Profil Penggunaan Analgesik sebagai Manajemen Nyeri pada Pasien Post Sectio Caesarea (Penelitian Dilakukan di Ruang Rawat Inap Verlos Kamer RSUD Bhakti Dharma Husada Surabaya)

Sectio Caesarea (SC) merupakan tindakan pembedahan yang dapat menimbulkan nyeri pasca operasi, baik secara somatik maupun visceral. Penanganan nyeri menjadi penting agar proses pemulihan ibu pasca operasi berjalan optimal. Penelitian ini bertujuan untuk mengetahui pola penggunaan analgesik pada pasien Post Sectio Caesarea di RSUD Bhakti Dharma Husada Surabaya periode Januari–Desember 2024. Penelitian ini menggunakan metode deskriptif dengan pendekatan retrospektif terhadap data rekam medis. Sampel diambil secara purposive sampling sebanyak 177 pasien dari total 317 populasi. Data dianalisis secara kuantitatif dan disajikan dalam bentuk frekuensi serta persentase. hasil penelitian mengenai profil penggunaan analgesik pada pasien Post Sectio Caesarea (SC) di RSUD Bhakti Dharma Husada Surabaya selama periode Januari–Desember 2024 menunjukkan bahwa mayoritas pasien berada pada rentang usia reproduktif (20–35 tahun) sebesar 74,01% dan menjalani SC pertama kali (59,32%). Usia kehamilan mayoritas cukup bulan (37–42 minggu) sebesar 85,88%. Indikasi SC terbanyak adalah riwayat SC sebelumnya (29,63%), disusul penyakit penyerta seperti hipertensi dan preeklamsia. Analgesik kombinasi lebih banyak digunakan (90,96%) dibandingkan analgesik tunggal (9,04%). Kombinasi paling sering adalah Tramadol dengan Paracetamol, Ketorolak, atau Asam Mefenamat. Paracetamol menjadi analgesik serbaguna yang digunakan baik secara tunggal maupun kombinasi, karena profil keamanannya tinggi. Asam Mefenamat sebagai terapi analgesik pada 100% pasien KRS sebagai kontrol nyeri di rumah. Efek samping yang ditemukan, yaitu mual (1%) dan muntah (3%) pada penggunaan opioid serta kembung (7%) pada penggunaan NSAID. Efek samping yang muncul umumnya bersifat ringan hingga sedang. Durasi terapi umumnya selama 3 hari, dengan beberapa pasien memerlukan hingga 5 hari tergantung kondisi klinis.

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Caesarean section (CS) is a surgical procedure that can cause postoperative pain, both somatic and visceral. Pain management is crucial for optimal maternal recovery. This study aims to determine the pattern of analgesic use in post-cesarean section patients at the Bhakti Dharma Husada Hospital, Surabaya, from January to December 2024. This study used a descriptive method with a retrospective approach to medical record data. A purposive sampling method was used to select 177 patients from a total population of 317. Data were analyzed quantitatively and presented as frequencies and percentages. The results of a study on the profile of analgesic use in Post-Caesarean Section (CS) patients at Bhakti Dharma Husada Surabaya Regional Hospital during the period January–December 2024 showed that the majority of patients were in the reproductive age range (20–35 years) at 74.01% and underwent their first CS (59.32%). The majority of gestational ages were full-term (37–42 weeks) at 85.88%. The most common indication for CS was a history of previous CS (29.63%), followed by comorbidities such as hypertension and preeclampsia. Combination analgesics were used more frequently (90.96%) than single analgesics (9.04%). The most common combination was Tramadol with Paracetamol, Ketorolac, or Mefenamic Acid. Paracetamol is a versatile analgesic used both singly and in combination, due to its high safety profile. Mefenamic acid as an analgesic therapy in 100% of Hospital Discharge (KRS) patients for pain control at home. Side effects include nausea (1%) and vomiting (3%) with opioid use, and bloating (7%) with NSAID use. These side effects are generally mild to moderate. The duration of therapy is generally 3 days, with some patients requiring up to 5 days depending on their clinical condition.