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Effectiveness of Lemongrass Aromatherapy and The 4-7-8 Breathing Technique on Post Operative Pain after General Anesthesia Azizah, Aisyah Nur; Santoso, Budi; Pratiwi, Nesa Anggun; Azizah, Nur Mauludia
Jurnal Pendidikan Keperawatan Indonesia Vol 11, No 2 (2025): Volume 11, Nomor 2, Desember 2025
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v11i2.85911

Abstract

Introduction: Postoperative pain is a common clinical problem among patients undergoing surgery with general anesthesia. Compared to regional anesthesia, general anesthesia is associated with a higher intensity of postoperative pain, which may lead to delayed recovery and complications if not optimally managed. In addition to pharmacological therapy, non-pharmacological pain management strategies are increasingly recommended due to their safety, flexibility, and minimal side effects. Lemongrass aromatherapy has been reported to possess antidepressant and analgesic effects, while the 4–7–8 breathing technique is known to promote relaxation and pain control. Combining these interventions may enhance postoperative pain management. Objective: This study aimed to determine the effectiveness of a combination of lemongrass aromatherapy and the 4–7–8 breathing technique in reducing pain among patients after general anesthesia. Methods: A quasi-experimental study with a pre–post test control group design was conducted at PKU Muhammadiyah Hospital Bantul. The study population consisted of postoperative patients who received general anesthesia. A purposive sampling technique was used to recruit 34 respondents, divided equally into an intervention group (n=17) and a control group (n=17). Pain intensity was measured before and after the intervention. Data were analyzed using the Wilcoxon test for within-group comparisons and the Mann–Whitney test for between-group differences. Results: The Wilcoxon test showed a significant reduction in pain intensity in the intervention group (p=0.000) and the control group (p=0.003). The Mann–Whitney test revealed a significant difference in pain reduction between groups (p=0.026), indicating greater effectiveness in the intervention group. Conclusion: The combination of lemongrass aromatherapy and the 4–7–8 breathing technique is effective in significantly reducing postoperative pain in patients after general anesthesia
Peran Tutor Sebaya Dalam Upaya Menghadapi Quarter Life Crisis Di Panti Sosial Asuhan Anak (PSAA) Muhammadiyah Seyegan Nia Handayani; Vita Purnamasari; Aisyah Nur Azizah; Raden Sugeng Riyadi
AMMA : Jurnal Pengabdian Masyarakat Vol. 3 No. 6 : Juli (2024): AMMA : Jurnal Pengabdian Masyarakat
Publisher : CV. Multi Kreasi Media

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Quarter Life Crisis is a phase where an emotional crisis occurs in individuals in their 20s. Emotional crises that occur in individuals during the Quarter Life Crisis phase include feelings of helplessness, feeling unsure or doubting one's own abilities, isolated and often afraid, anxious about failure in the future. The aim of this community service is to implement the role of peers to become counselors or confidants for teenagers at the Sayegan Muhammadiyah Orphanage so that the Quarter Life Crisis can be minimized. This community outreach method is by providing education about mental health and the role of peer tutors in dealing with the quater life crisis. Participants also demonstrated peer tutoring. In conclusion, in this community service, participants can apply the role of peer tutors in dealing with the quater life crisis well.
The CORRELATION BETWEEN DEPTH OF ENDOTRACHEAL TUBE PLACEMENT AND PAIN IN VENTILATED PATIENTS IN THE ICU OF PKU MUHAMMADIYAH GAMPING HOSPITAL Alfiana Sukma Ayu; Aisyah Nur Azizah; Ellyda Septiani Pramita
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 2 (2026): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jian.v2i2.4836

