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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kesehatan Hesti Wira Sakti Hearty : Jurnal Kesehatan Masyarakat PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Kesehatan Tambusai HEALTHY: Jurnal Inovasi Riset Ilmu Kesehatan Sehat Rakyat: Jurnal Kesehatan Masyarakat Jurnal Keperawatan Profesional (KEPO) JUKEJ: Jurnal Kesehatan Jompa Jurnal Keperawatan Profesional Jurnal Kesehatan Masyarakat
Widigdo Rekso Negoro
Institut Teknologi Sains Dan Kesehatan RS. DR. Soepraoen Kesdam V/Brw
Dentistry Education Health Professions Medicine & Pharmacology Nursing Physics Public Health Veterinary Other

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ANALISIS FAKTOR KECEMASAN PADA PASIEN PRAOPERASI LAPARATOMI DENGAN GENERAL ANESTESI DI ITSK DR. SOEPRAOEN MALANG Priyonggo, Reko; Negoro, Widigdo Rekso; Winanda, Dedek
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.27188

Abstract

Penggunaan general anastesi pada pasien laparatomi dapat menimbulkan kecemasan karena pasien akan kehilangan kesadaran selama operasi dan menghadapi ketidakpastian terkait proses anestesi dan efek sampingnya. Selain itu, ketakutan akan risiko dan komplikasi general anestesi juga dapat menyebabkan kecemasan yang tinggi pada pasien menjelang prosedur laparatomi. Tujuan : Menganalisis faktor kecemasan pada pasien praoperasi laparatomi dengan general anestesi. Penelitian ini adalah analitik korelasi dengan pendekatan cross sectional. Penelitian ini dilaksanakan di RST dr.Soepraoen, pada bulan Mei - Juni 2023. Populasi penelitian sebanyak 55 orang dan seluruhnya dijadikan sampel. Pemilihan sampel dengan teknik purposive sampling. Analisis data dilakukan secara univariat dalam tabel distribusi frekuensi dan analisis bivariat menggunakan uji korelasi Gamma pada taraf kepercayaan 95% (a = 0,05). Pola kecemasan pasien praoperasi laparatomi dengan general anestesi di RST dr.Soepraoen berhubungan signifikan dengan umur (p = 0,003, r = 0,714), jenis kelamin (p = 0,000, r = 0,762), pendidikan terakhir (p = 0,000, r = -0,753), dan pengalaman operasi sebelumnya (p = 0,000, r = -0,826). Umur, jenis kelamin, pendidikan terakhir, dan pengalaman operasi sebelumnya berhubungan dengan pola kecemasan pada pasien praoperasi laparatomi. Disarankan pada perawat anestesi untuk memberikan teknik relaksasi sederhana seperti pernapasan dalam, meditasi, atau visualisasi yang dapat membantu pasien mengelola kecemasan sebelum operasi.
Legal Authority and Protection for Anesthesia Practitioners Working Without Direct Anesthesiologist Supervision in Indonesian Hospitals Negoro, Widigdo Rekso
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 4 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss4.2187

Abstract

This study analyzes the legal authority and protection of anesthesia practitioners (penata anestesi) who provide services in hospitals without direct supervision from anesthesiologists. The issue arises from the gap between legal norms and healthcare conditions in Indonesia, particularly the unequal distribution of anesthesiologists, which creates legal challenges for practitioners in underserved regions. This research aims to assess the alignment between existing legal frameworks and actual clinical practices and to propose regulatory adjustments that strengthen legal certainty and professional protection. Using a normative juridical approach with a descriptive-analytical method, the study reviews statutory regulations, legal doctrines, and relevant literature. Qualitative analysis was conducted to examine the relationship between legal provisions and the realities of anesthesia practice. The findings show that Minister of Health Regulation No. 18 of 2016 remains restrictive and does not accommodate the limited availability of anesthesiologists. In emergencies, anesthesia practitioners may perform tasks beyond their formal authority, exposing them to potential legal liabilities. The mismatch between legal norms and practical needs results in insufficient legal protection and uncertainty in practice. This study highlights the need for adaptive, competence-based, and patient-safety-oriented regulatory reform.
Kebijakan Pemerintah dalam Memberikan Perlindungan Hukum Bagi Penata Anestesi yang Bekerja Tanpa Dokter Spesialis Anestesi Widigdo Rekso Negoro
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.5830

