PENGARUH MOBILISASI DINI TERHADAP PEMULIHAN SISTEM PERKEMIHAN PADA PASIEN POST OPERASI AFF DJ STENT DENGAN SPINAL ANASTESI
DOI:
https://doi.org/10.57213/nurse.v6i2.175Keywords:
mobilisasi, pemulihan, perkemihan, spinal anastesi, aff DJ stentAbstract
Gangguan sistem perkemihan pada pasien dengan aff DJ Stent, umumnya terjadi setelah pembedahan dengan anestesi spinal, kejadiannya antara 50%-70%. Akibat anestesi spinal, klien tidak mampu merasakan kebutuhan untuk berkemih, penanganan salah satunya adalah dengan mobilisasi dini. Tujuan dari penelitian ini untuk mengetahui pengaruh mobilisasi dini terhadap pemulihan sistem perkemihan pada pasien post operasi Aff DJ Stent dengan spinal anastesi di Ruang Bedah RSUD dr. Haryoto Lumajang. Desain penelitian ini menggunakan pra-eksperimen dengan rancangan one group pre-post test. Populasi adalah pasien post operasi Aff DJ Stent dengan spinal anastesi. Sample didapatkan 22 responden dengan metode pengambilan sample yaitu accidental sampling. Pemulihan sistem perkemihan diukur menggunakan lembar observasi. Tindakan mobilisasi dini dilaksanakan 6 jam setelah dilakukan Aff DJ Stent. Gerakan adduksi dan abduksi pada kaki dan tangan selama 5-10 menit hingga miring kanan kiri , posisi duduk dan berdiri hingga berjalan selama 10-30 menit. Analisa data yang digunakan adalah uji wilcoxon signed rank test dengan αlpa < 0,05. Sebelum dilakukan mobilisasi dini didapatkan 22 responden (100%) belum mengalami pemulihan sistem perkemihan, setelah dilakukan mobilisasi dini sebanyak 17 (77,3%) responden mengalami pemulihan sistem perkemihan dan 5 (22,7%) responden belum mengalami pemulihan sistem perkemihan. Hasil uji statistik didapatkan nilai p-value=0,000 (p value < α=0,05). Dapat disimpulkan bahwa pengaruh mobilisasi dini terhadap pemulihan sistem perkemihan pada pasien post operasi Aff DJ Stent dengan spinal anastesi. Dari hasil penelitian disarankan kepada rumah sakit dan perawat agar menjadikan mobilisasi dini sebagai terapi untuk pemulihan sistem perkemihan pasca pembedahan terutama dengan spinal anastesi.
References
Alaparthi, G. K., Gatty, A., Samuel, S. R., & Amaravadi, S. K. (2020). Effectiveness, Safety, and Barriers to Early Mobilization in the Intensive Care Unit. Critical Care Research and Practice, 2020, 7840743. https://doi.org/10.1155/2020/7840743
Alelign, T., & Petros, B. (2018). Kidney Stone Disease: An Update on Current Concepts. Advances in Urology, 2018, 3068365. https://doi.org/10.1155/2018/3068365
Baldini, G., Bagry, H., Aprikian, A. G., & Carli, F. (2019). Postoperative Urinary Retention: Anesthetic and Perioperative Considerations. Anesthesiology, 110, 1139–1157.
Beysens, M., & Tailly, T. O. (2018). Ureteral stents in urolithiasis. Asian Journal of Urology, 5(4), 274–286. https://doi.org/10.1016/j.ajur.2018.07.002
Brouwer, T. A., van Roon, E. N., Rosier, P. F. W. M., Kalkman, C. J., & Veeger, N. (2021). Postoperative urinary retention: risk factors, bladder filling rate and time to catheterization: an observational study as part of a randomized controlled trial. Perioperative Medicine, 10(1), 2. https://doi.org/10.1186/s13741-020-00167-z
Carrouget, J., Ammi, M., Lasocki, S., Lebdai, S., Brassart, E., Geslin, D., Larre, S., Culty, T., Chautard, D., Azzouzi, A. R., & Bigot, P. (2019). Double-J ureteral stent under local anesthesia for women. The Canadian Journal of Urology, 21(1), 7120–7124.
