Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan
Viva Medika Is a journal that publishes articles or research results relating to health, nursing and midwifery issues. Viva Medika is published by Harapan Bangsa University twice a year (September and February). The mission of the Journal of Viva Medika is to disseminate and discuss scientific writings on midwifery, nursing, and various issues within the scope of health problems. This journal is intended as a medium of communication for lecturers and people who have attention to health, obstetrics, nursing.
Articles
571 Documents
Gambaran Motivasi Belajar Siswa Pada Pembelajaran Daring di SMK Ma’arif NU 1 Ajibarang
Fitriana Fitriana;
Wasis Eko Kurniawan;
Arni Nur Rahmawati
Viva Medika Vol 16 No 2 (2023): VOLUME 16 / Nomor 02 /MARET/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto
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DOI: 10.35960/vm.v16i2.890
The Covid-19 pandemic has changed the pattern of learning that should be face-to-face to distance learning or commonly called online. Online learning is an educational innovation that involves elements of information technology in learning. Communication between parents and children is very necessary in the educational process. The general purpose of this researcher is to find out the description of student learning motivation in online learning at SMK Ma'arif NU Ajibarang. The research method used is descriptive quantitative with a cross sectional approach. The sampling technique in this study, researchers used proportionate stratified random sampling of 84 respondents. The data analysis used is univariate analysis. The results showed that the most dominant student age was 16 years old (38.1%), with female gender (76.2%) and the most dominant student learning motivation was in the medium category (45.5%). The conclusion is that there is a relationship between family communication patterns and students' learning motivation in online learning at SMK Ma'arif NU Ajibarang.
TEKANAN INTRA OKULAR POST PERIBULBAR BLOK 5 MENIT DAN 10 MENIT PADA PASIEN VITREKTOMY DI PMN RS MATA CICENDO BANDUNG
Muhammad Firman Saefudin;
Roro Lintang Suryani;
Murniati Murniati
Viva Medika Vol 16 No 2 (2023): VOLUME 16 / Nomor 02 /MARET/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto
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DOI: 10.35960/vm.v16i2.905
The peribulbar has a slower anesthetic effect and requires a larger volume than the retrobulbar. Large volumes can increase the pressure on the eye, so that the opening of the vitrectomy operation can cause rapid changes in pressure which can increase the risk of choroidal detachment. The purpose of this study was to determine the description of intra-ocular pressure in vitrectomy patients with peribulbar block at PMN Cicendo Eye Hospital, Bandung. This study used a descriptive research method with a cross sectional approach. The number of samples in the study was 100 respondents, taken by accidental sampling technique. The instrument used was tonopen I Care, then the measurement results were documented and data processing was carried out using the SPSS 26 application. The results obtained showed an increase in IOP in the 5th minute by 18% with a maximum increase of 8 mmHg and a 72% decrease with an average decrease of 3.52 mmHg. Then in the 10th minute, there was a decrease in IOP of 91% with an average decrease of 5.94%, but there was still a maximum IOP increase of 4 mmHg. The decrease in IOP began to occur at 5 minutes and then most of it decreased at 10 minutes even though there was still a 2% increase at 10 minutes this could occur due to other comorbidities of the eye such as glaucoma
Hubungan Usia dengan Kejadian Hipotensi Pada Pasien Pasca Spinal Anestesi di Kamar Operasi Rumah Sakit Umum Tgk. Chik Ditiro Sigli Kabupaten Pidie Aceh
Zulfakhrizal Zulfakhrizal;
Tri Sumarni;
Siti Haniyah
Viva Medika Vol 16 No 2 (2023): VOLUME 16 / Nomor 02 /MARET/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto
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DOI: 10.35960/vm.v16i2.908
Background : Hypotension is the most common complication during spinal anesthesia with an incidence of more than 80%. Objective: The study aims to determine the relationship between age and the incidence of hypotension in post-spinal anesthesia patients in the operating room of Tgk General Hospital. Chik Ditiro Sigli. Methods: This study uses cross-sectional analytic types. The population in this study were intraoperative patients under spinal anesthesia at Tgk Chik Ditiro Hospital, Pidie District, Aceh Province in the last 2 months, namely 112 patients. The sampling technique in this study used a purposive sampling technique of 88 respondents. Data analysis was performed univariately and bivariately using the chi square test. Results: Most of the post-spinal anesthesia patients were early adults (26-35 years) with 40 respondents (45.5%). The incidence of hypotension in post-spinal anesthesia patients was found that most of them did not experience hypotension as many as 54 respondents (61.4%). There is a significant relationship between age and the incidence of hypotension in post-spinal anesthesia patients with a p-value<0.001.. Conclusion: This study concluded that there is a significant relationship between age and the incidence of hypotension in post-spinal anesthesia patients in the operating room of Tgk General Hospital. Chik Ditiro Sigli.
