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All Journal Jurnal Keperawatan Muhammadiyah Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)
Hastuti, Apriyani
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Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Subarachnoid Block Anesthesia as a Predictor of Perioperative Hypothermia in Cesarean Deliveries: A Clinical Study Hastuti, Apriyani; Kurniawan, Ardhiles Wahyu; Rinanda, Nazri
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i2.778

Abstract

Background: Hypothermia, defined as a decrease in core body temperature below normal levels, is a common perioperative complication in patients undergoing surgical procedures, including cesarean section (CS). Subarachnoid Block (SAB) anesthesia has been identified as a contributing factor due to its thermoregulatory effects. Objective: This study aimed to evaluate the impact of SAB regional anesthesia on the occurrence of perioperative hypothermia in patients undergoing cesarean section. Methods: A pre-experimental study with a pretest-posttest design was conducted involving 60 cesarean section patients receiving SAB anesthesia at Al Fuadi General Hospital, Binjai. Body temperature measurements were taken before and after SAB administration. Data were analyzed using paired sample t-tests. Results: Prior to the administration of SAB anesthesia, the majority of patients (91.7%) exhibited normal body temperature, with a mean pretest temperature of 36.8°C (±0.3172). Following SAB administration, all patients (100%) developed hypothermia, with a mean posttest body temperature of 34.9°C (±0.4873), reflecting an average temperature decrease of 1.9°C. Statistical analysis indicated a significant effect of SAB anesthesia on the incidence of perioperative hypothermia (p = 0.000, p < 0.05). Conclusion: The administration of SAB regional anesthesia significantly increases the risk of perioperative hypothermia in cesarean section patients. Preventive strategies in clinical practice should include continuous monitoring of patient body temperature before, during, and after SAB administration to enable early detection and intervention, thereby reducing hypothermia-related complications.
Hubungan Perception Barriers Dengan Keaktifan Kunjungan Ibu Dalam Posyandu Balita Widiya Wati, Roidah Hadis; Kurniawan, Ardhiles Wahyu; Hastuti, Apriyani
Jurnal Keperawatan Muhammadiyah Vol 10 No 1 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i1.25012

Abstract

The success of the posyandu program is very dependent on the active participation of the community, especially mothers with toddlers, but the reality on the ground is that the level of activity of mothers visiting posyandu is still often low. Various factors can influence this activity, one of which is the perceived barriers felt by the mother. Objective: The aim of this research is to analyze perception barriers with mothers' activeness in posyandu activities. Methods: This research design uses analytics with a cross-sectional approach. The population in this study were mothers who had participated in posyandu activities for at least 6 months. This research instrument uses a perception barriers questionnaire from the health belief model theory and documentation studies from the results of posyandu visits. Results: In this study the p-value obtained was 0.001. This shows that there is a relationship between perceived barriers and the activeness of mothers' visits to toddler posyandu. The main factors that influence perceptions of barriers include the mother's lack of understanding of the benefits of posyandu, lack of adequate posyandu facilities, and time constraints due to the mother's busy schedule. Conclusion: there is a significant relationship between perception barriers and the activeness of mothers' visits to toddler posyandu. The higher the perceived barriers, the lower the mother's active level of visitation.
Co-Authors Kurniawan, Ardhiles Wahyu Rinanda, Nazri Widiya Wati, Roidah Hadis