Anaesthesia Nursing Journal

Faktor-Faktor yang Mempengaruhi Mual dan Muntah Pasca Bedah pada Pasien Anestesi Umum di Rumah Sakit Umum Daerah Dr Soedirman Kebumen

Muhammad Abdul Aziz — 2022-06-24

Postoperative nausea and vomiting is an anesthetic complication which is related to various factors. Patients who experience postoperative nausea and vomiting have worse quality of recovery which causes delay in patient discharge from the hospital which will increase the cost of care. This study to be able to know the factors that affects postoperative nausea and vomiting in general anesthesia patients. This is a quantitative observational analytic study with cross sectional design. The study population was all patients undergoing general anesthesia at Dr Soedirman Kebumen Hospital. The study was conducted in January - March 2020 with sample number of 46 respondens who were determined by consecutive sampling technique. Data analysis using Chi Square (X²) and Logistics Regression. The result showed that respondents with postoperative nausea and vomiting scores ? 50 were clinically important nausea and vomiting as many as 28 people (60,9%). Chi Square (X²) test results significance values of age (p=0,014), sex (p=0,003), smoking history (p=0,018), history of motion sickness (p=0,099), history of postoperative nausea and vomiting (p=0,090), use of volatile anesthetics (p=0,033), use of nitrous oxide (p=0,105), use of postoperative Postoperative nausea and vomiting is an anesthetic complication which is related to various factors. Patients who experience postoperative nausea and vomiting have worse quality of recovery which causes delay in patient discharge from the hospital which will increase the cost of care. This study to be able to know the factors that affects postoperative nausea and vomiting in general anesthesia patients. This is a quantitative observational analytic study with cross sectional design. The study population was all patients undergoing general anesthesia at Dr Soedirman Kebumen Hospital. The study was conducted in January - March 2020 with sample number of 46 respondens who were determined by consecutive sampling technique. Data analysis using Chi Square (X²) and Logistics Regression. The result showed that respondents with postoperative nausea and vomiting scores ? 50 were clinically important nausea and vomiting as many as 28 people (60,9%). Chi Square (X²) test results significance values of age (p=0,014), sex (p=0,003), smoking history (p=0,018), history of motion sickness (p=0,099), history of postoperative nausea and vomiting (p=0,090), use of volatile anesthetics (p=0,033), use of nitrous oxide (p=0,105), use of postoperative

Pengaruh Distraksi Berdoa Terhadap Intensitas Nyeri Operasi Pada Pasien Post Anestesi Spinal di Recovery Room RSUD H. A. Sulthan Daeng Radja Kabupaten Bulukumba Sulawesi Selatan

Syamsul Hidayat — 2022-06-24

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 NcNemar-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

Latar Belakang: Kebutuhan terbebas dari rasa nyeri setelah operasi dan masa kerja obat analgetik telah habis, maka asuhan keperawatan dengan distraksi dapat membatu mengurangi nyeri (Prasetyo,2010). Salah satu fungsi mandiri perawat dalam mengatasi masalah nyeri antara lain melakukan pengukuran tingkat nyeri kemudian memberikan intervensi untuk mengatasi nyeri yaitu dengan tehnik relaksasi dan distraksi.

Tujuan Penelitian: Untuk mengetahui pengaruh distraksi berdoa terhadap intensitas nyeri operasi pada pasien pasca spinal anestesi di recovery room RSUD H. A. Sulthan Daeng Radja Kabupaten Bulukumba Sulawesi Selatan.

Metode Penelitian: Penelitian ini menggunakan penelitian Quasi Experiment dengan rancangan. One Group Pretest Posttest yaitu dengan cara memberikan pre test terlebih dahulu sebelum diberikan intervensi, kemudian diberikan intervensi, lalu dilakukan post test. Pengambilan sampel dilakukan secara Non random dengan tehnik Purposive Sampling, didapatkan 38 responden dengan perlakuan distraksi berdoa. pada tanggal 26 Agustus sampai 19 Oktober 2013.

