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All Journal Jurnal Penelitian Pendidikan IPA (JPPIPA) Manuju : Malahayati Nursing Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Jurnal Inovasi Penelitian Jurnal ComunitA Servizio Journal of Nursing and Health (JNH) Akper Yakpermas Banyumas Jurnal Kesehatan Amanah SEMINAR NASIONAL PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT Jurnal Ilmiah Kesehatan Mandira Cendikia Multidisciplinary Indonesian Center Journal NMI THE JOURNAL OF Nursing Management Issues Sanitas: Journal of Health, Medical, and Psychological Studie Borneo Nursing Journal
Rahmaya Nova Handayani
Universitas Harapan Bangsa
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Pelatihan Penanganan Kegawatdaruratan Tersedak Pada Anak di Desa Ledug Purwokerto Sabna Meisya Lestari Sabna; Rahmaya Nova Handayani; Arni Nur Rahmawati
JURNAL Comunità Servizio : Jurnal Terkait Kegiatan Pengabdian kepada Masyarakat, terkhusus bidang Teknologi, Kewirausahaan dan Sosial Kemasyarakatan Vol. 6 No. 2 (2024): OKTOBER
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM), Univesitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/cs.v6i2.6118

Abstract

Choking is a very dangerous emergency that often occurs in children under three years of age. Choking occurs when solid food that should pass through the digestive tract blocks the airway. Choking victims can lose consciousness, causing death. Treatment for choking in children is divided into three types, namely back blow, Heimlick maneuver and chest thrust. The aim of this Community Service is to identify the mother's level of knowledge and skills in handling choking emergencies in children. The method used is the lecture and demonstration method. There were 32 participants who attended and took part in the activity. The activity was carried out at RT.01/RW.05 Ledug Village, Purwokerto on Thursday, June 6 2024. The media used were powerpoint, leaflets and videos. Community Service Results showed that 19 participants (59.4%) had sufficient knowledge before the education was provided and after the education was provided, 29 participants (90.6%) were in the good category. The skill level before being given education and demonstration was that all participants were unskilled, 32 participants (100.0%), whereas after being given education and demonstration, 21 participants (65.6%) had skilled skills and 11 participants (34.4%) had less skilled skills. From the results of community service it can be concluded that there is an increase in knowledge and skills.
Upaya Peningkatan Pengetahuan dan Keterampilan dalam Penanganan Pertama pada Kejang Demam di Posyandu Garuda II Kembaran Purwokerto Siti Anisa anisa; Rahmaya Nova Handayani; Surtiningsih
JURNAL Comunità Servizio : Jurnal Terkait Kegiatan Pengabdian kepada Masyarakat, terkhusus bidang Teknologi, Kewirausahaan dan Sosial Kemasyarakatan Vol. 6 No. 2 (2024): OKTOBER
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM), Univesitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/cs.v6i2.6148

Abstract

An important factor in speeding up a child's recovery is the mother's knowledge about her child's illness. A mother must play an important role when her child suffers from a febrile seizure to prevent the child from experiencing more serious health issues. The knowledge that a mother possesses can support the management of the fever condition that occurs. Objective. This Community Service activity aims to help improve knowledge and skills in the first handling of febrile seizures at Posyandu Garuda II Kembaran Purwokerto. Methods. Community service activities are carried out by conducting lectures, implementation and direct evaluation by applying increased knowledge and skills in the first handling of febrile seizures. Results. Based on the results of PkM activities, before being given education there were 8 participants (16.3%) in the good knowledge category, 23 participants (46.9%) in the sufficient knowledge category and 18 participants (36.7%) in the poor knowledge category. Then after being given education using audiovisual and leaflets, there was an increase in knowledge, namely 44 participants (89.8%) in the good knowledge category and 5 participants (10.2%) in the moderate knowledge category. As for the skill level before being given a demonstration, all participants were not skilled. Then after being given demonstrations, audiovisuals and leaflets increased to skillful, namely 37 participants (75.5%) and 12 participants (24.5%) were less skilled. The conclusion is that after being given education there is an increase in knowledge and skills. Keywords: Knowledge; Skills; Fever Seizures;
Edukasi Pertolongan Pertama pada Sinkope di MAN 1 Banyumas Nadini Chairani Nadini; Rahmaya Nova Handayani; Tophan Heri Wibowo
JURNAL Comunità Servizio : Jurnal Terkait Kegiatan Pengabdian kepada Masyarakat, terkhusus bidang Teknologi, Kewirausahaan dan Sosial Kemasyarakatan Vol. 6 No. 2 (2024): OKTOBER
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat (LPPM), Univesitas Kristen Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33541/cs.v6i2.6158

