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Description of Anesthesia Maintenance Drug Therapy In General Anesthesia Patients luthfi, Ahmad Luthfi Virgiawan Habibi; Suandika, Made; Bisma Yudha, Magenda
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.99

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Background: The purpose of general anesthesia is analgesia, eliminating anxiety, amnesia, and loss of consciousness, and suppressing cardiovascular, motor, and hormonal responses to surgical stimulation. Administering sedative and analgesic drugs is an important component in treating all critical patients. Sedatives and analgesics are used for pain management, helping to relieve patient anxiety and discomfort during invasive diagnostic and therapeutic procedures. The main indications for the use of sedatives and analgesics are to treat pain, anxiety, and agitation, amnesia, help in adjusting breathing with mechanical ventilation, and overcome decreased cellular metabolism in patients. The choice of anesthetic drug should be based on patient characteristics and conditions related to surgery and costs. The patient's condition must be really good to receive anesthesia, therefore, to avoid undesirable effects from administering anesthetic drugs, the choice of anesthetic drugs should be based on patient characteristics and conditions related to surgery and costs. During surgery, patients receive various anesthetics as maintenance anesthesia. Purpose: To understand the description of anesthesia maintenance drug therapy in general anesthesia patients at RSI Purwokerto. Method: This research is descriptive quantitative research with a cross-sectional approach. The sample used in this study was 92 general anesthesia patients at RSI Purwokerto. The sampling technique in this research used purposive sampling. Research Results: The anesthesia maintenance drug used at RSI Purwokerto was Sevoflurane as much as 80 (87%), and midazolam was used as much as 2 (2.2%). Conclusion: Most of the anesthesia maintenance drugs given to patients at RSI Purwokerto are sevoflurane.
The Chest Physiotherapy to Manage Respiratory Rate In Patients with Bronchopneumonia: A Literature Review: Indonesia Bisma Yudha, Magenda; Wardoyo, Eko
Java Nursing Journal Vol. 1 No. 1 (2023): March - June 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.6

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Purpose: Knowing the application of chest physiotherapy techniques can manage respiratory rates in children with bronchopneumonia. Methods: This review uses the literature review method. Searches were conducted in PubMed, Garuda, and Google Scholar. The search strategy used keywords with "bronchopneumonia", "chest", "physiotherapy", "respiratory rate". Findings: There were eight articles reviewed in this literature review. Seven articles discussed the application of chest physiotherapy and one article discussed the combination of nebulization therapy and chest physiotherapy in bronchopneumonia or pneumonia patients in children. The overall results of this review show that the application of chest physiotherapy in airway clearance problems in children with bronchopneumonia or pneumonia is effective in removing sputum, diluting sputum, and stabilizing hemodynamic status. Conclusions: The application of chest physiotherapy in children with bronchopneumonia or pneumonia has been shown to stabilize hemodynamic status such as pulse frequency, respiratory rate frequency, oxygen saturation within normal limits, and can remove secretions, sputum, and reduce cough frequency.
Implementation of Murottal Therapy to Reduce Preoperative Anxiety in Patients with Spinal Anesthesia Erlena, Erlena Winda Lestari; Lintang Suryani, Roro; Bisma Yudha, Magenda
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.60

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Background: Preoperative anxiety is a common challenge that can negatively impact surgical outcomes and patient well-being. Physiological symptoms of anxiety, such as increased heart rate, blood pressure, and sweating, highlight the need for effective management strategies. Murottal therapy, which involves listening to Qur'anic recitations, offers a non-pharmacological method for anxiety reduction. Purpose: Evaluate murottal therapy’s effectiveness in reducing preoperative anxiety. Methods: A cohort of 30 patients scheduled for spinal anesthesia was recruited for this community service initiative. Anxiety levels were measured using the Visual Analog Scale for Anxiety (VAS-A) before and after the intervention. Participants underwent murottal therapy, which involved listening to Qur'anic recitations for a designated period. Pre- and post-therapy anxiety levels were compared to evaluate the effectiveness of the intervention. Findings: Prior to murottal therapy, 60% of participants exhibited severe anxiety, and 40% had moderate anxiety. Post-therapy results showed a significant improvement: 90% of participants reported moderate anxiety, 6.7% continued to experience severe anxiety, and 3.3% reported mild anxiety. Additionally, a pocket book detailing the murottal therapy procedure was developed as a resource for implementation. Conclusions: Murottal therapy significantly reduced anxiety levels among preoperative patients, demonstrating its potential as an effective, non-invasive approach to anxiety management in surgical settings.
Operating Room Orientation Using Visual Media Virtual Reality Box (Vr.Box) On Decreasing The Level of Fear of Pre Operation Patients Hidayat, Wahyu; Sukmaningtyas, Wilis; Bisma Yudha, Magenda
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.72

