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Java Nursing Journal
Published by Global Indonesia Healthcare
ISSN : -     EISSN : 29884152     DOI : https://doi.org/10.61716/jnj.v1i2
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing
nursing science, nursing management principles, nursing policy, Nursing Ethics, health care, nursing education, and nursing practice in Asian communities worldwide to a broad international audience. Article Review in Nursing, Medical surgery nursing, Nursing Anesthesia, advanced nursing, Complementary Nursing, Community Nursing, Pediatric Nursing, Basic nursing, Psychiatric nursing, Maternity Nursing, Nursing Management, Gerontology Nursing, Oncology Nursing, Law Nursing, and Informatic Nursing.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 13 Documents
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Search results for , issue "Vol. 2 No. 2 (2024): March - June 2024" : 13 Documents clear
Overview of Induction Drug Dosage Types with the ERACS (Enhanced Recovery After Caesarean Surgery) Sectio Caesarean Method in Post Sectio Caesarean Patients at Hermina General Ayu Kartika Sari, Venna; Suandika, Made; Burhan, Asmat; Tri Yudono, Danang
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.39

Abstract

The caesarean section method is recognized recently with the concept of ERACS (Enhanced Recovery After Cesarean Surgery). The surgery process is more convenient because there is less pain and the postoperative recovery process is faster than the traditional method. The ERACS concept was developed from the ERAS (Enhanced Recovery After Surgery) concept and applied to gastrointestinal surgery. It has been shown to minimize hospital admissions and complications after surgery, which results in improved patient satisfaction. The design of this study was quantitative non- experimental using descriptive methods conducted in September 2023 with a population of all adult patients undergoing surgery under general anesthesia and a sample of 70 respondents. This method is used to study populations by collecting data to clarify and test hypotheses. This study focuses on describing the types and induction drugs with the ERACS method. in post-cesarean section patients at Hermina General Hospital Yogyakarta. Data were collected using observation techniques recorded in the observation sheet and then analyzed using the frequency distribution test using SPSS version 23. The results showed that most of the respondents in this study were women aged 26-35 years as many as 38 respondents (54.3%). Based on other respondent characteristics, it was also found that the results of blood pressure <130 and <90 mmHg were (52.9%), which is 37 respondents, followed by a pulse of 80-100x/min as many as 40 respondents (57.1%), spo2> 95% as many as 65 respondents (92.9%) ASA 1 as many as 46 respondents (65.7%), and the average use of morphine and fentanyl was (100%) using a combination of morphine drugs with a dose of 0.1mg and fentanyl with a drug dose of 25mcg. Keywords: ERACS, Maternity, Post-Cesarean Section
Integrating Zinc Cream-Chitosan and Cadexomer Iodine for Treating Infections in Diabetic Foot Ulcers: A Case Report Bahri, Khairul; Fajar, Kana; Intan Asri Nurani; Rizki Hidayat
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.40

Abstract

Background: The incidence of Diabetes Mellitus is reported to be increasing. These wounds can be challenging to heal and may lead to amputation if not treated appropriately. Treating wound infection requires careful antiseptic wound washing, removal of dead tissue, and the use of topical antimicrobial dressings. Aim in this case, we reported a case of diabetic foot ulcer infection used zinc cream-chitosan and cadexomer iodine. Case: A 76-year-old woman with a history of diabetes mellitus presented to the Wound, Ostomy and Continence Care Department at Wocare Indonesia in Bogor with an infected diabetic foot ulcer. The wound is classified as unstageable due to the presence of 100% slough tissue covering the entire wound bed. Additionally, there is erythema and oedema in the wound area, moderate purulent exudate, and slight bleeding. The wound emits an odour detectable within a distance of less than one meter. ABPI 0.67. The wound local infection assessment used NERDS and infection used WIFi classification. The primary dressing used for wound care was zinc cream-chitosan and cadexomer iodine 0.9%. Dressing changes were performed once every three days. Conclusion: The study examined the effectiveness of using zinc cream-chitosan and cadexomer iodine 0.9% to treating infection in diabetic foot ulcer wounds. The NERDS score decreased from 5 to 3, and the WIFi Classification decreased from 4 to 2, indicating an improvement in wound healing and patient quality of life with diabetic foot ulcers.
An Overview Caring Behavior of Anesthesiologist in Spinal Anesthesia Patients at RSUD Cilacap Alverina, Frianca; Suryani, Roro Lintang; Burhan, Asmat
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.42