Abstract

The availability of anesthesiology specialists in Indonesia remains disproportionate to the growing demand for health services. This condition compels nurse anesthetists to play a crucial role in delivering anesthesia services, particularly in hospitals that lack anesthesiology specialists. This study aims to analyze the form of legal protection for nurse anesthetists who perform anesthesia practice in hospitals without anesthesiology specialists and to assess the alignment between existing regulations and actual field conditions. This research employs a normative juridical approach with a descriptive-analytical method, examining primary legal materials such as laws and ministerial regulations, along with secondary materials including academic literature and scholarly journals on health law. The analysis focuses on identifying gaps between the legal framework and the professional practices of nurse anesthetists in hospitals. The findings reveal a significant discrepancy between normative regulations and the practical needs of medical services. Existing laws, including Law No. 17 of 2023 and Minister of Health Regulation No. 18 of 2016, do not provide sufficient legal protection for nurse anesthetists working without direct supervision. Consequently, they face legal risks in performing their duties, even when their actions are aimed at ensuring patient safety. The study concludes that reform of health law policies is urgently needed to adapt to current service conditions, particularly through the establishment of clearer delegation mechanisms and indirect supervision systems. These findings contribute to the development of health law literature in Indonesia and serve as a foundation for future research on the implementation of legal protection for nurse anesthetists.
Surgical Procedures and Team Compliance with the Surgical Safety Checklist Budi Prasetyo, Agus; Negoro, Widigdo Rekso; Rodli, Muhammad; Sintara, Sindu; Permana, Annes Rindy
Jurnal Keperawatan Profesional (KEPO) Vol. 6 No. 2 (2025): Volume 6 Nomor 2 November 2025
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v6i2.1590

Abstract

Patient safety is a critical component of surgical procedures, with the Surgical Safety Checklist (SSC) playing a key role in minimizing medical errors. However, its implementation in healthcare settings continues to face challenges in medical team compliance. This study aimed to examine the relationship between the type of surgical procedure and the level of compliance of medical teams in implementing SSC. An analytic survey with a cross-sectional approach was conducted at a maternal and child specialty hospital in urban Yogyakarta. Data were collected through observation of 65 surgical procedures using a checklist based on the three SSC phases (sign-in, time-out, sign-out), and analyzed using the chi-square test. Results showed elective surgeries were more dominant (55,4%), with the majority of patients undergoing cesarean section (84,6%). A significant association was found between surgery type and compliance during the time-out (p-value = 0,004) and sign-out (p-value = 0,011) phases, but not during the sign-in phase (p-value = 0,195). Overall, only 27,7% of surgeries were performed with full SSC compliance. These findings indicate that surgical procedure type significantly influences SSC compliance, particularly in the time-out and sign-out phases, and underline the need for targeted system strengthening through structured training, standardized workflow integration, and continuous compliance monitoring to improve patient safety outcomes.
Comparative effects of desflurane and sevoflurane on recovery time in patients undergoing modified radical mastectomy: a cross-sectional study Muhammad Rodli; Suryanto Suryanto; Reko Priyonggo; Sindu Sintara; Annes Rindy Permana; Widigdo Rekso Negoro
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26903

