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All Journal Manuju : Malahayati Nursing Journal Journal of Applied Nursing (Jurnal Keperawatan Terapan) Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Abdi Masyarakat Indonesia Kolaborasi Jurnal Pengabdian Masyarakat Riset Informasi Kesehatan
Yantoro, Awal Tunis
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Humanities Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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THE OVERVIEW OF HYPOTENSION OCCURENCE ON PATIENTS WITH SPINAL ANAESTHESIA IN JATIWINANGUN SURGICAL HOSPITAL: KEJADIAN HIPOTENSI PADA PASIEN DENGAN ANESTESI SPINAL DI RUMAH SAKIT KHUSUS BEDAH JATIWINANGUN Nika, Fifi Sephia; Sukmaningtyas, Wilis; Burhan, Asmat; Yantoro, Awal Tunis
Jurnal Keperawatan Terapan Vol 9 No 2 (2023): Jurnal Keperawatan Terapan (E-Journal)
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jkt.v9i2.4031

Abstract

Anestesi spinal dapat melebarkan pembuluh darah dan menurunkan curah jantung. Hal ini disebabkan oleh blok simpatis yang menurunkan tekanan darah. Situasi ini terjadi dalam beberapa menit awal setelah pemberian. Oleh karena itu, tekanan darah harus dipantau untuk mencegah masalah yang lebih parah. Penelitian ini meneliti hipotensi pada pasien anestesi spinal. Penelitian kuantitatif cross-sectional ini melibatkan 65 partisipan. Hasil analisis uji deskriptif menunjukkan bahwa responden didominasi oleh lansia akhir (41,5%), laki-laki (78,5%), dengan indeks massa tubuh rata-rata (63,1%), dan dalam kondisi ASA II (43,1%). Tergantung pada kondisi pasien selama intra anestesi, anestesi spinal dapat menyebabkan hipotensi pada menit ke-5. Temuan penelitian ini dapat membantu mencegah hipotensi dengan mengungkapkan penyebabnya. Penelitian di masa depan harus meneliti dosis obat, tinggi blok tulang belakang, dan faktor lingkungan yang dapat menyebabkan hipotensi.
Pendidikan Kesehatan Kanker Paru Pada Remaja Di SMK Muhammadiyah 1 Purbalingga Novitasari, Dwi; Yantoro, Awal Tunis; Yulianto, Dwi Agus; Puspita, Sindi Dwi; Gunariwati, Rizki; Bella, Reyvina Shalsa; Simangunsong, Sharon Christa; Fujiyama, Sandy; Siregar, Rifqi Zulhazmi
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 4 No 4 (2024): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v4i4.370

Abstract

Introduction: The lungs are the organs where cancer develops; abnormal cellular development occurs from cells in the bronchi. Many sources indicate a strong correlation between smoking habits and the etiology of lung cancer. Nowadays, the habit of smoking has become a normal occurrence among teenagers, which is causing a high incidence of lung cancer. Objective: The purpose of this dedication to the community is to raise knowledge and provide education to adolescents about lung cancer in a comprehensive way. Method: The activities of dedication to this community are carried out with direct approval on Wednesday, June 12, 2024, from 09.00 to 11.00 BGB. The target of this activity is the students of SMK Muhammadiyah 1 Purbalingga, with 28 participants. Submission of material using the lecture/presentation method and question answering using digital media (PPT) and print media, as well as post-test work to determine the level of knowledge of the participants about lung cancer. Result: Based on the survey of SMK Muhammadiyah 1 Purbalingga students, the participants' characteristics can be grouped by age, gender, and history of smoking. There were nine 16-year-olds, 16 17-year-old students, one 18-year-old student, one 19-year-long student, and one 20-year-old student. By sex, there were 17 male students and 11 female students. There was also a student history of smoking: 6 students smoked and 22 did not smoke. Conclusion: The treatment of lung cancer in these teenagers is going smoothly. There was an increase in knowledge among students, as demonstrated by the post-test results, which showed that the knowledge level of the majority of participants was high, with a total of 15 students, an average of 10 students, and a low 3 students.
Pencegahan dan Pertolongan Diare di SDN 01 Mersi Novitasari, Dwi; Yantoro, Awal Tunis; Virjinia, Cahya; Syariefah, Choirina; Yumna, Deziva Maitsa; Anandha, Dhea; Ranjani, Dwi
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 4 No 6 (2024): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v4i6.438

