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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 103 Documents
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The Correlation between Body Mass Index (BMI) and Recovery Time on General Anesthesia Patient Using Endotracheal Tube (ET) Maryadi, Adi; Rahmaya Nova Handayani; Eza Kemal Firdaus; Asmat Burhan
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.24

Abstract

Conscious recovery time is the time it takes for the patient to be removed from the conscious recovery room when the patient is fully conscious. Patients who are unconscious within more than 15 minutes are considered prolonged, even to respond to a stimulus in highly susceptible patients requires 30-45 minutes after general anesthesia drugs are stopped. One of the causes of lengthening the time to recover consciousness is the Body Mass Index (BMI) in patients which can increase the potential of anesthetic drugs given. The purpose of this study was to determine the relationship between Body Mass Index (BMI) and conscious recovery time in general anesthesia patients using Endotracheal Tube (ET) at RSUD Dr. Soedirman Kebumen. The method of ths study was correlation analitik with a cross-sectional approach. The sample of this study amounted to 48 respondents with consecutive sampling technique. Data analysis was carried out using the Kendall Tau test. The results of the study obtained 86.5% of respondents had a fast conscious recovery time (<15 minutes) and 13.5% of respondents had a prolonged conscious recovery time (>15 minutes). Of the results of the kendall tau correlation test obtained results with a significancy p value of 0.000 < 0.05 which means there is a relationship between the body's mass index to the recovery time of consciousness after general anesthesia with the endotracheal tube. The conclusion of this study is that majority of respondents who have a quick recovery time of less tha 15 minutes are respindents with a normal body mass index. Patient with a fat or obese BMI will receive a higher dose of anesthetic medication compared to patients in the thin category. When the anesthetic drug is given a higher concentration, the effect of the ansthetic drug will be longer.
THE RELATIONSHIP BETWEEN AGE AND DURATION OF SURGERY WITH THE INCIDENCE OF POST ANESTHESIA SHIVERING IN SECTION CAESAREAN PATIENTS AT BENDAN HOSPITAL PEKALONGAN CITY Triyadi, Ficky; Mixrova Sebayang, Septian; Burhan, Asmat; Dwi Agus Yulianto; Refa Teja Muti
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.25

Abstract

Background: Shivering is a physiological response to exposure to cold and the body's next steps to maintain heat after peripheral vasoconstriction. The incidence of shivering is caused by several factors including age and length of surgery. Postanesthesia shivering is involuntary oscillatory muscle activity during early recovery after anesthesia. Objective: This study aims to determine the relationship between age and duration of surgery with the incidence of shivering after anesthesia in caesarean section patients at Bendan Hospital, Pekalongan City. Methods: This research includes quantitative research with the type of analytical correlational observational research with a cross sectional approach. The subjects or samples used were 50 caesarean section patients. Determination of subjects was carried out using consecutive sampling technique. Data collection was carried out using an observation sheet for the degree of shivering. Result: Based on the research, the results of the Spearman rank test were obtained with a value of (p) 0.0004 < 0.05 between age and the incidence of shivering and p 0.000 < 0.05 between the length of operation and the incidence of shivering. Conclusion: The conclusion of this study is that there is a relationship between age and length of operation and the incidence of post-anesthesia shivering in caesarean section patients.
Assess Arrhythmia-causing excessive exercise using Holter Monitoring; Case Reports Yusup Dwiyanto; Amelia Andini
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.26

