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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.
A Cross-Sectional Study on the Relationship Between Age, Surgery Duration, and Post-Anesthesia Hypothermia Incidenc: English Gangsar Haryo Narendra; Wilis Sukmaningtyas; Asmat Burhan
Viva Medika Vol 16 No 4 (2023): VOLUME 16 / Nomor 04 /NOVEMBER/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1101

Abstract

Background: Hypothermia is a post-anesthesia complication commonly found in the recovery room after general and regional anesthesia. Patients undergoing surgery are at risk of hypothermia. Hypothermia can be defined as a body temperature of less than 36oC. Objective: to identify the relationship between age and length of surgery with the incidence of post-anesthesia hypothermia at Hospital dr.R.Goeteng Taroenadibrata Methods: This research method uses a quantitative approach with a cross-sectional approach. A sample of 86 post-anesthesia respondents with a purposive sampling technique and chi-square test to analyze the data. Results: This study shows a relationship between age and the incidence of hypothermia with a chi-square value with a probability value of 0.001 <0.05. This study also shows a connection between the length of surgery and the incidence of hypothermia at 69% with an X2 value with a probability value of p = 0.001. Conclusion: We confirmed that age and duration of surgery significantly affect patients' thermoregulation after general anaesthesia and regional anaesthesia, resulting in various signs and symptoms.
Overview Of Postoperative Nausea and Vomiting (Ponv) in Caesarean Section Patients with Spinal Anesthesia at Fatimah Islam Hospital, Cilacap. Tiara Octa Afrilya; Wilis Sukmaningtyas; Asmat Burhan
Viva Medika Vol 16 No 4 (2023): VOLUME 16 / Nomor 04 /NOVEMBER/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1220

Abstract

Spinal anesthesia has been established as the most effective and safest procedure for Sectio Caesarea. One of the most common side effects of spinal anesthesia is operative Nausea and Vomiting (PONV) or Nausea vomiting, which typically occurs within the first 24 hours after surgery. This study seeks to determine the description of Operative Nausea and Vomiting (PONV) based on age, surgery duration, and fasting duration in patients undergoing Caesarean section at RSI Fatimah Cilacap under spinal anesthesia. This research method employs quantitative analytic observation with a cross-sectional design and convenience sampling. The results revealed that the majority of respondents were between the ages of 20 and 35 (90.6%), with an incidence of PONV of 58.6%; the duration of surgery was between one and two hours (90.6%), with an incidence of 51.7%; and fasting duration was less than six hours (50%) with an incidence of 87.7%. This study found that 53.1% of participants experienced Operative Nausea and Vomiting (PONV).
Implementation of LoRa Wireless Communication in Smart Diabetic Shoes Design Purwono Purwono; Asmat Burhan; Lutviana Lutviana
International Journal of Robotics and Control Systems Vol 3, No 4 (2023)
Publisher : Association for Scientific Computing Electronics and Engineering (ASCEE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31763/ijrcs.v3i4.1152

Abstract

Diabetes is a widespread medical condition affecting a substantial portion of the global population. It is a metabolic disorder known as diabetes mellitus, characterized by severe fluctuations in blood glucose levels due to inadequate insulin production in the human body. The effective monitoring of diabetes is of paramount importance to researchers as it holds the potential to enhance the quality of healthcare services. Among the challenges faced by individuals with diabetes, one prevalent issue is the development of ulcers, which can be challenging to detect promptly. Technological advancements offer a promising avenue for cost-effective and continuous monitoring of chronic diseases like diabetes. This study centers on the development of IoT-based intelligent diabetic footwear that incorporates pressure sensors and temperature monitoring for individuals with diabetic feet. In the evaluation of SX1278 (Ra-02) Lora Module communication, deployed at eight different locations, it was observed that two of these points achieved a flawless transmission success rate of 100%. Conversely, the communication failed at points 6 and 7, with a success rate falling below 50%. Some of these failures can be attributed to signal obstructions, including natural elements such as trees and terrain, as well as man-made structures like buildings and machinery workshops, which hinder the efficient transmission of signals from the end node to the gateway. The results of this research provide positive implications in the form of developing IoT-based diabetes shoes that can be applied with alternative Lora communication connections in areas with poor internet signal.