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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 103 Documents
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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%).
The Relationship of Diet and Excessive Cholesterol Levels on the Incident of Stroke In Batin Mangunang Hospital, Agung Kota Anggie, Anggie Stiexs; Fitri Anita; Adhi Nurhartanto
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.v2i2.52

Abstract

Dietary habit is something method in arrangement quantity and type food For maintain health , nutritional status , prevention or help recovery disease . People at risk experience enhancement cholesterol is those who have habit pattern eat foods rich in saturated fat . The prevalence of stroke in Indonesia is 10.9% or estimated as many as 2,120,362 people and prevalence happen stroke in Lampung Province as many as 16,233 people. Based on results A pre- survey conducted at Batin Mangunang Regional Hospital, Kota Agung, of 10 stroke patients , found 7 of them own pattern poor eating and levels​ cholesterol excessive . Research purposes This For know connection pattern eating and levels cholesterol excessive to incident stroke at Batin Mangunang Hospital , Agung City. Types of research This is quantitative with design study using cross sectional. Retrieval technique sample using purposive sampling. technique Data collection uses recorded data medical and FFQ questionnaires . Study This conducted in June 2023. Research sample totaling 31 respondents . Analysis bivariate in study This using the gamma test. Research results on variables pattern Eat with the incidence of stroke obtained p value 0.045<0.05 and for variable rate cholesterol excessive with The incidence of stroke obtained a p value of 0.037<0.05 so can concluded that there is significant relationship​ between pattern and rate cholesterol excessive to incident stroke disease . Recommended For always guard pattern Eat with consume containing foods​ carbohydrates , protein, vegetables and fruit as well as reduce foods high in fat.
Description Of Blood Pressure After Injection Of Spinal Anesthesia In Caesaria Sectio Patients At Dr. Soedirman Hospital Kebumen Primadiyadi, Syaikh Azib Esa; Susanto, Amin; 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.v2i2.53

Abstract

Background: Every surgical procedure cannot be separated from anethesia. Brodly speaking, anesthesia divideed into three, general anethesia, regional anesthesia and local anethesia. Seectio caaesarea is one of the most frequently performed operations for birthing process. SC is type of fetal delivery through an open abdominal incision (laparatomy) and an incision in the uterus (hysterectomy). Spinal anethesia is atechnique that has anagesic properties that relieves the patient’s pain but still maintains the patient’s consciousness. Purpose: the aim of this study was to determinne the picture of blood pressure after spinal anethesia injection in pre-caesarean section patients at Dr soedirman Hospital Kebumen.  Methods: The method used in this research is quantitaive observational analysis. Quantative research with analytical observational research, namely observing a phenomenon between risk factors and effect factors.Results: The results of this study show that caracteristics of the most respondents in this study were 26-35 years old, 25 respondents (48,1%), and 35 respondents (67,3%) with a history of caesarean section for the first time. Conclusions: in generaal, resnpondents did not experience changes in blood pressure after spinal anethesia infection, but some patients experienced hypotension.
Case Report on Carcinoma Mammae Patient with Readiness to Improve Religiosity Problem Susanti, Indah; Andini, Amelia
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.v2i2.54

Abstract

Background: Palliative care is the care of a patient and their family who have an incurable disease by improving the patient's quality of life and reducing disturbing symptoms spirituality and religiosity are important components in the palliative care of cancer patients which are important aspects of cancer patient care. can improve the quality of life and reduce the suffering of cancer patients. Purpose: To determine the benefits of palliative nursing from spiritual/religious aspects in the case of Carsinoma Mammae patients in the Cendana 2 room of Dr. Sardjito Hospital Yogyakarta. Methods: Case study research on patients with Carcinoma Mammae totaling 2 people. Data collection techniques are observation and interviews. Results: In case 1 and case 2, the priority nursing diagnosis of readiness to improve religiosity was taken and nursing care was carried out for 3x24 hours. The implementation given is using therapeutic communication in building a trusting relationship, asking the patient's feelings, conducting spiritual assessments, encouraging participation related to family and other people's involvement, providing privacy / quiet time for spiritual activities, encouraging the use of spiritual resources. Conclusion: The results of evaluating nursing care readiness to improve religiosity on the third day of case 1 (ability to worship) and case 2 (ability to worship and pray) have not been resolved. Conclusion: Patients are expected to be able to implement routine worship activities in daily life and can increase religiosity in the face of palliative disease.
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.

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