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All Journal Jurnal Keperawatan Malang (JKM) Jurnal Cakrawala Ilmiah JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Java Nursing Journal Medic Nutricia : Jurnal Ilmu Kesehatan Jurnal Ilmiah Kesehatan Mandira Cendikia
Septian Mixrova Sebayang
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Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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PERBANDINGAN KECEMASAN DAN HEMODINAMIK PADA PASIEN PRA ANESTESI DENGAN ANESTESI UMUM DAN ANESTESI SPINAL DI RUMAH SAKIT UMUM DAERAH KARDINAH TEGAL Sakila Afifah Asma Izzati; Martyarini Budi; Septian Mixrova Sebayang
Medic Nutricia : Jurnal Ilmu Kesehatan Vol. 7 No. 5 (2024): Medic Nutricia : Jurnal Ilmu Kesehatan
Publisher : Cahaya Ilmu Bangsa Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5455/nutricia.v7i5.5632

Abstract

Latar Belakang: Tindakan preoperasi dan preanestesi merupakan sumber stres bagi pasien, yang dapat memicu kecemasan baik secara fisiologis maupun psikologis. Kecemasan preoperasi dapat disebabkan oleh berbagai faktor seperti ketakutan terhadap kegagalan operasi, kematian, perubahan fisik, nyeri, dan anestesi. Perbandingan antara anestesi umum dan regional menunjukkan perbedaan tingkat kecemasan, di mana beberapa penelitian melaporkan kecemasan lebih tinggi pada pasien dengan anestesi umum, sementara penelitian lainnya menunjukkan hasil sebaliknya. Kecemasan berperan penting dalam mempengaruhi status hemodinamik, seperti tekanan darah, denyut nadi, dan respirasi. Tujuan: Penelitian ini bertujuan untuk mengetahui perbandingan kecemasan dan hemodinamik pada pasien pra-anestesi antara kelompok yang menjalani anestesi umum dan anestesi spinal. Metode: Penelitian ini menggunakan desain komparatif dengan pendekatan cross-sectional. Sampel penelitian berjumlah 174 responden, terdiri dari 87 pasien yang menjalani anestesi umum dan 87 pasien yang menjalani anestesi spinal, yang diambil dengan teknik purposive sampling. Pengumpulan data menggunakan instrumen APAIS yang secara khusus menilai kecemasan pasien pra operasi. Hasil: Hasil uji Mann Whitney menunjukkan terdapat perbedaan kecemasan antara kelompok anestesi umum dan anestesi spinal dengan p value 0,002. Hasil penelitian ini juga menunjukkan adanya perbedaan signifikan pada beberapa parameter hemodinamik antara pasien yang akan menjalani anestesi umum dan anestesi spinal, dengan nilai p value menunjukkan signifikansi statistik (p < 0,05) untuk sebagian besar parameter, kecuali saturasi oksigen. Dari hasil penelitian, ditemukan bahwa terdapat perbedaan yang signifikan antara kedua kelompok pasien dalam hal kecemasan dan beberapa parameter hemodinamik. Kata Kunci : Kecemasan, Hemodinamik, Anestesi Umum, Anestesi Spinal
The Effect of Left Lateral Positioning on Hypotension in Cesarean Section Patients Under Spinal Anesthesia Immediately After Injection Frengky, Frengky JF; Rahmaya Nova Handayani; Septian Mixrova Sebayang
Java Nursing Journal Vol. 3 No. 3 (2025): July - October 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i3.130

Abstract

Background: Hypotension is one of the complications that often occurs in cesarean section patients undergoing spinal anesthesia. One non-pharmacological measure that can be taken to prevent hypotension is to change the patient's position to the left side immediately after the spinal anesthesia injection. Purpose: This study aimed to examine the effect of left lateral positioning on the incidence of hypotension in cesarean section patients at Pusri Palembang Hospital. Methods: A quantitative approach with a pre-experimental one group pretest-posttest design was used. A total of 52 patients were selected using purposive sampling. Data were analyzed using the Wilcoxon Signed Ranks Test. Results: The results showed a statistically significant difference in mean arterial pressure (MAP) before and after the left lateral positioning, with a Z value of -6.283 and a p-value < 0.001. The average MAP increased from 65.81 mmHg to 77.77 mmHg, and the average heart rate decreased from 112.40 bpm to 80.58 bpm. These results indicate that the left lateral position is effective in stabilizing patient hemodynamics and reducing the risk of hypotension. Conclusions: This finding supports the use of left lateral positioning as a simple, non-invasive, and cost-effective initial intervention in obstetric spinal anesthesia management.
Gambaran Kejadian Hipotermi Intra Anestesi Dan Post Anestesi Pasien Sectio Caesarea Dengan Spinal Anestesi Di Rumah Sakit Umum Daerah Kebumen Rizky Arianda Ketaren; Septian Mixrova Sebayang; Tophan Heri Wibowo; Roro Lintang Suryani; Indri Wijayanti
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 3 No. 2 (2024)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

