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The Differences of Pain Characteristics Among Post-Surgery Clients with General and Regional Anesthesia Andi Eka Pranata; Feri Ekaprasetia
NurseLine Journal Vol 6 No 2 (2021): November 2021
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v6i2.23817

Background: Surgery is one of the medical options for improving health. Surgery will break the main chain that causes health problems. Patients undergoing surgery will receive anesthetic management to relieve pain sensations. Pain sensations will be felt again after the period of anesthesia gradually disappears. Post-surgery clients will feel pain that varies widely. Purpose: This study aims to determine differences in the characteristics of postoperative client pain with general anesthesia and regional anesthesia. Methods: The method used was observational in postoperative clients with a cross-sectional design. Pain characteristics were observed after 4 hours postoperatively. Observation of pain used a pain characteristic observation sheet with observation items including pain intensity, pain onset, pain quality, and pain coping pattern. Observations were made on 30 postoperative clients with general anesthesia and 30 postoperative clients with regional anesthesia. The pain characteristics of the two groups after surgery were compared and the differences were seen. Result: The results of the study generally showed that the characteristcis of postoperative client pain with regional anesthesia (mean score = 18.1) were heavier than clients who received general anesthesia (mean score = 17.5). The results of the Mann Whitney test showed that the value of p = 0.000 (pain scale), p = 0.017 (pain time range), 0.000 (pain onset), p = 0.018 (pain intensity), p = 0.000 (pain depth), p = 0.000 (coping pattern). Conclusion: There are differences in pain characteristics between postoperative clients with general anesthesia and regional anesthesia on the aspects of pain scale, pain onset, the intensity of pain, depth of pain, and coping patterns of pain. The length of time of surgery and the level of depth of the surgical incision have a very significant effect on the characteristics of postoperative pain.

Saturasi oksigen menurunkan kuantitas nyeri pada klien post Sectio Caesarea Andi Eka Pranata; Feri Ekaprasetia
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 8, No 1 (2022): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.8.1.37-42

Pendahuluan:Insisi operasi Sectio Caesarea (SC) menimbulkan inflamasi jaringan dan respon nyeri pada pasien. Inflamasi post operasi merupakan kompensasi sel tubuh untuk menyatukan jaringan yang rusak. Kondisi oksigenasi jaringan sangat mempengaruhi keberlangsungan inflamasi. Periode inflamasi berbanding lurus dengan periode nyeri, sehingga saturasi oksigen di jaringan mempengaruhi kuantitas nyeri pasien. Tujuan penelitian ini adalah mengetahui hubungan saturasi oksigen dengan kuantitas nyeri pada klien post operasi sectio caesarea. Metode:Desain penelitian ini adalah korelasi untuk mengetahui hubungan antara saturasi oksigen dengan kuantitas nyeri pada klien post SC. Penelitian dilakukan di sebuah rumah sakit Kabupaten Jember. Pengukuran saturasi oksigen dan kuantitas nyeri dilakukan setelah 12 jam post SC dengan kriteria mutlak responden baru pertama kali menjalani SC dan tidak ada tindakan lainnya. Jumlah responden sebanyak 60 klien post SC. Analisis data menggunakan non parametric test karena distribusi data tidak normal dengan nilai p-value0.006 (p < 0.05). Hasil:Hasil uji Spearman’s Rho didapatkan nilai p-value0.015 (p < 0.05). Simpulan: Hasil penelitian menunjukkan adanya hubungan antara saturasi oksigen dengan kuantitas nyeri pada klien post SC.Saturasi oksigen yang baik mampu mempercepat proses granulasi, sehingga inflamasi jaringan lebih cepat turun. Inflamasi yang turun berbanding lurus dengan penurunan kuantitas nyeri.

