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All Journal Jurnal Ners West Science Interdisciplinary Studies Journal of Innovative and Creativity
Maria Delviana Nurdiani
Politeknik Tiara Bunda
Humanities Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Social Sciences Other

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Descriptive Analysis of Blood Pressure Changes Before and After Spinal Anesthesia in Patients with Respiratory System Comorbidities at Khidmad Sehat Afiat Regional General Hospital in 2023 Maria Delviana Nurdiani
West Science Interdisciplinary Studies Vol. 1 No. 01 (2023): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v1i01.1586

Abstract

Surgery using the Sectio caesarea (C-section) method is frequently performed on pregnant women, especially in Indonesia. Therefore, the Obstetric Anesthesia Guidelines recommend the use of spinal/epidural anesthesia techniques over general anesthesia for most C-section cases. However, this anesthesia procedure can induce changes in hemodynamic parameters, such as a decrease in blood pressure. To determine blood pressure changes before and after spinal anesthesia in patients undergoing C-section at RSUD Depok. This study is a qualitative descriptive case study using case analysis and cross-case analysis methods. Data collection was conducted using observation sheets as research instruments. Participants in this study consisted of two patients undergoing the C-section procedure. Findings from the study indicate that before the administration of spinal anesthesia, systolic blood pressure, diastolic blood pressure, and MAP were within the normal range. However, after spinal anesthesia administration, there was a decrease in systolic blood pressure, diastolic blood pressure, and MAP between the fifth and tenth minutes. This is associated with the onset time of the spinal anesthesia drug, which typically occurs within five to ten minutes after administration, and the typical effect of reducing blood pressure of the drug, especially in patients undergoing C-section at RSUD Depok. A decrease in blood pressure occurs after the administration of bupivacaine-type spinal anesthesia drug, with a dose of 0.5% bunascan 20 mg.
Description of Anxiety Level in Patients Sectio Caesarian Preoperation with Spinal Anesthesia at X Public Hospital Maria Delviana Nurdiani; Amirotun Nabila
West Science Interdisciplinary Studies Vol. 3 No. 02 (2025): West Science Interdisciplinary Studies
Publisher : Westscience Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58812/wsis.v3i02.1666

Abstract

Preoperative anxiety is an anticipatory response to an experience that is considered by the patient as a threat in the role of life, body integrity, and even life itself (Agustin, 2020). Influential factors are husband's support, postpartum complications, age, parity, and type of SC (Irawati, 2017 in Imani, 2020). The sources of preoperative anxiety are broadly divided into two, namely anxiety about anesthesia and anxiety about surgical procedures. (Jawaid M et.al, 2016). Spinal anesthesia techniques can be performed in Sectio Caesarea with the main advantages of this technique are the risk of aspiration in the mother is lower, the baby is not exposed to drugs that cause respiratory depression, the patient remains conscious during surgery and maintains the airway, and requires minimal postoperative and analgesia treatment (Morgan, 2013). Aim of study: This study aims to describe the level of anxiety of preoperative Sectio Caesarea patients with spinal anesthesia at the X Public Hospital. Method of Research: This study was a descriptive survey with a cross sectional design conducted from February to March 2022. The population in this study was 208 patients with a sample of 32 patients. The sampling technique used in this research is Quota Sampling. Result: The results of this study were 43.8% of respondents experienced mild anxiety. In the age group less than 30 there are 25% of patients who experience moderate anxiety. The results of the study indicate that at all levels of education, respondents generally experience mild anxiety and it is also found that at the level of experience, respondents generally experience mild anxiety. Conclusion: More than half (56.3%) of respondents are under 30 years old with the dominant education level of respondents being SMA (46.9%). Almost half (43.8%) of respondents who underwent cesarean section surgery with spinal anesthesia at the X Public Hospital experienced mild anxiety.
Hubungan Saturasi Oksigen Pasien Dengan Penyakit Penyerta Sistem Respirasi Pasca General Anestesi Di Rumah Sakit X Bogor Yusdi Ghazaly; Niati Ambarsari; Maria Delviana Nurdiani
Journal of Innovative and Creativity (Joecy) Vol. 6 No. 2 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i2.14088

