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Bisma Yudha, Magenda
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Java Nursing Journal

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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

Abstract

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.
Description of Anesthesia Maintenance Drug Therapy In General Anesthesia Patients luthfi, Ahmad Luthfi Virgiawan Habibi; Suandika, Made; 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.v3i1.99

Abstract

Background: The purpose of general anesthesia is analgesia, eliminating anxiety, amnesia, and loss of consciousness, and suppressing cardiovascular, motor, and hormonal responses to surgical stimulation. Administering sedative and analgesic drugs is an important component in treating all critical patients. Sedatives and analgesics are used for pain management, helping to relieve patient anxiety and discomfort during invasive diagnostic and therapeutic procedures. The main indications for the use of sedatives and analgesics are to treat pain, anxiety, and agitation, amnesia, help in adjusting breathing with mechanical ventilation, and overcome decreased cellular metabolism in patients. The choice of anesthetic drug should be based on patient characteristics and conditions related to surgery and costs. The patient's condition must be really good to receive anesthesia, therefore, to avoid undesirable effects from administering anesthetic drugs, the choice of anesthetic drugs should be based on patient characteristics and conditions related to surgery and costs. During surgery, patients receive various anesthetics as maintenance anesthesia. Purpose: To understand the description of anesthesia maintenance drug therapy in general anesthesia patients at RSI Purwokerto. Method: This research is descriptive quantitative research with a cross-sectional approach. The sample used in this study was 92 general anesthesia patients at RSI Purwokerto. The sampling technique in this research used purposive sampling. Research Results: The anesthesia maintenance drug used at RSI Purwokerto was Sevoflurane as much as 80 (87%), and midazolam was used as much as 2 (2.2%). Conclusion: Most of the anesthesia maintenance drugs given to patients at RSI Purwokerto are sevoflurane.
The Chest Physiotherapy to Manage Respiratory Rate In Patients with Bronchopneumonia: A Literature Review: Indonesia Bisma Yudha, Magenda; Wardoyo, Eko
Java Nursing Journal Vol. 1 No. 1 (2023): March - June 2023
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i1.6

Abstract

Purpose: Knowing the application of chest physiotherapy techniques can manage respiratory rates in children with bronchopneumonia. Methods: This review uses the literature review method. Searches were conducted in PubMed, Garuda, and Google Scholar. The search strategy used keywords with "bronchopneumonia", "chest", "physiotherapy", "respiratory rate". Findings: There were eight articles reviewed in this literature review. Seven articles discussed the application of chest physiotherapy and one article discussed the combination of nebulization therapy and chest physiotherapy in bronchopneumonia or pneumonia patients in children. The overall results of this review show that the application of chest physiotherapy in airway clearance problems in children with bronchopneumonia or pneumonia is effective in removing sputum, diluting sputum, and stabilizing hemodynamic status. Conclusions: The application of chest physiotherapy in children with bronchopneumonia or pneumonia has been shown to stabilize hemodynamic status such as pulse frequency, respiratory rate frequency, oxygen saturation within normal limits, and can remove secretions, sputum, and reduce cough frequency.
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.
Operating Room Orientation Using Visual Media Virtual Reality Box (Vr.Box) On Decreasing The Level of Fear of Pre Operation Patients Hidayat, Wahyu; Sukmaningtyas, Wilis; 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.v2i3.72

Abstract

Background: Effective new patient orientation is crucial in reducing preoperative anxiety, which can significantly impact patient outcomes. Anxiety in patients often stems from unmet needs for security and fear of imminent threats. The Virtual Reality Box (VR Box) has emerged as a potential tool to alleviate this anxiety by providing a distracting and calming experience. Purposes: This study evaluates the impact of operating room orientation on preoperative anxiety levels, with a focus on its effectiveness when combined with VR Box technology. Methods: This study utilized the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to measure anxiety levels in patients before and after receiving operating room orientation. The intervention involved providing comprehensive orientation about the nursing process and surgical environment. A total of [number] preoperative patients participated in the study, and their anxiety levels were assessed pre- and post-orientation. Findings: The analysis revealed a reduction in average anxiety levels from 20.1% before the orientation to 16.2% after the orientation, indicating a 3.9% decrease in anxiety. This suggests that the orientation process effectively mitigated some of the anxiety associated with preoperative procedures. Conclusion: The findings demonstrate that operating room orientation can significantly reduce preoperative anxiety. The integration of orientation strategies with tools such as the VR Box could enhance patient comfort and preparedness, potentially improving overall surgical outcomes. Future research should explore the long-term benefits and potential enhancements of combining orientation with advanced anxiety-reducing technology.
Co-Authors Erlena, Erlena Winda Lestari Lintang Suryani, Roro luthfi, Ahmad Luthfi Virgiawan Habibi Made Suandika Putri, Putri Adawia Tri Yudono, Danang Wahyu Hidayat Wardoyo, Eko Wibowo, Jovanca Christy Amara Wilis Sukmaningtyas