Factors Related to Healing Process of Sectio Caesarea Surgical Wound

Unnes Journal of Public Health Pub Date : 2018-07-01 DOI:10.15294/UJPH.V7I2.21705

J. Balla, R. Paun, I. D. R. Ludji

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Abstract

ABSTRACT Sectio caesarea surgical wound is a disorder in the incontinence of cells due to surgery performed to remove the fetus and placenta by opening the abdominal wall for certain indications. The aim of the study was to analyze and make a modeling of the relationship of factors in healing the sectio caesarea surgical wounds. This research is an analytic observational study with cross-sectional design. The sample in this study were 42 mothers with post sectio caesarea surgery at Prof. DR. W.Z. Johannes Kupang Public Hospital. Sampling was performed by simple random sampling. Data analysis was carried out in a bivariate and multivariate analysis. The results of the bivariate analysis found that the variables that give risk to wound healing were age (p = 0.041; RP = 3.4), discharge planning (p = 0.004; RP = 4.75), personal hygiene (p = 0.003; RP = 0.18), nutritional status (p = 0.013; RP = 0.15). Multivariate analysis found three variables that consistently provide risks to wound healing, namely discharge planning (p = -2.078; RP = 829 95% CI), personal hygiene (p = -1.852; RP = 1.039 95% CI), nutritional status (p = -2,374; RP = 1,023 95% CI). Probability model for healing the surgical wound at Prof. Dr. W.Z. Johannes, namely personal hygiene, nutritional status, discharge planning are factors related to wound healing. Keywords : sectio caesarea, wound, discharge planning, personal hygiene ABSTRAK Luka operasi sectio caesarea adalah gangguan dalam inkontuinitas sel akibat dari pembedahan yang dilakukan untuk mengeluarkan janin dan placenta dengan membuka dinding perut atas indikasi tertentu. Tujuan penelitian untuk menganalisis dan membuat pemodelan hubungan faktor pada penyembuhan luka operasi sectio caesarea. Penelitian ini merupakan studi observasional analitik dengan desain cross sectional. Sampel pada penelitian ini sebanyak 42 ibu post operasi sectio caesarea di RSUD Prof. DR. W.Z. Johannes Kupang. Pengambilan sampel secara simple random sampling. Analisis data dilakukan secara bivariat dan multivariat. Hasil analisis bivariat menemukan variabel yang memberikan risiko terhadap penyembuhan luka adalah umur (p=0,041; RP=3,4), discharge planning (p=0,004; RP=4,75), personal hygiene (p=0,003; RP=0,18), status gizi (p=0,013; RP=0,15). Analisis multivariat menemukan tiga variabel yang konsisten memberikan risiko terhadap penyembuhan luka yaitu discharge planning (p= -2.078; RP=829 95% CI), personal hygiene (p= -1.852; RP= 1,039 95% CI), status gizi (p= -2.374; RP=1,023 95% CI). Model probabilitas penyembuhan luka operasi di RSUD Prof. Dr. W.Z. Johannes yaitu personal hygiene, status gizi, discharge planning merupakan faktor yang berhubungan dengan penyembuhan luka. Kata kunci : sectio caesarea, luka, discharge planning, personal hygiene

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剖宫产手术创伤愈合过程的相关因素

剖宫产术创面是一种细胞失禁的疾病，是由于某些指征通过打开腹壁切除胎儿和胎盘而引起的手术。本研究的目的是对剖宫产手术创面愈合过程中各因素的关系进行分析和建模。本研究为横断面设计的分析性观察性研究。本研究的样本是在DR. W.Z. Johannes Kupang公立医院接受剖宫产手术的42位母亲。抽样采用简单随机抽样。数据分析采用双变量和多变量分析。双变量分析结果发现，影响伤口愈合的变量为年龄(p = 0.041;RP = 3.4)，出院计划(p = 0.004;RP = 4.75)，个人卫生(p = 0.003;RP = 0.18)，营养状况(p = 0.013;Rp = 0.15)。多变量分析发现，三个变量始终对伤口愈合提供风险，即出院计划(p = -2.078;RP = 829 95% CI)，个人卫生(p = -1.852;RP = 1.039 95% CI)，营养状况(p = - 2374;Rp = 1023 95% ci)。Dr. W.Z. Johannes的手术伤口愈合概率模型，即个人卫生、营养状况、出院计划是影响伤口愈合的因素。【关键词】剖宫产;切口;出院计划;个人卫生;图juan penelitian untuk menganalysis是一种典型的剖宫产分析方法，是一种典型的剖宫产分析方法。Penelitian ini merupakan研究了观测分析和设计截面。手术后剖宫产手术后剖宫产手术后剖宫产手术后剖宫产手术后剖宫产手术后剖宫产手术后剖宫产手术。彭甘比兰样本采用简单随机抽样。分析数据分为双变量和多变量。Hasil分析双变量menemukan变量yang memberikan risiko terhahadap penybuhan luka adalah umur (p= 0.041;RP=3,4)，排放计划(p=0,004;RP=4,75)，个人卫生(p=0,003;RP=0,18)， status gizi (p=0,013;RP = 0, 15)。多变量menemukan - tiga变量yang一致性成员的分析(p= -2.078;RP=829 95% CI)，个人卫生(p= -1.852;RP= 1039 95% CI)，状态gizi (p= -2.374;Rp = 1023 95% ci)。Dr. W.Z. Johannes yitu教授，个人卫生，状态，排泄计划，merupakan因素，yang berhubungan dengan penyembuhan luka。卡塔kunci:剖宫产，卢卡，出院计划，个人卫生

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