Abstract

Background: Effective new patient orientation is crucial in reducing preoperative anxiety, which can significantly impact patient outcomes. Anxiety in patients often stems from unmet needs for security and fear of imminent threats. The Virtual Reality Box (VR Box) has emerged as a potential tool to alleviate this anxiety by providing a distracting and calming experience. Purposes: This study evaluates the impact of operating room orientation on preoperative anxiety levels, with a focus on its effectiveness when combined with VR Box technology. Methods: This study utilized the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to measure anxiety levels in patients before and after receiving operating room orientation. The intervention involved providing comprehensive orientation about the nursing process and surgical environment. A total of [number] preoperative patients participated in the study, and their anxiety levels were assessed pre- and post-orientation. Findings: The analysis revealed a reduction in average anxiety levels from 20.1% before the orientation to 16.2% after the orientation, indicating a 3.9% decrease in anxiety. This suggests that the orientation process effectively mitigated some of the anxiety associated with preoperative procedures. Conclusion: The findings demonstrate that operating room orientation can significantly reduce preoperative anxiety. The integration of orientation strategies with tools such as the VR Box could enhance patient comfort and preparedness, potentially improving overall surgical outcomes. Future research should explore the long-term benefits and potential enhancements of combining orientation with advanced anxiety-reducing technology.
Brisk Walking Untuk Menurunkan Kadar Glukosa Darah Pada Pasien Diabetes Mellitus Tipe 2: A Literature Review Magenda Bisma Yudha; Nur Intan Kartika Sari
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 2 No. 1 (2024): Januari : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v2i1.139

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Background: One of the non-communicable diseases (NCDs) that has received a lot of attention is Diabetes Mellitus. Diabetes management is divided into two ways. The first way is with non-drug therapy (non-pharmacological) and second with drug therapy. Drug therapy in the form of oral hypoglycemic drugs or insulin. Non-pharmacological methods with food planning and physical exercise. The type of light physical exercise recommended for patients with type II diabetes mellitus is walking and brisk walking. Objective: To determine the effect of brisk walking to reduce blood glucose levels in patients with type 2 diabetes mellitus. Methods: This review uses the literature review method. Searches were conducted in PubMed, Garuda, and Google Scholar. The search strategy used keywords with "brisk walking", "physical exercise", "glycemic control", "diabetes mellitus, type II",. Results: Seven articles were reviewed in this literature review. Six articles discussed brisk walking, one article discussed the difference in glycemic control in low - high intensity interval training with endurance training. The overall results of this review show that doing physical activity brisk walking has an effect in reducing blood glucose levels, reducing blood glucose levels by 49.75 mg/dL. Physical activity sessions can be done for 3 - 7 sessions per week with a duration of 15 - 60 minutes. Conclusion: The effect of brisk walking is proven to reduce blood glucose levels in patients with type 2 diabetes mellitus.
Be Brave to Speak Up: Strategi Pengembangan Kepemimpinan Kolaboratif di Kalangan Mahasiswa Keperawatan Anestesuologi Universitas Harapan Bangsa: Strategi Pengembangan Kepemimpinan Kolaboratif di Kalangan Mahasiswa Keperawatan Anestesuologi Suandika, Made; Handayani, Rahmaya Nova; Susanti, Indri Heri; Nailli, Yuris Tri; Yudha, Magenda Bisma; Jerau, Emiliani Elsi; Tanjung, Ar-Rahman
Jurnal Pengabdian Harapan Ibu (JPHI) Vol. 7 No. 2 (2025): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v7i2.1033

