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All Journal Jurnal Kesehatan Ilmiah Indonesia / Indonesian Health Scientific Journal Citra Delima Scientific journal of Citra Internasional Institute Java Nursing Journal
Emiliani Elsi Jerau
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Gambaran Angka Kejadian Post Dural Puncture Headache pada Pasien Sectio Caesarea Pasca Spinal Anestesi sipayung, veni gratia sipayung; Danang Tri Yudono; Emiliani Elsi Jerau
Jurnal Kesehatan Ilmiah Aufa Royhan Vol 9 No 2 (2024): Vol. 9 No. 2 Desember 2024
Publisher : Universitas Aufa Royhan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/health.v9i2.1680

Abstract

Post Dural Puncture Headache (PDPH) merupakan kondisi yang umum terjadi setelah tindakan medis yang melibatkan tusukan dura, seperti prosedur epidural atau tulang belakang, kondisi ini dapat terjadi ketika tusukan tersebut menyebabkan kebocoran cairan serebrospinal. Kasus PDPH jarang terjadi komplikasi, namun PDPH yang berkepanjangan dapat mempengaruhi kualitas hidup bahkan kematian. Penelitian ini bertujuan mengetahui gambaran angka kejadian PDPH pada pasien sectionio cesarea pasca anestesi tulang belakang. Metode penelitian ini adalah kuantitatif dengan metode observasional rancangan cross-sectional . Sampel penelitian ini adalah pasien yang menjalani operasi sectionio caesarea dengan anestesi tulang belakang sejumlah 32 responden. Teknik pengambilan sampel penelitian ini adalah aksidental sampling . Hasil penelitian menunjukkan sebagian besar responden pada rentang usia 30 - 39 tahun yang mengalami PDPH sejumlah 5 responden (15,6%), responden yang memiliki riwayat sakit kepala sebelumnya yang mengalami PDPH sejumlah 5 responden (15,6%), sebagian besar responden yang menggunakan ukuran jarum 25G yang mengalami PDPH sejumlah 9 responden (28,1%). Responden yang mengalami PDPH dengan kategori nyeri ringan sejumlah 2 responden (6,3%), dan nyeri sedang sejumlah 7 responden (21,8%), sehingga dapat disimpulkan faktor usia, riwayat sakit kepala sebelumnya, dan penggunaan ukuran jarum yang berhubungan dengan kejadian PDPH . Penelitian tentang faktor-faktor yang berhubungan dengan kejadian PDPH masih perlu dikembangkan untuk mendapatkan informasi yang lebih luas
The Influence Of Murottal Therapy Of Surah Ar-Rahman On Pre-Operative Anxiety Of Patients Undergoing Caesarean Section With Spinal Anesthesia rahman, Deni; Amin Sutanto; Emiliani Elsi Jerau
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/314t5a54

Abstract

Anxiety is a common psychological problem experienced by patients before undergoing surgical procedures, including cesarean section under spinal anesthesia. Uncontrolled anxiety may negatively affect physiological stability and interfere with the success of medical procedures. Recitation of the Holy Qur’an (murottal) is recognized as a non-pharmacological intervention capable of inducing relaxation and reducing anxiety. This study aimed to determine the effect of murottal recitation of Surah Ar-Rahman on anxiety levels among pre-operative cesarean section patients at RSU An Ni’mah Wangon. A pre-experimental one-group pretest–posttest design was used involving 37 respondents selected through purposive sampling based on inclusion criteria. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after a 15-minute Surah Ar-Rahman audio recitation. Data were analyzed using paired statistical tests (Paired Sample T-Test or Wilcoxon Signed-Rank Test), with the Wilcoxon test applied due to non-normal data distribution. The results showed that before the intervention, most respondents experienced moderate (43.2%) and severe (40.5%) anxiety. After the murottal recitation, anxiety levels decreased significantly (p < 0.05). A small number of respondents remained in the severe anxiety category, potentially due to high baseline anxiety, limited intervention duration, and individual factors such as spiritual engagement and family support. In conclusion, murottal recitation of Surah Ar-Rahman effectively reduced anxiety in pre-operative cesarean section patients under spinal anesthesia. The novelty of this study lies in its focus on a specific surgical population and its evaluation of Surah Ar-Rahman as a structured, standardized, and practical non-pharmacological intervention for anesthesiology nursing practice.
The Effect of Combination of Benson Relaxation and Natural Sounds on Pain Levels in Postoperative Section Caesarea Dyah Triwulan; Emiliani Elsi Jerau; Suci Khasanah
Java Nursing Journal Vol. 4 No. 1 (2026): November - February
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v4i1.143

Abstract

Background: Patients who undergo cesarean sections typically experience postoperative pain, which can cause stress, hinder movement, and delay recovery. Pain can be managed through pharmacological and non-pharmacological therapies, one of which is the combination of Benson Relaxation and natural sounds. Purpose: To evaluate the effect of combining Benson relaxation and natural sounds on pain levels in patients after cesarean section at Bunda Arif Purwokerto Mother and Child Hospital. Methods: A single-group pre-test design was used, with 32 participants selected randomly. Pain was measured using a Numerical Rating Scale (NRS) before and after the intervention. Pain was reassessed after a 15-minute intervention. Results: Before the intervention, the majority of participants reported moderate pain (31 participants, 96.9%). After the intervention, the majority reported mild pain (30 participants, 93.8%). The Wilcoxon signed-rank test yielded a p-value of 0.001 (<0.05), suggesting the combination of Benson relaxation and natural sounds significantly reduces pain. Conclusion: This combination technique is effective as a complementary therapy for pain management following cesarean section. Relevance to clinical practice: This simple 15-minute intervention can be integrated into routine post-cesarean nursing care to reduce pain and promote comfort. It is low-cost, non-invasive, and easy to deliver, supporting early mobilization and recovery while potentially reducing reliance on analgesics and related side effects.
Co-Authors Amin Sutanto Danang Tri Yudono Deni Rahman Dhea Wulandary Dyah Triwulan Made Suandika Mochammad Farrel Rizki Ramdhani Sindy, Sindy Amelia sipayung, veni gratia sipayung Suci Khasanah