Hasil Penelitian: Uji NcNemar nilai p=0,00 (p?0,05) menunjukkan adanya penurunan intensitas nyeri sesudah perlakuan distraksi berdoa yang signifikan terhadap intensitas nyeri operasi pada pasca spinal anestesi di recovery room RSUD H. A. Sulthan Daeng Radja Kabupaten Bulukumba Sulawesi Selatan.

Kesimpulan: Distraksi berdoa menurunkan intensitas nyeri pada pasca spinal anestesi sehingga dapat digunakan sebagai intervensi keperawatan mandiri untuk mengurangi intensitas nyeri.

Differences in Deep Breathing Relaxation Techniques with Lavender Aromatherapy on the Intensity of Spinal Anesthesia Needle Puncture Pain

Titik Endarwati — 2023-11-10

Spinal anaesthetic needle prick pain is an unpleasant experience that results in losses from spinal anaesthesia, so it needs to be treated. Non-pharmacological pain management can be done with deep breathing relaxation techniques and lavender aromatherapy. Reducing pain in addition to increasing comfort can also provide convenience and speed in the process of injecting spinal anaesthetic needles. This study was to determine the differences in deep breathing relaxation techniques with lavender aromatherapy on the pain intensity of spinal anaesthetic needle pricks at Kardinah Hospital, Tegal. The research method of this research was a quasi-experiment with a two-group post-test design. The sampling technique used was purposive sampling with a total of 72 respondents who were divided into groups of deep breathing relaxation techniques and lavender aromatherapy. Data analysis used the Mann-Whitney test. The results of the non-parametric statistical test with the Man Whitney test obtained p = 0.000 (p <0.05), so Ha was accepted, meaning that there was a difference in the pain intensity of spinal needle stick anaesthesia given deep breathing relaxation techniques and lavender aromatherapy. In the conclusion of the study, there were differences in deep breathing relaxation techniques with lavender aromatherapy on the pain intensity of spinal anaesthetic needle pricks at Kardinah Hospital, Tegal.

Efektivitas Kompres Hangat Femoralis dan ROM Pasif Terhadap Waktu Pencapaian Bromage Score 2 Pada Post Sectio Caesarea di RS PKU Muhammadiyah Gamping

Raden Roro Brilianti Chrisnajayantie — 2022-06-24

Background: Spinal anesthesia causes paresthesia to analgesia, paresis to paralysis, and vasodilation of blood vessels in the blocked area. The delayed post-anesthesia recovery impacts anxiety and depression, requiring longer treatment in the recovery room. The assessment criteria used for spinal anesthesia patients transferred from the post-anesthesia care unit room are Bromage scores ? 2. Femoral warm compress and Passive ROM can improve blood circulation, so the metabolic process of spinal anesthesia will increase. Purpose: To determine the effectiveness of femoral warm compress and passive ROM to the time of achieving Bromage score 2 in post-cesarean

section at PKU Muhammadiyah Gamping Hospital. Research Methods: This type of research was quasi-experimental and used Pre Test Post Test Two Group Design. This research was conducted in 7 February-18 March 2020. The population of this study was patients undergoing cesarean section with spinal anesthesia. Sample of this research 40 respondents who were divided into groups of femoral warm compress and Passive ROM. Data analysis was done with Mann-Whitney. Results: The time of achieving Bromage score 2 in the femoral warm compress group was mostly 45-60 minutes, and the passive ROM group was mostly 45 minutes. Mann-Whitney test results obtained p-value = 0.671 (p value> 0.05).

Conclusion: Femoral warm compress and passive ROM have the same effect on the time of achieving Bromage score 2.

