P engaruh Mobil isasi Dini terhadap Peristaltik Usus pada Pasien Post Sectio Caesarea dengan Anestesi Spinal Di Rumah Sakit Umum Daerah Wangaya Denpasar I Ketut Wimawan Wikantara Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kese hatan Bali Email : ketutwimawan @gmail.com ABSTRAK Latar Belakang . Sectio caesarea (SC) merupakan prosedur operatif yang dilakukan di bawah anestesia sehingga janin, plasenta dan ketuban dilahirkan melalui i nsisi dinding abdomen dan uterus. Anestesi spinal dipilih untuk SC karena relatif lebih aman bagi janin. Masalah yang sering dialami pasien post SC adalah distensi abdomen akibat akumulasi gas karena menurunnya peristaltik usus. Mobilisasi dini merupakan t indakan keperawatan yang dapat dilakukan untuk mempercepat waktu flatus pasien sehingga akan mengurangi akumulasi gas dalam organ intestinal. Tujuan : Menganalisis pengaruh mobilisasi dini terhadap peristaltik usus pada pasien post SC dengan anestesi spinal Metode : penelitian menggunakan rancangan pra eksperimen dengan one - group pre - post test design . Sampel sebanyak 17 ibu post SC dengan anestesi spinal di RSUD Wangaya Denpasar. Teknik sampling penelitian ini adalah purposive sampling. Instrumen yang di guna kan lembar observasi dan SOP . Uji yang digunakan adalah Wilcoxon karena data tidak terdistribusi normal. Hasil : R ata - rata peristaltik usus sebelum dilakukan mobilisasi adalah 7,18 dan sesudah dilakukan mobilisasi adalah 8 yang dapat digolongkan dalam peris taltik usus normal. Hasil uji Wilcoxon diperoleh p value = 0,000 < ɑ = 0,05 . Kesimpulan : Ada pengaruh mobilisasi dini terhadap peristaltik usus pada pasien Post Sectio Caesarea dengan anestesi spinal di RSUD Wangaya Denpasar Kata Kunci : Mobilisasi Dini, Peristaltik Usus, Sectio Caesarea

The Effect of Early Mob ilization toward Intestinal Peristalsis in Post Sectio Caesarea Patients with Spinal Anesthesia at Wangaya Hospital Denpasar I Ketut Wimawan Wikantara Faculty of Health Diploma IV of Nursing Anesthesiology Program Institut e of Technology and Health Bali Email : ketutwimawan @gmail.com ABSTRACT Background: Sectio caesarea (SC) is an operative procedure performed under anesthesia so that the fetus, placenta and membranes are delivered through an incision in the abdominal wall and uterus. Spinal anesthesia was chosen for S C because it is relatively safer for the fetus. The problem that is often experienced by post - SC patients is abdominal distension due to gas accumulation due to decreased intestinal peristal sis. Early mobilization is a nursing action that can be provided to speed up the patient's flatus time so that it will reduce gas accumulation in the intestinal organs. Aim: To determine the effect of early mobilization toward intestinal peristalsis in pos t Sectio Caesarea patients with spinal anesthesia Method: This study employed pre - experimental design with a one - group pre - post test design. There were 17 respondents recruited as sample of this study which were selected through purposive sampling techniqu e. The data were collected by using observation sheets and standard operating procedure. The data were analyzed by using Wilcoxon Result: The finding showed that the average of intestital peristalsis before mobilization was 7.18 and 8 after mobilization, w hich could be classified as a normal intestinal peristalsis with p value = 0 . 000 < ɑ = 0 . 05. Conclusion: There is an effect of early mobilization toward intestinal peristalsis in Post Sectio Caesarea patients with spinal anesthesia at Wangaya Hospital Denp asar Keywords: Early Mobilization, Intestinal Peristalsis, Sectio Caesarea