Ni Nyoman Ari Kundari Dewi
Institut Teknologi dan Kesehatan Bali

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Gambaran Pengetahuan Mahasiswa Anestesi tentang Komunikasi SBAR Pada Pasien Pasca Anestesi Ni Nyoman Ari Kundari Dewi; Agus Baratha Suyasa; Luh Gde Nita Sri Wahyuningsih
PROMOTOR Vol. 6 No. 2 (2023): APRIL
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v6i2.192

Abstract

Komunikasi SBAR digunakan saat pasien segera dipindahkan ke ruang perawatan baik perawatan ruangan biasa maupun di ruang intensive. Seringkali komunikasi SBAR tidak efektif diterapkan oleh mahasiswa. Oleh karena itu dilakukan evaluasi terhadap mahasiswa anestesi dalam serah terima diruang pemulihan atau recovery room. Tujuan penelitian ini adalah untuk mengetahui gambaran gambaran pengetahuan mahasiswa anestesi tentang komunikasi SBAR pada pasien pasca anestesi. Penelitian ini merupakan penelitian deskriptif dengan menggunakan metode pendekatan cross-sectional. Sampel pada penelitian ini yaitu berjumlah 107 responden yang diambil dengan teknik total sampling. Data dikumpul menggunakan kuesioner dan dianalisis dengan statistik deskriptif. Hasil penelitian menunjukkan bahwa pengetahuan responden mayoritas baik 85 (79,4%) tentang SBAR pada pasien pasca anestesi.
Factors Related to Pain Intensity Post-SC with Spinal Anesthesia Ni Luh Putu Lusiana Devi; I Ketut Setiabudi; Kadek Buja Harditya; Ni Nyoman Ari Kundari Dewi; Luh Gde Nita Sri Wahyuningsih
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): 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.v6iS6.4816

Abstract

Pain is the most common complaint found in perioperative patients, so optimal pain management is needed. Proper pain management can be done if the officer is able to know the intensity of pain felt by the patient and what factors are related. The aim of this study was to determine the pain intensity of post-CS patients with spinal anesthesia.This quantitative correlation study with a cross-sectional approach will be conducted involving 87 respondents based on the Slovin Formula. Sampling was carried out using purposive sampling to determine the selected sample. This study will use univariate data analysis techniques (frequency distribution and percentage), and bivariate data analysis (chi-square test). The results of the data analysis showed that the majority of patients had postoperative pain intensity on a scale of <2 as many as 52 people (60%). Age factors, gravida status, BMI, preoperative analgesics, and preoperative pain intensity have p-values> 0.05, namely 0.623, 0.137, 0.341, 0.570, 0.620. It can be concluded that there is no relationship between age, BMI, pre-operative pain intensity, and pre-operative analgesic administration with post-operative pain intensity in CS patients with spinal anesthesia.
Determinants of Multidisciplinary Team Knowledge about Case Managers: A Quantitative Study Ni Luh Putu Lusiana Devi; Ni Nyoman Ari Kundari Dewi
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.7309

Abstract

The implementation of the case manager (CM) has not been optimal according to what was expected. Even though there is a positive perception about the role of CM held by nurses and NA as part of the Professional Care Providers (PPA) is very necessary. The knowledge factor is the factor that has the most influence on positive perceptions about the role of CM. There are many things that can influence nurses' and NAs' knowledge about CM. This study aims to determine the factors related to nurses' and NAs' knowledge about CM. This quantitative correlational research used a cross-sectional approach involving 384 nurses and 129 NAs. The sampling technique used is multistage random sampling and simple random sampling. Each respondent has filled out a structured questionnaire via Google Form and has been analyzed using descriptive statistics, chi-square test, and binary logistic regression. This study used a questionnaire on knowledge about CM with a Cronbach Alpha value of 0.634. This research found that the majority of nurses and NAs had insufficient knowledge about CM, 248 people (65%) and 80 people (62%). The factors age, education and length of service were associated with nurses' knowledge about CM (p=0.001; p<0.001; and p<0.001). The factors age and years of service were associated with NA's knowledge about CM (p=0.017; and p=0.024). This study also found that knowledge was a determining factor in nurses' knowledge about CM (OR=2.53; 95%CI 1.60-4.01; p<0.001). These findings support the theory that age, education and years of service are related to knowledge about CM. Socialization about case managers and increasing the role of case managers in services needs to be carried out by hospital management.
The Relationship Between Sitting Position and Hypotension During Spinal Anesthesia Induction in Cesarean Section Patients with Cardiovascular Problems Ni Nyoman Ari Kundari Dewi
Indonesian Journal of Global Health Research Vol 7 No 3 (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.v7i3.7310

Abstract

Hypotension in patients undergoing cesarean section is a dangerous medical condition during surgery. Appropriate treatment must be provided starting from pre-anesthesia planning. The patient's position during spinal anesthesia induction is the first step to successful anesthesia, so it is important to monitor it closely during the pre-, intra-, and post-anesthesia phases. The purpose of this study was to determine the relationship between sitting position and the incidence of hypotension during spinal anesthesia induction in cesarean section patients at Kasih Ibu Hospital in Denpasar. This study used a correlational analytical approach with a cross-sectional design. The sample in this study consisted of 80 respondents selected using non-probability sampling with consecutive sampling. Data were collected using observation sheets and analyzed using the Chi-Square test. This study found that there was a relationship between sitting position and changes in blood pressure during spinal anesthesia induction, with a p-value of < 0.001.
Compliance of Geriatric Patients with a History of Cardiovascular Disorders with Pre-Anesthesia Preparation Ni Nyoman Ari Kundari Dewi; Atika Parwati; Agus Baratha Suyasa; Ni Luh Putu Lusiana Devi; I Wayan Agus Maharyawan
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.7477

Abstract

Geriatric patients undergoing surgical procedures are required to strictly comply with regulations related to pre-anesthetic preparation. Intraoperative and postoperative complications occur relatively frequently, particularly among elderly patients. To date, there has been limited research examining compliance with pre-anesthetic preparation among geriatric patients with a history of cardiovascular disorders. This study aimed to determine the level of compliance with pre-anesthetic preparation among geriatric patients with a history of cardiovascular disorders at Sanjiwani Regional General Hospital, Gianyar. This study employed a descriptive design with a cross-sectional approach. The sample was obtained using a consecutive sampling technique, with a sample size of 102 geriatric patients. The questionnaire used was a standard questionnaire with a Cronbach's Alpha value of 0.80. Data were collected using a questionnaire and analyzed using descriptive statistics. Result: The results showed that the majority of respondents had a moderate level of compliance with pre-anesthetic preparation, accounting for 64 respondents (62.7%), while 10 respondents (9.8%) demonstrated a low level of compliance. Collaboration among various parties is expected, not only involving healthcare professionals but also emphasizing the importance of family involvement, to improve patient compliance and ensure that surgical and anesthetic procedures during the intraoperative period can be carried out smoothly.