responses 60. Selection of antibiotic combination is among the most inexpensive
price compared to other types of antibiotics. Wound care nurses do a majority of just 1 time
for treated after surgery as many as 64 respondents 80.8. Because the healing
process epithelialization on day 2-3 then it is not advisable to open the wrapping on that day
so that enough nurses to do it once, for the next patient enough control to poly outpatient.
Diet given to the majority of respondents was 93.8 dietary high-calorie high-protein.
. This diet is best to expedite the healing process in post-cesarea mothers condition,
because in addition to the calories for the recovery of the general health status of the
mother, the protein to aid in cell regeneration
5. Discussion
1 Overview Patient Characteristics Input of Caesarea Sectio
The result showed that the distribution of respondents mother who gave birth to the
caesarea sectio the average age was 31.1 years. The age of the theoretical or technological
advances health is still relatively old safe from the standpoint of the health of the mothers
reproductive system both for normal childbirth or caesarea sectio. While respondents mean
Hb levels of 9.4 mg. Hb is relatively small under normal indicator in women 10 mg.
Hb levels correlated with the distribution of blood supply to the wound area, which in turn
affects the healing process, both the caesarea sectio and the wound healing process of the
reproductive system of women after pregnancy and childbirth Sylvia, 2006. Class of service
selected respondents using the majority of insurance as many as 74 respondents 92.5.
However, based on patient rights and obligations of hospitals, health workers shall
not discriminate treatment of patients, including based on the class of service. Which
may be different only hospital facilities are provided, so that the logic does not affect or
relate to the healing process. While the distribution characteristics of the
client based on the indication does the majority of caesarea sectio is an indication of
the mother as many as 59 respondents 73.8 This indication is also not relevant to the
healing process, so long as it is detected or treated early. Doctors in Pare hospitals
majority prescribe antibiotics oral amoxicillin and amoxicillin injection, as many as 48
524 Sugeng, 2004
Results of research on the distribution of the dependent variable length of stay LOS of
respondents obtained a mean of 4.8 days. The total cost incurred respondents means is
3.910.000 rupiah. Majority of the wound healing time for 7 days, as many as 64
respondents 80 with the indicator does lift the seam during the control patients in poly
outpatient. The majority of respondents have been mobilized since the first day of 52
respondents 65. Immediate mobilization gradually very useful to help the healing of
wounds. Mobilization is useful for preventing thrombosis and embolism Novita, 2007.
Other findings of 64 respondents 80 had no complications, and complications as much as
20 in the form of caesarean section wound that has not healed up to the 12th day. In
accordance with the theory of short-term complications in cesarea sectio deliveries is
happening escape of stitches, bleeding, haematuria and infection, while in the long run
will occur sepsis. May undergo surgical wound dehiscence wound is open back and
infections. Local causative factor in dehiscence no bleeding, wound infection,
suture less good and less good surgical technique Potter and Perry, 2006.
2} The Influential Factors To Length Of Stay Patient Caesarea Sectio In Delivery
Room Pare Kediri Hospital
Statistical results test found no significant relationship between maternal age with Length
Of Stay LOS p = 0.031. However, the relationship of age with LOS showed a low
correlation r = 0.241. From the age variable linear regression analysis found a positive
correlation, which means that the older the respondent, the longer days of hospitalization.
These results are consistent with the theory that with increasing maternal age, disruption
of cellular repair mechanisms Wahyudi, 2000 thereby increasing the long days of
hospitalization. From the analysis of patient variable wound
Hb levels higher hospital costs, but the strength is relatively low relationship r =
0.078. These results are consistent with the results of the analysis on the dependent
variables LOS, where the dependent variable LOS also negatively correlated with
haemoglobin. LOS is closely related to the cost of the hospital, the higher LOS greater the
was found that these variables proved cost to be
incurred hospital patients. significant effect on the long days of
hospitalization in the mother post caesarea sectio
, this means that there are differences among the three intervals do LOS wound care. In
accordance with the results of the mean LOS of 4.8 days, whereas in the fourth day of new
mothers are given care of the wound, which subsequently allowed to go home and
outpatient care enough if the observation is currently visible injuries wound care improves.
The provision of care wound on the fourth day post caesarean sectio is to adjust the theory
where sterile wound healing process that has entered the stage of epithelialization is around
the third and fourth days Potter and Perry, 2006.
Nutritional factors also affect the long days of hospitalization in the mother post
caesarea sectio P = 0.019. This situation is consistent with the theory that with good
nutrition, the recovery process is also good that the mother would sooner go home from
the hospital Sugeng, 2004. For further when analyzed with multiple linear
regression equation regression line LOS = 1.45 + 0.12 Hb + 1.82 wound care, which
means that we can predict LOS using variables Hb and wound care, where the relationship
shown is a significant positive relationship LOS will rise by 0.12 days associated with
maternal hemoglobin concentration and increased LOS related to wound care. The
results are consistent with the theory that hemoglobin levels correlated with the
distribution of blood supply to the wound area, which in turn affects the healing process, both
the caesarea sectio and the wound healing process of the reproductive system of women
In the analysis of the cost of hospital care class p value = 0.822 which means there is no
significant impact to the cost of hospital care class. Statistical test results indicated cesarea
sectio with hospital costs obtained p = 0.275 ,. But unlike the analysis of the antibiotics used
in hospital costs, which gained statistical test result obtained p = 0.041, which means there is
the influence of drug therapy with hospital costs. The findings are consistent with the
more expensive antibiotics are used, meaning the higher the costs incurred hospital patients.
But not relevant to the results obtained in the analysis of antibiotics with LOS.
From the analysis of patient variable wound was found that this variable was not
shown to significantly affect the cost of post- hospital maternal caesarean sectio p = 0.690.
While nutritional factors do not affect the cost of post-hospital maternal SC p = 0.088.
Nutrition assist in the recovery of the mother post caesarea sectio, so the LOS and costs
decreased. For further when analyzed with multiple linear
regression equation regression line hospital costs 3.582.000 rupiah = 1 + 170,200.2 rupiah
antibiotics, which means that we can predict hospital costs by using variable antibiotics,
which is the relationship shown significant positive relationship Hospital costs will rise by
Rp. 3.582.000, - associated with antibiotic use. The results are consistent with the fact that a
combination of antibiotics prescribed by a doctor, will determine the size of the hospital
costs. A positive relationship between the cost of the hospital with antibiotics on the results of
this study in accordance with the theory, which serves antibiotics against microorganisms so
that no infection Sulistia, 2005.
after pregnancy and childbirth Sylvia, 2006. 4 The
Influential Factors of Wound 3
The Influence Factors To Cost Healing Time
Statistical test results found no significant relationship between maternal Hb with Length
Of Stay LOS p = 0.000. Of linear regression analysis, the association of Hb with
hospital costs patterned positive means higher
525 The test results found no statistically
significant relationship between maternal age at the time of wound healing 0.069. While
the results of the statistical test between Hb with wound healing time no significant effect