Abstract

The sudden and often temporary loss of consciousness known as syncope is caused by a reduced supply of blood and oxygen to the brain. Students at all levels of education, especially those whose schools hold Monday ceremonies, are at higher risk of syncope due to prolonged exposure to the sun. Careful provision of first aid to those who faint is necessary due to the potential for major complications. The aim of this PkM is to help the community know more about syncope and how to provide first aid. This PkM used learning strategies such as lectures and demonstrations. Thirty people attended and participated in this activity. On Wednesday, 12 June 2024, the event took place at MAN 1 Banyumas. Videos, brochures, and PowerPoint presentations. The results of Community Service on the level of knowledge before education were 9 participants (30.0%) had poor knowledge, 12 participants (40.0%) had sufficient knowledge, and 9 participants (30.0%) had good knowledge. Whereas after being given education, 27 participants (90.0%) were in the good category and 3 participants (10.0%) in the moderate category. The level of skills before being given education was 30 participants (100.0%), while after being given education as many as 30 participants (100.0%) had skilled skills. Based on the results of the presentation of pretest, posttest knowledge and skills that have been carried out, it shows an increase in knowledge and skills.
Optimizing Ketamine-Propofol Collaboration to Prevent SpO₂ Decrease in TIVA Patients at RSU Emanuel Banjarnegara Rahmaya Nova Handayani; Sakhfa Syesar Novaliyanto; Surtiningsih
Jurnal Penelitian Pendidikan IPA Vol 11 No 4 (2025): April
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i4.10982

Abstract

Total Intravenous Anesthesia (TIVA) is a widely used anesthetic technique that relies entirely on intravenous agents. However, one of its challenges is the potential reduction in oxygen saturation (SpO₂) during induction. Ketamine and propofol are commonly used anesthetic agents and their combination is hypothesized to optimize hemodynamic stability and prevent SpO₂ decline. Objectives: This study aims to evaluate the effectiveness of ketamine-propofol collaboration in maintaining oxygen saturation during TIVA induction at RSU Emanuel Banjarnegara. Methods: This study was a quasi-experimental study with 50 TIVA patients who met the inclusion criteria. Result: The study found that patients receiving the ketamine-propofol combination exhibited a more stable SpO₂ level compared to those receiving propofol alone. The mean decrease in SpO₂ was significantly lower in the combination group (p < 0.05), indicating the protective effect of ketamine in preventing hypoxia. The combo group also maintained hemodynamic indicators including blood pressure and heart rate better. Conclusion: The simultaneous injection of Ketamine and Propofol is beneficial in preventing a drop in SpO₂ 1 minute after induction of anesthesia compared to the combination of Propofol alone.
Penerapan Pengetahuan Mobilisasi Dini Dengan Tingkat Kemandirian Pasien Post Sectio Caesarea Di RSI Purwokerto Vian Putria Isma; Rahmaya Nova Handayani; Surtiningsih
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v7i2.96

