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Pengaruh Pemberian Edukasi Pra Anestesi Terhadap Tingkat Kecemasan Pada Pasien Laparatomy Dengan General Anestesi Happy Nurhayati; Nabhani Nabhani; Adinda Thalia Amarra Septa
Jurnal Ilmu Kesehatan dan Gizi Vol. 1 No. 2 (2023): April : Jurnal Ilmu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v1i2.1997

Background Surgical planning for preoperative patients is a psychosocial stressor that can cause stress, anxiety, and depression. Preoperative is the period before surgery is performed, starting from the time the decision is made for surgery until the patient is on the operating table. Laparotomy is one of the major surgical procedures by making an incision in the lining of the abdominal wall to obtain problems in the abdominal organs, such as cancer, bleeding, obstruction, and perforation. Research objectives: The general objective of this study was to determine the effect of implementing education on anxiety levels in preoperative apparatus patients with general anesthesia. Research methodology: This type of research is a quantitative study, with a quasy experimental research plan, with a non-randomized post-test one group design. . Results: It is known that the asymo.sig, (2-tailed) value is 0.000 <0.05. So it can be concluded that the "hypothesis is accepted". Thus it can be said that there are differences in the results of the intervention group and the control group. Because there is a significant difference, it is said that "there is an effect of providing education to preoperative laparotomy patients" Conclusion: Based on the results of the research and discussion that has been put forward under the title "the effect of providing pre-anesthesia education on anxiety levels in laparotomy patients with general anesthesia" it can be concluded as follows: There is a significant effect on providing education on preoperative anxiety of laparotomy with general anesthesia p = 0.000 (p <0.05) in the central surgical installation of Siti Fatimah Az-Zahra Hospital, South Sumatra Province.

Pengaruh ROM (Range Of Motion) Terhadap Fleksibilitas Gerak Sendi Pada Pasien Post Operasi Fraktur Ekstremitas Atas Nabhani Nabhani; Sulastri; Widya Setyorini
Jurnal Rumpun Ilmu Kesehatan Vol. 2 No. 2 (2022): Juli: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Latar belakang : fraktur adalah terputusnya kontinuitas jaringan tulang yang terjadi ketika tulang tidak mampu menahan tekanan berlebih. Salah satu masalah yang muncul pada pasien post operasi fraktur yaitu keterbatasan lingkup gerak sendi. Tujuan : mengetahui pengaruh ROM (Range Of Motion) terhadap fleksibilitas gerak sendi pada pasien post operasi fraktur ekstremitas atas. Metode penelitian : metode penelitian ini mengunakan quasy eksperimen yang bersifat one group pretest and posttest, menggunakan teknik purposive sampling. Hasil uji prasyarat berdistribusi tidak normal sehinga menggunakan uji Wilcoxon Signed. Hasil : rata-rata rentang gerak sendi sebelum dilakukan ROM yaitu 120° dan setelah dilakukan ROM yaitu 65°. Perhitungan uji Wilcoxon Signed menunjukkan hasil z hitung > z tabel 2,690, maka dinyatakan Ha diterima sedangkan Ho ditolak dan diperkuat dengan p 0,007 > 0,005. Kesimpulan : Ada perbedaan yang signifikan antara rentang gerak sendi sebelum dan setelah dilakukan ROM.

Perbedaan Tekanan Darah Pasca Anestesi Spinal Dengan Pemberian Preload Dan Tanpa Preload Ringer Laktat Nabhani Nabhani; Muhammad Hafiddudin; Aka Amri Febri Atmoko
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 1 No. 3 (2021): NOVEMBER : 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.v1i3.2222

One way to prevent the decrease in blood pressure is by giving preload. To examine the difference in blood pressure after spinal anesthesia with Ringer's lactate preload and without preload. The design of this research is descriptive experimental with cross sectional. The sample consisted of 30 patients who will undergo spinal anesthesia at the Central Surgical Installation of RSUD dr. H. Jusuf SK Tarakan who has met the research criteria. Patients were divided into 2 groups, group 1 received Ringer's lactate preload and group 2 did not receive preload. Blood pressure checks include systolic blood pressure and diastolic blood pressure before spinal anesthesia and immediately after spinal anesthesia every 5 minutes to 30 minutes. The hypothesis test used is the paired t-test. The value of p = 0.05 was declared significant. There was a significant difference between blood pressure before being given preload and blood pressure after being given preload at 15-30 minutes hemodynamics (p=0.0001)

Pengaruh Edukasi Anestesi Media Lembar Balik terhadap Kecemasan pada Pre Sectio Caesarea Nabhani Nabhani; Sulastri Sulastri; Widya Setyorini
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 1 No. 1 (2024): Maret: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v1i1.1266

