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All Journal Java Nursing Journal Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Amelia Andini
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Health Professions Medicine & Pharmacology Nursing Public Health

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Assess Arrhythmia-causing excessive exercise using Holter Monitoring; Case Reports Yusup Dwiyanto; Amelia Andini
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.26

Abstract

Exercise can indeed improve the quality of health if it is done in accordance with the rules or program. However, excessive exercise without considering the capacity of the organs, especially the heart, can result in disease, one of which is heart disease, namely heart rhythm disturbances. The death rate for athletes in 2022 will still be at 29% during competition. In this case, it proves that Holter monitoring (ambulatory ECG monitoring) is better in assessing heart rhythm in athletes. Arrhythmias in athletes are caused by inadequate cardiac remodeling, causing ion channels in the atrioventricular node to undergo immunohistochemical labeling, where L-type calcium (Ca2+) channels that carry inward current are known to play a major role in the diastolic depolarization of the atrioventricular node, and regulate the excitability and increase in axis potentiation. . In the important Ca2+ channels in the heart, a slowing process occurs which results in a barrier to atrioventricular node conduction. A decrease in the axis action potential phase process where calcium cannot replace potassium in cells results in electrical impulse disturbances.
Analysis of Thyroid Disorders in the Occurrence of Paroxysmal Atrial Fibrillation Dwiyanto, Yusup; Amelia Andini
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.v2i3.63

Abstract

Thyroid disorders can directly affect the cardiovascular system, especially atrial fibrillation arrhythmia. Atrial fibrillation can be triggered by hormonal changes in the human body system. This can be dangerous and can increase the risk of stroke in sufferers. For this reason, researchers conducted this study to be able to analyze the risk of atrial fibrillation due to thyroid disorders. This study used a retrospective analytical design, with a chi square test to determine the risk of increased atrial fibrillation due to thyroid disorders. This study was conducted at Budhi Asih Hospital with Holter monitoring patient samples. The results of this study showed that in patients with thyroid disorders, the results of Holter monitoring showed paroxysmal atrial fibrillation as much as 9.9%, with a p-value: 0.000; OR: 39.346. The conclusion is that there are significant results between thyroid disorders and the incidence of paroxysmal atrial fibrillation
Hubungan Dukungan Keluarga Dengan Tingkat Kecemasan Pada Pasien Pre Anestesi dengan Tindakan Spinal Anestesi Di RS Jatiwinangun Purwokerto Chaerunisa, Siti Bakhittah; Yudha, Magenda Bisma; Amelia Andini
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 6 No. 1 (2026): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v6i1.8799

Abstract

Pre-anesthetic anxiety is a psychological problem commonly experienced by patients before undergoing surgery with spinal anesthesia. This condition can cause both physiological and psychological impacts if not properly managed. Family support serves as an important external factor that helps reduce patient anxiety. This study aimed to determine the relationship between family support and anxiety levels among pre-anesthetic patients undergoing spinal anesthesia at Jatiwinangun Hospital, Purwokerto. This research used a quantitative approach with a cross-sectional design. The sample consisted of 43 respondents selected using a total sampling technique. Research instruments included a family support questionnaire and the Hamilton Rating Scale of Anxiety (HARS). Data were analyzed using the Spearman Rank test with a significance level of 0.05. The results showed that most respondents with good family support had lower anxiety levels compared to those with poor family support. The Spearman Rank test obtained a p-value of 0.00 (<0.05) and a correlation coefficient of r = 0.230, indicating a significant relationship with a low correlation strength. Optimal family support can serve as a non-pharmacological intervention to reduce patient anxiety before surgery.
Co-Authors Chaerunisa, Siti Bakhittah Dwiyanto, Yusup Yudha, Magenda Bisma Yusup Dwiyanto