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All Journal Nurse Media Journal of Nursing Manuju : Malahayati Nursing Journal Journal of Applied Nursing (Jurnal Keperawatan Terapan) Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan Jurnal Keperawatan Malang (JKM) JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Global Health research Jurnal Kesehatan Tambusai Jurnal Ilmiah Wahana Pendidikan Journal of Management Nursing Jurnal Ekonomi, Teknologi dan Bisnis Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Madani: Multidisciplinary Scientific Journal Java Nursing Journal Jurnal Inovasi Global Jurnal Keperawatan Profesional Jurnal Pengabdian dan Pemberdayaan Kesehatan
Burhan, Asmat
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Journal : Java Nursing Journal

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The Prevalence of Amputation in Regional Asia due to Diabetic Foot Ulcers 2024: A Systematic Review and Meta-analysis Athena, Aegle; Susanti, Indah; Auron, Afrodita; Atfat Malic, Rohan; Burhan, Asmat; Kumar, Vijay
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.v2i3.64

Abstract

Background: Over the past decade, the prevalence of diabetic foot ulcers (DFUs) has notably increased, posing a significant risk of foot amputation in individuals with diabetes. Purpose: This systematic review and meta-analysis aimed to determine the rates of amputation associated with DFUs in patients with diabetes mellitus. Methods: A comprehensive literature search was conducted across multiple databases, including Scopus, PubMed, Cochrane, Web of Science, DOAJ, and Google Scholar. Full-text articles related to diabetic foot ulcer amputation were reviewed and extracted for analysis. Publication Bias: Assessed using a funnel plot in Jamovi (2.0.0), indicating a likelihood of publication bias. Meta-analysis Summary: Conducted using the Joanna Briggs Institute methodology, yielding a pooled meta-analysis result of 0.027. Odds Ratio (OR): Calculated for amputation risk in DFU patients, with a 95% Confidence Interval (CI). Random Effects Model: Employed to synthesize relevant outcomes. Heterogeneity: Evaluated using the I² statistic. Forest Plots: Generated to visualize study results. Results: Eighteen studies were included in the meta-analysis, encompassing a total of 7115 DFU patients in the Asian region. Among these patients, 2730 underwent foot amputations. Amputation Rate: The incidence of foot amputation was significantly higher among DFU patients. Pooled Odds Ratio: The OR for foot amputation in DFU patients was 0.34 (95% CI: 0.23-0.46). Publication Bias: The asymmetrical funnel plot suggested a high likelihood of publication bias. Conclusion: The presence of DFUs significantly elevates the risk of foot amputation in diabetic patients. Continuous monitoring and preventive strategies are essential to mitigate this risk, particularly in the Asian population.
Description of The Level of Knowledge of Basic Life Support (BlS) With Readiness To Perform Bhd Actions on Anesthesiologists Nurul, Nurul Hidayati; Burhan, Asmat; Nova Handayani, Rahmaya
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.87

Abstract

Background: Cardiac arrest is one of the significant risks among those associated with surgery, interventional procedures, or anesthesia. Basic life support (BLS) is the immediate action taken in critical or emergency situations to save lives. The health care personnel must possess adequate knowledge and ability to handle such emergencies effectively. Anesthesiologists must necessarily be BLS proficient to give an early intervention during emergencies just like any other medical professional. Purpose: This study will evaluate the knowledge and preparedness of BLS among the anesthesiologists of the Central Surgical Installation in Banyumas Regency. Methods: The study used a cross-sectional design. Data were collected using surveys dispatched online to the 47 participants through Google Forms from June 19 to 28, 2024, in Banyumas Regency. Results: The results showed that 32 participants (72.3%) possessed excellent knowledge of BLS; however, 24 of 47 responders (51.1%) felt that they were adequately prepared for BLS action when needed. Conclusion: The study disclosed a positive correlation between BLS knowledge and preparedness to perform BLS among anesthesiologists in the Banyumas Regency, thus stressing continuing education and training to promote preparedness in case of emergencies
The Correlation of Sympathetic Block Elevation and Body Mass Index with the Incidence of Hypotension in Sectio Caesarea Patients with Spinal Anesthesia Indra, Indra pranata; Burhan, Asmat; Heri Wibowo, Tophan; Suandika, Made
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.89

