Panduan Penulisan
Metode ERACS vs Konvensional: Nyeri dan Lama Rawat Pasca Operasi Sesar
Sari
ABSTRACT
The increasing prevalence of caesarean sections globally has led to the development of a new method, ERACS, to speed up recovery and reduce postoperative complications. The aim of this systematic review was to identify the current evidence on the effectiveness of various ERACS methods and conventional methods on patient pain levels and length of hospital stay after caesarean section. Systematic Review guidelines using PRISMA 2020 guidelines. Articles used were published in 2020-2024. 781 articles were found through searching articles from 3 databases, namely PubMed (688), EBSCO (50) and Cochrane (2), and manual searches of Google Scholar (18) and research rabbit (23). Based on data extraction and quality assessment of articles using RoB2, 4 articles were found suitable for inclusion in the review. The results of the review showed that the ERACS protocol significantly reduced postoperative pain levels and had a shorter hospitalization time compared to conventional methods. Suggestions for future research to explore the social and psychological impact of the ERACS method, including patient satisfaction and social support. Midwives need to attend ongoing training on ERACS for optimal implementation. The government should establish a monitoring and evaluation system of ERACS results in various health facilities for continuous improvement.
Keywords: Cesarean Section, Postoperative Pain, Length of Hospitalization.ERACS, Conventional Method
ABSTRAK
Meningkatnya prevalensi operasi caesar global mendorong pengembangan metode baru yaitu ERACS untuk mempercepat pemulihan dan mengurangi komplikasi pasca operasi. Tujuan dari systematic review ini adalah untuk mengidentifikasi bukti terkini dari efektifitas perbedaan metode ERACS dan konvensional pada tingkat nyeri pasien dan lama rawat inap post operasi sesar. Panduan Systematic Review menggunakan panduan PRISMA 2020. Artikel yang digunakan terbit tahun 2020- 2024. 781 artikel ditemukan melalui pencarian artikel dari 3 database yaitu dari PubMed (688), EBSCO (50) dan Cochrane (2), dan pencarian manual Google Scholar (18) dan research rabbit (23).Berdasarkan data ekstraksi dan penilaian kualitas artikel menggunakan RoB2 didapatkan 4 artikel yang sesuai untuk dimasukkan dalam review. Hasil review menunjukkan bahwa protokol ERACS secara signifikan mengurangi tingkat nyeri pascaoperasi dan mengalami lama rawat inap yang lebih singkat dibandingkan dengan metode konvensional.Saran untuk penelitian selanjutnya untuk mengeksplorasi dampak sosial dan psikologis metode ERACS, termasuk kepuasan pasien dan dukungan sosial. Bidan perlu mengikuti pelatihan berkelanjutan tentang ERACS untuk implementasi optimal. Pemerintah harus membentuk sistem pemantauan dan evaluasi hasil ERACS di berbagai fasilitas kesehatan untuk perbaikan berkelanjutan.
Kata Kunci: Operasi Sesar, Nyeri Pascaoperasi, Lama Rawat Inap, ERACS, Metode Konvensional
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Ayu, I. G., Kartika, P., Putri, S., Purwani, M. E., Bagus, I., & Fajar, G. (2023). The Implementation of Regulation About Enhanced Recovery After Caesarean Surgery in Indonesia : A Literature Review. 9, 8–15. https://doi.org/10.29303/jppipa.v9iSpecialIssue.6175
Baluku, M., Bajunirwe, F., & Ngonzi, J. (2019). A Randomized Controlled Trial of Enhanced Recovery After Surgery Versus Standard of Care Recovery for Emergency Cesarean Deliveries at Mbarara Hospital, Uganda. XXX(Xxx), 1–7. https://doi.org/10.1213/ANE.0000000000004495
Baluku, M., Bajunirwe, F., Ngonzi, J., Kiwanuka, J., & Ttendo, S. (2020). A Randomized Controlled Trial of Enhanced Recovery After Surgery Versus Standard of Care Recovery for Emergency Cesarean Deliveries at Mbarara Hospital, Uganda. Anesthesia and Analgesia, 130(3), 769–776. https://doi.org/10.1213/ANE.0000000000004495
Darwish, A., Mustafa, M., Youness, E., & Al-harazi, B. (2022). Enhanced Recovery after Cesarean Section ( CS ) versus Conventional Care in a Lower Middle-Income Country : A Randomized Controlled Trial. 5, 831–841. https://doi.org/10.4236/ojn.2022.1212058
Darwish, A., Tawfik, M., Gaflan, A., & Darwish, D. (2023). Intraoperative and Postoperative Outcomes of Modified Bidirectional Intra-Umbilical Incision versus Infra-Umbilical Incision for Direct Trocar Insertion in Gynaecological Laparoscopy: A randomised controlled trial. Sultan Qaboos University Medical Journal, 23(4), 455–462. https://doi.org/10.18295/squmj.5.2023.027
Ismiati, I., & Rejeki, S. (2023). Terapi foot massage menurunkan intensitas nyeri pasien post sectio caesarea.