Sensitivitas Spesifisitas Apfel dan Sinclair Terhadap Kejadian Post Operative Nausea and Vomiting pada Anestesi Umum di RS PKU Muhammadiyah Gamping

Wike Kurnianingsih — 2022-06-24

Background: PONV is one of complications that happen after general anesthesia, occurs in the first 24 hours post operation. PONV can spin out the patient’s recovery period, hamper the activity of the patient, and impact on the cost increase that must be spent by the patient. In identifying high-risk patients who will get benefit from antiemetic treatment that is in line with predictions of risk factors and provides prophylaxis based on the classification. Apfel and Sinclair score can be for daily application. Objective: In order to know the difference of sensitivity specificity Apfel and Sinclair of PONV in general anesthesia.Method: This research is a cross sectional design with kuota sampling technique. This research was conducted in 03 February - 13 March 2020. The population in this research was all adult patients with elective surgery under general anesthesia with physical status ASA I and II at PKU Muhammadiyah Gamping Hospital. The sample are 46 respondents. Diagnostic test and ROC curves are used to analyze.Study Result: The results of the Apfel score had a sensitivity 0f 87,5% and a specificity of 50,0%, while the Sinclair score had a sensitivity of 70,8% and a specificity of 22,7%. The Chi-Square test results P value <0.05 which is the P value of 0,034. Conclusion: There is a significant difference between the sensitivity of the specificity of Apfel and Sinclair scores of PONV in general anesthesia.

Latar Belakang: PONV adalah salah satu komplikasi yang terjadi setelah tindakan anestesi umum, terjadi pada 24 jam pertama pasca operasi. PONV dapat memperlama masa pemulihan pasien, menghambat aktivitas pasien, dan berdampak pada membesarnya biaya perawatan yang harus dikeluarkan pasien. Dalam mengidentifikasi pasien berisiko tinggi yang akan mendapat manfaat dari pengobatan antiemetik yang sesuai dengan prediksi dari faktor risiko dan memberikan profilaksis sesuai dengan klasifikasi. Skor Apfel dan Sinclair bisa digunakan untuk aplikasi sehari–hari.Tujuan: Diketahuinya perbedaan sensitivitas spesifisitas Apfel dan Sinclair terhadap kejadian Post Operative Nausea and Vomiting pada anestesi umum.Metode: Penelitian ini dengan desain cross sectional dengan teknik kuota sampling. Penelitian ini dilaksanakan pada 03 Februari – 13 Maret 2020. Populasi penelitian ini adalah pasien dewasa dengan pembedahan elektif pada anestesi umum dengan status fisik ASA I dan II di RS PKU Muhammadiyah Gamping. Sampel dengan jumlah 46 responden. Analisis yang digunakan uji diagnostik dan kurva ROC. Hasil: Hasil skor Apfel mempunyai sensitivitas 87,5% dan spesifisitas 50,0%, sedangkan skor Sinclair mempunyai sensitivitas 70,8% dan spesifisitas 22,7%. Hasil uji Chi-Square nilai P <0,05 yaitu nilai P 0,034. Kesimpulan: Ada perbedaan yang signifikan antara sensitivitas spesifisitas skor Apfel dan Sinclair terhadap kejadian Post Operative Nausea and Vomiting pada anestesi umum.

Hubungan Ketinggian Blok dengan Hemodinaik Intra Spinal Anestesi di Rumah Sakit Muhammadiyah Yogyakarta

Arfin Kurniadita — 2022-06-24

Background: Regional anesthetics Sub Arachnoid Block (SAB) produces a certain block height which causes hemodynamic instability. This happens because vasodilation of blood vessels and sympathetic nerves are blocked so that it dominates the performance of the parasympathetic nerves. Objective: To determine the relationship of block height with intra-spinal hemodynamic anesthesia at surgery room in PKU Muhammadiyah Yogyakarta Hospital Research Methods: This research is a non-experimental quantitative research with analytic correlational research design and cross sectional survey research design. The study sample consisted of 50 respondents spinal anesthesia patients. sampling with consecutive sampling, the statistical test used is the chi square test. Research Results: The height of the spinal anesthesia respondent block majority of respondents experienced surgery and skin block height (block under Thoracalis 7). The majority of intra-spinal anesthesia hemodynamic respondents had stable blood pressure, pulse, and MAP. There is a significant relationship between block height (surgery, skin / block under thoracalis 7 and high spinal block / above thoracalis 6) with intra-spinal anesthesia blood pressure. There is a significant relationship between the height of the block height block (surgery, skin / block below thoracalis 7 and high spinal block / above thoracalis 6) with intra-spinal anesthesia pulse. There is a significant relationship between the height of the block height block (surgery, skin / block below thoracalis 7 and high spinal block / above thoracalis 6) with intra spinal anesthesia MAP. Conclusion: There is a corelations between the height of the block with hemodynamic intra spinal anesthesia in the IBS RS PKU Muhammadiyah Yogyakarta..