Abstract

Background: Hypotension is a frequent complication seen in spinal anesthesia. During spinal anesthesia, hypotension is more common with increasing block height, and an elevated body mass index (BMI) is considered a risk factor. Purpose: The aims of this research were to study the incidence of hypotension associated with spinal anesthesia for cesarean section and to relate block height to BMI. Methods: This is a cross-sectional correlational analytic study. A purposive sampling technique was used in picking 42 participants. The main instrument used for data collection was observation sheets. Results: The Spearman rank test for bivariate data showed that 35.7% of participants with a BMI greater than 25 experienced hypotension. In addition, 64.3% of participants with mild block elevation also developed hypotension. The Spearman rank test indicated a correlation value of -0.483 with a p-value of 0.001, signifying a strong and negative statistically significant relationship between hypotension and elevation of sympathetic block. Conclusion: There exists a significant relation between BMI and incidence of hypotension, with correlation values of -0.461 and a p-value of 0.002, further asserting that both BMI and block height are important characteristics that can be utilized in predicting the hypotension following spinal anesthesia in cesarean section patients
Effect of Sevoflurane on Recovery Time in Patients with Surgery in the Operating Room Christy, Bunga; Burhan, Asmat; Heri Wibowo, Tophan
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.91

Abstract

Background: In 2020, 234 million hospital clients made use of health facilities in the globe whereas Indonesia had recorded 1.2 million surgeons (World Health Organization, 2020). Sevoflurane is widely used in surgical procedures and its effect on the duration of recovery time needs further study. Purpose: It aims to conduct research on how sevoflurane affects recovery time among surgical patients at Santa Maria Cilacap General Hospital and will investigate specific objectives which include patient characteristics (age, gender, type of surgery, duration), recovery time post-sevoflurane, and the effect with a 2% MAC sevoflurane. Methods: A one-shot case study pre-experimental design was undertaken with a subject relatively between surgical patients and univariate analysis was conducted to test the distribution of data among all subjects. The number of patients who received a dose of 2% or 3% of sevoflurane were 26 and 30 patients, respectively. Results: Patients mostly fall over 35 years old, even with a higher incidence of females than males. Most patients receive debridement and excision surgery. Recovery times would vary from a surgery that lasts about 30 minutes. Statistical analysis shows normal distribution; meanwhile, the intervention has a significant impact on recovery times. The p-value of the pre-experiment one-shot case study is 0.006, which suggests it is statistically significant (p < 0.05). Conclusion: This study is beneficial to RSU Santa Maria Cilacap in subsequent understanding of the use of sevoflurane in patient care and as an embarking point for further studies on anesthetics and recovery determinants such as comparative studies on inhalation agents
The Relationship Between Postoperative Pain Intensity and Sleep Quality in Patients After Spinal Anesthesia shelina , shelina; Susanto, Amin; Burhan, Asmat
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.97

Abstract

Background: Postoperative pain in each patient will experience different pain from one another. Inadequate pain management can have a direct impact on postoperative pain, which is disruption of sleep quality. Purpose: The purpose of this research was to identify any correlation between the severity of postoperative pain and the quality of sleep experienced by patients after spinal anesthesia. Methods: This research employs a cross-sectional design based on quantitative correlation. Using a non-probability purposive sampling approach, 51 participants were surveyed after spinal anesthesia for this investigation. The data was collected in the inpatient room at Wijayakusuma Purwokerto Hospital using questionnaire sheets from the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and NRS (Numeric Rating Scale) to quantify postoperative pain severity. The Spearman rank test was used to examine the data. Results: Forty-three people (78.4% of the total) reported minor postoperative discomfort, while forty-three people (84.3% of the total) reported satisfactory sleep quality. A correlation force of 0.756 and a p-value of 0.000 were determined using the Spearman rank test. Conclusions: Patients undergoing spinal anesthesia at Wijayakusuma Purwokerto Hospital reported significantly higher levels of postoperative discomfort and worse sleep quality.
The description of post-operative nausea and vomiting in curettage while under general anesthesia Hani, Winarni; Burhan, Asmat; Heri Wibowo, Tophan; Suandika, Made
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.101

Abstract

Background General anesthesia is the process of eliminating consciousness using medications. Curettage is the procedure to remove leftover conception material from the uterus. Currently, 37.5% of curettage procedures are due to blighted ovum. The curettage procedure causes discomfort, so it needs to be assisted with anesthesia. Purpose: to determine the incidence of PONV in post-curettage patients under general anesthesia. Method Descriptive research with a cross-sectional design. The respondents were 47 women who underwent curettage due to incomplete abortion, retained placenta, and blighted ovum, selected using a purposive sampling technique. The instruments used are a demographic data questionnaire and The Rhodes Index Nausea, Vomiting and Retching (RINVR). Data analysis employs frequency distribution. Result The characteristics of the respondents are dominated by young adults (89.4%) who have experienced PONV (23.4%). Other characteristics include that all of them do not smoke and use opioids. Based on the RINVR scale, the respondents predominantly experience light PONV (46.8%). Conclusion Post-curettage patients under general anesthesia predominantly experience light PONV (Postoperative Nausea and Vomiting).
Impact of Anesthesia Type on Blood Glucose in Intraoperative Diabetic Patients: A Systematic Review and Meta-Analysis Randomized Control Trial Mixrova Sebayang, Septian; Burhan, Asmat; Susanti, Indah
Java Nursing Journal Vol. 1 No. 1 (2023): March - June 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.3