Abstract

Abstract Introduction: Diarrhea is a condition in which there is an increase in the number of bowel movements that occurs as a result of an infection. A child can be said to have experienced diarrhea if the volume of stool is measured greater than 10ml/kg per day. Objective: The aim of this community service was to improve the awareness and health of the in primary school 01 Mersi students. This study aims to prevent and provide first aid for diarrheal diseases in children Method: The method implemented to overcome the problem of diarrhea in elementary school children is by conducting direct counseling on Monday, June 10, 2024 from 07.30-08.30 WIB. The target audience is 5th students at primary school 01 Mersi, with 30 participants. Then, using lecture and discussion methods with media and PowerPoint slides, leaflet,and video about diarrhea, about the importance of Definition of diarrhea, prevention and treatment of diarrhea, symptoms of diarrhea, causes of diarrhea, first aid for diarrhea, how to handle diarrhea. Demonstration about diarrhea using answering questionnaires, lectures, and showing videos about diarrhea and handwashing. The counseling process was conducted group for about an hour. Result: The results are characteristics overview of knowledge of having diarrhea. First, The dominant children aged 11 years and boys 16 people who participated in the counseling. Second, 21 children who have never diarrhea. Conclusion: Diarrhea counseling activities are well organized. There is an increase in childrens knowledge about the importance of maintaining cleanliness to avoid diarrhea.
Penerapan Hand Massage untuk Menurunkan Kecemasan Pre Sectio Caesarea (SC) Menggunakan Spinal Anestesi di RSUD Ajibarang Rahayu, Gina Sri; Novitasari, Dwi; Maryoto, Madyo; Yantoro, Awal Tunis
Jurnal Abdi Masyarakat Indonesia Vol 5 No 4 (2025): JAMSI - Juli 2025
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jamsi.1879

Abstract

Sectio caesarea merupakan prosedur persalinan dengan membuat sayatan pada dinding rahim melalui dinding perut. Kecemasan pre operasi pada pasien sectio caesarea memberikan dampak negatif bagi pasien yang memengaruhi kualitas hidup sehingga dapat mengakibatkan perubahan tekanan darah, frekuensi jantung, peningkatan hormon adrenalin, aktivitas sebasea, HCL lambung dan lamanya pemulihan pasca operasi. Hand Massage merupakan intervensi non farmakologi yang efektif untuk mengurangi tingkat kecemasan. Tujuan PkM menerapkan pijat tangan/hand massage untuk menurunkan tingkat kecemasan pada pasien pre operasi. Metode adalah hand massage pada 30 ibu hamil dengan kecemasan yang diukur menggunakan APAIS. Hand massage dilakukan dalam 10 menit dengan 2x intervensi. Hasil PkM menunjukan sebelum penerapan tingkat kecemasan terbanyak berada pada kategori cemas sedang berjumlah 22 peserta (73,3%) dan setelah penerapan tingkat kecemasan terbanyak berada pada kategori cemas ringan 25 peserta (83,3%). Kesimpulan terdapat penurunan rata-rata kecemasan sebelum penerapan hand massage 14,77, dan pasca hand massage sebesar 9,67 dengan penurunan 5,1. Hand massage dapat diaplikasikan pada pasien pre operasi sectio caesarea yang mengalami kecemasan.
The effect of various anesthesia techniques on changes in leukocyte types Handayani, Rahmaya Nova; Suandika, Made; Muti, Refa Teja; Yantoro, Awal Tunis
Riset Informasi Kesehatan Vol 13 No 1 (2024): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v13i1.840

