Identifikasi Efek Samping Post Sectio Caesaria dengan Metode ERACS (Enhanced Recovery After Cesarean Section) di RS Islam Jemursari Surabaya

Introduksi: Enhanced Recovery After Cesarean Section (ERACS) merupakan metode terbaru dalam operasi sectio caesarea (SC) yang bertujuan mempercepat pemulihan, mengurangi nyeri, serta menurunkan lama rawat inap. Meskipun demikian, metode ini tetap dapat menimbulkan efek samping seperti mual, muntah, pusing, gatal, dan nyeri yang dapat menghambat proses pemulihan. Tujuan: mengidentifikasi efek samping post operasi SC dengan metode ERACS di RS Islam Jemursari Surabaya. Metodologi: penelitian ini merupakan studi deskriptif dengan teknik consecutive sampling. Variabel dalam penelitian ini adalah efek samping post operasi sectio caesarea dengan menggunakan metode ERACS. Sampel pada penelitian ini adalah sebagian pasien post operasi ERACS selama 1 bulan yang memenuhi kriteria inklusi berjumlah 25 orang. Instrumen yang digunakan yakni kuesioner: INVR, 12-PSS, VAS, dan VSS-SF. Data dianalisis secara deskriptif untuk menggambarkan karakteristik dan efek samping yang muncul. Hasil: hasil penelitian menunjukkan 52% mengalami nyeri ringan, nyeri sedang (40%), mual ringan (16%) dan muntah sedang (4%), pusing ringan (32%), dan gatal ringan (8%). Penatalaksanaan efek samping dilakukan dengan pendekatan kombinasi farmakologis dan nonfarmakologis. Kesimpulan: efek samping pasca operasi SC metode ERACS masih umum terjadi. Penanganan yang tepat sangat diperlukan untuk mendukung pemulihan yang optimal. Hasil penelitian ini dapat menjadi dasar evaluasi pelaksanaan ERACS serta peningkatan pelayanan keperawatan post operasi.

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Enhanced Recovery After Cesarean Section (ERACS) is the latest method in cesarean section (CS) surgery that aims to accelerate recovery, reduce pain, and reduce the length of hospitalization. However, this method can still cause side effects such as nausea, vomiting, dizziness, itching, and pain that can hinder the recovery process. The purpose of this study is to identify post-CS surgery side effects using the ERACS method at Jemursari Islamic Hospital, Surabaya. This study is a descriptive study with consecutive sampling technique. The variable in this study is post-cesarean section side effects using the ERACS method. The samples in this study were some ERACS post-operative patients for one month who met the inclusion criteria totaling 25 people. The instruments used were questionnaires which consist of INVR, 12-PSS, VAS, and VSS-SF. Data were analyzed descriptively to describe the characteristics and side effects that appeared. Results: The results showed that 52% experienced mild pain, moderate pain (40%), mild nausea (16%) and moderate vomiting (4%), mild dizziness (32%), and mild itching (8%). Management of side effects was carried out using a combination of pharmacological and non-pharmacological approaches. It can be concluded that post-cesarean section side effects using the ERACS method are still common. Appropriate management is essential to support optimal recovery. The results of this study can serve as a basis for evaluating the implementation of ERACS and improving post-operative nursing services.