Abstract

Background: Endotracheal tube (ETT) insertion is an invasive procedure commonly performed in patients receiving mechanical ventilation in the Intensive Care Unit (ICU). Improper ETT placement depth may lead to various complications, including unplanned extubation, airway irritation, mucosal injury, and increased pain. Pain in critically ill patients is often difficult to assess due to communication limitations caused by mechanical ventilation and sedation. Therefore, an objective assessment instrument is required, one of which is the Critical Care Pain Observation Tool (CPOT). Methods: This study employed a quantitative design with a cross-sectional approach. The study sample consisted of 55 mechanically ventilated patients selected using an accidental sampling technique. Data were collected using the Critical Care Pain Observation Tool (CPOT) assessment form and analyzed using the Spearman Rank test. Results: The findings showed that most patients had an optimal endotracheal tube placement depth, while the majority experienced moderate pain levels. Statistical analysis revealed a significant relationship between the depth of endotracheal tube placement and pain (p = 0.001), with a moderate correlation strength (r = 0.450). Conclusion: There is a significant correlation between the depth of endotracheal tube placement and pain in mechanically ventilated patients in the ICU of PKU Muhammadiyah Gamping Hospital.
THE RELATIONSHIP BETWEEN ACADEMIC STRESS LEVELS AND BURNOUT AMONG FINAL-YEAR ANESTHESIOLOGY STUDENTS vania salsabila; Aisyah Nur Azizah; Astika Nur Rohmah
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 2 (2026): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jian.v2i2.4837

Abstract

Background: Final-year students in health sciences education face complex academic demands, including the completion of final projects, clinical practice, Objective Structured Clinical Examinations (OSCEs), and competency examinations. These responsibilities often contribute to academic stress, particularly among Anesthesiology Nursing students who carry substantial clinical responsibilities and are directly involved in anesthesia procedures in operating rooms. If not properly managed, academic stress may develop into burnout, a condition characterized by emotional exhaustion, cynicism, and reduced academic effectiveness resulting from chronic stress. Methods: This study employed a descriptive correlational design with a cross-sectional approach. A total of 60 respondents were selected using stratified random sampling. Data were analyzed using the Spearman rank correlation test. Results: The findings revealed that the majority of final-year Anesthesiology Nursing students experienced a moderate level of academic stress (51 students; 85%), while 6 students (10%) experienced high academic stress. Regarding burnout, most respondents were categorized as having moderate burnout (22 students; 36.7%), followed by low burnout (19 students; 31.7%), very low burnout (18 students; 30.0%), and high burnout (1 student; 1.7%). Statistical analysis showed a significant positive correlation between academic stress and burnout (p = 0.000), with a moderate correlation coefficient (r = 0.484). Conclusion: There is a significant positive relationship between academic stress levels and burnout among final-year anesthesiology students. The strength of the relationship was moderate, indicating that higher levels of academic stress were associated with higher levels of burnout.
Pengaruh Edukasi Self Healing Berbasis Digital Terhadap Quarter Life Crisis Pada Mahasiswa Prodi Keperawatan Anestesiologi Vita Purnamasari; Nia Handayani; Aisyah Nur Azizah
Jurnal Studi Keperawatan Vol 6 No 1 (2025): MARCH 2025
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v6i1.12558

Abstract

Seorang individu pada usia dewasa awal untuk produktif dituntut harus memiliki kemampuan dalam melaksanakan tugas perkembangannya baik dalam relasi sosial, komunitas, maupun pekerjaannya. Namun tidak semua individu mampu karena masih banyak yang mengalami kesulitan bahkan kebingungan dalam menghadapi realita kehidupan Tujuan umum dari penelitian ini adalah mengetahui pengaruh edukasi self healing berbasis digital terhadap quarter life crisis pada mahasiswa Prodi Keperawatan Anestesiologi. Penelitian ini menggunakan pendekatan quasy experiment dengan rancangan Pretest-Posttest Control Group. Populasi dalam penelitian ini adalah mahasiswa semester akhir (angkatan 2020) Program Studi Keperawatan Anestesiologi Universitas ‘Aisyiyah Yogyakarta dengan jumlah populasi yaitu 150 mahasiswa. Sampel yang digunakan dalam penelitian ini adalah sebanyak 50 mahasiswa  yang terbagi menjadi 25 kelompok intervensi dan 25 kelompok kontrol. Hasil dari penelitian ini adalah berdasarkan uji Wilcoxon terdapat perbedaan signifikan Quarter Life Crisis pada kelompok intervensi dengan nilai p 0.001. Sedangkan pada kelompok kontrol mendapatkan nilai p 0.157,  maka artinya terdapat pengaruh edukasi self healing berbasis digital terhadap quarter life crisis pada mahasiswa Prodi Keperawatan Anestesiologi.
Penerapan 4–7–8 Breathing Exercise Sebagai Alternatif Terapi Menurunkan Tekanan Darah Pada Pasien Post General Anestesi Aisyah Nur Azizah
Jurnal Studi Keperawatan Vol 7 No 1 (2026): MARCH 2026
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v7i1.14010

