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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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The Relationship Between Age and The Incidence of Post Dural Puncture Headache in Post Sectio Caesarea Patients with Spinal Anesthesia Khofifah; Lintang Suryani, Roro; Burhan, Asmat
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.v2i3.73

Abstract

Background: Caesarean Section (CS) is a surgical procedure involving incisions in the abdominal wall and uterus. Spinal anesthesia is the preferred method due to the lower maternal morbidity and mortality risks compared to general anesthesia. However, the most common complication associated with spinal anesthesia is Post Dural Puncture Headache (PDPH), caused by a dural puncture. Age is a significant factor influencing PDPH occurrence. Patients aged 20-40 are at a higher risk, while those over 50 years have a reduced risk due to the decrease in cranial elasticity and pain sensitivity with age. Purpose: This study aims to assess the correlation between age and the incidence of PDPH following spinal anesthesia in CS patients. Methods: This study employed a cross-sectional analytic correlation design. The sample included all CS patients who received spinal anesthesia and met the study criteria, totaling 35 respondents. Data were analyzed using univariate and bivariate analysis, with the correlation significance tested at 0.05 (2-tailed). Findings: The study revealed that 14.3% of respondents experienced PDPH, while 85.7% did not. A significant correlation was found between age and PDPH incidence, with a p-value of 0.05. The highest incidence of PDPH was observed in the 20-40 age group, decreasing notably in individuals aged 50 and above. Conclusion: This study highlights that PDPH risk is highest in patients aged 20-40 and significantly decreases in patients older than 50. Age-related changes in cranial structure and pain sensitivity likely contribute to this decreased risk.
The Relationship Between the Triple Airway Maneuver Insertion Technique and The Success Rate of Laryngeal Mask Airway Installation in Elective Surgery Bagas Kara Alfaridzi; Asmat Burhan; Feti Kumala Dewi
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.v2i3.80

Abstract

Background: The Laryngeal Mask Airway (LMA) is a widely utilized supraglottic airway device by anesthesiologists in selective procedures, particularly in cases where intubation is not feasible or when managing a difficult airway. Complicating factors such as a short neck and large tongue can hinder LMA insertion, necessitating the use of the Triple Airway Maneuver (TAM). This technique involves a combination of head elevation, anterior mandible lift, and mouth opening to facilitate airway clearance. Purpose: This study was to evaluate the relationship between the TAM technique and the success rate of LMA insertion during elective surgeries at Dr. Soedirman Kebumen General Hospital. Methods: A cross-sectional, analytic study was conducted in June 2024, involving 52 respondents selected via purposive sampling. Data were collected using observation sheets. Findings: The findings revealed that the majority of respondents were aged 17-25 years (38.5%) and had a body mass index of 18.5-25.0 (73.1%). Non-smokers constituted 73.1% of the sample, while 46.2% had occupations involving repetitive neck movements. The TAM group achieved 45 successful LMA insertions, with 44 succeeding on the first attempt and 1 on the second, compared to 7 successful insertions in the non-TAM group. However, Kendall’s tau c test (p=0.056) indicated no statistically significant relationship between TAM and LMA insertion success rates, and the correlation coefficient (0.385) suggested a weak relationship. Conclusions: the TAM technique does not significantly influence the success rate of LMA insertion
The Relationship Between Fasting Duration and The Incidence of Post Operative Nausea and Vomiting in Spinal Anesthesia Patients Husnul Khotimah Muliono, Siti; Susanto, Amin; Sebayang, Septian
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.v2i3.83

Abstract

Background: Anesthesia, a critical pain management tool during surgeries and procedures, necessitates pre-operative fasting to mitigate the risk of post-operative nausea and vomiting (PONV). The fasting period restricts both solid and liquid intake. Purpose: This study aims to explore the correlation between fasting duration and the incidence of PONV in patients undergoing spinal anesthesia at Dr. Soedirman Regional Hospital, Kebumen. Method: Employing an analytical observational design with quantitative methods, this research included 70 participants selected through cross-sectional sampling. Data collection utilized the Rhodes Index of Nausea, Vomiting, and Retching (RINVR) scale for observation. Findings: The study revealed that the majority of respondents (54.3%) adhered to an adequate fasting duration of 6-8 hours. Among these, 89.5% (34 respondents) did not experience PONV. Conversely, an inadequate fasting period (>8 hours) was associated with a higher incidence of PONV, observed in 38.6% (27 respondents), while only 3.7% (1 respondent) did not experience PONV. The correlation analysis yielded a significant relationship with a coefficient of 0.502. Conclusion: There is a significant correlation between fasting duration and the incidence of PONV in patients receiving spinal anesthesia at Dr. Soedirman Regional Hospital, Kebumen. Adequate pre-operative fasting (6-8 hours) is associated with a lower incidence of PONV, emphasizing the importance of adherence to recommended fasting guidelines to minimize post-operative complications
Effect of Effective Cough Education Video on Airway Clearance in Post General Anesthesia Patients Rizki Ayu W; Burhan, Asmat; Kumala Dewi, Feti
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.v2i3.84

