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Journal : Java Nursing Journal

The Relationship between Family Support and Anxiety Level in Preoperative Elderly with Spinal Anesthesia Action at AR Bunda Prabumulih Hospital, South Sumatra: English Rahmatsyah Zulda, Alvian; Nova Handayani, Rahmaya; Heri Susanti, Indri
Java Nursing Journal Vol. 1 No. 2 (2023): July - October 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.13

Abstract

Purpose: This study aims to determine the relationship between family support and anxiety levels in elderly people pre-operatively with spinal anesthesia at Ar Bunda Prabumulih Hospital, South Sumatra. Methods: This research uses a quantitative descriptive method with a cross sectional approach. The sample in this study was elderly patients with spinal anesthesia techniques who met the criteria. The sampling technique used was consecutive sampling using the Arikunto formula to produce 34 respondents. And data analysis using univariate and bivariate analysis. Findings: The research results showed that the majority of respondents had moderate family support, 23 respondents (67.6%), the majority of respondents had moderate anxiety levels, 16 respondents (47%), the results of statistical tests using Spearman's Rank obtained a p-value of 0.032, so the p-value < α (0 .05). Conclusions: This shows that H0 is rejected and Ha is accepted, meaning that there is a relationship between the respondent's pre-operative anxiety level and family support during treatment in the operating room at AR Bunda Prabumulih Hospital. It is hoped that future researchers will be able to develop related research to look for variables and factors that may be related to the incidence of anxiety levels after spinal anesthesia in surgical patients.
The Effectiveness Of Hyperbaric Bupivacaine Administration On Hemodynamic Changes In Sectio Caesarea Patients Habsah Jumma, Misbachul Hayati; Burhan, Asmat; Heri Susanti, Indri
Java Nursing Journal Vol. 2 No. 3 (2024): October
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.56

Abstract

Background: Sectio Caesarea (SC) is a critical surgical intervention used to manage abnormal labor, addressing potential health risks for both mother and infant. Spinal anesthesia, frequently administered using hyperbaric bupivacaine, plays a crucial role in the procedure. Purpose: This study aimed to evaluate the impact of hyperbaric bupivacaine on hemodynamic parameters in SC patients at Kardinah Hospital, Tegal City. Methods: A pre-experimental design with a One-Group Pretest-Posttest approach was employed. The study utilized purposive sampling to include 67 SC patients, aged 18-40 years with a BMI >18.5. Hyperbaric bupivacaine was administered as part of the anesthesia protocol. Hemodynamic parameters, including systolic and diastolic blood pressure, pulse rate, mean arterial pressure (MAP), SpO2, and respiratory rate (RR), were measured before and after administration of the anesthetic. Results: Analysis revealed a statistically significant effect of hyperbaric bupivacaine on systolic and diastolic blood pressure, pulse rate, and MAP (p = 0.00). In contrast, no significant effects were observed on SpO2 (p = 0.34) or RR (p = 0.15). Conclusions: The administration of hyperbaric bupivacaine in SC patients resulted in significant hemodynamic changes, particularly affecting blood pressure, pulse rate, and MAP. However, it did not significantly alter SpO2 or RR. These findings underscore the importance of monitoring hemodynamic parameters during spinal anesthesia to ensure patient safety and optimal management during cesarean sections