Hubungan Kepatuhan Perawat Kamar Bedah Dengan Risiko Infeksi Daerah Operasi (IDO) di RSUD Wonosari

Afita Rosadiana — 2022-06-24

Background : The occurrence of a surgical site infection (IDO) is a serious problem. This can affect clinical interests and more serious symptoms. One source of infection of the operating area comes from the compliance of the surgical team in carrying out the operation. Purpose : Knowing the relationship between nurse's operating room compliance with the risk of Operating Area Infection (IDO) in RSUD Wonosari. Method : This research is quantitative observational analytic using cross sectional research design. This research was conducted in the inpatient room and Central Surgical Installation of Wonosari Regional Hospital on February 22 - March 31, 2020. The population of this study was 46 post-operative patients and used purposive sampling technique. The instrument used in this study was a checklist sheet for signs of infection and an observation sheet on the task of the instrument nurse. Analysis of research data using Fisher's correlation test. Result : This study showed that 7 patients (15.2%) had a risk of IDO. Based on Fisher's correlation test, the results obtained p value of 0,000 (<0.05) and Contingency Coefficients value of 0.577, meaning that the level of closeness of the relationship is moderate. Conclusion : There is a relationship between the compliance of the operating room nurses with the risk of operating area (IDO) infection in RSUD Wonosari.

Latar Belakang : Terjadinya infeksi daerah operasi (IDO) merupakan masalah yang serius. Hal tersebut dapat berpengaruh pada kepentingan klinis dan gejala yang lebih serius. Salah satu sumber infeksi daerah operasi berasal dari kepatuhan tim bedah dalam melakukan tindakan operasi. Tujuan : Mengetahui hubungan kepatuhan perawat kamar bedah dengan risiko Infeksi Daerah Operasi (IDO) di RSUD Wonosari. Metode : Penelitian ini adalah kuantitatif observasional analitik dengan menggunakan desain penelitian cross sectional. penelitian ini dilaksanakan di ruang rawat inap dan Instalasi Bedah Sentral RSUD Wonosari pada tanggal 22 Februari – 31 Maret 2020. Populasi penelitian ini adalah pasien post operasi dengan jumlah 46 pasien dan menggunakan teknik purposive sampling. Instrumen yang digunakan dalam penelitian ini yaitu lembar checklist tanda-tanda infeksi dan lembar observasi uraian tugas perawat instrumen. Analisis data penelitian menggunakan uji korelasi Fisher. Hasil : penelitian ini menunjukkan bahwa 7 pasien (15,2%) mengalami risiko IDO. Berdasarkan uji korelasi Fisher didapatkan hasil p value 0,000 (<0,05) dan nilai Contingency Coefficients sebesar 0,577, artinya tingkat keeratan hubungan sedang. Kesimpulan : terdapat hubungan kepatuhan perawat kamar bedah dengan risiko infeksi daerah operasi (IDO) di RSUD Wonosari.

Hubungan Status Perokok dengan Saturasi Oksigen pada Pasien Intra Operasi dengan General Anastesi Inhalasi

Sera Adhe Anantigas Timor — 2022-06-24

The impact that can occur in patients with smoker status is decreased oxygen saturation in the bloodstream, this will affect the anesthesia and surgery because the conditions for surgery are hemodynamically stable, including oxygen saturation. This study aims to determine the status of smokers on oxygen saturation in intra-operative patients with general inhalation anesthesia in Dr. Sudirman Kebumen. This research is a non-experimental research with a cross sectional study design. The population in this study were all patients who would undergo surgery with general inhalation anesthesia in Dr. Sudirman Kebumen, the samples in this study were taken by consecutive sampling 60 samples. Data analysis using Chi square test. The results of the study have been obtained respondents with smoker status there are 25 people (41.7%) with saturation <95% and 5 people (8.3%) with oxygen saturation ?95, respondents with non-smoker status obtained results of 4 people (41 , 7%) with oxygen saturation <95 and 26 people (43.3%) with oxygen saturation ?95%. From the researsh, it can be concluded from the results of the study that there is a significant relationship between smoker status and intraoperative oxygen saturation.

