Evaluation of the Implementation of Fluid Fulfillment in PONV Patients after Abdominal Surgery
Abstract
Background: Nausea and vomiting are problems that almost some patients often complain about after surgery. Some patients claim to experience nausea and vomiting after regaining consciousness from surgery.
Objective: this study was to evaluate the Implementation of Fluid Fulfillment in PONV Patients After Abdominal Surgery.
Methods: In this study quantitative methods with crossectional. The sample used in this study was respondents who were willing or willing to consciously follow this study, aged 17 years over, and had been operated on after 12 hours. The exclusion criteria in this study were patients who did not have complaints of nausea or vomiting. This research was conducted from March – August 2022. In this study, the variables used were age, sex, duration in surgery, smoking history, post-op history, and pain post-op.
Results. The frequency distribution of respondents is several variables. In most age variables at the age of 51-75 years as much as 63.4%, in the sex variable more than half of men as much as 63.4%. The next variable was more than half the duration of surgery at a duration of 1 hour 77.7% with those who had a history of smoking as much as 56.7% and did not have a history of PONV more than half. Based on the variable incidence of PONV as many as 60% experience mild PONV events and moderate postoperative pain as much as 60%. It can be seen that the P-value value is 0.000 on the age and gender variables. The seen p-value of surgical duration was 0.004; the History of smoking with a p-value of 0.001; Postop history with a p-value of 0.003 and post-op pain with p p-value of 0.010. It can be concluded that there is an association between age, sex, duration of surgery, smoking history, post-op history and post-op pain with PONV
Conclusion: The conclusion in this study is that there is an association between age, sex, duration of surgery, smoking history, postoperative history, and post-op pain with PONV.
References
Aubrun, F., Ecoffey, C., Benhamou, D., Jouffroy, L., Diemunsch, P., Skaare, K., Bosson, J. L., & Albaladejo, P. (2019). Perioperative pain and post-operative nausea and vomiting (PONV)management after day-case surgery: The SFAR-OPERA national study. Anaesthesia Critical Care and Pain Medicine, 38(3), 223–229. https://doi.org/10.1016/j.accpm.2018.08.004
Chen, Y., & Chang, J. (2020). Anti-emetic Drugs for Prophylaxis of Postoperative Nausea and Vomiting After Craniotomy: An Updated Systematic Review and Network Meta-Analysis. Frontiers in Medicine, 7(February), 1–12. https://doi.org/10.3389/fmed.2020.00040
Chimbiria, W., & Sweeney, B. . (2000). The effect of smoking on postoperative nausea andvomiting. Anestesia, 55. https://doi.org/https://doi.org/10.1046/j.1365-2044.2000.01474.x
Feri, J., Juartika, W., Oktaviani, E., Bakara, D. M., & Pome, G. (2023). Application of Cold Drink in Post Operation Nausea and Vomiting (PONV) Appendectomy Cases in Lubuklinggau. Babali Nursing Research, 4(1), 73–81. https://doi.org/10.37363/bnr.2023.41154
Gan, T. J., Belani, K. G., Bergese, S., Chung, F., Diemunsch, P., Habib, A. S., Jin, Z., Kovac, A. L., Meyer, T. A., Urman, R. D., Apfel, C. C., Ayad, S., Beagley, L., Candiotti, K., Englesakis, M., Hedrick, T. L., Kranke, P., Lee, S., Lipman, D., … Philip, B. K. (2020). Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting. In Anesthesia and Analgesia (Vol. 131, Issue 2). https://doi.org/10.1213/ANE.0000000000004833
Hendro, R. T., Pradian, E., & Indrisari. (2018). 1425-7291-1-Pb. 6(2), 89–97.