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Abstrak Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kapasitas kepemimpinan mahasiswa dalam organisasi kemahasiswaan melalui pelatihan Latihan Dasar Kepemimpinan Mahasiswa (LDKM) bertema "Be Brave To Speak Up In Positive Ways." Program ini diselenggarakan oleh HIMANES Universitas Harapan Bangsa dengan peserta sebanyak 45 mahasiswa. Metode kegiatan meliputi penyampaian materi, diskusi, simulasi organisasi, roleplay, dan permainan edukatif. Hasil kegiatan menunjukkan peningkatan pemahaman peserta terhadap konsep kepemimpinan, komunikasi efektif, dan kemampuan kerja tim. Pelatihan ini menjadi langkah strategis dalam mencetak kader pemimpin mahasiswa yang solutif, inovatif, dan berkarakter. Abstract This community service activity aims to improve the leadership capacity of students in student organizations through the Basic Student Leadership Training (BSLT) with the theme "Be Brave To Speak Up In Positive Ways." This program was organized by HIMANES Universitas Harapan Bangsa with 45 students participating. The activity methods include delivering materials, discussions, organizational simulations, roleplays, and educational games. The results of the activity showed an increase in participants' understanding of the concept of leadership, effective communication, and teamwork skills. This training is a strategic step in producing student leaders who are solution-oriented, innovative, and have character.
Edukasi Pertolongan Pertama Pembebasan Jalan Napas Tersedak Pada Siswa Anggota Palang Merah Remaja (PMR) di MAN Purbalingga Amalia, Cindy; Yudha, Magenda Bisma; Suandika, Made
Jurnal Pengabdian Masyarakat Bhinneka Vol. 3 No. 4 (2025): Bulan Juli
Publisher : Bhinneka Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58266/jpmb.v3i4.305

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Tersedak merupakan gangguan pernapasan dimana saluran napas tersumbat, tersedak dapat terjadi saat saluran pernapasan tersumbatan oleh benda yang tidak seharusnya, atau saat epiglotis di tenggorokan tidak menutup dengan cepat, sehingga makanan masuk ke trakea. Korban tersedak jika pertolongan pertama pada kasus tersedak terlambat diberikan, korban yang mengalaminya bisa pingsan, bahkan nyawanya bisa terancam. Ada beberapa cara menolong orang tersedak, seperti Heimlich Manuver, Back Blow, Chest Thrust. Tujuan  pengabdian masyarakat ini diadakan untuk mengidentifikasi tingkat pengetahuan dan keterampilan anggota PMR dalam memberikan pertolongan pertama saat ada yang tersedak. Metode yang diberikan menggunakan ceramah dan demonstrasi. Kegiatan ini berlangsung pada hari Selasa, tanggal 22 April 2025, bertempat di Aula MAN Purbalingga. Ada 42 orang yang ikut serta dalam kegiatan ini. Kami menggunakan presentasi PowerPoint dan buku panduan sebagai media pembelajaran. Dari hasil pengabdian ini, diketahui bahwa sebelum pelatihan, hanya 17 orang (40,5%) yang punya pengetahuan cukup. Namun, setelah pelatihan, jumlahnya meningkat menjadi 34 orang (81,0%) yang pengetahuannya baik. Lalu, sebelum praktik, semua peserta (100,0%) kurang terampil. Sesudah pelatihan dan praktik, 32 orang (76,2%) menunjukkan keterampilan yang baik, sementara 10 orang (23,8%) masih perlu lebih banyak latihan. Secara keseluruhan, program ini menunjukkan adanya peningkatan pengetahuan dan keterampilan yang signifikan pada anggota PMR MAN Purbalingga.
Edukasi Audio-Visual tentang Mobilisasi Dini pada Pasien Post Operasi dengan Spinal Anestesi Cantika, Virginia Raida; Yudha, Magenda Bisma; Triana, Noor Yunida
Jurnal Peduli Masyarakat Vol 7 No 4 (2025): Jurnal Peduli Masyarakat: Juli 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i4.6993

