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All Journal Jurnal Keperawatan Profesional Jurnal Kesehatan Masyarakat
Widigdo Rekso Negoro
Institut Teknologi, Sains, dan Kesehatan RS.DR. Soepraoen Kesdam V/BRW
Education Health Professions Medicine & Pharmacology Nursing Physics Public Health

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Preoperative Anxiety Levels and the Incidence of Postoperative Nausea and Vomiting in Patients Undergoing General Anesthesia Widigdo Rekso Negoro; Sindu Sintara; Annes Rindy Permana; Muhammad Rodli; Reko Priyonggo; 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.
Surgical Team Compliance with the Surgical Safety Checklist in the Central Operating Theater: A Cross-Sectional Study Widigdo Rekso Negoro; Agus Budi Prasetyo; Ircham Saifudin; Reko Priyonggo; Muhammad Rodli; Annes Rindy Permana
Jurnal Keperawatan Profesional Vol 14, No 2 (2026): Nursing in a Multicultural Environment
Publisher : Nurul Jadid University, Probolinggo, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33650/jkp.v14i2.15605

Abstract

Surgical procedures are high-risk interventions that require consistent implementation of the SSC to reduce preventable adverse events. However, differences in workflow and clinical urgency between elective and emergency procedures may influence surgical team compliance with SSC implementation. This study aimed to analyze the relationship between the type of surgical procedure and surgical team compliance with the SSC in the COT of a maternal and child hospital. A non-experimental observational study with a cross-sectional design was conducted involving 65 surgical procedures selected through accidental sampling from a population of 148 procedures. Data were collected through direct observation of SSC implementation during the sign-in, time-out, and sign-out phases and analyzed using the chi-square test. Most observed procedures were elective surgeries (55.4%). SSC compliance was achieved in 52.3% of procedures during the Sign-in phase, 67.7% during the time-out phase, and 72.3% during the sign-out phase. A statistically significant association was identified between the type of surgical procedure and SSC compliance (p=0.006). these findings support the need to strengthen SSC implementation through regular compliance audits, continuous surgical team training, and reinforcement of patient safety culture. Because of the cross-sectional design, the findings indicate an association rather than a causal relationship.
Co-Authors Agus Budi Prasetyo Annes Rindy Permana Ircham Saifudin Muhammad Rodli Reko Priyonggo Sindu Sintara Suryanto