PENGARUH MANAJEMEN NYERI AKUT TERHADAP INTENSITAS NYERI 72 JAM, SKOR MPQ DAN EFEK SAMPING PASCAOPERASI ORTOPEDI DI RSUP PROF. DR. I.G.N.G NGOERAH DENPASAR

Authors

  • Kevin Paul Johanes Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali
  • Cynthia Dewi Sinardja Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali
  • I Made Gede Widnyana Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali
  • Tjokorda Gde Agung Senapathi Department of Anesthesiology, Pain Management, and Intensive Care, Udayana University, Sanglah General Hospital Bali

DOI:

https://doi.org/10.31004/prepotif.v9i2.46773

Abstract

Latar belakang : Nyeri pascaoperasi merupakan risiko yang harus dihadapi pasien yang akan menjalani operasi ortopedi.Upaya untuk menangani nyeri dilakukan dengan manajemen nyeri dengan pendekatan multimodal baik dengan agenopioid serta anestesi lokal, tetapi efek dari terapi multimodal ini masih belum dievaluasi kembali pada pasien ortopedi. Untuk menilai efektivitas dari terapi multimodal yang dijalankan untuk menurunkan nyeri, efek samping, dan skor nyeri McGill, maka evaluasi akan dilakukan evaluasi melalui penelitian ini. Metode : Studi ini merupakan sebuah studi Observational Cohort. Dua ratus pasien dewasa berusia 18 tahun keatas yang memenuhi kriteria eligibilitas yang menjalani operasi ortopedi dengan anestesi di RSUP Prof. Dr. I.G.N.G Ngoerah Denpasar selama periode penelitian (November – Desember 2024), direkrut ke dalam penelitian. Setelah data pasien dicatat, pasien akan diikuti sampai 3 hari setelah operasi selesai untuk pengumpulan data. Subjek akan dibagi menjadi kelompok dengan terapi multimodal analgesia regional-based (MMR) atau kelompok dengan terapi multimodal analgesia opioid-based (MMO). Uji statistik perbandingan kategorik dan numerik, serta analisis kovariat dilakukandengan software SPSS. Hasil : Terdapat 200 subjek yang datanya dapat digunakan untuk Analisa. Uji statistik menunjukkan skor VAS yang lebih rendah pada kelompok MMR dibandingkan kelompok MMO. Terdapat insiden mual yang rendah (5%) pada kelompokkedua kelompok. Subjek yang menerima multimodal analgesia pascaoperasi menunjukkan skor MPQ yang rendahterutama pada pada kelompok MMR.   Kesimpulan : Manajemen nyeri akut multimodal analgesia menunjukkan intensitas nyeri yang lebih rendah secara statistik pada subjek dengan terapi regional analgesia dengan anestesi lokal tetapi secara klinis kedua kelompok menunjukkan nilai nyeri yang rendah. Multimodal analgesia baik dengan terapi opioid atau regional analgesia menunjukkan tingkat mual yang rendah. Multimodal analgesia dengan terapi regional analgesia menunjukkan skor MPQyang lebih rendah.

References

Arefayne, N. R., Yisma, E., Wubneh, C. A., & Belete, M. A. (2020). Incidence and associated factors of post-operative pain after emergency orthopedic surgery: A multi-centered prospective observational cohort study. International Journal of Surgery Open, 27, 103–113. https://doi.org/10.1016/j.ijso.2020.10.003

Bifulco, L., Charlton, M. E., Vashi, A., Rosenthal, M. B., & Lupo, P. (2021). Evaluation of a chronic pain screening program implemented in primary care. JAMA Network Open, 4(7), e2118495. https://doi.org/10.1001/jamanetworkopen.2021.18495

Bonnet, F., & Marret, E. (2005). Influence of anaesthetic and analgesic techniques on outcome after surgery. British Journal of Anaesthesia, 95(1), 52–58. https://doi.org/10.1093/bja/aei038

Burckhardt, C. S., & Jones, K. D. (2003). Adult measures of pain: The McGill Pain Questionnaire (MPQ), Rheumatoid Arthritis Pain Scale (RAPS), Short-Form McGill Pain Questionnaire (SF-MPQ), Verbal Descriptive Scale (VDS), Visual Analog Scale (VAS), and West Haven-Yale Multidisciplinary Pain Inventory (WHYMPI). Arthritis & Rheumatism, 49(S5), S96–S104. https://doi.org/10.1002/art.11440

Chapman, C. R., Donaldson, G. W., Davis, J. J., & Bradshaw, D. H. (2011). Improving individual measurement of postoperative pain: The pain trajectory. The Journal of Pain, 12(2), 257. https://doi.org/10.1016/j.jpain.2010.08.005

Deligne, L. de M. C., Paiva, W. S., & Pinto, F. C. G. (2024). Multimodal analgesia versus patient-controlled analgesia in the management of acute postoperative spinal pain: Systematic review and meta-analysis. Brazilian Journal of Pain (BrJP), 7, e20230096. https://doi.org/10.5935/2595-0118.20230096-en

Kelly, W. D., Jackson, J. B., & Bian, J. (2023). The cost of multimodal vs opioid postoperative pain regimens for the foot & ankle surgical patient. Foot & Ankle Orthopaedics, 8(1), 2473011423S0001. https://doi.org/10.1177/2473011423S00010

Melzack, R. (1975). The McGill Pain Questionnaire: Major properties and scoring methods. Pain, 1(3), 277–299. https://doi.org/10.1016/0304-3959(75)90044-5

Møiniche, S., Kehlet, H., & Dahl, J. B. (2002). A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief: The role of timing of analgesia. Anesthesiology, 96(3), 725–741. https://doi.org/10.1097/00000542-200203000-00032

Omondi, M. P. (2024). Epidemiology of orthopedic injuries among inpatients admitted at a tertiary teaching and referral hospital in Kenya: A retrospective cross-sectional study. BMC Musculoskeletal Disorders, 25(1), 1–11. https://doi.org/10.1186/s12891-024-07793-4/tables/6

Downloads

Published

2025-07-21

How to Cite

Johanes, K. P., Sinardja, C. D., Widnyana, I. M. G., & Senapathi, T. G. A. (2025). PENGARUH MANAJEMEN NYERI AKUT TERHADAP INTENSITAS NYERI 72 JAM, SKOR MPQ DAN EFEK SAMPING PASCAOPERASI ORTOPEDI DI RSUP PROF. DR. I.G.N.G NGOERAH DENPASAR. PREPOTIF : JURNAL KESEHATAN MASYARAKAT, 9(2), 4022–4030. https://doi.org/10.31004/prepotif.v9i2.46773

Issue

Vol. 9 No. 2 (2025): AGUSTUS 2025

Section

Articles

License

Copyright (c) 2025 Kevin Paul Johanes, Cynthia Dewi Sinardja, I Made Gede Widnyana, Tjokorda Gde Agung Senapathi

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).