Chandraningrum, A. R., -, R. T. S., & Laqif, A. (2022). Perbandingan Hipotensi Antara Anestesi General dan Anestesi Spinal pada Seksio Sesarea. Plexus Medical Journal, 1(5), 172–180. https://doi.org/10.20961/plexus.v1i5.278
Frayoga, F., & Nurhayati, N. (2018). Pengaruh Mobilisasi Dini terhadap Pemulihan Kandung Kemih Pasca Pembedahan dengan Anastesi Spinal. Jurnal Ilmiah Keperawatan Sai Betik, 13(2), 226. https://doi.org/10.26630/jkep.v13i2.936
Gao, Y., & RodrÃguez, L. V. (2022). The Effect of Chronic Psychological Stress on Lower Urinary Tract Function: An Animal Model Perspective . In Frontiers in Physiology (Vol. 13). https://www.frontiersin.org/articles/10.3389/fphys.2022.818993
GarcÃa, G. G., Iyengar, A., Kaze, F., Kierans, C., Padilla-Altamira, C., & Luyckx, V. A. (2022). Sex and gender differences in chronic kidney disease and access to care around the globe. Seminars in Nephrology, 42(2), 101–113. https://doi.org/https://doi.org/10.1016/j.semnephrol.2022.04.001
Hernandez, N. S., Wang, A. Y., Kanter, M., Olmos, M., Ahsan, T., Liu, P., Balonov, K., Riesenburger, R. I., & Kryzanski, J. (2022). Assessing the impact of spinal versus general anesthesia on postoperative urinary retention in elective spinal surgery patients. Clinical Neurology and Neurosurgery, 222, 107454. https://doi.org/10.1016/j.clineuro.2022.107454
Jackson, J., Davies, P., Leggett, N., Nugawela, M. D., Scott, L. J., Leach, V., Richards, A., Blacker, A., Abrams, P., Sharma, J., Donovan, J., & Whiting, P. (2019). Systematic review of interventions for the prevention and treatment of postoperative urinary retention. BJS Open, 3(1), 11–23. https://doi.org/10.1002/bjs5.50114
Mlinac, M. E., & Feng, M. C. (2016). Assessment of Activities of Daily Living, Self-Care, and Independence. Archives of Clinical Neuropsychology, 31(6), 506–516. https://doi.org/10.1093/arclin/acw049
Muhammad Faizal, K., & Mulya. (2020). Efektivitas Mobilisasi Dini Terhadap Penyembuhan Luka Post Operasi Effectiveness of Early Mobilization on Healing of Post Operating Woes. Jksp, 3(1), 11–19.
Niazi, A. A. aziz, & Taha, M. A. aziz. (2015). Postoperative urinary retention after general and spinal anesthesia in orthopedic surgical patients. Egyptian Journal of Anaesthesia, 31(1), 65–69. https://doi.org/10.1016/j.egja.2014.12.002
Prayogi, S., & Hesti, P. (2020). Pemulihan Reflek Vesica Urinaria Pada Pasien Post Spinal Anestesi Di RSU PKU Muhammadiyah Surakarta. Jurnal Keperawatan Terapan, 7(2).
Reeana, T., Gregg, N., & Rosie, T. (2021). 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
Rodriguez-Mañas, L. (2020). Urinary tract infections in the elderly: a review of disease characteristics and current treatment options. Drugs in Context, 9. https://doi.org/10.7573/dic.2020-4-13
Verhamme, K. M. C., Sturkenboom, M. C. J. M., Stricker, B. H. C., & Bosch, R. (2018). Drug-induced urinary retention: Incidence, management and prevention. Drug Safety, 31(5), 373–388. https://doi.org/10.2165/00002018-200831050-00002
Vermişli, S., Cakmak, O., Muezzignoglu, T., & Aslan, G. (2022). The Effect of Postoperative Early Mobilization on the Healing Process and Quality of Life Following Radical Cystectomy and Ileal Conduit : A Randomized Prospective Controlled Trial. Journal Urooncology, 9(1), 9–19. https://doi.org/10.4274/jus.galenos.2021.2021.0065
von Siebenthal, M., Schneider, M. P., Zheng, S., Wuethrich, P. Y., Burkhard, F. C., & Monastyrskaya, K. (2021). Effects of opioids and benzodiazepines on bladder function of awake restrained mice. American Journal of Clinical and Experimental Urology, 9(6), 456–468.
Watanabe, S., Liu, K., Nakamura, K., Kozu, R., Horibe, T., Ishii, K., Yasumura, D., Takahashi, Y., Nanba, T., Morita, Y., Kanaya, T., Suzuki, S., Lefor, A. K., Katsukawa, H., & Kotani, T. (2022). Association between Early Mobilization in the ICU and Psychiatric Symptoms after Surviving a Critical Illness: A Multi-Center Prospective Cohort Study. Journal of Clinical Medicine, 11(9). https://doi.org/10.3390/jcm11092587
Westerling, D., & Andersson, K.-E. (2015). Opioids and Bladder Pain/Function BT - Encyclopedia of Pain. In R. F. Schmidt & W. D. Willis (Eds.), Encyclopedia of Pain (pp. 1573–1579). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-540-29805-2_2975
