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All Journal Borneo Nursing Journal (BNJ) Jurnal Cakrawala Ilmiah Java Nursing Journal Jurnal Ilmiah Kesehatan Mandira Cendikia
Eza Kemal Firdaus
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Humanities Dentistry Economics, Econometrics & Finance Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Asuhan Keperawatan Pada Ny. S Dengan Diagnosa Medis Hiperglikemia Di Ruang HCU RSUD Prof. Dr. Margono Soekarjo Melia Maida; Eza Kemal Firdaus
Borneo Nursing Journal (BNJ) Vol. 7 No. 2 (2025)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v7i2.98

Abstract

Latar Belakang: Hiperglikemia terjadi ketika kadar glukosa darah meningkat melebihi kisaran normal, yaitu 80 hingga 90 mg/dl darah saat berpuasa atau 140 hingga 160 mg/100 ml darah saat tidak berpuasa. Perubahan metabolisme lipoprotein, peningkatan aktivitas protein kinase C, perubahan faktor pertumbuhan atau aktivitas sitokin, stres karbonil, aldose reduktase, stres oksidatif, hipoksia semu, hipoksia yang sesungguhnya, dan hiperglikemia, semuanya berperan. Tujuan: Salah satu tujuan utama dari penelitian ini adalah untuk meningkatkan praktik keperawatan dalam konteks pasien hiperglikemia melalui penggunaan pendekatan keperawatan. Metode: Penilaian, diagnosis keperawatan, perencanaan, implementasi, evaluasi, dan dokumentasi adalah langkah-langkah dalam proses keperawatan yang digunakan dalam metodologi penelitian ini melalui studi kasus kualitatif. Seorang pasien dengan hiperglikemia menjadi topik penelitian ini. Tanggal 6-7 Januari 2025, digunakan untuk penelitian ini di Rumah Sakit Prof. Hasil : Setelah dilakukan asukan keperawatan selama 2 hari kondisi pasien membaik, namun masalah keperawatan yang muncul belum semuanya teratasi. Kesimpulan : Selama dilakukan asuhan keperawatan 2 hari, semua masalah keperawatan belum teratasi, namun untuk kadar GDS membaik menjadi 145 mg/dL.
The Correlation between Body Mass Index (BMI) and Recovery Time on General Anesthesia Patient Using Endotracheal Tube (ET) Maryadi, Adi; Rahmaya Nova Handayani; Eza Kemal Firdaus; Asmat Burhan
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.v2i1.24

Abstract

Conscious recovery time is the time it takes for the patient to be removed from the conscious recovery room when the patient is fully conscious. Patients who are unconscious within more than 15 minutes are considered prolonged, even to respond to a stimulus in highly susceptible patients requires 30-45 minutes after general anesthesia drugs are stopped. One of the causes of lengthening the time to recover consciousness is the Body Mass Index (BMI) in patients which can increase the potential of anesthetic drugs given. The purpose of this study was to determine the relationship between Body Mass Index (BMI) and conscious recovery time in general anesthesia patients using Endotracheal Tube (ET) at RSUD Dr. Soedirman Kebumen. The method of ths study was correlation analitik with a cross-sectional approach. The sample of this study amounted to 48 respondents with consecutive sampling technique. Data analysis was carried out using the Kendall Tau test. The results of the study obtained 86.5% of respondents had a fast conscious recovery time (<15 minutes) and 13.5% of respondents had a prolonged conscious recovery time (>15 minutes). Of the results of the kendall tau correlation test obtained results with a significancy p value of 0.000 < 0.05 which means there is a relationship between the body's mass index to the recovery time of consciousness after general anesthesia with the endotracheal tube. The conclusion of this study is that majority of respondents who have a quick recovery time of less tha 15 minutes are respindents with a normal body mass index. Patient with a fat or obese BMI will receive a higher dose of anesthetic medication compared to patients in the thin category. When the anesthetic drug is given a higher concentration, the effect of the ansthetic drug will be longer.
Hubungan Lama Operasi Dengan Kejadian Shivering Pada Pasien Pasca Spinal Anestesi Di Ruang Pulih Sadar RSUD Dr R Goeteng Taroenadibrata Yazid Muhammad Fardan; Rahmaya Nova Handayani; Eza Kemal Firdaus
Jurnal Ilmiah Kesehatan Mandira Cendikia Vol. 3 No. 2 (2024)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

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Abstract

Anestesi spinal menyebabkan gangguan fungsi termogulasi sehingga menghambat respon kompensasi terhadap suhu. Dampak yang timbul pasca tindakan spinal anestesi yang sering terjadi adalah shivering yang merupakan pergerakan otot untuk mengkompensasi kehilangan suhu berlebih. Tujuan: Mengetahui hubungan lama operasi terhadap kejadian shivering pada pasien pasca spinal anestesi di ruangan pulih sadar RSUD Dr R goeteng taroenadibrata. Metode: Penelitian ini menggunakan metode penelitian kuantitatif dengan jenis penelitian observasional analitik dan desain menggunakan cross sectional.  Teknik Pengambilan sampel menggunakan consecutive sampling yang berjumlah 82 responden pada penelitin ini analisis data  menggunakan uji spearman rank. Hasil: Penelitian ini menunjukan hasil bahwa lama operasi cepat mendominasi dengan jumlah 48 responden (58.5%) dan kejadian shivering sebanyak 42 reponden (51.2%) dengan derajat 3 yang paling banyak sebanyak 21 responden (25.6%). Kesimpulan: Adanya hubungan antara lama operasi dengan kejadian shivering pasca spinal anestesi di ruang pulih sadar RSUD Dr.R Goeteng Taroenadibrata dengan hasil uji spearman rank p-value 0.000<0.05.
HUBUNGAN TINGKAT KECEMASAN PADA PRE ANESTESI DENGAN KEJADIAN PONV PADA PASIEN GENERAL ANESTESI DI RSUD SEJIRAN SETASON BANGKA BARAT Zilvia Harlina; Septian Mixrova Sebayang; Eza Kemal Firdaus
Jurnal Cakrawala Ilmiah Vol. 3 No. 6: Februari 2024
Publisher : Bajang Institute

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Abstract

This study aims to determine the relationship between general anesthesia patient anxiety and the incidence of PONV at the RSUD Sejiran Setason West Bangka. This type of research is quantitative research with Spearman Rank correlation data analysis. In this case, the research variables are the anxiety level of general anesthesia patients and the incidence of PONV. Measuring the level of patient anxiety using the Hamilton Rating Scale for Anxiety (HRS-A) instrument and measuring the incidence of PONV using an observation sheet. The sample for this study was 30 patients with general anesthesia at Sejiran Setason Hospital, West Bangka in August 2023. The sample selection for this study used consecutive sampling technique. The results of the research showed that the level of general anesthesia patients anxiety at Sejiran Setason Hospital, West Bangka Regency was mild anxiety as much as 67%, moderate anxiety as much as 30%, and severe anxiety as much as 3%. Meanwhile for no anxiety and very severe anxiety it is 0%. In the case of PONV incident in a sample of general anesthesia patients in the category of nausea only was 40%, nausea and vomiting was 13%, and 47% did not experience PONV. The results of the Spearman rank analysis showed that the relationship between anxiety and the incidence of PONV in general anesthesia patients at Sejiran Setason Regional Hospital, West Bangka Regency had a low correlation, in the same direction, and the relationship between the two variables was not significant.
Co-Authors Asmat Burhan Maryadi, Adi Melia Maida Rahmaya Nova Handayani Septian Mixrova Sebayang Yazid Muhammad Fardan Zilvia Harlina