Analisis Nilai Visual Analog Scale (VAS) terhadap Penggunaan Analgetik pada Pasien pasca Seksio Sesarea di RSUD Kota Kendari

Abstract

ABSTRACT Background: Sectio caesarean is one of choices for pregnant mother for her baby birth. The procedure of section caesarean has duration between 30-60 minutes. The procedure of section caesarean may induce moderate-severe pain in the surgical incision. This occurs because of the injury and the onset of inflammatory processes that secrete pain mediators, thus inducing pain. It must take the right analgesia choice. Research Purpose: This study was aimed at determining the value of Visual Analog Scale (VAS) on the use of analgesic in post-cesarean patients in RSUD Kendari. Method: Observational analytic design was used cross sectional approach. Dependent variable in this research were VAS T2, VAS T4 dan VAS T6 post operation. The independent variables of this study were analgesic (Ketorolak, Tramadol and Dexketoprofen). The location of this research was in RSUD Kendari with purposive sampling, 32 were covered samples. Data were obtained through interviews of VAS value with VAS card, blood pressure measurements with sphygmomanometer and stethoscope, pulse measurement with hold down arteri radialis and data from medical records. Kruskal-Wallis test was applied for data analysis, and if significant different followed by probability value/ sig <0,05 using Shapiro Wilk as normality test. After passing the inclusion, exclusion and drop out criteria, 32 patient samples were obtained. The number of patients for each analgesic were 10 (n = 10). This research showed the significancy value in the VAS T2 = 0,158, the significancy value in the VAS T4 = 0,350 and the significancy value in the VAS T6 = 0,679. Result: Result of the research showed that there were differences mean value between VAS T2, VAS T4 and VAS T6. Ketorolac 30 mg was the lowest mean of VAS T2 between another analgetic, the value was 12,15. Dexketoprofen 50 mg was the lowest mean of VAS T4 between another analgesc, the value was 13,85. Ketorolak 30 mg was the lowest mean of VAS T6 between another analgetic, the value is 13,75. But there was no meaningful difference in statistical counting (sig >0,05) between Ketorolac 30 mg, Tramadol 100 mg and Dexketoprofen 50 mg in post-cesarean patients in RSUD Kendari. Keywords: Section Cesarean, VAS, Ketorolak, Tramadol, Dexketoprofen