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Hubungan Status Fisik ASA dan Lama Puasa dengan Kejadian PONV pada Pasien Pasca Anestesi Parwati, Putu Atika; Arta, Sang Ketut
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.v7i3.6609

Abstract

PONV menyebabkan ketidaknyamanan pada pasien, yang dapat menjadi hambatan untuk pemulihan pasca operasi. Terjadinya PONV dapat diakibatkan dengan berbagai faktor. Faktor risiko PONV dapat dibagi menjadi tiga, yaitu faktor pasien, faktor risiko anestesi dan faktor risiko operasi. Melalui penelitian ini ingin diketahui faktor risiko yang berhubungan dengan kejadian PONV pasca anestesi. Rancangan penelitian yang digunakan adalah penelitian analitik korelasi dengan pendekatan cross-sectional. Populasi yang diambil adalah pasien pasca anestesi di RS TK II Udayana, pemilihan sampel dengan consecutive sampling dengan jumlahs ampel sebanyak 97 responden. Data dikumpulkan dengan penyebaran kuesioner kemudian dianalisis univariat dilakukan dengan menentukan distribusi frekuensi dan persentase karakteristik umum responden, analisis bivariat dengan chi square dilakukan untuk mengetahui hubungan faktor risiko PONV dengan kejadian PONV. Hasil penelitian adanya faktor yang berhubungan dengan kejadian PONV yaitu lama puasa (p < 0,001) dan status fisik ASA (p 0,003). Pada penelitian ini mayoritas terjadinya PONV pada seseorang yang berpuasa > 8 jam dan memiliki status fisik ASA II.
The Relationship between Length of Work and Educational Level of Anesthetists on the Level of Knowledge About Non-Pharmacological Therapy in Treating Post-Spinal Anesthesia Hypotension Parwati, Putu Atika; Arta, Sang Ketut; Wahyuningsih, Luh Gde Nita Sri
Indonesian Journal of Global Health Research Vol 6 No 3 (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.v6i3.3515

Abstract

Pharmacological therapy in treating hypotension after spinal anesthesia causes various side effects including tachycardia, headache, edema, body electrolyte imbalance, acid base imbalance, volume overload, anaphylaxis and coagulopathy. Non-pharmacological therapy can be an alternative choice to avoid the side effects of pharmacological therapy. Knowledge is one of the things needed in implementing non-pharmacological therapy. Knowledge is influenced by several factors, including education level and length of work. Through this research, we want to know the relationship between length of work and level of education with the level of knowledge of non-pharmacological therapy. The research design used is correlation analytical research with a cross-sectional approach. The population taken were anesthetists in Bali using a total sampling technique. The sample in this study was 102 anesthetists using a total sampling technique. Bivariate analysis with the chi square test was carried out to test the relationship between length of work and level of education with the level of knowledge of non-pharmacological techniques in treating hypotension. The results of the study concluded that the level of knowledge had a significant relationship with length of work (p < 0.001) and level of education (p < 0.001).
Analysis of Factors Affecting Workload of Anesthesiologists In Indonesia Parwati, Putu Atika; Arta, Sang Ketut
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (182.152 KB)

Abstract

Anesthesiologist is one of the professions that work in the operating room in providing anesthesia nursing services and is considered as one of the medical specialties with a high workload. The purpose of this study was to determine the factors that influence the workload of anesthesiologists in Indonesia. The study design was cross-sectional. The population taken is anesthesiologist throughout Indonesia. The data analysis used is a binary logistic regression multivariate test. The results of the analysis revealed that most of the anesthesiologists had a low workload, namely 240 respondents (59.3%). Work patterns (adj. OR: 1.65) and number of working hours (adj. OR: 2.60) are factors that have a significant relationship with the workload of anesthesiologists.
Optimalisasi Manajemen Nyeri melalui Terapi Distraksi Emosional dan Visual bagi Anak dan Keluarga dengan Perawatan Paliatif Care Yusniawati, Yustina Ni Putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana; Maharyawan, I Wayan Agus; Devi, Ni Luh Putu Lusiana; Dewi, Ni Nyoman Ari Kundari; Parwati, Putu Atika; Tripayana, I Nyoman; Suyasa, Agus Baratha; Putri, I Gusti Ayu Nandita Arta; Sukmawati, Ni Wayan Eni
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.22093

