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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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An Overview Caring Behavior of Anesthesiologist in Spinal Anesthesia Patients at RSUD Cilacap Alverina, Frianca; Suryani, Roro Lintang; Burhan, Asmat
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.42

Abstract

Background: Care becomes a phenomenon that affects how we think, feel, and relate to others, so basically care can be described as the ability to genuinely dedicate ourselves to other people, remain vigilant in supervision, have empathy for other individuals, and have a sense of compassion that is important in care practice. Important aspects faced include knowledge, learning through experience, patience, honesty, trust, humility, hope, and the ability to innovate. Failure to treat anesthetic meetings with patients can have a serious impact on the patient's experience during medical procedures. Aim: What is the description of the caring behavior of anesthesiologists in spinal anesthesia patients at Cilacap Hospital. Method: This research uses descriptive methods using cross sectional survey design approaches. The sampling technique was carried out using sequential samples with a total of 65 patients. Findings: The results of the study were based on the age of 32 respondents (49.2%), gender of 33 respondents (50.8%), and educational level of 30 respondents (46.2%). Conclusion: The conclusion was that the majority of respondents assessed that the anesthesia in the District Hospital of Cilacap behaved treating respondents, which is 61 respondents (93.8%).
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): July - October 2024
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
Study of The Results of Routine Preoperative Blood Tests on Complications in Sectio Caesarea Patients Fauzan, M. Fauzan Abdallah; Burhan, Asmat; Nova Handayani, Rahmaya
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.v2i3.66

Abstract

Background: Pre-operative evaluations, including laboratory assessments, are critical components of surgical preparation, with cesarean sections being no exception. Despite their importance, prior research suggests that 70-90% of routine pre-operative blood tests are unnecessary and frequently exhibit abnormal findings. Purpose: This study aims to evaluate the outcomes of routine pre-operative blood tests in patients undergoing cesarean sections at Banjarnegara Islamic Hospital. Methods: A descriptive quantitative study with a cross-sectional design was conducted in June 2024. The sample comprised 44 patients selected through convenience sampling. Data were collected by observing and recording the results of routine pre-operative blood tests, including erythrocytes, hemoglobin, hematocrit, leukocytes, and platelets. Findings: The analysis revealed average erythrocyte levels of 3.95 × 10^6/uL, hemoglobin levels of 11.27 g/dL, hematocrit values of 33.06%, leukocyte counts of 12.62 × 10^3/uL, and platelet counts of 250.77 × 10^3/uL. Intra-anesthesia complications were predominantly hypotension (81.8%), while the most common post-anesthesia complication was postoperative nausea and vomiting (54.5%). Conclusions: The findings indicate a significant proportion of routine blood tests fall outside standard reference ranges, though anesthetic complications remain relatively low. These results underscore the need to reassess the necessity of routine blood tests in pre-operative evaluations and highlight potential areas for improving patient outcomes. Recommendations: Future research should explore the clinical implications of these findings and contribute to establishing guidelines for routine pre-operative testing and management of anesthetic complications
The Relationship Between Age and The Incidence of Post Dural Puncture Headache in Post Sectio Caesarea Patients with Spinal Anesthesia Khofifah; Lintang Suryani, Roro; Burhan, Asmat
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.v2i3.73

