GAMBARAN KEJADIAN POST OPERATIVE NAUSEA AND VOMITING PADA PASIEN SECTIO CAESAREA DENGAN SPINAL ANESTESI DI RUMAH SAKIT UMUM DAERAH LEUWILIANG

Authors

  • Andre Anditiawan Program Studi Keperawatan Program Sarjana Fakultas Kesehatan Universitas Harapan Bangsa
  • Amin Susanto Program Studi Keperawatan Program Sarjana Fakultas Kesehatan Universitas Harapan Bangsa
  • Tin Utami Program Studi Keperawatan Program Sarjana Fakultas Kesehatan Universitas Harapan Bangsa

Keywords:

Post Operative Naursea and Vomiting,, Sectio Caesarea, Spinal Anesthesia

Abstract

Spinal anesthesia is a regional anesthetic technique that is good for obstetric surgery, lower abdominal and lower extremity operations. Spinal anesthesia has several side effects, one of which is Postoperative Nausea & Vomiting (PONV). This study aims to describe the incidence of PONV (Post Operative Nausea and Vomiting) in patients with caesarean section with spinal anesthesia at Leuwiliang Hospital, Bogor Regency. This type of research is descriptive research. The sample in this study was 50 patients who underwent Sectio Caesarea surgery with spinal anesthesia taken using a purposive sampling technique. Data were analyzed univariately to determine the frequency and percentage of age, BMI, antiemetics and the incidence of PONV in caesarean section patients with spinal anesthesia at Leuwiliang Hospital, Bogor Regency. Of the 50 respondents who underwent Sectio Caesarea surgery with spinal anesthesia regarding systolic blood pressure, 33 people (66%) were in the 25-39 year age group, while 16 people were in the 18-24 year age group (32%), and the 40 age group. -54 years amounted to 1 person (2%). Most of the sample, 26 people (52%) had a BMI of 25-29.9 kg, 16 people (32%) had a BMI of 18.5-24.9 kg, and 8 people (16%) had a BMI <18.5. Based on the duration of surgery, it was found that all respondents, namely 50 people (100%) underwent surgery with a duration of ≥ 1 hour. Based on the antiemetic used, it was found that 40 people (80%) used ondancetron and 10 people (20%) used metoclopramide. Of the 3 patients who experienced PONV, 2 people were in the age group 25 - 39 years, and 1 person was in the age group 40 - 54 years, 3 people had a BMI of 25-29.9 kg and were using the antimetic Ondansetron.

References

Alhuda, M. P., Kristiyawati, S. P., & Purnomo, E. (2016). Efektivitas Rom Aktif Asistif Dan Masase Abdomen Terhadap Waktu Defekasi Pasien Post Operasi Dengan Anestesi Umum Di Rs Panti Wilasa Citarum. Jurnal Ilmu Keperawatan Dan Kebinanan (JIKK), 70, 1–11. http://182.253.197.100/e-journal/index.php/ilmukeperawatan/article/view/522

American society for Anesthesiologists. (2019). Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia. 1–2. https://www.asahq.org/standards-and-guidelines/continuum-of-depth-of-sedation-definition-of-general-anesthesia-and-levels-of-sedationanalgesia

Amin, M. Al, & Juniati, D. (2017). Klasifikasi kelompok umur manusia. MATHunesa, 2(6), 34. https://media.neliti.com/media/publications/249455-none-23b6a822.pdf

Ayuningtyas, D., Oktarina, R., Misnaniarti, & Sutrisnawati, N. N. D. (2018). Etika Kesehatan pada Persalinan Melalui Sectio Caesarea Tanpa Indikasi Medis. Jurnal MKMI, 14(1), 9–16. https://doi.org/10.1080/14017430510009078

Badan Pusat Statistik. (2007). Survei Demografi dan Kesehatan Indonesia 2007. https://sirusa.bps.go.id/sirusa/index.php/dasar/pdf?kd=3&th=2007

Butterworth, J. F., Mackey, D. C., & Wasnick, J. D. (2018). Morgan and Mikhail’s clinical anesthesiology. McGraw-Hill Education.

Chu, K., Cortier, H., Maldonado, F., Mashant, T., Ford, N., & Trelles, M. (2012). Cesarean section rates and indications in sub-Saharan Africa: a multi-country study from Medecins sans Frontieres. PloS One, 7(9), e44484. https://doi.org/10.1371/journal.pone.0044484

Faridah, V. N. (2013). Pengaruh Pemberian Minum Air Hangat Terhadap Kejadian Post Operative Nausea Vomiting (PONV) Pada Pasien Post Operasi Sectio Caesarea Dengan Anestesi Spinal. Surya, 01(Xiv), 14–21.