Jatmiko, H. D., & Mochamat, M. (2022). Manajemen Anestesi pada Pasien Geriatri dengan Abses dan Nyeri Perut Bagian Bawah. JAI (Jurnal Anestesiologi Indonesia), 14(3), 251–256. https://doi.org/10.14710/jai.v0i0.48611
Juartika, W. (2022). The Effect of Drinking Cold Water on Nausea and Vomiting among Patient with Post-Chemotherapy Breast Cancer. The Journal of Palembang Nursing Studies, 1, 74–85. https://doi.org/10.55048/jpns.v1i3.15
Karnina, R., & Ismah, M. N. (2021). Gambaran Kejadian Postoperative Nausea and Vomiting (PONV) pada Pasien Pasca Tindakan Dilatasi Kuretase dengan Anestesi Umum di RSIA B pada Tahun 2019. Muhammadiyah Journal of Midwifery, 2(1), 10. https://doi.org/10.24853/myjm.2.1.10-20
Karnina, R., Putri, M., Anastesi, D., & Muhammadiyah, U. (2021). ISSN : 1907-8153 ( Print ) ISSN : 2549-0567 ( Online ) DOI : https://doi.org/10.32382/medkes.v16i2.2007 ISSN : 2549-0567 ( Online ). XVI(2), 254–258.
Karnina, R., & Salmah, M. (2021). Hubungan Usia, Jenis Kelamin, Lama Operasi dan Status ASA dengan Kejadian PONV pada Pasien Pasca Operasi Laparatomi Bedah Digestif. Health and Medical Journal, 4(1), 16–22. https://doi.org/10.33854/heme.v4i1.867
Latha, S., Kamath, N., Joseph, G., & Rajesh, V. (2023). Multimodal perioperative management programme on postoperative discomfort among clients undergoing abdominal surgery at a selected hospital in Mangaluru. Biomedicine (India), 43(1), 341–347. https://doi.org/10.51248/.v43i01.2187
Lee, J. K. W., Shirreffs, S. M., & Maughan, R. J. (2008). Cold drink ingestion improves exercise endurance capacity in the heat. Medicine and Science in Sports and Exercise, 40(9), 1637–1644. https://doi.org/10.1249/MSS.0b013e318178465d
Nakatani, H., Naito, Y., Ida, M., Sato, M., Okamoto, N., Nishiwada, T., & Kawaguchi, M. (2023). Association between intraoperative hypotension and postoperative nausea and vomiting: a retrospective analysis of 247 thyroidectomy cases. Brazilian Journal of Anesthesiology (English Edition), 73(5), 635–640. https://doi.org/10.1016/j.bjane.2021.02.029
Panji, P. A. S. (2023). Mual Muntah Setelah Operasi. Kemenkes. https://yankes.kemkes.go.id/view_artikel/2357/mual-dan-muntah-setelah-operasi
Pradhana, A. P., Ayu, D., & Shintya, M. (2023). Teknik Anestesia Epidural Dalam Operasi Herniotomi pada Pasien Atrial Septal Defect dengan Hipertensi Pulmonal Epidural Anesthesia Technique in Herniotomi Surgery in Atrial Septal Defect Patients with Pulmonal Hypertension. Jurnal Anestesiologi Indonesia, 15, 222–230.
Rahmawati, A. A., Isnawati, M., & Rahayuni, A. (2020). Efektifitas Edukasi HIdrasi dan Asupan Carian Terhadap status hidrasi Atlet Remaja.
Rhodes, V. A., & Roxanne, W. (1990). Nausea , Vomiting , and Retching : Complex Problems in Palliative Care. 232–248.
Type, I., Date, P., Score, A. S., & License, I. (2023). Screening surgical patients with the Apfel Simplified Score and providing prophylaxis guidelines can significantly reduce the rate of.
Yi, M. S., Kang, H., Kim, M. K., Choi, G. J., Park, Y. H., Baek, C. W., Jung, Y. H., & Woo, Y. C. (2018). Relationship between the incidence and risk factors of postoperative nausea and vomiting in patients with intravenous patient-controlled analgesia. Asian Journal of Surgery, 41(4), 301–306. https://doi.org/10.1016/j.asjsur.2017.01.005
Zhou, C. M., Wang, Y., Xue, Q., Yang, J. J., & Zhu, Y. (2023). Predicting early postoperative PONV using multiple machine-learning- and deep-learning-algorithms. BMC Medical Research Methodology, 23(1), 1–9. https://doi.org/10.1186/s12874-023-01955-z
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