Abstract

Fast and predictable recovery is essential in breast cancer surgery, yet comparative evidence on inhalation anesthetics within Indonesian clinical settings remains limited. This study compared the effectiveness of desflurane and sevoflurane on early recovery time after modified radical mastectomy. A cross-sectional design was applied to 76 ASA I-II female patients who received standardized induction, maintenance, and Aldrete-based recovery assessment. Recovery was categorized as fast (≤10 minutes) or delayed (>10 minutes). Statistical analysis used Chi-square testing, supported by effect size and risk ratio estimation. Desflurane demonstrated significantly faster recovery than sevoflurane (97.4% vs 78.9%, p = 0.014). The association showed a moderate effect size (Cramér’s V = 0.30), and patients receiving sevoflurane were substantially more likely to experience delayed recovery (RR = 8.3). These results align with recent studies highlighting desflurane’s lower blood-gas solubility and faster elimination profile. The homogeneous sample and standardized anesthetic protocol strengthen internal validity. However, the non-randomized design, purposive sampling, and absence of documented adverse events limit generalizability. Desflurane may offer practical benefits in improving post-anesthesia care unit (PACU) efficiency and surgical throughput in high-volume settings. Further multicenter randomized studies are recommended to confirm these findings and explore broader clinical implications.
Hemodynamic stabilization in cesarean section patients administered spinal anesthesia: a quasi-experimental study comparing ephedrine and phenylephrine Sindu Sintara; Annes Rindy Permana; Widigdo Rekso Negoro; Suryanto Suryanto; Reko Priyonggo; Muhammad Rodli
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26957

Abstract

This quasi-experimental research aimed to compare the effects observed following the administration of ephedrine 10 mg and phenylephrine 50 mg administered as therapeutic bolus doses for the management of intraoperative hypotension due to spinal anesthesia in cesarean section. The study involved 60 parturients who developed intraoperative hypotension during spinal anesthesia, who were divided into two groups treated with either phenylephrine or ephedrine. Maternal blood pressure, including systolic and diastolic values, was assessed pre- and post- vasopressor administration and analyzed using descriptive statistics, normality testing, and independent-samples t-tests. Both vasopressors were associated with increased maternal blood pressure following intervention, with no significant differences observed at baseline. However, between-group comparisons revealed statistically significant differences in post-intervention systolic and diastolic blood pressure (p < 0.05), indicating distinct hemodynamic response profiles. These findings demonstrate the effectiveness of both ephedrine and phenylephrine in treating hypotension associated with spinal anesthesia; vasopressor selection influences maternal blood pressure outcomes. From a practical perspective, this study provides clinically relevant evidence to inform anesthetic decision-making in maternal healthcare services, particularly in settings where therapeutic bolus administration is routinely utilized for the management of hypotension associated with spinal anesthesia.
Association of body mass index and age as risk factors for post-anesthetic shivering in mastectomy patients under general anesthesia in East Java, Indonesia Reko Priyonggo; Muhammad Rodli; Suryanto Suryanto; Annes Rindy Permana; Widigdo Rekso Negoro; Sindu Sintara
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26908

Abstract

Intraoperative hypothermia and post-anesthetic shivering (PAS) remain frequent complications in oncologic surgery under general anesthesia, yet evidence integrating intraoperative temperature changes with PAS severity in mastectomy patients is limited. This study aimed to evaluate intraoperative temperature profiles, determine the incidence and severity of PAS, and analyze the association between age, body mass index (BMI), and PAS among radical mastectomy patients. A cross-sectional observational study was conducted involving 36 women undergoing radical mastectomy with endotracheal general anesthesia. Core temperature was measured at 30 and 60 minutes intraoperatively, and PAS was assessed using the bedside shivering assessment scale (BSAS) upon admission to the recovery room. Moderate intraoperative hypothermia was observed in 72.2% of patients at 60 minutes, while PAS occurred in 30.6% of cases. Significant associations were identified between PAS and BMI (p = 0.001), as well as age (p = 0.026). Moderate-to-severe shivering (BSAS scores 2-3) was more frequently observed among underweight and elderly patients. This study provides novel evidence by linking intraoperative hypothermia patterns with PAS severity using BSAS in mastectomy patients. Clinically, the findings support structured perioperative temperature monitoring and the implementation of risk-based warming protocols, particularly for patients with low BMI and advanced age.
Effectiveness of hypnotherapy as complementary intervention in reducing post-cesarean pain: A PRISMA-based systematic review of literature released during the 2015-2024 period Annes Rindy Permana; Widigdo Rekso Negoro; Sindu Sintara; Muhammad Rodli; Suryanto Suryanto; Reko Priyonggo
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26893

