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Overview of Workload on Anesthesians in The Banyumas Region Putri, Putri Adawia; Lintang Suryani, Roro; Bisma Yudha, Magenda
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.90

Background: Workload is, by definition, that which involves the existence of certain tasks imposed with certain deadlines; excess performance may sometimes lead to boredom. Life in an intensive care unit and operating room is quite labor-intensive. Interpersonal skill management is crucial for anesthetists in maintaining efficiency and avoiding burnout. Stress and tension are brought about by workloads, and indeed anesthetists experience some bodily and mental fatigue in performing their jobs. The administrators of anesthesia are health care personnel charged with overseeing the anesthetic care of a patient during anesthesia management, which includes before, during, and after anesthesia. Purpose: The aim of this study was to evaluate the workload of anesthetists working in the Banyumas area. Methods: The descriptive survey design in its combination of qualitative and quantitative approaches casts upon a cross-sectional design of this study. A total of 47 respondents were taken as samples; a complete sampling method was adopted. A specifically designed questionnaire was administered to respondents for data collection constituting 12 closed-ended questions. Results: It was found that three participants (6.4%) reported no workload, ten participants (21.3%) were considered to be under light workload, twenty-five participants (53.2%) worked under medium workload conditions, and nine participants (19.1%) were given heavy workload. Conclusion: In general, anesthetists working in the central surgical installation room at Banyumas District Hospital are assessed to be under a light workload.

The Overview of the Incidence of Hypotension After Spinal Anesthesia Induction in Sectio Caesarea Patients During Intra Anesthesia at Juanda Kuningan Hospital West Java: English Hidayatullah, Riki; Lintang Suryani, Roro; Dewi, Pramesti
Java Nursing Journal Vol. 1 No. 2 (2023): July - October 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.7

Purpose: This study aimed to identify the incidence of hypotension after spinal anesthesia induction in SC patients during intra-anesthesia based on Body Mass Index (BMI), age, and baseline systolic blood pressure at Juanda Kuningan Hospital. Methods: This study used a quantitative descriptive method with a cross sectional approach. The sample in this study were all SC patients with spinal anesthesia techniques who met the criteria. The sampling technique used was purposive sampling with the slovin formula resulting in 90 respondents. And data analysis using univariate analysis. Findings: The results showed that the majority of respondents who experienced mild hypotension with excessive BMI status were 50 respondents (58.8%), the majority of respondents who experienced mild hypotension with early adulthood were 52 respondents (61.2%) and the majority of respondents who experienced mild hypotension with initial systolic blood pressure were at initial systolic blood pressure <120 mmHg and 120-130 mmHg as many as 31 respondents (36.5%). Conclusions: The results of this study illustrate that the majority of respondents will experience hypotension after spinal anesthesia induction. This is because spinal anesthesia can block sympathetic nerves, resulting in a decrease in circulating arterial tone, this condition causes peripheral arterial vasodilation. This vasodilating effect can result in a decrease in vascular resistance (hypotension). For further researchers to be able to develop this study to look for other variables that may be associated with the incidence of hypotension after induction of spinal anesthesia in SC patients so that the results of the study will show more variation.

The The Impact of Progressive Muscle Therapy on Anxiety Levels Among Pre-Anaesthesia Patients at RSI Banjarnegara: English Lolandia Septin, Cita; Lintang Suryani, Roro; Utami, Tin; Suandika, Made
Java Nursing Journal Vol. 1 No. 2 (2023): July - October 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.9

Purpose: Determine the effect of progressive muscle therapy on the anxiety level of pre-anesthesia patients at RSI Banjarnegara. Methods: This type of research is pre experiment pre test and post test with one group design. The sample technique in this study used purposive sampling of 37 pre-anesthesia patients. Data were taken using measurements of anxiety before and after progressive muscle therapy. This research instrument used questionnaires and SOP for progressive muscle therapy. Result: The anxiety level of respondents before being given progressive muscle therapy was the majority of 26 respondents (70.3%) experienced moderate anxiety. The anxiety level of respondents after being given progressive muscle therapy was the majority of 20 respondents (54.1%) experienced mild anxiety. The results of data analysis in this study with paired t test showed a value of (p) 0.000 ˂ 0.05. Conclusion: This shows that there is a significant influence on the provision of progressive muscle therapy at RSI Banjarnegara. Based on the results of the study, it is expected that the Banjarnegara RSI service will use progressive muscle therapy to reduce pre-anesthesia anxiety levels

The Effect Of Audio Visual Health Education On The Anxiety Level Of Pre-Operative Patients With Spinal Anesthesia At Hj. Anna Lasmanah Banjarnegara Hospital Zetra Irawan, Aditha; Lintang Suryani, Roro; Utami, Tin
Java Nursing Journal Vol. 1 No. 2 (2023): July - October 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.11