DAMPAK RELAKSASI PROGRESIF PADA KLIEN YANG MENGALAMI KECEMASAN DAN MASALAH TIDUR SEBELUM PELAKSANAAN OPERASI KOLOSTOMI DI RUANG 19 DAN 17 RSU Dr. SAIFUL ANWAR MALANG Andi Eka pranata
Jurnal Kesehatan dr. Soebandi Vol 1 No 2 (2013): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

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Anxiety is a bad condition or situation if looked of phsycological human. Every human always life by anxiety, although the good life. By anxiety, we will be strong human and will life is better than before. Pre operation condition make somebody are anxiety and have any problem to healths. Pshycological factor influence preparedness of operation patient. This condition will be make it condition as well as health. The blood pressure will be higher than normal condition, heart rate is tachicardia, peristaltic movement will be faster than before, and any abnormality vital sign exercise. Not only that, sleeping cycle patients are disturb. So, nursing must be thinking for problem solving this condition to perfect this wellness. Progressive relaxation is a method to make our body are relax. This methods have step by step to do it. This methods are combine between respiratory system and motor system. This research using case study system, so only looking for and using methods descriptive every moment and condition of patient. Case study not require analize, but looking for relevance beteween scientific and practice knowledge. So, this product of research will be technique to reduce anxiety effect. This research using colostomy pre operative patient and have anxiety and sleep cycle problem. For this research was know about anxiety and sleep of pre operative colostomy patient are anxiety and can’t sleep by good. This patient are 2 person and of twice patient is same conditions. After that, author doing progressive realxation and as long time do exercise about anxiety and sleep cycle. Is good product, anxiety and sleep cycle back to normal. Progressive relaxation will make fresh body, blood circulation by good and couple nervus is good. If oxygenation in the circulation nothing obstruction (oclusion, spasme, trombosis), so oxygen will normal transfer of tissue. The brain be fresh by good circulation and endorphin will not at circulation. If this condition really at patient, so pre operative conditions never by anxiety and sleep cycle will be normally.

PENGARUH HIDROTERAPI (RENDAM KAKI AIR HANGAT) TERHADAP PENURUNAN TINGKAT KECEMASAN PADA LANSIA DI DESA SUMBERSARI KECAMATAN MAESAN KABUPATEN BONDOWOSO TAHUN 2014 Andi Eka Pranata
Jurnal Kesehatan dr. Soebandi Vol 2 No 2 (2014): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

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This study aims to determine the effect of hydrotherapy (soaking feet of warm water) on reducing anxiety levels in the elderly in Sumbersari Village, Maesan District, Bondowoso District in 2014. Anxiety is a condition that is often experienced by the elderly because it is a degenerative process of the entire system including cognition and cognition. Hydrotherapy is a therapy that aims to provide and increase the sensation of relaxation for the human body.This study is a comparison with a quasi-experimental design with a non equivalent control group design approach. The study was conducted in Sumbersari Village precisely in Krajan II and Ekapradja Hamlets with a population of 100 people who met the criteria. While the sample used was 80 people using cluster sampling with details of 40 control groups and 40 intervention groups. The study looked at the difference between the degree of anxiety between pre and post in the control and intervention groups with the Wilcoxon Macth Paired Test analysis test, as well as the difference in post-treatment anxiety levels between the control group and the intervention group with the Mann Whitney analysis test. The analysis test uses a 95% confidence level. From this study, the results showed that there is an effect of hydrotherapy (soaking feet of warm water) on reducing anxiety levels in the elderly. This is indicated by the value of p = 0.021. P <α is 0.021 <0.05 so that Ho is rejected. Hydrotherapy has a relaxing effect that causes all constricting activities in the human body to decrease, thereby increasing calm and directly reducing anxiety.