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Abstract

Persalinan sectio caesarea (SC) adalah metodepersalinan operatif yang dilakukan dengan indikasi. Sectio caesarea merupakan operasi yang membutuhkan daerah insisi yang luas. Pasien yang menjalani bedah sectio caesarea dengan anestesi spinal memiliki risiko yang lebih tinggi mengalamihipotermia selama periode perioperatif. Hipotermimerupakan keadaan suhu tubuh kurang dari 36℃. Setiap pasien yang menjalani operasi beresikomengalami kejadian hipotermi, Hipotermi yang terjadipada perioperatif dapat berlanjut hingga periode pascaoperatif di ruang pemulihan. Untuk menggambarankejadian hipotermi intra anestesi dan post anestesipada pasien sectio caesarea dengan spinal anestesi. Jenis penelitian ini menggunakan metode kuantitatifanalitik dengan pendekatan cross sectional. Pengambilan sampel menggunakan metode Total Sampling dengan jumlah responden sebesar 36. responden yang mengalami hipotermi berdasarkanusia antara 26 – 35 tahun sebanyak 69,4%, denganlama operasi.
GAMBARAN KEJADIAN POST OPERATIVE NAUSEA AND VOMITING (PONV) PADA PASIEN POST OPERASI TUMOR MAMAE DENGAN GENERAL ANESTESI DI RUMAH SAKIT TNI AU dr. M. SALAMUN BANDUNG Arif Yanuar Pratama; Amin Susanto; Septian Mixrova Sebayang
Jurnal Cakrawala Ilmiah Vol. 3 No. 6: Februari 2024
Publisher : Bajang Institute

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Abstract

Post Operative Nausea and Vomiting (PONV) merupakan salah satu komplikasi anestesi yang dikaitkan dengan berbagai faktor. Pasien yang mengalami mual muntah post operasi memiliki kualitas pemulihan yang lebih buruk sehingga menyebabkan penundaan pemulangan pasien dari rumah sakit yang akan menigkatkan biaya perawatan. Tujuan penelitian ini adalah untuk mengetahui gambaran kejadian Post Operative Nausea and Vomiting (PONV) post operasi dengan general anestesi di Rumah Sakit TNI AU dr. M. Salamun Bandung. Metode penelitian ini menggunakan desain penelitian deskriptif, yaitu penelitian yang bertujuan untuk mengumpulkan informasi mengenai status suatu gejala yang ada pada saat penelitian dilakukan. Adapun desain penelitian dalam penelitian ini menggunakan desain penelitian observasional. Sampel penelitian ini adalah pasien yang menjalani tindakan anestesi umum dengan teknik sampling consecutive sampling yaitu sebanyak 69 pasien. Kuisioner mencakup penilaian mual muntah dengan menggunakan kuisioner wengritrzky. Analisis data menggunakan analisis univariat. Hasil penelitian didapatkan kejadian terjadinya PONV sebanyak 8 responden (11,6%), kejadian terjadinya PONV pada kategori umur 46-55 tahun sebanyak 3 responden (37,5%) dan usia 56-65 tahun sebanyak 2 responden (25%). Kejadian terjadinya PONV berdasarkan jenis kelamin perempuan dengan diagnosa tumor mamae yaitu sebanyak 8 responden. Kejadian terjadinya PONV yang tidak memiliki riwayat merokok yaitu sebanyak 7 responden (87,5%).
HUBUNGAN TINGKAT KECEMASAN PADA PRE ANESTESI DENGAN KEJADIAN PONV PADA PASIEN GENERAL ANESTESI DI RSUD SEJIRAN SETASON BANGKA BARAT Zilvia Harlina; Septian Mixrova Sebayang; Eza Kemal Firdaus
Jurnal Cakrawala Ilmiah Vol. 3 No. 6: Februari 2024
Publisher : Bajang Institute