Klangprapan, N., Narkwichean, A., Luanpholcharoenchai, J., & Laosooksathit, W. (2022a). Effectiveness of the Enhanced Recovery after Surgery ( ERAS ) Protocol Following Elective Cesarean Section : A ประส ิ ทธ ิ ผลโปรโตคอลเสร ิ มการฟ ื้ นต ั ว ( ERAS ) ในการผ ่ าต ั ดคลอด งานว ิ จ ั ยแบบส ุ่ ม ม ี กล ุ่ มควบค ุ ม. 30(6), 393–402.
Klangprapan, N., Narkwichean, A., Luanpholcharoenchai, J., & Laosooksathit, W. (2022b). Effectiveness of the Enhanced Recovery after Surgery (ERAS) Protocol Following Elective Cesarean Section: A Single-center Randomized Controlled Trial. Thai Journal of Obstetrics and Gynaecology, 30(6 SE-Original Article), 393–402. https://doi.org/10.14456/tjog.2022.46
Kurien, J., E.U, S., & abraham Varghese, S. (2020). Comparison of Outcome between the Implementation of Enhanced Recovery after Surgery Programme (ERAS) vs. Traditional Care, in Elective Abdominal Surgeries. Journal of Evolution of Medical and Dental Sciences. https://api.semanticscholar.org/CorpusID:226349076
Lie, J., Zhao, F., & Gao, J. (2023). Enhanced recovery after surgery (ERAS) protocol in geriatric patients underwent unicompartmental knee arthroplasty. 6(November 2022), 1–6.
Mulla, M., Velankar, K., Ukirde, S., & Senapati, J. (2024). A Prospective Comparative Study of Application of Enhanced Recovery After Surgery ( ERAS ) in Patients Undergoing Elective Caesarean Section. 13(3), 2022–2025.
Page, M. J., Mckenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-wilson, E., Mcdonald, S., … Moher, D. (2021). The PRISMA 2020 statement : an updated guideline for reporting systematic reviews Systematic reviews and Meta-Analyses. https://doi.org/10.1136/bmj.n71
Purnaningrum, T. S., Surayawati, C., & Suhartono, S. (2023). Faktor Yang Mempengaruhi Banyak Rumah Sakit Mengadopsi Eracs Sebagai Alternatif Persalinan Caesar: a Literature Review. Jurnal Ners, 7(1), 452-464.
Sari, D., Mada, U. G., Chandra, S., & Umar, T. P. (2024). Meta ‑ Analysis Enhanced recovery after cesarean ( ERAC ) versus conventional care : An expanded systematic review and meta ‑ analysis of. May. https://doi.org/10.4103/joacp.joacp
Schwartz, A. R., Lim, S., Broadwater, G., Cobb, L., Valea, F., Thacker, J. M., Habib, A., & Havrilesky, L. (2019). Enhanced Recovery After Surgery protocol implementation was associated with decreased narcotic use , lower maximum pain scores , and expedited return of baseline functions among medically complex gynecologic oncology patients. 1–9. https://doi.org/10.1136/ijgc-2018-000131
Teigen, N. C., Sahasrabudhe, N., Doulaveris, G., Xie, X., Negassa, A., Bernstein, J., & Bernstein, P. S. (2020). Enhanced recovery after surgery at cesarean delivery to reduce postoperative length of stay: a randomized controlled trial. American Journal of Obstetrics and Gynecology, 222(4), 372.e1-372.e10. https://doi.org/10.1016/j.ajog.2019.10.009
WHO. (2018). WHO recommendations non-clinical interventions to reduce unnecessary caesarean sections.
WHO. (2019). Deaths from caesarean sections 100 times higher in developing countries_ global study.
WHO. (2021). Caesarean section rates continue to rise, amid growing inequalities in access.
Yeri, T. I. N., Asien, P. A. D. A. P., & Ectio, P. O. S. T. S. (2023). Systematic Review. 14(1), 261–268.
DOI: https://doi.org/10.33024/mahesa.v5i6.19153
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