Abstract

Background: Caesarean Section (CS) is a surgical procedure involving incisions in the abdominal wall and uterus. Spinal anesthesia is the preferred method due to the lower maternal morbidity and mortality risks compared to general anesthesia. However, the most common complication associated with spinal anesthesia is Post Dural Puncture Headache (PDPH), caused by a dural puncture. Age is a significant factor influencing PDPH occurrence. Patients aged 20-40 are at a higher risk, while those over 50 years have a reduced risk due to the decrease in cranial elasticity and pain sensitivity with age. Purpose: This study aims to assess the correlation between age and the incidence of PDPH following spinal anesthesia in CS patients. Methods: This study employed a cross-sectional analytic correlation design. The sample included all CS patients who received spinal anesthesia and met the study criteria, totaling 35 respondents. Data were analyzed using univariate and bivariate analysis, with the correlation significance tested at 0.05 (2-tailed). Findings: The study revealed that 14.3% of respondents experienced PDPH, while 85.7% did not. A significant correlation was found between age and PDPH incidence, with a p-value of 0.05. The highest incidence of PDPH was observed in the 20-40 age group, decreasing notably in individuals aged 50 and above. Conclusion: This study highlights that PDPH risk is highest in patients aged 20-40 and significantly decreases in patients older than 50. Age-related changes in cranial structure and pain sensitivity likely contribute to this decreased risk.
Effect of Effective Cough Education Video on Airway Clearance in Post General Anesthesia Patients Rizki Ayu W; Burhan, Asmat; Kumala Dewi, Feti
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.v2i3.84

Abstract

Background: Post-anesthesia disorders, particularly respiratory conditions related to hypoxia, can rapidly lead to fatal outcomes if not promptly identified and managed. Effective coughing techniques are essential for patients to expel phlegm efficiently. Purpose: This study aimed to evaluate the effectiveness of airway clearance in patient post-general anesthesia at RSI Purwokerto after viewing cough instruction videos. Methods: A quasi-experimental design, specifically the Pretest-Posttest Control Group Design, was employed. A total of 52 respondents were selected through purposive sampling. Data on airway clearance were collected using observation sheets. The Mann-Whitney U and Wilcoxon tests were utilized for data analysis. Results: Prior to viewing the instructional videos, the average airway clearance score was 1.03; this improved to 0.42 post-intervention. In the control group, the average score improved from 1.07 to 0.73 after education. The Wilcoxon test results indicated a significant difference in airway clearance before and after the intervention in both the experimental group (p = 0.001, p < 0.05) and the control group (p = 0.003, p < 0.05). Furthermore, the Mann-Whitney U test revealed a significant difference between the experimental and control groups post-intervention (p = 0.026, p < 0.05). Conclusion: The findings demonstrate that viewing cough instruction videos significantly improve airway clearance in patients who have undergone general anesthesia. This intervention is effective in enhancing respiratory outcomes in this patient population at RSI Purwokerto.  
National Trends in the Prevalence of Diabetic Peripheral Neuropathy Among Diabetes Mellitus Patients in Indonesia (2010–2024): A Pooled Meta-Analysis of 46 Studies with 2,808 Participants Susanti, Indah; Maria Seraph, Nero; Natasya Edward, Marry; Burhan, Asmat
Java Nursing Journal Vol. 3 No. 2 (2025): March - June 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i2.103

Abstract

Background: Diabetic peripheral neuropathy (DPN) is a prevalent and debilitating complication of diabetes mellitus that significantly impacts quality of life and increases morbidity. Indonesia faces a rapidly growing diabetes burden; however, national-level estimates of DPN prevalence remain limited. Understanding the epidemiological patterns of DPN is critical to guide screening strategies, clinical management, and region-specific health interventions. Purpose: This study estimated, on a national basis, the prevalence of DPN among diabetic patients in Indonesia during the period 2010 to 2024. Methods: A meta-analysis was conducted using data sources and a comprehensive search of PubMed, Embase, Scopus, Web of Science, CINAHL Plus, and Google Scholar for relevant articles up to January 2025. A generalized mixed model was employed to analyze the pooled prevalence under the assumption of random effects. The risk of bias was assessed using the Newcastle-Ottawa Scale (NOS), and Heterogeneity was assessed through I² statistics and Cochran's Q tests. Results: The sample comprised 46 studies with 2808 participants. The prevalence of DPN was 76.65% (95% CI 64.82-85.40) based on the Random Effects Model. High prevalence was found in patients aged 40-60 with type 2 diabetes in institutional settings and moderate diabetes duration. Conclusion: The preponderance of DPN in Indonesia is tremendously high and differs across regions and demographics. Early detection and resources in situ are important for proper management. PROSPERO registration number: CRD42025643949
Hubungan Waiting Time Preoperatif terhadap Kecemasan Pasien Odontectomy dengan General Anestesi Adelia, Putri Mewa; Burhan, Asmat; Yanti, Linda
Jurnal Keperawatan Profesional Vol 13, No 1 (2025): Determinants of Health
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v13i1.11362

