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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

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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

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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%).
An Overview of The Level of Occupational Stress of Anesthesiologists In The Surgical Room of The Hospital In The Banyumas District Area: English Assyifa, Ibnu; 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.v1i2.14

Abstract

Background: Every profession and employee in both developed and developing countries is affected by occupational stress, which is a global problem. Due to the great burden and responsibility of safeguarding human lives, the anesthesia care profession is particularly vulnerable to stress. And high levels of occupational stress can cause health problems, such as mental and behavioral disorders such as fatigue, anxiety, and depression, as well as other physical disorders such as cardiovascular disease and musculoskeletal disorders that affect service functions. The role of expert anesthesiologist has a function in pre, intra, post anesthesia care services and emergency management. Objective: To identify the characteristics of anesthesiologist's work stress level based on age, gender, working period, working hours and latest education in the surgical room. Methods: This research is descriptive quantitative with a cross sectional approach. The study population was 39 respondents, the focus of observation in this study was a description of the stress level of anesthesia administrators in the surgical room of the Banyumas Regency Hospital. Results: This study shows the level of stress with mild stress category with a total of 19 respondents with a percentage (48.7%) and moderate work stress as many as 4 respondents with a percentage (10.3%). Conclusion: The results of this study indicate the presence of mild and moderate work stress in surgical room anesthesiologists at the Banyumas Regency Regional Hospital.
The The Correlation between Motivation and Anesthetists’ Working Performance in Banyumas Regency: English Achmad Fadilah, Rizal; 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.v1i2.16

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Background: The performance of health workers is a very crucial issue to be studied in order to maintain and improve health services. The impact that occurs if the performance of health workers in the hospital is not good can cause patients and families to feel dissatisfied, patients and families will not use health services again. One of the factors that affect performance is motivation. Objective: Knowing the relationship between motivation and the performance of anesthesiologists in the Banyumas Regency area. Research: The research method is correlation analytics research with a cross sectional approach. The sampling technique used total sampling, a total of thirty-nine respondents. Data collection using work motivation and performance questionnaires. Bivariate analysis using spearman-rank. Results: The results of the study obtained a percentage of 39 respondents of anesthesiologists in the Banyumas Regency area with sufficient motivation as many as 28 respondents (71.79%) and respondents who had sufficient performance as many as 31 respondents (79.98%). The results of spearman-rank analysis showed a significant relationship, work motivation with the performance of anesthesiologists with a correlation value of 0.733 and a 2-tailed sig of 0.000. Conclusion: Advice for the anesthesiologist profession who is especially incorporated in the organization at the DPC IPAI Banyumas Branch Secretariat which researchers recommend is expected to improve the quality and quantity of health services to patients and families, namely by carrying out predetermined procedures and friendly, so that patients and families feel comfortable and served with satisfaction for the services provided.
The Overview Of Spinal Anesthesia Injection Techniques At RSI Fatimah Cilacap Baroki Saragih, M.Nuhas; Lintang Suryani, Roro; 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.v1i2.17

Abstract

Background: Spinal anesthesia is said to be safer than general anesthesia. However, spinal anesthesia itself has several kinds of special obstacles in performing injection techniques, there are a number complex variables that can cause these obstacles, including difficulty in marking injections, failure in needle placement, age, Body Mass Index (BMI), spinal anatomical abnormalities, patient position at the time of needle placement, and the level of experience of spinal performers. Purpose: This study was to determine the description of spinal anesthesia injection techniques at RSI Fatimah Cilacap. Methods: This research method uses a quantitative approach with a descriptive type of research. Total sampling was used to select the sample for this study. Total sampling is a sampling method that uses the sample size of the entire population as the sample size. Results: this study indicate that the median injection technique is more dominant in using the median injection technique with the number of respondents as many as 23 (62.1%), while with the paramedian injection technique only 14 (37.8%) respondents based on the age of the respondent, while based on the BMI of the respondent, anesthesia stylists are more dominant in using the median injection technique as many as 23 (62.1%) respondents, on the contrary with the paramedian injection technique as many as 14 (37.8%) respondents. Conclusions: this study shows that anesthesiologists at RSI Fatimah Cilacap more often use spinal anesthesia injection techniques with median techniques compared to paramedian injection techniques at certain ages and Body Mass Indexes.
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