IMPLEMENTASI STRATEGI PEMBELAJARAN SHEMAP DALAM MENINGKATKAN POLA PIKIR KRITIS DAN KREATIF PADA MAHASISWA S1 KEPERAWATAN DI STIKES dr. SOEBANDI Andi Eka pranata
Jurnal Kesehatan dr. Soebandi Vol 3 No 2 (2015): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

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The SHEMAP method is a learning method developed from the HOTS (Higher Order-Thinking Skills) concept which focuses on analytic thinking patterns, so students are required to analyze and explore ideas according to the mind maps created independently. The design of this study used a quasi experiment with a non equivalent control group design approach. The population in this study were 100 fourth semester students of STIKES Nursing Undergraduate Program dr. Soebandi Jember. The sample calculation in this study uses the Slovin formula. From the sample calculation above, the samples in this study were 80 fourth semester students of STIKES Nursing Undergraduate Program dr. Soebandi was divided into 2 groups, namely 40 students for the intervention group and 40 students for the control group. The sampling technique used in this study was cluster sampling, the time of research data collection began in July - August 2015. Changes Increased creative mindset in the control group by 77%, and increased creative mindset in the intervention group after the implementation of the SHEMAP method by 95% . From the results of the test analysis of the independent t test with a value of p = 0,000 (degrees α = 0.05), so that p <α (0,000 <0.05). This means that Ho is rejected or there is an influence of the SHEMAP learning method on improving creative thinking

PENINGKATAN KUALITAS LAYANAN KEPERAWATAN SECARA LANGSUNG MELALUI APLIKASI NIC-NOC TERPADU Andi Eka pranata; Said Mardjanto
Jurnal Kesehatan dr. Soebandi Vol 6 No 1 (2018): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

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The quality of nursing services is reflected by the comprehensive, holistic nursing care activities which meet the nursing standards. Often, the facts show that the quality of the nursing services is below expectation as demonstrated by the documentation proof which is non-standard, thus affects the outcome of the service itself. The objective of this research is to find out the effect of the use of integrated NIC-NOC application on the direct improvement of the nursing services quality at the outpatient treatment room at Rambipuji Primary Health Jember Regency. This research employs one group pretest-postest design by using quasi experiment design. This research is conducted at the outpatient treatment room of Rambipuji Primary Health Jember Regency by involving the patient as the sample of the research. The result of this research reveals that the use of integrated NIC-NOC application proves to improve the quality of the nursing services as reflected by 4 domains, namely: satisfaction level, relevance level, continuity level, as well as evidence level, respectively.

APLIKASI SELF CARE DALAM PENINGKATAN KUALITAS PERAWATAN DAN PENGELOLAAN KLIEN DIABETES MELLITUS TIPE 2 Andi Eka Pranata; Rizki Eko Prasetyo
Jurnal Kesehatan dr. Soebandi Vol 9 No 1 (2021): Jurnal Kesehatan dr. Soebandi
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jkds.v9i1.268

Introduction: Diabetes Mellitus (DM) is a chronic disease (CD) in Indonesia that contributes to high mortality. This disease poses a limitation to self-care. Good self-care prevents complications and improves the quality of life. Self-care application (SCA) is a way to increase understanding of Type 2 Diabetes Mellitus (T2DM) clients and their families to improve the quality of care and good management of T2DM clients. Objective: To determine the effect of SCA on improving the quality of care and management of T2DM clients which include blood sugar levels, nutrition management, activity/ exercise management, self aesthetics, and personal hygiene. Methods: A quasi-experimental design with a non-equivalent control group design. The population of this study was patients with type 2 diabetes with a total sample size of 50 patients with type 2 diabetes who were evenly divided into 2 research groups. The sampling method used was proportional sampling. The interventions are in the form of SCA with training and mentoring patterns of T2DM clients and their families. Data analysis using independent t-test. Result: The application of self-care had no significant impact on blood sugar stability (p 0.540), was able to improve the quality of nutritional management (p 0.018), improve activity/ exercise management (p 0.000), improve self-esthetic behavior (p 0.000), and increase personal hygiene behavior (p 0.000). Conclusion: Improving the quality of care and management of T2DM due to SCA is directly related to the understanding and awareness of T2DM clients.

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