THE INCIDENCE OF POSTOPERATIVE NAUSEA AND VOMITING IN THE CENTRAL SURGERY UNIT AT PROF. DR. I.G.N.G. NGOERAH GENERAL HOSPITAL

Abstract

Background: PONV is a common occurrence of postoperative nausea and vomiting, and is an uncomfortable and unpleasant event for patients because it can prolong hospitalization time and increase expenditure. 

Objective: This research aims to determine the number of PONV incidents at RSUP Prof dr. I.G.N.G. The direction and distribution or characteristics of PONV incidence are based on several factors such as gender, age, smoking habits, type of surgery, type of anesthesia, duration of surgery, and history of chemotherapy. 

Method: Cross-sectional descriptive research with a sample size of 84, applying bivariate analysis to see the percentage chance of PONV independent factors on the incidence of PONV. 

Results: There were PONV incidents in 26 patients out of 84 patients with a percentage of 31%, with the distribution of PONV incidents based on independent factors with percentages namely; Female (36%), aged 46 – 65 years (35.6%), non-smoker (36.2%), type of surgery with PONV potential (37%), general anesthesia (35.2%), duration of operation >2 hours (50%), and history of chemotherapy (40%).

Conclusion: Based on this study, the most common independent predictor of PONV was surgery duration >2 hours (p=0.002) with an incidence of 17 patients out of 34 patients (50%). There is insufficient evidence regarding several factors, such as a history of chemotherapy, in the occurrence of PONV.