Java Nursing Journal
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.
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<![CDATA[Relationship of Lemon Score with Prediction of Difficulty Intubation in General Anesthesia Patients ]]>
<![CDATA[Rista, Rista]]>;
<![CDATA[Danang Tri Yudono]]>;
<![CDATA[Made Suandika]]>
<![CDATA[ Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025 ]]>
Publisher : <![CDATA[Global Indonesia Health Care (GOICARE) ]]>
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DOI: 10.61716/jnj.v3i1.86
<![CDATA[Background: General anesthesia is the most widely practiced anesthetic technique, and mishandling of the airway may lead to serious and even life-threatening complications. Intubation success is maximized when the LEMON assessment is applied to cases where the anesthesia assessment also assesses for prediction of intubation difficulty. Purpose: This study aims to find out the relationship between the LEMON scoring and the prediction of intubation difficulty encountered during general anesthesia. Methods: This quantitative study follows a cross-sectional design with data being collected within one single period. The sample consisted of 52 individuals undergoing general anesthesia with endotracheal intubation (ETT). Chi-square testing was performed with Fisher's Exact Test as the alternative for statistical analysis. Results: The analysis yielded a p-value of 0.019, which is below the 0.05 cutoff, demonstrating a significant association between the LEMON score and the prediction of intubation difficulty in patients undergoing general anesthesia at RSUD Dr. Soedirman Kebumen. Conclusions: A statistically significant association was found between the LEMON score and the prediction of intubation difficulty. The implication is that LEMON scoring can be another useful tool for anesthetic pre-evaluation in predicting probable airway management concerns during general anesthesia in patient.]]>
<![CDATA[Description of The Level of Knowledge of Basic Life Support (BlS) With Readiness To Perform Bhd Actions on Anesthesiologists ]]>
<![CDATA[Nurul, Nurul Hidayati]]>;
<![CDATA[Burhan, Asmat]]>;
<![CDATA[Nova Handayani, Rahmaya]]>
<![CDATA[ Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025 ]]>
Publisher : <![CDATA[Global Indonesia Health Care (GOICARE) ]]>
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DOI: 10.61716/jnj.v3i1.87
<![CDATA[Background: Cardiac arrest is one of the significant risks among those associated with surgery, interventional procedures, or anesthesia. Basic life support (BLS) is the immediate action taken in critical or emergency situations to save lives. The health care personnel must possess adequate knowledge and ability to handle such emergencies effectively. Anesthesiologists must necessarily be BLS proficient to give an early intervention during emergencies just like any other medical professional. Purpose: This study will evaluate the knowledge and preparedness of BLS among the anesthesiologists of the Central Surgical Installation in Banyumas Regency. Methods: The study used a cross-sectional design. Data were collected using surveys dispatched online to the 47 participants through Google Forms from June 19 to 28, 2024, in Banyumas Regency. Results: The results showed that 32 participants (72.3%) possessed excellent knowledge of BLS; however, 24 of 47 responders (51.1%) felt that they were adequately prepared for BLS action when needed. Conclusion: The study disclosed a positive correlation between BLS knowledge and preparedness to perform BLS among anesthesiologists in the Banyumas Regency, thus stressing continuing education and training to promote preparedness in case of emergencies]]>
<![CDATA[Overview of Blood Pressure After Spinal Anesthesia with Preload and Without Preload 20cc Ringer Lactate in The Operating Room ]]>
<![CDATA[Dedi, Dedi Irawan]]>;
<![CDATA[Sukmaningtyas, Wilis]]>;
<![CDATA[Susanto, Amin]]>
<![CDATA[ Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025 ]]>
Publisher : <![CDATA[Global Indonesia Health Care (GOICARE) ]]>
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DOI: 10.61716/jnj.v3i1.88
<![CDATA[Background: Spinal anesthesia is known to affect blood pressure by raising or lowering blood pressure levels, including MAP and pulse rate. While colloidal fluid therapy is indicated for the management of such variations, it remains longer in the intravascular space and supports blood pressure stabilization. Purpose: This study attempts to analyze the time and amount of Ringer Lactate fluid administration to stabilize blood pressure back to normal levels after spinal anesthesia. Methods: Quantitative research was adopted with an analytical, cross-sectional observation design. Data collection was facilitated using sheets for observing blood pressure and measuring blood pressure using a Tension meter. The study was performed over one month, from July to August, at Awal Bros Batam Hospital. A total of 40 respondents were taken for this