Surgery is an invasive method of treatment that is carried out by making incisions in parts of human body. Patients undergoing surgery are given general anesthesia which is an act of eliminating pain centrally with loss of consciousness and there are effects or components of hypnotics, analgesics, muscle relaxation known as the triad of anesthesia. Patients under general anesthesia will recover and regain consciousness. There are several factors that can affect the length of time patient recovers, one of which is ASA physical status. ASA physical status is the physical status of pre general anesthesia patients which is divided into 6 classifications according to American Society of Anesthesiologists. This study aims to determine the relationship between ASA physical status and recovery time in patients after general anesthesia. This research applied quantitative research with cross sectional. The sampling technique used was purposive sampling, obtained 35 respondents who met the inclusion and exclusion criteria. Data analysis using Spearman correlation test. Results of this research showed that the difference in the average recovery time in patients with pre general anesthesia physical status criteria ASA I (13 minutes), ASA II (24 minutes), ASA III (34 minutes 44 seconds). The results of the Spearman correlation test to determine the relationship between ASA physical status and time to recover consciously obtained the results of 0,000 (p < 0,05), meaning that there is significant correlation between ASA physical status and recovery time in patients after general anesthesia.
The Covid-19 pandemic caused a decrease in the number of tourist visits and state revenue in the Indonesian tourism sector was 20.7 billion. The tourism sector's contribution to Indonesia's GDP in 2021 was only 4.2% and before the pandemic was 4.7%. Virtual Reality (VR) is an option for traveling during a pandemic. This study aims to analyze the characteristics of tourists, willingness to pay, and the factors that influence the willingness to pay of tourists on the use of VR. The sample of this study was 115 respondents who had visited Malang Night Paradise and were interested in using VR in Adventure Land. Data were analysed by using descriptive analysis, Contingent Valuation Method (CVM): bidding games & open-ended method, and multiple linear regression. The results showed that the characteristics of tourists were dominated by young people. The maximum price that respondents are willing to pay is IDR 26,772/ticket and the optimal price is IDR 19,295/ticket. This price is lower than the current ticket price, which is IDR 20,000. The factors that have a positive/negative and significant effect on the value of WTP are education, monthly income/ pocket money, gender, and marital status. Therefore, companies can focus on increasing product and marketing innovation.
Complaints that appear after surgery are postoperative pain. The incidence of postoperative pain in patients with spinal anesthesia is lower than in patients with general anesthesia. The purpose of this study was to explain the effect of deep breathing relaxation techniques and lavender aromatherapy on the pain of postoperative patients with general anesthesia. This study used a quasy experimental method with a pre-test and post-test control group design. The study population in this study were postoperative patients at PKU Muhammadiyah Gamping Hospital. The sample technique uses purposive sampling. Each group consists of 15 respondents. After the postoperative patient was given deep breathing relaxation and lavender aromatherapy, there was a decrease in the patient's pain scale with the Wilcoxon test results, a p value of 0.00. Whereas patients who only received deep breathing relaxation had no significant effect with the results of the Wilcoxon test p value of 0.157. The conclusion in this study is that deep breathing relaxation and lavender aromatherapy performed on postoperative patients under general anesthesia have an effect on reducing the patient's pain scale. This is because there is a combination of the two interventions that make the patient comfortable and can reduce the pain scale. Abstrak:Keluhan yang muncul setelah operasi adalah nyeri pascaoperasi. Kejadian nyeri post operasi pada pasien dengan anestesi spinal lebih rendah dibandingkan pasien dengan anestesi umum. Pencegahan komplikasi nyeri akut dilakukan dengan berbagai cara diantaranya napas dalam dan aroma terapi lavender. Tujuan penelitian ini untuk menjelaskan pengaruh teknik relaksasi napas dalam dan aroma teapi lavender terhadap nyeri pasien post opeasi engan anestesi umum. Penelitian ini menggunakan metode quasy experiment dengan rancangan pre test dan post test control group design. Populasi studi pada penelitian ini adalah pasien post operasi di RS PKU Muhammadiyah Gamping. Teknik sampel menggunakan purposive sampling. Setiap kelompok terdiri dari 15 responden. Setelah pasien post operasi diberikan relaksasi napas dalam dan aroma terapi lavender terdapat penurunan terhadap skala nyeri pasien dengan hasil uji wilcoxon nilai p 0.00. Sedangkan pasien yang hanya mendapat relaksasi napas dalam tidak ada pengaruh signifikan dengan hasil uji wilcoxon nilai p 0,157. Kesimpulan pada penelitian ini adalah Relaksasi napas dalam dan aroma terapi lavender yang dilakukan pada pasien post operasi dengan anestesi umum berpengaruh terhadap penurunan skala nyeri pasien. Hal ini dikarenakan adanya gabungan antara dua intervensi yang membuat pasien nyaman dan dapat menurunkan skala nyeri.
Elderly Gymnastics, Acupressure, Hypertension, Elderly. Hypertension is the number one occurrence that causes death. Hypertension is a lifelong disease and treatment can be done using blood and using long-term anti hypertensive agents. The purpose of this study was to determine whether patients could make improvements in hypertensive patients at the Posyandu Srondol Banyumanik elderly. This type of research is quasi experimental design with a sample of 22 respondents, 11 respondents received treatment for elderly gymnastics while 11 respondents received acupressure treatment. The study was conducted once a week for 3 weeks with 60 minutes of elderly gymnastics and 10 minutes of acupressure. The results of this study prove that there were no significant differences in blood pressure before and after treatment. This is evidenced by the value of ρ> 0.05. In addition from the results of the mean mean difference between acupressure and elderly gymnastics, it can be seen that acupressure is more effective in lowering blood pressure compared to elderly gymnastics. Conclusion: acupressure is more effective in lowering blood pressure than elderly exercise.
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