OPTIMALISASI KEPATUHAN PUASA PRA OPERASI MELALUI ASPIRATION SIMULATION DEVICES DALAM UPAYA PENCEGAHAN RESIKO ASPIRASI OPERATIVE

Ika Subekti Wulandari; Anis Laela Megasari; Erindra Budi Cahyanto; Sri Mulyani; Mujahidatul Musfiroh

doi:10.31764/jmm.v8i5.25979

OPTIMALISASI KEPATUHAN PUASA PRA OPERASI MELALUI ASPIRATION SIMULATION DEVICES DALAM UPAYA PENCEGAHAN RESIKO ASPIRASI OPERATIVE

Ika Subekti Wulandari, Anis Laela Megasari, Erindra Budi Cahyanto, Sri Mulyani, Mujahidatul Musfiroh

Abstract

Abstrak: Aspirasi pulmonal selama operasi sebagai akibat dari tindakan anestesi merupakan kasus yang penting untuk dicegah, karena dapat menyebabkan peradangan paru atau bahkan meningkatkan resiko kematian. Sayangnya pasien masih belum memahami pentingnya puasa sebelum operasi dan bersikap tidak patuh dalam mengikuti instruksi puasa pra operasi. Kegiatan Pengabdian kepada Masyarakat ini bertujuan untuk meningkatkan kemampuan soft skill kepatuhan pasien dalam menjalani puasa sebelum tindakan operasi sehingga dapat menurunkan resiko kejadian aspirasi pulmonal selama operasi yang berdampak terhadap peningkatan patient safety perioperative. Peserta kegiatan ini sebanyak 20 orang yang merupakan pasien dan keluarga pasien yang akan menjalani operasi dengan spinal maupun general anestesi. Metode pengabdian ini berupa penyuluhan. Monitoring dan evaluasi dilakukan menggunakan pre- test dan post-test menggunakan kuisioner kepatuhan puasa pra operasi sebanyak 10 soal. Kegiatan telah dilakukan tanggal 5 Agustus 2024 dengan hasil rerata skor kepatuhan puasa pra operasi mengalami peningkatan 5.95 (30%) setelah dilakukan kegiatan ini. Skor minimal kepatuhan puasa pra operasi yang sebelumnya 15 meningkat menjadi 22, sedangkan skor maksimal kepatuhan puasa pra operasi yang sebelumnya 34 menjadi 38.

Abstract: Pulmonary aspiration during surgery as a result of anesthesia is an important case to prevent, because it can cause lung inflammation or even increase the risk of death. Unfortunately, patients still do not understand the importance of fasting before surgery and are non-compliant in following preoperative fasting instructions. This Community Service Activity aims to improve patient compliance in fasting before surgery so that it can reduce the risk of pulmonary aspiration during surgery which has an impact on increasing perioperative patient safety. There were 20 participants in this activity. The service method is in the form of counseling. Monitoring and evaluation were carried out using a pre-test and post-test using a 10-question preoperative fasting compliance questionnaire. The activity was carried out on August 5, 2024 with the average preoperative fasting compliance score increasing by 5.95 (30%) after this activity was carried out. The minimum preoperative fasting compliance score which was previously 15 increased to 22, while the maximum preoperative fasting compliance score which was previously 34 became 38.

Keywords

Aspiration; Fasting Compliance; Perioperative; Simulation Devices.

Full Text:

DOWNLOAD [PDF]

References

Alshurtan, K. S., Elsaid, R. M., Alabdulaali, A. K., Alanazi, W. F., & Alruwaili, R. F. (2023). Community’s knowledge and attitude of pre-operative fasting in kingdom of Saudi Arabia, 2022. Signa Vitae, 19(6), 127–136. https://doi.org/10.22514/sv.2023.106

Ariegara, W., Susanti, A., & Lipinwati. (2021). Gambaran Lama Puasa Preanestesi Pada Pasien Bedah Terencana di RSUD Raden Mattaher Jambi Periode Oktober-Desember 2016. Journal of Medical Studies, 1 (1) 88–94.

Azzahra, T., & Gumilang, W. A. (2022). LinguA-LiterA Journal Of English Language Teaching Learning And Literature The Effectiveness of Animated Video Towards Students’ Ability in Writing Narrative Text. 5(1), 2620–410.

de Klerk, E. S., de Grunt, M. N., Hollmann, M. W., Preckel, B., Hermanides, J., & van Stijn, M. F. M. (2023). Incidence of excessive preoperative fasting: a prospective observational study. British Journal of Anaesthesia, 130(4), e440–e442. https://doi.org/10.1016/j.bja.2022.12.017

Goad, M., Huntley-Dale, S., & Whichello, R. (2018). The Use of Audiovisual Aids for Patient Education in the Interventional Radiology Ambulatory Setting: A Literature Review. Journal of Radiology Nursing, 37 (3)I, 1-4. https://doi.org/10.1016/j.jradnu.2018.06.003