Purposive: Determine the effect of audio-visual health education using video media about spinal anesthesia on the anxiety level of preoperative patients with spinal anesthesia at Hj. Anna Lasmanah Banjarnegara hospital. Methods: This type of research is pre experiment pre test and post test with one group design. The sample technique in this study used purposive sampling of 92 pre-anesthesia patients. Data were taken using measurements of anxiety before and after provision of audio visuals on spinal anesthesia. This research instrument used questionnaires and audio visual media. Result: Before being given audio-visual health education spinal anesthesia most respondents experienced moderate anxiety of 45.7% and after being given some respondents experienced mild anxiety of 51.1%. The results of this study showed that there was an effect of providing audio-visual health education on the anxiety level of preoperative patients with spinal anesthesia as evidenced by a p value of 0.000 (0.000 0.005. Conclusion: There is an effect of providing audiovisual health education on the anxiety level of preoperative patients with spinal anesthesia at Hj. Anna Lasmanah Banjarnegara hospital.

The Overview Of Spinal Anesthesia Injection Techniques At RSI Fatimah Cilacap Baroki Saragih, M.Nuhas; Lintang Suryani, Roro; Burhan, Asmat
Java Nursing Journal Vol. 1 No. 2 (2023): July - October 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.17

Background: Spinal anesthesia is said to be safer than general anesthesia. However, spinal anesthesia itself has several kinds of special obstacles in performing injection techniques, there are a number complex variables that can cause these obstacles, including difficulty in marking injections, failure in needle placement, age, Body Mass Index (BMI), spinal anatomical abnormalities, patient position at the time of needle placement, and the level of experience of spinal performers. Purpose: This study was to determine the description of spinal anesthesia injection techniques at RSI Fatimah Cilacap. Methods: This research method uses a quantitative approach with a descriptive type of research. Total sampling was used to select the sample for this study. Total sampling is a sampling method that uses the sample size of the entire population as the sample size. Results: this study indicate that the median injection technique is more dominant in using the median injection technique with the number of respondents as many as 23 (62.1%), while with the paramedian injection technique only 14 (37.8%) respondents based on the age of the respondent, while based on the BMI of the respondent, anesthesia stylists are more dominant in using the median injection technique as many as 23 (62.1%) respondents, on the contrary with the paramedian injection technique as many as 14 (37.8%) respondents. Conclusions: this study shows that anesthesiologists at RSI Fatimah Cilacap more often use spinal anesthesia injection techniques with median techniques compared to paramedian injection techniques at certain ages and Body Mass Indexes.

Impact of Visual and Aural Education on the Anxiety Level of Patients Under Spinal Anesthesia for Preoperative Caesarean Section Anggara, Ari; Triyudono, Danang; Lintang Suryani, Roro
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.32

Background: The implementation of Sectio Caesarea (SC) requires anesthesia to relieve pain in patients who will undergo surgical procedures. SC action can cause anxiety in pregnant women who will undergo surgery. Purpose: Knowing the effect of audiovisual education on the anxiety level of preoperative ectio caesarea patients with spinal anesthesia at RSUD dr. H. Soemarno Sosroatmodjo Tanjung Selor. Method: This research design uses a pre-experimental design with a Pre and post-test without control approach. Accidental sampling technique. The number of samples obtained was 40 respondents. Measurement of anxiety using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) with audio visual education intervention. Findings: The age of the patients was mostly in the category of 20-35 years, 35 patients (87.5%) and the majority of parity with primiparous 24 patients (60%), Anxiety of preoperative cesarean section patients before giving audio visual education about cesarean section surgery with spinal anesthesia the majority with moderate anxiety 25 patients (62.5%), Anxiety of preoperative cesarean section patients after giving audio visual education about cesarean section surgery with spinal anesthesia the majority with not anxious or normal a total of 21 (52.5%). Conclusion: There is an effect of audio-visual education on the anxiety level of preoperative sectio caesarea patients with spinal anesthesia at RSUD dr. H. Soemarno Sosroatmodjo Tanjung.