Pengaruh Pemberian Terapi Asmaul Husna Terhadap Tingkat Kecemasan Pasien Pre Operasi Spinal Anestesi di RS PKU Muhammadiyah Yogyakarta

Nur Apriyati — 2022-06-24

Anxiety is a natural disorder that is characterized by fear or anxiety that is deep and ongoing. Non-pharmacological management can be in the form of distraction, relaxation, suggestion. In the form of sounds that contain spiritual elements in accordance with the beliefs held. One that contains other spiritual elements to overcome anxiety is the treatment of Asmaul Husna. The objectives to determine the effect of the administration of Asmaul Husna therapy on the anxiety level of pre-spinal anesthesia patients in PKU Muhammadiyah Hospital Yogyakarta. This researcher uses a quasi-experimental type with pre-test and post-test with control group design. The number of respondents was 70 people who were selected using consecutive sampling. The instrument uses the Amsterdam Preoperative Anxiety and Information Scale (APAIS) which has been tested for validity from 0.7 to 0.9. Data analysis using the Mann Whitney test. The results is before being given asmaul husna therapy most respondents experienced moderate anxiety and after being given most respondents experienced mild anxiety. Mann Whitney test results p-value of 0.002 then the p-value <0.05. The Conclusion there is the effect of Asmaul Husna therapy on the anxiety level of pre-spinal anesthesia surgery patients at PKU Muhammadiyah Hospital Yogyakarta.

Kecemasan merupakan gangguan alam perasaan yang ditandai dengan ketakutan atau kekhawatiran yang mendalam dan berkelanjutan. Penatalaksanaan non farmakologi dapat berupa distraksi, relaksasi, sugesti. Berupa suara-suara yang mengandung unsur-unsur spritual sesuai dengan keyakinan yang dianut. Salah satu yang mengandung unsur spiritual lain untuk mengatasi kecemasan adalah terapi asmaul husna. Penelitian bertujuan untuk mengetahui pengaruh pemberian terapi Asmaul Husna terhadap tingkat kecemasan pasien pre operasi spinal anestesi di RS PKU Muhammadiyah Yogyakarta. Peneliti ini menggunakan jenis quasi eksperimen dengan desain pre test and post test with control group. Jumlah responden 70 orang yang dipilih dengan menggunakan consecutive sampling. Instrumen menggunakan Amsterdam Preoperative Anxiety and Information Scale (APAIS) yang telah diuji validitas 0,7 – 0,9. Analisa data menggunakan uji Mann Whitney. Hasil penelitian ini didapatkan sebelum diberikan terapi asmaul husna sebagian besar responden mengalami kecemasan sedang dan sesudah diberikan sebagian besar responden mengalami kecemasan ringan. Hasil uji Mann Whitney nilai p-value 0,002 maka nilai p-value<0,05. Kesimpulan dari penelitian ini yaitu ada pengaruh terapi asmaul husna terhadap tingkat kecemasan pasien pre operasi spinal anestesi di RS PKU Muhammadiyah Yogyakarta.

