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The Effect of Online Game Addiction on Sleep Quality in Adolescents Class VIII MTs Ma'arif Kaliwiro, Wonosobo Azzakiyah, Kholifah Nur; Dewi, Pramesti; Burhan, Asmat
Jurnal Ekonomi Teknologi dan Bisnis (JETBIS) Vol. 2 No. 6 (2023): Jurnal Ekonomi, Teknologi dan Bisnis
Publisher : Al-Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/jetbis.v2i6.63

Abstract

Sleep quality is very beneficial for the human body, but sometimes it is hampered by bad activities such as playing online games that will make you addicted. Addiction to online games will make health disturbed. Teenagers who are addicted to online games have decreased physical strength due to a lack of physical movement and lack of sleep. This study aims to determine the effect of online game addiction on sleep quality in class VIII students of MTS Ma'arif Kaliwiro, Wonosobo. This type of research is a quantitative observational method using a cross-sectional approach and using a total sampling of 38 students of class VIII MTS Ma'arif Kaliwiro, Wonosobo. The results of the Spearman Rank test obtained a p-value of 0.000, which means p-value <0.05, which means that online game addiction influences sleep quality in class VIII adolescents at MTS Ma'arif Kaliwiro, Wonosobo with a correlation coefficient of 0.638. which means the strength of the relationship is strong. It is hoped that the results of this study can increase respondents' understanding of the importance of managing time to play online games so that sleep quality can be maintained properly.
Asuhan Keperawatan Gangguan Mobilitas Fisik pada Post Operasi Open Reduction Internal Fixation Ramadhanti, Rindu Insyra; Wibowo, Tophan Heri; Burhan, Asmat
Journal of Management Nursing Vol. 2 No. 4 (2023): Journal of Management Nursing
Publisher : Scipro Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53801/jmn.v2i4.116

Abstract

Latar Belakang: Fraktur adalah penyebab kematian ketiga di Indonesia setelah penyakit jantung koroner dan tuberculosis. Fraktur disebabkan oleh trauma atau tenaga fisik, kecelakaan, baik kecelakaan kerja maupun kecelakaan lalu lintas. Tujuan: Mampu melaksanakan asuhan keperawatan pada post operasi open reduction internal fixation dengan masalah gangguan mobilitas fisik di Ruang Dahlia RSUD dr. R. Goeteng Taroenadibrata Purbalingga. Metode: Desain penelitian deskriptif dalam bentuk studi kasus dengan pendekatan proses keperawatan yang terdiri dari pengkajian, diagnosa keperawatan, intervensi, implementasi, dan evaluasi. Teknik pengumpulan data menggunakan observasi, wawancara, pemeriksaan fisik, dan dokumentasi. Hasil: penulis merumuskan diagnosa keperawatan yang muncul yaitu gangguan mobilitas fisik berhubungan dengan gangguan musculoskeletal. Intervensi keperawatan yang dilakukan pada Ny. R sesuai dengan diagnosa yang ditegakkan dan disesuaikan dengan teori yang ada. Intervensi keperawatan yang dilakukan yaitu latihan rentang gerak (I.05177) disusun sesuai dengan masalah yang ditemukan berdasarkan hasil pengkajian yang dilakukan secara mandiri maupun berkolaborasi. Penulis melakukan implementasi keperawatan sesuai dengan intervensi yang telah ditetapkan sebelumnya dengan menggunakan Standar Intervensi Keperawatan Indonesia (SIKI) yang sudah ditetapkan sebelumnya. Kesimpulan: Evaluasi keperawatan yang dilakukan pada tanggal 11-13 Januari 2022 dilakukan dengan SOAP antara lain yaitu subjektif pasien mengatakan pergerakannya mulai tidak sulit dan nyeri mulai hilang. Objektif TD 160/85 mmHg, N: 85x/menit, S: 36,3 C, dan RR: 20x/menit, pasien sudah bisa mengikuti gerakan ROM aktif walaupun sangat terbatas, pasien dan keluarga memahami tentang materi yang disampaikan saat penkes. Analisis masalah teratasi sebagian dan lanjutkan intervensi.
Network Meta-Analysis of Wound Dressings and Their Effectiveness in Promoting Healing Burhan, Asmat; Susanti, Indah; Silva, Vanessa A Breu Da; Kumar, Vijay; Kim Chi, Do Thi; Hidayat, Riski; Sebayang, Septian Mixrova; Hamka, Hamka
Nurse Media Journal of Nursing Vol 15, No 2 (2025): (August 2025) [In Progress]
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i2.67063