Description of Parenteral Anxiety With Children Who Will Undergo Anxiety Sukma Satriyawan, Ade; Lintang Suryani, Roro; Novitasari, Dwi; Suandika, Made
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.45

Background: Pediatric pain associated with invasive medical procedures is a significant cause of anxiety for parents. Most parents experience preoperative anxiety and fear. Purpose: The study aims to describe the anxiety of parents with children who will undergo anesthesia at IBS RSU Afdila Cilacap 2023. Methods: The research conducted is Quantitative research with descriptive design. The approach that will be used during the research is cross sectional, the sample in this study is using the Total Sampling method as many as 31 respondents. Data were collected using a questionnaire instrument used in this study, the Indonesian version of the Hamilton Anxiety Rating Scale (HARS) parental anxiety questionnaire sheet. Result: The results of most of the moderate anxiety were 17 respondents (54.8%), at the age of the child most children aged 12-18 years with moderate parental anxiety as many as 9 respondents (29.0%), in the gender of the parents most female gender with moderate anxiety as many as 12 respondents (38.7%), the employment of parents most private jobs with moderate anxiety as many as 12 respondents (38.7%). Conclusion: there is still severe anxiety in as many as 7 respondents from this study, so there must be treatment or intervention to reduce parental anxiety in children who will undergo surgery.

Factors Associated with the Incidence of Hypotension in Patients With Spinal Anesthesia Gani, Evita; Triyudono, Danang; Lintang Suryani, Roro
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.50

Background: Spinal anesthesia is a regional anesthetic that functions in inhibiting the spinal nerves in surgical attempts. Spinal anesthesia also has complications, one of which is hypotension. Purpose: to determine the factors of hypotension in patients with spinal anesthesia at Mayjend Hospital. H. M. Ryacudu North Lampung. Methods: using analytic correlation with a cross sectional approach. Sample technique with purposive sampling. The number of samples was 56 respondents. The study used observations containing post-anesthesia data including age, gender, BMI, and type of drug and the incidence of hypotension. Findings: The age of the respondents was mostly in the early adult category, 21 (37.5%). Male gender is 28 (50%) and female is 28 (50%), the majority of BMI with normal category is 24 (42.9%), the type of anesthesia is Bupivacaine 28 (50%) and Levobupivacain 28 (50%).There is no relationship between age, gender and type of drug with hypotension with p_value>0.05 Conclusion: there is a relationship between BMI and hypotension in post-spinal anesthesia patients at RSD Mayjend. H. M. Ryacudu North Lampung with a p-value of 0.00 (<0.05).

Overview of Intra Anesthesia Hemodynamic Status in Patients with Spinal Anesthesia Action Rahman; Lintang Suryani, Roro; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.51

Background: Hemodynamic observation during spinal anesthesia is necessary to assess the status of a patient's cardiovascular system. Hemodynamic decline is one of the most common acute complications that can occur in spinal anesthesia. Purpose: to determine the description of intra-anesthesia hemodynamic status in patients with spinal anesthesia at Morowali Hospital. Methods: This research design uses descriptive design. The sampling technique with total sampling obtained 85 patients who performed spinal anesthesia. The research instrument contains monitoring the patient's vital signs including systole blood pressure, diastole, pulse frequency, and MAP value. Results: The age of patients is most with early adulthood at 33 (38.8%) and the least with the elderly category at 2 (2.4%). The gender of the respondents was mostly female with 51 (60%). The type of surgery with the majority with major surgery amounted to 51 (60%) and the most ASA status with ASA 2 amounted to 74 (87.1%). Conclusion: hemodynamic status based on systole and diastole blood pressure in the normal category was 63 (74.1%), based on pulse frequency the majority with normal status was 58 (68.2%), based on MAP values the majority with normal was 53 (62.4%).

Description Of Blood Pressure After Injection Of Spinal Anesthesia In Caesaria Sectio Patients At Dr. Soedirman Hospital Kebumen Primadiyadi, Syaikh Azib Esa; Susanto, Amin; Lintang Suryani, Roro
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.53

Background: Every surgical procedure cannot be separated from anethesia. Brodly speaking, anesthesia divideed into three, general anethesia, regional anesthesia and local anethesia. Seectio caaesarea is one of the most frequently performed operations for birthing process. SC is type of fetal delivery through an open abdominal incision (laparatomy) and an incision in the uterus (hysterectomy). Spinal anethesia is atechnique that has anagesic properties that relieves the patient’s pain but still maintains the patient’s consciousness. Purpose: the aim of this study was to determinne the picture of blood pressure after spinal anethesia injection in pre-caesarean section patients at Dr soedirman Hospital Kebumen. Methods: The method used in this research is quantitaive observational analysis. Quantative research with analytical observational research, namely observing a phenomenon between risk factors and effect factors.Results: The results of this study show that caracteristics of the most respondents in this study were 26-35 years old, 25 respondents (48,1%), and 35 respondents (67,3%) with a history of caesarean section for the first time. Conclusions: in generaal, resnpondents did not experience changes in blood pressure after spinal anethesia infection, but some patients experienced hypotension.

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