Abstract

Pengetahuan adalah hasil mengetahui seseorang yang merasakan pada objek tertentu. Persepsi terjadi melalui panca inderaorang, termasuk indera penglihatan, pendengaran, penciuman, rasa dan sentuhan. Mobilisasi dini pengertian kemampuan seseorang untuk bergerak secara bebas, mudah, dan teratur untuk memenuhi kebutuhan aktivitasnya serta Operasi caesar adalah suatu tindakan pembedahan dimana janin dilahirkan melalui sayatan pada dinding perut dan rahim. Tujuan untuk meningkatkan kemandirian pada pasien post sectio caesarea metode dengan adanya mobilisasi dini di RSI Purwokerto. Persiapan instrumen berupa leaflet, kuisoner serta lembar ceklis tentang pengetahuan tentang mobilisasi dini serta instrumen lembar observasi Activity Daily Living (ADL) untuk mengetahui tingkat kemandirian pasien post sectio caesarea. Hasil tingkat kemandirian sebagian pada 8 jam pertama ketergantungan sedang dengan jumlah 8 peserta (40,0%). Tingkat kemandirian pada 24 jam pertama seluruh dalam kategori ketergantungan ringan dengan jumlah 20 peserta (100,0%). Tingkat kemandirian paling tinggi dalam kategori ketergantungan ringan dengan jumlah 16 peserta (80,0%). Kesimpulan terjadi perubahan kemandirian pada pasien Sectio Caesarea
Perbedaan Efektivitas Durasi Video Laringoskopi Dan Laringoskopi Langsung Dalam Intubasi Urutan Cepat Pada Pasien Bedah Di RSD Gunung Jati Kota Cirebon Syabilla Afifuddin Suat; Made Suandika; Rahmaya Nova Handayani
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.191

Abstract

Intubasi urutan cepat merupakan tindakan penting dalam proses anestesi umum untuk mengamankan jalan anpas secara cepat, sehingga risiko aspirasi dan hipoksia dapat dicegah. Pemilihan alat intubasi yang tepat berperan dalam keberhasilan prosedur ini. Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas durasi intubasi urutan cepat menggunakan video laringoskopi dan laringoskopi langsung pada pasien bedah di RSD Gunung Jati Kota Cirebon. Penelitian ini menggunakan desain analitik komparatif dengan pendekatan cross-sectional. Sampel berjumlah 100 pasien yang dibagi menjadi dua kelompok, 50 pasien menggunakan video laringoskopi dan 50 pasien menggunakan laringoskopi langsung. Analisis data menggunakan uji Mann-Whitney. Hasil penelitian menunjukkan bahwa 96,0% pasien yang diintubasi dengan laringoskopi langsung berhasil melakukan intubasi kurang dari 60 detik, sedangkan pada video laringoskopi hanya 82,0%. Hasil uji Mann-Whitney menunjukkan nilai p = 0,026 (p < 0,05), yang berarti terdapat perbedaan signifikan. Kesimpulan penelitian ini adalah laringoskopi langsung lebih efektif dalam hal durasi intubasi urutan cepat dibandingkan video laringoskopi. Pemilihan alat tetap harus disesuaikan dengan kondisi klinis pasien.
Gambaran El-Ganzouri Risk Indeks Score Terhadap Keberhasilan Intubasi Pada Pasien Anestesi Umum Febriyanti Febriyanti; Rahmaya Nova Handayani; Made Suandika
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.204