Abstract

ABSTRAK Kanker pada anak adalah pertumbuhan sel abnormal yang dapat menyebar (metastasis) dan membutuhkan perawatan paliatif. Jenis kanker yang umum antara lain leukimia, tumor otak, neuroblastoma, dan osteosarcoma. Penyebab pasti belum diketahui, namun faktor genetik, paparan karsinogen, dan virus Epstein-Barr (EBV) berperan. Gejala meliputi demam menetap, nyeri berat, kelelahan, dan gangguan tumbuh kembang. Program PKM ini bertujuan mengajarkan manajemen nyeri dan pendampingan orang tua melalui terapi distraksi emosional dan visual. Pasien dan keluarga merasakan manfaat positif. Metode menggunakan action research: perencanaan, pelaksanaan, observasi, dan evaluasi. Kegiatan melibatkan Yayasan Peduli Anak Kanker Bali dan dilaksanakan melalui mewarnai, diskusi, dan pohon harapan. Hasil pretest menunjukkan rata-rata nyeri skala 4, dan posttest menunjukkan penurunan ke skala 1–2.  Kesimpulannya, terapi distraksi efektif mengurangi nyeri secara nonfarmakologis dan perlu diterapkan secara berkelanjutan dalam perawatan paliatif anak. Kata Kunci: Anak, Keluarga, Manajemen Nyeri, Distraksi Emosional dan Visual.  ABSTRACT Childhood cancer is characterized by abnormal cell growth that can metastasize and requires palliative care. Common types include leukaemia, brain tumours, neuroblastoma, and osteosarcoma. Although the exact cause remains unknown, contributing factors include genetics, exposure to carcinogens, and the Epstein-Barr virus (EBV). Symptoms may include persistent fever, severe pain, fatigue, and developmental delays. This community service program aims to educate parents on pain management and provide support through emotional and visual distraction therapy. The method applied is action research, consisting of planning, implementation, observation, and evaluation phases. Activities were conducted in collaboration with the Bali Childhood Cancer Care Foundation and included colouring, discussion, and a hope tree session. Pretest results indicated an average pain score of 4, which decreased to 1–2 in the post-test. Patients and families reported positive outcomes. In conclusion, distraction therapy is effective in reducing pain non-pharmacologically and should be sustainably implemented in pediatric palliative care. Keywords: Children, Family, Pain Management, Emotional and Visual Distraction
Implementation of Digital based Handover as an Effort to Improve Safety and Continuity of Patient Care Susanti, Ni Luh Putu Dina; Wahyuningsih, Luh Gde Nita Sri; Parwati, Putu Atika; Jiyestha Aji Dharma Aryasa
Journal Of Nursing Practice Vol. 9 No. 2 (2026): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i2.999

Abstract

Background: Digital-based handover systems have emerged as an innovative approach to standardize communication, support clinical decision-making, and enhance the integration of patient information across shifts and care units. Purpose: this study was to evaluate the implementation of a digital weighing system as an effort to improve safety and continuity of service for patients. Methods: This study used a non-experimental quantitative design with a cross-sectional approach. The sample for this study was the entire population, consisting of 220 respondents. Data collection was conducted using a standardized questionnaire with a Cronbach's alpha value of 0.88 and a Likert scale of 1–5. The data were then analyzed using descriptive statistics, normality tests, Pearson's correlation test, and simple/multiple linear regression to see the strength of the relationship and the contribution of independent variables to the dependent variable. Results: Base on result the implementation of digital weighing, the higher the safety and continuity of patient care. The r value is in the strong relationship category, indicating that the variables in this study have a strong relationship. Conclusion: The implementation of a digital-based handover system is not only a technological innovation, but also a strategic intervention in efforts to improve patient safety and continuity of service.
Kesiapsiagaan Masyarakat Dalam Menghadapi Bencana Gempa Bumi di Indonesia : Literature Review Yusniawati, Yustina Ni Putu; Lewar, Emanuel Ileatan; Putra, I Gde Agus Shuarsedana; Parwati, Putu Atika; Devi, Ni Luh Putu Lusiana; Maharyawan, I Wayan Agus; Dewi, Ni Nyoman Ari Kundari; Tripayana, I Nyoman; Suyasa, Agus Baratha; Sukmawati, Ni Wayan Eni; Putri, I Gusti Ayu Nandita Arta; Karisma, Putu Ayu; Juniawan, Putu Denny
Jurnal Sains Kesehatan Vol 32, No 3 (2025)
Publisher : Sekolah Tinggi Ilmu Kesehatan Tri Mandiri Sakti Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37638/jsk.32.3.364-373

