Penurunan Rasa Haus dan Mulut Kering Pada Pasien Pasca Operasi Abdomen Menggunakan Spray Air Dingin
(1) Program Studi Pendidikan Profesi Ners, Universitas Muhammadiyah Semarang
(2) Program Studi Pendidikan Profesi Ners, Universitas Muhammadiyah Semarang
(*) Corresponding Author
Abstract
Pembatasan asupan makanan dan cairan pada pasien pasca operasi abdomen menimbulkan ketidaknyamanan dan memicu ketidak patuhan pasien terhadap program puasa yang dijalankan. Pemberian spray air dingin dapat merangsang saliva untuk menjaga mukosa mulut tetap lembab dan mengurangi persepsi rasa haus. Studi kasus bertujuan mengetahui penurunan rasa haus dan mulut kering pasien setelah diberikan spray air dingin jam ke 4 sampai 40 pasca operasi. Desain studi kasus ini adalah analisis deskriptif dengan pendekatan proses keperawatan. Subyek studi kasus ini sebanyak 2 pasien dengan kriteria inklusi yaitu pasien pasca operasi abdomen dengan general anestesi dan dikategorikan dalam ASA I atau II, tidak memiliki gangguan pemahaman, berusia di atas 18 tahun dan setuju untuk ikut berpartisipasi dalam studi kasus ini. Instrumen untuk mengukur rasa haus dan mulut kering subyek yaitu Visual Analog Scale (VAS). Hasil studi kasus menunjukan setelah diberikan intervensi spray air dingin jam ke 4 sampai 40 pasca operasi terjadi penurunan skor VAS rasa haus dan mulut kering pada kedua subyek dari kategori haus berat menjadi haus ringan dan mulut sangat kering menjadi sedikit kering dengan rerata penurunan rasa haus sebanyak 4,5 dan mulut kering 5. Spray air dingin efektif untuk menurunkan rasa haus dan mulut kering pada pasien pasca operasi abdomen. Intervensi pemberian spray air dingin dapat dijadikan tindakan mandiri perawat yang aman dan efektif untuk menurunkan rasa haus dan mulut kering serta meningkatkan kenyamanan pada pasien pasca operasi abdomen.
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American Society of Anesthesiologists. (2017). Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures. Anesthesiology, 126(3), 376–393. https://doi.org/10.1097/ALN.0000000000001452
Armiyati, Y., Khoiriyah, K., & Mustofa, A. (2019). Optimization of Thirst Management on CKD Patients Undergoing Hemodialysis by Sipping Ice Cube. Media Keperawatan Indonesia, 2(1), 38. https://doi.org/10.26714/mki.2.1.2019.38-48
Armstrong, L. E., Giersch, G. E. W., Dunn, L., Fiol, A., Muñoz, C. X., & Lee, E. C. (2020). Inputs to thirst and drinking during water restriction and rehydration. Nutrients, 12(9), 1–15. https://doi.org/10.3390/nu12092554
Aroni, P., Alves Do Nascimento, L., & Fonseca, L. F. (2012). Assessment strategies for the management of thirst in the post-anesthetic recovery room*. In Acta Paul Enferm (Vol. 25, Issue 4).
Awaluddin. (2020). Faktor Risiko Terjadinya Apendisitis Pada Penderita Apendisitis Di Rsud Batara Guru Belopa Kabupaten Luwu Tahun 2020 Awaluddin. In Jurnal Kesehatan Luwu Raya (Vol. 7, Issue 1).
Belete, K. G., Ashagrie, H. E., Workie, M. M., & Ahmed, S. A. (2022). Prevalence and factors associated with thirst among postsurgical patients at University of Gondar comprehensive specialized hospital. Institution-based cross-sectional study. Journal of Patient-Reported Outcomes, 6(1). https://doi.org/10.1186/s41687-022-00476-5
Conchon, M. F., & Fonseca, L. F. (2018). Efficacy of an Ice Popsicle on Thirst Management in the Immediate Postoperative Period: A Randomized Clinical Trial. Journal of Perianesthesia Nursing, 33(2), 153–161. https://doi.org/10.1016/j.jopan.2016.03.009
Gulia, S., Kumari, V., & Khatri, N. (2019). Effectiveness of an Intervention Bundle on Thirst Intensity and Dry Mouth among Patients Admitted in ICU. International Journal of Health Sciences & Research (Www.Ijhsr.Org), 9(5), 397. www.ijhsr.org
Guyton A. C., & Hall J. E. (2018). Buku Ajar Fisiologi Kedokteran (13th ed.). EGC.