Abstract

Exercise can indeed improve the quality of health if it is done in accordance with the rules or program. However, excessive exercise without considering the capacity of the organs, especially the heart, can result in disease, one of which is heart disease, namely heart rhythm disturbances. The death rate for athletes in 2022 will still be at 29% during competition. In this case, it proves that Holter monitoring (ambulatory ECG monitoring) is better in assessing heart rhythm in athletes. Arrhythmias in athletes are caused by inadequate cardiac remodeling, causing ion channels in the atrioventricular node to undergo immunohistochemical labeling, where L-type calcium (Ca2+) channels that carry inward current are known to play a major role in the diastolic depolarization of the atrioventricular node, and regulate the excitability and increase in axis potentiation. . In the important Ca2+ channels in the heart, a slowing process occurs which results in a barrier to atrioventricular node conduction. A decrease in the axis action potential phase process where calcium cannot replace potassium in cells results in electrical impulse disturbances.
DESCRIPTION OF THE LEVEL OF STRESS OF STUDENTS IN FACING THE THESIS AT ANESTHESIOLOGY NURSING STUDY PROGRAM APPLIED UNDERGRADUATE PROGRAM AT UNIVERSITY OF HOPE NATION PURWOKERTO Ramadhan, Iqbal; Nova Handayani, Rahmaya; Burhan, Asmat; Anton Suhendro
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.27

Abstract

Background: Final year students often experience stress with final assignments, especially health students who are temporarily working on a thesis. Health students are also prone to experiencing stress when compiling a thesis and if not handled properly it will have an impact on the obstruction of thesis preparation, decreasing academic grades, and graduating not on time. Student stress can have a negative impact on academic grades, depression, and can even lead to dangerous actions such as suicide. Purpose: This study aims to determine the level of student stress in facing the thesis in the anesthesiology nursing study program of the applied undergraduate program at Harapan Bangsa University. Methods: This research includes descriptive quantitative research. This type of research is descriptive observational research with a cross sectional approach. Data analysis using Univariate analysis. The sampling technique in this study used convenience sampling. Result: Based on the results of this study, students who experienced a normal level of stress were 42 (42%) respondents, a description of the characteristics of respondents based on gender and age at the stress level of Applied Bachelor of Anesthesiology Nursing students at Harapan Bangsa University found that 24 (38.1%) female respondents experienced a normal level of stress and 40 (40.8%) respondents aged 22 years experienced a normal level of stress. Conclusion: The conclusion of this study is that students experience normal levels of stress.
Impact of Ondancentron In Intra-Anesthesia During Caesarean Section: A Meta-Analysis of Randomized Trials Susanti, Indah; Mixrova Sebayang, Septian; Burhan, Asmat
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.28

Abstract

Background: The medulla distinguishes nausea and vomiting. Intra-operative nausea and vomiting (IONV) can occur up to 80% of the time following spinal anesthesia for caesarean delivery. Patients are uncomfortable and surgery is halted. Aims: This meta-analysis examines the effects of ondancentron on IONV, hypertension, and pruritus. Methods: The databases examined were CINAHL, PubMed, ScienceDirect, Wiley, and Scopus, with coverage from September 2014 to July 2024. Article text must be complete with Uji Coba Terkendali Acak design and published in English. They used R-Studio 4.3.1 m, Comperhesivif Meta-Analysis 3.3.070, and Review Manager Cochrane 5.4.1 for lunak and risk analysis. Results: The heterogeneity analysis of on- and centron residuals on IONV indicated I-squared (I2) of 99%, hypotension I2=98%, and pruritus I2=97% for 1103 people in thirteen studies. The Random Effect Model revealed a significant positive effect on Standard Mean Difference (SMD) analysis (IONV = 5.77, 95% CI: 0.58, 10.95; p=<0.01), decreased hypotension (SMD = -2.14, 95% CI: -4.80, 0.52= p=<0.01), and pruritus incidence (SMD = 0.67, 95%). CI = -1.48 to 2.83; p < 0.01. The meta regression subgroup revealed a significant decrease in IONV in the first 5 minutes with an Odds Ratio of 0.38 (95%-CI 0.04 to 3.62; p=<0.01) for the 4mg dose. Conclusions: While useful in controlling perioperative and hypotension, ondansentron may exacerbate pruritus. Ondansentron dose and pruritus effects need additional study.
THE RELATIONSHIP OF FAMILY SUPPORT WITH THE LEVEL OF PRE-ANESTHESIAN SECTIO PATIENTS IN THE HOSPITAL PEKALONGAN REGIONAL GENERAL Vika Andriyani; Roro Lintang Suryani; Asmat Burhan
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.30