Golembiewski, J., Chernin, E., & Chopra, T. (2005). Prevention and treatment of postoperative nausea and vomiting. American Journal of Health-System Pharmacy, 62(12), 1247–1260.

Hayati, F. K. (2019). Pengaruh Pemberian Aromaterapi Peppermint Terhadap Nausea Pada Pasien Post Operasi Sectio Caesarea Dengan Anestesi Spinal Oleh : Fitri Kurnia Hayati Abstrak. Journal of Chemical Information and Modeling, 53(9), 1689–1699.

Hendro, R. T., Pradian, E., & Indriasari. (2018). Penggunaan Skor Apfel Sebagai Prediktor Kejadian Mual dan Muntah Pascaoperasi di RSUP Dr. Hasan Sadikin Bandung. Jurnal Anestesi Perioperatif, 6(2), 89–97. https://doi.org/10.15851/jap.v6n2.1425

Hönemann, C., Hagemann, O., & Doll, D. (2013). Inhalational anaesthesia with low fresh gas flow. Indian Journal of Anaesthesia, 57(4), 345–350. https://doi.org/10.4103/0019-5049.118569

Latief, S. A., Suryadi, K. A., & Dachlan, M. R. (2009). Petunjuk praktis anestesiologi. Edisi Kedua. Jakarta: Bagian Anestesiologi Dan Terapi Intensif FKUI.

Li, X., Zhu, J., Dai, L., Li, M., Miao, L., Liang, J., & Wang, Y. (2011). Trends in maternal mortality due to obstetric hemorrhage in urban and rural China, 1996-2005. Journal of Perinatal Medicine, 39(1), 35–41. https://doi.org/10.1515/jpm.2010.115

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

Morgan, G. E., Mikhail, M. S., & Murray, M. J. (2013). Chronic Pain Managament. Clinical Anesthesiology, 5th Ed. Lange Medical Books/McGraw-Hill, 1023–1085.

Muhammad Ikhsan. (2019). Gambaran Angka Kejadian Post Operative Nausea And Vomiting (Ponv) Pada Pasien Yang Menjalani Anestesi Inhalasi Dengan Isofluran Pada Bulan Oktober – Desember 2018 Di RSU Putri Hijau Tk. Ii Kesdam I/Bb Medan.Skripsi Publikasi Fakultas Kedokteran Universitas MUhammadiyah Sumatera Utara

Myles, P. S., & Wengritzky, R. (2012). Simplified postoperative nausea and vomiting impact scale for audit and post-discharge review. British Journal of Anaesthesia, 108(3), 423–429. https://doi.org/10.1093/bja/aer505

Notoatmodjo, S. (2010). Metodologi Penelitian Kesehatan, Rineka Cipta. Jakarta. Indonesia.

Oxorn, H., & Forte, W. R. (2010). Ilmu Kebidanan: Patologi dan Fisiologi Persalinan (M. Hakimi (ed.)). Andi dan Yayasan Essentia Medica. https://books.google.co.id/books?id=pkK1ypVLWIgC

Prily.Cokorda. Presli. (2022). Faktor Risiko dengan Angka Kejadian Post Operative Nausea and Vomiting pada Pasien yang Dilakukan Anestesi Spinal di RSUD Dr. M. Haulussy Ambon dan RS Bhayangkara Ambon Tahun 2022. Pameri Jurnal. ISSN 2686-5165. Volume 4, Nomor 1, April 2022

Risdakes. (2013). Riset Kesehatan Dasar. 1–303. https://doi.org/10.1126/science.127.3309.1275

Resiana.Mayinda. (2021). Gambaran Kejadian Postoperative Nausea and Vomiting (PONV) pada Pasien Pasca Tindakan Dilatasi Kuretase dengan Anestesi Umum di RSIA B pada Tahun 2019. Muhammadiyah Journal Of Midwifery. Vol 2 No. 1 Tahun 2021

Saputri, G. A. R., Nofita, & Tiwi, T. S. (2021). Rasionalitas Penggunaan Obat Anestesi Pada Sentral Rumah Sakit Pertamina Bintang Amin Lampung Tahun 2019. Jurnal Farmasi Malahayati, 4(2), 194–204. https://doi.org/https://doi.org/10.33024/jfm.v4i2.5306

Scuderi, P. E., & Conlay, L. A. (2003). Postoperative nausea and vomiting and outcome. International Anesthesiology Clinics, 41(4), 165–174.

Setiadi. (2013). Konsep dan praktek penulisan riset keperawatan (2nd ed.). Graha Ilmu.

