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Endoscopy Gastrointestinal Esophagogastroduodenoscopy (EGD) Profile at Primaya Bekasi Timur Hospital Period October 2021 - October 2022 Sismanto, Bayu Aji; Fauji, Achmad; Rahmah, Nur Miladiyah
Muhammadiyah Medical Journal Vol 5, No 1 (2024): Muhammadiyah Medical Journal (MMJ)
Publisher : Faculty of Medicine and Health Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/mmj.5.1.59-68

Introduction: Esophagogastroduodenoscopy or gastroscopy is one of the types of endoscopies; the examination includes the esophagus, gastric, and duodenum. Endoscopy is a non-surgical attempt to visualize organs with abnormalities or disorders. It can also be used to obtain tissue (biopsy), remove foreign bodies in the gastrointestinal tract, and observe organs in the body. This study aims to determine the profile of gastrointestinal endoscopy in patients examined at the endoscopy unit of Primaya Hospital, East Bekasi. Methods: The type of research conducted was descriptive retrospective using secondary data in the Medical Record Installation of Primaya Hospital, East Bekasi, from October 2021 to October 2022, totaling 103 patients. Results: The results of this study showed that 51 patients (49.5%) were male, 52 patients (50.5%) were female, and the majority of the patients were aged 41-60 years as many as 44 patients, 42.7%). The most common pre-action diagnosis was dyspepsia (43 patients, 42%), and the most common post-action diagnosis (21 patients, 20.6%) was erosive gastroduodenitis. The most common location of findings in the corpus was 33 patients (32.1%), and the most common finding was mucosal erosion in 36 patients (35.0%). Biopsy was performed in 30 patients (29.1%), and anatomical pathology revealed Helicobacter pylori in 5 patients, chronic duodenitis in 4 patients, chronic gastritis in 19 patients, chronic gastroduodenitis in 1 patient, and polyp putz jeers in 1 patient. And with the most prolonged duration of action being 10-30 minutes, namely 91 patients (88.3%). Conclusion: The results of this study indicate that chronic gastritis accompanied by H.pylori infection is a diagnosis that is more commonly found through esophagogastroduodenoscopic examination and the results of anatomical pathology examination of biopsy tissue compared to other diagnoses.

HUBUNGAN KINERJA KOMITE KEPERAWATAN DENGAN MUTU PELAYANANAN KEPERAWATAN DI RUMAH SAKIT ISLAM SULTAN AGUNG SEMARANG Bayu Aji Sismanto, Dyah Wiji Puspitasari, Rita Kartika Sari
Jurnal Kesehatan Vol. 2 No. 7 (2024): Juli
Publisher : CV. ADIBA AISHA AMIRA

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Background: the performance nursing committee was a result of working in the form of security in advice about the profession through the credentials, guard professional quality, maintenance of ethics and discipline profession. The quality of service nursing is meeting the needs of patients who have been through demonstrate, the reliability of, responsiveness of, collateral and empathy. The goal is to identify the performance of nursing committee with the relations quality of service nursing in rsi sultan agung semarang. Method: quantitative research using cross sectional approach. The data was collected by gave questioner to the respondent. The number of respondents 150 taken used technique propotionade random sampling. The data processed statistics use spearman test. Result: based on the analysis result of the majority of respondents having the characteristics of age as much as 20-30 years 82,0%, last dominated education at nursing graduates 78,7% as much as, sexes dominated by women as many as 70,7%, working time most numerous is 1-3 years namely 45,3%, the research results also show service quality nursing good 82.7% as much as, while the performance of nursing both committees 82% as much as. Conclusions: is no link between the performance of nursing committee with the relations quality of service nursing in rsi sovereign regal worth p value 0,000 and correlation value spearman the rank of 0,336 shows the power correlation on a positive direction. The result can be used as input in development policies function nursing management, supervision, coordination, and decision making in rsi sovereign regal.

