PENGARUH INTERVENSI KEPERAWATAN NON FARMAKOLOGI AROMATERAPI JAHE TERHADAP MUAL MUNTAH PASIEN POST OPERASI
Abstract
Abstrak
Pendahuluan : Mual dan muntah atau yang lebih sering disebut Post Operative Nausea and Vomiting (PONV) merupakan masalah yang sering muncul pada pasien post operasi. Mual dan muntah yang terjadi jika tidak ditangani akan memperpanjang masa rawat pasien, meningkatkan biaya perawatan dan menambah stressor bagi pasien sehingga perawat harus benar-benar memahami kondisi mual dan muntah yang terjadi pada pasien. Metode : Penelitian merupakan Randomized Clinical Trial menggunakan metode Single Blind dengan jumlah sampel 60 responden terdiri dari 30 responden dalam kelompok intervensi dan 30 responden dalam kelompok kontrol. Teknik pengambilan sampel menggunakan consecutive sampling dan penentuan kelompok intervensi dan kontrol dengan randomisasi alokasi subjek sederhana. Hasil : Hasil penelitian didapatkan nilai p=0,010 yang menunjukkan ada perbedaan yang bermakna/signifikan score mual muntah antara kelompok kontrol dan intervensi. Diskusi : Hasil penelitian ini menunjukkan bahwa aromaterapi jahe memberikan pengaruh dalam menurunkan skor mual muntah (PONV) pada pasien post operasi. Saran: Aromaterapi jahe supaya dapat diterapkan sebagai bagian intervensi keperawatan dalam pemberian asuhan keperawatan pasien post operasi.
Kata Kunci : aromaterapi jahe, mual muntah, post operasi
Abstract
Introduction: Nausea and vomiting or more commonly called Post Operative Nausea and Vomiting (PONV) is a problem that often arises in postoperative patients. Nausea and vomiting that occurs if left untreated will prolong the patient's stay, increase the cost of care and increase stressors for the patient so nurses must really understand the condition of nausea and vomiting that occurs in patients. Methods: The research was a Randomized Clinical Trial using the Single Blind method with a sample of 60 respondents consisting of 30 respondents in the intervention group and 30 respondents in the control group. The sampling technique uses consecutive sampling and the determination of intervention and control groups by randomization of simple subject allocations. Results: The results obtained p value = 0.010 which showed a significant / significant difference in the score of nausea and vomiting between the control and intervention groups. Discussion: The results of this research indicate that ginger aromatherapy has an effect on reducing the nausea of vomiting (PONV) in postoperative patients. Suggestion: Ginger aromatherapy can be applied as part of nursing interventions in providing post-operative nursing care for patients.
Keywords: ginger aromatherapy, nausea, vomiting, post surgery
Full Text:
PDFReferences
Daftar Pustaka
Ali, B., Al-Wabel, N. A., Shams, S., Ahamad, A., Khan, S. A., & Anwar, F. (2015). Essential oils used in aromatherapy: A systemic review. Asian Pacific Journal of Tropical Biomedicine, 5(8), 601–611. https://doi.org/10.1016/j.apjtb.2015.05. 007
Andrian Ramadhan. (2014). Kategori Umur Menurut Depkes RI (2009). Departemen Kesehatan RI. Retrieved from file:///C:/Users/ASUS/Downloads/datenp df.com_arf-komunika-kategori-umur-menurut-depkes-ri-2009pdf-.pdf
Anggrahini, E. (2017). Perbedaan Perokok Aktif dan Perokok Pasif Terhadap Kejadian Post Operative Nausea and Vomiting Pada Pasien General Anestesi Di Rsud. Retrieved from http://eprints.poltekkesjogja.ac.id/419/1/ NASKAH PUBLIKASI.pdf
Apfel, C. C., Heidrich, F. M., Jukar-Rao, S., Jalota, L., Hornuss, C., Whelan, R. P.,… Cakmakkaya, O. S. (2012). Evidence-based analysis of risk factors for postoperative nausea and vomiting. British Journal of Anaesthesia, 109(5), 742–753. https://doi.org/10.1093/bja/aes276As’ad. (2013). Psikologi Industri. Image Rochester NY.
Babu, K. N., Sabu, M., Shiva, K. N., Divakaran, M., & Ravindran, P. N. (2011). Ginger. In Genetic Resources, Chromosome Engineering, and Crop Improvement: Medicinal Plants.