Sholihah, A., S, K. M., & Husairi, A. (2014). Gambaran Angka Kejadian Post Operative Nausea and Vomiting (PONV) di RSUD Ulin Banjarmasin Mei-Juli 2014. 11(1), 119–129. https://doi.org/http://dx.doi.org/10.20527/jbk.v11i1.192

Sihombing, N., Saptarini, I., & Putri, D. S. K. (2017). Determinan Persalinan Sectio Caesarea Di Indonesia (Analisis Lanjut Data Riskesdas 2013). Jurnal Kesehatan Reproduksi, 8(1), 63–73. https://doi.org/10.22435/kespro.v1i8.6641.63-73

Sitorus, S., & Simarmata, J. (2021). Pemberdayaan Ibu Hamil Untuk Perilaku Pemilihan Persalinan Upaya Menurunkan Sectio Caesarea Indikasi Non Medis (J. Simarmata (ed.)). Yayasan Kita Menulis. https://books.google.co.id/books?id=Ss4nEAAAQBAJ

Smith, H. S., Smith, E. J., & Smith, B. R. (2012). Postoperative nausea and vomiting. Annals of Palliative Medicine, 1(2), 94–102. https://doi.org/10.3978/j.issn.2224-5820.2012.07.05

Sugiyono. (2013). Metode penelitian pendidikan pendekatan kuantitatif, kualitatif dan R&D.

Sugiyono, D. (2009). Statistika untuk penelitian edisi 15. Bandung: Alfabeta.

Sugiyono, F., Siregar, B., Suripto, B., Hapsoro, D., & Lo, E. W. (2015). Metode Penelitian Kombinasi (Mix Methods). Bandung: Alfabeta.

Sugiyono, M. (2008). Penelitian Kuantitatif Kualitatif dan R&D. Bandung: Alfabeta.

Suryani, A. N. (2020). Gambaran Postoperative Nausea & Vomiting (Ponv) Dan Faktor Risikonya Pada Pasien Seksio Sesarea Dengan Anestesi Spinal Di Rumah Sakit Islam Jakarta Cempaka Putih Pada Bulan Mei–Oktober Tahun 2019. Fakultas Kedokteran dan Kesehatan universitas Muhammadiyah Jakarta.

Tewu, H., Posangi, I., & Kumaat, L. (2015). Perbandingan Mual – Muntah Pada Premedikasi Dengan Pemberian Ondansetron Dan Dengan. E-Clinic (ECI), 3(3), 800–804. https://doi.org/https://doi.org/10.35790/ecl.v3i3.9832

Tinsley, M., & Barone, C. (2012). Preventing Postoperative Nausea and Vomiting: Refresh your Knowledge of how to Recognize and Respond to this Common Complication. Plastic Surgical Nursing : Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses, 32, 106–111. https://doi.org/10.1097/01.ORN.0000414183.73003.10

Uyar, B. S., & Donmez, A. (2018). Postoperative nausea and vomiting. Anestezi Dergisi, 26, 120–126.

Wahyuni, R., & Rohani, S. (2019). Faktor - Faktor yang Berhubungan dengan Riwayat Persalinan Sectio Caesarea. Wellnes and Healthy Magazine, 2(February), 187–192. https://wellness.journalpress.id/wellness/article/view/v1i218wh

Wang, X. X., Zhou, Q., Pan, D. B., Deng, H. W., Zhou, A. G., Huang, F. R., & Guo, H. J. (2015). Dexamethasone versus ondansetron in the prevention of postoperative nausea and vomiting in patients undergoing laparoscopic surgery: A meta-analysis of randomized controlled trials. BMC Anesthesiology, 15(1), 1–9. https://doi.org/10.1186/s12871-015-0100-2

Zainumi, C. M., & Sarastri, Y. (2016). Insidensi Terjadinya Post-Operative Nausea and Vomitting pada Pasien yang Dilakukan Anestesi Umum di RSUP Haji Adam Malik Medan pada Bulan Oktober 2016.

Downloads

Published

26-10-2023

How to Cite

Andre Anditiawan, Amin Susanto, & Tin Utami. (2023). GAMBARAN KEJADIAN POST OPERATIVE NAUSEA AND VOMITING PADA PASIEN SECTIO CAESAREA DENGAN SPINAL ANESTESI DI RUMAH SAKIT UMUM DAERAH LEUWILIANG. Jurnal Cakrawala Ilmiah, 3(2), 561–570. Retrieved from https://bajangjournal.com/index.php/JCI/article/view/6735

Issue

Section

Articles