The Effectiveness of Digital Virtual Reality-Based Therapy in Reducing Anxiety Among Patients Undergoing Gastrointestinal Endoscopy Sismanto, Bayu Aji; Gayatri, Dewi; Natashia, Dhea; Jumaiyah, Wati; Yuniarsih, Winda
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45021

Psychological responses such as anxiety often arise from negative perceptions in situations perceived as threatening, even when they should not induce fear. These anxiety-induced responses can lead to increased hemodynamic parameters such as elevated blood pressure, heart rate, and respiratory rate—particularly prior to medical procedures. This study aimed to evaluate the effectiveness of a digital virtual reality (VR)-based therapeutic intervention in reducing patient anxiety before undergoing gastrointestinal endoscopy. A quasi-experimental design was employed, involving both an experimental group and a control group using a pretest-posttest control group approach. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI). The intervention consisted of a 6-minute immersive VR video featuring calming mountain and beach scenery. A total of 50 respondents participated, with 25 in each group. Data were analyzed using paired and independent t-tests. Results showed no statistically significant difference in mean anxiety scores between the intervention and control groups (MD = 0.23, df = 48, t = 0.59, 95% CI: -0.56 to 1.03, p > 0.001). These findings suggest that the digital VR-based therapy was not statistically effective in reducing pre-endoscopy anxiety. Future interventions may require more immersive and interactive VR experiences—such as 360-degree simulations of endoscopic procedures—to achieve more substantial effects.

APLIKASI PHILOSOPHIES TEORI CARING OLEH JEAN WATSON PADA PASIEN SEBELUM TINDAKAN ESHOPAGOGASTRODUODENOSKOPI DI UNIT ENDOSKOPI RS PRIMAYA BEKASI TIMUR Bayu Aji Sismanto; Irna Nursanti
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH Vol. 4 No. 1 (2024): JANUARI
Publisher : CV. ADIBA ADISHA AMIRA

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The effect of the patient's anxiety before performing an esophagogastroduodenoscopy (EGD) action affects the patients' hemodynamics, it can affect the process of such actions when they are performed, usually anxieties are affected by the feeling of being that appears as a result of poor perception of the action to be done, negative perceptions appear often caused by a lack of information about the actions to be performed. Nursing care is very influential to the patient, one of the nursing model theories that can be applied to patients undergoing esophagogastroduodenoscopy (EGD) with the theory of Human Caring by Jean Watson. The nursing process focuses more on health promotion, disease prevention, care for the sick, and physical recovery. The author differentiates the nursing case/orphanage report by applying Jean Watson's model theory using nursery process methods that include the examination, diagnosis, planning, implementation and evaluation of these nurses' orphanages. The result of the implementation that has been done is that the patient feels a change in perception in which the patient experiences a decrease in the level of anxiety after performing a personal caring approach in accordance with Jean Watson's Model Theory.

Model Konsep Teori Katherine Kolcaba Dalam Asuhan Keperawatan Endoskopi Gastrointestinal Aprianto Guntur Irawan; Bayu Aji Sismanto
Jurnal Keperawatan Nusantara Vol 1 No 1 (2025): Agustus
Publisher : Sabda Abadi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.6594/8x7jwq52

Katherine Kolcaba pada awalnya mengembangkan teori kenyamanan berdasarkan pengalamannya dengan pasien Alzheimer dan demensia. Namun, Katherine telah menulis sejumlah artikel mengenai ruang lingkup keperawatan yang berkaitan dengan teorinya. Ketika Kolcaba engembangkan teorinya, dia memanfaatkan logika dalam penalaran. Dia memanfaatkan induksi, deduksi, serta pengurangan. Kolcaba memanfaatkan kerangka yang telah ada sebelumnya untuk menyusun atau mengenali jenis. kenyamanan. karya ini memiliki dampak yang menggugah dan mendalam, mendorong para psikolog untuk menyelidiki kepribadian secara menyeluruh dan mendalam serta menekankan interaksi rumit antara ciri-ciri individu, sosial, dan budaya. Ini merupakan dasar yang sangat baik untuk teori ini karena kenyamanan paling optimal dapat dicapai. melalui terapi holistik. Dia juga memulai dengan gagasan analisis istilah, "kenyamanan". Katherine Kolcaba mengumpulkan penjelasan, "kenyamanan" dari berbagai bidang ilmu dalam teori kenyamanan.