Abstract

Cesarean section is a common surgical procedure often associated with moderate to severe postoperative pain. Hypnotherapy has been proposed as a complementary, non-pharmacological intervention; however, evidence specific to post-cesarean pain management remains limited. The purpose of this PRISMA-based systematic review was to evaluate hypnotherapy as an intervention for reducing postoperative pain associated with cesarean section. Literature searches were conducted in Google Scholar and PubMed for studies published between 2015 and 2024 using predefined inclusion and exclusion criteria. From 326 identified records, four studies met all eligibility criteria and were included in the qualitative synthesis. Despite heterogeneity in study design and intervention protocols, all included studies consistently reported reductions in postoperative pain intensity among participants receiving hypnotherapy compared with standard postoperative care, with pain outcomes primarily measured using validated scales such as the Numerical Rating Scale. These findings suggest that hypnotherapy may support conventional analgesic strategies as an adjunctive intervention during early postoperative recovery. Nevertheless, the scarcity of existing research and the presence of methodological limitations suggest the need for rigorously designed randomized controlled trials to provide more robust evidence.
Operation type and phase specific compliance with WHO surgical safety guidelines checklist at the mother and child hospital Agus Budi Prasetyo; Ircham Saifudin; Widigdo Rekso Negoro; Muhammad Rodli; Sindu Sintara; Annes Rindy Permana
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26904

Abstract

The surgical safety checklist (SSC) is a recognized tool for enhancing patient safety by reducing surgical complications and mortality. While its benefits are well established, effective implementation depends on consistent adherence by the medical team. This study examined the relationship between surgical procedure type and team compliance with SSC in the central operating room of a maternal and child hospital in Yogyakarta. Using a quantitative cross-sectional design, data were collected from 65 observed operations out of 148 total procedures, including elective and emergency cases. Compliance was evaluated in three SSC phases: sign-in, time-out, and sign-out. Correlation was analyzed using chi-square tests. The results showed no significant relationship in the sign-in phase (p = 0.195), but significant correlations were found in the time-out (p = 0.004) and sign-out (p = 0.011) phases. Overall, a significant association was identified between type of surgery and SSC compliance (p = 0.006). This study concludes that SSC compliance remains suboptimal, particularly in the initial phase. Elective procedures demonstrated higher compliance than emergency cases. Strengthening a culture of safety and promoting interdisciplinary training are essential strategies to improve SSC adherence and elevate surgical care quality.
HUBUNGAN PENGETAHUAN ANESTESI DENGAN TINGKAT KECEMASAN PADA PASIEN LANSIA DENGAN HIPERTENSI DI RUANG PRA ANESTESI Dewi Puspita Sari; Kaslinda Nur Umifa; Widigdo Rekso Negoro; Ircham Saifudin
HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan Vol. 5 No. 3 (2026)
Publisher : Pusat Pengembangan Pendidikan dan Penelitian Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51878/healthy.v5i3.12876