Pengaruh Breathing Exercise Diafragma (Bed) Terhadap Penurunan Nyeri Pada Pasien Post Sectio Caesarea Dengan Spinal Anestesi Di Rumah Sakit Umum Daerah Tgk Chik Ditiro Sigli
Said Muhammad Yusuf;
Murniati Murniati;
Feti Kumala Dewi
Viva Medika Vol 16 No 2 (2023): VOLUME 16 / Nomor 02 /MARET/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto
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DOI: 10.35960/vm.v16i2.911
Non-pharmacological therapy that can be done to reduce pain in post sectio caesarea patients can be done with diaphragmatic breathing exercise. This study aims to determine the effect of diaphragmatic breathing exercise on reducing pain in post sectio caesarea patients with spinal anesthesia at Tgk Chik Ditiro Sigli Hospital. This research method is a Quasi Experiment with a pretest – posttest approach with a control group. The number of samples in this study were 40 sectio caesarea patients who were divided into 2 groups, namely 20 experimental groups and 20 control groups. The instrument used in this study to measure the pain scale is the Phase Pain Scale (FPS). The collected data were analyzed univariately and bivariately using the Wilcoxon Test. The results showed that the average pain scale in the intervention group before being given the diaphragmatic breathing exercise technique was 5 (SD 1.29777 and confidence interval (2-6)) and after being given the diaphragmatic breathing exercise technique the average pain scale decreased to 3. 1 (SD 1.11921 and confidence interval (1-5)). There is an effect of diaphragmatic breathing exercise on pain reduction in post-cesarean section patients with spinal anesthesia with a p-value of 0.0001 (P<0.05). This study concluded that there was an effect of diaphragmatic breathing exercise on pain reduction in post-cesarean section patients with spinal anesthesia at Tgk Chik Ditiro Sigli Hospital.
Pengaruh Pemberian Posisi Duduk 3 Menit Setelah Induksi Spinal Anestesi Terhadap Pencegahan Hipotensi Pada Pasien Sectio Caesarea Di RSUD Tgk. Abdullah Syafi’i Beureuneun Kabupaten Pidie Provinsi Aceh
Fadlillah Fadlillah;
Rahmaya Nova Handayani;
Ita Aprilyani
Viva Medika Vol 16 No 2 (2023): VOLUME 16 / Nomor 02 /MARET/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto
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DOI: 10.35960/vm.v16i2.912
Hypotension is one of the side effects of spinal anesthesia. Giving a sitting position for three minutes after spinal injection is one of the actions taken to reduce the incidence of hypotension. The aim of this study was to determine the effect of giving a sitting position 3 minutes after induction of spinal anesthesia on the prevention of hypotension in sectio caesarea patients at Tgk. Abdullah Syafi'i Beureuneun, Pidie District, Aceh Province. This research method is a Quasi Experiment with a Posttest-Only Control Design approach. The number of samples in this study were 80 sectio caesarea patients who were divided into 2 groups, namely 40 experimental groups and 40 control groups. The instrument used in this study was an observation sheet on the incidence of hypotension in patients with sectio caesarea. Data analysis was performed univariately and bivariately using the Mann-Whitney test. The results showed that the characteristics of respondents based on age found the majority aged 20-35 years as many as 74 respondents (92.5%), based on the number of children or parity the majority were multipara (2-5) as many as 66 respondents (82.5%) and based on the education of the majority SMA as many as 59 respondents (73.3%). There is an effect of sitting position 3 minutes after induction of spinal anesthesia on the prevention of hypotension in sectio caesarea patients with a p-value of 0.000 (P<0.05). This study concluded that there was an effect of sitting position 3 minutes after induction of spinal anesthesia on the prevention of hypotension in sectio caesarea patients at Tgk. Abdullah Syafi'i Beureuneun, Pidie District, Aceh Province.
