Pengaruh Pengaturan Posisi Semi Fowler terhadap Lama Pemulihan Kesadaran Pasien Post Operasi dengan General Anestesi
DOI:
https://doi.org/10.62383/vimed.v2i4.2320Keywords:
Consciousness Recovery, General Anesthesia, Recovery Time, Semi-Fowler Position, Supine PositionAbstract
Postoperative consciousness recovery in patients who have received general anesthesia sometimes experiences delays, which can lead to postponing the transfer of patients to the recovery room. One approach that nurses can use to accelerate consciousness recovery after general anesthesia is by adjusting the patient’s sleeping position. This study aims to determine the effect of the semi-Fowler position on the length of consciousness recovery in postoperative patients with general anesthesia. The research method is quasi-experimental with a posttest-only control group design. The sample consisted of 42 postoperative patients with general anesthesia at RSUD dr. H. Soewondo Kendal, divided into two groups: the intervention group and the control group, selected using consecutive sampling technique. Data analysis was performed using the independent sample t-test. The results showed that most patients were aged 36-45 years, male, with the most commonly used anesthetic being Laryngeal Mask Airway (LMA) and the duration of surgery was less than 1 hour. The average consciousness recovery time for patients in the semi-Fowler position was 11.19 minutes, categorized as quick recovery. Meanwhile, the average consciousness recovery time for patients in the supine position was 15.0 minutes, also categorized as quick recovery. The analysis showed a significant effect of the semi-Fowler position on the consciousness recovery time (p-value = 0.048). In conclusion, the semi-Fowler position can accelerate consciousness recovery time by 3.81 minutes compared to the supine position in postoperative patients with general anesthesia.
References
Apriliana, H. D. (2018). Rerata waktu pasien pasca operasi tinggal di ruang pemulihan RSUP Dr Kariadi Semarang. Jurnal Media Medika Muda.
ASA. (2018). Physical status classification system. American Society of Anesthesiologists (ASA). ASA Online.
Asiyah, R. S. F., Suandika, M., & Yudono, D. T. (2024). Gambaran Aldrete score pada pasien post operasi dengan general anestesi. Jurnal Penelitian Perawat Profesional, 6, 1035–1042.https://www.jurnal.globalhealthsciencegroup.com/index.php/JPPP/article/view/2463/1864
Astuti, F. A. (2020). Pengaruh pemberian terapi musik klasik Mozart terhadap waktu pulih sadar pasien post general anestesi di recovery room IBS RS PKU Muhammadiyah Yogyakarta (Doctoral dissertation, Poltekkes Kemenkes Yogyakarta).
Barbara. (2016). Buku ajar fundamental keperawatan konsep, proses dan praktik. Jakarta: EGC.
Brunner & Sudarth, B. A. R. (2020). Buku ajar keperawatan medikal bedah (12th ed.). Jakarta: EGC.
Brunton, L., Parker, K., Blumenthal, D., & Buxton, I. (2016). Manual farmakologi dan terapi. Jakarta: EGC.
Claudia P. Barone, RN, EdD, LNC, C., Carmelita S. Pablo, M., & Gary W. Barone, M. (2016). Postanesthetic care. Anesthesia Secrets, 24(1), 222–228.
Delima, M., Kartika, K., & Deswita, D. (2019). Pengaruh pengaturan posisi terhadap lama pemulihan keadaan pasien post operasi dengan anestesi umum di recovery room RSAM Bukittinggi. Jurnal Kesehatan Perintis (Perintis’s Health Journal), 6, 35–41.
Dinata, D. A., Fuadi, I., & Redjeki, I. S. (2015). Waktu pulih sadar pada pasien pediatrik yang menjalani anestesi umum di Rumah Sakit Dr. Hasan Sadikin Bandung. Jurnal Anestesi Perioperative, 3(2), 100–108.
Estiningdyah. (2022). Kebutuhan dasar manusia. Yogyakarta: Pustaka Baru Press.
Ghozali, I. (2018). Aplikasi analisis multivariate dengan program IBM SPSS 25. Semarang: Badan Penerbit Universitas Diponegoro.
Hanifa, A., Hendarsih, S., & Jonsu, J. D. T. (2017). Hubungan hipotermi dengan waktu pulih sadar pasca general anestesi di ruang pemulihan RSUD Wates. Jurnal Ilmiah Keperawatan, 1(1), 23. http://eprints.poltekkesjogja.ac.id/id/eprint/415
Hartini, T., Siwi, A. S., & Dewi, P. (2024). Hubungan status fisik dengan waktu pulih sadar pada pasien dengan inhalasi anestesi di ruang pemulihan. Jurnal Penelitian Perawat Profesional, 6(3), 1063–1070.