Abstract

Background: Post-anesthesia disorders, particularly respiratory conditions related to hypoxia, can rapidly lead to fatal outcomes if not promptly identified and managed. Effective coughing techniques are essential for patients to expel phlegm efficiently. Purpose: This study aimed to evaluate the effectiveness of airway clearance in patient post-general anesthesia at RSI Purwokerto after viewing cough instruction videos. Methods: A quasi-experimental design, specifically the Pretest-Posttest Control Group Design, was employed. A total of 52 respondents were selected through purposive sampling. Data on airway clearance were collected using observation sheets. The Mann-Whitney U and Wilcoxon tests were utilized for data analysis. Results: Prior to viewing the instructional videos, the average airway clearance score was 1.03; this improved to 0.42 post-intervention. In the control group, the average score improved from 1.07 to 0.73 after education. The Wilcoxon test results indicated a significant difference in airway clearance before and after the intervention in both the experimental group (p = 0.001, p < 0.05) and the control group (p = 0.003, p < 0.05). Furthermore, the Mann-Whitney U test revealed a significant difference between the experimental and control groups post-intervention (p = 0.026, p < 0.05). Conclusion: The findings demonstrate that viewing cough instruction videos significantly improve airway clearance in patients who have undergone general anesthesia. This intervention is effective in enhancing respiratory outcomes in this patient population at RSI Purwokerto.  
Relationship Between Age and Blood Pressure in Patients Postoperative Sectio Caesarea Heliyana HR, Okto; Susanto, Amin; Netra Wirakhmi, Ikit
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.v2i3.85

Abstract

Background: Cesarean section (C-section) is a surgical procedure for childbirth, involving an incision in the uterine wall through the abdomen, typically indicated for various medical reasons. Spinal anesthesia is commonly employed during C-sections, although it is associated with side effects such as fluctuations in blood pressure. The majority of C-section patients under spinal anesthesia are between 20 and 35 years of age, considered the optimal reproductive years for pregnancy and childbirth. Purpose: This study aims to evaluate the correlation between age and blood pressure in postoperative C-section patients under spinal anesthesia. Methods: A cross-sectional, observational-analytical study design was used, involving 81 purposively sampled respondents. Data were analyzed using Spearman's rank correlation to assess the relationship between age and blood pressure postoperatively. Findings: The majority of respondents (67.9%) were aged between 20 and 35 years. Postoperative blood pressure in the recovery room was predominantly within the normal range, with 71.6% of patients displaying normal blood pressure levels. A statistically significant correlation was found between age and blood pressure, with a p-value ≤ 0.05. Conclusion: Age is significantly associated with postoperative blood pressure in patients undergoing C-sections under spinal anesthesia. This finding highlights the importance of monitoring blood pressure in this population to ensure optimal recovery outcomes.
The Effect of Operating Room Tour Video on Pre-Anesthetic Anxiety in Sectio Caesarea Patients Intania Muthmainnah Sastiyana; Roro Lintang Suryani; 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.v2i3.92

Abstract

Background: Preoperative anxiety in patients undergoing cesarean sections (CS) can significantly impact both psychological well-being and physiological responses, potentially affecting the success of anesthesia. An educational intervention, such as an Operating Room (OR) Tour video, may alleviate anxiety by familiarizing patients with the surgical environment and process. Purpose: To determine the effect of an Operating Room Tour video on pre-anesthetic anxiety levels in CS patients. Methods: This study employed a pre-experimental design with a pretest-posttest approach to assess the impact of the video on pre-anesthetic anxiety in 30 CS patients at Cilacap General Hospital. Anxiety levels were measured using the Visual Analog Scale for Anxiety (VAS-A) before and after the intervention. Statistical analysis was conducted using the Wilcoxon signed-rank test to evaluate the significance of the change in anxiety levels. Results: The findings revealed a significant reduction in anxiety following the video intervention. Prior to the intervention, 43.3% of participants experienced moderate anxiety, while post-intervention, 66.7% reported only mild anxiety. The Wilcoxon test confirmed the significant impact of the OR Tour video on reducing pre-anesthetic anxiety (p = 0.011, p < 0.05). Conclusion: The use of an Operating Room Tour video is an effective strategy to reduce preoperative anxiety in CS patients. This educational intervention could be a valuable addition to pre-anesthesia care, improving patient comfort and potentially contributing to better surgical outcomes.  
Mental Health Nursing Care for Mrs. R with the Main Issue of Risk of Violent Behavior Due to Paranoid Schizophrenia in the Brotojoyo Ward, Dr. Amino Gondohutomo Psychiatric Hospital Vera Shinta Dewi; Titi Sri Suyanti; Slamet Wijaya Biantoro
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.v2i3.100

Abstract

Background: Paranoid schizophrenia is a mental disorder characterized by severe psychopathological symptoms, including delusions and hallucinations, which often lead to a risk of violent behavior. Purpose: This case study aims to provide nursing care for patients with paranoid schizophrenia at RSJD dr. Amino Gondohutomo, Central Java. The case discussed involves Mrs. R, who experiences a risk of violent behavior as a consequence of paranoid schizophrenia. Methods: The method used in this discussion is a case study with a mental health nursing care approach, including assessment, nursing diagnosis, intervention, implementation, and evaluation. Results: The results of the nursing care show that appropriate interventions, such as physical and verbal anger control exercises, as well as spiritual approaches, can reduce the intensity of violent behavior in the patient. Family support and patient compliance in undergoing pharmacological therapy also play a significant role in the recovery process. Conclusion: In conclusion, comprehensive and collaborative nursing care can improve the patient's psychological condition and reduce the risk of violent behavior.
Relationship of Lemon Score with Prediction of Difficulty Intubation in General Anesthesia Patients Rista, Rista; Danang Tri Yudono; Made Suandika
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.86

Abstract

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.
Description of The Level of Knowledge of Basic Life Support (BlS) With Readiness To Perform Bhd Actions on Anesthesiologists Nurul, Nurul Hidayati; Burhan, Asmat; Nova Handayani, Rahmaya
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.87

Abstract

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
Overview of Blood Pressure After Spinal Anesthesia with Preload and Without Preload 20cc Ringer Lactate in The Operating Room Dedi, Dedi Irawan; Sukmaningtyas, Wilis; Susanto, Amin
Java Nursing Journal Vol. 3 No. 1 (2025): November - February 2025
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v3i1.88

Abstract

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

Page 7 of 11 | Total Record : 103

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