Abstract

Background: Care becomes a phenomenon that affects how we think, feel, and relate to others, so basically care can be described as the ability to genuinely dedicate ourselves to other people, remain vigilant in supervision, have empathy for other individuals, and have a sense of compassion that is important in care practice. Important aspects faced include knowledge, learning through experience, patience, honesty, trust, humility, hope, and the ability to innovate. Failure to treat anesthetic meetings with patients can have a serious impact on the patient's experience during medical procedures. Aim: What is the description of the caring behavior of anesthesiologists in spinal anesthesia patients at Cilacap Hospital. Method: This research uses descriptive methods using cross sectional survey design approaches. The sampling technique was carried out using sequential samples with a total of 65 patients. Findings: The results of the study were based on the age of 32 respondents (49.2%), gender of 33 respondents (50.8%), and educational level of 30 respondents (46.2%). Conclusion: The conclusion was that the majority of respondents assessed that the anesthesia in the District Hospital of Cilacap behaved treating respondents, which is 61 respondents (93.8%).
Description of Parenteral Anxiety With Children Who Will Undergo Anxiety Sukma Satriyawan, Ade; Lintang Suryani, Roro; Novitasari, Dwi; Suandika, Made
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.45

Abstract

Background: Pediatric pain associated with invasive medical procedures is a significant cause of anxiety for parents. Most parents experience preoperative anxiety and fear. Purpose: The study aims to describe the anxiety of parents with children who will undergo anesthesia at IBS RSU Afdila Cilacap 2023. Methods: The research conducted is Quantitative research with descriptive design. The approach that will be used during the research is cross sectional, the sample in this study is using the Total Sampling method as many as 31 respondents. Data were collected using a questionnaire instrument used in this study, the Indonesian version of the Hamilton Anxiety Rating Scale (HARS) parental anxiety questionnaire sheet. Result: The results of most of the moderate anxiety were 17 respondents (54.8%), at the age of the child most children aged 12-18 years with moderate parental anxiety as many as 9 respondents (29.0%), in the gender of the parents most female gender with moderate anxiety as many as 12 respondents (38.7%), the employment of parents most private jobs with moderate anxiety as many as 12 respondents (38.7%). Conclusion: there is still severe anxiety in as many as 7 respondents from this study, so there must be treatment or intervention to reduce parental anxiety in children who will undergo surgery.
Description Of Age And Bmi In The Hypothermia And Normothermia Group In Caesarea Sectio Patients With Spinal Anesthesia Jaya Zega, Firman; Mixrova Sebayang, Septian; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.46

Abstract

Background: Hypothermia results in increased risk of bleeding, myocardial ischemia, longer post-anesthesia recovery, impaired wound healing, and increased risk of infection. This is due to the influence of anesthetic use, age, nutritional status, and body mass index. The research aims to determine the description of age and BMI in the hypothermia and normothermia groups in caesarean section patients with spinal anesthesia at the Efarina Etaham Pematang Siantar Hospital. Methods: This type of research is descriptive with a cross sectional approach. The study population was all 40 caesarean section patients with spinal anesthesia in September 2023. The research sample used a total sampling method, namely the entire population was the research sample of 40 respondents. Data analysis using univariate analysis. Findings: The results of the research showed that the body temperature of the respondents experienced hypothermia after anesthesia, the majority aged >35 years, all of them experienced hypothermia as many as 11 respondents (100.00%) and the minority of respondents aged <20-35 years as many as 2 respondents (15.38%) and as many as 25-35 years old. 2 respondents (12.50%). Body temperature after spinal anesthesia showed that the body temperature of the respondents experienced hypothermia, the majority of BMI <18.5 or underweight category were 11 respondents (91.67%) and the minority were Normal BMI (BMI 18.5-22.9) as many as 4 respondents (14.29%). Conclusion: Body temperature changes when spinal induction anesthesia is given.
Relationship Between Length of Surgery and Shivering in Postoperative Abdominal Surgery Patients Yuswanto, Subur; Triyudono, Danang; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.47

Abstract

Background: Abdominal surgery is a type of major surgical operation performed in the abdominal area with incision in the wall layer. The surgery has a risk, one of which is the incidence of shivering and the long period of surgery causes a continuous process of losing body heat. Objective: to know the relationship between the length of surgery and the incidence of shivering in postoperative abdominal surgery patients in the central surgical installation of RSUD Hj. Anna Lasmanah Banjarnegara. Methods: This research design uses cross sectional. Sampling technique with total sampling obtained 50 with abdominal surgery... Instruments include age, gender, BMI, type of anesthesia, length of surgery and incidence of shevering. Findings: age with the majority of the early adult category 26-35 years at 14 (28.0%) for the majority of female gender at 35 (70%) and the highest BMI with normal at 31 (62%).The length of operation of postoperative abdominal surgery patients with the majority in the fast category less than 1 hour at 29 (58%). Conclusion: there is a relationship between the length of surgery and the incidence of shivering in abdominal surgery patients in the Central Surgical Installation of Hj. Anna Lasmanah Banjarnegara Hospital with a p_value of 0.004 (<0.05) with a relationship in the moderate category with rho 0.416 with a relationship in the moderate category with rho 0.416
Overview of Thirst Level in Pre-Operative Patients Muhammad Pandu Wira Sena Isnantopo, Noor; Sukmaningtyas, Wilis; Triyudono, Danang
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.48

