Time Difference Test for Achieving Bromage Score 0 Post-Caesarea Sectio Using Method Eracs and Non Eracs to Women Abandoned at Simpang Lima Gumul (SLG) Kediri Hospital

Aprin Rusmawati; Tri Wijiastutik; Windy Ari Wijaya; Alfian Fawzi

doi:10.30994/jnp.v8i1.655

Authors

Aprin Rusmawati Department of Nursing, Universitas STRADA Indonesia, Kediri, Indonesia
Tri Wijiastutik Anesthesiologist Specialist, SLG Hospital Kediri, Indonesia
Windy Ari Wijaya Anesthesiologist Specialist, SLG Hospital Kediri, Indonesia
Alfian Fawzi Department of Nursing, Universitas STRADA Indonesia, Kediri, Indonesia

DOI:

https://doi.org/10.30994/jnp.v8i1.655

Keywords:

bromage score, ERACS, sectio caesarea

Abstract

Background: The assessment criteria used in determining the readiness of a patient under spinal anesthesia to be discharged from the recovery room is the Bromage score. Delays in moving patients can cause additional treatment costs recovery room, hypothermia, and anxiety in patients.

Purpose: This research aims to determine differences in achievement time. Bromage scored 0 post-cesarean sections with the ERACS method and not ERACS for mothers giving birth at RSUD SLG Kediri.

Method: This research uses a design true experiment with a type posttest-only control group. With purposive sampling A sample of 60 respondents was obtained, divided equally between experimental groups and methods ERACS and the control group with the Non method ERACS, and statistical tests were carried out by Mann-Whitney.

Results: The results of research from 60 respondents showed that the majority of patients who used the ERACS method reached a bromage score of 0 within 26-35 minutes after spinal anesthesia. Meanwhile, the majority of patients who use non-methods ERACS reach a bromage score of 0 in 126-135 minutes. Statistical test analysis Mann-Whitney The significance results obtained were p value=0.000 (<0.05), meaning that there was a significant difference in time to achievement bromage score 0 in patients with cesarean section method ERACS and non-RACS.

Conclusion: Achievement time Bromage score 0 post spinal anesthesia methods ERACS an average of 30.00 minutes faster than the Nonmethod ERACS. Based on this time difference, the anesthetist can provide information regarding the duration of the achievement time Bromage score and estimated patient transfer time.

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References

Adiningrum, N. D. M. (2022). Gambaran Waktu Pencapaian Mobilisasi Dini Pada Pasien Post Sectio Caesarea Dengan Spinal Anestesi Metode ERACS Di Rumah Sakit TK. II Udayana Denpasar. 7–8.

Cahyani, N. P. D. A. (2021). Hubungan Status Fisik American Society Of Anesthesia (ASA) I-III Dengan Waktu Pencapaian Bromage Score 2 Pada Pasien Pasca Spinal Anestesi.

Eff, T., Using, A., Bupivacaine, H., & Secɵ, C. (2010). Keefekifan Anestesia Spinal Menggunakan Bupivakain 0 , 5 % Hiperbarik 7 , 5 mg Ditambah Fentanil 25 mcg Dibandingkan dengan Bupivakain 0 , 5 % Hiperbarik 12 , 5 mg pada Bedah Sesar. 28(2), 9–17.

Habib, A. S. (2022). Enhanced recovery after cesarean delivery [ version 1 ; peer review : 2 approved ] Unyime Ituk. 7, 1–11.

Liawati, N., & Novani, S. S. (2018). Hubungan Pengetahuan Ibu Postpartum Sectio Caesarea Tentang Mobilisasi Dini Dengan Pelaksanaan Mobilisasi Dini Pada Pasien Post Operasi Sectio Caesarea Di Ruang Raden Dewi Sartika Rsud Sekarwangi Kabupaten Sukabumi. Jurnal Ilmiah Ilmu Kesehatan Dan Keperawatan, 3(1), 119–133.

Liu, Z. Q., Du, W. J., & Yao, S. L. (2020). Enhanced recovery after cesarean delivery: a challenge for anesthesiologists. Chinese Medical Journal, 133(5), 590–596. https://doi.org/10.1097/CM9.0000000000000644

Ni Putu Yusniawati, Y., Lewar, E. I., Claradicha, V., & Shuarsedana, I. G. A. (2023). PONV (Postoperative Nausea and Vomiting) Incidence among Patients with Caesarean Section, Enhanced Recovery After Surgery (ERAS), and Subarachnoid Block (SAB) Anesthesia. Babali Nursing Research, 4(3), 292–298. https://doi.org/10.37363/bnr.2023.43112

Prayanangga, K., & Nilasari, D. (2022). Enhanced Recovery After Cesarean Surgery (ERACS): Analisis Berbasis Bukti. JAI (Jurnal Anestesiologi Indonesia), 14(3), 274–287. https://doi.org/10.14710/jai.v0i0.50022

Prihartini, A. R., & Iryadi, R. (2019). Faktor-Faktor yang Mempengaruhi Persalinan dengan Tindakan Sectio Caesaria (SC) pada Ibu Bersalin. Jurnal Kesehatan Pertiwi, 1(1), 13–20.

