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All Journal Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) Jurnal Masyarakat Mengabdi Nusantara Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan Harmoni Sosial : Jurnal Pengabdian Dan Solidaritas Masyarakat Karya Nyata: Jurnal Pengabdian Kepada Masyarakat
Fransi Arsani
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Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Hubungan Hipotensi Dengan Kejadian Post Operative Nausea And Vomiting (PONV) Pada Pasien Pasca Spinal Anestesi Fransi Arsani; Cucu Raifatma Cipta; Heni Purwaningsih
Jurnal Ilmiah Kedokteran dan Kesehatan Vol 1 No 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i3.2182

Abstract

Background : Spinal anesthesia is an anesthetic technique used to inhibit pain in some parts of the body. One of the complications that can occur is Post Operative Nausea and Vomiting (PONV). PONV can be caused by many factors, one of which is hypotension. Hypotension can lead to hypoxemia and hypoperfusion in the Chemoreceptor Trigger Zone (CTZ) as the center of vomiting stimulation. Objective : The study aimed to determine the relationship between hypotension and the incidence of Post Operative Nausea and Vomiting (PONV) in spinal anesthesia patients. Research Methods : This type of research is analytic observational with cross sectional research design. The population in this study were all patients undergoing spinal anesthesia at RSI Sultan Agung Semarang. Sampling in this study was to use the purposive sampling method of 53 samples and to use the chi square data analysis test. The research instrument used interviews and used observation sheets. Reseach Result : The most age of respondents in this study were 26-35 years old as many as 18 respondents (34.0%), the most gender was female 32 respondents (60.4%), and those who experienced hypotension were 29 respondents (54.7%) , while there were 30 respondents who experienced PONV (56,6%) .The results of the Chi-Square test to determine the relationship between hypotension and the incidence of Post Operative Nausea and Vomiting (PONV) yielded a result of 0.000 (P <0.5). The majority of respondents who experienced hypotension were 24 people (45.3). Conclusion : here is a significant relationship between hypotension and the incidence of Post Operative Nausea and Vomiting (PONV).
Perbandingan Penggunaan Adjuvant Fentanyl 25µg Dan Klonidine 50µg Pada 10mg Bupivacain 0,5% Hiperbarik Terhadap Lama Kerja Blokade Sensorik Motorik Spinal Anestesi Naufal Anasyi; Fransi Arsani; Mustoha Mustoha
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 1 No. 1 (2022): April : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v1i1.1972

Abstract

Surgery still often causes various problems, one of which is pain, but the problem of pain during and after surgery can be overcome by anesthesia technique. One of them is spinal anesthesia technique. However, spinal anesthesia still has drawbacks where the duration of sensory and motor blockade is still very short. Various methods are used to prolong the duration of sensory and motor blockade of spinal anesthesia, one of which is the addition of adjuvants such as fentanyl and clonidine. This study was conducted to compare the speed of onset of action of sensory-motor blockade and the lengthening of duration of action of sensory-motor blockade between the addition of 25 g fentanyl compared to 50 g conidine in 10 mg hyperbaric 0.5% bipivacaine administered under spinal anesthesia. This study used a Randomized Control Trial (RCT) design with a double-blind randomized control trial and was conducted at Mitra Plumbon Hospital Cirebon from March-April 2021. There were 42 patients who met the inclusion criteria who underwent surgery with spinal anesthesia. Patients were divided into 2 groups, group 1 used 10mg hyperbaric 0.5% bupivacaine plus 25µg fentanyl, while group 2 used 10mg hyperbaric 0.5% bupivacaine plus 50µg clonidine. We investigated the onset of action and duration of action of sensory-motor blockade, the effect of hemodynamic shock, the effect of sedation levels and intraoperative adverse effects (side effects). Data analysis using SPSS 20.0. In the group of 10 mg bupivacaine 0.5% hyperbaric plus clonidine 50 g, the onset of action of sensory-motor blockade was faster and the duration of action was longer than in the group of 10 mg bupivacaine 0.5% hyperbaric plus 25 g fentanyl with a P value <0.05. Likewise, the effect of hemodynamic fluctuations in the 10mg hyperbaric 0.5% bupivacaine group plus 50 g clnidine was more stable than the 10mg hyperbaric 0.5% bupivacaine group plus 25 g fentanyl. While the effect of the level of sedation and intraoperative side effects are comparable
Pemberian Edukasi pada Pasien Pasca SC untuk Menurunkan Kecemasan Fransi Arsani; Ahmad Zainullah
Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia Vol. 2 No. 1 (2023): Maret : Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia
Publisher : Sekolah Tinggi Ilmu Administrasi Yappi Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jppmi.v2i1.1811

