Analisis Faktor Resiko Terhadap Kejadian Post Operative Nausea and Vomiting Pada Pasien Pasca Operasi Laparatomi Bedah Digestif Di Rumah Sakit Umum Cut Meutia Aceh Utara 2023

Abstract

Postoperative nausea and vomiting (PONV) is one of the most common symptoms after surgical procedures. Factors contributing to PONV include age, gender, duration of surgery, ASA status, and the method of anesthesia used. This study aims to identify various factors contributing to the potential for PONV in patients after digestive laparotomy. Methodology: This study applies a cross-sectional design with an observational analysis approach, where data are obtained from medical records of patients undergoing digestive surgical laparotomy at Cut Meutia General Hospital, North Aceh. Sampling was carried out with a total of 40 samples using the total sampling method. Data analysis was carried out through the Chi Square test and logistic regression using statistical applications. The results of the Chi Square analysis showed a significant relationship between age, gender, duration of surgery, ASA status, and anesthetic technique with the incidence of PONV in patients after digestive surgery laparotomy, with a significance value smaller than α = 5% (.<0.05). Logistic regression analysis showed that anesthetic technique had the most dominant influence on PONV with the equation y = 4.186 + 0.511 (age) - 2.836 (gender) - 0.676 (duration of surgery) - 3.384 (ASA status) + 3.738 (anesthetic technique). Conclusion: There is a significant relationship between age, gender, duration of surgery, ASA status, and anesthetic technique with the incidence of PONV in patients after digestive surgery laparotomy. Among these factors, anesthetic technique showed the greatest influence on the incidence of PONV.