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GAMBARAN HEMODINAMIK PADA PASIEN PASCA OPERASI DI RUANG PEMULIHAN wahdah, indri zahrotul; Sutrisno, Resti Yulianti; Suprapti, Yuni
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.45550

Abstract

Penelitian ini bertujuan untuk menggambarkan kejadian hemodinamik pada pasien pascaoperasi di ruang pemulihan Instalasi Bedah Sentral RSUD Tidar Kota Magelang. Penelitian menggunakan desain studi kasus. Populasi dalam penelitian ini adalah seluruh pasien pascaoperasi di ruang pemulihan dengan jumlah sampel 38 orang yang memenuhi kriteria inklusi, yaitu pasien dewasa berusia ≥18 tahun dalam keadaan stabil setelah operasi pada tanggal 29-30 April 2025. Data dikumpulkan melalui lembar observasi dan dokumentasi tekanan darah serta frekuensi nadi, kemudian dianalisis secara univariat. Hasil penelitian menunjukkan bahwa dari 38 responden terdapat 33 (86,8%) responden yang tidak memiliki riwayat hipertensi. Dari 33 responden yang tidak memliki riwayat hipertensi tersebut  terdapat 25 (75,7%) responden yang mengalami kenaikan tekanan darah pada saat pascaoperasi, yaitu 9 responden (27,2%) pada kategori tekanan darah 120-139/80-89 mmHg, 11 responden (33,3%) pada kategori tekanan darah 140-159/90-99 mmHg, dan 5 responden (15,1%) pada kategori tekanan darah >160/100 mmHg. Hasil frekuensi nadi dari 38 responden menunjukkan bahwa pada frekuensi nadi 60-100x/menit sebanyak 27 respoden (71,0%) mengalami penurunan frekuensi nadi pada kategori <60x/menit sebanyak 7 responden dan 1 responden pada kategori frekuensi nadi >100x/menit. Pada kategori frekuensi nadi >100x/menit tidak mengalami perubahan frekuensi nadi pascoperasi. Kesimpulan dari penelitian ini adalah bahwa ketidakstabilan hemodinamik pascaoperasi cukup sering terjadi dan dipengaruhi oleh berbagai faktor, sehingga diperlukan pemantauan intensif di ruang pemulihan untuk mencegah terjadinya komplikasi serius.
Efektivitas Pemberian Blanket Warmer pada Pasien Pascaoperasi dengan Hipotermia di Recovery Room: Study Case Wardhani, Auliyaa Ihda; Sutrisno, Resti Yulianti; Suprapti, Yuni
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6460

Abstract

Hipotermia merupakan salah satu komplikasi pasca tindakan pembedahan yang paling sering terjadi. Hipotermia merupakan kondisi ketika suhu tubuh berada dibawah rentang normal 36 ◦C, apabila kondisi tersebut tidak segera ditangani dapat mengakibatkan berbagai dampak negatif. Salah satu tindakan non-farmakologis yang dapat dilakukan yaitu pemberian blanket warmer. Tujuan penelitian ini yaitu untuk mengetahui adanya efektivitas pemberian blanket warmer pada pasien pascaoperasi dengan hipotermia di recovery room. Penelitian ini dilakukan dengan menggunakan desain study kasus dengan melihat efektivitas pemberian blanket warmer terhadap suhu tubuh sebelum dan setelah diberikan intervensi. Teknik pengambilan sampel yang digunakan yaitu random sampling dengan jumlah responden sebanyak 10 partisipan, yang dibagi menjadi 2 kelompok: 5 partisipan merupakan kelompok eksperimen dan 5 partisipan merupakan kelompok kontrol. Kelompok eksperimen menerima intervensi berupa pemberian blanket warmer dan kelompok kontrol menerima intervensi berupa selimut kain yang tersedia di rumah sakit. Analisis data dilakukan dengan menggunakan uji independent sample t-test. Hasil analisis indepandent sample t-test diperoleh p-value sebesar 0,000 (p < 0.05) yang dapat diartikan bahwa terdapat perbedaan yang signifikan suhu tubuh sesudah intervensi pada kelompok eksperimen dan kontrol.
Pengaruh Supervisi Kepala Sekolah terhadap Kinerja Guru di SD Negeri 2 Candirenggo Singosari Malang Suprapti, Yuni
Jurnal Likhitaprajna Vol 24 No 2 (2022): September 2022
Publisher : FKIP Universitas Wisnuwardhana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37303/likhitaprajna.v24i2.229

Abstract

This study aims to determine the effect of the principal's supervision on teacher performance at SD Negeri 2 Candirenggo Singosari Malang. This research uses descriptive quantitative methods and approaches. The subjects of this study were 10 teachers at SD Negeri 2 Candirenggo Singosari Malang. The main data collection technique uses a questionnaire. Interview techniques were carried out to support the results of the questionnaire data. The informants in the interviews in this research were the Principals and Teachers. The results showed that the value of tcount was 3,303 and ttable was 2,262, because tcount> ttable, then H0 was rejected, H1 was accepted. Thus there is sufficient influence between the influence of the principal's supervision on teacher performance at SD Negeri 2 Candirenggo Singosari Malang.
Implementasi Program Sekolah Sehat dan Bersih melalui Kegiatan Lingkungan berbasis Partisipatif di SDN 2 Candirenggo Kecamatan Singosari Kabupaten Malang Suprapti, Yuni
Jurnal Likhitaprajna Vol 24 No 1 (2022): April 2022
Publisher : FKIP Universitas Wisnuwardhana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37303/likhitaprajna.v24i1.230

