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Arif Setia Sandi
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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 20 Documents
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Search results for , issue "Vol. 2 No. 3 (2024): July - October 2024" : 20 Documents clear
The Effectiveness Of Hyperbaric Bupivacaine Administration On Hemodynamic Changes In Sectio Caesarea Patients Habsah Jumma, Misbachul Hayati; Burhan, Asmat; Heri Susanti, Indri
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.56

Abstract

Background: Sectio Caesarea (SC) is a critical surgical intervention used to manage abnormal labor, addressing potential health risks for both mother and infant. Spinal anesthesia, frequently administered using hyperbaric bupivacaine, plays a crucial role in the procedure. Purpose: This study aimed to evaluate the impact of hyperbaric bupivacaine on hemodynamic parameters in SC patients at Kardinah Hospital, Tegal City. Methods: A pre-experimental design with a One-Group Pretest-Posttest approach was employed. The study utilized purposive sampling to include 67 SC patients, aged 18-40 years with a BMI >18.5. Hyperbaric bupivacaine was administered as part of the anesthesia protocol. Hemodynamic parameters, including systolic and diastolic blood pressure, pulse rate, mean arterial pressure (MAP), SpO2, and respiratory rate (RR), were measured before and after administration of the anesthetic. Results: Analysis revealed a statistically significant effect of hyperbaric bupivacaine on systolic and diastolic blood pressure, pulse rate, and MAP (p = 0.00). In contrast, no significant effects were observed on SpO2 (p = 0.34) or RR (p = 0.15). Conclusions: The administration of hyperbaric bupivacaine in SC patients resulted in significant hemodynamic changes, particularly affecting blood pressure, pulse rate, and MAP. However, it did not significantly alter SpO2 or RR. These findings underscore the importance of monitoring hemodynamic parameters during spinal anesthesia to ensure patient safety and optimal management during cesarean sections
Effectiveness of Polyhexamethylene biguanide Liquid for Chronic Wound Washing James, Emmanuel; Massa, Beatrice; Theresa, Mercy
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.57

Abstract

Background: Chronic wounds occur due to a failure in the wound healing process and are currently one of the health problems that require proper management. Some types of chronic wounds include venous leg ulcer (VLU), diabetic foot ulcer (DFU). The use of wound washes is one of the factors that play an important role in chronic wound healing. Purpose: Effectiveness of Polyhexamethylene biguanide in cleaning wounds from old dressing residue and reducing bacterial counts. Methods: Quasi experiment without control group to 30 samples using Polyhexamethylene biguanide with BWAT wound assessment instrument (Bates Jensen Wound Assessment Tool), data processing using SPSS program with Wilcoxon test. Results: 17 (40%) were late elderly (56-65 years), 3 (20%) were early elderly (46-55 years), and 10 (20%) were seniors (> 65 years). The bivariate Wilcoxon test shows that Polyhexamethylene biguanide wound cleansing liquid significantly changes mean values before and after wound care. Before wound care, the mean value was 34.65 ± 14.15, and after treatment, it was 7.87 ± 3.16. The mean difference is -5.14 (-12.24 to 2.56) with a 95% confidence interval, and the p value is 0.031. Conclusion: Polyhexamethylene biguanide was shown to be effective as a wound wash to support the healing process of chronic wounds. Suggestions based on the results of this study can be used for efficient chronic wound washing for patients.
Description of The Incidence of Back Pain After Sectio Caesarea With Spinal Anesthesia M. Dirham, Nurul Rifah Ulmi; Triyudono, Danang; Apriliyani, Ita
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.59

Abstract

Background: Cesarean section (sectio caesarea) is a common surgical procedure for childbirth involving an incision in the uterine wall. Postoperative pain, particularly back pain associated with spinal anesthesia, is a prevalent concern. Previous research by Kurniawan (2022) indicated that 43.3% of patients experience moderate back pain postoperatively. However, comprehensive studies on the contributing factors to this back pain remain limited. Purpose: This study aims to analyze the incidence and determinants of back pain following cesarean section with spinal anesthesia at Siti Aminah Hospital, Bumiayu. Methods: A descriptive analytic study was conducted, employing a cross-sectional design with a survey method. The study population comprised 35 patients who underwent cesarean section with spinal anesthesia. Data were collected using structured observation sheets, focusing on variables such as patient age, needle size, anesthesia technique, patient positioning, and the severity of back pain. Findings: The majority of participants were aged 25-39 years (65.7%). A needle size of 25 gauge was used in 71.4% of cases. The median approach was the predominant anesthesia technique (82.9%), and 74.3% of procedures were performed with the patient in a sitting position. Notably, 51.4% of respondents reported mild back pain postoperatively. Conclusion: The findings suggest that patient age, needle size, anesthesia technique, and positioning during the procedure significantly influence the incidence of back pain following cesarean section with spinal anesthesia. Further research is recommended to develop strategies to minimize this complication and improve patient outcome.
Implementation of Murottal Therapy to Reduce Preoperative Anxiety in Patients with Spinal Anesthesia Erlena, Erlena Winda Lestari; Lintang Suryani, Roro; Bisma Yudha, Magenda
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.60