Abstract

Kesulitan dan kegagalan intubasi pada operasi anestesi umum meningkat dalam tujuh tahun terakhir. Risiko yang mengancam pasien sangat serius, mulai dari cedera saluran napas, pendarahan, aspirasi, hingga hipoksia, gagal napas, dan kematian. Penelitian ini dilakukan untuk mengetahui gambaran El-Ganzouri Risk Index Score terhadap keberhasilan intubasi pada pasien anestesi umum di RSUD dr. R Goeteng Taroenadibrata Purbalingga. Penelitian ini dilakukan dengan metode deskriptif kuantitatif dengan pendekatan cross-sectional dan teknik sampling non-probabilitas (consecutive sampling) pada 58 sampel. Analisis data berfokus pada distribusi frekuensi dari data umum pasien dan skor El-Ganzouri Risk Index yang dikumpulkan sebelum operasi dengan anestesi umum. Hasil penelitian menunjukkan bahwa mayoritas responden, yaitu 56 responden (96,6%) memiliki skor El-Ganzouri Risk Index <4 dan berhasil diintubasi dengan cepat. Sebaliknya, satu responden dengan skor ≥4 dan satu responden lain dengan skor <4 mengalami kegagalan intubasi yang membutuhkan waktu lebih dari 60 detik.
Gambaran Kejadian Near Miss Pada Pelayanan Anestesi Di Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto Rian Arif Kurniawan; Rahmaya Nova Handayani; Surtiningsih
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.282

Abstract

Pelayanan kesehatan mengutamakan keselamatan pasien. Salah satu tujuan penting dari penerapan sistem keselamatan pasien di rumah sakit adalah mencegah terjadinya Insiden Keselamatan Pasien (IKP) adalah suatu kejadian atau situasi yang dapat mengakibatkan atau berpotensi cedera pada pasien. Kejadian Nyaris Cidera (KNC) merupakan terjadinya insiden yang belum terpapar pada pasien. KNC lebih sering terjadi dibandingkan dengan kejadian tidak diharapkan, frekuensi kejadian ini tujuh sampai seratus kali lebih sering terjadi. Tujuan penelitian untuk Mengetahui gambaran kejadian near miss pada pasien anestesi di Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto. Metode Penelitian dilakukan merupakan penelitian kuantitatif dengan design penelitian deskriptif. Pendekatan yang digunakan saat penelitian adalah cross sectional. Lokasi penelitian akan dilakukan di Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto. Sampel adalah pasien dengan yang akan menjalani tindakan operasi di Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto sebanyak 68 pasien. Metode pengambilan sampel yang digunakan dengan teknik Total sampling. Alat ukur pada penelitian ini menggunakan Lembar Observasi Near Miss dan master table. Analisis data yang digunakan dengan uji univariate. Hasil menunjukan Usia yang paling dominan pada >45 tahun (36,8%). Jenis kelamin sebagian besar adalah jenis kelamin laki-laki (60,3%). Jenis anestesi sebagian besar dengan general anestesi (61,8%). Kejadian near miss di ruang operasi didapatkan bahwa pada Sign in didapatkan sebagian besar tidak ada kejadian near mis (73,5%), kejadian near miss pada time out secara keseluruhan ada/ mengalami near miss (100%) dan pada sign out secara keseluruhan tidak mengalami kejadian near miss (100%). Jenis near miss di ruang operasi terhadap 68 responden Hasil analisis menunjukkan bahwa tidak terdapat kejadian KPC, KTC, maupun KTD pada seluruh responden, masing-masing dengan frekuensi "tidak ada" sebanyak 68 kasus (100%)
Gambaran Perubahan Suhu Tubuh Pada Pasien Pasca Kraniotomi Dengan General Anestesi Di RSUD Prof. DR. Margono Soekarjo Purwokerto Siti Noer Ambarwati; Magenda Bisma Yudha; Rahmaya Nova Handayani
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.285

