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Journal : Java Nursing Journal

The Overview of Mean Arterial Pressure (MAP) Changes in Patients After General Anesthesia at Juanda Kuningan Hospital West Java: English Ganea Pramudya Gurensky; Wilis Sukmaningtyas; Asmat Burhan
Java Nursing Journal Vol. 1 No. 2 (2023): October
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.8

Abstract

Purpose: to determine the description of changes in Mean Arterial Pressure (MAP) of patients after general anesthesia at Juanda Kuningan Hospital, West Java. Methods: This research is descriptive quantitative with a cross sectional approach. The sample in this study were all surgery patients with general anesthesia who met the criteria, while the sampling technique used was total sampling resulting in 100 respondents. Data analysis using univariate test. Findings: The results of the analysis showed that the most dominant age of respondents was early elderly (34%), with female gender (58%) and the most dominant Body Mass Index (BMI) was normal (91%). Normal MAP (70-100 mmHg) was obtained before induction of anesthesia as much as (77%), normal MAP (70-100 mmHg) after general anesthesia in the recovery room as much as (93%%). Conclusions: These results describe that changes in MAP values after general anesthesia can occur and the majority of pre-induction anesthesia MAP values of respondents will experience a decrease in MAP values during post-general anesthesia in the recovery room. So it is very important to maintain normal MAP values (70-100 mmHg) so as to reduce the risk of postoperative complications that can occur in patients.
An Overview of The Level of Occupational Stress of Anesthesiologists In The Surgical Room of The Hospital In The Banyumas District Area: English Ibnu Assyifa; Wilis Sukmaningtyas; Asmat Burhan
Java Nursing Journal Vol. 1 No. 2 (2023): October
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.14

Abstract

Background: Every profession and employee in both developed and developing countries is affected by occupational stress, which is a global problem. Due to the great burden and responsibility of safeguarding human lives, the anesthesia care profession is particularly vulnerable to stress. And high levels of occupational stress can cause health problems, such as mental and behavioral disorders such as fatigue, anxiety, and depression, as well as other physical disorders such as cardiovascular disease and musculoskeletal disorders that affect service functions. The role of expert anesthesiologist has a function in pre, intra, post anesthesia care services and emergency management. Objective: To identify the characteristics of anesthesiologist's work stress level based on age, gender, working period, working hours and latest education in the surgical room. Methods: This research is descriptive quantitative with a cross sectional approach. The study population was 39 respondents, the focus of observation in this study was a description of the stress level of anesthesia administrators in the surgical room of the Banyumas Regency Hospital. Results: This study shows the level of stress with mild stress category with a total of 19 respondents with a percentage (48.7%) and moderate work stress as many as 4 respondents with a percentage (10.3%). Conclusion: The results of this study indicate the presence of mild and moderate work stress in surgical room anesthesiologists at the Banyumas Regency Regional Hospital.
The The Correlation between Motivation and Anesthetists’ Working Performance in Banyumas Regency: English Rizal Achmad Fadilah; Wilis Sukmaningtyas; Asmat Burhan
Java Nursing Journal Vol. 1 No. 2 (2023): October
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.16

Abstract

Background: The performance of health workers is a very crucial issue to be studied in order to maintain and improve health services. The impact that occurs if the performance of health workers in the hospital is not good can cause patients and families to feel dissatisfied, patients and families will not use health services again. One of the factors that affect performance is motivation. Objective: Knowing the relationship between motivation and the performance of anesthesiologists in the Banyumas Regency area. Research: The research method is correlation analytics research with a cross sectional approach. The sampling technique used total sampling, a total of thirty-nine respondents. Data collection using work motivation and performance questionnaires. Bivariate analysis using spearman-rank. Results: The results of the study obtained a percentage of 39 respondents of anesthesiologists in the Banyumas Regency area with sufficient motivation as many as 28 respondents (71.79%) and respondents who had sufficient performance as many as 31 respondents (79.98%). The results of spearman-rank analysis showed a significant relationship, work motivation with the performance of anesthesiologists with a correlation value of 0.733 and a 2-tailed sig of 0.000. Conclusion: Advice for the anesthesiologist profession who is especially incorporated in the organization at the DPC IPAI Banyumas Branch Secretariat which researchers recommend is expected to improve the quality and quantity of health services to patients and families, namely by carrying out predetermined procedures and friendly, so that patients and families feel comfortable and served with satisfaction for the services provided.
The OVERVIEW OF SPINAL ANESTHESIA INJECTION TECHNIQUES AT RSI FATIMAH CIKACAP: English M.Nuhas Baroki Saragih; Roro Lintang Suryani; Asmat Burhan
Java Nursing Journal Vol. 1 No. 2 (2023): October
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.17