Hartanto, B., Suwarman, & Sitanggang, R. H. (2016). Hubungan antara Durasi Puasa Preoperatif dan Kadar Gula Darah Sebelum Induksi pada Pasien Operasi Elektif di Rumah Sakit Dr. Hasan Sadikin Bandung. Jurnal Anestesi Perioperatif, 4(2), 87–94. https://doi.org/10.15851/jap.v4n2.822

Heryanto, H., Sembiring, S. B. S., & Togatorop, J. B. T. (2022). Analisis Faktor Penyebab Kesulitan Belajar Matematika Siswa Kelas V Sekolah Dasar. Jurnal Curere, 6(1), 45. https://doi.org/10.36764/jc.v6i1.723

Ingadottir, B., Olafsdottir, A. M., Sveinsdottir, H., Asmundsdottir, L. B., Asgeirsdottir, L., Torp, M. S., & Hafsteinsdottir, E. J. (2016). [Preoperative fasting: Instructions to patients and length of fasting - a prospective, descriptive survey]. Laeknabladid, 102(6), 283–288. https://doi.org/10.17992/lbl.2016.06.86

Jeffrey L. Apfelbaum, M. A. (2017). Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. Anesthesiology, 126(3), 376–393.

Li, X., Du, J., & Long, H. (2020). Reply to the rebuttal to: Li et al. “Dynamic analysis of international green behavior from the perspective of the mapping knowledge domain,”,. Environmental Science and Pollution Research, 27 (1), 6087-6098. https://doi.org/10.1007/s11356-020-08603-9

Lim, H. J., Lee, H., & Ti, L. K. (2014). An audit of preoperative fasting compliance at a major tertiary referral hospital in Singapore. Singapore Medical Journal, 55(1), 18–23. https://doi.org/10.11622/smedj.2014005

Masitah, R., Pamungkasari, E. P., & Suminah, S. (2020). the Effectiveness of Animation Video To Increase Adolescents’ Nutritional Knowledge. Media Gizi Indonesia, 15(3), 199. https://doi.org/10.20473/mgi.v15i3.199-204

Moe-Byrne, T., Evans, E., Benhebil, N., & Knapp, P. (2022). The effectiveness of video animations as information tools for patients and the general public: A systematic review. Frontiers in Digital Health, 4 (1), 1-14 1010779. https://doi.org/10.3389/fdgth.2022.1010779

Rahmatia. (2023). Gambaran Tingkat Pengetahuan Tentang Puasa Pra Operasi Pada Pasien Di Rsud H. Padjonga Daeng Ngalle Kabupaten Takalar Provinsi Sulawesi Selatan. 5(7), 1–14.

Robert Cronin Yung Peng, Rose Khavari, N. D. (2017). Acute Intraoperative Pulmonary Aspiration. Physiology & Behavior, 176(3), 139–148. https://doi.org/10.1159/000444169.Carotid

Saengow, V. E., Chancharoenchai, P., Saartying, W., Pimpa, W., Chotichanon, N., Lewsirirat, T., & Srisantisuk, P. (2018). Epilepsy video animation: Impact on knowledge and drug adherence in pediatric epilepsy patients and caregivers. Clinical Neurology and Neurosurgery, 172,Issue? 59–61. https://doi.org/10.1016/j.clineuro.2018.06.031

Sayuti, S., Almuhaimin, Sofiyetti, & Sari, P. (2022). Efektivitas Edukasi Kesehatan Melalui Media Video Terhadap Tingkat Pengetahuan Siswa dalam Penerapan Protokol Kesehatan di SMPN 19 Kota Jambi The Effectiveness of Health Education Through Video Media on Students ’ Knowledge Levels in the Application of He. Jurnal Kesmas Jambi (JKMJ), 6(2), 32–39.

Siti Aisah, Suhartini ismail, A. M. (2021). Edukasi Kesehatan Dengan Media Video Animasi: Scoping Review. Jurnal Perawat Indonesia, 5(1), 641–655. https://doi.org/10.32584/jpi.v5i1.926

Szeszak, S., Man, R., Love, A., Langmack, G., Wharrad, H., & Dineen, R. A. (2016). Animated educational video to prepare children for MRI without sedation: evaluation of the appeal and value. Pediatric Radiology, 46(12), 1744–1750. https://doi.org/10.1007/s00247-016-3661-4

Zahra, S., & Suwarna, I. P. (2023). Exploration of Increasing Students’ Critical Thinking in the Guided Discovery Learning Model on Light Waves. Jurnal Ilmiah Pendidikan Fisika, 7(2), 354. https://doi.org/10.20527/jipf.v7i2.9141

DOI: https://doi.org/10.31764/jmm.v8i5.25979