Abstract

Background: Preoperative anxiety is a common challenge that can negatively impact surgical outcomes and patient well-being. Physiological symptoms of anxiety, such as increased heart rate, blood pressure, and sweating, highlight the need for effective management strategies. Murottal therapy, which involves listening to Qur'anic recitations, offers a non-pharmacological method for anxiety reduction. Purpose: Evaluate murottal therapy’s effectiveness in reducing preoperative anxiety. Methods: A cohort of 30 patients scheduled for spinal anesthesia was recruited for this community service initiative. Anxiety levels were measured using the Visual Analog Scale for Anxiety (VAS-A) before and after the intervention. Participants underwent murottal therapy, which involved listening to Qur'anic recitations for a designated period. Pre- and post-therapy anxiety levels were compared to evaluate the effectiveness of the intervention. Findings: Prior to murottal therapy, 60% of participants exhibited severe anxiety, and 40% had moderate anxiety. Post-therapy results showed a significant improvement: 90% of participants reported moderate anxiety, 6.7% continued to experience severe anxiety, and 3.3% reported mild anxiety. Additionally, a pocket book detailing the murottal therapy procedure was developed as a resource for implementation. Conclusions: Murottal therapy significantly reduced anxiety levels among preoperative patients, demonstrating its potential as an effective, non-invasive approach to anxiety management in surgical settings.
Mindfulness Intervention for Post-Stroke Patients: Literature Review Jerau, Emiliani Elsi; Magenda Bisma; Septiani, Febi
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.61

Abstract

Introduction: Physical dysfunction can increase the psychological burden that hinders daily life and affects the quality of life in stroke patients. Appropriate management and treatment are needed to provide optimal recovery. One intervention that can be implemented is mindfulness. Aims: To identify and determine the benefits obtained by applying mindfulness interventions in stroke patients. Methods: This study used the method of literature review study and article search method using electronic databases Science Direct, Scopus, PubMed, and Google Scholar with a range of 2018 to 2024. Findings: The review of 7 articles showed that mindfulness interventions have benefits for post-stroke patients in improving cognitive skills, reducing post-stroke anxiety and depression, improving social and emotional well-being, and improving quality of life. Conclusion: Mindfulness intervention can be one of the holistic approaches that can be done in the chronic phase and post-stroke rehabilitation.
Providing Education on Basic Life Support to Increase Student Knowledge Billy, Billy Reihandi; Lintang Suryani, Roro; Murniati, Murniati
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.62

Abstract

Background: Basic Life Support (BLS) is an essential first aid action performed on individuals experiencing cardiac or respiratory arrest. The primary goal of BLS is to restore and maintain vital organ function through interventions like chest compressions and respiratory support. Knowledge, which arises from experience and observation, is enhanced through education. This process aims to improve understanding and, consequently, decision-making abilities. Purpose: The aim of this Community Service (PkM) project is to increase the knowledge of students at MAN 1 Banyumas regarding Basic Life Support. Method: The methods used in this PkM included lectures and discussions. The students' knowledge was assessed before and after the educational intervention using a structured knowledge questionnaire. Findings: The participants of this PkM were predominantly middle adolescents aged 15-17 years, with 29 participants (96.7%) falling within this age range. The majority were female, comprising 26 participants (86.7%). Most of the participants were in grade 11, accounting for 22 participants (73.3%). Before the educational intervention, the knowledge levels were as follows: Good: 2 participants (6.7%), Sufficient: 12 participants (40.0%), Poor: 16 participants (53.3%). After the BLS education, there was a marked improvement in knowledge, with all 30 participants (100%) achieving a "Good" level of knowledge. Conclusions: Education on basic life support at MAN 1 Banyumas significantly improved students' knowledge, with a higher percentage achieving a good understanding after the training.
Analysis of Thyroid Disorders in the Occurrence of Paroxysmal Atrial Fibrillation Dwiyanto, Yusup; Amelia Andini
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.63

Abstract

Thyroid disorders can directly affect the cardiovascular system, especially atrial fibrillation arrhythmia. Atrial fibrillation can be triggered by hormonal changes in the human body system. This can be dangerous and can increase the risk of stroke in sufferers. For this reason, researchers conducted this study to be able to analyze the risk of atrial fibrillation due to thyroid disorders. This study used a retrospective analytical design, with a chi square test to determine the risk of increased atrial fibrillation due to thyroid disorders. This study was conducted at Budhi Asih Hospital with Holter monitoring patient samples. The results of this study showed that in patients with thyroid disorders, the results of Holter monitoring showed paroxysmal atrial fibrillation as much as 9.9%, with a p-value: 0.000; OR: 39.346. The conclusion is that there are significant results between thyroid disorders and the incidence of paroxysmal atrial fibrillation
The Prevalence of Amputation in Regional Asia due to Diabetic Foot Ulcers 2024: A Systematic Review and Meta-analysis Athena, Aegle; Susanti, Indah; Auron, Afrodita; Atfat Malic, Rohan; Burhan, Asmat; Kumar, Vijay
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.64