Ho, V., Goh, G., Tang, X. R., & See, K. C. (2021). Underrecognition and undertreatment of thirst among hospitalized patients with restricted oral feeding and drinking. Scientific Reports, 11(1). https://doi.org/10.1038/s41598-021-93048-4
Ibrahem, A., Seada, A., Abd, G., Younis, E.-H., & Eid, S. (2020). The Effect Of A Frozen Saline Swab On Thirst Intensity And Dry Mouth Among Critically Ill Post-Operative Patients At Tanta University. In International Academic Journal of Health (Vol. 1, Issue 2). http://www.iajournals.org/articles/iajhmn_v1_i2_189_201.pdf
Koşar, M. N., & Görgülü, Ö. (2021). Incidence and mortality results of intestinal obstruction in geriatric and adult patients: 10 years retrospective analysis. Turkish Journal of Surgery, 37(4), 363–370. https://doi.org/10.47717/turkjsurg.2021.5177
Lai, L., Zeng, L., Yang, Z., Zheng, Y., & Zhu, Q. (2022). Current practice of postoperative fasting: results from a multicentre survey in China. In BMJ Open (Vol. 12, Issue 7). BMJ Publishing Group. https://doi.org/10.1136/bmjopen-2021-060716
Lee, C. W., Liu, S. T., Cheng, Y. J., Chiu, C. T., Hsu, Y. F., & Chao, A. (2020). Prevalence, risk factors, and optimized management of moderate-to-severe thirst in the post-anesthesia care unit. Scientific Reports, 10(1). https://doi.org/10.1038/s41598-020-73235-5
Martins, P. R., Fonseca, L. F., Rossetto, E. G., & Mai, L. D. (2017). Developing and validating the perioperative thirst discomfort scale. Revista Da Escola de Enfermagem, 51. https://doi.org/10.1590/S1980-220X2016029003240
Mirantika, N., Danial, D., & Suprapto, B. (2021). Hubungan antara Usia, Lama Keluhan Nyeri Abdomen, Nilai Leukosit, dan Rasio Neutrofil Limfosit dengan Kejadian Apendisitis Akut Perforasi di RSUD Abdul Wahab Sjahranie Samarinda. Jurnal Sains Dan Kesehatan, 3(4), 576–585. https://doi.org/10.25026/jsk.v3i4.467
Nascimento, L. A. do, Garcia, A. K. A., Conchon, M. F., Aroni, P., Pierotti, I., Martins, P. R., Nakaya, T. G., & Fonseca, L. F. (2020). Advances in the Management of Perioperative Patients’ Thirst. AORN Journal, 111(2), 165–179. https://doi.org/10.1002/aorn.12931
Nascimento, L. A. do, Nakaya, T. G., Conchon, M. F., Garcia, A. K. A., Pierotti, I., Serato, V. M., & Fonseca, L. F. (2019). Prevalência, intensidade e desconforto da sede no paciente cirúrgico no pós-operatório imediato. Revista SOBECC, 24(2), 85–90. https://doi.org/10.5327/z1414-4425201900020006
Nisa, S. A., Finansah, Y. W., Marlina, U., & Rochman, S. (2021). Differences Characteristics of Partial Bowel Obstruction and Total Bowel Obstruction in Ileus Patients at Dr. Soegiri Lamongan Hospital. MAGNA MEDICA Berkala Ilmiah Kedokteran Dan Kesehatan, 8(1), 29. https://doi.org/10.26714/magnamed.8.1.2021.29-34
Oztas, M., & Oztas, B. (2022). Effect of Spray Use on Mouth Dryness and Thirst of Patients Undergoing Major Abdominal Surgery: A Randomized Controlled Study. Journal of Perianesthesia Nursing, 37(2), 214–220. https://doi.org/10.1016/j.jopan.2021.04.018
Sherwood, L. (2018). Fisiologi Manusia dari Sel ke Sistem (9th ed.). EGC.
Sjamsuhidajat, R., & Jong, W. de. (2017). Buku Ajar Ilmu Bedah Sistem Organ dan Tindak Bedahnya (4th ed.). EGC.
Tim Pokja SDKI DPP PPNI. (2017). Standar Diagnosis Keperawatan Indonesia Definisi dan Indikator Diagnostik. Dewan Pengurus PPNI.
Xiaolan, W. (2018). The Effect of Nursing Intervention of Postoperative Thirst in Patients after Laparoscopic Cholecystectomy. American Journal of Nursing Science, 7(3), 106. https://doi.org/10.11648/j.ajns.20180703.14
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DOI: https://doi.org/10.26714/nm.v4i3.13094
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