Bajwa, S. S., Bajwa, S. K., Kaur, J., Sharma, V., Singh, A., Singh, A., … Singh, K.(2011). Palonosetron: A novel approach to control postoperative nausea and vomiting in day care surgery. Saudi Journal of Anaesthesia. https://doi.org/10.4103/1658-354X.76484
Boehm, K., Büssing, A., & Ostermann, T.(2012). Aromatherapy as an adjuvant treatment in cancer care - A descriptive systematic review. African Journal of Traditional, Complementary and Alternative Medicines, 9(4), 503–518. https://doi.org/10.4314/ajtcam.v9i4.7 Chang, C. C., & Wong, C. S. (2016). Postoperative nausea and vomiting free for all: A solution from propofol? Acta Anaesthesiologica Taiwanica, 54(4),106–107. https://doi.org/10.1016/j.aat.2016.12.00 2
Chatterjee, S., Rudra, A., & Sengupta, S. (2011). Current concepts in the management of postoperative nausea And vomiting Anesthesiology Research and Practice.https://doi.org/10.1155/2011/748031
Dunning, T (2013). Aromatherapy: Overview, safety and quality issues. OA Alternative Medicine, 1(1), 1–6. https://doi.org/10.13172/2052-7845-1-1-518
Fransisca, A., Fuadi, I., & Bisri, D. Y. (2019). Perbandingan Aromaterapi Pepermin dengan Ondansetron Intravena sebagai Terapi Rescue Mual Muntah Pascaoperasi Mastektomi. Jurnal Anestesi Perioperatif. https://doi.org/10.15851/jap.v7n1.1587
Gan, T. J. (2006). Risk factors for postoperative nausea and vomiting. Anesthesia and Analgesia, 102(6), 1884–1898. https://doi.org/10.1213/01.ANE.0000219597.16143.4D
Gan, T. J., Meyer, T. A., Apfel, C. C., Chung, F., Davis, P. J., Habib, A. S., … Watcha, M. (2007). Society for ambulatory anesthesia guidelines for the management of postoperative nausea and vomiting. Anesthesia and Analgesia. https://doi.org/10.1213/01.ane.0000295230.55439.f4
Gautam, B. (2009). Spinal anaesthesia for laparoscopic cholecystectomy: A feasibility and safety study. Kathmandu University Medical Journal. Retrieved from file:///C:/Users/ASUS/Downloads/Spinal_anaesthesia_for_laparoscopic_cholecystectom.pdf
Geiger, J. L. (2005). The essential oil of ginger, Zingiber officinale, and anaesthesia. International Journal of Aromatherapy. https://doi.org/10.1016/j.ijat.2004.12.002
Hunt, R., Dienemann, J., Norton, H. J., Hartley, W., Hudgens, A., Stern, T., & Divine, G. (2013). Aromatherapy as treatment for postoperative nausea: A randomized trial. Anesthesia and Analgesia. https://doi.org/10.1213/ANE.0b013e31824a0b1c
Islam, S., & Jain, P. (2004). Post-operative nausea and vomiting (PONV).: A Review Article. Indian Journal of Anaesthesia. Retrieved from http://medind.nic.in/iad/t04/i4/iadt04i4p253.pdf
Istiningtyas, A., & Irdianty, M. S. (2018). Perbandingan Efektivitas Aromaterapi Peppermint Dan Jahe Terhadap Mual Muntah Post Operasi Odontektomi Dengan General Anestesi Di Rumah Sakit Kasih Ibu Surakarta Mahasiswa Program Studi Sarjana Keperawatan STIKes Kusuma Husada Surakarta PENDAHULUAN Keseha, 1–17. Retrieved from http://digilib.stikeskusumahusada.ac.id/ repo/disk1/44/01-gdl-lisyanist1-2198-1-lisyani-l.pdf
J.C.Y., W. (2012). Psychological co-morbidity in functional gastrointestinal disorders: Epidemiology,mechanisms and management. Journal of Neurogastroenterology and Motility. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articl es/PMC3271249/pdf/jnm-18-13.pdf
Johnson, K., West, T., Diana, S., Todd, J., Haynes, B., Bernhardt, J., & Johnson, R. (2017). Use of aromatherapy to promote a therapeutic nurse environment. Intensive and Critical Care Nursing. https://doi.org/10.1016/j.iccn.2017.01.0 06
Kinasih, A. R., Trisna, E., & Fatonah, S. (2019). PENGARUH AROMATERAPI JAHE TERHADAP MUAL MUNTAH PADA PASIEN PASKA OPERASI DENGAN ANESTESI UMUM. Jurnal Ilmiah Keperawatan Sai Betik, 14(2),171. https://doi.org/10.26630/jkep.v14i2.1302
Kurniasari, L., Hartati, I., & Ratnani, R. D. (2006). Kajian Ekstraksi Minyak Jahe Assisted Extraction (Mae). Momentum. Retrieved from https://www.neliti.com/id/publications/1 14974/kajian-ekstraksi-minyak-jahe-menggunakan-microwave-assisted-extraction-mae
Le Guen, M., Grassin-Delyle, S., Cornet, C., Genty, A., Chazot, T., Dardelle, D., … Fischler, M. (2014). Comparison of the potency of different propofol formulations. Anesthesiology. https://doi.org/10.1097/01.anes.000043 5741.97234.04
Lee, Y. Z., Lee, R. Q., Thinn, K. K., Poon, K. H., & Liu, E. H. C. (2015). How patients fare after anaesthesia for elective surgery: A survey of postoperative nausea and vomiting, pain and confusion. Singapore Medical Journal. https://doi.org/10.11622/smedj.201500
Lua, P. L., Salihah, N., & Mazlan, N. (2015). Effects of inhaled ginger aromatherapy on chemotherapy-induced nausea and vomiting and health-related quality of life in women with breast cancer. Complementary Therapies in Medicine. https://doi.org/10.1016/j.ctim.2015.03.00 9
McGlen, I., Wright, K., Haumueller, M., & Croll, D. (2008). The ABC of mental health. Emergency Nurse. Notoatmodjo. (2012). Promosi Kesehatan dan Prilaku Kesehatan. In Экономика Региона.