Pengaruh Anestesi Spinal Terhadap Hemodinamik Pada Pasien Sectio Caesarea di Rumah Sakit Umum Cut Meutia Aceh Utara
Saiful Nazar;
Tophan Heri Wibowo;
Ikit Netra Wirakhmi
Viva Medika Vol 16 No 2 (2023): VOLUME 16 / Nomor 02 /MARET/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto
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DOI: 10.35960/vm.v16i2.913
Hemodynamic changes are a risk that can occur in the use of spinal anesthesia in sectio caesarea operations. The aim of this study was to determine the effect of spinal anesthesia on hemodynamics in sectio caesarea patients at Cut Meutia Hospital, North Aceh. This research method uses observational analytic with cross sectional with pretest & posttest only group. The sampling technique was carried out by means of a total sampling of 70 respondents. The research instrument that will be used in this study is the patient observation sheet. Data analysis was performed univariately and bivariately using the Wilcoxon test. The results showed that there were differences in hemodynamics (blood pressure) before and after spinal anesthesia in sectio caesarea patients with a p-value of 0.000 (p<0.05). There were differences in hemodynamics (pulse) before and after spinal anesthesia in sectio caesarea patients with a p-value of 0.000 (p <0.05). This study concluded that there was an effect of spinal anesthesia on hemodynamics in sectio caesarea patients at Cut Meutia Hospital, North Aceh
Hubungan Tingkat Kecemasan dengan Tingkat Nyeri Post Operatif Sectio Caesarea Teknik Anestesi Spinal
Yeli Saputra;
Tri Sumarni;
Suci Khasanah
Viva Medika Vol 16 No 2 (2023): VOLUME 16 / Nomor 02 /MARET/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto
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DOI: 10.35960/vm.v16i2.915
Surgical procedures will cause feelings of anxiety for the patient and will also have an impact on the patient's pain intensity after sectio caesarea. The aim of this study was to determine the relationship between anxiety levels and pain levels in postoperative sectio caesarea using spinal anesthesia. This research method is quantitative with a descriptive correlation type with a cross sectional design. The number of samples in this study were 33 respondents with a total sampling technique according to the inclusion and exclusion criteria. Data analysis was performed univariately with frequency distribution and bivariately using the Spearman correlation test. The results showed that the majority of postoperative sectio caesarea patients experienced moderate anxiety as many as 17 respondents (51.5%) and moderate pain levels as many as 23 respondents (69.7%). The results of the Spearman correlation test showed that there was a significant correlation between the scores of preoperative anxiety levels and the pain level of postoperative sectio caesarea spinal anesthesia technique with a p-value of 0.002 (p<0.05). This study concludes that there is a relationship between the level of anxiety and the level of pain in postoperative sectio caesarea using spinal anesthesia at RSUD dr. Zubir Mahmud, East Aceh Regency.
Faktor-Faktor Yang Berhubungan dengan Nilai Apgar Skor Neonatus Pada Ibu Sectio Caesarea dengan Anestesi Spinal di Rumah Sakit Umum Daerah Pidie Jaya Aceh
Mahyar Mahyar;
Matyarini Budi Setyawati;
Ita Apriliyani
Viva Medika Vol 16 No 2 (2023): VOLUME 16 / Nomor 02 /MARET/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto
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DOI: 10.35960/vm.v16i2.918
Sectio caesarea dengan anestesi spinal dapat menyebabkan penurunan tajam pada tekanan darah (perubahan hemodinamik) ibu yang akan mempengaruhi keadaan Ibu dan bayi khususnya rendahnya nilai skor APGAR sehingga berpotensi menjadi asfiksia pada bayi baru lahir. Penelitian bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan nilai APGAR skor neonatus pada ibu sectio caesarea dengan anastesi spinal di Rumah Sakit Umum Daerah Pidie Jaya Aceh. Metode Penelitian ini adalah deskriptif korelasi yang bersifat cross sectional. Teknik pengambilan sampel dalam penelitian ini menggunakan teknik purposive sampling sebanyak 43 responden. Data diambil langsung dari subjek sebagai sumber informasi yang diteliti yaitu hasil observasi. Hasil penelitian bahwa tidak ada hubungan antara usia ibu dengan APGAR skor neonatus pada ibu sectio caesarea dengan anestesi spinal diperoleh nilai p-value 0,268 (p>0,05) ada hubungan antara tekanan darah ibu dengan APGAR skor neonatus pada ibu sectio caesarea dengan anestesi spinal diperoleh nilai p-value 0,000 (p<0,05), ada hubungan antara dosis obat anestesi dengan APGAR skor neonatus pada ibu sectio caesarea dengan anestesi spinal diperoleh nilai p-value 0,001 (p<0,05) dan ada hubungan antara interval waktu induksi hingga bayi lahir dengan APGAR skor neonatus pada ibu sectio caesarea dengan anestesi spinal diperoleh nilai p-value 0,049 (p<0,05). Oleh karena itu penata anestesi diharapkan dapat melakukan intervensi untuk mengurangi risiko asfiksia pada bayi baru lahir.
