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Pre- and Post-Local Anesthesia Hemodynamics in Patients with Ophthalmology Surgery Lusiana Devi, Ni Luh Putu; Setiabudi, I Ketut; Wicaksana, I Gusti Agung Tresna; Wahyuningsih, Luh Gde Nita Sri
PROMOTOR Vol. 7 No. 1 (2024): FEBRUARI
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v7i1.524

Abstract

Effective and safe anesthesia in eye surgery is essential to ensure optimal perioperative care for both children and adults, so hemodynamic monitoring is essential. The use of local anesthesia can increase systolic blood pressure and diastolic blood pressure without changing heart rate. A quantitative descriptive study with a cross-sectional approach involved 138 patients with purposive sampling techniques. Univariate analysis with frequency distribution was used in this study. The results showed that pre-anesthetic systolic TD ≥ 147 mmHg as much as 56%, pre-anesthesia diastolic TD < 78 mmHg as much as 51%, MAP ≥ 101 mmHg as much as 54%, and heart rate < 79 x / minute. While systolic TD after anesthesia ≥ 147 mmHg as much as 59%, diastolic TD ≥ 78 mmHg as much as 62%, MAP ≥ 101 mmHg as much as 64%, and heart rate < 79 x / minute as much as 58%. Changes in systolic and diastolic blood pressure were found in pre and post-anesthesia, so more detailed monitoring is needed.
Penilaian Praanestesia Kardiovaskular pada Bedah Geriatri Devi, Ni Luh Putu Lusiana; Setiabudi, I Ketut; Wahyuningsih, Luh Gde Nita Sri; Putri, I Gusti Ayu Nandita Arta; Maharyawan, I Wayan Agus; Dewi, Ni Nyoman Ari Kundari
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6604

Abstract

Asesment pra anestesi merupakan bagian vital. Asesment pra anestesi wajib dilakukan pada pasien lanjut usia (lansia) demi optimalisasi secara perioperative. Penelitian ini bertujuan untuk memberikan gambaran tentang bagaimana potensial risiko kardiovaskuler yang muncul pada pasien lansia selama pembedahan. Penelitian kuantitatif deskriptif ini menggunakan desain cross-sectional dengan melibatkan 40 orang pasien lansia yang menjalani pembedahan. Teknik sampling yang digunakan yakni total sampling. Data dikumpulkan menggunakan kuesioner kemudian dianalisa data yang digunakan adalah Analisa univariate yakni distribusi frekuensi dan proporsi. Hasil penelitian ini menunjukkan bahwa mayoritas pasien lansia yang dilakukan pembedahan termasuk pada kategori ASA II sebanyak 55%, dengan penggunaan obat rutin dan riwayat penyakit sebelumnya seperti DM dan hipertensi. Penelitian ini juga mengungkapkan bahwa mayoritas pasien tidak dilakukan pemeriksaan EKG sebanyak 88%.
Factors Related to Patient Safety Culture in the Operating Room Devi, Ni Luh Putu Lusiana; Setiabudi, I Ketut; Wahyuningsih, Luh Gde Nita Sri; Putri, I Gusti Ayu Nandita Arta
Indonesian Journal of Global Health Research Vol 6 No 2 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i2.3988

Abstract

Patient safety culture remains a major concern globally, particularly in anesthesia and surgical services. Considering that surgical and anesthesia services involve various types of invasive procedures that can cause death or complications. This study aims to determine factors related to patient safety culture in the operating room. This quantitative correlation research involved 56 nurses and nurse anesthetists at Hospital A and Hospital B. The sampling technique used was cluster sampling-total sampling. Each respondent has filled out a structured questionnaire via Google Form and has been analyzed using descriptive statistics, chi-square test. To ensure the validity and reliability of the questionnaire, content validity was assessed by experts in the field to confirm that the questions covered all relevant aspects of patient safety culture in the operating room. Reliability was evaluated using Cronbach's alpha, which demonstrated a high level of internal consistency. These measures ensured that the questionnaire accurately and reliably captured the factors related to patient safety culture among the participating nurses and nurse anesthetists. This research found that patient safety culture in the operating room was in the poor category as many as 30 nurses and nurse anesthetists (54%). Training and knowledge about patient safety factors were associated with patient safety culture in the operating room (p= 0.045 and p<0.001). Support from hospital management is very necessary to be able to accommodate all staff in the operating room in implementing an optimal patient safety culture through outreach and training.
Factors Related to Pain Intensity Post-SC with Spinal Anesthesia Devi, Ni Luh Putu Lusiana; Setiabudi, I Ketut; Harditya, Kadek Buja; Dewi, Ni Nyoman Ari Kundari; Wahyuningsih, Luh Gde Nita Sri
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4816

Abstract

Pain is the most common complaint found in perioperative patients, so optimal pain management is needed. Proper pain management can be done if the officer is able to know the intensity of pain felt by the patient and what factors are related. The aim of this study was to determine the pain intensity of post-CS patients with spinal anesthesia.This quantitative correlation study with a cross-sectional approach will be conducted involving 87 respondents based on the Slovin Formula. Sampling was carried out using purposive sampling to determine the selected sample. This study will use univariate data analysis techniques (frequency distribution and percentage), and bivariate data analysis (chi-square test). The results of the data analysis showed that the majority of patients had postoperative pain intensity on a scale of <2 as many as 52 people (60%). Age factors, gravida status, BMI, preoperative analgesics, and preoperative pain intensity have p-values> 0.05, namely 0.623, 0.137, 0.341, 0.570, 0.620. It can be concluded that there is no relationship between age, BMI, pre-operative pain intensity, and pre-operative analgesic administration with post-operative pain intensity in CS patients with spinal anesthesia.