Efektifitas Penerapan Ceklist Kesiapan Sedasi Anestesi Pada Operasi Mata dengan General Anestesi di Rumah Sakit Mata “Dr.Yap” Yogyakarta

Yaenul Muchotip — 2022-06-24

Background : Anesthesia service is one part of perioperative service in the operating room and participates in the prevention of morbidity and mortality in the hospital. Anesthetic services often cause unwanted complications, but they can be prevented. One of the prevention is the application of anesthetic sedation is readiness checklist. The sedation and anesthesia readiness checklist is a checklist to provide safe and quality sedation anesthesia services for patients. This checklist is a communication tool for patient safety that is used by the anesthesia team before the patient is undergoing anesthesia. Objective: How Effective is the Application of Anesthesia Sedation Readiness Checklist in Eye Surgery with General Anesthesia at Dr.Yap Eye Hospital of Yogyakarta? Methods: This research uses a quantitative approach and a narrative descriptive method and was conducted from October 13 to November 6, 2020, sampling using Probability Sampling with a total sample of 45. The subject of this study was the anesthesia sedation readiness checklist form in eye surgery while the object of the study was the anesthesia nurse in the operating room installation Dr.Yap Eye Hospital Yogyakarta. Data analysis using validity and reliability tests with the help of SPSS. Result: The results of the 14-item questionnaire test had a significance value <0.05, statistically significant (valid or effective), and the results of cronbach alpha 0.891, this shows an alpha value > 0.5 so that the questionnaire or anesthetic sedation readiness checklist is concluded in eye surgery with general anesthesia at the Eye Hospital Yap, is very reliable or effective. Conclusions: Anesthesia sedation readiness checklist in eye surgery with general anesthesia is very effective to be applied in the Dr.Yap Eye Hospital of Yogyakarta.

Pengaruh Pemberian Hotpack Terhadap Peningkatan Suhu Tubuh Pada Pasien Hipotermi Paska General Anestesi di Ruang Pemulihan RS PKU Muhammadiyah Yogyakarta

Intan Monita Sari — 2022-06-24

Background: In June August 2019, an average 3 of 10 patients experienced hypothermia on day in the PKU Muhammadiyah Hospital Yogyakarta Recovery Room. The negative effects of hypothermia on patients include the risk of increased bleeding, myocardial ischaemia, longer post-anesthesia recovery, impaired wound healing, and increased risk of infection. One non-pharmacological therapy that can increase body temperature is by giving a hotpack. Objective: To known the effect of hotpack administration on increasing body temperature in hypothermia patients after general anesthesia in the Recovery Room of PKU Muhammadiyah Hospital Yogyakarta. Method: The type of research used was quasi experimental with one group pre-test and post-test design. Respondents will be given a hotpack treatment after being declared hypothermic. The sample in this study amounted to 30 respondents. The sampling technique used was purposive sampling. Data collection on February 10, March 7, 2020. Results: The results of paired t-test on respondents obtained p = 0,000 (p <0.05), so Ha was accepted. Conclusion: Giving hotpack has an effect on increasing body temperature in hypothermia patients after general anesthesia.

Latar Belakang: Pada bulan Juni – Agustus 2019, rata – rata 3 dari 10 pasien mengalami hipotermi per hari di Ruang Pemulihan RS PKU Muhammadiyah Yogyakarta. Dampak negatif hipotermi terhadap pasien, antara lain risiko perdarahan meningkat, iskemia miokardium, pemulihan paska anestesi yang lebih lama, gangguan penyembuhan luka, serta meningkatnya risiko infeksi. Salah satu terapi non farmakologis yang dapat meningkatkan suhu tubuh yaitu dengan pemmberian hotpack. Tujuan: Mengetahui pengaruh pemberian hotpack terhadap peningkatan suhu tubuh pada pasien hipotermi paska general anestesi di Ruang Pemulihan RS PKU Muhammadiyah Yogyakarta. Metode: Jenis penelitian yang digunakan quasi experimental dengan desain one group pre test and post test desaign. Responden akan diberikan perlakuan hotpack setelah dinyatakan hipotermi. Sampel pada penelitian ini berjumlah 30 responden. Teknik pengambilan sampel yang digunakan adalah purposive sampling. Pengumpulan data pada 10 Februari – 7 Maret 2020. Hasil: Hasil paired t-test pada responden didapatkan p=0,000 (p<0,05), sehingga Ha diterima. Kesimpulan: Pemberian hotpack berpengaruh terhadap peningkatan suhu tubuh pada pasien hipotermi paska general anestesi.