MANAGEMENT OF “SIGAP-ANESTHESI”: SYNERGY OF AMPLE EDUCATION AND BASIC LIFE SUPPORT TO ENHANCE PRE-ANESTHESIA PREPAREDNESS OF HYPERTENSIVE PATIENTS’ FAMILIES IN THE CENTRAL SURGICAL INSTALLATION WAITING AREA OF BANGLI REGIONAL GENERAL HOSPITAL

Authors

  • Yustina Ni Putu Yusniawati Institut Teknologi dan Kesehatan Bali
  • I Gde Agus Shuarsedana Putra
  • Emanuel Ileatan Lewar
  • Ni Wayan Sri Rahayuni
  • Rani Valentina Angelina Djami
  • Putu Denny Juniawan
  • Ida Ayu Carisa Meikayani
  • I Kadek Feri Irawan

DOI:

https://doi.org/10.36720/csji.v7i2.868

Keywords:

AMPLE, BLS, Family, Hypertension

Abstract

Hypertension is a chronic condition that often remains asymptomatic but is associated with a high risk of perioperative complications. In adults, hypertension is classified as essential or secondary, while in pregnancy it presents as gestational hypertension or preeclampsia, which may progress to HELLP syndrome. Patients with hypertension undergoing surgical procedures are at increased risk of complications, including stroke, arrhythmias, and mortality, particularly when blood pressure is poorly controlled. Certain anesthetic agents, such as sevoflurane and propofol, may induce significant hypotension, highlighting the importance of comprehensive pre-anesthetic assessment. The AMPLE approach (Allergy, Medication, Past Medical History, Last Meal, Environment/Event) serves as a systematic method to identify perioperative risks and support safe anesthesia planning.Preliminary observations at Bangli Regional Hospital reported 20–30 surgical cases with comorbid hypertension per month, including 10–20 cases of gestational hypertension. To address this issue, a community service program was conducted to provide education on pre-anesthetic assessment using AMPLE and Basic Life Support (BLS) training for patients’ families. The program was positively received, with participants demonstrating appropriate BLS techniques and actively engaging during counseling sessions. These findings suggest that routine implementation of AMPLE education and BLS training may enhance family preparedness and patient safety in perioperative and emergency situations.

References

American Society of Anesthesiologists. (2012). Practice Advisory for Preanesthesia Evaluation. Anesthesiology, 116(3), 522–538.

Ansar, J., Dwinata, I., & M, A. (2019). Determinan Kejadian Hipertensi Pada Pengunjung Posbindu Di Wilayah Kerja Puskesmas Ballaparang Kota Makassar. Jurnal Nasional Ilmu Kesehatan, 1(3), 28–35.

Fecher-Jones, I., et al. (2024). Group preoperative education for adult elective surgery: A systematic review. Perioperative Care, 36, 100247.

Gede, L. U. H., & Prabawati, S. (2021). Pelaksanaan penilaian pra anestesi pada pasien dengan anestesi umum di ruang instalasi bedah sentral rsud buleleng : study kasus deskriptif. Repository.Itekes-Bali.Ac.Id. http://repository.itekes-bali.ac.id/medias/journal/17D10079_LUH_GEDE_SINTYA_PRABAWATI_B.pdf

Guo, P. (2015). Preoperative education interventions and postoperative outcomes. Journal of Clinical Nursing, 24(1–2), 34–46.

Hamria, Mien, & Saranani, M. (2020). Hubungan Pola Hidup Penderita Hipertensi Dengan Kejadian Hipertensi Di Wilayah Kerja Puskesmas Batalaiworu Kabupaten Muna. Jurnal Keperawatan, 4(1), 17–21. https://stikesks-kendari.e-journal.id/JK/article/view/239

Jensen, T. W., et al. (2023). Basic life support training and survival in cardiac arrest. JAMA Network Open, 6(2), e2250362.

Kartika, W. S., Negara, I. M. K., & Dewi, N. L. P. S. U. (2022). Korelasi Motivasi Diri Dengan Perilaku Kontrol Tekanan Darah Penderita Hipertensi Di UPTD Puskesmas Kerambitan I : Correlation Between Motivation and Blood Pressure Control Among Hypertension Patients At Community Health Center Regional Technical Implemen. Bali Medika Jurnal, 9(1), 71–78.

Kartika, D., et al. (2022). Hypertension in pregnancy and HELLP syndrome. Indonesian Journal of Obstetrics, 10(2), 45–52.

Kumar, V. R. H., et al. (2013). AMPLE in pre-anesthetic evaluation. Saudi Journal of Anaesthesia, 7(3), 303–304.

Lee, J. H., et al. (2016). Effects of short BLS course. BioMed Research International, 2016.

Mangku, G., & Senapathi, T. (2010). Preoperative assessment principles. Jurnal Anestesi Indonesia, 2(1), 15–22.

Lewar, E. I., Maharyawan, I. W. A., Yusniawati, Y. N. P., & Takandjandji, C. (2022). The Effect of Intravenous Induction of Anesthesia on the Hemodynamic Changes among Patient in Central Surgical Unit of Level-II Udayana Denpasar Hospital. Babali Nursing Research, 3(3), 185–193. https://doi.org/10.37363/bnr.2022.33111

Mangku, G., & Senapathi, T. G. A. (2010). Buku ajar ilmu anestesia dan reanimasi. Jakarta: Indek, 207.

