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JIAN (Journal of Indonesian Anesthesiology Nursing)
Published by Universitas Aisyiyah Yogyakarta
ISSN : -     EISSN : 30897114     DOI : 10.31101
Core Subject : Health,
Health Professions Nursing
JIAN (Journal of Indonesian Anesthesiology Nursing) is an anesthesiology nursing journal which publishes scientific works for nurses, academics, and practitioners focus on anesthesiology JIAN welcomes and invites original and relevant research articles in anesthesiology nursing, as well as literature study and case report particularly in anesthesiology nursing. JIAN welcomes and invites researchers from Indonesia and around the world to submit their papers (original research article, systematic review, and case study) for publication in this journal. All papers are published as soon as they have been accepted.
Arjuna Subject : Keperawatan - Bedah Medis
Articles 29 Documents
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Effectiveness of Foot Massage on Chest Pain and Anxiety in Patients with Acute Coronary Syndrome: Effectiveness of Foot Massage on Chest Pain and Anxiety in Patients with Acute Coronary Syndrome NIKEN ANGGRAINI SRI SAPUTRI; Taadi Taadi2; Suharsono Suharsono
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 1 (2025): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

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Abstract

Sindrom koroner akut (SKA) merupakan salah satu penyebab utama kematian kardiovaskular dengan manifestasi khas berupa nyeri dada yang disertai kecemasan. Penatalaksanaan gejala tidak hanya mengandalkan terapi farmakologis, tetapi juga memerlukan pendekatan nonfarmakologis yang aman dan mudah diterapkan. Salah satu intervensi yang mulai banyak diteliti adalah foot massage, teknik pijatan refleksi kaki yang diyakini mampu meningkatkan sirkulasi darah, merangsang pelepasan endorfin, dan menurunkan aktivitas sistem saraf simpatis. Penelitian quasi-eksperimen dengan rancangan pre–posttest control group melibatkan 57 pasien SKA yang dirawat di ICCU RS PKU Muhammadiyah Gamping. Intervensi pijat kaki diberikan empat kali selama dua hari dengan durasi 20–30 menit setiap sesi. Intensitas nyeri diukur menggunakan Numeric Rating Scale, sedangkan tingkat kecemasan dinilai melalui Zung Self-Rating Anxiety Scale. Analisis data menggunakan uji Wilcoxon, Kruskal–Wallis, dan post-hoc dengan tingkat signifikansi p<0,05. Hasil menunjukkan penurunan bermakna pada skor nyeri dan kecemasan (p=0,000), menegaskan efektivitas pijat kaki sebagai intervensi keperawatan komplementer. Temuan ini mendukung penerapan pijat kaki sebagai tindakan keperawatan mandiri di ICCU maupun IGD untuk meningkatkan kenyamanan fisik dan psikologis pasien SKA.
The Effect of Pronation and Supinnation Positions on preventing injuries on the Operating Table: A Scooping Review Pratama, Alvie Yudha; Jayanto, Nicollas Dwi; Wardhany, Tri; Putranto, Happy Septian Rizki; Pramita, Ellyda Septiani
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 1 (2025): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