Background: Sectio caesarea surgery often causes psychological problems in patients, namely fear which impacts on anxiety which can cause a decrease in conditions such as disorders of the reproductive organs, namely conditions in the uterus, disturbances in blood flow and the need for oxygenation and even discomfort or pain. Efforts to reduce the level of anxiety in patients who are about to undergo surgery must be handled by the anesthetist during the preoperative phase. The way to overcome this can use non-pharmacological techniques given anesthesia education using flipchart media. Research Objectives: To find out the effect of flipchart media anesthesia education on anxiety in pre-sectio caesarean section in patients with sectio caesarea at Ibnu Sina Hospital, Kab. Gresik. Research Methods: This type of research uses a quasi-experimental method with a pre-post test research design with a control group design. Respondents were given pretest and posttest treatment using the APAIS scale measurement. The sample in this study was 24 respondents in the intervention group and 24 respondents in the control group. The sampling technique used consecutive sampling technique. Data collection was carried out in November - June 2023. Research Results: The results of data collection were processed using the Mann Whitney test. Results The Mann Whitney test yielded p=0.000 (p<0.05), so Ha was accepted. Conclusion: There is a significant effect between preoperative anesthesia education using flipchart media on the anxiety level of patients with pre-sectio caesarea

Gambaran Kejadian Shivering Pasien dengan Metode Spinal Anestesi Enhanced Recovery After Surgery (ERAS) Galih Pria Pambayun; Nabhani Nabhani; Afina Rizkaningsih
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 1 No. 2 (2024): Juni: Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v1i2.1269

Background : Spinal anesthesia techniques are mostly used in obstetric surgery, especially sectio caesarea, which can be seen from the birth rate through sectio caesaria, which is 9.8% of 49,603 births in Indonesia, data collected from 2010-2013. The most common complication is post-anesthesia shivering. Shivering after anesthesia can occur in 33-56.7% of patients using spinal anesthesia. Objective : This research aims to describe post-anesthetic shivering the use of the spinal anesthesia enhanced recovery after surgery (ERAS) method with the NON-ERAS.. Research Methods : This research uses Quasi Experiment Observational design. Sampling technique with purposive sampling. Samples were 60 samples of sectio caesarea patients. Test data analysis with Mann Whitney. Shivering incident data was taken from the shivering score observation sheet with a value of 0 to 4. Results : The analysis indicated that the most frequently observed degree of shivering was grade 0, accounting for 16 samples (53.3%) in the ERAS spinal anesthesia group and 15 samples (50%) in the Non-ERAS group. The absence of shivering was more prevalent in both groups, observed in 26 samples (86.7%) in the ERAS spinal anesthesia group and 19 samples (63.3%) in the Non-ERAS group. Conclusion : Conclusions of the research, there is a difference in the incidence of shivering in the ERAS spinal anesthesia method and the non-ERAS spinal anesthesia method.

Gambaran Kejadian Shivering Intra Operasi di Instalasi Bedah Sentral RSUD Jombang Galih Pria Pambayun; Afrian Yohadi; Nabhani Nabhani
Jurnal Ventilator Vol. 1 No. 1 (2023): Maret : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i1.1650

Sub Arachnoid Block (SAB) regional anesthesia produces a sympathetic block of muscle relaxation, and a sensory block against peripheral temperature receptors thereby inhibiting the compensatory response to temperature. A factor that can cause a decrease in core temperature and disruption of the information pathways coming from the first receptor is a sympathetic blockage that causes peripheral vasodilation. This research is a non-experimental quantitative research with correlational analytical research methods and cross sectional research design. The study sample amounted to 72 respondents of spinal anesthesia patients. Sampling with consequential sampling techniques, the statistical test used is distribution frekuency. Of the 16 people who experienced high blocks, (75%) experienced shivering and (25%) did not experience shivering. Of the 36 respondents who experienced moderate blocking, (58.3%) experienced shivering and (41.7%) did not shivering. Of the 20 respondents who experienced low spinal block, (70%) did not experience shivering and (30%) experienced shivering.. In conclusion, there is the height of the anesthetic spinal block and the incidence of intraoperative shivering at the Central Surgical Installation of RSUD Jombang.