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Abstract

This study aims to determine the relationship between general anesthesia patient anxiety and the incidence of PONV at the RSUD Sejiran Setason West Bangka. This type of research is quantitative research with Spearman Rank correlation data analysis. In this case, the research variables are the anxiety level of general anesthesia patients and the incidence of PONV. Measuring the level of patient anxiety using the Hamilton Rating Scale for Anxiety (HRS-A) instrument and measuring the incidence of PONV using an observation sheet. The sample for this study was 30 patients with general anesthesia at Sejiran Setason Hospital, West Bangka in August 2023. The sample selection for this study used consecutive sampling technique. The results of the research showed that the level of general anesthesia patients anxiety at Sejiran Setason Hospital, West Bangka Regency was mild anxiety as much as 67%, moderate anxiety as much as 30%, and severe anxiety as much as 3%. Meanwhile for no anxiety and very severe anxiety it is 0%. In the case of PONV incident in a sample of general anesthesia patients in the category of nausea only was 40%, nausea and vomiting was 13%, and 47% did not experience PONV. The results of the Spearman rank analysis showed that the relationship between anxiety and the incidence of PONV in general anesthesia patients at Sejiran Setason Regional Hospital, West Bangka Regency had a low correlation, in the same direction, and the relationship between the two variables was not significant.
GAMBARAN KUALITAS PEMULIHAN PADA PASIEN POST GENERAL ANESTESI DI RUANG RAWAT INAP RSUD HJ. ANNA LASMANAH BANJARNEGARA Annisa Arum Sari; Septian Mixrova Sebayang; Tophan Heri wibowo
Jurnal Cakrawala Ilmiah Vol. 3 No. 8: April 2024
Publisher : Bajang Institute

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Abstract

Proses pemulihan yang tertunda merupakan suatu kejadian yang tidak diharapkan dalam anestesi, penyebab dari pulih sadar yang tertunda disebabkan oleh berbagai faktor seperti usia, jenis kelamin, dan berat badan pasien, masalah dalam pembedahan dan anestesi seperti lamanya operasi dan teknik anestesi yang dilakukan, serta faktor genetik dan penyakit penyerta yang mempengaruhi peningkatan dari obat-obatan anestesi yang diberikan. Penelitian ini bertujuan untuk mengetahui gambaran kualitas pemulihan pasien post general anestesi di ruang rawat inap Rumah Sakit Umum Daerah Hj. Anna Lasmanah Banjarnegara. Metode: Penelitian ini yaiti penelitian kuantitatif dengan pendekatan cross-sectional . Populasi pada penelitian ini adalah pasien yang telah menjalani operasi dengan general anestesi di ruang rawat inap Rumah Sakit Umum Daerah Hj. Anna Lasmanah Banjarnegara, yang dipilih dengan metode accidental sampling dengan total sampel 30. Hasil: Didapatka tingkat kepuasan yang tinggi, dengan 86,7% responden memberikan skor sangat baik (161-200) dan 13,3% memberikan skor baik (111-160). Karakteristik pasien, termasuk usia dominan (73,3% pada rentang 17-45 tahun), jenis kelamin mayoritas laki-laki (60%), status fisik ASA mayoritas ASA 1 (80%), durasi operasi mayoritas 30 menit (53,3%), dan urgensi operasi mayoritas elektif (80%).
Gambaran Intensitas Nyeri pada Pasien Post Operasi Sectio Caesarea dengan Metode Enhanced Recovery After Surgery (ERAS) di Rumah Sakit Islam Fatimah Cilacap Nur Mutmainah; Tophan Heri Wibowo; Septian Mixrova Sebayang
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 4 No. 2 (2026): Mei : JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v4i2.1656