Marsaban, A. H. M., Hidayat, J., Kusumadewi, I., & Nainggolan, G. A. (2016). Pengaruh Edukasi Pra-anestesia terhadap Tingkat Kecemasan Pasien Dewasa yang Menjalani Operasi Jantung Terbuka. Anestesia Dan Critical Care, 34(3), 140–145.

Natungga, M. A., Rahmawati, I., & Narwanto, M. I. (2024). History of Hypertension is The Most Influential Factor in Increasing The Occurrence of Preeclampsia in Lumajang Regency. 12(2).

Ni, Y., Yusniawati, P., Adiana, I. N., Nuryanto, I. K., Darmini, A. A. A. Y., & Lewar, E. I. (2024). JAI : Jurnal Abdimas ITEKES Bali Institut Teknologi dan Kesehatan ( ITEKES ) Bali PROGRAM PENDAMPINGAN DAN EDUKASI UNTUK MENINGKATKAN KUALITAS HIDUP PADA LANJUT USIA DI DESA MELINGGIH ( Mentoring And Education Program To Improve The Quality Of Life For El. 2(2), 18–23.

Natungga, A., et al. (2024). Perioperative risks in hypertensive patients. Jurnal Bedah Nasional, 12(1), 33–41.

Onan, A., et al. (2019). BLS training outcomes comparison. International Journal of Health Promotion, 57(4), 236–248.

Pedoman Penyelenggaraan Pelayanan Anestesiologi Dan Terapi Intensif Di Rumah Sakit, Pub. L. No. NOMOR 519/MENKES/PER/III/2011 (2011).

Prasetyo, A., & Sapto Edi Rahayu, Y. (2023). Anticipation of Hypertension Complications in the Elderly With Antihypertensive Drug Management and the Right Diet. Jurnal Pengabdian Kepada Masyarakat: Kesehatan (JPKMK), 3(2), 68–76.

Razak, A., Lorna Lolo, L., & Aminuddin, A. (2020). Hubungan Status Fisik American Society of Anestesiologist (Asa) Dengan Bromage Score Pada Pasien Pasca Anastesi Spinal. Jurnal Fenomena Kesehatan, 3(September 2019), 378–383.

Riantini, N. M. I. (2022). Gambaran tingkat pengetahuan pasien pra anestesi terhadap prosedur anestesi. Skripsi.

Sartik, S., Tjekyan, RM. S., & Zulkarnain, M. (2017). Risk Factors and the Incidence of Hipertension in Palembang. Jurnal Ilmu Kesehatan Masyarakat, 8(3), 180–191. https://doi.org/10.26553/jikm.2017.8.3.180-191

Soenarta, A., Erwinanto, Mumpuni, A. S., & Barack Rossana. (2015). Pedoman Tatalaksana Hipertensi pada Penyakit Kardiovaskular 2015. Perhimpunan Dokter Spesialis Kardiovaskular Indonesia, 1, 3–4. https://www.academia.edu/download/57303698/Pedoman_TataLaksna_hipertensi_pada_penyakit_Kardiovaskular_2015.pdf

Tabata, R., et al. (2024). CPR training and outcomes: A systematic review. Resuscitation, 190, 109–118.

Tait, A., & Sear, J. (2021). Preoperative hypertension and anesthetic implications. BJA Education, 21(11), 396–402.

Wahyudi, C. T., Ratnawati, D., & Made, S. A. (2018). Pengaruh Demografi, Psikososial, Dan Lama Menderita Hipertensi Primer Terhadap Kepatuhan Minum Obat Antihipertensi. Jurnal JKFT, 2(2), 14. https://doi.org/10.31000/jkft.v2i1.692

Yusniawati, Y. N. P. (2018). Analisis Faktor Yang Berhubungan Dengan Keterlambatan Waktu Tiba Pasien Dengan Sindrom Koroner Akut Di Instalasi Gawat Darurat Pelayanan Jantung Terpadu Rsup Sanglah Denpasar. Universitas Brawijaya.

Downloads

Published

2025-12-24

How to Cite

Ni Putu Yusniawati, Y., Shuarsedana Putra, I. G. A., Ileatan Lewar, E., Sri Rahayuni, N. W., Angelina Djami, R. V., Juniawan, P. D., … Feri Irawan, I. K. (2025). MANAGEMENT OF “SIGAP-ANESTHESI”: SYNERGY OF AMPLE EDUCATION AND BASIC LIFE SUPPORT TO ENHANCE PRE-ANESTHESIA PREPAREDNESS OF HYPERTENSIVE PATIENTS’ FAMILIES IN THE CENTRAL SURGICAL INSTALLATION WAITING AREA OF BANGLI REGIONAL GENERAL HOSPITAL. Community Service Journal of Indonesia, 7(2), 98–108. https://doi.org/10.36720/csji.v7i2.868

Issue

Vol. 7 No. 2 (2025): Community Service Journal of Indonesia

Section

Articles

License

Copyright (c) 2025 Yustina Ni Putu Yusniawati, I Gde Agus Shuarsedana Putra, Emanuel Ileatan Lewar, Ni Wayan Sri Rahayuni, Rani Valentina Angelina Djami, Putu Denny Juniawan, Ida Ayu Carisa Meikayani, I Kadek Feri Irawan

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with Community Service Journal of Indonesia agree to the following terms:

  1. Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0), which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
  2. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.