Hidayat, A. (2018). Pengantar kebutuhan dasar manusia aplikasi konsep dan proses keperawatan. Jakarta: Salemba Medika.
Karnina, R., Rahayu, N. S., & Faruk, M. (2022). Factors influencing Bromage score in postspinal anesthesia patients. Journal of Medical and Healthcare Development, 11(3), 1146–1150.
Katzung, B. G. (2015). Basic & clinical pharmacology (13th ed.). McGraw-Hill.
Keat, S., Simon, T., Alexander, B., & Lanham, S. (2018). Anaesthesia on the move. Jakarta: Indeks.
Kemenkes RI. (2022). Profil kesehatan Indonesia 2022. Jakarta: Kementerian Kesehatan RI.
Klase, S., Pinzon, R. T., & Meliala, A. (2016). Penerapan surgical safety checklist WHO di RSUD Jaraga. Berkala Ilmiah Kedokteran Duta Wacana, 01(Issn: 24609684), 173–182. https://bikdw.ukdw.ac.id/index.php/bikdw/article/viewfile/25/26
Kozier, et al. (2018). Buku ajar fundamental keperawatan konsep, proses, & praktik. EGC. Jakarta.
Kumbara, D. T., & Rakhmawati, A. (2023). The effectiveness of position arrangements on the length of recovery of patients' consciousness level with general anesthesia in the recovery room of RSUD Matraman. NLN Publications, (16–1538), 107–112.
Larson, M. (2019). History of anesthetic practice. In R. Miller (Ed.), Miller’s Anesthesia (7th ed.). Philadelphia: Churchill Livingstone.
Latief, S. A., Suryadi, K. A., & Dachlan, M. R. (2015). Petunjuk praktis anestesiologi (2nd ed.). Jakarta: Bagian Anestesiologi dan Terapi Intensif Fakultas Kedokteran Universitas Indonesia.
Latipun. (2019). Psikologi eksperimen (2nd ed.). Malang: UMM Pers.
Lestari, A. C. (2023). Pengaruh mobilisasi dini terhadap perubahan mean arterial pressure pada pasien post operasi dengan general anestesi di RSUD Dr. H. Abdul Moeloek Provinsi Lampung (Doctoral dissertation, Poltekkes Kemenkes Tanjungkarang).
Mangku, G., & Senapathi, T. G. A. (2020). Buku ajar ilmu anestesi dan reanimasi. Jakarta: PT Indeks.
Mecca, R. S. (2018). Postoperative recovery. In P. G. Barash, B. F. Cullen, & R. K. Stoelting (Eds.), Clinical Anesthesia (pp. 1380–1405). Philadelphia: Lippincott Williams & Wilkins.
Mersya, M. F. (2023). Pengaruh pengaturan posisi semi fowler dan posisi supine terhadap lama waktu pulih sadar pasien post operasi dengan tindakan anestesi umum di ruang recovery room di RS Triii Dr. Reksodiwiryo Padang (Thesis, Universitas Baiturrahmah).
Metthew, G. W., & C. L. G. (2017). Clinical Anesthesia (5th ed.). USA.
Mohammed, H., & El-Sayed, Z. (2022). Effect of different therapeutic positions on selected vital parameters among patients with stroke: Randomized control trial. Assiut Scientific Nursing Journal, 10(30), 95–107.
Morgan, P. (2017). Clinical Anesthesiology (5th ed.). ISBN: 978-0-07-171405-1.
Musri, & Yudistirawati, N. (2021). Comparison of positioning between semi-Fowler’s and left lateral to oxygen saturation in ventilated patients: A quasi-experimental study. Quality: Jurnal Kesehatan, 15(2), 142–152.
Nogueira, E. F. D. C., et al. (2021). Does the use of articaine increase the risk of hypesthesia in lower third molar surgery? A systematic review and meta-analysis. J Oral Maxillofac Surg, 79(1), 64–74.
Notoadmojo, S. (2018). Metodologi penelitian kesehatan. Jakarta: Rineka Cipta.
Nugrahini, K., Purnamasari, E. R. W., & Istiani, H. G. (2022). Pengaruh musik tradisional kacapi suling Sunda terhadap pulih sadar bayi pasca general anestesi. Jurnal Masyarakat Sehat Indonesia, 1(01), 1–6.
