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All Journal NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN Java Nursing Journal
Heri Wibowo, Tophan
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Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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The Correlation of Sympathetic Block Elevation and Body Mass Index with the Incidence of Hypotension in Sectio Caesarea Patients with Spinal Anesthesia Indra, Indra pranata; Burhan, Asmat; Heri Wibowo, Tophan; Suandika, Made
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.89

Abstract

Background: Hypotension is a frequent complication seen in spinal anesthesia. During spinal anesthesia, hypotension is more common with increasing block height, and an elevated body mass index (BMI) is considered a risk factor. Purpose: The aims of this research were to study the incidence of hypotension associated with spinal anesthesia for cesarean section and to relate block height to BMI. Methods: This is a cross-sectional correlational analytic study. A purposive sampling technique was used in picking 42 participants. The main instrument used for data collection was observation sheets. Results: The Spearman rank test for bivariate data showed that 35.7% of participants with a BMI greater than 25 experienced hypotension. In addition, 64.3% of participants with mild block elevation also developed hypotension. The Spearman rank test indicated a correlation value of -0.483 with a p-value of 0.001, signifying a strong and negative statistically significant relationship between hypotension and elevation of sympathetic block. Conclusion: There exists a significant relation between BMI and incidence of hypotension, with correlation values of -0.461 and a p-value of 0.002, further asserting that both BMI and block height are important characteristics that can be utilized in predicting the hypotension following spinal anesthesia in cesarean section patients
Effect of Sevoflurane on Recovery Time in Patients with Surgery in the Operating Room Christy, Bunga; Burhan, Asmat; Heri Wibowo, Tophan
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.91

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Background: In 2020, 234 million hospital clients made use of health facilities in the globe whereas Indonesia had recorded 1.2 million surgeons (World Health Organization, 2020). Sevoflurane is widely used in surgical procedures and its effect on the duration of recovery time needs further study. Purpose: It aims to conduct research on how sevoflurane affects recovery time among surgical patients at Santa Maria Cilacap General Hospital and will investigate specific objectives which include patient characteristics (age, gender, type of surgery, duration), recovery time post-sevoflurane, and the effect with a 2% MAC sevoflurane. Methods: A one-shot case study pre-experimental design was undertaken with a subject relatively between surgical patients and univariate analysis was conducted to test the distribution of data among all subjects. The number of patients who received a dose of 2% or 3% of sevoflurane were 26 and 30 patients, respectively. Results: Patients mostly fall over 35 years old, even with a higher incidence of females than males. Most patients receive debridement and excision surgery. Recovery times would vary from a surgery that lasts about 30 minutes. Statistical analysis shows normal distribution; meanwhile, the intervention has a significant impact on recovery times. The p-value of the pre-experiment one-shot case study is 0.006, which suggests it is statistically significant (p < 0.05). Conclusion: This study is beneficial to RSU Santa Maria Cilacap in subsequent understanding of the use of sevoflurane in patient care and as an embarking point for further studies on anesthetics and recovery determinants such as comparative studies on inhalation agents
The description of post-operative nausea and vomiting in curettage while under general anesthesia Hani, Winarni; Burhan, Asmat; Heri Wibowo, Tophan; Suandika, Made
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.101

Abstract

Background General anesthesia is the process of eliminating consciousness using medications. Curettage is the procedure to remove leftover conception material from the uterus. Currently, 37.5% of curettage procedures are due to blighted ovum. The curettage procedure causes discomfort, so it needs to be assisted with anesthesia. Purpose: to determine the incidence of PONV in post-curettage patients under general anesthesia. Method Descriptive research with a cross-sectional design. The respondents were 47 women who underwent curettage due to incomplete abortion, retained placenta, and blighted ovum, selected using a purposive sampling technique. The instruments used are a demographic data questionnaire and The Rhodes Index Nausea, Vomiting and Retching (RINVR). Data analysis employs frequency distribution. Result The characteristics of the respondents are dominated by young adults (89.4%) who have experienced PONV (23.4%). Other characteristics include that all of them do not smoke and use opioids. Based on the RINVR scale, the respondents predominantly experience light PONV (46.8%). Conclusion Post-curettage patients under general anesthesia predominantly experience light PONV (Postoperative Nausea and Vomiting).
Co-Authors Burhan, Asmat Christy, Bunga Hani, Winarni Indra, Indra pranata Made Suandika Mutiara Fadilah, Rismi Nova, Rahmaya