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All Journal Babali Nursing Research Nursing Sciences Journal
Yustina Ni Putu Yusniawati
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Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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PONV (Postoperative Nausea and Vomiting) Incidence among Patients with Caesarean Section, Enhanced Recovery After Surgery (ERAS), and Subarachnoid Block (SAB) Anesthesia Yustina Ni Putu Yusniawati; Emanuel Ileatan Lewar; I Gde Agus Shuarsedana; Valentine Claradicha
Babali Nursing Research Vol 4 No 3 (2023): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2023.43112

Abstract

Background, ERAS has been widely demonstrated as an effective method for controlling postoperative pain, nausea, and vomiting. Pain management that cuts the dose of opioids by 50%, involves administering intravenous fluids, and using a combination of antiemetic drugs may have a better outcome. objective. This study aims to determine the incidence of PONV after the ERAS procedure in cesarean section patients with Subarachnoid Block (SAB) anesthesia. Method, This research is quantitative research with a descriptive design. This study was conducted from March to April 2022, involving 60 post-cesarean section patients with SAB and ERAS. Univariate analysis that presents the frequency distribution of PONV events was applied to answer the research objectives. Results, Most of the participants were between 30 and 35 years old (29; 48.3%), classified into the healthy weight group (33; 55%), and identified with a Bromage score of 1 (60; 100%). The majority of participants amounting to Fifty participants (83.3%) did not experience episodes of nausea and vomiting after the procedure. Only seven (11.7%) and three (5%) participants reported mild and moderate nausea and vomiting after the process, respectively. Conclusion, the ERAS method is an adequate technique presented in cesarean section procedures. The findings confirm its effectiveness in reducing the incidence of postoperative nausea and vomiting. Thus, proposing ERAS as an effective and promising protocol for cesarean section procedures.
EFFECTIVENESS OF BASIC PRE-HOSPITAL LIFE SUPPORT TRAINING FOR AMBULANCE PERSONNEL: A LITERATURE REVIEW Syukri, Muhammad; NLP Inca Buntari Agustini; Ni Made Dewi Wahyunadi; Yustina Ni Putu Yusniawati
Nursing Sciences Journal Vol 9 No 2 (2025): Oktober 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v9i2.6989

Abstract

Medical emergencies remain the leading cause of death worldwide, with most occurring in the pre-hospital phase. Ambulance personnel play a vital role in providing initial assistance, requiring basic skills through Basic Pre-Hospital Life Support (BPHLS) training. The purpose of this study was to review the effectiveness of BPHLS training in improving the competence of ambulance personnel through a literature review. This study is a a systematic literature review based on PRISMA guidelines. Searches were conducted in PubMed, ScienceDirect, and Google Scholar for articles published between 2018 and 2024. Of the 152 articles identified, 12 articles met the inclusion criteria and were analyzed narratively. The results of the study showed that most studies showed that BPHLS training improved the knowledge, skills, confidence, and behavior of ambulance personnel in handling emergencies. Simulation-based training methods were more effective than lectures. However, several studies reported a decline in skills within 6–12 months without refresher training, and the impact on patient clinical outcomes was still inconsistent. BPHLS training has been proven effective in improving the competence of ambulance personnel, but it needs to be conducted regularly, be standardized nationally, and be supported by quality facilities and instructors. It is recommended that there be periodic refresher training programs and integration of training into the education system and pre-hospital services.    
Co-Authors Emanuel Ileatan Lewar I Gde Agus Shuarsedana Muhammad Syukri Ni Made Dewi Wahyunadi NLP Inca Buntari Agustini Valentine Claradicha