Abstract

Kraniotomi merupakan prosedur bedah saraf mayor yang dapat memengaruhi regulasi suhu tubuh akibat respons inflamasi, efek anestesi, dan perubahan fisiologis lainnya. Perubahan suhu pascaoperasi menjadi indikator penting untuk mendeteksi komplikasi awal, seperti infeksi maupun gangguan termoregulasi. Penelitian ini bertujuan mendeskripsikan perubahan suhu tubuh pasien setelah kraniotomi. Penelitian menggunakan metode kuantitatif dengan pendekatan deskriptif. Sampel sebanyak 70 pasien pasca kraniotomi yang menjalani anestesi umum di RSUD Prof. Dr. Margono Soekarjo Purwokerto dipilih secara purposive sesuai kriteria inklusi. Pengukuran suhu dilakukan sebelum dan setelah anestesi, kemudian dianalisis secara deskriptif melalui distribusi frekuensi dan persentase. Hasil penelitian menunjukkan sebagian besar responden berada pada kelompok usia dewasa 31 orang (44,3%), dengan IMT normal 47 orang (67,1%), perdarahan kelas I 51 orang (72,9%), lama operasi 30 menit–2 jam sebanyak 26 orang (37,1%), dan mayoritas berjenis kelamin perempuan 41 orang (58,6%). Diagnosis terbanyak adalah tumor otak 42 orang (60%). Sebanyak 49 pasien (70%) mengalami hipotermia ringan dengan suhu 32,0°C–36°C. Secara keseluruhan, pasien pasca kraniotomi cenderung mengalami penurunan suhu tubuh pada kategori hipotermia ringan. Oleh karena itu, pemantauan suhu tubuh secara berkala sangat diperlukan untuk mencegah komplikasi yang mungkin timbul.
Pengaruh Tindakan Foot Massager terhadap Pencapaian Bromage Score pada Pasien Pasca Operasi Sectio Caesarea di Rumah Sakit Islam Purwokerto M. Devin Kamal; Rahmaya Nova Handayani; Surtiningsih Surtiningsih
Jurnal Kesehatan Amanah Vol. 10 No. 1 (2026): Mei: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v10i1.1072

Abstract

The rate of Caesarean Section (CS) deliveries continues to increase, reaching 25.9% in Indonesia in 2023, with 24.9% in Central Java. Motor recovery after spinal anesthesia is evaluated using the Bromage Score, where a score ≤ 2 indicates the patient is ready to be transferredFoot massage, as a non-pharmacological intervention, is known to be effective in improving blood circulation, reducing muscle tension, and inducing relaxation, thus potentially accelerating recovery. This study aims to assess the effect of foot massage on achieving the Bromage Score in post-CS patients. This quantitative research method uses a quasi-experimental Posttest Only Control Group Design. Thirty respondents after CS surgery at Purwokerto Islamic Hospital were divided into two groups (15 intervention groups, 15 control groups) through total sampling. The results showed that the majority of the intervention group (80.0%) experienced an increase in the Bromage Score, in contrast to the control group (80.0% experienced no increase). The Mann Whitney test yielded a p-value of 0.000 (p < 0.05), indicating a significant effect of foot massage on achieving the Bromage Score. It was concluded that foot massage effectively accelerated motor recovery after CS surgery by increasing blood circulation, stimulating the parasympathetic nervous system, and accelerating neuromotor recovery.
Co-Authors Aben Pernandes Amin Susanto Amin Susanto Azzah Azaria Wulandari Cahyaningrum, Etika Dewi Danang Tri Yudono Dian Nur Fauziah Dwi Novitasari Ellen Bawole Ema Wahyu Ningrum Eva Muntasir Febriyanti Febriyanti Fender Stefan Tangklisan Fildzah Husna Izzati Firdaus, Eza Kemal Haris Usman Jonatan Aris Maraya karlisa Kautsar Yusmar Rizaldy M. Devin Kamal Made Suandika Magenda Bisma Yudha Nadini Chairani Nadini Nur Kholiqin Nur Khotimah Pambajeng Wahyu Wijayanti Rahmawati, Arni Nur Rian Arif Kurniawan Risqi Febriyantika Roro Lintang Suryani Sabna Meisya Lestari Sabna Sakhfa Syesar Novaliyanto Septi Setio Damayanti Setyawati, Martyarini Budi Siti Anisa anisa Siti Noer Ambarwati Surtiningsih Surtiningsih Surtiningsih Surtiningsih Sutrisno Sutrisno Syabilla Afifuddin Suat Tin Utami Tophan Heri Wibowo Vanessa Febri Meliana Vian Putria Isma Wasis Eko Kurniawan