Abstract

Pasien dengan penyakit penyerta sistem respirasi memiliki risiko lebih tinggi mengalami komplikasi pasca anestesi, salah satunya adalah komplikasi sistem respirasi. Nilai saturasi oksigen yang rendah (<94%) dapat menyebabkan hipoksia, bahkan kematian jaringan yang berdampak pada proses penyembuhan pasca operasi. Tujuan pada penelitian ini adalah Menghubungkan saturasi oksigen pasien dengan penyakit penyerta sistem respirasi pasca general anestesi di RS X Bogor. Penelitian ini menggunakan metode descriptive observasional dengan pendekatan time series, melibatkan 60 pasien yang telah memenuhi kriteria inklusi yang diambil dengan teknik consecutive sampling di ruang IBS RS X Bogor. dengan instrumen lembar observasi dan pulse oximetry. Data dianalisis dengan Analisa data univariat. Sebanyak 6 pasien (10%) dari 60 responden mengalami hipoksia pasca general anestesi saat observasi menit ke-5 dengan karakteristik, responden, umur 40-60 tahun dengan penyakit PPOK dan Asma, ASA II, ASA III, ASA IV, teknik anestesi ETT, dan equipment pasca anestesi simple mask, dan nilai CRT >2 detik. Sedangkan saat observasi sebelum pasien dipindahkan ke ruang rawat inap seluruh responden menunjukkan saturasi oksigen normal. Kejadian hipoksia dapat dicegah dengan penatalaksaan oksigenasi yang tepat. Pemeriksaan evaluasi pre-operasi harus dilakukan dengan baik dalam menurunkan risiko komplikasi pasca anestesi.
Pengalaman Praktisi Anestesi Dalam Pengambilan Keputusan dan Keterampilan Dalam Manajemen Jalan Napas di Rumah Sakit Bhayangkara Brimob Studi Fenomenologi Maria Delviana Nurdiani; Yusdi Ghazaly; Hormat Janner Manurung; Vini Anjelia Pattinaja
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62102

Abstract

Failure in airway management is one of the main causes of morbidity and mortality in patients, especially in emergency situations. Anesthesia practitioners, particularly anesthesia nurses and anesthesia technicians, are required to have technical skills, quick decision-making, and clinical intuition formed through work experience. Objective this study aims to qualitatively explore the impact of work experience on the skills and decision-making of anesthesia practitioners in emergency airway management. Methods this study used a qualitative design with an interpretive phenomenological approach. Participants were selected using purposive sampling, consisting of four anesthesia practitioners with 2 to 25 years of work experience at Bhayangkara Brimob Hospital in Depok. Data were collected through semi-structured in-depth interviews that were recorded and transcribed, supplemented with field notes. Data analysis was performed using Interpretative Phenomenological Analysis (IPA). Results data analysis yielded three main themes, namely: (1) the strategic role of anesthesiologists in airway management, including preparedness for complications, collaboration with anesthesiologists, and vigilance throughout the perioperative period; (2) quick and accurate clinical decision-making, with reflex responses to emergency conditions, visual clinical evaluation, and effective communication with the team; (3) technical skills and clinical intuition, in the form of mastery of airway devices, accuracy of actions based on experience, and intuition in detecting risks. Conclusion this study shows that work experience greatly influences the technical skills, response speed, and clinical intuition of anesthesiologists. Continuous training and team collaboration are essential for improving patient safety.
Pengaruh Early Mobilization Terhadap Peningkatan SpO2 dan RR Pasien Post Operasi General Anestesi di Recovery Room Vini Anjelia Pattinaja; Maria Delviana Nurdiani; Eva Ria Sentika
Journal of Innovative and Creativity (Joecy) Vol. 6 No. 2 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i2.14562

Abstract

Early mobilization merupakan intervensi keperawatan untuk mempercepat pemulihan pasien pasca operasi dengan anestesi umum, terutama dalam meningkatkan fungsi respirasi. Pasien berisiko mengalami penurunan saturasi oksigen dan perubahan frekuensi napas. Pedoman Enhanced Recovery After Surgery (ERAS) merekomendasikan mobilisasi dalam 24 jam pertama setelah operasi. Tujuan penelitian adalah untuk mengetahui pengaruh early mobilization terhadap saturasi oksigen dan frekuensi napas pada pasien pasca operasi dengan anestesi umum. Metode: Desain pre-eksperimental one group pretest-posttest design. Sampel sebanyak 33 pasien melalui purposive sampling. Data dikumpulkan melalui observasi dan pengukuran SpO2 menggunakan pulse oximeter dan RR sebelum dan sesudah intervensi. Analisis menggunakan uji Paired T-Test. Hasil penelitian menunjukan sebelum intervensi, seluruh responden memiliki SpO2 <95% dan sebanyak 57,6% mengalami takipnea. Setelah early mobilization, seluruh responden mencapai SpO2 ≥95% dan RR dalama batas normal. Uji Wilcoxon menunjukkan nilai p=0,000 (p<0,05). Early mobilization efektif meningkatkan saturasi oksigen dan memperbaiki frekuensi napas, sehingga direkomendasikan sebagai intervensi keperawatan untuk mempercepat pemulihan fungsi respirasi.
Co-Authors Amirotun Nabila Eva Ria Sentika Hormat Janner Manurung Niati Ambarsari Vini Anjelia Pattinaja Yusdi Ghazaly