Abstract

Abstract Background: Surgery and anesthesia can affect the immune and neuroendocrine systems which can cause the release of hormones and cytokines as a result of changes in the body's physiological responses. Neuroendocrine pathways to the immune system related to stress responses due to surgery. surgery and a decrease in the number of T lymphocytes causes a shift in the balance between immunosuppressive regulatory T lymphocytes and immune-triggering T helper and cytotoxic T cells in a predominance of regulatory T cells. Apart from causing a decrease in the number of T lymphocytes, it also causes suppression of NK cells and an increase in the number of neutrophils. Research purposes determine the effect of various anesthetic techniques on changes in leukocyte count levels. Method: This research is a type of experimental research with a pre-pos test group design approach. The samples for this study were taken from patients undergoing surgery and anesthesia with inclusion criteria: age 17-65 years, ASA 1-2, no infectious diseases. The sample size is the sampling technique is Consecutive sampling. Sample measurements were taken from venous blood before and after surgery and anesthesia. The parameters measured are leukocyte counts which include leukocytes, basophils, neutrophils, monocytes and lymphocytes. Blood samples were taken before surgery and anesthesia, and 2 hours after surgery and anesthesia using a hematology analyzer. The analytical tests used are the parametric dependent test (paired T-test) or the non-parametric Wilcoxon test and the independent test. Results: There is a significant difference in the count of leukocyte types between general anesthesia and regional anesthesia Conclusion: General anesthesia can increase leukocyte counts significantly compared to regional anesthesia, but eosinophils are not significant in both groups
Pengaruh Pemberian Aromaterapi Jahe terhadap Mual Muntah pada Pasien Post Operasi Herzigova, Jennifer Phoebe; Sebayang, Septian Mixrova; Novitasari, Dwi; Yantoro, Awal Tunis; Yulianto, Dwi Agus
Jurnal Penelitian Perawat Profesional Vol 6 No 6 (2024): Desember 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i6.3682

Abstract

Mual serta muntah setelah operasi (PONV) yaitu masalah pada pasien setelah operasi, dengan kejadian lebih dari 30% di antara 230 juta orang operasi setiap tahunnya di seluruh dunia. Mual muntah dapat memicu stres pasien. Salah satu pengobatan non-obat yang dapat diberikan oleh ahli anestesi profesional untuk menurunkan tingkat mual serta muntah yaitu aromaterapi jahe. Tujuan penelitian ini untuk melihat efektivitas aromaterapi jahe terhadap mual dan muntah pada pasien setelah operasi. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian pre-eksperimental dengan pendekatan one group pre-test and post-test. Sampel sebanyak 33 responden dan teknik pengambilan data menggunakan total sampling. Penelitian dilakukan pada 17 Mei hingga 8 Juni 2024 di RS Bedah Khusus Jatiwinangun Purwokerto. Lembar observasi menggunakan nausea, vomiting, and retching index (INVR) serta dilanjutkan dengan analisis statistik menggunakan uji Wilcoxon. Hasil penelitian sebelum penerapan aromaterapi jahe sebanyak 29 responden (87,9%) mengalami gejala mual dan muntah sedang. Setelah menggunakan aromaterapi jahe, sebagian besar responden sebanyak 31 responden (93,9%) mengalami gejala mual dan muntah ringan. Uji Wilcoxon menunjukkan bahwa aromaterapi jahe berpengaruh signifikan terhadap penurunan kadar PONV, serta nilai signifikansi sebesar 0,001 dan p value kurang dari 0,05.
Comparison of Mean Arterial Pressure (MAP) Values in Elderly Patients Undergoing Transurethral Resection of the Prostate (TURP) with Regional Anesthesia at Banjarnegara Islamic Hospital in 2023. Alifa, Fhadilah Putri Syiva; Setyawati, Martyarini Budi; Sukmaningtyas, Wilis; Yantoro, Awal Tunis
Viva Medika Vol 16 No 4 (2023)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1175