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Prosedur pembedahan pada ekstremitas bawah umumnya dilakukan bersamaan dengan tindakan anestesi spinal untuk menghilangkan rasa nyeri. Salah satu masalah yang sering muncul setelah prosedur tersebut adalah imobilisasi, yang dapat memperlambat proses pemulihan dan meningkatkan risiko komplikasi. Mobilisasi dini merupakan upaya yang dilakukan secara bertahap oleh pasien post operasi untuk mempercepat pemulihan dan mencegah komplikasi. Berdasarkan survei yang dilakukan pada 04 November 2024, menunjukkan bahwa beberapa pasien post operasi dengan spinal anestesi memiliki pengetahuan yang rendah mengenai mobilisasi dini dan merasa khawatir untuk melakukannya. Tujuan pengabdian ini untuk meningkatkan pengetahuan pasien tentang mobilisasi dini post operasi dengan spinal anestesi. Metode yang digunakan dalam kegiatan ini adalah penyuluhan kesehatan melalui media audio-visual berupa video edukatif berdurasi ±4 menit dan disertai leaflet sebagai penunjang informasi tertulis. Kegiatan dilaksanakan di ruang recovery room Rumah Sakit Islam Purwokerto dengan jumlah peserta sebanyak 30 orang. Evaluasi dilakukan melalui pre-test dan post-test menggunakan kuesioner untuk mengukur peningkatan pengetahuan. Hasil menunjukkan bahwa sebelum edukasi hanya 5 peserta (16,7%) berada pada kategori baik, sedangkan setelah edukasi meningkat menjadi 25 peserta (83,3%). Sebanyak 23 peserta (76,7%) mampu melakukan mobilisasi dini sesuai tahapan. Edukasi audio-visual terbukti efektif dalam meningkatkan pengetahuan dan motivasi pasien.
Implementasi Finger Hold terhadap Penurunan Skala Nyeri pada Pasien Post Operasi Fajirin, Muhammad Aldi; Yudha, Magenda Bisma; Novitasari, Dwi
Jurnal Peduli Masyarakat Vol 7 No 3 (2025): Jurnal Peduli Masyarakat: Mei 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i3.6486

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Sebagian besar pasien pascaoperasi mengalami nyeri dengan tingkat yang bervariasi. Sekitar 80% pasien yang menjalani pembedahan melaporkan nyeri akut setelah efek anestesi menghilang. Rasa nyeri ini dapat meningkat apabila terjadi peradangan atau infeksi. Oleh karena itu, diperlukan metode perawatan untuk membantu mengurangi rasa nyeri tersebut, salah satunya adalah teknik relaksasi finger hold. Teknik ini merupakan perpaduan antara pernapasan dalam dan genggaman jari tangan, yang dapat memberikan sensasi nyaman dan berkontribusi dalam menurunkan tingkat nyeri yang dirasakan pasien. Kegiatan Pengabdian kepada Masyarakat bertujuan untuk memberikan pemahaman tentang finger hold dan mengidentifikasi Tingkat nyeri pasien post operasi menggunakan alat ukur NRS. Kegiatan dilaksanakan di Rumah Sakit Islam Purwokerto pada 27 Januari – 28 Febuari, dengan jumblah peserta sebanyak 30 orang. Kriteria peserta yaitu berusia di atas 17 tahun, sadar penuh (GCS15), dan kooperatif. Metode Pengabdian kepada Masyarakat ini di awali dengan pengisian pre test untuk menukur Tingkat pengetahuan, selanjutnya mengedukasi peserta tentang implementasi finger hold Selama 5 menit, dilanjutkan dengan mengidentifikasi tingkat nyeri peserta dengan metode Numerical Rating Scale (NRS) sebelum dilakukan implementasi, setelah itu pelaksanaan implementasi finger hold selama 10 menit, dan diakhiri dengan mengevaluasi peserta.Hasil dari Pengabdian kepada Masyarakat ini adanya penurunan skala nyeri pada pasien yang telah diberikan implementasi finger hold. Sebelum diberikan terapi finger hold sebanyak 20 peserta mengalami nyeri sedang (66,66%) sedangkan setelah diberikan implementasi finger hold terdapat penurunan nyeri menjadi nyeri ringan sebanyak 19 peserta (63,27%).
Gambaran Perubahan Hemodinamik Pasca Induksi pada Pasien Odontektomi dengan General Anestesi Tumbey, Chrynscialdy; Suandika, Made; Yudha, Magenda Bisma
Jurnal Penelitian Perawat Profesional Vol 6 No 5 (2024): Oktober 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i5.4278

