THE RELATIONSHIP OF SPINAL NEEDLE INSERTION PARAMEDIAN AND MEDIAN TECHNIQUES WITH HEADACHE POST SPINAL ANESTESHIA AT RSUD SEKAYU MUSI BANYUASIN

Jurusan Keperawatan Poltekkes Kemenkes Yogyakarta

2015

en

Article

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Background: postoperative pain is likely to be caused by surgical incision, but the possibility of other causes should be consider, including complications from spinal anesthesia, where the most often complication complained by the patient is a headache. The use of spinal anesthesia paramedian and median techniques are both often used in surgery, leakage of liquor because the stabbing on the ligaments through, and the impact that often arise after spinal anesthesia is a headache. If there is no headache or patient condition the same as pre-surgical condition, it can be shortened hospitalization time, reduce costs and reduce the psychological stress. Research goal: To determine the relationship of spinal needle insertion paramedian and median techniques with headache post operation to the spinal anesthesia at RSUD Sekayu Musi Banyuasin. Research method: Analytic observational studies using cross-sectional study design. Sample in this research was 66 patients in the installation of operating room and in the ward, general hospital Sekayu Musi Banyuasin according to the inclusion and exclusion criteria. Data was analysis with statistical chi square test. Research result: Headache response in the group of spinal needle insertion with paramedian technique post spinal anesthesia was: no pain (75.8%), mild pain (21.2%), and moderate pain (3.0%). Headache response in the group spinal needle insertion with median technique post spinal anesthesia was : no pain (57.6%), mild pain (12.1%), moderate pain (21.2%) and severe pain (9.1%). Conclusion: There is relationship of spinal needle insertion paramedian and median techniques with headache post operation to the spinal anesthesia at RSUD Sekayu Musi Banyuasin. This was proven by Chi Square test which known X2 value in amount of 9,136 with significance is 0,028 (p<5%). Keywords: spinal anesthesia, paramedian and median techniques, pain. INTISARI Latar Belakang : Nyeri pasca operasi mungkin sekali disebabkan oleh luka operasi, tetapi kemungkinan sebab lain harus dipertimbangkan, diantaranya adalah komplikasi akibat pemberian spinal anestesi, dimana komplikasi yang paling sering dikeluhkan oleh pasien adalah nyeri kepala. Penggunaan spinal anestesi teknik paramedian dan median sama-sama sering digunakan pada tindakan operasi, kebocoran liquor karena penusukan pada ligamen yang dilalui, serta dampak yang sering timbul pasca tindakan anestesi spinal adalah nyeri kepala. Apabila nyeri kepala tidak terjadi atau kondisi sama seperti prabedah maka dapat dipersingkat waktu rawat di rumah sakit, mengurangi beban biaya dan mengurangi beban stress psikis. Tujuan Penelitian : Mengetahui Hubungan Penusukan Jarum Spinal Teknik Paramedian Dan Median Dengan Nyeri Kepala Post Operasi Pada Spinal Anestesi Di RSUD Sekayu Kabupaten Musi Banyuasin. Metode Penelitian : Penelitian mengunakan metode observasi analitik dengan desain penelitian cross sectional. Sampel dalam penelitian ini diperoleh sebanyak 66 pasien di ruang Instalasi Bedah Sentral dan ruang rawat inap RSUD Sekayu Musi Banyuasin sesuai dengan kriteria inklusi dan eksklusi. Analisis data dilakukan dengan uji statistik uji chi Square. Hasil Penelitian : Respon nyeri kepala pada kelompok penusukan jarum spinal teknik paramedian post spinal anestesi adalah: tidak nyeri sebanyak (75,8%), nyeri ringan sebanyak (21,2%) dan nyeri sedang sebanyak (3,0%).Respon nyeri kepala pada kelompok penusukan jarum spinal teknik median post spinal anestesi adalah: tidak nyeri sebanyak (57,6%), nyeri ringan sebanyak (12,1%), Nyeri sedang sebanyak (21,2%) dan nyeri berat sebanyak (9,1%). Kesimpulan : Ada hubungan penusukan jarum spinal teknik paramedian dan median dengan nyeri kepala post operasi pada spinal anestesi di RSUD Sekayu Kabupaten Musi Banyuasin. Dibuktikan uji Chi Square diketahui nilai X2 sebesar 9,136 dengan signifikan sebesar 0,028 (p<5%). Kata Kunci : Spinal Anestesi, Teknik Paramedian Dan Median, Nyeri.