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Andi Nilawati Usman
Departemen Ilmu Kebidanan, Sekolah Pascasarjana, Universitas Hasanuddin
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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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 -, Emmasitah A, Andi Sumidarti A. Arsunan Arsin A.A. Ketut Agung Cahyawan W Agustin, Dinah Inrawati Ahmad Mardiana Ahmad, Mardiana Ahmar, Hamdiah Almukarramah, Mukminal Aminuddin Aminuddin Aminuddin Syam Amir Mahmud Hafsa Andi Agussalim Andi Alimuddin Unde Andi Wardihan Sinrang Andi Wardihan Sinrang Andi Wardihan Sinrang Andi Wardihan Sinrang Andi Wardihan Sinrang Annisa Eka Permatasari Arbie, Rina Sulisthia Arsyad, M.Aryadi Arsyad, Muhammad Aryadi Arweni Puspita Sari As'ad, Suryani Asni, Sitti Nur Asri Basselo As’ad, Suryani Beddu, Suriani Bosyahamu Mony Budu - Budu Budu Bukhari, Agussalim Burhanuddin Bahar Burhanuddin Bahar Catherine Jusuf, Elizabet Chintya Cristin Apta Saputri Paserang Citra Amalu Citra Amalu Dewi Lestari Dewiyana, Srigita Dwi Kartika Sari Ekawati, Erni Agit Elizabet C Jusuf Ellyani Abadi Elva Febri Ashari Ema Alasiry Ema Alasiry Ema Alasiry Ema Alasiry, Ema Erni Agit Ekawati Erni Agit Ekawati Esther Sanda Manapa Farid Husin Farid Husin Farida Sisni Riyanti Firdaus Hamid Firna, Fransiska Fitrya Anggraini Gemini Alam H Anwar, St Hadijah Hafsa, Mahmud Hafsah, Amir Mahmud Handayani Halik Hasrianti, Hasrianti Healthy Hidayanti Healthy Hidayanti Healthy Hidayanti Healthy Hidayanti Hermin Hermin Hidayanti Arifuddin Hidayanty, Healthy Husin, Farid Idris, Irfan Imelda Rosniyati Dewi Indah Raya Indah Raya Intan Idiana Hassan Irmawati Irmawati Isharyah Sunarno Isharyah Sunarno Jufriadi Jufriadi Jumrah Jumriana Ibriani Karo, Marni Kiki Uniatri Thalib Lenny Krey Lestari, Dyan Puji Lili Jenni Suebu Linda Runtuwene Mappaware Nasrudin A Mappaware, Nasrudin Andi Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Martira Maddeppungeng Massi, Moh Nasrum Mauludiyah, Indah Meidayana Refisiliyani Miranty S Mubayyina, Firdaus Muh Aryadi Arsyad Muh Nasrum Massi Muh Tamar Muh. Nasrum Massi Muh. Nasrum Massi Muh. Tamar Muh.Nasrum Massi Muhamad Tamar Muhammad Tamar Natalia Rorrong Pamilangan Ni Luh Putu Herli Mastuti Niar, Niar Nur Aliya Arsyad Nur Aliya Arsyad Nur Hayati Saud Nur Partiwi Nurhaedar Djafar Nurhaedar Djafar Nurhayati Latief Nurrahmi Umami P Prihantono Patmahwati Patmahwati Polanda Y Runtoboi Prastawa Budi Prihantono Prihantono Prihantono, Prihantono Prihartini, Ade Rahayu Rachman, Suci Rahma Dani Rafiah, Sitti Rahma H. Manay Ramadhani, Sri Rasulina Br Peranginangin Risfah Yulianti Risfah Yulianty Riu, Deviana Soraya Rizky A Ramadhani1, Deviana SorayaRiu1, Irnawati Bahar1, Isharyah Sunarno1, Retno B. Farid1, Eddy Hartono1 Rusni Safitry Saidah Syamsuddin Saidah Syamsuddin Salsa Putri Aulia Samrichar R Sartini Sartini Sartini Sartini Satriani Satriani Satriani Satriani Satriani Sello, Lenni Sharvianty Arifuddin Sharvianty Arifuddin Sharvianty Arifuddin Shofiyah Latief Sinrang A Wardihan Siswati Rahmadyana Siti Nurbaya Sitti Nurjannah Sitti Rafiah Sri Rahmadayany Sri Ramadany, Sri Sri Ramadhani Sri Ramadhani Stang Stang Stang Stang Suci Qardhawijayanti Sumirda Rahareng Sunarsih Sunarsih Sunarsih Sunarsih Sundun, Ririn Rezky Ananda Suryani As'ad Suryani As'ad Suryani As'ad Suryani As'ad Suryani As’ad Suryani As’ad Suryani As’ad Suryaningsih, Ning Sutinah Made Syafruddin Syarif Syafruddin Syarif Syafruddin Syarif Syafruddin Syarif Syam, Yuliana Syam, Yuliana Syariena, Syariena Tambaip, Titus Triana Rahmiaty Triwidayanti Triwidayanti Tuti Sukini Veni Hadju Veni Hadju Veni Hadju Veni Hadju Hadju Veny Hadju Verawati Parmah Wadi Renah Wardihan Sinrang Wardihan Sinrang Wawa Amalia Bau Werna Nontji Werna Nontji Werna Nontji Werna Nontji Werna Nontji Werna Nontji Werna Nontji, Werna Yudi Yanto Yudiarsi Eppang Yuliana Yuliana Yulianti Anwar Yulianti, Desak Made Yusring Sanusi Baso, Yusring Sanusi Yuyun Widaningsih Zahir Zainuddin Zhagira, Tira