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All Journal Journal of Nursing and Health (JNH) Akper Yakpermas Banyumas Citra Delima Scientific journal of Citra Internasional Institute
Amin Sutanto
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Health Professions Nursing Public Health

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GAMBARAN KOMPLIKASI PASCA SPINAL ANESTESI DENGAN SUB ARACHNOID BLOCK (SAB) DI RS KHUSUS BEDAH JATIWINANGUN Ais Asri Sanubari. NM; Made Suandika; Amin Sutanto
Journal of Nursing and Health Vol. 9 No. 1 (2024): Journal of Nursing and Health
Publisher : Yakpermas Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52488/jnh.v9i1.350

Abstract

Introduction The incidence of spinal anesthesia is increasing worldwide, according to WHO data showing that around 5% or 15 million surgical procedures are carried out using spinal anesthesia techniques. The aim of this research is to determine the complications that occur after spinal anesthesia with Sub Arachnoid Block (SAB). The research design used is quantitative analytical descriptive with a cross-sectional approach. The research was conducted in July 2023. Samples were taken using a purposive sampling technique of 57 respondents. The instruments used in this study were measuring hypotension using a bedside monitor, arrhythmia using an oximeter and urine retention using a urine bag. Meanwhile, for PONV, PAS, PDPH, back pain, use an observation sheet. The data processing technique in this research uses univariate analysis. The results showed that the majority of respondents in this study experienced hypotension with 43 (75%) respondents, arrhythmia 38 (66.7%) respondents, PONV 34 (57.6%) respondents, PAS 42 (73.7%) respondents, PDPH 33 (57.9%) respondents, back pain 43 (75.4%) respondents, urinary retention 39 (68.4%) respondents. The conclusion of this study is post-spinal anesthesia complications, namely hypotension, arrhythmia, PONV, PAS, PDPH, back pain and urinary retention. Patients after surgery and using spinal anesthesia are always monitored and observed properly so that post-operative complications with spinal anesthesia are minimal and can be controlled.
The Influence Of Murottal Therapy Of Surah Ar-Rahman On Pre-Operative Anxiety Of Patients Undergoing Caesarean Section With Spinal Anesthesia rahman, Deni; Amin Sutanto; Emiliani Elsi Jerau
Citra Delima Scientific journal of Citra Internasional Institute Vol. 9 No. 2 (2026): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Institut Citra Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33862/314t5a54

Abstract

Anxiety is a common psychological problem experienced by patients before undergoing surgical procedures, including cesarean section under spinal anesthesia. Uncontrolled anxiety may negatively affect physiological stability and interfere with the success of medical procedures. Recitation of the Holy Qur’an (murottal) is recognized as a non-pharmacological intervention capable of inducing relaxation and reducing anxiety. This study aimed to determine the effect of murottal recitation of Surah Ar-Rahman on anxiety levels among pre-operative cesarean section patients at RSU An Ni’mah Wangon. A pre-experimental one-group pretest–posttest design was used involving 37 respondents selected through purposive sampling based on inclusion criteria. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and after a 15-minute Surah Ar-Rahman audio recitation. Data were analyzed using paired statistical tests (Paired Sample T-Test or Wilcoxon Signed-Rank Test), with the Wilcoxon test applied due to non-normal data distribution. The results showed that before the intervention, most respondents experienced moderate (43.2%) and severe (40.5%) anxiety. After the murottal recitation, anxiety levels decreased significantly (p < 0.05). A small number of respondents remained in the severe anxiety category, potentially due to high baseline anxiety, limited intervention duration, and individual factors such as spiritual engagement and family support. In conclusion, murottal recitation of Surah Ar-Rahman effectively reduced anxiety in pre-operative cesarean section patients under spinal anesthesia. The novelty of this study lies in its focus on a specific surgical population and its evaluation of Surah Ar-Rahman as a structured, standardized, and practical non-pharmacological intervention for anesthesiology nursing practice.
Co-Authors Ais Asri Sanubari. NM Deni Rahman Emiliani Elsi Jerau Made Suandika