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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.
Basic Life Support Training On Ability And Self- Confidence Student In Handling Cardiac Arrest Cahyadi, Faisal Ahmad; Hastuti, Apriyani; Indari, Indari; Kurniawan, Ardhiles Wahyu; Laksono, Bayu Budi; Jamil, Mokhtar; ristanto, riki; Fani, Rif'atul; Roesardhyati, Ratna; Soares, Domingos
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.27738

Abstract

Background: Basic life support or BLS is a series of first aid measures in emergency situations to save the life of someone experiencing cardiac arrest or respiratory problems. Objective This research aims to determine the effect of BLS (basic life support) training on students' knowledge and self-confidence in handling cardiac arrest in students Bachelor of Nursing Study Program ITSK RS Dr Soepraoen Malang. Method In this study, a pre-experimental research design was used, namely research in which before the research was carried out, the sample was given first in the form of a pre-test on December 18th 2024 and at the end of the study the sample was given a post-test on December 22 2024. The population in this study were college study in Department of Nursing with 160 students involving 160 students as samples using the Cluster sampling method. The independent variable in this research is Basic Life Support (BLS) training and the dependent is knowledge and self-confidence, the data from the examination results are analyzed using univariate and bivariate analysis. Results The research results showed that students' knowledge in handling cardiac arrest was mostly poor, as many as 128 students (80%). and after students took part in the training, there was an increase in students, namely to 44 people (27.50%) who answered correctly and those who answered with less marks decreased to 66 students (41.25%). Meanwhile, the level of self-confidence of students in handling cardiac arrest was found to be mostly good, 112 people (70%). Students' self-confidence also increased for the better, to 138 people (86.25%) who answered good and the remaining 22 people (13.75%) answered enough. Conclusion There is an influence of basic life support training on students' level of knowledge and self-confidence in handling cardiac arrest. It is hoped that students can apply the knowledge they have gained from BLS training and continue to increase their knowledge and self-confidence to help victims with cardiac arrest.
The Effect of Tummy Time Exercise on Gross Motor Skills in Babies Aged 3-6 months Hastuti, Apriyani; Wulan, Diah Nawang; Laksono, Bayu Budi; Kurniawan, Ardhiles Wahyu; Aung, Sa Sa
Jurnal Ilmiah Kesehatan Vol 19 No 01 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.6926

Abstract

Tummy time exercise involves positioning the baby on their stomach, allowing them to support their body weight. The purpose of this study was to determine the effect of tummy time exercise on gross motor skills in babies aged 3-6 months. This research design employed analytics using a One-Group Pretest-Posttest Design approach. The population consisted of 43 babies aged 3-6 months at the Integrated Health Service Post, known as Posyandu, in Arjowilangun Village, Malang Regency. The sampling technique was a total sampling. The time of intervention was 2 weeks. Data analysis employed the Wilcoxon Signed Ranks Test. Before giving tummy time exercise intervention, most respondents had normal gross motor skills (97.7%), and a small proportion had delayed gross motor skills (2.3%). After intervention, all respondents had advanced gross motor skills (100%). Based on the results of the Wilcoxon Signed Rank Test, there was a significant influence on gross motor skills in babies aged 3-6 months before and after the intervention, as indicated by a p-value of 0.000 and a calculated z-value of -6.487. In conclusion, tummy time exercises can significantly increase gross motor skills in babies aged 3-6 months. Parents should apply tummy time exercises to babies regularly to promote the development of gross motor skills in babies aged 3-6 months, enabling them to achieve gross motor milestones more quickly.
Pengaruh Baby Massage Terhadap Kualitas Tidur Dan Kenaikan Berat Badan Pada Bayi Usia 3-12 Bulan Imadilla, Nadine Ringgy Ayu; Hastuti, Apriyani; Kurniawan, Ardhiles Wahyu
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v11i1.28418

Abstract

Background: Baby massage has been gaining popularity recently for its ability to promote healthier, less fussy babies. It can also strengthen muscles, boost immunity, increase weight gain, reduce pain, and promote deeper sleep. Objective This research To determine the effect of baby massage on sleep quality and weight gain in babies aged 3-12 months in PMB mrs. E Kelurahan Jogotrunan Lumajang Method In this study, employed a quasi-experimental research plan with a pre-post-test control group design. Experimental research is a research design used to establish causal relationships by involving researchers in manipulating independent variables. The research design used was a pre-test and post-test experimental study with a control group that began from December 24, 2024, to January 28, 2025. The population in this study were college 40 babies aged 3-12 months in Jogotrunan sub-district, Lumajang Regenc, the data from the examination results are analyzed using univariate and bivariate analysis. Results : Research results in the experimental group (pretest) showed that most respondents had sleep quality <9 hours, namely 12 respondents (60%), while in the treatment group after (posttest) most respondents had sleep quality >9 hours, namely 16 respondents (80%). In the control group (pretest) most respondents had sleep quality <9 hours, namely 11 respondents (55%), while in the control group after (posttest) some respondents had sleep quality >9 hours, namely 12 respondents (80%). Meanwhile, in the experimental group (pretest), most respondents had a steady weight gain of 11 respondents (55%), while in the experimental group after (posttest), some respondents had a steady weight gain of 15 respondents (75%). In the control group (pretest), most respondents had a steady weight gain of 12 respondents (60%), while in the control group after (posttest), some respondents had a steady weight gain of 11 respondents (55%). Conclusion There is an influence of baby massage on sleep quality and weight gain in infants aged 3-12 months at pmb ny. e, jogotrunan village, lumajang regency, This information can be a basis for providing guidance to parents or nurses regarding the importance of baby massage in improving sleep quality and weight gain in babies aged 3-12 months.
Developmental Status of Toddlers with Stunting Sulistiyo, Agung Rahmat; Hastuti, Apriyani; Fani, Rifatul; Kurniawan, Ardhiles Wahyu
Jurnal Keperawatan Muhammadiyah Vol 11 No 1 (2026): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: The development of children who experience stunting is slower than the development of normal toddlers. Developments in this case, include gross motor, fine motor, social independence and language. This study aims to determine the development of children under-five years who experience stunting in the Public Health Center in Malang Regency. Research method The research design in this research is a descriptive study with a cross-sectional design approach. This research was conducted on 72 children under-five years in the Tajinan Public Health Center, Malang Regency, which was carried out in June- July 2022. The research instrument was the developmental pra- screening questionnaire and growth assessment using HAZ compared with z-score table. Data analysis in this study is univariate analysis. Result The results of the study showed that most of 67% had a suspect developmental level of 48 toddlers, almost half of the toddlers 28% of the aberration development had deviations of 20 toddlers and a small proportion of toddlers 5% (4 toddlers) had a normal development. Based on the research results, it is hoped health workers and health cadres will provide health education to mothers of toddlers regarding the fulfillment of essential nutrients to support the growth and development of toddlers, besides that health workers are expected to be able to monitor and evaluate toddlers with stunting cases.