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All Journal Jurnal Ilmiah Kesehatan Promotif Java Nursing Journal
Kemal Firdaus, Eza
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Health Professions Medicine & Pharmacology Nursing Public Health

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GAMBARAN KEJADIAN SHIVERING PADA PASIEN INTRA SPINAL ANESTESI DI RUANG KAMAR OPERASI RSUD LAKIPADADA TANA TORAJA Salu, Joni; Kemal Firdaus, Eza; Novitasari, Dwi
Jurnal Ilmiah Kesehatan Promotif Vol. 8 No. 2 (2024): Juni 2024
Publisher : Institut Toraja Raya Indonesia (ITRI)

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Abstract

Pembedahan atau operasi adalah semua tindakan pengobatan yang menggunakan cara invasif dengan membuka atau menampilkan bagian tubuh yang akan ditangani. Akibat dari prosedur pembedahan pasien akan mengalami beberapa masalah salah satunya diakibatkan oleh efek anestesi. Kebanyakan dari anestesi mengubah kontrol suhu inti tubuh, menghambat respon termoregulasi terhadap dingin, seperti vasokonstriksi dan tremor. Salah satu komplikasi yang ditimbulkan dari anestesi spinal yakni Post Anaesthetic Shivering (PAS). Tujuan pada penelitian ini yaitu Untuk mengetahui gambaran kejadian Shivering pada pasien intra spinal anastesi di Ruang Kamar Operasi RSUD. Lakipadada Tana Toraja. Jenis penelitian yang digunakan dalam penelitian ini adalah non eksperimen dengan studi deskriptif untuk mengetahui gambaran kejadian Shivering pada pasien intra spinal anastesi di Ruang Kamar Operasi RSUD. Lakipadada Tana Toraja dengan pendekatan subjek yang digunakan adalah dengan pengamatan cross sectional. Pengambilan sempel penelitian ini menggunakan consecutive sampling. Subjek penelitian ini yaitu pasien yang akan dilakukan tindakan operasi dengan spinal anestsi yang memenuhi kriteria berjumlah 30 responden Hasil penelitian ini menunjukkan bahwa mayoritas jenis kelamin responden adalah perempuan sebanyak 22 (73.3%), mayoritas umur responden adalah remaja akhir (17-25 tahun) sebanyak 12 (40.0%) responden, mayoritas tindakan operasi responden adalah appendictomy sebanyak 15 (50.0%) responden, sectio secarea sebanyak 14 (46.7%) dan histerectomy sebanyak 1 (3.3%), terapi yang digunakan jenis bucain sebanyak 15 (50.0%) responden dan terapi yang digunakan kombinasi bucain dan fentanil sebanyak 15 (50.0%) responden dan mayoritas kejadian shivering adalah terjadi shivering sebanyak 20 (66.7%). Diharapkan kepada peneliti selanjutnya penelitian ini bermanfaat untuk menambah pengetahuan dan pemahaman tentang kejadian pada pasien intra spinal anestesi. Bagi peneliti lain yang ingin melakukan penelitian serupa, dapat menambahkan jenis dosis obat spinal yang digunakan, dan dapat menambah faktor-faktor penyebab lainnya.
The Correlation Between Pre-Operative Fasting Duration and Post-Operative Nausea and Vomiting Occurrence on Patients with General Anestehesia Karmana, Dede; Mixrova Sebayang, Septian; Kemal Firdaus, Eza; Sukmaningtyas, Wilis
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.33

Abstract

Background: Preoperative fasting is a procedural measure implemented before surgery or anesthesia to avert regurgitation or vomiting. PONV incidence is influenced by surgical, anesthetic, and patient-related factors. The purpose of the study is to ascertain the duration of preoperative fasting observed by participants and the prevalence of PONV according to personality traits. Purpose: Determine the correlation between the duration of preoperative fasting and the occurrence of PONV in patients undergoing general anesthesia at RSUD Dr. Soekardjo Tasikmalaya. Methods: Observatory, descriptive, and cross-sectional designs are utilized. The sampling method was with sixty respondents ranging in age from seventeen to forty-five years, ASA I to II. Data is collected via observation and evaluation. Findings: The study observed that among 37 individuals (61.7%), preoperative fasting for 6-8 hours was beneficial, while for 23 individuals (38.3%), fasting for >8 hours were detrimental. At the age of 17-25 years, 10 individuals (47.6%) develop PONV, while 11 individuals (52.4%) do so between the ages of 26-45. Among women, 17 individuals (81.0%) have PONV, while 20 individuals (95.2%) have ASA I physical status, and 1 individual (4.8%) has ASA II physical status. Conclusion: There is a significant link (p < 0.013) between preoperative fasting time and postoperative nausea and vomiting (PONV) in patients under general anesthesia. Fasting before surgery should be long enough to avoid PONV
Description Of Age And Bmi In The Hypothermia And Normothermia Group In Caesarea Sectio Patients With Spinal Anesthesia Jaya Zega, Firman; Mixrova Sebayang, Septian; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): June
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.46