Abstract

Basic Health Research (2017) stated that around 50% of men aged 50 years in Indonesia suffered from BPH (Benign Prostate Hyperplasia). One of the treatments for BPH is TURP (Transurethral Resection of the Prostate) using spinal anesthesia. A high degree of blockade (≥ T5) and elderly are the two main factors of complication causing changes in MAP (Mean Arterial Pressure) values ​​after spinal anesthesia, which is about 15.3 to 33%. MAP monitoring is very important because MAP describes the status of cerebral perfusion. The research purpose was to determine the comparison of MAP in each age group of the elderly undergoing TURP at Bajarnegara Islamic Hospital. The researcher applied a comparative analytic method with cross sectional approach. The research was conducted in March 2023 with 31 respondents. The samples were taken by using convenience sampling technique. The independent sample t test results showed (p = 0,870). Therefore, there were no significant differences of MAP in each age group of the elderly undergoing TURP at Bajarnegara Islamic Hospital.
Peningkatan Literasi Kesehatan tentang Gout Artritis pada Lansia Yantoro, Awal Tunis; Ananda, Dea; Azizah, Desi Fayra; Fatimah, Diana; Hidayat, Doni; Nurlaela, Eka; Novitasari, Dwi
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 2 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i2.847

Abstract

Introduction: Gout is a disease that causes pain in the joints caused by the buildup of uric acid crystals. Objective: The purpose of this community service was to improve the understanding of the elderly at the Community Health Service Mugi Sehat Dukuhwaluh. This community service aims to explore and evaluate the impact of gout interventions on the elderly. Method: The way to overcome gout problems in the elderly is to conduct mass counseling for the elderly at Community Health Service Dukuhwaluh with a total of 22 participants. By using the method of presentation, discussion and working on pre test and post test questions with powerpoint slide media and leaflets about gout. Results: The results were that the elderly aged 35-59 years had a frequency of 8 and a percentage of 38%, the elderly aged 60-77 years had a frequency of 13 and the percentage was 62%. The level of knowledge of the elderly pre-test is both 6 and the percentage is 30%, while the pre-test is medium frequency 15 and the percentage is 70%, the level of knowledge in the post test is both 21 and the percentage is 100% while the medium post test has a frequency of 0 and the percentage is 0%. The number of participants who did not have a history of gout arthritis was 14 (66.7) more than those who had a history of gout arthritis 7 (33.3). Conclusion: education of gout arthritis is well organized. Increasing level of understanding of the elderly about gout arthritis.
Kejadian Postoperative Nausea and Vomiting pada Pasien Paca Operasi dengan Anestesi Spinal dan General Estiningsih, Zeda Ardeana; Yudono, Danang Tri; Novitasari, Dwi; Yantoro, Awal Tunis
Malahayati Nursing Journal Vol 8, No 2 (2026): Volume 8 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i2.24202

