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All Journal Fahima: Jurnal Pendidikan dan Kajian Keislaman International Journal of Patient Safety and Quality
Ferriansyah, Yudha
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Religion Humanities Education Medicine & Pharmacology Nursing Public Health Social Sciences

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Efektivitas Dzikir terhadap Nyeri dan Kecemasan saat Sebelum Operasi dan Pasca Operasi: Literature Review & Meta Analysis Ferriansyah, Yudha
Fahima Vol 3 No 1 (2024): Fahima
Publisher : Program Pascasarjana UNU Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54622/fahima.v3i1.136

Abstract

One of the non-pharmacological measures that can be used to reduce perioperative anxiety is spiritual or religious intervention such as listening to Islamic praise (Dhikr). This study aims to determine the effectiveness of Dhikr on pain and anxiety before and after surgery. The methods used in the research are Literature Review and Meta-Analysis. A total of 1384 patients were included in this study. Of the 1384 patients, 796 patients were included in the Dhikr group and 588 patients were included in the no Dhikr group (Listening/humming songs or without any activity). The lowest heart rate value was in the Dhikr r group after surgery with a value of 81.6 ± 6.1 and the lowest respiratory rhythm value was in the Dhikr group before surgery with a value of 19.1 ± 0.9. Based on the pain score, it can be seen that the Dhikr group showed a significant reduction before surgery, 11.4 ± 20.5 compared to after surgery, 2.5 ± 3.5. This also occurred in other activity groups with a value of 12.1 ± 22.2 before surgery and 6.5 ± 12.3 after surgery. The anxiety score in the other activity group appeared to be lower at 8±7.8 compared to the Dzikir group at 24±16.7.
EXPLORING EFFICACY OF KETAMINE COMBINATIONS: META ANALYSIS & REVIEW OF ITS USE IN SEDATION PROCEDURE Ferriansyah, Yudha; Setiadi, Bakti
International Journal of Patient Safety and Quality Vol. 1 No. 1 (2024): International Journal of Patient Safety and Quality, April 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijpsq.v1i1.55750

Abstract

Background Recently, there has been a shift in the philosophy regarding procedural sedation. The best sedation agent should have quick induction and recovery times with few side effects. Several studies have investigated the combination of Ketamine-Dexmedetomidine and Ketamine-Propofol for reducing potential negative side effects during sedation procedures. Methods The literature search was performed in PubMed, Medline, Cochrane and Google Scholar. Meta-analysis based on the PRISMA methods. All variables and data were pooled in Excel, SPSS version 26 and Cochrane. Results Total of 372 patients were in Ketamine-Dexmedetomidine group and 373 patients were in Ketamine- Propofol group. Patient characteristics in this study had a mean age of 2.4 to 9.1±1.6 years and mean weight 12 to 23.6±6 kg in the pediatric population and 27 to 51±8.5 years and 75 to 84.5±4.2 kg in the adult population. ASA criteria for each patient are ASA I-IV and the most ASA criteria in patients is ASA II. The procedure time from 5.7 to 63.4 ± 5.3 minutes and also comorbidities. Conclusion The combination of drugs in sedation procedures is the best choice to achieve a balanced effect in reducing negative side effects of drugs. Dexmedetomidine-Ketamine appears to be superior than Propofol- Ketamine in terms of hemodynamic stability, oxygen saturation and fewer adverse events. Eventhough Dexmedetomidine-Ketamine has longer recovery time and lower heart rate.
Co-Authors Setiadi, Bakti