Abstract

Background: Fasting before surgery has the effect of reducing the acidity and volume of the stomach which affects the risk of nausea and vomiting leading to aspiration pnomonia and gastric regurgitation that may occur during anesthesia. Purpose: The study aims to determine the description of the level of thirst in preoperative patients at the Central Surgical Installation (IBS) of Dr. H. Moch. Ansari Saleh Banjarmasin Hospital. Methods: This study used descriptive method with cross sectional design. The sampling technique with total sampling obtained 35 respondents. Data analysis using descriptive analysis. Findings: The study showed 18 respondents (51.4%) had fasted for 5-8 hours before surgery, 13 respondents (37.1%) had a habit of drinking more than 2000 ml of water per day, this study showed that the level of thirst of respondents in the mild category was 31.4%, the level of moderate thirst was 42.9% and the level of severe thirst was 25.7%. Conclusion: That more respondents experienced moderate thirst.
Hemodynamic Features of Cesarean Section Patients with Spinal Anesthesia Alan Marbase, Festus; Susanto, Amin; Mixrova Sebayang, Septian
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.49

Abstract

Background: Sectio Caesarea (SC) surgery in labouring women can lead to haemodynamic risks. One of the haemodynamic events is a drop in blood pressure, this is the effect of spinal anaesthesia. Purpose: To determine the haemodynamic features of sectio sesarea patients with spinal in the operating room of RSUD Yowari Jayapura Regency. Methods: This research design uses descriptive design. Sampling technique with total sampling of 40 SC patients. The research instrument contains patient data which includes age, blood pressure, heart rate, breathing, and body temperature. Findings: The average age of patients obtained was 30.38, systolic before 129.32 and after 94.90, diastolic before 90.48 and after 59.38, heart rate before 84.70 after 118.90, breathing before 18 after 18.70, body temperature before 36.350C after 36.420C, MAP before 180.95 after 134.53 while oxygen saturation before 98.93 and after 99.15. Conclusion: There are haemodynamic events in SC patients after surgery at Yowari Hospital, Jayapura Regency.
Factors Associated with the Incidence of Hypotension in Patients With Spinal Anesthesia Gani, Evita; Triyudono, Danang; Lintang Suryani, Roro
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.50

Abstract

Background: Spinal anesthesia is a regional anesthetic that functions in inhibiting the spinal nerves in surgical attempts. Spinal anesthesia also has complications, one of which is hypotension. Purpose: to determine the factors of hypotension in patients with spinal anesthesia at Mayjend Hospital. H. M. Ryacudu North Lampung. Methods: using analytic correlation with a cross sectional approach. Sample technique with purposive sampling. The number of samples was 56 respondents. The study used observations containing post-anesthesia data including age, gender, BMI, and type of drug and the incidence of hypotension. Findings: The age of the respondents was mostly in the early adult category, 21 (37.5%). Male gender is 28 (50%) and female is 28 (50%), the majority of BMI with normal category is 24 (42.9%), the type of anesthesia is Bupivacaine 28 (50%) and Levobupivacain 28 (50%).There is no relationship between age, gender and type of drug with hypotension with p_value>0.05 Conclusion: there is a relationship between BMI and hypotension in post-spinal anesthesia patients at RSD Mayjend. H. M. Ryacudu North Lampung with a p-value of 0.00 (<0.05).
Overview of Intra Anesthesia Hemodynamic Status in Patients with Spinal Anesthesia Action Rahman; Lintang Suryani, Roro; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.51

Abstract

Background: Hemodynamic observation during spinal anesthesia is necessary to assess the status of a patient's cardiovascular system. Hemodynamic decline is one of the most common acute complications that can occur in spinal anesthesia. Purpose: to determine the description of intra-anesthesia hemodynamic status in patients with spinal anesthesia at Morowali Hospital. Methods: This research design uses descriptive design. The sampling technique with total sampling obtained 85 patients who performed spinal anesthesia. The research instrument contains monitoring the patient's vital signs including systole blood pressure, diastole, pulse frequency, and MAP value. Results: The age of patients is most with early adulthood at 33 (38.8%) and the least with the elderly category at 2 (2.4%). The gender of the respondents was mostly female with 51 (60%). The type of surgery with the majority with major surgery amounted to 51 (60%) and the most ASA status with ASA 2 amounted to 74 (87.1%). Conclusion: hemodynamic status based on systole and diastole blood pressure in the normal category was 63 (74.1%), based on pulse frequency the majority with normal status was 58 (68.2%), based on MAP values the majority with normal was 53 (62.4%).

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