Abstract

Background: Chronic and acute wounds affect millions of individuals worldwide, placing a substantial burden on patients and healthcare systems. Previous evaluations have often focused on limited types of dressings or specific wound conditions. Therefore, a comprehensive network meta-analysis is essential for comparing various interventions, bridging knowledge gaps, improving healing outcomes, and addressing clinical and economic challenges.Purpose: This study assessed the comparative effectiveness and safety of advanced wound dressings in promoting healing.Methods: This network meta-analysis, registered with PROSPERO (CRD42023433268), systematically searched PubMed, ProQuest, Scopus, CINAHL, ScienceDirect, Springer Nature, Wiley, Cochrane Library, and Taylor & Francis from January 2012 to December 2022. Eight reviewers independently assessed and extracted data from randomized controlled trials evaluating different dressings, including placebo, alginate, collagen, gamat, honey, hyaluronic acid, hydrocolloid, hydrogel, mebo, platelet-rich plasma, povidone-iodine, and silver sulfadiazine. Data were synthesized using a random-effects network meta-analysis with SUCRA rankings. Study quality was evaluated using Cochrane RoB2, and certainty of evidence was assessed through CINeMA.Results: This review included 38 RCTs with a total of 4,049 patients. The largest placebo group comprised 1,628 participants, while the smallest group was mebo with 10 participants. Heterogeneity and consistency analysis showed negligible variation (χ²=1.757, p=0.78). Alginate dressings were the most effective in reducing wound size compared to placebo (OR 0.64; 95% CI 0.38–1.08; SUCRA probability 0.73), whereas hyaluronic acid dressings were the least effective (OR 0.22; 95% CI 0.06–0.79; SUCRA probability 0.08).Conclusion: Alginate was identified as the most effective primary dressing for wound healing, while hyaluronic acid dressings were the least effective. However, clinical practitioners should carefully weigh the benefits and limitations of each dressing type before selecting the most appropriate treatment for patients.
The Relationship Between Length of Surgery and the Occurrence of Shivering in Sectio Cesarea Patients using Spinal Anaesthesia Novitasari, Dwi; Angin, Sandri E Perangin; Burhan, Asmat
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i2.2751

Abstract

Sectio cesarea is a surgical procedure to deliver a fetus with an incision on the abdominal wall and uterine wall of the mother. Spinal anesthesia in SC can cause shivering. The risk of shivering can occur due to the length of surgery. Objective: To determine the relationship between the length of surgery and the incidence of shivering in SC patients. Methods: This research design uses a correlation with a cross-sectional approach. Sampling technique with Purpose sampling of 115 patients who performed spinal anesthesia on SC patients. The research instrument contains patient data, which includes age, length of surgery, and incidence of shivering. This study used an observation sheet to measure the incidence of shivering in patients undergoing cesarean section, and the results of the data were analyzed using the chi-square test. Results: Most respondents were 21-35 years old (81.7%), the majority of the duration of surgery was less than 60 minutes with 67 patients (58.3%), and the incidence of shivering was 62 patients (53.9%). Conclusion: There is a relationship between the length of surgery and the occurrence of shivering in cesarean section patients who use spinal anesthesia at Efarina Etaham Berastagi Hospital with a p-value of 0.008 (<0.05).
Effectiveness of Administering Warm Infusion Fluids Against Shivering Occurrence in Patients Sectio Caesarea with Spinal Anesthesia Kurniawan, Adytia; Novitasari, Dwi; Burhan, Asmat
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.4364

