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Strategi meningkatkan kepatuhan pelaksanaan time out dan keselamatan pembedahan menggunakan media digital dan elektronik: Tinjauan sistematis Sudrajat, Fedi; Sukartini, Titin; Qona'ah, Arina
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 9, No 1 (2023): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.9.1.35-44

Abstract

Pendahuluan: Meminimalkan terjadinya insiden tak terduga selama operasi adalah tujuan keselamatan bedah. Kejadian tidak terduga dan kejadian sentinel merupakan dampak dari tidak adanya time out yang mengakibatkan salah lokasi, kesalahan prosedur, dan kesalahan operasi pasien. Tujuan: Menjelaskan pengaruh media digital dan elektronik terhadap kepatuhan pelaksanaan surgical safety checklist time out oleh tim bedah. Metode:Pencarian sumber data artikel dilakukan dengan menggunakan kriteria inklusi dan eksklusi sesuai format PICOS melalui database Scopus, PubMed, Ebsco dan ProQuest (2016-2022). Kata kunci yang terkait dengan pengiriman rekaman audio, kepatuhan tim bedah, daftar periksa keselamatan bedah digunakan dalam mencari subjek terkait. Desain studi inklusi menggunakan literature review abstract atau teks lengkap jurnal penelitian. Kualitas penelitian menggunakan pencarian literatur diagram PRISMA. Hasil: Dari 10 jurnal yang telah diriview, didapatkan hasil peningkatan kepatuhan pada petugas. dalam pelaksanaan surgical safety checklist time outdengan strategi menggunakan audio, audiovisual dan sistem terkomputerisasi. Rata-rata kepatuhan pelaksanaan time out oleh tim bedah di atas 50% tetapi tidak sampai 100 %. Hasil kajian pustaka menunjukkan bahwa gambaran pelaksanaan time out menggunakan audio, audiovisual dan dengan menggunakan sistem terkomputerisasi dapat meningkatkan kepatuhan petugas serta dapat mempengaruhi perilaku sesorang.Simpulan: Kepatuhan terhadap pelaksanaan surgical safety checklist time out oleh tim bedah dapat ditingkatkan lagi menggunakan metode audio recorded delivery dengan sistem terkomputerisasi.
Non-Pharmacological Strategies to Reduce Bloating and Abdominal Distension: A Systematic Review Sudrajat, Fedi; Suyanto, Suyanto; Melastuti, Erna; Sulistyaningsih, Dwi Retno
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5874

Abstract

Bloating and abdominal distension are common complaints that can be caused by various factors, including intestinal motility disorders, postoperative effects, and functional digestive disorders. While pharmacological therapy is often used, various non-pharmacological interventions have been developed as safer alternatives with minimal side effects.This literature review aims to examine various non-pharmacological interventions for addressing intestinal motility disorders, bloating, and abdominal distension based on available evidence. A search for scientific articles, including randomized clinical trials and randomized controlled trials, was conducted using inclusion and exclusion criteria based on the PICOS format. Articles were retrieved from databases such as Google Scholar, PubMed, ScienceDirect, and CINAHL (2018–2025), focusing on publications in English and Indonesian. Keywords related to bloating, flatulence, and abdominal distension interventions were used to identify relevant studies. The process of searching for high-quality research articles was conducted using the PRISMA 2020 diagram. Initially, 831 articles were identified, with 648 eliminated due to duplication, being outside the topic, or lacking full-text access. This resulted in 183 articles screened. After the eligibility assessment, 170 articles were further excluded for not meeting the inclusion and exclusion criteria. The final selection process resulted in 13 articles that were included and discussed in this study. Non-pharmacological interventions have been shown to effectively reduce bloating and accelerate the recovery of intestinal peristalsis. Specific interventions include: (chewing gum, which promotes flatus release and defecation; mentha spicata L. essential oil, which has analgesic properties and reduces bloating; warm compresses, which significantly enhance intestinal peristalsis; thoracoabdominal biofeedback, which effectively reduces abdominal distension; early mobilization, which accelerates the recovery of intestinal peristalsis and lowers the risk of postoperative ileus; chamomile, which has therapeutic effects in reducing flatulence and distension; coffee or caffeine consumption, which significantly promotes intestinal function recovery. Non-pharmacological interventions have proven effective in alleviating symptoms and accelerating the recovery of intestinal peristalsis, bloating, and abdominal distension.