Abstract

Pasien yang menjalani prosedur pembedahan umumnya mendapatkan tindakan anestesi untuk menghilangkan rasa nyeri. Anestesi terbagi menjadi anestesi umum dan anestesi regional. Penggunaan anestesi umum diketahui lebih sering menimbulkan nyeri pascaoperasi dibandingkan anestesi regional. Nyeri yang tidak tertangani dengan baik dapat memicu berbagai komplikasi salah satunya peningkatan tekanan darah. Oleh karena itu diperlukan upaya pengelolaan tekanan darah yang efektif. Penanganan dapat dilakukan melalui pendekatan farmakologis maupun non-farmakologis. Pendekatan non-farmakologis memiliki kelebihan karena relatif aman, mudah dilakukan, dan dapat dikombinasikan dengan terapi lain. Salah satu metode yang dapat digunakan adalah teknik pernapasan 4–7–8 breathing exercise. Metode ini sebelumnya terbukti membantu menurunkan kecemasan serta tekanan darah pada pasien dengan hipertensi. Namun penelitian mengenai penerapan teknik ini pada pasien pasca general anestesi masih terbatas. Penelitian ini bertujuan untuk mengetahui pengaruh 4–7–8 breathing exercise terhadap tekanan darah pada pasien post general anestesi di RS PKU Muhammadiyah Bantul. Penelitian menggunakan desain kuasi eksperimen dengan rancangan pre-test dan post-test control group design. Sampel penelitian berjumlah 34 responden yang dipilih menggunakan teknik purposive sampling dan dibagi menjadi dua kelompok yaitu kelompok kontrol dan kelompok intervensi masing-masing 17 responden. Analisis data menggunakan uji Wilcoxon dan Mann-Whitney. Hasil uji Wilcoxon menunjukkan adanya perubahan tekanan darah sebelum dan sesudah perlakuan pada kedua kelompok dengan nilai p=0,025 pada kelompok kontrol dan p=0,046 pada kelompok intervensi. Namun uji Mann-Whitney menunjukkan nilai p=0,740 yang berarti tidak terdapat perbedaan signifikan antara kedua kelompok penelitian ini. Keyword :  478 breathing exercise, general anestesi, tekanan darah
Enhancing Thermal Comfort Through Hand Warmer Application in Patients Undergoing Regional Anesthesia: A Pre-Experimental Study Muhammad Hirzi Syafiqri; Aisyah Nur Azizah; Triyas Singgih Pambudi
Adult Health Nursing Journal Vol 3, No 1 (2026): Advancing Evidence-Based Adult Health Nursing: Educational, Perioperative, Criti
Publisher : Fakultas Kesehatan, Universitas Nurul Jadid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/ahnj.v3i1.15524

Abstract

Background: Patients undergoing regional anesthesia are frequently exposed to low perioperative ambient temperatures before surgery, increasing the risk of thermal discomfort even in the absence of overt hypothermia. Although perioperative warming strategies have been widely discussed, evidence regarding simple localized warming interventions during the pre-anesthetic phase remains limited, particularly in relation to subjective thermal comfort. Objective: To examine the effect of hand warmer application on thermal comfort among patients undergoing regional anesthesia during the pre-anesthetic phase. Methods: A pre-experimental study with a one-group pretest–posttest design was conducted at PKU Muhammadiyah Bantul Hospital, Indonesia. Thirty patients scheduled for regional anesthesia were recruited using purposive sampling. Thermal comfort was assessed before and after intervention using the Thermal Comfort Scale (TCS). Participants received localized warming through hand warmer application on the palmar area for 10 minutes during the pre-anesthetic waiting period. Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05.Results: Prior to the intervention, most participants reported neutral (43.3%) or uncomfortable (40.0%) thermal sensations. Following hand warmer application, thermal comfort shifted entirely toward comfortable (73.3%) and very comfortable (26.7%) categories. Wilcoxon signed-rank analysis demonstrated a statistically significant improvement in thermal comfort scores after the intervention (Z = −4.861, p < 0.001). No participants reported worsening thermal comfort following localized warming.Conclusion: Hand warmer application improved subjective thermal comfort among patients undergoing regional anesthesia during the pre-anesthetic phase. As a simple, low-cost, and non-invasive intervention, localized peripheral warming may support more patient-centered perioperative nursing care and enhance pre-anesthetic comfort management.