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All Journal JPS (Jurnal Pharma Saintika) Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Galih Pria Pambayun
ITS PKU Muhammadiyah Surakarta
Health Professions Public Health

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Upaya Menurunkan Nyeri Dengan Mobilisasi Dini Pada Pasien Post Operasi Sectio Caesarea Dengan Spinal Anestesi Happy Nurhayati; Galih Pria Pambayun; Clara febyola
Journal Pharma Saintika Vol. 4 No. 2 (2021): April : Jurnal Pharma Saintika
Publisher : Program Studi DIII Farmasi Akademi Farmasi Dwi Farma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51225/jps.v4i2.34

Abstract

Background: Spinal anesthesia is a procedure performed by injecting a local anesthetic into the subarachnoid space. Sectio caesarea is a delivery process that does not pass through the birth canal but is an artificial process of expelling the fetus through abdominal surgery. The process of abdominal surgery causes wounds and has an impact on the mother, the most felt impact is acute pain. Early mobilization is one of the non-pharmacological approaches used to reduce postoperative pain.. Objective: Knowing the effect of early mobilization on postoperative cesarean section pain and acute pain nursing problems in the Bougenvil Room of RSUD dr. Sudirman, Kebumen.. Methods: The method in this case study uses data collection methods through interviews, observations, and documentation and is added using case study instruments which include: assessment, diagnosis, intervention, implementation, and evaluation carried out on 5 post Sectio Caesarea patients. So that the case study obtained a priority diagnosis of acute pain. The implementation carried out on both clients is to identify the location, characteristics, duration, frequency, quality and intensity of pain, provide a comfortable position for the patient, provide relaxation and distraction technique therapy: gradual mobilization, provide analgesic therapy according to doctor's advice. Early mobilization distraction techniques are joint motion exercises, gait, activity tolerance according to ability and body alignment. Evaluation of the five patients with acute pain nursing problems found that the patient said the pain was reduced.. Results: after the anesthetic nursing action the pain decreased slightly. Conclusion: performing non-pharmacological techniques (early mobilization) resulted in slightly reduced pain in post-sectional Caesarea patients
Efektifitas Loading Cairan Koloid Terhadap Kejadian Hipotensi Pada Pasien Sectio Caesarea Dengan Spinal Anestesi Di RSD Dr A.Dadi Tjokrodipo Bandar Lampung Mustika Sari; Galih Pria Pambayun; Ambar Samekto
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 1 No. 3 (2021): NOVEMBER : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v1i3.2220

Abstract

RSD Dr.A. Dadi Tjokrodipo Bandar Lampung, sectio caesaria patients in the last 3 months of 2021 totaled 40 patients. Hypotension or decrease in Mean Arterial Pressure (MAP) in caesarean section often occur consequence spinal anesthesia due to overall blockade effect on the sympathetic nervous system . Study this aim for This study aims to determine the effect of loading colloid fluid in sectio caesarea patients with spinal anesthesia. Method study qualitative with a descriptive research design is a research that tends to use analysis . Population study 40 patients sectio caesarea with spinal anesthesia at Dr A. Dadi Tjokrodipo Hospital Bandar Lampung with amount sample of 8 patients. From result study "Effectiveness of Loading Colloidal Fluids Against Hypotension in Sectio Caesarea Patients With Spinal Anesthesia at Dr A. Dadi Tjokrodipo Hospital Bandar Lampung" could obtained results that Patient Sectio Caesarea performed Partial spinal anesthesia big experience hypotension (87.5%) due to effect of spinal anesthesia , so that required gift fluid colloid for raise pressure blood . Effect gift fluid colloid on patient cesarean section hypotension really mean for normalize return pressure blood patients (75%). Based on results Paired Samples T-Test statistical test obtained value of Sig.(2-tailed) = 0.001 or < 0.05 which means there is significant difference on the Mean Arterial Pressure (MAP) before and after gift fluid colloid on patient sectio caesarea with spinal anesthesia at Dr A. Dadi Tjokrodipo Hospital, Bandar Lampung
Co-Authors Ambar Samekto Clara febyola Mustika Sari Nurhayati, Happy