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All Journal Indonesian Journal of Global Health research Indonesian Journal of Global Health Research
Fatimah Fatimah
Universitas Baiturrahmah
Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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Effectiveness of Peppermint Aromatherapy in Reducing the Incidence of PONV in Post-Anesthesia Bone Patients Fatimah Fatimah; Ikhsan Amran; Iswenti Novera; Yenni Elfira; Irwadi Irwadi; Futi Hanna A’la
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): 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.v7i5.6550

Abstract

Post Operative Nausea and Vomiting (PONV) is a common complication after surgery with spinal anesthesia, with an incidence reaching 20–30%. PONV can prolong hospitalization, increase treatment costs, and reduce patient comfort. Peppermint aromatherapy is an effective, easy, and patient-accepted alternative to reduce PONV symptoms. Peppermint contains menthol which is carminative and antispasmodic, and can provide a relaxing effect through stimulation of the central nervous system. Objective to determine the effect of peppermint aromatherapy on the incidence of PONV in patients after spinal anesthesia. Method: This study was a quasi-experiment with a pre and post test design without control. Thirty post-spinal anesthesia patients were given peppermint aromatherapy, then PONV incidence was measured before and after the intervention using the Gordon scale. Data analysis used the Wilcoxon test. Results: Peppermint aromatherapy has been proven to be effective in reducing the incidence of PONV in patients after spinal anesthesia. Of the 30 respondents, the majority experienced nausea (73.3%) and vomiting (26.7%) before the intervention. After aromatherapy, 36.7% did not experience symptoms, and only 6.7% still vomited. The Wilcoxon test showed a significant difference (p = 0.000), indicating that peppermint aromatherapy was statistically effective in reducing PONV. Conclusions: Peppermint aromatherapy is effective in reducing the incidence of PONV in post-spinal anesthesia patients, as indicated by a decrease in nausea and vomiting symptoms after the intervention.
Preoperative Fasting and Blood Sugar Highlights Emergency Complications in General Anesthesia Patients Yenni Elfira; Irwadi Irwadi; Fatimah Fatimah
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6556

Abstract

Fasting that is too long will affect the patient's condition, one of which is the patient's blood sugar levels. In this case, it is necessary to control the start time of fasting with the time of the operation that the patient will undergo. The purpose of the study was to determine Preoperative Fasting and Blood Sugar Highlighting Emergency Complications in General Anesthesia Patients at Dr. Reksodiwiryo Class III Hospital in Padang. A correlational analytical observational study was conducted using a cross-sectional approach. This observational analytical correlational study was conducted with a cross-sectional approach. The number of samples was 34 people, the sampling technique used consecutive sampling. This research instrument used an observation sheet and a blood sugar level monitoring tool (Glucometer) With the respondent criteria determined according to the inclusion and exclusion criteria. The test results showed that there was a relationship between the length of fasting and blood sugar levels highlighting emergencies in preoperative general anesthesia patients at Dr. Reksodiwiryo Class III Hospital in Padang with a p value = 0.005. It can be concluded that the duration of preoperative fasting can affect blood sugar levels in general anesthesia patients which causes patients to become hypoglycemic or hyperglycemic which triggers various emergency complications that can worsen the patient's clinical condition when undergoing general anesthesia.
Efficacy of Vasopressin-Methylprednisolone Vs Placebo for in-Hospital Cardiac Arrest: Systematic Review Fatimah Fatimah; Alfino Alfino; Ghina Malya Darma; Aisyah Nur Fitri
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.6565

Abstract

Intrahospital cardiac arrest (IHCA) has a high mortality (70-90%) despite standard resuscitation. The combination of vasopressin and methylprednisolone has been proposed as an adjuvant therapy to improve Return of Spontaneous Circulation (ROSC) and patient outcomes, but evidence of its effectiveness on long-term survival remains controversial. Objective to evaluate the efficacy of vasopressin-methylprednisolone combination versus placebo in IHCA patients for ROSC, survival, and neurologic outcomes. This systematic review study used the PICO framework (Population: Cardiac Arrest In-Hospital Patients; Intervention: Vasopressin + Methylprednisolone; Comparison: Placebo; Outcome: ROSC) and Randomized Controlled Trials (RCT) study design. A search in PubMed, ScienceDirect, and Google Scholar using the keywords "Vasopressin, Cardiac Arrest In-Hospital, Methylprednisolone, ROSC" resulted in a total of 769,070 initial articles. After screening based on access criteria, language, design, and publication year (2020-2025), 196 articles remained. Further eligibility selection based on sample suitability and specific interventions resulted in 41 potential articles. The final analysis to answer the question of the effect of the combination of Vasopressin and Methylprednisolone on ROSC found 3 RCT journals (from PubMed) that met all inclusion criteria. The combination of vasopressin-methylprednisolone significantly increased ROSC (42% vs. 33%; RR 1.30; 95% CI 1.03–1.63; *p* = 0.03), especially when given ≤8 minutes after cardiac arrest (51% vs. 35%). However, there were no significant differences in 30-day (9.7% vs. 12%; RR 0.83) or 1-year survival (6.3% vs. 8.3%; RR 0.76), favorable neurologic outcome (Cerebral Performance Category 1–2: 7.6% vs. 7.6%), or quality of life (EQ-5D-5L score). Adverse events (hyperglycemia, hypernatremia) were similar between groups. The combination of vasopressin-methylprednisolone effectively improves ROSC but has no impact on long-term survival or neurological recovery. Further studies are needed to identify subpopulations that benefit and explore post-ROSC therapeutic strategies.
The Impact of Variations in Fasting Duration on Hemodynamic Status and Blood Sugar Levels in Electional Surgery Patients Irwadi Irwadi; Fatimah Fatimah; Yenni Elfira
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): 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.v8i2.669

Abstract

Preoperative fasting is a standard applied in surgical services to prevent aspiration, but in hospital practice, fasting often occurs that exceeds the recommendations of the American Society of Anesthesiologists (ASA) which recommends a minimum fast of 6-8 hours, the negative impact of extended fasting will affect the hemodynamic and metabolic status of patients. This study aims to analyze the impact of variations in fasting duration with hemodynamic status and blood sugar levels in patients. This study used a quantitative design with a cross-sectional approach with a sample of 252 elective surgical patients collected by purposive sampling. Data collected included demographic characteristics, ASA physical status I-II, fasting duration, and preoperative clinical parameters. with inclusion criteria: respondents aged 18-55 years, ASA physical status I-II, undergoing elective surgery while exclusion criteria were patients with metabolic disorders such as diabetes mellitus or unstable cardiovascular disorders and cytotoxic patients. Data were collected using observation sheets related to demographics, physical status, type of surgery, last meal, and post-operative complaints, as well as a Non-Invasive Blood Pressure Monitor (NIBP) to measure hemodynamics, a pulse oximeter for oxygen saturation, and a glucometer for glucose levels. The results of the one way anova test showed that variations in fasting duration did not affect hemodynamics (p > 0.05), but did affect blood sugar levels where the value (p < 0.05). It was found that these findings confirm that pre-operative fasting beyond the recommendation can affect the patient's metabolic status, so that fasting duration management according to ASA standards is important to maintain the patient's metabolic and physiological stability.  
Co-Authors Aisyah Nur Fitri Alfino Alfino Futi Hanna A’la Ghina Malya Darma Ikhsan Amran Irwadi Irwadi Iswenti Novera Yenni Elfira