Abstract

ABSTRACT Preoperative anxiety poses a significant challenge among older adults with hypertension because psychological distress may exacerbate physiological responses throughout the perioperative period. The clinical characteristics of this population require preoperative preparation that extends beyond medical stabilization to include improving patients' understanding of anesthesia as a means of reducing uncertainty before surgery. This study aimed to examine the relationship between anesthesia knowledge and anxiety levels among older adults with hypertension undergoing preoperative preparation at RSUD dr. Haryoto Lumajang. A descriptive correlational study with a cross-sectional approach was conducted involving 80 respondents selected through purposive sampling. Data were collected using an anesthesia knowledge questionnaire and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Descriptive statistics were used for univariate analysis, while the relationship between variables was analyzed using the Pearson Product Moment correlation test after the Kolmogorov–Smirnov normality test confirmed that the data were normally distributed (p = 0.200). The findings revealed that most respondents had poor anesthesia knowledge (68%), whereas anxiety levels were predominantly categorized as panic (46%) and severe anxiety (43%). Correlation analysis demonstrated a strong negative relationship between anesthesia knowledge and anxiety levels (r = −0.757; p < 0.001), indicating that greater knowledge of anesthesia was associated with lower preoperative anxiety. These findings suggest that pre-anesthesia education tailored to the characteristics of geriatric patients has the potential to enhance psychological preparedness while supporting more patient-centered perioperative care. ABSTRAK Kecemasan yang muncul menjelang tindakan operasi menjadi tantangan tersendiri pada pasien lanjut usia dengan hipertensi karena kondisi psikologis tersebut dapat memperburuk respons fisiologis selama periode perioperative. Karakteristik klinis kelompok ini menuntut persiapan yang tidak hanya berfokus pada stabilisasi kondisi medis, tetapi juga pada peningkatan pemahaman pasien mengenai anestesi sebagai upaya mengurangi ketidakpastian sebelum operasi. Penelitian ini bertujuan menganalisis hubungan antara pengetahuan anestesi dan tingkat kecemasan pada pasien lansia dengan hipertensi yang menjalani persiapan operasi di RSUD dr. Haryoto Lumajang. Penelitian menggunakan desain descriptive correlational dengan pendekatan cross-sectional yang melibatkan 80 responden melalui teknik purposive sampling. Data dikumpulkan menggunakan kuesioner pengetahuan anestesi dan Amsterdam Preoperative Anxiety and Information Scale (APAIS), kemudian dianalisis secara univariat. Hubungan antarvariabel diuji menggunakan korelasi Pearson Product Moment setelah hasil uji normalitas Kolmogorov–Smirnov menunjukkan bahwa data berdistribusi normal (p = 0,200). Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki pengetahuan anestesi pada kategori kurang (68%), sedangkan tingkat kecemasan didominasi kategori panik (46%) dan cemas berat (43%). Analisis korelasi memperlihatkan hubungan negatif yang kuat antara pengetahuan anestesi dan tingkat kecemasan (r = −0,757; p = 0,000), yang mengindikasikan bahwa peningkatan pengetahuan mengenai anestesi berkaitan dengan penurunan kecemasan praoperasi. Temuan ini menunjukkan bahwa edukasi pra-anestesi yang disesuaikan dengan karakteristik pasien geriatri berpotensi meningkatkan kesiapan psikologis sekaligus mendukung pelayanan perioperative yang lebih berorientasi pada kebutuhan pasien.
Co-Authors Agus Budi Prasetyo Agus Budi Prasetyo Aloysius Timbu Amin Zakaria Batuara, Tobok Sihar Hamonangan Bayu Budi Laksono Budi Prasetyo, Agus Cahyani, Rina Asih Dewi Puspita Sari Dion Kunto Adi Patria Ircham Saifudin Ircham Saifudin Ircham Saifudin Kaslinda Nur Umifa Kurniawan, Ardhiles Wahyu Merisdawati MR Muhammad Rodli Muhammad Rodli Muhammad Rodli Paryadi Paryadi Permana, Annes Rindu Permana, Annes Rindy Rahmania Ambarika Reko Priyonggo Samosir, Theresia Angela Saputra, Candra Dwi Sindu Sintara Suryanto Suryanto Suryanto Suryanto Suryanto Suryanto Suryanto Syamsudin Syamsudin Waelan waelan Winanda, Dedek