study using total sampling. The data collected were analyzed using univariate analytical methods. Results: From the analysis, the mean average time taken for blood pressure changes after spinal anesthesia is 12.15 minutes standard deviation of 3.363. The time taken varied from a minimum of 5 minutes to a maximum of 20 minutes. As for the volume of Ringer Lactate fluid, on average, the volume given was 20 ccc/KGBB. Blood pressure change after spinal anesthesia had a mean of 99.65 standard deviations of 30.783, with the minimum measurement at 22 and the maximum at 167. Conclusion: This study shows the importance of giving Ringer Lactate fluid to stabilize blood pressure following spinal anesthesia, where both time and volume correlate positively with changes in blood pressure]]>
<![CDATA[The Correlation of Sympathetic Block Elevation and Body Mass Index with the Incidence of Hypotension in Sectio Caesarea Patients with Spinal Anesthesia ]]>
<![CDATA[Indra, Indra pranata]]>;
<![CDATA[Burhan, Asmat]]>;
<![CDATA[Heri Wibowo, Tophan]]>;
<![CDATA[Suandika, Made]]>
<![CDATA[ Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025 ]]>
Publisher : <![CDATA[Global Indonesia Health Care (GOICARE) ]]>
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DOI: 10.61716/jnj.v3i1.89
<![CDATA[Background: Hypotension is a frequent complication seen in spinal anesthesia. During spinal anesthesia, hypotension is more common with increasing block height, and an elevated body mass index (BMI) is considered a risk factor. Purpose: The aims of this research were to study the incidence of hypotension associated with spinal anesthesia for cesarean section and to relate block height to BMI. Methods: This is a cross-sectional correlational analytic study. A purposive sampling technique was used in picking 42 participants. The main instrument used for data collection was observation sheets. Results: The Spearman rank test for bivariate data showed that 35.7% of participants with a BMI greater than 25 experienced hypotension. In addition, 64.3% of participants with mild block elevation also developed hypotension. The Spearman rank test indicated a correlation value of -0.483 with a p-value of 0.001, signifying a strong and negative statistically significant relationship between hypotension and elevation of sympathetic block. Conclusion: There exists a significant relation between BMI and incidence of hypotension, with correlation values of -0.461 and a p-value of 0.002, further asserting that both BMI and block height are important characteristics that can be utilized in predicting the hypotension following spinal anesthesia in cesarean section patients]]>
<![CDATA[Overview of Workload on Anesthesians in The Banyumas Region ]]>
<![CDATA[Putri, Putri Adawia]]>;
<![CDATA[Lintang Suryani, Roro]]>;
<![CDATA[Bisma Yudha, Magenda]]>
<![CDATA[ Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025 ]]>
Publisher : <![CDATA[Global Indonesia Health Care (GOICARE) ]]>
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DOI: 10.61716/jnj.v3i1.90
<![CDATA[Background: Workload is, by definition, that which involves the existence of certain tasks imposed with certain deadlines; excess performance may sometimes lead to boredom. Life in an intensive care unit and operating room is quite labor-intensive. Interpersonal skill management is crucial for anesthetists in maintaining efficiency and avoiding burnout. Stress and tension are brought about by workloads, and indeed anesthetists experience some bodily and mental fatigue in performing their jobs. The administrators of anesthesia are health care personnel charged with overseeing the anesthetic care of a patient during anesthesia management, which includes before, during, and after anesthesia. Purpose: The aim of this study was to evaluate the workload of anesthetists working in the Banyumas area. Methods: The descriptive survey design in its combination of qualitative and quantitative approaches casts upon a cross-sectional design of this study. A total of 47 respondents were taken as samples; a complete sampling method was adopted. A specifically designed questionnaire was administered to respondents for data collection constituting 12 closed-ended questions. Results: It was found that three participants (6.4%) reported no workload, ten participants (21.3%) were considered to be under light workload, twenty-five participants (53.2%) worked under medium workload conditions, and nine participants (19.1%) were given heavy workload. Conclusion: In general, anesthetists working in the central surgical installation room at Banyumas District Hospital are assessed to be under a light workload.]]>
<![CDATA[Effect of Sevoflurane on Recovery Time in Patients with Surgery in the Operating Room ]]>
<![CDATA[Christy, Bunga]]>;
<![CDATA[Burhan, Asmat]]>;
<![CDATA[Heri Wibowo, Tophan]]>
<![CDATA[ Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025 ]]>
Publisher : <![CDATA[Global Indonesia Health Care (GOICARE) ]]>
