Perbandingan Efek Samping dan Kenyamanan Pasien Pasca Operasi Sectio Caesarea Metode Eracs dan Non Eracs

Liana Sidharti, Arifaa Thalitha Zuleikha, Evi Kurniawaty, Ari Wahyuni

Sari


ABSTRACT

 

The number of sectio caesarea deliveries continues to rise. This procedure is used as a final option for various difficulties during labor. The sectio caesarea method is closely associated with anesthesia. The use of anesthesia has several side effects that can cause discomfort to patients. Currently, the Enhanced Recovery After Caesarean Surgery (ERACS) method is becoming increasingly popular as a perioperative program due to its ability to minimize side effects and reduce healing time, providing more comfort to patients. This study aims to compare the side effects and comfort of postoperative sectio caesarea patients who received either the ERACS or non-ERACS methods.This study is an observational research with a cross-sectional design. A total of 104 mothers who underwent a cesarean section at RSIA Puti Bungsu Central Lampung between November-December 2022 were involved in this study. The results showed significant differences in side effect variables such as pain (p=0.000), early mobilization level (p=0.000), and comfort (p=0.000) between the ERACS and non-ERACS methods. However, there was no significant difference in side effects such as nausea and vomiting between the ERACS and non-ERACS methods (p=0.095). The ERACS method can reduce pain, improve early mobilization, and increase comfort, but it does not reduce nausea and vomiting when compared to the non-ERACS method

 

Keywords: Section Caesarea, ERACS, Side Effect, Comfort

 

 

ABSTRAK

 

Persalinan sectio caesarea terus mengalami peningkatan. Tindakan ini digunakan sebagai salah satu tindakan akhir dari berbagai kesulitan persalinan. Metode sectio caesarea tidak lepas dari tindakan anestesi. Penggunaan anestesi tersebut memiliki beberapa efek samping yang bisa mengganggu kenyamanan pasien. Saat ini, metode Enhanced Recovery After Caesarian Surgey (ERACS) sebagai program perioperatif tengah populer, karena dianggap memiliki waktu penyembuhan yang lebih cepat dan meminimalisir efek samping sehingga memberikan kenyamanan kepada pasien. Penelitian ini bertujuan untuk mengetahui perbandingan efek samping dan kenyamanan pasien pasca operasi sectio caesarea metode ERACS dan Non ERACS. Penelitian ini merupakan penelitian observasional dengan desain cross sectional. Sebanyak 104 orang ibu yang melahirkan secara sectio caesarea di RSIA Puti Bungsu Lampung Tengah pada periode November-Desember 2022 terlibat dalam penelitian ini. Hasil penelitian menunjukan adanya perbedaan yang signifikan pada variabel efek samping berupa nyeri (p=0,000), level mobilisasi dini (p=0,000) dan kenyamanan (p=0,000) antara metode ERACS dan non ERACS. Tidak ditemukan adanya perbedaan yang signifikan pada efek samping berupa mual muntah antara metode ERACS dan non ERACS (p=0,095). Metode ERACS dapat mengurangi rasa nyeri, mempercepat level mobilisasi dini dan kenyamanan, namun tidak mengurangi rasa mual muntah dibandingkan dengan metode non ERACS.

 

Kata Kunci: Sectio Caesarea, ERACS, Efek Samping, Kenyamanan


Kata Kunci


Sectio Caesarea, ERACS, Efek Samping, Kenyamanan

Teks Lengkap:

Download Artikel

Referensi


Acog. (2021). Cesarean Birth | Acog. American College Of Obstetricians And Gynecologists. Https://Www.Acog.Org/Womens-Health/Faqs/Cesarean-Birth

Ardi, P. (2017). Buku Kuliah Anestesi. Egc: Jakarta.

Bowden, S. J., Dooley, W., Hanrahan, J., Kanu, C., Halder, S., Cormack, C., O’dwyer, S., & Singh, N. (2019). Fast-Track Pathway For Elective Caesarean Section: A Quality Improvement Initiative To Promote Day 1 Discharge. Bmj Open Quality, 8, 465. Https://Doi.Org/10.1136/Bmjoq-2018-000465

Brown, J. K., Singh, K., Dumitru, R., Chan, E., & Kim, M. P. (2018). The Benefits Of Enhanced Recovery After Surgery Programs And Their Application In Cardiothoracic Surgery. Methodist Debakey Cardiovascular Journal, 14(2), 77–88. Https://Doi.Org/10.14797/Mdcj-14-2-77

Butterworth, J. F., Mackey, D. C., & Wasnick, J. D. (2013). Morgan & Mikhail’s Clinical Anesthesiology (5th Editio). Mcgraw-Hill Education.

De Brito Cançado, T. O., Omais, M., Ashmawi, H. A., & Torres, M. L. A. (2012). Chronic Pain After Cesarean Section. Influence Of Anesthetic/Surgical Technique And Postoperative Analgesia. Revista Brasileira De Anestesiologia, 62(6), 762–774. Https://Doi.Org/10.1016/S0034-7094(12)70177-0

Faridah, V. N. (2013). Pengaruh Pemberian Minum Air Hangat Terhadap Kejadian Post Operative Nausea Vomitting (Ponv) Pada Pasien Post Operasi Sectio Caesarea Dengan Anestesi Spinal Di Unit Perawatan Paska Anestesi Rumah Sakit Muhammadiyah Lamongan. Surya, 01(Xiv), 14–21.