Abstract

Background: Over the past decade, the prevalence of diabetic foot ulcers (DFUs) has notably increased, posing a significant risk of foot amputation in individuals with diabetes. Purpose: This systematic review and meta-analysis aimed to determine the rates of amputation associated with DFUs in patients with diabetes mellitus. Methods: A comprehensive literature search was conducted across multiple databases, including Scopus, PubMed, Cochrane, Web of Science, DOAJ, and Google Scholar. Full-text articles related to diabetic foot ulcer amputation were reviewed and extracted for analysis. Publication Bias: Assessed using a funnel plot in Jamovi (2.0.0), indicating a likelihood of publication bias. Meta-analysis Summary: Conducted using the Joanna Briggs Institute methodology, yielding a pooled meta-analysis result of 0.027. Odds Ratio (OR): Calculated for amputation risk in DFU patients, with a 95% Confidence Interval (CI). Random Effects Model: Employed to synthesize relevant outcomes. Heterogeneity: Evaluated using the I² statistic. Forest Plots: Generated to visualize study results. Results: Eighteen studies were included in the meta-analysis, encompassing a total of 7115 DFU patients in the Asian region. Among these patients, 2730 underwent foot amputations. Amputation Rate: The incidence of foot amputation was significantly higher among DFU patients. Pooled Odds Ratio: The OR for foot amputation in DFU patients was 0.34 (95% CI: 0.23-0.46). Publication Bias: The asymmetrical funnel plot suggested a high likelihood of publication bias. Conclusion: The presence of DFUs significantly elevates the risk of foot amputation in diabetic patients. Continuous monitoring and preventive strategies are essential to mitigate this risk, particularly in the Asian population.
Description The Level of Anxiety in Pre-Operation Patients Amanda Sri Utari; Susanto, Amin; Sumarni, Tri
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.65

Abstract

Background: Preoperative anxiety is a common psychological response in patients awaiting surgery, potentially influencing perioperative outcomes and recovery. Purpose: This study aims to assess the levels of anxiety experienced by preoperative patients at Dr. Soedirman Kebumen General Hospital. Methods: A descriptive, quantitative cross-sectional design was employed, involving 84 patients selected through purposive sampling. The study collected demographic data, including gender, age, and education level, alongside medical data such as the type of anesthesia and prior surgical experience. Anxiety levels were measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. Findings: Showed that 4 patients (4.8%) experienced mild anxiety, 66 patients (78.6%) had moderate anxiety, 12 patients (14.3%) exhibited severe anxiety, and 2 patients (2.4%) reported extreme anxiety or panic. The study revealed that the majority of patients (78.6%) undergoing surgery at Dr. Soedirman Kebumen General Hospital experienced moderate anxiety levels, suggesting the need for improved preoperative support and intervention strategies. Addressing patient anxiety could enhance perioperative success by reducing psychological distress and improving overall patient outcomes. Conclusions: Further studies should explore the effectiveness of targeted interventions to mitigate preoperative anxiety and its impact on surgical recovery.
Study of The Results of Routine Preoperative Blood Tests on Complications in Sectio Caesarea Patients Fauzan, M. Fauzan Abdallah; Burhan, Asmat; Nova Handayani, Rahmaya
Java Nursing Journal Vol. 2 No. 3 (2024): July - October 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i3.66

Abstract

Background: Pre-operative evaluations, including laboratory assessments, are critical components of surgical preparation, with cesarean sections being no exception. Despite their importance, prior research suggests that 70-90% of routine pre-operative blood tests are unnecessary and frequently exhibit abnormal findings. Purpose: This study aims to evaluate the outcomes of routine pre-operative blood tests in patients undergoing cesarean sections at Banjarnegara Islamic Hospital. Methods: A descriptive quantitative study with a cross-sectional design was conducted in June 2024. The sample comprised 44 patients selected through convenience sampling. Data were collected by observing and recording the results of routine pre-operative blood tests, including erythrocytes, hemoglobin, hematocrit, leukocytes, and platelets. Findings: The analysis revealed average erythrocyte levels of 3.95 × 10^6/uL, hemoglobin levels of 11.27 g/dL, hematocrit values of 33.06%, leukocyte counts of 12.62 × 10^3/uL, and platelet counts of 250.77 × 10^3/uL. Intra-anesthesia complications were predominantly hypotension (81.8%), while the most common post-anesthesia complication was postoperative nausea and vomiting (54.5%). Conclusions: The findings indicate a significant proportion of routine blood tests fall outside standard reference ranges, though anesthetic complications remain relatively low. These results underscore the need to reassess the necessity of routine blood tests in pre-operative evaluations and highlight potential areas for improving patient outcomes. Recommendations: Future research should explore the clinical implications of these findings and contribute to establishing guidelines for routine pre-operative testing and management of anesthetic complications

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