Notoatmodjo, S. (2010). Promosi Kesehatan, Teori & Aplikasi, ed. revisi 2010. Jakarta: Rineka Cipta. https://doi.org/10.1108/JMTM-03-2018-0075
Nursalam. (2017). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis. Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis.
Nurwinarsih, F. (2009). Perbandingan efektivitas premedikasi ondansetron dan deksametason dalam mencegah mual dan muntah pasca operasi, 5–59. Retrieved from file:///C:/Users/ASUS/Downloads/fitri.pdf
Orewole, T. O., Aremu, S. K., Bolaji, B. O., & Kolawole, I. K. (2014). Comparative trial of combined metoclopramide and dexamethasone versus dexamethasone in post operative nausea and vomiting in gynaecological surgery. American Journal of Research Communication. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558365/pdf/TJOD-11-219.pdf
Rihiantoro, T., Oktavia, C., & Udani, G. (2018). Pengaruh Pemberian Aromaterapi Peppermint Inhalasi terhadap Mual Muntah pada Pasien Post Operasi dengan Anestesi Umum. Jurnal Ilmiah Keperawatan Sai Betik, 14(1), 1. https://doi.org/10.26630/jkep.v14i1.100 0
Rother, C. (2012). Post Operative Nausea & Vomiting Use of Anti Emetic Agents in Anaesthesia. Scottish Universities Medical Journal, 1(1), page 89-97. Retrieved from http://sumj.dundee.ac.uk/data/uploads/ volume1/SUMJVol1-p89-97.pdf
Sari, Dita Nelvita ; Murni, A. W. ; E. (2014). Hubungan Ansietas dan Depresi dengan Derajat Dispepsia Fungsional di RSUP Dr M Djamil Padang Periode Agustus 2013 hingga Januari 2014. Jurnal Kesehatan Andalas, 6(1), 117–122. Retrieved from http://jurnal.fk.unand.ac.id/index.php/jka/article/view/656
Nursalam. (2017). Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis. Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis.
Sugiyono. (2016). Metodologi Penelitian Kuantitatif, Kualitatif, dan R&D. CV Alfabeta. https://doi.org/https://doi.org/10.3929/ethz-b-000238666
Sweis, I., Yegiyants, S. S., & Cohen, M. N. (2013). The management of postoperative nausea and vomiting: Current thoughts and protocols. Aesthetic Plastic Surgery. https://doi.org/10.1007/s00266-013-0067-7
Tóth, B., Lantos, T., Hegyi, P., Viola, R., Vasas, A., Benkő, R., … Csupor, D. (2018). Ginger (Zingiber officinale): An alternative for the prevention of postoperative nausea and vomiting. A meta-analysis. Phytomedicine. https://doi.org/10.1016/j.phymed.2018. 09.007
Wijaya, A. A., Fithrah, B. A., Marsaban, A. H. M., & Hidayat, J. (2014). Efektivitas Pemberian Cairan
Praoperatif Ringer Laktat 2 mL/kgBB/jam Puasa untuk Mencegah Mual Muntah Pascaoperasi. Jurnal Anestesi Perioperatif, 2(3),200–207. https://doi.org/10.15851/jap.v2n3.332
Worwood, V. A. (2000). Aromatherapy for the healthy child: more than 300 natural non-toxic, and fragrant essential oil blends. New Wold Library.
Refbacks
- There are currently no refbacks.
PUBLISHED BY |
MAP LOCATION |