Habib, A. S., & Ituk, U. (2018). Enhanced Recovery After Cesarean Delivery. F1000research, 7. Https://Doi.Org/10.12688/F1000research.13895.1

Hayati, M., Marwan Sikumbang, K., Husairi, A., Studi Pendidikan Dokter, P., Kedokteran, F., Lambung Mangkurat Banjarmasin, U., Anestesi Rsud Ulin Banjarmasin, B., & Anatomi, B. (2016). Gambaran Angka Kejadian Komplikasi Pasca Anestesi Spinal Pada Pasien Seksio Sesaria. Berkala Kedokteran, 11(2), 165–169. Https://Doi.Org/10.20527/Jbk.V11i2.140

Kemenkes Ri. (2019). Laporan Riskesdas 2018 Nasional.Pdf (P. 674).

Kuczkowski, K. (2004). Advances In Obstetric Anesthesia: Ambulation During Labor With Combined Spinal-Epidural Analgesia. Southern African Journal Of Anaesthesia And Analgesia, 10(3), 15–18. Https://Doi.Org/10.1080/22201173.2004.10872364

Liu, Z. Q., Du, W. J., & Yao, S. L. (2020). Enhanced Recovery After Cesarean Delivery: A Challenge For Anesthesiologists. Chinese Medical Journal, 133(5), 590. Https://Doi.Org/10.1097/Cm9.0000000000000644

Meng, X., Chen, K., Yang, C., Li, H., & Wang, X. (2021). The Clinical Efficacy And Safety Of Enhanced Recovery After Surgery For Cesarean Section: A Systematic Review And Meta-Analysis Of Randomized Controlled Trials And Observational Studies. Frontiers In Medicine, 8. Https://Doi.Org/10.3389/Fmed.2021.694385

Mohammed, S. A., Khalis Jawad, A., & Jamal Murad, S. (2020). Enhanced Recovery Program After Cesarean Section In Sulaimani Maternity Teaching Hospital. Kurdistan Journal Of Applied Research, 5(1), 287–293. Https://Doi.Org/10.24017/Science.2020.1.20

Pan, J., Hei, Z., Li, L., Zhu, D., Hou, H., Wu, H., Gong, C., & Zhou, S. (2020). The Advantage Of Implementation Of Enhanced Recovery After Surgery (Eras) In Acute Pain Management During Elective Cesarean Delivery: A Prospective Randomized Controlled Trial. Therapeutics And Clinical Risk Management, 16, 369–378. Https://Doi.Org/10.2147/Tcrm.S244039

Patel, K., & Zakowski, M. (2021). Enhanced Recovery After Cesarean: Current And Emerging Trends. Current Anesthesiology Reports, 11(2), 136–144. Https://Doi.Org/10.1007/S40140-021-00442-9

Prawesti, E. J., Effendy, C., Perdana, M., & Aulawi, K. (2020). Gambaran Pelaksanaan Mobilisasi Dini Dalam Program Enhanced Recovery After Surgery (Eras) Pada Pasien Pasca Laparatomi Di Ruang Cendana Rsup Dr. Sardjito Yogyakarta [Universitas Gajah Mada]. Http://Etd.Repository.Ugm.Ac.Id/Penelitian/Detail/184113

Sofjan, I. P., & Mccutchan, A. (2023). Anesthetic Management For Enhanced Recovery After Cardiac Surgery (Eracs). In Statpearls. Statpearls Publishing. Https://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk572107/

Subandi, E. (2017). Pengaruh Mobilisasi Dini Terhadap Tingkat Nyeri Pada Pasien Post Operasi Sectio Caesarea Di Ruang Melati Rsud Gunung Jati Kota Cirebon Tahun 2017. Syntax Literate: Jurnal Ilmiah Indonesia, 2(5), 58–74.

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

Tewu, H., Posangi, I., Kumaat, L., Manado, S. R., Fakultas, B. A., Universitas, K., Ratulangi, S., Rsup, M., & Kandou, R. D. (2015). Perbandingan Mual Dan Muntah Pada Premedikasi Dengan Pemberian Ondansentron Dan Dengan Deksametason Pasca Operasi Sectio Caesarea Dengan Anestesi Regional. E-Clinic, 3(3), 800–804. Https://Doi.Org/10.35790/Ecl.V3i3.9832

Tika, T. T., Sidharti, L., Himayani, R., & Rahmayani, F. (2022). Metode Eracs Sebagai Program Perioperatif Pasien Operasi Caesar. Jurnal Medika Hutama, 3(02 Januari), 2386–2391. Https://Jurnalmedikahutama.Com/Index.Php/Jmh/Article/View/463

Utami, S. (2016). Efektivitas Aromaterapi Bitter Orange Terhadap Nyeri Post Partum Sectio Caesarea. Unnes Journal Of Public Health, 5(4), 316–323. Https://Doi.Org/10.15294/Ujph.V5i4.12422

Waili, M., & Kalbani, S. (2022). Guideline For Enhanced Recovery After Caesarian Section. Oman Ministry Of Health. Https://Www.Moh.Gov.Om/Documents/17733/121232/Guideline+For+Enhanced+Recovery+After+Caesarean+Section.Pdf/E920784a-7d17-1a4e-3027-69daa6a46abc

Warmiyati, & Ratnasari, F. (2022). Pengaruh Sectio Caesarea Metode Eracs Terhadap Percepatan Mobilisasi Pada Ibu Bersalin Di Rs Hermina Daan Mogot Tahun 2022. Jurnal Ilmiah Indonesia, 2(9), 821–829. Http://Cerdika.Publikasiindonesia.Id/Index.Php/Cerdika/Index

Who. (2021). Caesarean Section Rates Continue To Rise, Amid Growing Inequalities In Access. Https://Www.Who.Int/News/Item/16-06-2021-Caesarean-Section-Rates-Continue-To-Rise-Amid-Growing-Inequalities-In-Access




DOI: https://doi.org/10.33024/mnj.v5i7.10177

Refbacks

  • Saat ini tidak ada refbacks.


Penerbit: Universitas Malahayati


 Creative Commons License

Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License