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The Effectiveness of Imagery Therapy Guide on Pain and Anxiety in URS Perioperative Patients in Lontara Room 2 Lower Front of Urological Surgery, RSUP Dr. Wahidin Sudirohusodo Makassar Sriwahyuni Sriwahyuni; Sulasri Sulasri; Kadek Ayu Erika; Syahrul Ningrat; Muhajirin Maliga; Nia Kurnia Djalil
International Journal Of Health Science Vol. 3 No. 3 (2023): November : International Journal of Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v3i3.2728

Abstract

Objective: The purpose of this study is to apply Evidence-Based Nursing Practice (EBNP) activities based on the concepts and models of nursing theory. Method: EBP implementation design used is true experimental with research design Guide imagery. The sampling technique in the implementation of EBP is accidental sampling with nonprobability sampling approach. The population in this study were patients who were at Wright Patterson Medical Center in Ohio with planned surgery on the head and neck area of 44 people divided into 2 groups. Results: giving guide imagery before surgery can reduce the pain as measured by using VAS. The results showed that the pain level was measured after 1 hour postoperatively and 2 hours postoperatively. At the initial measurement, there was no significant difference between the control group and the intervention group with a p value of 0.057. After 2 hours postoperatively, there was a significant difference in pain level between the control group and the intervention group with a p value of 0.041. Conclusion: The implementation of evidence based practice using guide imagery as a therapy before the patient is operated is proven to reduce the level of pain and anxiety of the patient.
A Case Study Application of Active and Passive Warming to the Patient with Tongue Reconstruction and Frenuloplasty in PACU at the Central Operation Theatre in Hasanuddin University Hospital Lande'eo, Imelda Olviana; Takdir Tahir; Abdul Majid; Syahrul Ningrat
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2582

Abstract

Introduction: Postoperative hypothermia that occurs in infants may cause several complications. The aspect of thermoregulation management, such as the active and passive warming in patients during the perioperative period, is essential to prevent postoperative complications. Therefore, this study aims to know the application of active and passive warming to patients with tongue reconstruction and frenuloplasty in the Post Anaesthesia Care Unit at the Central Operation Theatre in Hasanuddin University Hospital. Method: A descriptive case study using a single case design method to determine the effectiveness of hypothermia risk management using active and passive warming methods on a patient undergoing tongue reconstruction and frenuloplasty. Data was collected by conducting observations, implementation, and documentation on patients. Results: An active warming method using air-forced equipment with a temperature setting of 38°C was given, and a passive warming method was provided by giving cotton clothes and blankets to the patient. The initial body temperature measurement was 35.5°C. During the evaluation, 30 minutes after the intervention, there was an increase in body temperature to 36°C. During the review, 60 minutes after the intervention, the body temperature rose to 36.6°C; in the last evaluation, 90 minutes after the intervention, the body temperature was increased to 37°C. The patient left the PACU with a body temperature of 37°C. Conclusion: Prevention of hypothermia in postoperative patients is essential, and methods of preventing hypothermia can be used as active warming and passive warming methods.
A case study Evaluation of the Application of Infection Prevention Bundles in Reducing Infection Risk Factors in Total Thyroidectomy Patients at IBS RSP Hasanuddin University of Makassar Nurpa Masahude, Tendri Mariadjeng; Tahir, Takdir; Abdul Majid; Syahrul Ningrat
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2583

Abstract

Background: Surgical area infections (IDOs) are a form of Healthcare Associated Infections (HAIs) that often occur, especially in complex surgical procedures such as total thyroidectomy, which has a high risk of infection due to the long duration of surgery and involvement of vital structures. Prevention of IDO can be done through the implementation of infection prevention bundles, including the administration of prophylactic antibiotics, pre and perioperative antiseptics, as well as blood temperature and glucose control. The purpose of the study is to evaluate the application of infection prevention bundles in reducing the risk of infection in patients undergoing total thyroidectomy with a diagnosis of bilateral thyroid cancer at the Central Surgical Installation of Hasanuddin University Hospital, Makassar. Methods: This study used a descriptive case study design with a single case design method on Mrs. M's patients through three phases: pre-operative, intra-operative, and post-operative. The implementation of the infection prevention bundle includes the administration of prophylactic antibiotics, sterility techniques, blood sugar control, body temperature monitoring, and systematic wound care. Results: The total risk score of perioperative infection was 14 out of 30, indicating a moderate-high risk. However, the implementation of infection prevention bundles has proven to be effective in preventing infection. Evaluation of wound healing using the Southampton Wound Assessment Scale showed that the patient's wound was in a normal healing condition with no signs of infection until the fifth postoperative day. The patient was discharged on the fifth day with good general condition, normal swallowing function, and closed wounds without complications. Conclusions and suggestions: Consistent application infection prevention bundles can lower the risk of surgical area infection, accelerate wound healing, and shorten the duration of hospitalization. This study recommends the management of pre-operative risk factors such as hypertension control and patient education about postoperative wound care for sustainable healing. of This case study examines the application of infection risk factors in total thyroidectomy patients. The risk score for perioperative infection is 14 out of 30, which indicates a moderate-high risk. However the implementation infection prevention bundles has proven to be effective in preventing infection. The administration of prophylactic antibiotics, sterility techniques, blood sugar control, body temperature monitoring, and systematics wound care.