Abstract

Background: Hypothermia results in increased risk of bleeding, myocardial ischemia, longer post-anesthesia recovery, impaired wound healing, and increased risk of infection. This is due to the influence of anesthetic use, age, nutritional status, and body mass index. The research aims to determine the description of age and BMI in the hypothermia and normothermia groups in caesarean section patients with spinal anesthesia at the Efarina Etaham Pematang Siantar Hospital. Methods: This type of research is descriptive with a cross sectional approach. The study population was all 40 caesarean section patients with spinal anesthesia in September 2023. The research sample used a total sampling method, namely the entire population was the research sample of 40 respondents. Data analysis using univariate analysis. Findings: The results of the research showed that the body temperature of the respondents experienced hypothermia after anesthesia, the majority aged >35 years, all of them experienced hypothermia as many as 11 respondents (100.00%) and the minority of respondents aged <20-35 years as many as 2 respondents (15.38%) and as many as 25-35 years old. 2 respondents (12.50%). Body temperature after spinal anesthesia showed that the body temperature of the respondents experienced hypothermia, the majority of BMI <18.5 or underweight category were 11 respondents (91.67%) and the minority were Normal BMI (BMI 18.5-22.9) as many as 4 respondents (14.29%). Conclusion: Body temperature changes when spinal induction anesthesia is given.
Relationship Between Length of Surgery and Shivering in Postoperative Abdominal Surgery Patients Yuswanto, Subur; Triyudono, Danang; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): June
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.47

Abstract

Background: Abdominal surgery is a type of major surgical operation performed in the abdominal area with incision in the wall layer. The surgery has a risk, one of which is the incidence of shivering and the long period of surgery causes a continuous process of losing body heat. Objective: to know the relationship between the length of surgery and the incidence of shivering in postoperative abdominal surgery patients in the central surgical installation of RSUD Hj. Anna Lasmanah Banjarnegara. Methods: This research design uses cross sectional. Sampling technique with total sampling obtained 50 with abdominal surgery... Instruments include age, gender, BMI, type of anesthesia, length of surgery and incidence of shevering. Findings: age with the majority of the early adult category 26-35 years at 14 (28.0%) for the majority of female gender at 35 (70%) and the highest BMI with normal at 31 (62%).The length of operation of postoperative abdominal surgery patients with the majority in the fast category less than 1 hour at 29 (58%). Conclusion: there is a relationship between the length of surgery and the incidence of shivering in abdominal surgery patients in the Central Surgical Installation of Hj. Anna Lasmanah Banjarnegara Hospital with a p_value of 0.004 (<0.05) with a relationship in the moderate category with rho 0.416 with a relationship in the moderate category with rho 0.416
Overview of Intra Anesthesia Hemodynamic Status in Patients with Spinal Anesthesia Action Rahman; Lintang Suryani, Roro; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): June
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.51

Abstract

Background: Hemodynamic observation during spinal anesthesia is necessary to assess the status of a patient's cardiovascular system. Hemodynamic decline is one of the most common acute complications that can occur in spinal anesthesia. Purpose: to determine the description of intra-anesthesia hemodynamic status in patients with spinal anesthesia at Morowali Hospital. Methods: This research design uses descriptive design. The sampling technique with total sampling obtained 85 patients who performed spinal anesthesia. The research instrument contains monitoring the patient's vital signs including systole blood pressure, diastole, pulse frequency, and MAP value. Results: The age of patients is most with early adulthood at 33 (38.8%) and the least with the elderly category at 2 (2.4%). The gender of the respondents was mostly female with 51 (60%). The type of surgery with the majority with major surgery amounted to 51 (60%) and the most ASA status with ASA 2 amounted to 74 (87.1%). Conclusion: hemodynamic status based on systole and diastole blood pressure in the normal category was 63 (74.1%), based on pulse frequency the majority with normal status was 58 (68.2%), based on MAP values the majority with normal was 53 (62.4%).
Co-Authors Dwi Novitasari Jaya Zega, Firman Karmana, Dede Lintang Suryani, Roro Mixrova Sebayang, Septian Rahman Salu, Joni Triyudono, Danang Wilis Sukmaningtyas Yuswanto, Subur