Sugeng Sugeng
Jurusan Keperawatan POLTEKKES Kemenkes Yogyakarta

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The Effect of Distraction Therapy (Pray) to The Surgical Pain Intensity Among Post-spinal Anesthesia Patients at Andi Sulthan Daeng Radja Hospital's Recovery Room, Bulukumba Regency of South Sulawesi Syamsul Hidayat; Yustiana Olfah; Sugeng Sugeng
Journal of Health (JoH) Vol 3 No 2 (2016): Journal of Health - July 2016
Publisher : LPPM STIKES Guna Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.185 KB) | DOI: 10.30590/vol3-no2-p69-74

Abstract

Background: The needs of pain free after surgery occurs when analgesic medicine effect is run out. Thus, nursing care with distraction therapy can lead to the reduce of such pain sensation (Prasetyo, 2010). One of independent nursing interventions to relieve patients’ pain is to measure pain scale and then to give further intervention, either relaxation or distraction. Objectives: To identify the effect of distraction therapy, which is pray, to the surgical pain intensity of post-spinal anesthesia patients at Sulthan Daeng Radja hospital’s recovery room, Bulukumba regency of South Sulawesi Methods: A quasi experiment with one group pretest-posttest design was used in this research. The samples group was measured with pretest before being given an intervention and it was being re-measured after the intervention (posttest). Samples were chosen through non-random sampling, which is purposive sampling. Thirty eight samples were involved and being given such distraction therapy throughout the period of August 26th to October 19th 2013. Results: There was a significant result shown by using McNemar-analysis (p value =0.00). This reveals that there were decline in pain intensity after such distraction therapy among such patients. Conclusions: Distraction therapy (praying) reduces surgical pain intensity after spinal anesthesia. Therefore it can be used as an independent nursing intervention among patients hospitalized with pain problems.
Hubungan Oksigenasi dengan Kejadian Shivering Pasien Spinal Anestesi Di RSUD Prof.Dr. Margono Soekarjo Purwokerto Uji Sigit Prasetyo; Sugeng Sugeng; Ana Ratnawati
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 13 No. 1 (2017): Maret
Publisher : POLTEKKES KEMENKES YOGYAKARTA

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Abstract

The incidence of shivering varies between 5% – 65 %. Shivering causes adverse physiological effects such as peripheralvasoconstriction, compensation of increasing oxygen requirement up to 5 times will increase carbon dioxide production,lowering arterial oxygen saturation, decreasing drug metabolism, disturbing blood coagulation factor, lowering immuneresponse, impairing wound healing, increasing protein breakdown, and ischemic of heart muscle. This study aims todetermine relationship between oxygenation with shivering incidence among spinal anaesthesia patients at Prof. Dr.Margono Soekarjo Hospital, Purwokerto. This research was an analytic observational research with cross sectionalapproach. Population in this study was all patients with spinal anesthesia at Dr. Margono Soekarjo Hospital, Purwokerto, withthe total of 50 patients. Sampling method using purposive sample, obtained 45 respondents. Data were analyzed using chisquaretest. Most of patients under spinal anesthesia at Dr. Margono Soekarjo Hospital, Purwokerto were giving oxygenationmore than 2 lt/minas many as 25 patients (55.6%). Most of patients under spinal anesthesia were not experience shivering incidence as manyas 33 patients (73.3%). There is a relationship between oxygenation and shivering incidence among patients under spinalanaesthesia at Dr. Margono Soekarjo Hospital, Purwokerto (p value = 0.000).
Relaksasi Autogenik Untuk Menurunkan Tekanan Darah dan Tingkat Kecemasan Penderita Hipertensi Esensial di Panti Sosial Tresna Wredha Abiyoso Pakem Yogyakarta Umi Istianah; Sri Hendarsih; Sugeng Sugeng
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 12 No. 2 (2016): September
Publisher : POLTEKKES KEMENKES YOGYAKARTA

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Abstract

Essential hypertension is 95% of existing hypertension cases. Hypertension has been a deadly disease that many people in the developed and developing countries call the silent killer because the disease does not have the typical symptoms that are realized by the sufferer. The anticipation for this disease is by implementing a positive lifestyle and habits. To overcome hypertension, it can be done with medications or alternative treatment (non-pharmacological therapies) for example acupressure, herbal medicine, massage therapy, breathing and relaxation, treatment on the mind and body; biofeedback, meditation, hypnosis, etc. This study aims to determine the effect of autogenic relaxation towards the decrease of blood pressure and anxiety levels of patients with essential hypertension at PSTW Abiyoso Pakem Yogyakarta. This study is a quasi-experimental design with Non-Equivalent Control Group with pre and post-test. The study was conducted at PSTW Abiyoso Pakem and PSTW Budhi Luhur Kasongan Bantul with a sample of 30 people in the intervention group and 30 people in the control group. The sample was obtained with purposive sampling. The sample criteria were the elderly with essential hypertension, aged at least 50 years, experiencing at least mild anxiety, having no hearing loss, able to communicate well and are willing to become respondents. Measurements of blood pressure and anxiety levels were performed before giving autogenic relaxation techniques, the intervention group was given the standard therapy plus autogenic relaxation and the control group was only given standard therapy. The data for each group were analyzed by Wilcoxon test and compared by Mann Whitney test. Most respondents were female, 70% in the intervention group and 80% in the control group. Age of respondents in the intervention group on average was 72.4 years old, the youngest was 56 years old and the oldest was 85 years old. The control group on average was 71.6 years, the youngest was 50 and the oldest was 86 years old. Results of statistical test in the intervention group for systolic BP before and after relaxation using Wilcoxon test obtained significance 0.001 (p <0.05), and 0005 for the control group. Diastolic blood pressure tests for the intervention group and the control group were respectively 0.001 and 0.012. From the results of the Mann-Whitney test between the intervention group and the control group, it was obtained p = 0520 for systolic blood pressure, p = 0411 for diastolic and p = 0.000 for anxiety levels. It can be concluded that autogenic relaxation has an effect on lowering blood pressure and anxiety levels in patients with essential hypertension at PSTW Abiyoso Yogyakarta.