Efektifitas Penggunaan Hotpack dengan Selimut Tebal terhadap Grade Shivering Dwi Handoyo; Nabhani Nabhani; Arimbi Aulia
Jurnal Sains dan Kesehatan Vol. 6 No. 1 (2022): Juni : Jurnal Sains dan Kesehatan (JUSIKA)
Publisher : Universitas Muhamadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jusika.v6i1.640

Shivering a complication that often occurs due to spinal anesthesia, due to postoperative hypothermia. Risk factors shivering include: age, weight, operating room temperature and anesthetic drugs. One of the nonpharmacologi was to reduce grade shivering is by giving hot packs and thick blankets to samples with temperatures < 35.5⁰C. This research to determine the effectiveness comparison between use of hot packs and thick blankets. The design Quasi Experiment with post test control group design. The population all post spinal anesthesia shivering patients in the IBS Recovery Room of RST Slamet Riyadi. The sample are 2 groups,shivering patient with hotpack treatment and shivering patient with thick blanket controls. The sample 32 respondents, 16 respondents treatment group and 16 respondents control group. Data analysis Mann Whitney statistical test. The results showed that p value = 0.008 < α = 0.05 ,that H0 is rejected Ha is accepted, that difference in the effectiveness of using hot packs with thick blankets on grade shivering in post spinal anesthesia patients in the recovery room.

Penyuluhan tentang Pengelolaan Shivering Pasca Sektio Caesarea untuk Meningkatkan Kualitas Perawatan Pasien Nabhani Nabhani; Mustika Sari
Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia Vol. 2 No. 1 (2023): Maret : Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia
Publisher : Sekolah Tinggi Ilmu Administrasi Yappi Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jppmi.v2i1.1812

Shivering after cesarean section is one of the common side effects of spinal anesthesia that is often overlooked but can cause significant discomfort, even increasing the risk of postoperative complications such as increased oxygen consumption and impaired recovery. This community service program aims to improve understanding in both patients and health workers regarding the importance of effective shivering management through health education and practical training. The methods used include socialization, interactive counseling, action simulation, and evaluation of the level of understanding before and after educational activities. The results showed an increase in patient knowledge from 50% to 85% after education, and a decrease in the incidence of shivering from 70% to 30% after implementation of the intervention. These findings indicate that educational interventions and promotive-preventive approaches play an important role in improving the quality of postoperative care, especially in patients undergoing cesarean section. Therefore, the active involvement of health workers in providing health information and non-pharmacological pain management is essential to prevent and overcome shivering optimally.

Penerapan Surgical Safety pada Penata Anestesi Melalui Media Video Edukasi Fransi Arsani; Prayitno Prayitno; Nabhani Nabhani
Karya Nyata : Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 2 (2024): Juni : Karya Nyata : Jurnal Pengabdian kepada Masyarakat
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/karyanyata.v2i1.1271

Patient safety in surgical procedures is a critical element that must be addressed by medical professionals, including anesthesiologists. The World Health Organization's (WHO) Surgical Safety Checklist (SSC) is designed to enhance patient safety during surgery, but its implementation still encounters several challenges, such as insufficient training and limited resources. This study aims to improve anesthesiologists’ understanding and compliance with the SSC through the use of educational video media. The research methods involved socialization, video-based training, hands-on practice, and evaluation with a participatory approach. The participants were anesthesiologists who received a structured training session using videos that explained the SSC steps and emphasized its importance. Pre- and post-training assessments were conducted to measure changes in understanding and compliance.The results demonstrated a significant improvement in both the anesthesiologists’ understanding and compliance with the SSC after the training. The average understanding score increased from 60.5 to 85.3, while compliance rose from 55.2 to 88.7. These findings indicate that educational videos are an effective tool for enhancing anesthesia service quality and increasing medical personnel’s access to training. The study emphasizes the importance of technology-based education to overcome barriers related to limited resources and training opportunities. Based on these results, the study recommends the implementation of similar video-based educational methods in training programs for other medical personnel, aiming to improve patient safety across various healthcare settings.

Perbedaan Tekanan Darah Pasca Anestesi Spinal Dengan Pemberian Preload Dan Tanpa Preload Ringer Laktat Nabhani Nabhani; Muhammad Hafiddudin; Aka Amri Febri Atmoko
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 1 No. 3 (2021): NOVEMBER : 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.v1i3.2222

One way to prevent the decrease in blood pressure is by giving preload. To examine the difference in blood pressure after spinal anesthesia with Ringer's lactate preload and without preload. The design of this research is descriptive experimental with cross sectional. The sample consisted of 30 patients who will undergo spinal anesthesia at the Central Surgical Installation of RSUD dr. H. Jusuf SK Tarakan who has met the research criteria. Patients were divided into 2 groups, group 1 received Ringer's lactate preload and group 2 did not receive preload. Blood pressure checks include systolic blood pressure and diastolic blood pressure before spinal anesthesia and immediately after spinal anesthesia every 5 minutes to 30 minutes. The hypothesis test used is the paired t-test. The value of p = 0.05 was declared significant. There was a significant difference between blood pressure before being given preload and blood pressure after being given preload at 15-30 minutes hemodynamics (p=0.0001)

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