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Latar Belakang: Posisi pasien selama operasi merupakan komponen penting dari keselamatan perioperatif karena dapat memengaruhi risiko cedera saraf, ulkus tekan, gangguan vaskular, dan cedera mata. Posisi pronasi dan supinasi sering digunakan dalam berbagai prosedur bedah tetapi memiliki profil risiko yang berbeda. Studi ini bertujuan untuk meninjau dan mensintesis bukti ilmiah terkini mengenai pengaruh pronasi dan supinasi terhadap pencegahan cedera di meja operasi dan peran tenaga kesehatan dalam memastikan posisi pasien yang aman. Metode: Studi ini menggunakan desain tinjauan cakupan berdasarkan kerangka kerja Arksey dan O'Malley. Pencarian literatur dilakukan di basis data PubMed, Scopus, ScienceDirect, Web of Science, dan Google Scholar yang mencakup publikasi dari tahun 2021 hingga 2025. Artikel dipilih berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan, kemudian disaring menggunakan bagan alur PRISMA. Dari 455 artikel yang diidentifikasi, 10 memenuhi kriteria dan dianalisis secara deskriptif dan tematik. Hasil: Hasil penelitian menunjukkan bahwa posisi pronasi memiliki risiko komplikasi yang lebih tinggi dibandingkan posisi supinasi, terutama terkait cedera saraf perifer, luka tekan, dan cedera mata. Kesimpulan: Penerapan posisi pasien yang aman selama operasi memerlukan pendekatan sistematis berbasis bukti. Pelatihan berkelanjutan, kepatuhan terhadap standar posisi, dan dukungan organisasi merupakan kunci untuk mengurangi risiko cedera perioperatif. Temuan ini dapat menjadi dasar pengembangan pedoman dan praktik keperawatan anestesi yang lebih aman dan berpusat pada pasien.
PSYCHOLOGICAL RESILIENCE OF HEALTHCARE WORKERS FACING DISASTERS: A SCOOPING REVIEW Oktaviana, Elia; Herman, Alya Gustiyana; Rismayati, Retti; Hurudji, Tahta Aditya Andi F.; Zuhairini, Ririn
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 1 (2025): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

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Abstract

Background: Psychological resilience is an adaptive ability that enables healthcare workers to maintain emotional and mental stability when facing stressful conditions caused by disasters. This review aims to map and synthesize the current evidence on psychological resilience among healthcare workers during disaster situations. Methods: This scooping review followed the Arksey and O’Malley framework and PRISMA 2009 guidelines. Literature searches were conducted in Science Direct, PubMed, and Google Scholar for articles published between 2015–2025. Ten articles met the inclusion criteria, consisting of seven quantitative studies, two review studies, and one qualitative concept analysis. Results: Internal factors influencing resilience included self-efficacy, emotional regulation, adaptive coping, and intrinsic motivation. External factors involved social support, supportive leadership, and organizational preparedness. Several psychological interventions such as mindfulness training, emotional regulation programs, and integrated disaster nursing training were shown to significantly increase resilience and reduce stress among healthcare workers. Conclusion: Psychological resilience plays a crucial role in maintaining mental well-being and performance during disaster response. Strengthening resilience through structured psychological interventions and supportive workplace environments should be integrated into disaster preparedness strategies to optimize healthcare workers’ readiness and mental stability during crises. Keywords: psychological resilience; healthcare workers; disaster; mental well-being; scooping review
RESPONSE TIME IN THE EMERGENCY ROOM IN A HOSPITAL Febi Sugiana; Muhammad Asepta Saputra; Guswari Dirga Santara; Keisha Rahma Juliani
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 1 (2025): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

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ABSTRACT: This scooping review maps the factors influencing response time in the emergency department (ED) and its impact on service quality. The majority of studies (2021–2025) indicate that response times meet the standard of ≤5 minutes. Response speed is influenced by internal factors within healthcare workers (stress, knowledge, experience, motivation) and external factors (visitor load, systems, facilities, disaster preparedness), with overload and overcrowding being the primary causes of delays. Optimal response times improve patient safety, service satisfaction, and reduce family anxiety, and are supported by the implementation of a five-level triage system. Background: Emergency Departments (EDs) play a crucial role in patient safety through rapid response time, a key indicator of service quality. A rapid response time contributes to successful emergency management, patient safety, and family satisfaction, while delays can worsen clinical conditions and increase the risk of mortality. Response speed is influenced by factors internal to healthcare personnel and external to the service system, including triage effectiveness and resource availability. However, studies on the impact of overload and overcrowding on response time, particularly in Indonesia, are still limited. Therefore, this scooping review aims to map scientific evidence related to the influence of overload and overcrowding on response time in the ED as a basis for improving service quality and safety. Methods: This study is a scooping review aimed at mapping scientific evidence related to response time in the emergency department (ED) and the factors influencing it, including patient overload and overcrowding. The review was conducted in 2025, analyzing articles published between 2021 and 2025 obtained from PubMed, ScienceDirect, and Google Scholar, following PRISMA guidelines. Of the 12,647 identified articles, 10 were selected that met the criteria for analysis. Data synthesis was performed by grouping themes of timeliness of service, internal and external factors, and their impact on service quality and patient safety in the ED. Results: This scooping review analyzed 10 selected articles, consisting of nine national and one international study, using observational, cross-sectional, correlational, and literature review designs. All studies discussed response time in the emergency department (ED), the factors influencing it, and its impact on service quality, patient safety, and patient and family satisfaction.Conclusion: Response time is a key indicator of emergency department (ED) service quality, directly impacting patient safety and family comfort. Response speed is influenced by both internal factors within healthcare workers and external factors such as patient load, infrastructure, and triage implementation. Achieving a standard response time of <5 minutes reflects the effectiveness of emergency department management, necessitating improvements in healthcare worker competency, optimization of the triage system, control of overcrowding, and ongoing monitoring of service quality.
EFFECT OF PSYCHOSOCIAL INTERVENTION BY HEALTH WORKERS ONANXIETY LEVELS IN NATURAL DISASTER VICTIMS: SCOOPING REVIEW Baruadi, Ajengsy; Sitepu, M. Saudri Nujumun; Baruadi, Ajengsy Febiola; Juniartika
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 1 (2025): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jian.v2i1.4667