Hubungan Lama Operasi dengan Kejadian Shivering Pada Pasien Pasca Spinal Anestesi Di RSUD Meuredu Kabupaten Pidie Jaya Aceh
Zulfikar Zulfikar;
Tri Sumarni;
Wasis Eko Kurniawan
Viva Medika Vol 16 No 2 (2023): VOLUME 16 / Nomor 02 /MARET/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto
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DOI: 10.35960/vm.v16i2.919
Shivering events after anesthesia can cause patients to feel uncomfortable or even painful due to stretching of the surgical scar and increased oxygen demand due to increased muscle activity. The purpose of this study was to determine the relationship between the duration of surgery and the incidence of shivering in post-spinal anesthesia patients at Meureudu Hospital, Pidie Jaya District, Aceh. This study uses an analytic method that is cross sectional. The sampling technique in this study was carried out using a purposive sampling technique of 65 respondents. The instrument in this study used an observation sheet containing the length of operation and shivering. Data analysis was performed univariately and bivariately using the chi-square test. The results showed that of the 65 respondents, most of them underwent surgery quickly, as many as 29 respondents (44.6%), most of the post-spinal anesthesia patients at Meuredu Hospital, Pidie Jaya Regency, did not experience shivering, as many as 33 respondents (50.8%). the chi-square test showed that there was a relationship between length of operation and the incidence of shivering in post-spinal anesthesia patients with a p value of 0.001 (p <0.05). The conclusion of this study is that there is a relationship between the duration of surgery and the incidence of shivering in post-spinal anesthesia patients at Meureudu Hospital, Pidie Jaya District
Analisis Faktor Yang Mempengaruhi Kejadian Post Operatif Nausea and Vomiting (Ponv) Pada Pasien Sectio Caesarea Dengan Anestesi Spinal Di RSUD Tgk Chik Ditiro Sigli Kabupaten Pidie Provinsi Aceh
Eva Muntasir;
Rahmaya Nova Handayani;
Ema Wahyu Ningrum
Viva Medika Vol 16 No 2 (2023): VOLUME 16 / Nomor 02 /MARET/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto
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DOI: 10.35960/vm.v16i2.920
Postoperative nausea and vomiting (PONV) is a side effect that often occurs after anesthesia, with an incidence of approximately 1/3 of all patients undergoing surgery. This study aims to analyze the factors that influence the incidence of postoperative nausea and vomiting (PONV) in sectio caesarea patients under spinal anesthesia at Tgk Chik Ditiro Sigli Hospital, Pidie District, Aceh Province. This research method uses a type of cross-sectional analytic survey. The sampling technique in this study used the Accidental Sampling technique for 51 respondents from a total population of 103 patients. The instrument in this study was patient observation sheets obtained through observation through interviews and patient medical records. Data analysis was performed univariately and bivariately using the chi-square test. The results showed that there was an effect of age (p=0.001), parity (p=0.006) and anxiety (p=0.000) on the incidence of post operative nausea and vomiting (PONV) in sectio caesarea. This study concludes that there is an effect of age, parity and anxiety on the incidence of postoperative nausea and vomiting (PONV) at Tgk Chik Ditiro Sigli General Hospital, Pidie District, Aceh Province