Nursalam. (2017). Metodologi penelitian ilmu keperawatan (4th ed.). Jakarta: Salemba Medika.
Permatasari, E., Lalenoh D.C., Rahardjo, S., & Bisri, T. (2017). Pulih sadar pasca anestesi yang tertunda. Jurnal Neuroanestesi Indonesia, 6(3), 187–194. https://doi.org/10.24244/jni.vol6i3.48
Perry & Potter. (2020). Fundamental keperawatan buku 3 Ed 7. Jakarta: Salemba Medika.
Pramono, A. (2019). Buku kuliah: Anestesi. Jakarta: EGC.
Rismawan, W., Muhammad Rizal, F., Kurnia, A., & DIII Keperawatan STIKes BTH Tasikmalaya Jl Cilolohan Nomor, P. (2019). Tingkat kecemasan pasien pre-operasi di RSUD Dr. Soekardjo Kota Tasikmalaya. In Jurnal Ilmu Ilmu Keperawatan, 19.
Riwidikdo, H. (2018). Statistik untuk penelitian kesehatan dengan aplikasi program R dan SPSS. Yogyakarta: Pustaka Rihanna.
Riyanto, A. (2017). Metodologi penelitian. Jakarta: ECG.
Roziqin, K., Rohmah, A. N., & Murdiyanto, J. (2024). Pengaruh pemberian posisi semi Fowler terhadap kepatenan jalan nafas pada pasien pasca operasi anestesi umum di IBS RSUD Dr. Tjitrowardojo Kelas B Purworejo. Jurnal Kesehatan Borneo Cendekia, 8(1), 102–112.
Setiawan, A. (2017). Belajar dan pembelajaran. Ponorogo: Uwais Inspirasi Indonesia.
Shiddieq, A. S. (2024). Penerapan posisi head up 30 derajat terhadap saturasi oksigen pada pasien stroke hemoragik post operasi craniotomi di Instalasi Bedah Sentral RSUD Karawang (Doctoral dissertation, Poltekkes Kemenkes Yogyakarta).
Singhal, V., & Prabhakar, H. (2016). Delayed emergence. In H. Prabhakar (Ed.), Complications in Neuroanesthesia (pp. 15–19). London: Elsevier.
Sjamsuhidajat, R., & De Jong, W. (Eds.). (2018). Buku ajar ilmu bedah Sjamsuhidajat-De Jong: Sistem organ dan tindak bedahnya (4th ed.). Jakarta: Penerbit Buku Kedokteran EGC.
Sommeng, F. (2019). Hubungan status fisik pra anestesi umum dengan waktu pulih sadar pasien pasca operasi mastektomi di RS Ibnu Sina Februari - Maret 2017. UMI Medical Journal, 3(1), 47–58. https://doi.org/10.33096/umj.v3i1.34
Sugiyono. (2019). Metodologi penelitian kuantitatif dan kualitatif dan R&D. Bandung: ALFABETA.
Supadi, E. N. (2018). Hubungan analisis posisi tidur semifowler dengan kualitas tidur pada klien gagal jantung di RSUD Banyumas Jawa Tengah. Jurnal Kebidanan Dan Keperawatan, 4(2), 97–108.
Supariasa, I. D. N. (2019). Penilaian status gizi. Jakarta: Buku Kedokteran EGC.
Suryani, L. (2016). Pemberian posisi semi Fowler terhadap kestabilitasan hemodinamik asuhan keperawatan pada Tn. E dengan diagnosa medis cedera kepala ringan di ruang IGD Rumah Sakit Sataliga. Surakarta: Karya Ilmiah Program Studi DIII Keperawatan STIKES Kusuma Husada.
Tazreean, R., Nelson, G., & Twomey, R. (2022). Early mobilization in enhanced recovery after surgery pathways: Current evidence and recent advancements. Journal of Comparative Effectiveness Research, 11(2), 121–129. https://doi.org/10.2217/CER-2021-0258
Wardana, R. N. P., Sommeng, F., Ikram, D., Dwimartyono, F., & Purnamasari, R. (2020). Waktu pulih sadar pada pasien operasi dengan menggunakan anestesi umum propofol di Rumah Sakit Ibnu Sina Makassar. Wal’afiat Hospital Journal, 1(1). https://doi.org/10.33096/whj.v1i1.9
WHO. (2019). Why safe surgery is important. https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery
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