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Tujuan utama induksi anestesi adalah untuk menstabilkan hemodinamik pasien. Mempertahankan kestabilan memerlukan pemantauan yang ketat setelah induksi, terutama tekanan darah (diukur sebagai tekanan darah sistolik dan diastolik serta tekanan arteri rata-rata). Tujuan : Penelitian ini bertujuan untuk mengetahui tingkatan perubahan hemodinamik pasca induksi pada pasien odontektomi dengan general anestesi di RSUD dr. R Goeteng Taroenadibrata Purbalingga. Metode : Metode penelitian kuantitatif dengan metode observasional dan memakai pendekatan cross sectional yang didapatkan melalui pengamatan langsung dilapangan dalam waktu 04 juni - 0 4juli 2024. Teknik sampling total sampling, dengan jumlah sampel 35 responden yang akan menjalani pembedahan odontektomi dengan general anestesi. Hasil : Hasil penelitian ini menunjukan tingatan perubahan tekanan darah sistolik sebelum induksi 68,6 % dan setelah induksi 91,4 %. Tekanan darah diastolik sebelum induksi 74,3 % dan setelah induksi 77,1 %. Mean Arterial Pressure (MAP) sebelum induksi 62,9 % dan setelah induksi 80 %. Heart Rate (Nadi) sebelum induksi 91,4 % dan setelah induksi 82,9 %. Pada Respiratory Rate (RR) dan Saturasi Oksigen (SpO2) sebelum dan setelah induksi tidak terdapat perubahan karena seluruh pasien yang akan dilakukan tindakan dengan general anestesi, bahkan pada saat dilakukannya induksi anestesi telah diberikan oksigen murni sebesar 100 % melalui mesin anestesi. Kesimpulan : Perubahan hemodinamik pasien odontektomi dengan general anestesi di RSUD dr. R Goeteng Taroenadibrata Purbalingga terdapat pada tekanan darah sistolik, tekanan darah diastolik, dan MAP.
Co-Authors Abid Fadillah Triatmaja Ade Dwi Aulia Agepho, Al Farouk Ozan Aidil Giffari Ali Rahman Mahulauw Alifika Julianinta Sudarmono Amalia, Cindy Amelia Andini Amin Susanto Anisa Delviara Ardi Nugraha Aris Ahmat Aris Nur Rahmat Auliya, Khidmatul Aurelia Harun Al Rasyid Bawahasi, Inka Jestika Cantika, Virginia Raida Danang Tri Yudono Danang Tri Yudono Dani, Dwi Darmawan Desy Idayani Didik Iman Margatot Dwi Novitasari Dzuhuri, Muh Adnan Eki Ulul Azmi Eko Wardoyo Emiliani Elsi Jerau Erlena, Erlena Winda Lestari Fajirin, Muhammad Aldi Firda Susu Fridan Firdaus Fringgandini, Mena Giffari, Aidil Ginita Yusmaniar Hana Zumaedza Ulfa Hannan Putri Rosaeva Hidayanti, Fadila Imanuel Telaumbanua Indri Heri Susanti, Indri Heri Ivani, Naysilla Yuniar Jerau, Emiliani Elsi Jonatan Aris Maraya Jovanca Christy Amara Wibowo Khoirul Anam, Ahmad Leni Maryati Lintang Suryani, Roro luthfi, Ahmad Luthfi Virgiawan Habibi Made Suandika Made Suandika Maitsa, Hilvi Mochamad Bayu Nuryatmaja Moh Diyaul Anshar Muti, Refa Teja Nailli, Yuris Tri Nanda Ariawan Saputri Napa Mulina Nashya, Jhea Aqilla Noor Yunida Triana Ns. Martyarini Budi S Nur Indah Kusuma Dewi Nur Intan Kartika Sari Nur Intan Kartika Sari Nuranggreni, Maricha Nurhadi, Muhammad Zidan Putra Putri, Putri Adawia Qoni Oktanti Rahayu, Mella Budi Rahmaya Nova Handayani Rahmaya Nova Handayani Rahmayana Nova H Ratri, Hong Nuring Madyo Ratu Islami Meiana Putri Reivita Amelia Reivita Amelia Revalina Aulia Rahma Risa Zulvia Roro Lintang Suryani Salsabila Amanda Dwi Damayanti Septian Mixrova Sebayang Setyawati, Martyarini Budi Singgih Elva Putra sinta desiyanti Siti Bakhittah Chaerunisa Siti Noer Ambarwati Sri Nabawiyati Nurul Makiyah Sridevi Suhendro, Anton Surtiningsih Surtiningsih Surtiningsih Suryani, Roro Lintang Susilo Rini Syafa Awalia Khoirun Nisa Tanjung, Ar-Rahman Tophan Heri Wibowo Triana, Noor Yunida Tumbey, Chrynscialdy Wahyu Hidayat Wahyu Saputro Wardoyo, Eko Wasis Eko Kurniawan Wasis Eko Kurniawan Wibowo, Ratu Laraswati Sekar Wilis Sukmaningtyas Yudono, Danang Tri Yunanto Adi Nugroho Zulita, Nabila Ulfa