Abstract

Postoperative pain following Sectio Caesarea (SC) is a common clinical problem, reported within the first 24 hours in approximately 50-85% of patients. This postoperative pain can affect maternal comfort, early mobilization, and the recovery process. Theoretically, post-SC pain is associated with tissue trauma and nociceptive responses. Enhanced Recovery After Surgery (ERAS) is an increasingly implemented method because it is considered capable of accelerating postoperative recovery and reducing pain intensity after surgical procedures. This study aimed to describe the distribution of post-Sectio Caesarea pain intensity based on patient characteristics. This research employed a descriptive quantitative design with an observational approach. Data were collected using a total sampling technique from all post-SC patients managed with the ERAS method at RSI Fatimah over a one-month period, with a total of 50 respondents. The research instrument used was the Visual Analogue Scale (VAS). Data were analyzed univariately in the form of frequency and percentage distributions. The results showed that the majority of respondents were in early adulthood (26-35 years), accounting for 40 respondents (80.0%), multiparous women totaled 30 respondents (60.0%), maternal indications were found in 33 respondents (66.0%), and 27 respondents (54.0%) had no previous history of SC. Within the first 2 hours after SC, most mothers experienced mild pain (scale 1-3), totaling 31 respondents (62.0%). At 8 hours after analgesic administration, mild pain remained predominant, with 36 respondents (72.0%). In conclusion, most mothers who underwent Sectio Caesarea using the ERAS method experienced mild pain during the early postoperative period.
Hubungan Tingkat Kecemasan Dengan Tekanan Darah Pada Pasien Pre Operasi Dengan General Anestesi Di RSUD Cilacap Destiara Putri Nabillah; Amin Susanto; Septian Mixrova Sebayang
Jurnal Keperawatan Malang Vol 8 No 2 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v8i2.226

Abstract

Background: Most people before performing surgery using general anesthetic actionhave emergency surgery. Excessive anxiety reactions are concerned to affect the success of surgery, which can raise blood pressure which improves heart performance while pumping blood throughout the body. Purpose: This investigation aims to find out the relationship between anxiety levels and blood pressure in pre-operative patients under general anesthesia Methods: This study uses a descriptive design of correlation with a cross-sectional approach. Data collection and blood pressure measurement were performed before the respondents entered the operating room by giving them the Amsterdam Preoperative Anxiety and Information Scale questionnaire (APAIS). Samples in thisstudy were taken from 54 respondents using consecutive sampling techniques. Data analysis used is univariate and bivariate analysis using spearman rank tests. Result: The results of correlation statistical test using Spearman rank show that the significance value for systolic blood pressure is 0.007 < 0.05 and for diastolic blood pressure is 0.005 < 0.05. Most of the people who answered experienced systolic blood pressure in stage 1 hypertension, namely 26 people, and diastolic blood pressure in prehypertension, namely 24 people. Conclusion: There is a correlation between the level of anxiety and blood pressure in pre-operative patients under general anesthesia at RSUD Cilacap.
Hubungan Usia dengan Tingkat Kecamasan pada Pasien Bedah Elektif Dewasa Harits Abdurahman Anwar; Septian Mixrova Sebayang; Asmat Burhan
Jurnal Keperawatan Malang Vol 9 No 1 (2024): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36916/jkm.v9i1.250

Abstract

Background: Every patient has different views and reactions to surgery,one of which is experiencing anxiety. Anxiety can be influenced by several characteristics, including age, gender, education, work situation, and marital status. The purpose of this study was to determine whether there is a relationship between patient age and anxiety level in elective surgical patients at Goeteng Taroenadibrata Hospital. Methods: This study used an analytical correlation research method with a quantitative approach. The sampling technique used Consecutive Sampling and 79 pre-anesthesia respondents were sampled for this study. The testused in this study is Kendall Tau Result: The results of the correlation test obtained a significance value for the level of anxiety with a P-value of 0.002 <0.05, and the majority of respondents experienced a moderate level of anxiety with a total of 42 respondents. Implications: From the results of the study, it can be seen that there is a correlation between age and anxiety levels of adult surgical patients at Goeteng Taroenadibrata Purbalingga Hospital. The findings of this study, it is expected to improve pre-operative care for patients in emergencies such as providing preoperative education to reduce anxiety in surgery patients. Keywords: Age;Anxiety;Surgery
Co-Authors Amin Susanto Annisa Arum Sari Arif Yanuar Pratama Aslam Amanullah Asmat Burhan Danang Tri Yudono Destiara Putri Nabillah Firdaus, Eza Kemal Frengky, Frengky JF Harits Abdurahman Anwar Hikmal Akbar Indri Wijayanti Martyarini Budi Nur Mutmainah Rahmaya Nova Handayani Ria Anggrina Rizky Arianda Ketaren Roro Lintang Suryani Sakila Afifah Asma Izzati Tophan Heri Wibowo Wahyu Dwi Prakoso Wilis Sukmaningtyas Zilvia Harlina