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DOI: 10.61716/jnj.v3i1.91
<![CDATA[Background: In 2020, 234 million hospital clients made use of health facilities in the globe whereas Indonesia had recorded 1.2 million surgeons (World Health Organization, 2020). Sevoflurane is widely used in surgical procedures and its effect on the duration of recovery time needs further study. Purpose: It aims to conduct research on how sevoflurane affects recovery time among surgical patients at Santa Maria Cilacap General Hospital and will investigate specific objectives which include patient characteristics (age, gender, type of surgery, duration), recovery time post-sevoflurane, and the effect with a 2% MAC sevoflurane. Methods: A one-shot case study pre-experimental design was undertaken with a subject relatively between surgical patients and univariate analysis was conducted to test the distribution of data among all subjects. The number of patients who received a dose of 2% or 3% of sevoflurane were 26 and 30 patients, respectively. Results: Patients mostly fall over 35 years old, even with a higher incidence of females than males. Most patients receive debridement and excision surgery. Recovery times would vary from a surgery that lasts about 30 minutes. Statistical analysis shows normal distribution; meanwhile, the intervention has a significant impact on recovery times. The p-value of the pre-experiment one-shot case study is 0.006, which suggests it is statistically significant (p < 0.05). Conclusion: This study is beneficial to RSU Santa Maria Cilacap in subsequent understanding of the use of sevoflurane in patient care and as an embarking point for further studies on anesthetics and recovery determinants such as comparative studies on inhalation agents]]>
<![CDATA[The Relationship between Sevoflurane Volatile and Time to Recover from Consciousness in Patients After General Anesthesia ]]>
<![CDATA[Rahmadiya Hadi Putri]]>;
<![CDATA[Asmat Burhan]]>;
<![CDATA[Feti Kumala Dewi]]>
<![CDATA[ Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025 ]]>
Publisher : <![CDATA[Global Indonesia Health Care (GOICARE) ]]>
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DOI: 10.61716/jnj.v3i1.93
<![CDATA[Prolonged recovery time is one of the undesirable complications in anesthesia procedures so it is necessary to prevent delayed recovery of consciousness from occurring in patients. Volatile sevoflurane is considered as one of the main options because of its safety profile and the speed of recovery of post-anesthesia patients. The purpose of the study was to determine the relationship between volatile sevoflurane and time to recover consciousness in patients after general anesthesia at Kardinah Hospital, Tegal City. This research method is descriptive correlation with cross sectional design. The sampling of this study was consecutive sampling consisting of 128 people. Data collection techniques intra and post anesthesia with general anesthesia using a questionnaire. This research was conducted on June 1-20, 2024. The measuring instruments of this study were observation sheets and Spearman analysis. The results of this study indicate that most of the time recovering consciousness 25 minutes in patients after general anesthesia with 2%-2,5% volatile sevoflurane, namely 36 (28.1%) respondents while a small part of the time recovering consciousness 45 minutes with volatile sevoflurane 2%-2.5%, namely 1 (0.8%) respondent. From statistical tests with Spearman analysis with a p value of 0.028 (p < 0.05) with a contingency coefficient of 0.105. It was concluded that there was a relationship between volatile sevoflurane and time to recover consciousness in patients after general anesthesia at Kardinah Hospital, Tegal City.]]>
<![CDATA[The Differences in Pre-Caesarean Anxiety Levels Between Primigravida and Multigravida Patients ]]>
<![CDATA[Putri, Farah Davanda]]>;
<![CDATA[Sebayang, Septian Mixrova]]>;
<![CDATA[Novitasari, Dwi]]>
<![CDATA[ Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025 ]]>
Publisher : <![CDATA[Global Indonesia Health Care (GOICARE) ]]>
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DOI: 10.61716/jnj.v3i1.94
<![CDATA[Background: Pre-operative anxiety before caesarean section is frequently encountered and may adversely affect the childbirth experience and maternal health outcome. Different groups of patients such as primigravida and multigravida women may experience varying levels of anxiety, which could impact their readiness for surgery and recovery. Purpose: The present study attempted to identify differences in the preoperative anxiety levels among primigravida and multigravida patients scheduled for a caesarean section. Methods: Forty-four respondents were recruited into this study; they were further divided into two groups of 22 primigravida and 22 multigravida patients, from a hospital in Indonesia. The anxiety levels were measured by the State-Trait Anxiety Inventory-S (STAI-S), which measures situational anxiety at