Abstract

Shivering is a common postoperative issue that can exacerbate patient discomfort and hinder recovery. This study aims to evaluate the effectiveness of administering warm intravenous fluids in reducing shivering incidence in patients undergoing cesarean section (SC) with spinal anesthesia at RSUD Dr. Soekardjo, Tasikmalaya, Indonesia. Using a quasi-experimental design with a pretest-posttest control group model, 60 patients were divided into two groups: an experimental group receiving warm intravenous fluids and a control group receiving warm blankets. The study employed non-probability purposive sampling, dividing a total of 60 respondents into two groups: the experimental group (n = 30) and the control group (n = 30). An observation sheet for research instruments. The results of this study were tested using univariate analysis and bivariate analysis, specifically the Mann-Whitney U Test. Results indicate that warm intravenous fluids are significantly more effective in reducing shivering compared to warm blankets, with a p-value of 0.000 (p<0.05) in the Mann-Whitney test. This finding suggests that the use of warm intravenous fluids can improve patient comfort and accelerate postoperative recovery.
The Effect of Providing Classic Music Therapy to Reduce Anxiety in Pre-Operative Caesarea Sectio Patients Mulyono, Tri; Novitasari, Dwi; Burhan, Asmat
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.4413

Abstract

Anxiety, characterized by feelings of unease, apprehension, and physiological reactions, is a common issue for patients facing surgery. Music therapy, which utilizes musical elements to promote well-being, has been proposed as a method to alleviate anxiety. This study aims to evaluate the effect of classical music therapy on anxiety levels in patients scheduled for cesarean section at Charitas Hospital Palembang. The study employed a pre-experimental design with a one-group pretest-posttest approach. The population included all patients undergoing preoperative care over the past three months, averaging 122 patients. A purposive sampling technique was used to select 40 participants, exceeding the required sample size of 30 to anticipate potential dropouts. The instrument used was the APAIS scale, with its validity and reliability confirmed through preliminary testing. Data were analyzed using univariate and bivariate methods, with statistical processing conducted using SPSS for Windows. The results indicated that the majority of participants were in early adulthood (26–35 years old), classified as ASA II (80%), had a high school education, and were predominantly housewives (50%). Before therapy, the mean anxiety score was 19.90, which decreased to 15.70 after the intervention. A paired t-test showed a significant reduction in anxiety (p < 0.05), suggesting that classical music therapy is effective in reducing preoperative anxiety in cesarean section patients.
Description of Hypotension in Cesarean Section Patients Under Spinal Anesthesia Using Conventional and Enhanced Recovery after Surgery Methods Yulianto, Eko; Novitasari, Dwi; Burhan, Asmat
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4422

Abstract

Enhanced Recovery After Surgery (ERAS) is a multimodal perioperative management aimed at faster recovery from major surgery, reducing the risk of complications, and shortening the length of stay compared to conventional perioperative methods. Hypotension is a side effect of a cesarean section with spinal anesthesia. This study aims to describe hypotension in patients undergoing cesarean sections with conventional spinal anesthesia methods and the Enhanced Recovery After Surgery (ERAS) method. This study used a quantitative research method with a descriptive design and a cross-sectional approach. The sampling technique was purposive sampling with a total of 40 cesarean section patients, consisting of 20 respondents in the conventional spinal anesthesia group and 20 respondents in the ERAS spinal anesthesia group. Blood pressure measurements were taken before and after spinal anesthesia using a bedside monitor. The data obtained included age and blood pressure, which were analyzed using statistics. The results showed that in the conventional spinal anesthesia group, 15 respondents experienced hypotension (75%), and 5 respondents did not experience hypotension (25%). In the Enhanced Recovery After Surgery (ERAS) spinal anesthesia group, 7 respondents experienced hypotension (35%), and 13 respondents did not experience hypotension (65%).
Differences in the Time to Achieve Bromage Score (2) in Post-Spinal Anesthesia Caesarean Section Patients between the Use of Conventional Methods and Eracs Arlena, Norma; Novitasari, Dwi; Burhan, Asmat
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4436

