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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 of Sympathetic Block Elevation and Body Mass Index with the Incidence of Hypotension in Sectio Caesarea Patients with Spinal Anesthesia Indra, Indra pranata; Burhan, Asmat; Heri Wibowo, Tophan; Suandika, Made
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.v3i1.89

Abstract

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
Overview of Workload on Anesthesians in The Banyumas Region Putri, Putri Adawia; Lintang Suryani, Roro; Bisma Yudha, Magenda
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.v3i1.90

Abstract

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.
Effect of Sevoflurane on Recovery Time in Patients with Surgery in the Operating Room Christy, Bunga; Burhan, Asmat; Heri Wibowo, Tophan
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.v3i1.91

Abstract

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
The Relationship between Sevoflurane Volatile and Time to Recover from Consciousness in Patients After General Anesthesia Rahmadiya Hadi Putri; Asmat Burhan; Feti Kumala Dewi
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.v3i1.93

Abstract

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.
The Differences in Pre-Caesarean Anxiety Levels Between Primigravida and Multigravida Patients Putri, Farah Davanda; Sebayang, Septian Mixrova; Novitasari, Dwi
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.v3i1.94

Abstract

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.
Hemodynamic Picture After Spinal Anesthesia Sectio Caesarea Fredy, Fredy Marta; Triyudono, Danang; Sebayang, Septian; Suandika, Made
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.v3i1.95

Abstract

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.
Description of Pain Levels in Postoperative Sectio Caesarea Patients Using, The ERACS Method Wahyudi, Wahyudi Saputra; Triyudono, Danang; Sebayang, Septian
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.v3i1.96

Abstract

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
The Relationship Between Postoperative Pain Intensity and Sleep Quality in Patients After Spinal Anesthesia shelina , shelina; Susanto, Amin; Burhan, Asmat
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.v3i1.97

Abstract

Background: Postoperative pain in each patient will experience different pain from one another. Inadequate pain management can have a direct impact on postoperative pain, which is disruption of sleep quality. Purpose: The purpose of this research was to identify any correlation between the severity of postoperative pain and the quality of sleep experienced by patients after spinal anesthesia. Methods: This research employs a cross-sectional design based on quantitative correlation. Using a non-probability purposive sampling approach, 51 participants were surveyed after spinal anesthesia for this investigation. The data was collected in the inpatient room at Wijayakusuma Purwokerto Hospital using questionnaire sheets from the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality and NRS (Numeric Rating Scale) to quantify postoperative pain severity. The Spearman rank test was used to examine the data. Results: Forty-three people (78.4% of the total) reported minor postoperative discomfort, while forty-three people (84.3% of the total) reported satisfactory sleep quality. A correlation force of 0.756 and a p-value of 0.000 were determined using the Spearman rank test. Conclusions: Patients undergoing spinal anesthesia at Wijayakusuma Purwokerto Hospital reported significantly higher levels of postoperative discomfort and worse sleep quality.
The Effect of Peppermint Aromatherapy (Mentha Piperita Leaf) On Reducing Post Dural Puncture Headache Pain in Post-Spinal Anesthesia Patients Riski Ardi Saputro; Suandika, Made; Sukmaningtyas, Wilis
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.v3i1.98

Abstract

Background: Post-Dural Puncture Headache (PDPH), as observed clinically, is one of the most common complications of spinal anesthesia. It generally develops within 12-72 hours of the procedure. Though there are pharmacological treatments, these have largely been overshadowed by several tried-and-tested non-pharmacological techniques, which include peppermint aromatherapy, in relieving symptoms of PDPH. Purpose: This study was aimed at determining the effectiveness of peppermint aromatherapy in reducing head pain associated with PDPH among post-spinal anesthesia patients at Cilacap Regional General Hospital. Methods: A quasi-experimental study design with one group and pretest-posttest design was conducted on 39 patients experiencing PDPH. Pain was measured using the Numeric Rating Scale (NRS) prior to and post-administration of peppermint aromatherapy. The intervention was two drops of peppermint aromatherapy mixed with 100 ml of mineral water and inhaled through the humidifier for 15 minutes. Wilcoxon tests were done for statistical analysis. Results: The mean PDPH pain level before the intervention was 5.69. After inhaling peppermint aromatherapy, the mean pain level dropped significantly to 1.64 (p < 0.05). The results are interpreted with respect to the significance indicated by this difference in levels while comparing PDPH symptoms before and after treatment with peppermint aromatherapy. Conclusion: Hence, peppermint aromatherapy is a highly effective treatment modality for both patients suffering from PDPH and those who have undergone spinal anesthesia. It could be recommended as a non-pharmacological adjunct therapy in the management of PDPH. Further validations of the findings are needed through a larger sample size and controlled groups.
Description of Anesthesia Maintenance Drug Therapy In General Anesthesia Patients luthfi, Ahmad Luthfi Virgiawan Habibi; Suandika, Made; Bisma Yudha, Magenda
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.v3i1.99

Abstract

Background: The purpose of general anesthesia is analgesia, eliminating anxiety, amnesia, and loss of consciousness, and suppressing cardiovascular, motor, and hormonal responses to surgical stimulation. Administering sedative and analgesic drugs is an important component in treating all critical patients. Sedatives and analgesics are used for pain management, helping to relieve patient anxiety and discomfort during invasive diagnostic and therapeutic procedures. The main indications for the use of sedatives and analgesics are to treat pain, anxiety, and agitation, amnesia, help in adjusting breathing with mechanical ventilation, and overcome decreased cellular metabolism in patients. The choice of anesthetic drug should be based on patient characteristics and conditions related to surgery and costs. The patient's condition must be really good to receive anesthesia, therefore, to avoid undesirable effects from administering anesthetic drugs, the choice of anesthetic drugs should be based on patient characteristics and conditions related to surgery and costs. During surgery, patients receive various anesthetics as maintenance anesthesia. Purpose: To understand the description of anesthesia maintenance drug therapy in general anesthesia patients at RSI Purwokerto. Method: This research is descriptive quantitative research with a cross-sectional approach. The sample used in this study was 92 general anesthesia patients at RSI Purwokerto. The sampling technique in this research used purposive sampling. Research Results: The anesthesia maintenance drug used at RSI Purwokerto was Sevoflurane as much as 80 (87%), and midazolam was used as much as 2 (2.2%). Conclusion: Most of the anesthesia maintenance drugs given to patients at RSI Purwokerto are sevoflurane.

Page 8 of 11 | Total Record : 103

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