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COMPARISON OF PATIENT SATISFACTION LEVELS POST POST CAESEORATIVE SECTION OPERATION WITH THE ERACS PROTOCOL CONTINUED WITH THE TAP BLOCK ANALGESIA METHOD WITH IV PATIENT CONTROLLED ANALGESIA AT DR OEN KANDANG SAPI HOSPITAL, SURAKARTA
Supanji Raharja1 Qurratul Aini2
Master of Hospital Administration Postgraduate Program
Faculty of Medicine, Muhammadyah University of Yogyakarta
Abstract
ABSTRACT
Public interest in cesarean section surgery has increased compared to the vaginal delivery method, making perioperative services also increase. To increase the clinical benefits of cesarean section surgery, Enhanced Recovery After Surgery (ERAS) is an effective way to do it. The number of alternatives and the selection of postoperative analgesic methods and drugs for cesarean section with the ERACS protocol led to the need for survey aspects of patient satisfaction which play a role in selecting the most effective drug or analgesic method. This study aims to determine differences in patient satisfaction levels after ERACS surgery with the Transversus Abdominis Plane (TAP) block and IV Patient-Controlled Analgesia (PCA) methods.
The research design used a Cross-Sectional Study, namely by surveying postoperative ERACS patient satisfaction on the first postoperative day (stage I) and the seventh postoperative day or outpatient care (stage II) using the Transversus Abdominis Plane (TAP) block and IV Patient-Controlled Analgesia (PCA) method. Sampling used total sampling for the Transversus Abdominis Plane (TAP) block method of 35 respondents and IV Patient-Controlled Analgesia (PCA) of 34 using the Overall Benefit of Analgesic Score (OBAS) instrument. The analysis of the different test used is the non-parametric test in the form of Mann-Whitney.
The Patient Controlled Analgesia (PCA) method has a higher total mean satisfaction score than the Regional Block Analgesia (TAP Block) method, namely 39.34 on the 1st post-operative day and 20.50 on the 7th post-operative day. There is a significant difference in the level of satisfaction after ERACS caesarean section surgery, where the PCA method has a superior OBAS score than TAP Block on the 1st day after surgery with a p-value of 0.001 (p value < 0.05), especially in primigravida patients. as well as patients without a history of CS. There is a significant difference in the level of satisfaction after ERACS caesarean section surgery where the PCA method has a superior OBAS score on the 7th day compared to the TAP Blocked method, with a p-value < 0.05 in both primigravidas and multigravidas, as well as in patients with and without previous SC history
Keywords: ERACS, Patient Controlled Analgesia (PCA), satisfaction, Transversus Abdominis Plane (TAP) block
Keywords: ERACS, Patient Controlled Analgesia (PCA), satisfaction, Transversus Abdominis Plane (TAP) block
Topic: Maternal and Child Health
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