Abstract

Odontectomy adalah prosedur pencabutan gigi impaksi yang sering dilakukan, terutama di Jawa Barat dengan rata-rata 450 kasus per tahun. Beberapa penelitian sebelumnya menunjukkan bahwa waiting time preoperatif yang lama dapat meningkatkan kecemasan pasien, yang berpengaruh pada kenyamanan dan hasil klinis. Penelitian ini bertujuan untuk mengetahui hubungan antara durasi waiting time sebelum operasi dengan tingkat kecemasan pasien. Desain penelitian menggunakan metode kuantitatif cross-sectional dengan 38 responden yang dipilih melalui consecutive sampling. Meski jumlah sampel terbatas dan metode sampling ini berpotensi menimbulkan bias seleksi, peneliti berupaya meminimalkan bias dengan menerapkan kriteria inklusi dan eksklusi yang ketat serta memilih responden secara sistematis berdasarkan urutan kedatangan. Data dikumpulkan menggunakan lembar observasi dan kuesioner APAIS, lalu dianalisis dengan uji Spearman Rank. Hasil penelitian menunjukkan bahwa pasien dengan waiting time ≥ 30 menit cenderung mengalami kecemasan sedang hingga berat. Nilai p = 0,001 dan koefisien korelasi Spearman ρ = 0,533 mengindikasikan hubungan yang sedang dan signifikan antara durasi waiting time dan kecemasan. Optimalisasi manajemen jadwal operasi dan pemberian intervensi psikologis sederhana, seperti teknik relaksasi, diharapkan dapat menurunkan kecemasan pasien serta meningkatkan kualitas pelayanan praoperasi. Temuan ini memberikan kontribusi penting bagi praktik klinis meski terdapat beberapa keterbatasan.
Hidden Wounds: Prevalence of Chronic Wounds in Asia, A Systematic Review and Meta‑Analysis Burhan, Asmat; Syafiqah, Nurul; Ruangdet, Kritsada; Oanh, Lê Thị Kim; R. MacLeod, Emily; Dutta Roy, Ananya; M. Norrström, Elin; Susanti, Indah
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.117

Abstract

Background: Chronic wounds are a persistent and costly health issue globally, with particularly high burdens in low- and middle-income countries. Despite increasing awareness, comprehensive regional estimates of chronic wound prevalence across Asia remain limited and inconsistent. Purpose: This study aimed to estimate the pooled prevalence of chronic wounds in Asian populations and identify key moderators associated with their distribution and burden, including comorbidities, wound types, and geographic or healthcare-related factors. Methods: A systematic review and meta-analysis were conducted according to PRISMA guidelines. Searches of PubMed, Embase, Scopus, and Web of Science identified 46 eligible observational studies published through 2024. Random-effects models were used to estimate pooled prevalence. Subgroup and meta-regression analyses explored the influence of demographic, clinical, and geographic moderators. Risk of bias was assessed using the Newcastle-Ottawa Scale (NOS). Results: A total of 46 studies comprising 6,425 chronic wound cases were included in the analysis. The pooled prevalence of chronic wounds was 32.1% (95% CI: 25.9–39.1), with substantial heterogeneity (I² = 98.8%). Diabetic foot ulcers were the most common wound type. Prevalence was significantly higher in developing countries (34.8%), in Southeast Asia (50.8%), and in hospital-based settings (32.6%). Smoking (β = 0.049; p = 0.019) and malnutrition (β = 0.047; p < 0.001)  were significantly associated with increased prevalence, while serum albumin was inversely associated (β = –4.308; p < 0.001). Conclusions: Chronic wounds are highly prevalent across Asian populations, particularly in resource-limited settings. Socioeconomic context, nutritional deficiencies, and modifiable lifestyle factors contribute substantially to this burden. These findings support the need for standardized wound surveillance, targeted prevention strategies, and improved nutritional and behavioral interventions, especially in developing health systems. Future studies should adopt prospective designs and harmonized definitions to strengthen regional and global wound epidemiology.
Effect of Progressive Muscle and Autogenic Relaxation on Post-Spinal Pain and Anxiety: A Three-Group Randomized Controlled Trial Burhan, Asmat; Triyudono, Danang; Utami, Tin; Susanti, Indah; Atwood, Margaret
Jurnal Keperawatan Soedirman Vol 20 No 2 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.2.14415

