DURASI PUASA PRAOPERATIF DENGAN KUALITAS TIDUR PADA PASIEN PASCA OPERASI BEDAH ORTOPEDI

PREOPERATIVE FASTING DURATION AND POSTOPERATIVE SLEEP QUALITY IN ORTHOPEDIC SURGERY PATIENTS

Abstract

Puasa praoperatif merupakan prosedur standar untuk mencegah aspirasi selama anestesi, namun durasi yang melebihi rekomendasi masih sering terjadi dan berpotensi menimbulkan dampak fisiologis maupun psikologis pada pasien. Kondisi ini diduga memengaruhi luaran pascaoperasi, termasuk kualitas tidur yang berperan penting dalam proses pemulihan. Penelitian ini bertujuan menganalisis keterkaitan durasi puasa praoperatif dengan kualitas tidur pascaoperasi pada pasien bedah ortopedi. Penelitian menggunakan desain deskriptif potong lintang dengan menggunakan purposive sampling. Total responden pada penelitian ini sebanyak 200 pasien dewasa yang menjalani operasi ortopedi elektif. Data durasi puasa makanan padat dan cairan dicatat sebelum induksi anestesi, sedangkan kualitas tidur dinilai menggunakan Richards–Campbell Sleep Questionnaire. Analisis bivariat menggunakan uji korelasi chi square test. Hasil menunjukkan bahwa sebagian besar pasien (82%) menjalani puasa lebih dari 6 jam. Rerata skor RCSQ adalah 37.22 yang menunjukkan kualitas tidur cenderung rendah. Proporsi kualitas tidur buruk secara signifikan lebih tinggi pada kelompok puasa >6 jam (92.7%) dibandingkan kelompok ≤6 jam (58.3%). Uji Chi-square menunjukkan adanya hubungan yang bermakna antara durasi puasa praoperatif dan kualitas tidur pascaoperasi (p = 0.003). Hasil analisis menunjukkan terdapat hubungan yang bermakna antara durasi puasa praoperatif dan kualitas tidur pascaoperasi pada pasien bedah ortopedi, dimana durasi puasa yang lebih lama berkaitan dengan penurunan kualitas tidur setelah operasi.

Kata kunci: Bedah Ortopedi, Kualitas Tidur, Pascaoperasi, Puasa Praoperatif Richards–Campbell Sleep Questionnaire

Preoperative fasting is a standard procedure intended to prevent pulmonary aspiration during anesthesia. However, fasting durations exceeding recommended guidelines remain common and may lead to physiological and psychological consequences in patients. This condition may influence postoperative outcomes, including sleep quality, which plays an important role in the recovery process. This study aimed to analyze the association between preoperative fasting duration and postoperative sleep quality in patients undergoing orthopedic surgery. This study employed a descriptive cross-sectional design using purposive sampling. A total of 200 adult patients undergoing elective orthopedic surgery were included in the study. The duration of fasting for solid foods and clear fluids was recorded prior to anesthesia induction, while sleep quality was assessed using the Richards–Campbell Sleep Questionnaire (RCSQ). Bivariate analysis was performed using the Chi-square test. The results showed that most patients (82%) fasted for more than 6 hours. The mean RCSQ score was 37.22, indicating generally poor sleep quality. The proportion of poor sleep quality was significantly higher in the group with fasting duration >6 hours (92.7%) compared to the group with fasting duration ≤6 hours (58.3%). The Chi-square test demonstrated a statistically significant association between preoperative fasting duration and postoperative sleep quality (p = 0.003). In conclusion, there was a significant association between preoperative fasting duration and postoperative sleep quality among orthopedic surgery patients, in which longer fasting duration was associated with poorer postoperative sleep quality.

Keywords : Orthopedic Surgery, Postoperative, Preoperative Fasting, Richards–Campbell Sleep  Questionnaire, Sleep  quality