Abstract

Pregnancy, labor, and delivery lead to significant physiological changes, and having accurate knowledge of these changes is crucial for an effective spinal anesthetic technique during a caesarean section. Optimizing the mother's health before, during, and after a caesarean section is the goal of the ERACS care method, which is a specialized approach to surgical procedures. Issues with lower limb mobility, anxiety, and dependence on others are some mental health problems that may arise from prolonged recovery periods. Spinal anesthesia patients are evaluated using the Bromage scale to determine if they are ready to be released from the post-anesthesia room. Researchers at Panglima Sebaya Hospital aimed to compare the time taken by standard operating room procedures and ERACS to reach a Bromage Score (2) after spinal anesthesia in caesarean section patients. This study employed a cross-sectional design based on observational analytical research, which is a non-experimental quantitative technique. Out of 84 patients, 47 were treated with standard SC techniques, and 47 were treated with ERACS SC. The findings indicated that the conventional method took 181–240 minutes (3–4 hours) to achieve a Bromage score (2), while the ERACS method only took 60–120 minutes (1–2 hours). A significance value of 0.000 (2-tailed) was determined based on the independent t-test results. The results showed that the ERACS method required less time than the conventional method to achieve Bromage Score (2) in CS patients post-spinal anesthesia.
Pengaruh Pemberian Aromaterapi Peppermint terhadap Post Operative Nausea and Vomiting (Ponv) Post Operasi Spinal Anestesi di Rsud 45 Kuningan Permata, Pramudya Putra; Burhan, Asmat; Handayani, Rahmaya Nova
Jurnal Inovasi Global Vol. 2 No. 10 (2024): Jurnal Inovasi Global
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jig.v2i10.187

Abstract

Mual dan muntah pasca operasi (Postoperative Nausea and Vomiting atau PONV) merupakan komplikasi umum yang dapat mengganggu kenyamanan pasien dan memperpanjang masa pemulihan. Penelitian ini bertujuan untuk mengevaluasi efektivitas aromaterapi peppermint dalam mengurangi PONV pada pasien yang menjalani operasi dengan anestesi spinal di RSUD 45 Kuningan. Desain penelitian ini adalah quasi-eksperimental dengan pre-test dan post-test pada dua kelompok, yaitu kelompok eksperimen yang diberikan aromaterapi peppermint dan kelompok kontrol yang diberikan aromaterapi lavender. Jumlah sampel sebanyak 50 pasien, dengan masing-masing kelompok berjumlah 25 pasien. Data dikumpulkan menggunakan skala numerik untuk mengukur tingkat PONV sebelum dan sesudah intervensi. Hasil penelitian menunjukkan penurunan signifikan pada kelompok eksperimen dari rata-rata skor PONV 4,68 menjadi 2,68, sedangkan pada kelompok kontrol penurunan terjadi dari 4,84 menjadi 4,04. Uji statistik Independent Sample T-Test menunjukkan perbedaan yang signifikan antara kedua kelompok (p < 0,05). Penelitian ini menunjukkan bahwa aromaterapi peppermint efektif dalam mengurangi PONV dan dapat diaplikasikan secara klinis dalam manajemen PONV.
Pengaruh Selimut Hangat Terhadap Kejadian Hipotermi pada Pasien Pasca Anestesi Spinal di Rsd Gunung Jati Cirebon Anisa, Putri; Burhan, Asmat; Susanti, Indri Heri
Jurnal Inovasi Global Vol. 2 No. 10 (2024): Jurnal Inovasi Global
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jig.v2i10.188

Abstract

Hipotermi merupakan keadaan darurat medis yang terjadi ketika tubuh kehilangan panas lebih cepat daripada memproduksi panas, menyebabkan organ tubuh tidak berfungsi secara normal. Salah satu efek samping yang sering terjadi setelah tindakan anestesi spinal adalah hipotermi. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan selimut hangat terhadap kejadian hipotermi pada pasien pasca anestesi spinal di RSD Gunung Jati Cirebon. Metode penelitian menggunakan pre-eksperimen dengan desain one group pre and post-test. Teknik pengambilan sampel menggunakan purposive sampling terhadap 20 responden yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan bahwa terjadi penurunan kejadian hipotermi pada pasien setelah intervensi penggunaan selimut hangat, dengan hasil uji statistik p-value sebesar 0.00, menunjukkan pengaruh yang signifikan. Kesimpulan dari penelitian ini adalah selimut hangat efektif dalam mengurangi kejadian hipotermi pada pasien pasca anestesi spinal.
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