PERBANDINGAN MUAL MUNTAH POST SECSIO CESSAREA PADA REGIONAL ANESTESI DAN GENERAL ANESTESI DI RS KONAWE Rian Saputra Imran Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Mual dan muntah pasca operasi merupakan rasa mual dan muntah yang terjadi dalam 24 jam setelah operasi. Pada kasus tertentu mual dan muntah pasca operasi bisa berdampak pada kerugian pasien dan menimbulkan komplikasi. Tujuan: Mengalisis perbandingan kejadian mual dan muntah pada post secsio cessarea pada general anestesi dan regional anestesi RS Konawe Metode: Desain penelitian adalah deskriptif kuantitatif dengan jenis pendekatan cross sectional. Sampel penelitian berjumlah 68 responden melalui teknik consecutive sampling. Alat pengumpulan data dalam penelitian ini adalah lembar observasi. Hasil: Karakteristik responden berdasarkan umur, hasil penelitian ini menemukan jumlah responden regional anestesi 36-45 tahun dan General Anestesi 17-25 tahun. berdasarkan durasi operasi, hasil penelitian ini menemukan bahwa jumlah sampel terbanyak pada rentang waktu regional anestesi 30 – 60 menit 31 (91.2%) dan General Anestesi 1 sampai 2 jam 23 (67.6%).\Nilai respon mual dan muntah 64 responden di bagi menjadi 2 kelompok yanitu regional anestesi 34 pasien mengenai nilai respon mual dan muntah pasca operasi dengan regional anestesi di Ruang Pemulihan Rumah Sakit Konawe didapatkan hasil skor 0 (tidak mual dan muntah) sebanyak 22 responden (64.7%), skor 1 (mual saja) sebanyak 4 responden (11.8%), skor 2 (retching) sebanyak 0 responden (0 %), dan skor 3 (mual >30 menit atau muntah ≥ 2 kali) sebanyak 8 responden (2.5%). General anestesi 34 pasien mengenai nilai respon mual dan muntah pasca operasi dengan general anestesi anestesi di Ruang Pemulihan Rumah Sakit Konawe didapatkan hasil skor 0 (tidak mual dan muntah) sebanyak 13 responden (38.2%), skor 1 (mual saja) sebanyak 6 responden (17.6%), skor 2 (retching) sebanyak 1 responden (2.9 %), dan skor 3 (mual >30 menit atau muntah ≥ 2 kali) sebanyak 14 responden (41.2%). Kesimpulan: Berdasarkan uji statistik dengan uji statistik dengan Chi Square diperoleh nilai p-value 0,029 yang artinya ada perbedaan kejadian mual muntah pada pasien dengan regional anestesi dan general anestesi. Kata Kunci: mual dan muntah, pasca operasi, regional anestesi, general anestesi, secsio cessarea

THE COMPARISON OF NAUSEA AND VOMITING IN POST SECTIO CAEAREA WITH REGIONAL ANESTHESIA AND GENERAL ANESTHESIA Rian Saputra Imran Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: A postoperative nausea and vomiting is nausea and vomiting that occurs within 24 hours after surgery. In certain cases postoperative nausea and vomiting have an impact on patient losses and complications. Purpose: To analyzed the comparison of nausea and vomiting in post Section Caesarea with regional anesthesia and general anesthesia. Method: This study employed descriptive qualitative design with cross sectional approach. There were 68 respondents recruited as sample of the study which were selected by using consecutive sampling technique. The data were collected by using observation sheet. Result: The characteristics of respondents based on age, the finding showed that the number of respondents for regional anesthesia were 36-45 years and General Anesthesia were 17-25 years. Based on the duration of surgery, the finding showed that the highest number of samples was in the regional anesthesia period of 30-60 minutes 31 (91.2%) and General Anesthesia 1 to 2 hours 23 (67.6%). The value of the response of nausea and vomiting of 64 respondents was divided into 2 groups, namely regional anesthesia for 34 patients regarding the value of the postoperative nausea and vomiting response with regional anesthesia in the Recovery Room of Konawe Hospital, the finding was a score of 0 (there was no nausea and vomiting), there were 22 respondents (64.7% ), score 1 (nausea only) by 4 respondents (11.8%), score 2 (retching) by 0 respondents (0 %), and score 3 (nausea >30 minutes or vomiting 2 times) there were 8 respondents (2.5%). General anesthesia of 34 patients regarding the value of postoperative nausea and vomiting response with general anesthesia anesthesia in the Konawe Hospital Recovery Room obtained a score of 0 (there was no nausea and vomiting) there were 13 respondents (38.2%), a score of 1 (nausea only) there were 6 respondents ( 17.6%), a score of 2 (retching) there was 1 respondent (2.9%), and a score of 3 (nausea >30 minutes or vomiting 2 times) there were 14 respondents (41.2%). Conclusion: Based on statistical tests with Chi Square found that a p-value of 0.029, which meant that there is a difference of nausea and vomiting in patients with regional anesthesia and general anesthesia. Keywords: nausea and vomiting, post operation, regional anesthesia, general anesthesia, secsio cessarea