Abstract

The purposes of this study were to find out, analyze and describe: (1) the school's strategy for achieving healthy and clean schools, (2) the implementation of healthy and clean school programs through participatory-based environmental activities in schools, (3) how environmental activity programs are based participatory activities carried out by school members in supporting healthy and clean schools, (4) How is the participatory-based environmental activity program carried out with the community in supporting clean and healthy schools.. This type of research is qualitative research. The subjects of research were school principals, staff, teachers, and students. Data collection techniques are interviews and documentation. The results of the study show that: (1) The strategy adopted to achieve healthy and clean schools is to plan and socialize to residents and foster a shared commitment to achieving goals, (2) Implementation of healthy and clean school programs through participatory-based environmental activities in the form of healthy and clean school program activities given to students, teachers, staff, school members and the community, (3) participatory-based environmental activity programs carried out are clean Friday activities, integrated classroom learning with a healthy and clean school environment, and environment-based extracurricular activities, and (4) Participatory-based environmental activity programs carried out with the community, Student Parents' Association and Committees by establishing and maintaining school parks, as well as prohibiting littering.
Implementasi Transformasi Peran Pengawas Sekolah untuk Meningkatkan Kualitas Proses dan Hasil Belajar di Sekolah Dasar Suprapti, Yuni; Subariyanti, Subariyanti; Supriyanto, Supriyanto
Jurnal Likhitaprajna Vol 26 No 1 (2024): April 2024
Publisher : FKIP Universitas Wisnuwardhana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37303/likhitaprajna.v26i1.289

Abstract

The transformation of the role of school supervisors in accordance with the 2023 GTK Director General's Regulation aims,one of them is to improve the quality of learning processes and outcomes in elementary schools. The rationale for this policy lies in the need to strengthen academic and managerial supervision, as well as increase teacher competence in facing growing educational challenges. However, the implementation of this policy faces various problems, such as limited supervisory competence, limited resources, resistance to change, and limited supervisory time and personnel. Field data taken from a survey of 100 elementary school principals in Lawang and Singosari sub-districts, Malang district shows that 65% of them responded positively to this transformation, 20% felt that the policy was not optimal, and 15% were neutral. For reference This article refers to expert opinion and related journals, including the work of Sutopo and Munir (2020) on increasing the competence of school supervisors, as well as Arifin and Susanto (2022) which discusses the transformation of the role of supervisors in the digital era. Although there are challenges in implementation, the transformation of the role of school supervisors according to the 2023 Director General of GTK Regulation has significant potential to improve the quality of education in elementary schools in Indonesia.
Analisis Implementasi Kebijakan Manajemen Berbasis Sekolah pada Sekolah Penggerak Suprapti, Yuni; Dariyanto, Dariyanto; Supriyanto, Supriyanto
Jurnal Likhitaprajna Vol 25 No 2 (2023): September 2023
Publisher : FKIP Universitas Wisnuwardhana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37303/likhitaprajna.v25i2.290

Abstract

This research aims to analyze the implementation of School Based Management (MBS) policies at the Driving School at SD Negeri 4 Ketindan, Lawang, Malang, East Java. The research method used is descriptive qualitative, with data collection techniques through in-depth interviews, observation and document analysis. The research results show that the implementation of SBM at SD Negeri 4 Ketindan has shown several significant successes, especially in increasing the active participation of all stakeholders, including principals, teachers, students and parents in the decision-making process. The implementation of this policy has also encouraged improvements in the quality of learning and more effective and efficient resource management. However, this research also identified several challenges, such as limited human resources and facilities that still need to be improved. Support from local governments and increasing the capacity of teaching staff are key factors in overcoming these challenges. Overall, this research provides important insights into the effectiveness and challenges in implementing SBM in Driving Schools, as well as suggesting strategic steps to improve the quality of education in elementary schools. It is hoped that the results of this research can become a reference for developing educational policies in the future.
Overview of Nausea and Vomiting in Postoperative Patients (PONV) in the Recovery Room Anjarwati, Nadia; Sutrisno, Resti Yulianti; Suprapti, Yuni
Journal Of Health Science (Jurnal Ilmu Kesehatan) Vol 10 No 2 (2025): JOURNAL OF HEALTH SCIENCE (JURNAL ILMU KESEHATAN)
Publisher : Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24929/jik.v10i2.4268

Abstract

Surgery requires anesthesia to reduce pain. Anesthesia can have side effects such as decreased blood pressure, pulse, nausea, and vomiting. The incidence of postoperative nausea and vomiting (PONV) is different for each person because it is influenced by several factors such as age, gender, BMI, physical status of the patient, previous history of PONV, history of motion sickness, type of action and anesthesia, and duration of surgery. The purpose of this study was to determine the factors that influence the incidence of nausea and vomiting in postoperative patients. This study used a case study research design with a cross-sectional approach. This research was conducted in the Recovery Room of the Central Surgical Installation (IBS) of Tidar Hospital, Magelang City. The population in this study was 55 respondents. The sample in this study was 48 respondents who met the inclusion and exclusion criteria. Data analysis in this study used univariate analysis with frequency and percentage and bivariate analysis with the chi-square test. The results showed that the incidence of postoperative nausea and vomiting occurred in 16.7% of respondents in the mild category and 4.2% of respondents in the moderate category. Factors that are proven to affect the incidence of nausea and vomiting in this study are the duration of surgery with a p-value of 0.001, the type of action performed with a p-value of 0.015, and a history of illness with a p-value of 0.019.