Effectiveness of American Society of Perianesthesia Nurses (ASPAN) on Maternal and Neonates Outcome during Perioperative Enhanced Recovery after Caesarean Surgery (ERACS)

Abstract

Introduction. Patient comfort is one of the important components that must be considered in providing nursing care, including perioperative nursing services, one of which is temperature comfort. The purpose of this research is to explain or to study the effect of the ASPAN guideline intervention for normothermia (active and passive warming) on ​​maternal and neonates outcomes during perioperative Enhanced Recovery After Caesarean Surgery (ERACS). Method. This research used a quasi-experimental quantitative research design or a quasi-experiment involving a control group and an intervention group. Measurement of the intervention group for prevention of hypothermia in cesarean section patients was performed perioperatively (pre-intra-post-surgery). Results. The mother's body temperature variable in the intraoperative and postoperative phases was higher in the intervention group than the control group. The shivering condition variable in the control group experienced an increase in shivering during the intraoperative and postoperative phases (1.15 ± 0.41 and 2.17 ± 0.80), while in the intervention group there was a decrease in shivering condition (0.22 ± 0, 42 and 0.20 ± 0.41). In the temperature comfort variable after measuring using Thermal Comfort ERACS, the Mean ± SD value in the intervention group when the intra-operative and post-operative phases was in the neutral category (0.44 ± 0.6 and 0.44 ± 0.65). Discussion & Conclusion. Application of ASPAN Guideline for normothermia during perioperative obtained significant results on the variable of the mother's temperature, the baby's temperature.  ABSTRAK Introduction. Kenyamanan pasien merupakan salah satu komponen penting yang harus diperhatikan dalam pemberian asuhan keperawatan, termasuk pelayanan keperawatan perioperative salah satunya dengan kenyamanan suhu. Tujuan penelitian ini adalah untuk menjelaskan atau mempelajari pengaruh intervensi ASPAN guideline for normothermia (penghangatan aktif dan pasif) terhadap maternal dan neonatus outcome selama perioperatif Enhanced Recovery After Caesarean Surgery (ERACS). Metode.  Penelitian ini menggunakan desain penelitian kuantitatif quasy experiment atau eksperimen semu yang melibatkan adanya kelompok kontrol dan kelompok intervensi. Pengukuran terhadap kelompok intervensi pencegahan hipotermia pada pasien sectio caesarea dilakukan dalam waktu perioperative (pre-intra-pos operasi). Hasil. Variabel temperatur tubuh ibu di fase intra operatif dan post operatif lebih tinggi pada kelompok intervensi dibandingkan kelompok kontrol. Variabel kondisi menggigil pada kelompok kontrol terjadi peningkatan kondisi menggigil saat fase intra operatif dan post operatif (1,15 ± 0,41 dan 2,17 ± 0,80), sedangkan pada kelompok intervensi terjadi penurunan kondisi menggigil (0,22 ± 0,42 dan 0,20 ± 0,41). Pada variabel kenyamanan suhu setelah dilakukan pengukuran menggunakan Thermal Comfort ERACSale dilihat nilai Mean ± SD pada kelompok intervensi saat fase intra operatif dan post operatif berada dalam kategori netral (0,44 ± 0,6 dan 0,44 ± 0,65). Discussion & Conclusion. Penerapan ASPAN Guideline for normothermia selama perioperatif didapatkan hasil yang signifikan pada variable temperature suhu ibu, temperature suhu bayi.   Keywords : Kenyamanan, ERACS, hipotermia, perioperatif