Efektifitas Edukasi Audio Visual Terhadap Kecemasan Pasien sebelum Tindakan Gastroscopy: Studi Systematic Review dan Meta-Analysis Nurhayati Khaier; Yeni Purnamasari; Yahya; Bayu Aji Sismanto
Jurnal Keperawatan Nusantara Vol 1 No 1 (2025): Agustus
Publisher : Sabda Abadi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.6594/t0h4zk13

Background: Gastroscopy is a diagnostic procedure to view organs visually using a lat connected to a monitor, the organs viewed are the esophagus, gastric and duodenum. Anxiety in patients before gastroscopy occurs due to fear by imagining. Education is carried out as a pre-action procedure to explain the actions that will be performed. Objective: We conducted a systematic review and meta-analysis to investigate the effect of audio-visual education on patient anxiety before gastroscopy. Results: Four articles were included in this study, audiovisual education significantly reduced patients' anxiety before gastroscopy using Visual analogue scale (VAS); one study used Anxiety and Stress Scale-42 (DASS-42) and one study used State Trait Anxiety Inventory (STAI). Based on a randomized control trial, it was found that education was effective in reducing anxiety by -4.38 (95% CI: -14.3796 to 5.6198), indicating insignificant results. And obtained I² value of 99.9607%, Q value of 1017.3516, and P value <0.0001 which means that heterogeneity is high. The range of results obtained was -26.7290 to 17.9692 with three negative results and one possible positive result (Khan, et.all, 2023) with a residual value of (± 2.4977) In the regression test results showed asymmetry in the flores plot (p < 0.0001) but did not show a rank correlation test (p = 0.7500). Clinical Implications: Audio-visual education is a potentially promising method for controlling anxiety in patients undergoing gastroscopy; however, its effect in controlling anxiety is controversial.

Gambaran Tingkat Kelelahan Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa di Rumah Sakit Aprianto Guntur Irawan; Bayu Aji Sismanto
Jurnal Keperawatan Nusantara Vol 1 No 1 (2025): Agustus
Publisher : Sabda Abadi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.6594/rmntzf88

Background: Chronic kidney disease (CKD) patients undergoing hemodialysis often experience fatigue as one of the most common and disruptive symptoms. Fatigue, if not properly managed, can impact quality of life and adherence to therapy. Objective: This study aimed to determine the level of fatigue in CKD patients undergoing hemodialysis in a hospital. Methods: This study used a quantitative descriptive design with a cross-sectional approach. Forty-seven patients undergoing regular hemodialysis were selected using a purposive sampling technique. Data were collected using a validated questionnaire and analyzed descriptively. Results: The study showed that most patients experienced severe fatigue. Thirty respondents (63.8%) experienced severe fatigue, while 17 respondents (36.2%) experienced mild fatigue. Conclusion: The majority of CKD patients undergoing hemodialysis in a hospital experience severe fatigue. These results highlight the need for greater attention to fatigue management, including a multidisciplinary approach to patient care and education to improve their quality of life.

Pengaruh Teknik Relaksasi Nafas Dalam Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Di Rumah Sakit Aisah; Ernauli Meliyana; Lisna Nuryanti; Sismanto, Bayu Aji
Jurnal Keperawatan Nusantara Vol 1 No 1 (2025): Agustus
Publisher : Sabda Abadi Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.6594/3bddmk29

Background: Anxiety is an excessive and unclear feeling of worry, and it is also a response to both external and internal stimuli that causes emotional, cognitive, physical, and behavioral symptoms. Anxiety is different from fear because, in fear, the object is clearly known and threatens the well-being of the person, while in anxiety, the object is unknown. Anxiety is an experience that everyone goes through (universal) throughout their life. Anxiety has a positive function because it can motivate people to take actions that can resolve their issues. Anxiety is considered normal when it is proportionate to the situation and will disappear once the situation is resolved. Objective: To determine the effect of the deep breathing relaxation technique on anxiety levels in pre-operative patients at the hospital. Methods: This study uses a pre-experimental design, quantitative correlation, with primary data from pre-operative patients aged 17-50 years, consisting of 126 respondents. Sampling was calculated using Slovin's formula. Data collection was done using a questionnaire and interviews with the Hamilton Anxiety Rating Scale (HARS). Results: From the 126 respondents, 14 (11.1%) had no anxiety, 51 (40.5%) had mild anxiety, 58 (46.0%) had moderate anxiety, and 3 (2.4%) had severe anxiety. The Chi-square statistical test showed a p-value of 0.000 (p <0.05), indicating that there is an effect of the deep breathing relaxation technique on anxiety levels in pre-operative patients at the hospital. Conclusion: There is an effect of the deep breathing relaxation technique on anxiety levels in pre-operative patients at the hospital (p=0.000).

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