Wasis Eko Kurniawan Wilis Sukmaningtyas Winaldi Wulan Mei Mustika Dewi