Abstract

Background: Sectio Caesarea (SC) is a surgical procedure to save a mother and baby. Most SC preoperative patients experience mild and severe anxiety; this anxiety will affect the patient's recovery process. Anxious conditions cause vasoconstriction of blood vessels, so that blood supply to the heart decreases. One of the other factors causing anxiety in preoperative patients is family support. Families who always support the patient's recovery will be able to reduce patient anxiety. Objective: The purpose of this study was to determine the relationship between family support and the pre-anesthesia anxiety level of sectio-caesarea patients at Bendan Pekalongan Hospital. Methods: Using quantitative observational and analytic research methods with a cross-sectional approach. The place of research was in the reception room of IBS Bendan Pekalongan Hospital. sample 36 patients with consecutive sampling techniques. Data analysis in the form of bivariate data produces the frequency distribution and percentage of each variable. Results: The results of the correlation coefficient of -493** indicate that there is a fairly strong and significant correlation with a negative or unidirectional direction, meaning that the greater the level of family support, the lower the patient's anxiety level. Conclusion: The results of the spearman rank test analysis of 36 respondents showed a p value of 0.001, <0.05, which means that there is a relationship between family support and the level of pre-anesthesia anxiety of Sectio Caesarea patients at Bendan Pekalongan Regional General Hospital. Keywords: Family support, anxiety level, and pre-anesthesia of Sectio Caesarea patient
Overview of the Incidence of Post Operative Nausea and Vomiting in Spinal Anesthesia for Sectio Caesarea Patients in the Recovery Room of Fatimah Cilacap Islamic Hospital Nurdiamsyah, Pratomo; Susanto, Amin; Burhan, Asmat; Suandika, Made; Wijayanti, Indri
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.31

Abstract

Background: Post operative nausea vomiting (PONV) is nausea and vomiting that occurs after surgery and before the patient returns from the hospital. PONV must be taken seriously because it can have an impact on the length of the patient's recovery period, hamper activities, and increase the cost of care that must be incurred. PONV or nausea and vomiting. Aim: what is the description of the incidence of PONV in spinal anesthesia in SC patients in the recovery room (RR) RSI Fatimah Cilacap. Method: Quantitative descriptive with a cross section approach, the sample used total sampling of 31 respondents instruments using the Simplified Postoperative Nausea and Vomiting Impact Scale for Audit and Post-Discharge. Findings: PONV sufferers were 19 respondents (59.4%), based on age 26-34 years as many as 16 respondents (51.6%), at BMI the incidence of PONV was obese as many as 11 respondents (35.5%), in the length of surgery the most PONV was found in women as many as 4 respondents (11.4%), in the length of surgery the incidence of PONV was found to be mostly 1-2 hours as many as 10 respondents (32.3%), and in the previous PONV history the incidence of PONV was found to have all experienced PONV before as many as 13 respondents (16.1%). Conclusion: the frequency distribution of PONV incidence on respondents who are female, obese IMT operation duration and PONV history with spinal anesthesia technique in cesarean section surgery.
Impact of Visual and Aural Education on the Anxiety Level of Patients Under Spinal Anesthesia for Preoperative Caesarean Section Anggara, Ari; Triyudono, Danang; Lintang Suryani, Roro
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.32