Pujiwati, W., Novita, A., & Rini, A. S. (2023). Pengaruh Metode Eracs Terhadap Mobilisasi Pasien Post Sectio Caesaria Di Rumah Sakit Umum Kartini Jakarta Tahun 2022. SENTRI: Jurnal Riset Ilmiah, 2(5), 1684–1694. https://doi.org/10.55681/sentri.v2i5.875

Purnaningrum, T. S., & Surayawati, C. (2023). FAKTOR YANG MEMPENGARUHI BANYAK RUMAH SAKIT MENGADOPSI ERACS SEBAGAI ALTERNATIF PERSALINAN CAESAR : A LITERATURE REVIEW. 7.

Rahma, W. F., & Kamsatun, K. (2018). Mobilisasi Dini Ibu Post Sectio Caesarea Di Rsud Soreang. Jurnal Ilmu Dan Teknologi Kesehatan, 5(2), 149–163. https://doi.org/10.32668/jitek.v5i2.5

Ratnasari, F., & Yatsi Tangerang, Stik. (2022). Pengaruh Sectio Caesarea Metode Eracs Terhadap Percepatan Mobilisasi pada Ibu Bersalin di RS Hermina Daan Mogot Tahun 2022. Jurnal Ilmiah Indonesia, 2(9), 821–829.

Roro Brilianti Chrisnajayantie, R., Prabowo, T., & Harmilah. (2021). Effectiveness of Femoralis Warm Compress and PassiveROM towards the Achievement of Bromage Score 2 OnPost-Cesarean Section at PKU Muhammadiyah GampingHospital. Anaesthesia Nursing Journal, 1(1), 24–31.

Sardimon, S., Yusmalinda, Y., Jasa, Z. K., Rahmi, R., & Amin, F. B. (2022). Implementation of Enhanced Recovery After Caesarean Section (ERACS) in Elective Procedure : A Case Report. Solo Journal of Anesthesi, Pain and Critical Care (SOJA), 2(2), 47. https://doi.org/10.20961/soja.v2i2.58950

Sarwono, J. (2006). Metode Penelitian Kuantitatif & Kualitatif.

Sidharti, L., Zuleikha, A. T., Kurniawaty, E., & Wahyuni, A. (2023). Perbandingan Efek Samping dan Kenyamanan Pasien Pasca Operasi Sectio Caesarea Metode Eracs dan Non Eracs. Malahayati Nursing Journal, 5(7), 2201–2211. https://doi.org/10.33024/mnj.v5i7.10177

Sulistianingsih, A. R., & Bantas, K. (2018). Peluang Menggunakan Metode Sesar Pada Persalinan Di Indonesia (Analisis Data Sdki Tahun 2017). Jurnal Kesehatan Reproduksi, 9(2), 125–133. https://doi.org/10.22435/kespro.v9i2.2046.125-133

Supriyatin, T., Sekar Siwi, A., Nur Rahmawati, A., Studi Keperawatan Anestesiologi Program Sarjana Fakultas Kesehatan, P., Harapan Bangsa, U., Studi Keperawatan Program Sarjana Fakultas Kesehatan, P., Studi Keperawatan Program Diploma, P., Kesehatan, F., & Harapan Bangsa Jl Raden patah No, U. (2022). Pencapaian Bromage dan Aldrete Score padaTindakan Anestesi dsi Instalasi Bedah Sentral (IBS)RSUD Ajibarang. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat (SNPPKM), 315–324.

Tika, T. T., Sidharti, L., Himayani, R., & Rahmayani, F. (2022). Metode ERACS Sebagai Program Perioperatif Pasien Operasi Caesar. Jurnal Bagus, 2(1), 402–406.

X, M. Y., Yasir, T., & Pratama, R. (2021). Penerapan Protokol Enhance Recovery After Surgery ( ERAS ) Pada Pasien Operasi Elektif Digestif Sebagai Upaya Menurunkan Length Of Stay Pasien Pasca Pembedahan di RSUD dr. Zainoel Abidin Banda Aceh Tahun 2019. Journal of Medical Science, 2(1), 16–20. https://doi.org/10.55572/jms.v2i1.18.