Abstract

Background: Spinal anesthesia is said to be safer than general anesthesia. However, spinal anesthesia itself has several kinds of special obstacles in performing injection techniques, there are a number complex variables that can cause these obstacles, including difficulty in marking injections, failure in needle placement, age, Body Mass Index (BMI), spinal anatomical abnormalities, patient position at the time of needle placement, and the level of experience of spinal performers. Purpose: This study was to determine the description of spinal anesthesia injection techniques at RSI Fatimah Cilacap. Methods: This research method uses a quantitative approach with a descriptive type of research. Total sampling was used to select the sample for this study. Total sampling is a sampling method that uses the sample size of the entire population as the sample size. Results: this study indicate that the median injection technique is more dominant in using the median injection technique with the number of respondents as many as 23 (62.1%), while with the paramedian injection technique only 14 (37.8%) respondents based on the age of the respondent, while based on the BMI of the respondent, anesthesia stylists are more dominant in using the median injection technique as many as 23 (62.1%) respondents, on the contrary with the paramedian injection technique as many as 14 (37.8%) respondents. Conclusions: this study shows that anesthesiologists at RSI Fatimah Cilacap more often use spinal anesthesia injection techniques with median techniques compared to paramedian injection techniques at certain ages and Body Mass Indexes.
The An overview of patient knowledge of anesthesia procedures through informed consent in the Jatiwinangun Purwokerto Surgical Specialty Hospital's central surgical installation: English Tubagus Hari Perkasa; Rahmaya Nova Handayani; Asmat Burhan
Java Nursing Journal Vol. 1 No. 2 (2023): October
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.18

Abstract

Background: The submission of informed consent aims to obtain evidence of consent that can document legal and ethical liability. Anesthesia procedures include pre-anesthesia, intra-anesthesia and post-anesthesia. Pre-anesthesia is a pre-anesthesia and sedation assessment, informed consent for anesthesia and sedation, giving premedication drugs if necessary, and instructing fasting before surgery. Purpose: This study was to determine the level of patient knowledge about anesthesia procedures through informed consent at the Central Surgical Installation of Jatiwinangun Purwokerto Special Surgical Hospital. Methods: This study used a quantitative descriptive design with a cross sectional approach. The sampling technique used consecutive sampling of 108 respondents. The measuring instrument used was a questionnaire sheet. Analysis test using univariate test. Results: The analysis showed that the most dominant age of respondents was in the range of 36-45 years (23.4%), with the last education having a high school background (35%) and male (59.3%). Conclusion: An overview of the patient's knowledge level about anesthesia procedures through informed consent in the central surgical installation of Jatiwinangun Purwokerto Special Surgical Hospital, the majority have a sufficient level of knowledge.
THE EFFECT OF LISTENING TO ASMAUL HUSNA ON ANXIETY OF PREOPERATIVE PATIENTS IN RSI PURWOKERTO : English Dwi Wahyuni; Wilis Sukmaningtyas; Asmat Burhan
Java Nursing Journal Vol. 1 No. 2 (2023): October
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v1i2.23

Abstract

Background: Surgery is a medical treatment that uses invasive techniques by making an incision on the body part to be treated and ends with wound closure and suturing. This can cause both physiological and psychological stress. The psychological response to stress can be anxiety. This occurs because of the fear of bad possibilities that will happen that will harm the patient himself. Purpose: Knowing the effect of listening to Asmaul Husna on anxiety of preoperative patients at RSI Purwokerto. Methods: Design quasy experiment using Pretest-Posttest Control Group Design with sampling technique using purposive sampling technique as many as 116 respondents. The instrument used the Hamilton Anxiety Rating Scale (HARS). Data analysis using the Mann Whitney-U test. Results: We confirmed the effect of Asmaul Husna on anxiety. Paired T-test analysis of the control group with z= -0.37 with p = 0.70, while in the experimental group the mean ± SD was 0.27 ± 0.48 (CI 95% 0.14, 0.40) with p = 0.000. Mann Whitney-U analysis showed a value of z = -2.927, with p = 0.003. This shows that there is an effect of listening to Asmaul Husna on reducing the anxiety of preoperative patients at RSI Purwokerto. Conclusions: there is an effect of listening to Asmaul Husna on reducing anxiety of preoperative patients at RSI Purwokerto.