Abstract

Background: The implementation of Sectio Caesarea (SC) requires anesthesia to relieve pain in patients who will undergo surgical procedures. SC action can cause anxiety in pregnant women who will undergo surgery. Purpose: Knowing the effect of audiovisual education on the anxiety level of preoperative ectio caesarea patients with spinal anesthesia at RSUD dr. H. Soemarno Sosroatmodjo Tanjung Selor. Method: This research design uses a pre-experimental design with a Pre and post-test without control approach. Accidental sampling technique. The number of samples obtained was 40 respondents. Measurement of anxiety using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) with audio visual education intervention. Findings: The age of the patients was mostly in the category of 20-35 years, 35 patients (87.5%) and the majority of parity with primiparous 24 patients (60%), Anxiety of preoperative cesarean section patients before giving audio visual education about cesarean section surgery with spinal anesthesia the majority with moderate anxiety 25 patients (62.5%), Anxiety of preoperative cesarean section patients after giving audio visual education about cesarean section surgery with spinal anesthesia the majority with not anxious or normal a total of 21 (52.5%). Conclusion: There is an effect of audio-visual education on the anxiety level of preoperative sectio caesarea patients with spinal anesthesia at RSUD dr. H. Soemarno Sosroatmodjo Tanjung.
The Correlation Between Pre-Operative Fasting Duration and Post-Operative Nausea and Vomiting Occurrence on Patients with General Anestehesia Karmana, Dede; Mixrova Sebayang, Septian; Kemal Firdaus, Eza; Sukmaningtyas, Wilis
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.33

Abstract

Background: Preoperative fasting is a procedural measure implemented before surgery or anesthesia to avert regurgitation or vomiting. PONV incidence is influenced by surgical, anesthetic, and patient-related factors. The purpose of the study is to ascertain the duration of preoperative fasting observed by participants and the prevalence of PONV according to personality traits. Purpose: Determine the correlation between the duration of preoperative fasting and the occurrence of PONV in patients undergoing general anesthesia at RSUD Dr. Soekardjo Tasikmalaya. Methods: Observatory, descriptive, and cross-sectional designs are utilized. The sampling method was with sixty respondents ranging in age from seventeen to forty-five years, ASA I to II. Data is collected via observation and evaluation. Findings: The study observed that among 37 individuals (61.7%), preoperative fasting for 6-8 hours was beneficial, while for 23 individuals (38.3%), fasting for >8 hours were detrimental. At the age of 17-25 years, 10 individuals (47.6%) develop PONV, while 11 individuals (52.4%) do so between the ages of 26-45. Among women, 17 individuals (81.0%) have PONV, while 20 individuals (95.2%) have ASA I physical status, and 1 individual (4.8%) has ASA II physical status. Conclusion: There is a significant link (p < 0.013) between preoperative fasting time and postoperative nausea and vomiting (PONV) in patients under general anesthesia. Fasting before surgery should be long enough to avoid PONV
An Examination of Patient Satisfaction with Spinal Anesthesia Interventions at DIK PUSDIKKES Hospital in East Jakarta Tarsono, Tarsono; Susanto, Amin; Burhan, Asmat
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.34

Abstract

Background: Anesthesiology and intensive therapy services in hospitals are one part of the fast-growing health services. High patient satisfaction is one of the hospital's goals. The hospital as a full health care institution must be able to provide excellent service. Purpose: The study aims to determine the level of patient satisfaction with spinal anesthesia at the East Jakarta Pusdikkes Hospital. Methods: The design of this study is descriptive cross sectional, determining the number of samples using the Total Sampling method for as many as 30 respondents. The research instrument used the Evan Lr questionnaire. Findings: The results of the study, as many as 17 (53.1) respondents in post-spinal patients stated that they were satisfied, in patient satisfaction based on age most were aged 26-35 years with a fairly satisfied satisfaction level of 9 respondents (30.0%), at the level of patient satisfaction based on gender in this study most were female with a fairly satisfied satisfaction level of 13 respondents (43.3%), based on the level of education in this study most were high school with a fairly satisfied satisfaction level of 10 respondents (33.3%). Conclusion: From the results of the study, it was concluded that the description of the level of satisfaction with spinal anesthesia at the East Jakarta Pusdikkes Hospital was mostly satisfied.

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