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All Journal Jurnal Ners Muhammadiyah Medical Journal Jurnal Keperawatan Nusantara
Sismanto, Bayu Aji
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Endoscopy Gastrointestinal Esophagogastroduodenoscopy (EGD) Profile at Primaya Bekasi Timur Hospital Period October 2021 - October 2022 Sismanto, Bayu Aji; Fauji, Achmad; Rahmah, Nur Miladiyah
Muhammadiyah Medical Journal Vol 5, No 1 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.1.59-68

Abstract

Introduction: Esophagogastroduodenoscopy or gastroscopy is one of the types of endoscopies; the examination includes the esophagus, gastric, and duodenum. Endoscopy is a non-surgical attempt to visualize organs with abnormalities or disorders. It can also be used to obtain tissue (biopsy), remove foreign bodies in the gastrointestinal tract, and observe organs in the body. This study aims to determine the profile of gastrointestinal endoscopy in patients examined at the endoscopy unit of Primaya Hospital, East Bekasi. Methods: The type of research conducted was descriptive retrospective using secondary data in the Medical Record Installation of Primaya Hospital, East Bekasi, from October 2021 to October 2022, totaling 103 patients. Results: The results of this study showed that 51 patients (49.5%) were male, 52 patients (50.5%) were female, and the majority of the patients were aged 41-60 years as many as 44 patients, 42.7%). The most common pre-action diagnosis was dyspepsia (43 patients, 42%), and the most common post-action diagnosis (21 patients, 20.6%) was erosive gastroduodenitis. The most common location of findings in the corpus was 33 patients (32.1%), and the most common finding was mucosal erosion in 36 patients (35.0%). Biopsy was performed in 30 patients (29.1%), and anatomical pathology revealed Helicobacter pylori in 5 patients, chronic duodenitis in 4 patients, chronic gastritis in 19 patients, chronic gastroduodenitis in 1 patient, and polyp putz jeers in 1 patient. And with the most prolonged duration of action being 10-30 minutes, namely 91 patients (88.3%). Conclusion: The results of this study indicate that chronic gastritis accompanied by H.pylori infection is a diagnosis that is more commonly found through esophagogastroduodenoscopic examination and the results of anatomical pathology examination of biopsy tissue compared to other diagnoses.
The Effectiveness of Digital Virtual Reality-Based Therapy in Reducing Anxiety Among Patients Undergoing Gastrointestinal Endoscopy Sismanto, Bayu Aji; Gayatri, Dewi; Natashia, Dhea; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45021

Abstract

Psychological responses such as anxiety often arise from negative perceptions in situations perceived as threatening, even when they should not induce fear. These anxiety-induced responses can lead to increased hemodynamic parameters such as elevated blood pressure, heart rate, and respiratory rate—particularly prior to medical procedures. This study aimed to evaluate the effectiveness of a digital virtual reality (VR)-based therapeutic intervention in reducing patient anxiety before undergoing gastrointestinal endoscopy. A quasi-experimental design was employed, involving both an experimental group and a control group using a pretest-posttest control group approach. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI). The intervention consisted of a 6-minute immersive VR video featuring calming mountain and beach scenery. A total of 50 respondents participated, with 25 in each group. Data were analyzed using paired and independent t-tests. Results showed no statistically significant difference in mean anxiety scores between the intervention and control groups (MD = 0.23, df = 48, t = 0.59, 95% CI: -0.56 to 1.03, p > 0.001). These findings suggest that the digital VR-based therapy was not statistically effective in reducing pre-endoscopy anxiety. Future interventions may require more immersive and interactive VR experiences—such as 360-degree simulations of endoscopic procedures—to achieve more substantial effects.
Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Di Rumah Sakit Aisah; Ernauli Meliyana; Lisna Nuryanti; Sismanto, Bayu Aji
Jurnal Keperawatan Nusantara Vol 1 No 1 (2025): Agustus
Publisher : Sabda Abadi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.6594/3bddmk29

Abstract

Background: Anxiety is an excessive and unclear feeling of worry, and it is also a response to both external and internal stimuli that causes emotional, cognitive, physical, and behavioral symptoms. Anxiety is different from fear because, in fear, the object is clearly known and threatens the well-being of the person, while in anxiety, the object is unknown. Anxiety is an experience that everyone goes through (universal) throughout their life. Anxiety has a positive function because it can motivate people to take actions that can resolve their issues. Anxiety is considered normal when it is proportionate to the situation and will disappear once the situation is resolved. Objective: To determine the effect of the deep breathing relaxation technique on anxiety levels in pre-operative patients at the hospital. Methods: This study uses a pre-experimental design, quantitative correlation, with primary data from pre-operative patients aged 17-50 years, consisting of 126 respondents. Sampling was calculated using Slovin's formula. Data collection was done using a questionnaire and interviews with the Hamilton Anxiety Rating Scale (HARS). Results: From the 126 respondents, 14 (11.1%) had no anxiety, 51 (40.5%) had mild anxiety, 58 (46.0%) had moderate anxiety, and 3 (2.4%) had severe anxiety. The Chi-square statistical test showed a p-value of 0.000 (p <0.05), indicating that there is an effect of the deep breathing relaxation technique on anxiety levels in pre-operative patients at the hospital. Conclusion: There is an effect of the deep breathing relaxation technique on anxiety levels in pre-operative patients at the hospital (p=0.000).
Co-Authors Achmad Fauji Aisah Dewi Gayatri Ernauli Meliyana Jumaiyah, Wati Lisna Nuryanti Natashia, Dhea Rahmah, Nur Miladiyah Yuniarsih, Winda