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All Journal Hearty : Jurnal Kesehatan Masyarakat Jurnal Kesehatan Masyarakat
Rekso Negoro, Widigdo
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POLICY ON ANESTHESIA SERVICES FOR HYPERTENSION PATIENTS IN PRE, INTRA, AND POST ANESTHESIA BY SPECIALIST ANESTHETISTS AND ANESTHESIA CAREGIVERS Ambarika , Rahmania; Rekso Negoro, Widigdo
HEARTY Vol 13 No 3 (2025): JUNI
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v13i3.19731

Abstract

Anesthesia services are an important component of medical services in surgical procedures and other invasive procedures that aim to reduce or eliminate pain during the procedure. The success of anesthesia is not only triggered by the anesthetic technique used, but the patient's clinical condition also has an influence. Specialist anesthetists and anesthetists play an important role in determining patient suitability, adjusting the appropriate anesthesia technique, and monitoring during and after the procedure. Hypertension is a chronic disease that requires special attention in anesthesia services because of a higher risk of blood pressure fluctuations, organ perfusion disorders, and cardiovascular events such as stroke and myocardial infarction. This research aims to examine the anesthesia service policy at Pindad Turen Hospital and analyze the obstacles experienced by medical personnel in its implementation. The results of this study show that there is a main problem in implementing anesthesia service policies for hypertensive patients in hospitals, namely that there is no standardization of policies or SOPs related to determining the suitability of hypertensive patients to undergo anesthesia and there are differences in perception between specialist anesthetists and anesthetists, especially regarding safe blood pressure limits and recording the results of pre-anesthesia evaluations. From the problems found, a situation analysis was carried out using fishbone, USG, and SWOT diagrams, and priority problems were found, namely the absence of appropriate blood pressure standards for hypertensive patients and the absence of a special SOP for anesthesia services for hypertensive patients. These problems have the potential to affect patient safety during anesthesia. The intervention was carried out through outreach and training to health workers and it was proven to increase knowledge and uniformity of perception of medical staff in determining the suitability of hypertensive patients as evidenced by an increase in evaluation results from 2.8 (pretest) to 5 (posttest).
Preoperative Anxiety Levels and the Incidence of Postoperative Nausea and Vomiting in Patients Undergoing General Anesthesia Rekso Negoro, Widigdo; Sintara, Sindu; Rindy Permana, Annes; Rodli, Muhammad; Priyonggo, Reko; Suryanto
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.27115

Abstract

Postoperative nausea and vomiting (PONV) are common complications after general anesthesia, negatively impacting patient comfort, recovery, and hospital stay. While many factors contribute to PONV, psychological aspects such as preoperative anxiety are often underestimated despite their influence on postoperative outcomes. This study aimed to analyze the relationship between preoperative anxiety levels and the incidence of PONV in patients undergoing surgery under general anesthesia. Using a cross-sectional design, 45 elective surgical patients were assessed for anxiety using the Hamilton Anxiety Rating Scale (HARS), and PONV incidence was recorded within 24 hours post-surgery. Chi-square analysis revealed a significant association between anxiety levels and PONV occurrence (p = 0.002). Among patients with moderate to severe anxiety, 73.3% experienced PONV, compared to only 26.7% among those with mild anxiety. These findings indicate that higher preoperative anxiety increases the risk of PONV. Therefore, integrating psychological assessment and anxiety management into perioperative care is crucial to reducing postoperative complications and improving anesthetic outcomes through a more holistic patient care approach.
Co-Authors Rahmania Ambarika Reko Priyonggo Rindy Permana, Annes Rodli, Muhammad sintara, sindu Suryanto