Abstract

Post-Cesarean Section (CS) patients often experience anxiety that can hinder the recovery process. Limited time for health workers to provide comprehensive education is one of the main factors causing a lack of patient understanding of post-CS care. This study aims to evaluate the effectiveness of providing video-based education and interactive sessions in reducing anxiety in post-CS patients. The methods used include socialization, video-based training, direct practice, and evaluation through pre-test and post-test questionnaires. The results showed an increase in patient understanding and compliance with post-CS care and a significant decrease in anxiety levels. Video-based education has been shown to be effective in helping patients understand recovery procedures better and reducing dependence on analgesics. Therefore, the implementation of similar education methods is recommended in health services to improve the quality of recovery in post-CS patients
Edukasi Manajemen Kecemasan pada Pasien Pre-Operasi Seksio Caesarea Achmad Zainullah; Fransi Arsani
Harmoni Sosial : Jurnal Pengabdian dan Solidaritas Masyarakat Vol. 1 No. 1 (2024): Harmoni Sosial : Jurnal Pengabdian dan Solidaritas Masyarakat
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/harmoni.v1i1.1277

Abstract

Preoperative anxiety in patients undergoing cesarean section is a common condition that can negatively impact both physical and psychological well-being before delivery. Anxiety management education is a crucial strategy to help patients manage stress, enhance mental preparedness, and reduce the risk of complications caused by excessive anxiety. This study aims to evaluate the effectiveness of anxiety management education in reducing preoperative anxiety levels in cesarean section patients. The method used involves an educational intervention through a cognitive-based and relaxation approach, including breathing techniques and preoperative counseling. The results indicate that this education significantly reduces patients' anxiety levels, as evidenced by the difference in scores before and after the intervention. Therefore, anxiety management education programs should be implemented as part of maternal healthcare services to improve maternal well-being before undergoing a cesarean section.
Penerapan Surgical Safety pada Penata Anestesi Melalui Media Video Edukasi Fransi Arsani; Prayitno Prayitno; Nabhani Nabhani
Karya Nyata : Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 2 (2024): Juni : Karya Nyata : Jurnal Pengabdian kepada Masyarakat
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/karyanyata.v2i1.1271

Abstract

Patient safety in surgical procedures is a critical element that must be addressed by medical professionals, including anesthesiologists. The World Health Organization's (WHO) Surgical Safety Checklist (SSC) is designed to enhance patient safety during surgery, but its implementation still encounters several challenges, such as insufficient training and limited resources. This study aims to improve anesthesiologists’ understanding and compliance with the SSC through the use of educational video media. The research methods involved socialization, video-based training, hands-on practice, and evaluation with a participatory approach. The participants were anesthesiologists who received a structured training session using videos that explained the SSC steps and emphasized its importance. Pre- and post-training assessments were conducted to measure changes in understanding and compliance.The results demonstrated a significant improvement in both the anesthesiologists’ understanding and compliance with the SSC after the training. The average understanding score increased from 60.5 to 85.3, while compliance rose from 55.2 to 88.7. These findings indicate that educational videos are an effective tool for enhancing anesthesia service quality and increasing medical personnel’s access to training. The study emphasizes the importance of technology-based education to overcome barriers related to limited resources and training opportunities. Based on these results, the study recommends the implementation of similar video-based educational methods in training programs for other medical personnel, aiming to improve patient safety across various healthcare settings.
Pendampingan Keluarga Pasien dalam Mengelola Kecemasan Sebelum Prosedur Anestesi Happy Nurhayati; Fransi Arsani
Jurnal Masyarakat Mengabdi Nusantara Vol. 1 No. 4 (2022): Desember : Jurnal Masyarakat Mengabdi Nusantara
Publisher : STIPAS Tahasak Danum Pambelum Keuskupan Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58374/jmmn.v1i4.301

Abstract

Anxiety before anesthesia procedures is a common problem in patients and their families. High levels of anxiety can affect the patient's physiological stability and postoperative outcomes. The family assistance program aims to provide education and emotional support to reduce anxiety before anesthesia. The methods used include socialization, interactive education, and evaluation of the patient's family's understanding before and after the intervention. This study involved 15 respondents at RSIA Aisyiyah Klaten. The results showed that after the intervention, there was a decrease in the level of anxiety in the patient's family from 70% to 35%. This finding indicates that family education and assistance have an important role in improving the mental readiness of patients and their families before undergoing anesthesia.
Co-Authors Achmad Zainullah Ahmad Zainullah Cucu Raifatma Cipta Heni Purwaningsih Mustoha Mustoha Nabhani Nabhani Naufal Anasyi Nurhayati, Happy Prayitno Prayitno