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Ta’adi
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Humanities Education Health Professions Nursing Public Health

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Progressive Muscle Relaxation Effectively Reduces Nausea and Vomiting Postoperative Laparotomic Surgery Rosidah, Istiqomah; Ta’adi; Dyah, Dina Indarti
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol. 19 No. 2 (2023): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.3205

Abstract

Nausea and vomiting are unpleasant effects that often occur after surgery. Some efforts to reduce the incidence of postoperative nausea and vomiting can be done with several strategies. Progressive muscle relaxation is a complementary approach to minimize physical and psychological stress. Peppermint aromatherapy by inhalation or inhalation in postoperative patients with general anesthesia can reduce the average frequency of nausea and vomiting. The method used in this research was quasi-experimental with a pre-post-test control group design. The population in this study was 60 postoperative laparotomy patients. The technique used in taking this research sample is a consecutive sampling technique. Data analysis used Wilcoxon and Kruskal-Wallis at α < 5%. In the treatment group, according to the hospital's SPO, there was a difference in the score of nausea and vomiting before or after treatment, but it was not significant, with a p-value of 0.090. Progressive muscle relaxation therapy for 15 minutes can reduce nausea and vomiting scores but not significantly in the intervention group, with a p-value of 0.003. Combination therapy of progressive muscle relaxation and peppermint aromatherapy for 15 minutes is effective and significantly reduces nausea and vomiting scores in the combination group with a p-value of 0.000. There was a significant difference in the nausea and vomiting scores of the three groups. The combination of progressive muscle relaxation and peppermint aromatherapy was effective in reducing postoperative nausea and vomiting compared to other groups with a score of p-value of 0.000.
Perlindungan Hukum Perawat Dalam Pelayanan Kesehatan Berdasarkan Undang-Undang Sismulyanto; Wahyati, Endang; Ta’adi; Putra, Made Mahaguna
Journal of Health Science and Prevention Vol. 8 No. 1 (2024): JHSP Vol 8 No 1 – 2024
Publisher : State Islamic University of Sunan Ampel

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29080/jhsp.v8i1.1179

Abstract

The administration of anesthesia is a medical procedure fraught with considerable risk. The prevalence of anesthesia-related mortality is often understated, reminiscent of the so-called iceberg phenomenon. On-the-ground realities reveal that due to a shortage of anesthesiologists, nurse anesthetists frequently perform anesthetic procedures under the guidance of anesthesiologists. The annulment of Minister of Health Regulation Number 32 from the year 2013 has resulted in vulnerabilities within the practice of anesthesia nursing. Given the significant consequences associated with anesthetic procedures, it is imperative to have legal safeguards in place for nurse anesthetists. This study utilizes a descriptive-analytical framework and adopts a normative juridical approach, employing deductive reasoning. The research relies on secondary data, which is qualitative and gathered through a comprehensive review of relevant literature. The study's analytical process makes use of normative qualitative methods. In the context of this study, nurse anesthetists receive their delegated authority from physicians and must operate within the constraints set forth by the Medical Practice Act, Health Personnel Law, and Health Minister Regulations related to medical practice permits. Nurse anesthetists assign their tasks based on authority that is delegated in line with legislation No. 38 from 2014 concerning nursing. The specialist anesthesiologist has both legal and moral responsibility for providing protection to nurses executing tasks under such delegated authority since their duties are performed according to physicians' orders and directives. There exists a pressing need to revisit Ministerial Regulation No. 18 from 2016, concerning the licensing and execution of anesthesia management, in order to clarify the roles and functions proprietary to anesthesiologists as determined by their expertise. It is incumbent upon the Minister of Health to promptly issue new regulations pertaining to nurse anesthesia practice, ensuring that healthcare services are provided without any legal discrepancies.
Co-Authors Dyah, Dina Indarti Rosidah, Istiqomah Sismulyanto Wahyati, Endang