I Wayan Agus Maharyawan
Institut Teknologi dan Kesehatan Bali

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

Multiple Case Study: Cognitive Status in Pre-Elderly Patients Undergoing Transurethral Resection of Prostate (TURP) Procedure with Spinal Anesthesia I Made Ghana Astamurti Kumara; Made Rismawan; I Wayan Agus Maharyawan
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.v6iS6.5602

Abstract

Benign Prostatic Hyperplasia(BPH) in pre-elderly often causes problems such as discomfort when urinating. The action that can be taken is to perform Transurethral Resection of Prostate (TURP) surgery with Spinal Anesthesia technique. The risks that can occur are Postoperative Cognitive Dysfunction (POCD), such as decreased cognitive function, memory impairment and decreased attention that can occur within a certain period of time. Objective: To determine the cognitive status in pre-elderly patients who underwent TURP procedure with spinal anesthesia. The design of this study was a Multiple Case Study with a qualitative descriptive approach of 5 pre-elderly patient participants who underwent spinal anesthesia. The data collection tools used in this study are interview sheets and MMSE (Mini-Mental State Examination) observation sheets which are used to enter patient observation. Results of the five participants, only two experienced moderate cognitive status disorders and three participants did not experience post-operative cognitive status disorders. Age is a factor in the occurrence of post-operative cognitive status disorders. Two of the five participants in this study experienced moderate cognitive status disorders.
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.