open access

Abstract

Introduction : Caesarian Sectio Surgery there are two types of anesthesia namely Sub Arachnoid Block (SAB) and General Anesthesia, but the type of SAB anesthesia is considered safer for the mother and fetus. The effect of SAB is a decrease in intestinal peristaltic. Warm compresses as non-pharmacological means are considered capable of increasing intestinal peristalsis. The purpose of this study was to determine the effect of warm compresses on the recovery of intestinal peristaltic function in postoperative sectio caesaria patients with SAB anesthesia in the Maternity Room Nganjuk Hospital.

Methods : The research design was pre-experiment with one group pretest-posttest design approach. The study was conducted on 1 - 30 April 2018 in the Maternity Room of Nganjuk Hospital. The population was all postoperative sectio caesarean patients with SAB anesthesia in the Maternity Room Nganjuk Regional Hospital as many as 17 respondents. 2 respondents can’t following the study because 1 respondents bleding post partum and 1 respondent except study. Sampling uses accidental sampling. A sample of 15 respondents. The independent variable was warm compress while the dependent variable was recovery of intestinal peristalsis function. Data collection uses observation sheets and stethoscope. Data analysis using Paired Sample T test with α = 0.05.

Results : The mean peristaltic of the respondent's intestine before being given warm compress therapy is 3x / minute, which means that intestinal peristalsis decreases while the mean after being given a warm compress is 12.93x / minute, which means normal intestinal peristaltic. Statistical test results of Paired Sample T test obtained p value = 0,000 ≤ α = 0,05 so Ha was accepted. There is an effect of warm compresses on the recovery of intestinal peristalsis function in postoperative sectio caesaria patients with SAB anesthesia in the Maternity Room Nganjuk Hospita.

Conclusions : The warm  compressing jugs in the abdominal area results in stretching of the abdominal wall. Abdominal wall stretching and vasodilation of blood vessels will stimulate the sympathetic nerves, thus activating the myenteric plexus and stimulating intestinal peristaltic.

Keywords: Warm Compress, Intestinal Peristaltic, Postoperative Sectio Caesaria