Abstract

Background: systematic literature review investigating the impact of different anesthetics on intraoperative blood glucose levels of diabetic patients. Method: Databases including ProQuest, PubMed, ScienceDirect, and Wiley were searched for RCTs (randomized controlled trials) that examined the effects of various anesthetics on intraoperative blood glucose levels in diabetic patients. In one study, two researchers independently used eligibility criteria to examine the literature, extracted the data, and used RevMan 5.3 software to perform the meta-analysis. Results: We used trials for meta-analysis with seven randomized controlled trial overall with a total sample of 519 intraoperative diabetic patients. Compared with general anesthesia, it was found that the general anesthesia-epidural combination had superior glycemic control in intraoperative blood glucose levels, based on the meta-analysis results (SMD -1.78, 95% confidence interval [CI] -4.57 to -3.41), however epidural anesthesia did not show comparable superiority. Conclusions: Combined general-epidural anesthesia offers better glycemic control for postoperative blood sugar levels compared to general anesthesia, based on existing data.
Effectiveness of Modern Dressing on Healing Diabetic Foot Ulcer: A Literature Review Susanti, Indah; Effan Fahri Mahendra, Rahmad; Burhan, Asmat
Java Nursing Journal Vol. 1 No. 1 (2023): March - June 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.4

Abstract

Background: Diabetes mellitus is a group of heterogeneous disorders that have indications in the form of increased content of high blood sugar levels. WHO also confirmed DM to be the 7th trigger of death. IDF (International Diabet Federation) data estimates from survey results after North America in 2017 the 3rd place was occupied by Southeast Asia and people with diabetes mellitus with a percentage of 8.5% at the age of 20-29 years in North Africa. One of the treatments for patients with diabetes mellitus can be wound care using Modern Dressing with the Moist Wound Healing method. Methods: The method used in this wound treatment is the Modern Dressing technique with the Moist Wound Healing method. This procedure can clinically grow tissue 30-50%, increase collagen synthesis by 50%, and the rate of re-epithelialization with moist conditions is 2-5 times faster and can reduce the amount of fluid from above the wound surface. Results: evaluation shows that Modern Dressing wound care with the Moist Wound Healing method is in fact able to maintain moist conditions in the wound, reduce inflammation in the wound so that it can improve and accelerate the healing process of diabetic ulcers. Conclusion: The results showed that the Modern Dressing technique with the Moist Wound Healing method was able to improve the healing process of diabetic ulcers. The results also showed that there were significant changes between modern and conventional dressings. The modern dressing group had a much better development than the conventional dressing. The application of the Moist Wound Healing method in patients with diabetic ulcers can provide a much faster wound recovery reaction.
The Overview of Mean Arterial Pressure (MAP) Changes in Patients After General Anesthesia at Juanda Kuningan Hospital West Java: English Pramudya Gurensky, Ganea; Sukmaningtyas, Wilis; Burhan, Asmat
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.v1i2.8

Abstract

Purpose: to determine the description of changes in Mean Arterial Pressure (MAP) of patients after general anesthesia at Juanda Kuningan Hospital, West Java. Methods: This research is descriptive quantitative with a cross sectional approach. The sample in this study were all surgery patients with general anesthesia who met the criteria, while the sampling technique used was total sampling resulting in 100 respondents. Data analysis using univariate test. Findings: The results of the analysis showed that the most dominant age of respondents was early elderly (34%), with female gender (58%) and the most dominant Body Mass Index (BMI) was normal (91%). Normal MAP (70-100 mmHg) was obtained before induction of anesthesia as much as (77%), normal MAP (70-100 mmHg) after general anesthesia in the recovery room as much as (93%%). Conclusions: These results describe that changes in MAP values after general anesthesia can occur and the majority of pre-induction anesthesia MAP values of respondents will experience a decrease in MAP values during post-general anesthesia in the recovery room. So it is very important to maintain normal MAP values (70-100 mmHg) so as to reduce the risk of postoperative complications that can occur in patients.
The The Overview of Knowledge Level of Seven Semester Students of Anesthesiology Nursing Study Program on Evidence Based Practice 2 Course At Harapan Bangsa University Purwokerto: English Area Dhiatamaa, Sketsa; Sukmaningtyas, Wilis; Burhan, Asmat
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.v1i2.10