Abstract

Abstract Natural disasters cause high levels of anxiety and trauma in survivors. This study aims to synthesize the effectiveness of psychosocial interventions to reduce this anxiety. Background: Natural disasters trigger widespread psychological impacts such as anxiety, depression, and PTSD. Approximately half of survivors experience symptoms of anxiety and trauma post-disaster. Psychosocial interventions are a key approach to reducing anxiety, increasing adaptability, and accelerating trauma healing, thereby preventing long-term mental health problems. Methods: A systematic review design was used to synthesize 11 primary research articles (2011–2025) to analyze the impact of interventions on disaster anxiety. The results showed that all psychosocial interventions were significantly effective in reducing anxiety and stress levels and increasing psychological resilience in disaster survivors. Conclusion: Psychosocial interventions by health workers are an effective and scientifically proven strategy for the mental health recovery of natural disaster victims.
The effectiveness The effectiveness of deep breathing relaxation and peppermint aromatherapy on post-cesarean pain lakoro, fira; Safari Hidayat, Ahmad; Friza Shabira, Naurah; Nurrahman Amrin, Majid; Fatimah Zahra, Wahyuni; Mutiara Putri, Intan
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 1 (2025): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

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Postoperative pain following cesarean section is a common complaint among mothers and can hinder the recovery process and reduce comfort. In addition to pharmacological therapy, nonpharmacological interventions such as deep breathing relaxation and peppermint aromatherapy are increasingly being used because they are relatively safe, easy to apply, and have minimal side effects. Evidence-based studies are needed to assess the effectiveness of both interventions in managing post-cesarean section pain. Methods: This study used a literature review method by examining eight relevant scientific journals. The journals reviewed were quantitative studies with various quasiexperimental designs that discussed the administration of deep breathing relaxation, peppermint aromatherapy, or a combination of both in post-cesarean section patients. Analysis was conducted by assessing changes in pain intensity before and after the intervention using validated pain measurement instruments, particularly the Numerical Rating Scale (NRS).
Effectiveness Effectiveness of High-Dose Versus Low-Dose Laryngeal Mask Airway (LMA) Placement in Preventing Air Leakage Around the Cuff During Intraoperative Ventilation Zhafira Roikhatussyifa; Fitria Khairulianti; Hadi, Utari; Muhammad Fatih Rendra; Kusuma Dewi, Ratih
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 1 (2025): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

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Latar Belakang: Laryngeal Mask Airway (LMA) banyak digunakan dalam anestesi umum untuk menjaga jalan napas tanpa intubasi, tetapi efektivitasnya bergantung pada tekanan manset yang digunakan. Metode : Penelitian ini merupakan tinjauan pustaka dari sepuluh jurnal yang diterbitkan pada tahun 2020–2025 yang diperoleh dari PubMed, ScienceDirect, BMC, BMJ, dan Google Scholar, kemudian dianalisis berdasarkan aspek penelitian . Hasil: Mayoritas penelitian menunjukkan bahwa tekanan rendah atau volume udara rendah lebih efektif dalam menjaga ventilasi yang stabil dan mengurangi risiko komplikasi dibandingkan tekanan tinggi. Kesimpulan: Penggunaan tekanan manset rendah (20–30 cmH₂O) dengan pemantauan rutin dan teknik pemasangan yang tepat lebih aman dan efisien dalam mencegah kebocoran udara selama ventilasi intraoperatif.
Physical Activity and Blood Pressure Changes in Pre-Elderly Adults: Evidence from the Prolanis Program at Bumirejo Community Health Center hasnah, kholifah; Amir Ramadhani A N
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 1 (2025): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