Abstract

Patients undergoing cesarean sections (CS) under spinal anesthesia often experience pain, anxiety, and peripheral vasoconstriction. This study, a randomized, blinded, controlled trial, compared progressive muscle relaxation (PMR) and autogenic training (AOT) with standard treatment to alleviate the aforementioned symptoms. Sixty-six female patients who underwent CS aged 20-35 were randomized into three groups: PMR (n=22), AOT (n=24), or standard (n=20). Pain and anxiety were evaluated using standardized instruments: Hamilton Rating Scale for Anxiety (HARS) and Numeric Rating Scale (NRS). Both groups indicated a statistically significant decrease in pain and anxiety as compared to the control group (p = 0.001). Both the PMR (Mean difference; pain, 2.54) and anxiety (17.37) improved significantly more than the AOT (pain, 1.23; anxiety, 11.68) group, while the control group minimally improved (pain, 0.32; anxiety, 2.27) over their pre-intervention scores. Statistical tests, Mann-Whitney U and Kruskal-Wallis, showed statistically significant differences between the three groups, p <0.034; p <0.001, 95% CI. Thus, the PMR is more effective than AOT or standard care. Therefore, PMR should be included in the postoperative care of nurse anesthetists in their pragmatic collaborative effort to support non-pharmacological symptom self-management in cesarean patients.
A Clean Fight: Comparing Metronidazole and Silver Sulfadiazine Gels in Treating Infected Diabetic Foot Ulcers: A Randomized Control Trial Romano, Giulia; More, Claire; Garnier, Élodie; Fernández Navarro, Lucía; Burhan, Asmat
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.115

Abstract

Background: Diabetic foot ulcers (DFUs) are a major cause of morbidity and non-traumatic amputations among patients with diabetes. Infection delays healing and increases the risk of severe complications, underscoring the need for effective topical treatments. Objective: To compare the efficacy of topical Metronidazole versus Silver Sulfadiazine (SSD) in promoting wound healing in infected DFUs, and to evaluate the influence of systemic markers, including HbA1c, CRP, and albumin, on treatment outcomes. Methods: This randomized, double-blind controlled trial was conducted at the Centre Médical de Saint-Jean-sur-Veyle from April to June 2025. Ninety adult patients with mild-to-moderate infected DFUs were randomly assigned to either Metronidazole or SSD. Patients with severe infection, osteomyelitis, or severe ischemia were excluded. Participants received daily topical application of either 1% Metronidazole or 1% SSD gel for four weeks, alongside standard care including debridement, offloading, and glycemic control. The primary outcome was complete wound healing at 4 weeks. Secondary outcomes included wound size reduction, time to healing, and changes in infection severity scores. Subgroup analyses assessed the impact of clinical covariates on healing. Results: Among 90 participants, 86 completed the trial. The Metronidazole group had a significantly higher healing rate (86.7%) compared with the SSD group (68.9%; p = 0.011). ANCOVA showed a significant treatment effect on wound size (F = 6.89; p = 0.011). GEE analysis identified a significant time-by-treatment interaction (OR = 3.06; p = 0.002). Poor healing was associated with wound size ≥5 cm², HbA1c ≥8%, CRP ≥10 mg/L, and albumin <3.5 g/dL. Conclusions and Relevance: Metronidazole was more effective than SSD in promoting short-term wound healing in infected DFUs. It may be considered a preferred topical agent, especially in settings with high anaerobic burden and limited resources.
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