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Journal : Java Nursing Journal

Implementation of Murottal Therapy to Reduce Preoperative Anxiety in Patients with Spinal Anesthesia Erlena, Erlena Winda Lestari; Lintang Suryani, Roro; Bisma Yudha, Magenda
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.60

Abstract

Background: Preoperative anxiety is a common challenge that can negatively impact surgical outcomes and patient well-being. Physiological symptoms of anxiety, such as increased heart rate, blood pressure, and sweating, highlight the need for effective management strategies. Murottal therapy, which involves listening to Qur'anic recitations, offers a non-pharmacological method for anxiety reduction. Purpose: Evaluate murottal therapy’s effectiveness in reducing preoperative anxiety. Methods: A cohort of 30 patients scheduled for spinal anesthesia was recruited for this community service initiative. Anxiety levels were measured using the Visual Analog Scale for Anxiety (VAS-A) before and after the intervention. Participants underwent murottal therapy, which involved listening to Qur'anic recitations for a designated period. Pre- and post-therapy anxiety levels were compared to evaluate the effectiveness of the intervention. Findings: Prior to murottal therapy, 60% of participants exhibited severe anxiety, and 40% had moderate anxiety. Post-therapy results showed a significant improvement: 90% of participants reported moderate anxiety, 6.7% continued to experience severe anxiety, and 3.3% reported mild anxiety. Additionally, a pocket book detailing the murottal therapy procedure was developed as a resource for implementation. Conclusions: Murottal therapy significantly reduced anxiety levels among preoperative patients, demonstrating its potential as an effective, non-invasive approach to anxiety management in surgical settings.
Providing Education on Basic Life Support to Increase Student Knowledge Billy, Billy Reihandi; Lintang Suryani, Roro; Murniati, Murniati
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.62

Abstract

Background: Basic Life Support (BLS) is an essential first aid action performed on individuals experiencing cardiac or respiratory arrest. The primary goal of BLS is to restore and maintain vital organ function through interventions like chest compressions and respiratory support. Knowledge, which arises from experience and observation, is enhanced through education. This process aims to improve understanding and, consequently, decision-making abilities. Purpose: The aim of this Community Service (PkM) project is to increase the knowledge of students at MAN 1 Banyumas regarding Basic Life Support. Method: The methods used in this PkM included lectures and discussions. The students' knowledge was assessed before and after the educational intervention using a structured knowledge questionnaire. Findings: The participants of this PkM were predominantly middle adolescents aged 15-17 years, with 29 participants (96.7%) falling within this age range. The majority were female, comprising 26 participants (86.7%). Most of the participants were in grade 11, accounting for 22 participants (73.3%). Before the educational intervention, the knowledge levels were as follows: Good: 2 participants (6.7%), Sufficient: 12 participants (40.0%), Poor: 16 participants (53.3%). After the BLS education, there was a marked improvement in knowledge, with all 30 participants (100%) achieving a "Good" level of knowledge. Conclusions: Education on basic life support at MAN 1 Banyumas significantly improved students' knowledge, with a higher percentage achieving a good understanding after the training.
The Relationship Between Age and The Incidence of Post Dural Puncture Headache in Post Sectio Caesarea Patients with Spinal Anesthesia Khofifah; Lintang Suryani, Roro; Burhan, Asmat
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.73

Abstract

Background: Caesarean Section (CS) is a surgical procedure involving incisions in the abdominal wall and uterus. Spinal anesthesia is the preferred method due to the lower maternal morbidity and mortality risks compared to general anesthesia. However, the most common complication associated with spinal anesthesia is Post Dural Puncture Headache (PDPH), caused by a dural puncture. Age is a significant factor influencing PDPH occurrence. Patients aged 20-40 are at a higher risk, while those over 50 years have a reduced risk due to the decrease in cranial elasticity and pain sensitivity with age. Purpose: This study aims to assess the correlation between age and the incidence of PDPH following spinal anesthesia in CS patients. Methods: This study employed a cross-sectional analytic correlation design. The sample included all CS patients who received spinal anesthesia and met the study criteria, totaling 35 respondents. Data were analyzed using univariate and bivariate analysis, with the correlation significance tested at 0.05 (2-tailed). Findings: The study revealed that 14.3% of respondents experienced PDPH, while 85.7% did not. A significant correlation was found between age and PDPH incidence, with a p-value of 0.05. The highest incidence of PDPH was observed in the 20-40 age group, decreasing notably in individuals aged 50 and above. Conclusion: This study highlights that PDPH risk is highest in patients aged 20-40 and significantly decreases in patients older than 50. Age-related changes in cranial structure and pain sensitivity likely contribute to this decreased risk.