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Background: Physical activity is the body movement produced by skeletal muscle and requires energy expenditure. One of the factors that affect blood pressure is physical activity. Increased blood pressure regulated by the reticular activation system in the brain stem will stimulate the area of ​​the vasoconstrictor and the cardioaccelerator at the vasomotor center. The purpose of this study is to know the relationship between physical activity and blood pressure changes on pre-elderly people in Prolanis Puskesmas Bumirejo. Methods: This study is a descriptive correlative is to examine the relationship between variables. The sample in this study was all pre-elderly people in Prolanis Puskesmas Bumirejo totally 45 people. Sampling technique used was purposive sampling. It was conducted in Prolanis Puskesmas Bumirejo. The study was taken during April to May 2018. Data analysis was executed using Spearman Rank statistical test. Results: Based on the results of the study, it is known that respondents’ characteristics of the pre-elderly people in Prolanis Puskesmas Bumirejo mostly are men whose age are between 45-55 years old with the last education level of junior high school. Physical activity in pre-elderly people in Prolanis Puskesmas Bumirejo is known that most of them are in high category (46,7%). Blood pressure in pre-elderly people in Prolanis Puskesmas Bumirejo is known that mostly included in normal category (40,0%). There is an association between physical activity with blood pressure changes on pre-elderly peoplein Prolanis Puskesmas Bumirejo (p = 0,000). Conclusion: This research concludes that there is a relationship between physical activity and blood pressurechanges on pre-elderly peoplein Prolanis Puskesmas Bumirejo
COMPARISON OF THE SHORT-TERM EFFECTS OF KETOROLAC AND PARACETAMOL IN THE MANAGEMENT OF INTRA-ANESTHESIA PAIN : Literature Review SOFYAN, FELISHA; Ulhaqisya, Nadya; Aurelia, Diva; Marhana, Kirana
Journal of Indonesian Anesthesiology Nursing Vol. 2 No. 1 (2025): JIAN (Journal of Indonesian Anesthesiology Nursing)
Publisher : Keperawatan Anestesiologi Program Sarjana Terapan

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Background: Postoperative pain is a global challenge affecting nearly half of patients, potentially leading to chronic pain. The development of non-opioid multimodal analgesia strategies, particularly the pre-emptive or intra anesthetic use of intravenous Ketorolac and intravenous Paracetamol, is key to managing short-term pain. This study aims to map, categorise, and compare the short-term efficacy of intravenous Ketorolac and intravenous Paracetamol administered in the intra-anesthetic context for various types of surgery. Methods: This study uses a Scoping Review design based on the Arksey and O'Malley framework, and is reported according to the PRISMA-ScR guidelines. A literature search was conducted on major databases for studies published between 2020 and 2025. Data was extracted using the PICOST framework (Population, Intervention, Comparison, Outcome, Study Type, Timeframe) and synthesised narratively and thematically based on the surgical context. Results: Ten primary studies (RCTs and comparative) were included, focussing on short-term efficacy. The results showed that the combination of Ketorolac (30 mg) and Paracetamol (1 g) significantly reduced total morphine requirements post-laminectomy compared to Paracetamol monotherapy (P < 0.05). In major surgery (CABG), paracetamol monotherapy is effective in reducing VAS scores better than ketorolac (P < 0.05) and in reducing morphine consumption (P < 0.001). Studies confirm the feasibility of pre-emptive/intra-anesthetic administration for both agents (Kashif et al., 2021). Conclusion: The optimal strategy for short-term postoperative pain management is a multimodal approach combining intravenous Ketorolac and Paracetamol, initiated during the intra-anesthetic phase, to effectively reduce opioid requirements and improve the quality of postoperative analgesia.

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