Wiwik Andayani, - (2007) Pengaruh Mobilisasi Dini Terhadap Keluhan Nyeri Kepala Pada Pasien Post Operasi Sectiocaesaria Menggunakan Anestesi Sab (Sub Arrachnoid Blok) Dengan Lidodex Dan Adrenalin Di Roi IRD RSU Dr. Soetomo Surabaya. Skripsi thesis, UNIVERSITAS AIRLANGGA.

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Abstract

SAB (Sub Arachnoid Block) anesthesia is a regional anesthetic procedure most commonly used for sectiocaesarean patients due to its higher safety. One complication that may result from SAB anesthesia is headache (Post Dural Puncture Headache) marked by heavier sense of the head in changing position from lying to sitting. Such sense results from the leakage of cerebrospinal fluid due to the puncture of spinal needle, so that the brain becomes short of connective fluid. Mobilization of sectiocaesarean section with SAB anesthesia in Dr Soetomo hospital was conducted 24 hours post-operatively. Consequently, the patient became uncomfortable and having stress. Recently, the difference of the effect of mobilization after 12 and 24 hours in those patients has not been disclosed This was a quasi-experimental study using pre-test post-test control group design. Samples comprised 20 sectiocaesarean patients who received SAB anesthesia and mobilized 12 hours and 24 hours post-operatively. Data were analyzed using t-test with significance level of p < 0.05. Results showed that mobilization after 12 and 24 hours had no effect on headache response. The change of systolic blood pressure had X - 123.2, p -0.166, diastolic X = 79.3, p = 0.772, heart rate X = 92.4, p = 0.649, respiratory rate X = 18.9, p = 0.449 Based on those results, it can be concluded that there is no significant correlation between mobilization after 12 and 24 hours and the change of vital signs (systolic, diastolic, heart and respiratory rates).

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