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Hasrianti, Hasrianti
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Journal : Gema Kesehatan

 1 
EFEK PERMEN KARET, MADU, DAN MOBILISASI DINI TERHADAP PEMULIHAN PERISTALTIK USUS DAN WAKTU FLATUS PADA PASIEN POST SEKSIO SESAREA: EFFECTS OF GUM, HONEY, AND EARLY MOBILIZATION ON RECOVERY OF INTESTINE PERISTALTIC AND FLATUS TIME IN PATIENTS POST CAESAREAN SECTION Hasrianti, Hasrianti; Aryadi Arsyad; Usman, Andi Nilawati; Ramadany, Sri; Nontji, Werna; Hafsa, Mahmud
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.459

Abstract

Seksio sesarea menjadi salah satu operasi besar pada abdomen yang berhubungan langsung dengan perubahan post operatif dalam sistem saraf otonom yang menyebabkan penurunan pergerakan usus pada sistem pencernaan. Penelitian ini bertujuan untuk membandingkan efek mengunyah permen karet, mengonsumsi madu dan mobilisasi dini terhadap laju pemulihan fungsi peristaltik usus dan waktu kentut pada pasien post seksio sesarea. Penelitian ini menggunakan desain Quasi Experimental dengan pendekatan post-test only group design. Sebanyak 78 wanita post seksio sesarea dipilih melalui teknik purposive sampling, memenuhi kriteria inklusi serta bersedia berpartisipasi, dibagi menjadi tiga kelompok: Permen Karet (PK) + Mobilisasi Dini (MD), Madu (M) + MD, dan MD saja. Intervensi diberikan 3 jam post seksio sesarea, sedangkan pengukuran peristaltik usus dan waktu flatus dilakukan setiap 2 jam. Peristatik usus berbeda signifikan (P=0,00) di antara ketiga kelompok pada jam ke I, II dan III. Kelompok PK + MD mencatatkan rata-rata peristaltik tertinggi 28 kali, diikuti oleh kelompok M + MD 25 kali, dan MD 21 kali. Waktu flatus juga menunjukkan perbedaan signifikan antar kelompok (P= 0,041) dengan kelompok PK + MD mencatatkan rata-rata waktu flatus lebih cepat 500 menit dibandingkan kelompok M + MD 611 menit dan MD 754 menit. Mengunyah permen karet dengan mobilisasi dini terbukti lebih efektif dalam mempercepat pemulihan peristaltik usus dan waktu pertama flatus pada pasien pasca-seksio sesarea dibandingkan dengan kombinasi pemberian madu dan mobilisasi dini, maupun mobilisasi dini saja. Kata kunci: Flatus, Madu, Mobilisasi Dini, Peristaltik Usus, Permen Karet     A cesarean section is considered a major abdominal surgery that directly relates to post-operative changes in the autonomic nervous system, causing a reduction in intestinal movement within the digestive system. This study compares the effects of chewing gum, honey administration, and early mobilization on the speed of intestinal peristalsis recovery and the time to first flatus in post-cesarean section patients. This research uses a Quasi-Experimental design with a post-test-only group design approach. Seventy-eight women in the post-cesarean section were selected through purposive sampling, met the inclusion criteria, and agreed to participate. They were divided into three groups: Chewing Gum (CG) + Early Mobilization (EM), Honey (H) + EM, and EM alone. The interventions were administered 3 hours post-cesarean section, while intestinal peristalsis and flatus time were measured every 2 hours. Intestinal peristalsis showed a significant difference (P=0.00) between the three groups during the first, second, and third hours. The CG + EM groups recorded the highest average peristalsis at 28 times, followed by the H + EM groups at 25 times and the EM group at 21 times. Flatus time also showed a significant difference between groups (P=0.041), with the CG + EM groups recording a faster average flatus time of 500 minutes compared to the H + EM groups at 611 minutes and the EM group at 754 minutes. Chewing gum combined with early mobilization accelerates the recovery of intestinal peristalsis and the time to first flatus in post-cesarean section patients compared to honey administration with early mobilization or early mobilization alone. Keywords: Chewing Gum, Early Mobilization, Flatus, Honey, Intestinal Peristalsis
Co-Authors Abriyantoro, Danang Agnes Agnes Akbar, Abd Hakim Aksal Mursalat Alfian Ardi Syaputra Ana Lestari Andi Nailah Amirullah Andi Nilawati Usman Anggraeni, Ismi Dwi Anhar Anhar Ariadna Mulyati Arief , Khumaidi Arsyad, Muhammad Aryadi Asriani Suhaenah Aulia, Qoryza Awaluddin Awaluddin Bahrul Ulum Budhi Hascaryo Iskandar Damis Damis Damis, Damis Devi Permatasari Edy Sofyan, Edy Eko Prasetio, Bambang Farid Agushybana Fitri Ramadani Gondo Puspito Hadi, Zennur Rahman Haerul P Hafsa, Mahmud Hamzah, A H P Harianti Harianti Hasnani, Hasnani Heri Hidayat, Heri Idrus, Muh. Ikhsan Irmayanti Irmayanti, Irmayanti Ismayanti Jusri, Jusri Khairiyah, Zul La Ode Nursalam, La Ode M., Armayani Malik, Marwati Abd. Mamat Pratama, Mamat Marhani Mas’ud Badolo Mohammad Imron Muh. Akbar Fhad Syahril Muh. Rifo Rianto Muhammad Bibin, Muhammad Nur Halimah Nurhasanah Nurhasanah Nursyahfitri, Nursyahfitri Nurul Haeriyah Ridwan Pasinggi, Etri Permatasri, Devi Prabawa Eka Soesanta Putra, Yorra Anggara Putri, A. Rini Sahni Putri, Rini Sahni Putri, Syalsa Ariesta Widya Qanskamila, Alvina Qomariyah, Erni R, Cakrawati Rahman, Ahmad Ardillah Rahmawati, Rahmawati Rahmita Rahmita Rasdiana, Rasdiana Rasiyanto, Effendy Ridhowati, Sherly Rusdi Rusdi Sahabuddin, Chuduriah Sahni Putri, Rini Salmah, Ummu Sari, Fitri Kumala Sartono Sartono, Sartono Shaluhiya, Zahro Sitti Rahbiah Akram Sodikin Sodikin Soraya, Anugra Sri Ramadany, Sri Surianti Surianti Surianti Surianti, Surianti Syahban Mada Ali Usman Usman Wahyudi Wahyudi Wazir Mawardi Werna Nontji, Werna Widiawan, Andhika Prasetya Yanti, Harisa Rama