The Effect of Nursing Class, Caesarea Sectio Indication, Medicine, Wound

96.9 and with dietary high-calorie high- protein were 62 82.7. Statistical result test of complications with 0.12 days associated with maternal hemoglobin concentration and increased LOS related to wound care. treatment classes obtained p = 0.444; While the cost of the regression line equation indication p = 0.162; antibiotics p = 0626; nutritional value of p = 0.083; which means there is no effect between treatment classes, indication, antibiotics and nutrients with the occurrence of complications. While the wound care obtained p = 0.000, which means there is significant influence between patient wounds with complications Table 4.10]. Table 4.10. Distribution of Respondents According to the Class Care and Occurrence hospital = Rp 3.582 million + Rp 170,200.2 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 - with regard to antibiotics used. More can be seen in Table 4.11. Table 4.11. Results of Multiple Linear Regression Analysis LOS and Costs of Complications Constant Hb Wound care Antibiotic LOS 1,45 Days 0,12 1,82 - Hospital cost Rp 3.582.000,- - - Rp 170.200,2 From the results of multiple logistic regression analysis, it turns out the variables that significantly affect the wound healing time was wound care and nutrition. It also looks interaction between the wound care nutrition with P Value = 0,000. Thus the final model is the model with interaction. Of the three variables, the variables that most influence on the LOS is variable nutrient Exp B = 178.89. While the results of the analysis of mobilization, it turns out the variables that significantly affect only the mobilization of the Furthermore, multivariate analysis of the dependent variable for the scale of numerical data LOS and Hospital cost using multiple linear regression analysis to predict the value of LOS and hospital cost by using independent variables. As for the scale of categorical data the dichotomous wound healing time, mobilization, and complications using multiple logistic regression analysis. Terms of independent variables that can be continued in a multiple linear regression analysis and multiple logistic regression is if the value of p Value 0.25. LOS on the dependent variable, the regression line equation obtained 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 positive relationship which means the LOS will rise by 523 wound care alone, with Exp B = 7.475. However found the interaction between patient wound with class of service in their influence on the mobilization p Value = 0.002. On the results of the analysis of complications, wound care only significant effect on the incidence of complications. But in these complications did not reveal any interaction between age, wound care and nutrition in their influence on complications 0.094, but the wound care among the three most effect on the incidence of complications Exp B = 161.98. Table 4.12. Table 4.12. Results of Linear Regression Analysis Logistics Double Wound Healing Time, Mobilization and Complications. 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