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Journal : PAMERI : Pattimura Medical Review

FAKTOR RISIKO DENGAN ANGKA KEJADIAN POST OPERATIVE NAUSEA AND VOMITING PADA PASIEN YANG DILAKUKAN ANESTESI SPINAL DI RSUD DR. M. HAULUSSY AMBON DAN RS BHAYANGKARA AMBON TAHUN 2022 Prily G Lekatompessy; Cokorda I.A. Devi; Presli Glovrig Siahaya; Is Ikhsan Hataul
PAMERI Vol 4 No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Pattimura

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (379.695 KB) | DOI: 10.30598/pamerivol4issue1page8-16

Abstract

Introduction: Postoperative Nausea and Vomiting (PONV) is a side effect that often occurs after anesthesia. PONV is associated with various factors, these factors are categorized into risk factors related to patient, surgery, and anesthesia. PONV can occur in men and women of all ages. Although it is not known for certain, smoking is believed to prevent the occurrence of PONV. In addition, prophylactic administration of ondansetron can also prevent the occurrence of PONV. Objective: This study aims to determine the relationship between risk factors and the incidence of PONV in patients undergoing spinal anesthesia at Dr. M. Haulussy Ambon and Bhayangkara Hospital Ambon in 2022. Methods: This study is an observational analytic study with a cross sectional approach which was conducted in February-March 2022 by using a total sampling technique of 43 patients who underwent lower abdominal surgery and underwent spinal anesthesia at Dr. Hospital. M. Haulussy Ambon and Bhayangkara Hospital Ambon. The instrument used is a questionnaire taken from the article “Simplified Postoperative Nausea and Vomiting Impact Scale for Audit and Post-Discharge Review in the British Journal of Anaesthesia” that has been modified. Data were analyzed using the Chi-Square test to determine the relationship between risk factors and the incidence of PONV in patients undergoing spinal anesthesia. Results: The results showed that there was a significant relationship between age (P=0.027), gender (P=0.008), smoking history (P=0.011), and history of ondansetron prophylaxis (P=0.005) with the incidence of PONV in patients after lower abdominal surgery. with spinal anesthesia. Conclusions: This study shows the importance of knowing the risk factors to be aware of the occurrence of PONV after lower abdominal surgery with spinal anesthesia at Dr. M. Haulussy Ambon and Bhayangkara Hospital Ambon.
HUBUNGAN PENGETAHUAN PERAWAT PELAKSANA TERHADAP PEMBERIAN TERAPI NUTRISI PER NGT DI RSUP. PROF. DR. R. D. KANDOU MANADO Dylan Tamalsir; Masumbauw Jenifer J A; Siahaan Junita; Rosdiana Mus; Presli G Siahaya
PAMERI Vol 5 No 1 (2023): PAMERI: Pattimura Medical Review
Publisher : Fakultas Kedokteran Universitas Pattimura

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.817 KB) | DOI: 10.30598/pamerivol5issue1page16-22

Abstract

Nutrients are substances that can affect health and disease. Someone who consumes less nutrition has a greater risk of experiencing malnutrition compared to consuming enough nutrition. The process of providing nutrition itself is very complex so that it requires good knowledge and collaboration between health professionals, including nurses who have responsibilities and roles in the management of nutritional therapy. This study aims to determine the relationship between the knowledge of the implementing nurse and the provision of nutritional therapy per NGT at RSUP Prof. Dr. R. D. Kandou Manado. The research design used was analytic observational with a cross sectional approach. The sample selection technique used was purposive sampling with a sample of 90 nurses. The results of this study showed that there was no significant relationship between the knowledge of the implementing nurse and the provision of nutritional therapy per NGT with an α 0.208 > 0.05.
EFEKTIVITAS PENATALAKSANAAN HEMOROID DENGAN PARAN INJECTION LIGATION FOR AMBEIEN (PILA) DAN HEMOROIDEKTOMI Primitha Indriatni Serdi; Jacky Tuamelly; Nathalie Elischeva Kailola; Is Ikhsan Hataul; Presli Glovrig Siahaya; Achmad Tuahuns
PAMERI Vol 5 No 2 (2023): PAMERI: Pattimura Medical Review
Publisher : Fakultas Kedokteran Universitas Pattimura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30598/pamerivol5issue2page108-118

Abstract

Hemorrhoids are a disease that arises due to the dilation of blood vessels in the hemorrhoidal plexus so it becomes a dangerous disease and can interfere with daily activities. Hemorrhoidectomy is a procedure for treating hemorrhoids by excising as little as possible only the tissue that is dilated so that it does not interfere with the work function of the anal sphincter. Paran Injection Ligation for Hemorrhoids (PILA) is another procedure to treat hemorrhoidal patients using a combination method of sclerotherapy and rubber band ligation. This study aims to compare the effectiveness of the management of hemorrhoids with PILA and hemorrhoidectomy in Tk. II. Prof. Dr. J. A. Latumeten Ambon hospital for the period October 2021- October 2022. This study was an observational analytic study using a total sampling technique with a total sample of 67 subjects, including 32 hemorrhoidal patients who received PILA treatment and 35 hemorrhoidal patients who received hemorrhoidectomy. The data used in this study were medical records of hemorrhoids at the Tk. II Prof. Dr. J. A. Latumeten Ambon hospital for the period October 2021 – October 2022. This study used bivariate analysis using the Chi-Square test to assess the effectiveness of treatment by comparing several components of management effectiveness, namely pain, bleeding, mobilization, length of stay, and postoperative visits with complications to hemorrhoidectomy and PILA. Analysis with the Fisher Exact test is used if the data does not meet the requirements for the Chi-Square Test. The results of the study showed that there were significant differences between the management of hemorrhoids and hemorrhoidectomy and PILA which were obtained from the comparison of the effectiveness components, namely; pain (p = 0.000), bleeding (p = 0.000), mobilization (p = 0.000), length of stay (p = 0.000), and postoperative visits with complications (p = 0.002) with hemoroid management (PILA and hemorrhoidectomy).