Abstract

Background Evidence Based Practice (EBP) is scientific evidence with clinical expertise, pathophysiological knowledge, knowledge of psychosocial issues, and patient preference decision making. Based on data from WHO and the European Commission, health and social services must be supported by the best research evidence. Evidence Based Practice (EBP) plays an integral role in health care and has been recognized internationally as an ideal problem-solving approach. The ability of students to engage in understanding Evidence Based Practice is also still low, faculty in Iran who explain that knowledge of students involved regarding Evidence Based Practice is still low (47.1%). Meanwhile, undergraduate students' understanding of the main evidence-based practices in terms of assessment, discovery, and research applications is still low, namely (39%). Objective: To determine the level of knowledge of students of the Fellowship Study Program in the 7th semester of the applied undergraduate program regarding the Evidence Based Practice 2 course at Harapan Bangsa University. Methods: This study used a quantitative method with a cross sectional approach. The sample in this study used a non-probability sampling technique with a total sampling of 151 respondents. Results : The most dominant age of respondents with a good level of knowledge in the Evidence Based Practice 2 course in this study was 21-22 years old, with a percentage of 112 respondents (94.1%), gender with a good level of knowledge in the Evidence Based course The most dominant Practice 2 in this study was female, as many as 75 respondents with a percentage of (93.8%), the level of knowledge of respondents in the Evidence Based Practice 2 course in this study. The most dominant were respondents with a good level of knowledge, as many as 138 respondents with a percentage (91.4%).
Co-Authors Achmad Fadilah, Rizal Adelia, Putri Mewa Adriani, Prasanti Afrilya, Tiara Octa Agustriliani, Ricke Pramesti Alverina, Frianca Angin, Sandri E Perangin Ania, Fegy Indahliani Anisa, Putri Anton Suhendro Anwar, Harits Abdurahman Area Dhiatamaa, Sketsa Arlena, Norma Assyifa, Ibnu Atfat Malic, Rohan Athena, Aegle Atwood, Margaret Auron, Afrodita Ayu Kartika Sari, Venna Azzakiyah, Kholifah Nur Baroki Saragih, M.Nuhas Christy, Bunga Diputera, Vi Paradise Dutta Roy, Ananya Dwi Agus Yulianto Dwi Novitasari Dwi Wahyuni Effan Fahri Mahendra, Rahmad EKO YULIANTO Ellangga, Mohammad Wahyu Fauzan, Dipa Hilmi Fauzan, M. Fauzan Abdallah Fernández Navarro, Lucía Garnier, Élodie Habsah Jumma, Misbachul Hayati Hamka Hamka, Hamka Hani, Winarni Hari Perkasa, Tubagus Heri Susanti, Indri Heri Wibowo, Tophan Hidayat, Riski Indah Susanti Indra, Indra pranata Indri Heri Susanti, Indri Heri Iqbal Ramadhan, Iqbal KHOFIFAH Kim Chi, Do Thi Kumala Dewi, Feti Kurniawan, Adytia Linda Yanti Lintang Suryani, Roro Lova, Anggita Noprati M. Norrström, Elin Made Suandika Manurung, Noritha Maria Seraph, Nero Mixrova Sebayang, Septian More, Claire mutia, lisa Narendra, Gangsar Haryo Natasya Edward, Marry Nika, Fifi Sephia Nova Handayani, Rahmaya Nurdiamsyah, Pratomo Nurul, Nurul Hidayati Oanh, Lê Thị Kim Paulus Subiyanto Permata, Pramudya Putra Pramesti Dewi Pramudya Gurensky, Ganea Pratiwi, Syavira Salsabilah Putri Nola R. MacLeod, Emily Rahmaya Nova Handayani Ramadhanti, Rindu Insyra Ramdani, Egi Hilmi Refa Teja Muti Rizki Ayu W Romano, Giulia Romdani, Rifki Maulana Ruangdet, Kritsada Rudi Gunawan Sarumpaet, Pitri Sebayang, Septian Mixrova Sebayar, Septian Mixrova shelina , shelina Silva, Vanessa A Breu Da Suhendro Suhendro Suryani, Roro Lintang Susanto, Amin Syafiqah, Nurul Tarsono Tarsono Tin Utami Tri Mulyono Tri Yudono, Danang Triyadi, Ficky Triyudono, Danang Utami, Firda Aulia Putri Vijay Kumar Wardani, Intan Putri Yumanita Wibowo, Tophan Heri Wijayanti, Indri Wilis Sukmaningtyas Yanrin, Adzana Salsabila Nezga Pratama Yantoro, Awal Tunis