a given moment. The Mann-Whitney U test was used to analyze the data in order to establish whether there is any significant difference between the two groups. Results: From statistical analysis, the obtained result was p-value=0.066 (p>0.05). Therefore, there is no significant difference in pre-caesarean anxiety levels between primigravida and multigravida patients. Conclusion: The findings, therefore, suggest there is no statistically significant difference in preoperative anxiety levels between both groups; however, the outcome might be affected by some social support, past experiences, and psychological factors which were not taken into consideration in this study. The study indicates a need for individualized approaches to manage anxiety for caesarean delivery, irrespective of the pregnancy condition.]]>
<![CDATA[Hemodynamic Picture After Spinal Anesthesia Sectio Caesarea ]]>
<![CDATA[Fredy, Fredy Marta]]>;
<![CDATA[Triyudono, Danang]]>;
<![CDATA[Sebayang, Septian]]>;
<![CDATA[Suandika, Made]]>
<![CDATA[ Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025 ]]>
Publisher : <![CDATA[Global Indonesia Health Care (GOICARE) ]]>
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DOI: 10.61716/jnj.v3i1.95
<![CDATA[Background: Sectio caesarea is a surgical procedure through an abdominal and uterine wall incision to remove the fetus, placenta and amniotic fluid. SC action with spinal anesthesia has an impact on body hemodynamics, such as changes in blood pressure, changes in pulse rate and changes in MAP. Purpose: The purpose of this research is to document the vital signs of patients undergoing post-spinal anesthesia for sectio secaria surgery at Sriwijaya Hospital Palembang. Methods: Research of this kind is known as descriptive research. This research used a purposeful sampling strategy to select 93 individuals who had spinal anesthesia for a caesarean delivery. Results: The frequency and percentages of blood pressure, pulse, and MAP of pregnant women having spinal acupuncture with anesthesia were determined by univariate data analysis. The majority of the 93 participants who had spinal anesthesia for caesarean section surgery had hypertension (60.2% of the total), asthma (72%) in 67 participants, systolic blood pressure below 90 mmHg in 45 participants (48.38%), and diastolic blood pressure below 60 mmHg in 46.2%. There were 52 cases of tachycardia (55.9% of the total), 33 cases of abnormal heartbeats (35.5% of the total), and 8 cases of brachycardias (8.6% of the total). In terms of population, 80 individuals (86.02%) reported normal levels, whereas 13 (13.98%) reported high levels. Conclusion: The majority of participants who had spinal anesthesia for section caesarian surgery reported abnormal MAP readings, pulse tachycardia, and hypotension.]]>
<![CDATA[Description of Pain Levels in Postoperative Sectio Caesarea Patients Using, The ERACS Method ]]>
<![CDATA[Wahyudi, Wahyudi Saputra]]>;
<![CDATA[Triyudono, Danang]]>;
<![CDATA[Sebayang, Septian]]>
<![CDATA[ Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025 ]]>
Publisher : <![CDATA[Global Indonesia Health Care (GOICARE) ]]>
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DOI: 10.61716/jnj.v3i1.96
<![CDATA[Background: Postoperative pain management is an essential component of patient care after cesarean section (C-section) because inadequate pain management can negatively affect maternal recovery as well as the psychological well-being of mothers and overall surgical outcomes. Enhanced Recovery After Cesarean Section (ERACS) has been introduced to enhance the care patients receive in the perioperative period concerning reduced pain, improvement in recovery, and decreased opioid dependence. Despite growing adoption, very few studies have reported on the ability of the method to manage post-C-section pain. Purpose: To evaluate the pain experience of postoperative C-section patients managed with the ERACS method in Bunda Medika Jakabaring Hospital. Methods: A cross-sectional descriptive quantitative study was conducted among 66 Cesarean delivery patients treated by the ERACS method from July 20 to August 20, 2024. The purposive sampling method was used to select the subjects, and the pain levels were measured by using the Numerical Rating Scale (NRS). Pain levels were categorized as no pain (0), mild pain (1-3), moderate pain (4-6), or severe pain (7-8). Results: Of the patients, 16 (24.2%) had no pain; 43 (65.2%), had mild pain; 5 (7.6%), were moderate; and 2 (3.0%) had severe pain. Most of the patients (65.2%) noted only mild pain, indicating that ERACS contributes significantly to reducing postoperative pain. Conclusion: These findings indicate that the ERACS method greatly contributes toward minimizing postoperative pain in C-section patients, thus endorsing its use in the clinical setting. Further studies should also consider larger sample sizes and comparative analyses to substantiate these findings and look into other advantages of ERACS in enhancing]]>