Abstract

Kesiapsiagaan merupakan suatu proses menyiapkan masyarakat untuk siap baik secara pengetahuan, sikap, dan sarana prasarana terutama pada daerah daerah yang memiliki resiko jiwa terhadap bencana gempa bumi. Saat ini pemahaman masyarakat terkait kesiapsiagaan tergolong masih kurang dan sarana prasaranan dalam melakukan tatalaksana gempa bumi juga masih belum maksimal. Perlu dilakukan pengkajian lebih lanjut dalam melihat bagaimana kesiapsiagaan masyarakat Indonesia terhadap kejadian gempa bumi.  Tujuan penelitian ini adalah untuk mengetahui bagaimana literatur tingkat kesiapsiagaan masyarakat dalam menghdapi bencana gempa bumi di Indonesia. Penelitian ini menggunakan tinjauan literatur (literature review) yaitu google scolar. Artikel yang diperoleh dipilih berdasarkan publikasi yang diterbitkan antara tahun 2020–2025. Berdasarkan hasil tinjauan sistematis terhadap 9 artikel penelitian, diketahui bahwa kesiapsiagaan masyarakat dalam menghadapi bencana gempa bumi secara umum berada pada tingkat cukup hingga tinggi, khususnya pada daerah-daerah yang sudah mendapatkan sosialisasi, edukasi, dan simulasi bencana. Pelatihan, penyuluhan, dan pendekatan berbasis kearifan lokal terbukti efektif dalam meningkatkan pengetahuan dan kesiapsiagaan masyarakat. Namun, masih terdapat wilayah tertentu yang memiliki tingkat kesiapsiagaan rendah akibat kurangnya pemahaman terhadap risiko dan ketergantungan terhadap mitos lokal yang tidak ilmiah. Faktor lain seperti resiliensi komunitas juga berpengaruh signifikan terhadap kesiapsiagaan masyarakat. Tingkat kesiapsiagaan masyarakat Indonesia dalam menghadapi bencana gempa bumi bervariasi, dipengaruhi oleh faktor pengetahuan, sosialisasi, sarana prasarana, kearifan lokal, dan resiliensi komunitas. Upaya edukasi dan simulasi secara berkelanjutan sangat diperlukan untuk meningkatkan kesiapsiagaan masyarakat secara merata di seluruh wilayah.Kata Kunci: bencana, gempa bumi, kesiapsiagaan, masyarakat, mitigasi
Penatalaksanaan Program “TANGGUH” Pada Kelompok LLT (Layanan Lansia Terintegrasi) Dengan Kearifan Lokal Bali Yusniawati, Yustina Ni Putu; Putra, I Gde Agus Shuarsedana; Dari, Ni Putu Desy Ratna Wulan; Lewar, Emanuel Ileatan; Maharyawan, I Wayan Agus; Devi, Ni Putu Lusiana; Dewi, Ni Nyoman Ari Kundari; Parwati, Putu Atika
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 8 No. 1 (2026): Juni: Jurnal Pengabdian kepada Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/wuj.v8i1.814

Abstract

Background: The elderly are a vulnerable group requiring special attention, particularly regarding degenerative diseases like hypertension. In Melinggih Village, there are around 250 elderly residents, but participation in village activities is very low (only 57 are active). The main issues include limited information on degenerative diseases, a lack of skills in preparing traditional medicine, and weak cadre capacity in designing productive activities. Based on these conditions, this community service program (PKM) was implemented to improve the quality of life, health, independence, and productivity of the elderly, supporting the Indonesia Emas 2045 Vision and SDGs targets. Method: The research team partnered with the elderly group. Implemented solutions included education on degenerative diseases, training in making celery-based herbal drinks using Balinese local wisdom to lower hypertension, cadre mentoring, and elderly gymnastics. The program concluded with a comprehensive evaluation of participants' knowledge and skills. Results: Active activities were structured to increase elderly productivity: 1) Elderly gymnastics, educational activities, and active mentoring were conducted with the PKM team, cadres, and elderly in Melinggih Village regarding hypertension, resulting in increased knowledge and skills in managing elderly hypertension. 2) The elderly learned to make herbal drinks from celery. 3) Health cadres appeared active and collaborated well with the PKM team. Conclusion: Education on degenerative diseases, specifically hypertension, went well, successfully increasing cadres' and the elderly's understanding of their conditions to optimize health awareness. Training on traditional medicine preparation, specifically making celery drinks to lower hypertension, also progressed successfully.