Abstract

ABSTRACT Post Operative Nausea and Vomiting (PONV) is a common postoperative complication that can decrease patient comfort, hinder recovery, and prolong hospitalization. The incidence of PONV is influenced by various factors, one of which is the type of anesthesia used. Spinal and general anesthesia differ in their mechanisms of action and physiological effects on the central nervous and gastrointestinal systems, which may contribute to the occurrence of nausea and vomiting after surgery. This study aimed to describe the incidence of PONV based on the type of anesthesia among postoperative patients at RSUD Kajen.  This research employed a quantitative design with a descriptive observational approach. The population consisted of all patients who underwent surgical procedures using either spinal or general anesthesia. The sample size of this study consisted of 79 respondents, determined using the Slovin formula, and the respondents were subsequently selected through purposive sampling based on the predetermined inclusion and exclusion criteria.  Data were collected through direct observation and medical record review, including anesthesia type, patient characteristics (age, gender, and type of surgery), as well as the incidence and severity of PONV. Data were analyzed using univariate analysis to describe the frequency distribution of each research variable.  Most respondents received spinal anesthesia (60.8%) and were female (65.8%). The majority of patients did not experience PONV (74.7%), while severe PONV was more commonly observed in patients who received general anesthesia (6.5%) compared to those who received spinal anesthesia. These findings indicate that the type of anesthesia may influence the incidence of PONV in postoperative patients. PONV was more frequently found in patients receiving general anesthesia than in those receiving spinal anesthesia. Appropriate selection of anesthesia type and administration of prophylactic antiemetic therapy can help reduce the incidence of PONV and improve postoperative patient comfort. Keywords: General Anesthesia, PONV, Postoperative, Spinal Anesthesia.  ABSTRAK Post Operative Nausea and Vomiting (PONV) merupakan komplikasi pasca pembedahan yang sering terjadi yang dapat menurunkan kenyamanan pasien, menghambat pemulihan, serta memperpanjang rawat inap. Insidensi PONV dipengaruhi oleh berbagai faktor, salah satunya jenis anestesi yang digunakan. Anestesi spinal dan anestesi general memiliki mekanisme kerja serta efek fisiologis yang berbeda terhadap system saraf pusat dan system gastrointestinal yang dapat memengaruhi terjadinya mual muntah pasca operasi. Tujuan umum dari penelitian ini yaitu mengetahui gambaran kejadian PONV berdasarkan jenis anestesi pada pasien post operasi di RSUD Kajen. Penelitian ini menggunakan desain kuantitatif dengan pendekatan deskriptif observasional. Populasi penelitian adalah seluruh pasien yang menjalani tindakan pembedahan dengan anestesi spinal maupun general. Jumlah sampel penelitian ditetapkan sebanyak 79 responden berdasarkan hasil perhitungan menggunakan rumus Slovin, selanjutnya responden dipilih dengan Teknik purposive sampling sesuai kriteria inklusi dan eksklusi yang telah ditentukan. Data dikumpulkan melalui observasi langsung dan telaah rekam medis, mencakup jenis anestesi, karakteristik pasien (jenis kelamin, riwayat merokok, usia, durasi pembedahan, jenis pembedahan, lama puasa), serta kejadian dan derajat PONV. Data dianalisis menggunakan analisis univariat untuk menggambarkan distribusi frekuensi tiap variable penelitian. Sebagian besar responden menggunakan anestesi spinal (60,8%) dan berjenis kelamin perempuan (65,%). Mayoritas pasien tidak mengalami PONV (74,7%), sedangkan PONV berat lebih sering ditemukan pada pasien yang mendapatkan anestesi general (6,5%) dibandingkan anestesi spinal. Temuan ini menunjukkan bahwa jenis anestesi berpotensi memengaruhi kejadian PONV pada pasien post operasi. Kejadian PONV lebih banyak ditemukan pada pasien dengan anestesi general dibandingkan anestesi spinal. Pemilihan jenis anestesi yang tepat dan pemberian terapi antiemetik profilaksis dapat membantu menurunkan angka kejadian PONV. Kata Kunci: Anestesi General, Anestesi Spinal, PONV, Postoperative.
Co-Authors Alifa, Fhadilah Putri Syiva Ananda, Dea Anandha, Dhea Azizah, Desi Fayra Bella, Reyvina Shalsa Burhan, Asmat Doni Hidayat, Doni Dwi Novitasari Estiningsih, Zeda Ardeana Fatimah, Diana Fujiyama, Sandy Gunariwati, Rizki Herzigova, Jennifer Phoebe Made Suandika Madyo Maryoto Muti, Refa Teja Nika, Fifi Sephia Nurlaela, Eka Puspita, Sindi Dwi Rahayu, Gina Sri Rahmaya Nova Handayani Ranjani, Dwi Sebayang, Septian Mixrova Setyawati, Martyarini Budi Simangunsong, Sharon Christa Siregar, Rifqi Zulhazmi Syariefah, Choirina Virjinia, Cahya Wilis Sukmaningtyas Yudono, Danang Tri Yulianto, Dwi Agus Yumna, Deziva Maitsa