Studi Penggunaan Analgesik Non-Opioid pada Pasien Pasca Operasi Sectio Caesarea (SC) (Penelitian dilakukan di Instalasi Rawat Inap RSUD Haji Provinsi Jawa Timur)

Sectio Caesarea (SC) adalah pembedahan melahirkan janin melalui sayatan pada dinding perut dan uterus, untuk mendukung wanita yang tidak mampu melahirkan secara normal. Efek dari sc adalah timbulnya rasa sakit, yang diatasi dengan pemberian obat analgesik non opioid. Tujuan penelitian ini mengetahui penggunaan analgesik non-opioid pada pasien pasca operasi sc di RSUD Haji Provinsi Jawa Timur. Jumlah sampel sebanyak 169 pasien diperoleh secara retrospektif menggunakan strategi purpose sampling berdasarkan data medis. Temuan penelitian menggungkapkan bahwa, usia 31–35 tahun mendominasi 29% masih dalam usia ideal kehamilan sehat, sementara risiko komplikasi lebih tinggi pada usia di bawah 20 dan di atas 35 tahun. Mayoritas pasien menggunakan JKN PBI (54,44%) dan JKN NON PBI (42,60%), menunjukkan kepercayaan tinggi terhadap skema JKN. Indikasi sc terbanyak adalah Bekas Sectio Caesarea (15%), dengan jaringan pasca sc rentan robek sehingga berisiko pada kehamilan berikutnya. Lama perawatan paling banyak 3 hari (67%), disesuaikan kompleksitas kasus dan tingkat nyeri. Analgesik non opioid yang paling banyak digunakan adalah injeksi Ketorolac 30 mg (35%), diikuti asam mefenamat tablet 500 mg (29%). Sedangkan dalam data klinis tekanan darah selama 5 hari pasca operasi menunjukkan hipotensi 36%–51% dan hipertensi derajat 1 sebesar 22%–39%, terkait aktivasi saraf simpatis akibat nyeri. Sebagian besar pasien stabil dengan suhu tubuh normal (92%–100%), denyut nadi (89%–100%), RR (82%–91%), dan SpO2 >95% pada 98%, menandakan stabilitas klinis selama perawatan. Hasil ini penting untuk manajemen nyeri dan pemantauan pasien pasca sc.

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Sectio Caesarea (Sc) is a surgical procedure to deliver a fetus through an incision in the abdominal wall and uterus, intended to support women who are unable to give birth
naturally. A cesarean section (CS) causes pain, which is managed with the administration of non-opioid analgesics. The purpose of this study was to determine the use of non opioid analgesics in post-CS surgery patients at RSUD Haji, East Java. A sample of 169 patients was obtained retrospectively using a purposeful sampling strategy based on medical records. The study findings revealed that the 31–35-year-old age group dominated, with 29% still within the ideal age range for a healthy pregnancy, while the risk of complications was higher in those under 20 and over 35 years of age. The majority
of patients used JKN PBI (54.44%) and JKN NON PBI (42.60%), demonstrating high trust in the JKN scheme. The most common indication for a Sc was a previous Sectio
Caesarea (15%), as post-Sc tissue is susceptible to tearing, posing a risk to subsequent pregnancies. The maximum length of stay was 3 days (67%), adjusted for case complexity and pain level. The most commonly used non-opioid analgesic was ketorolac 30 mg injection (35%), followed by mefenamic acid 500 mg tablets (29%). Clinical data on blood pressure during the 5 days postoperatively showed hypotension in 36%–51% and grade 1 hypertension in 22%–39%, related to pain-induced sympathetic nerve activation. Most patients were stable with normal body temperature (92%–100%), pulse rate (89%-100%), RR (82%–91%), and SpO2 >95% in 98%, indicating clinical stability throughout treatment. These results are important for pain management and patient monitoring after a Sc.