Efektivitas Rom Terhadap Bromage Score Pada Pasien Post Operasi Turp Dan URS Dengan Spinal Anestesi Di  RS PKU Muhammadiyah Bantul

Zapri Al Farizi; Astika Nur Rohmah; Muhaji

Authors

Zapri Al Farizi Universitas Aisyah Yogyakarta
Astika Nur Rohmah Universitas Aisyah Yogyakarta
Muhaji Universitas Aisyah Yogyakarta

Keywords:

Pemulihan Motorik, Spinal Anestesi, Range of Motion, Bromage Score, Transurethral Resection of the Prostate

Abstract

Spinal anestesi merupakan salah satu teknik yang umum digunakan pada tindakan operasi ekstremitas bawah, seperti transurethral resection of the prostate dan ureterorenoscopy. Salah satu efek samping dari anestesi ini adalah blok motorik yang dapat memperlambat pemulihan fungsi ekstremitas bawah. Latihan range of motion merupakan intervensi nonfarmakologis yang dapat mempercepat pemulihan blok motorik melalui peningkatan aliran darah perifer dan stimulasi neuromuskular. Penelitian ini bertujuan untuk mengetahui efektivitas latihan range of motion terhadap skor pemulihan motorik berdasarkan Bromage Score pada pasien pascaoperasi di RS PKU Muhammadiyah Bantul. Desain penelitian ini adalah kuantitatif deskriptif komparatif dengan total 30 responden yang terbagi menjadi dua kelompok tindakan. Pengukuran dilakukan sebelum dan sesudah intervensi. Hasil uji Wilcoxon menunjukkan nilai p = 0,000, yang mengindikasikan adanya pengaruh yang signifikan. Sementara itu, hasil uji Mann-Whitney menunjukkan tidak terdapat perbedaan signifikan antara kedua kelompok (p = 0,055), meskipun secara deskriptif kelompok ureterorenoscopy menunjukkan hasil lebih tinggi. Latihan range of motion terbukti efektif dalam mempercepat pemulihan motorik pasca anestesi spinal dan dapat diterapkan dalam praktik keperawatan.

References

Asfaw, G., & Eshetie, A. (2020). A case of total spinal anesthesia. International Journal of Surgery Case Reports, 76, 237–239. https://doi.org/10.1016/j.ijscr.2020.09.177

Soomro, A., Siddiqui, M. A., Perchani, A., Raza, H., K., & Luhana, S. (2021). Efficacy of general anesthesia as compared to spinal anesthesia for patients undergoing ventral abdominal hernia repair: a randomized controlled trial. The Professional Medical Journal, 28(6), 876–880. https://doi.org/10.29309/tpmj/2021.28.06.4792

Lisa Gu, Cameron R. Smith, Barys Ihnatsenka, Yury Zasimovich, L. L.-W. (2023). Comparing spinal chloroprocaine to hyperbaric and isobaric bupivacaine for total hip and knee arthroplasties: A retrospective study. Cureus. https://doi.org/10.7759/cureus.35729

Novianty, L., & Nurdini, R. (2020). Studi Kasus Asuhan Keperawatan Pada Pasien Post Transurethral Resection of the Prostate (TURP) Dengan Masalah Risiko Perdarahan Di RSUD Dr. Chasbullah Abdul Madjid Kota Bekasi. Jurnal Kesehatan Bhakti Husada, 5(2), 4. https://doi.org/10.37848/jurnal.v5i2.72

Chen, H., Pan, Y., Xiao, M., Yang, J., & Wei, Y. (2021). The outcomes of pre-stenting on renal and ureteral stones: A meta-analysis. Urologia Internationalis, 106(5), 495–503. https://doi.org/10.1159/000519473

Renuka, K., & Venkataramanan, S. (2022). Effectiveness of passive range-of-motion exercises on quality of sleep among postoperative orthopedic patients. Pondicherry Journal of Nursing, 15(2), 33–35. https://doi.org/10.5005/jp-journals-10084-13140

Nirmalasari, N., Mardiyono, M., Dharmana, E., & Arifin, T. (2020). Deep breathing exercise and active range of motion influence physiological response of congestive heart failure patients. Nurse Media Journal of Nursing, 10(1), 57–65. https://doi.org/10.14710/nmjn.v10i1.25318

Shi, L., Zhang, D., Ye, P., Peng, W., Yin, Y., & Zhang, Y. (2024). Clinical effect of different concentrations of ropivacaine in the labor analgesia of dural puncture epidural technique for obese puerperae. Perioperative Medicine, 13(1), 1–9. https://doi.org/10.1186/s13741-024-00363-1

Rehatta, N. M., Rahardjo, H. E., & Sutjipto, S. (2019). Spinal Anesthesia in Elderly Patients: Physiologic Considerations and Clinical Implications.

Morgan, G. E., & Mikhail, M. S. (2018). Clinical Anesthesiology (6th ed.). McGraw-Hill Education.

Diana, N., & Yachin, T. (2019). The Influence of Passive Range of Motion (ROM) on Lower Extremity in Postoperative Patients with Spinal Anesthesia in Rumkitban Sidoarjo.

Mathey, R. J. (2022). Benign Prostatic Hyperplasia: Current Surgical and Medical Management Approaches.

Liu, M., Zhang, D., & Chen, J. (2020). Epidemiology of Urolithiasis in Asia: A Focus on Gender and Age Differences.

American Society of Anesthesiologists. (2020). ASA Physical Status Classification System.

Zhou, X., Zhang, W., & Liu, H. (2015). Effect of ASA Status on Recovery from Spinal Anesthesia in Elderly Surgical Patients.

Tarbiat, M., Noori, M., & Shojaei, M. (2019). Impact of Surgical Duration on the Recovery Profile of Patients Receiving Spinal Anesthesia: A Prospective Study.

Izfaningrum, I., Dewi, N. I., & Puspitasari, W. (2020). Effectiveness of Swedish Massage on Recovery of Motor Block Post Spinal Anesthesia in Lower Limb Surgery.

Renuka, N., & Venkataramanan, A. (2022). Effect of Passive Range of Motion Exercises on Circulation and Joint Mobility in Postoperative Patients.

Nirmalasari, S., Puspitasari, D., & Wardani, D. A. (2020). The Influence of Active and Passive Range of Motion on Physiological Parameters and Patient Comfort.