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"ABSTRAKLatar Belakang. Atelektasis merupakan komplikasi pernapasan perioperatif yang sering terjadi hingga 24 jam pascaoperatif, namun dapat bertahan hingga beberapa hari. Penggunaan PEEP dapat membuka alveolus yang kolaps pascaoperatif. Penelitian ini berusaha membandingkan efek PEEP 5 cmH20 dan 10 cmH2O terhadap distribusi ventilasi pada pasien pascaoperatif menggunakan EIT.Metoda. Uji klinis acak ini dilakukan di RS Cipto Mangunkusumo terhadap 35 pasien operasi kranioktomi dan laparotomi elektif (usia 18-60 tahun, durasi bedah > 3 jam, paru normal). Subjek dirandomisasi ke dalam 2 kelompok intervensi: ventilasi mekanik pascaoperatif PEEP 5 cmH20 (PEEP-5) dan PEEP 10 cmH2O (PEEP-10). Hipotesis penelitian adalah distribusi ventilasi PEEP-10 lebih baik dibandingkan PEEP-5. Parameter ∆TIV, ∆EELI (global dan regional) dan CR diambil dari monitor EIT PulmoVista 500®.Hasil. Nilai ∆TIV antara bagian paru anterior dan posterior berbeda bermakna secara statistik pada menit ke-20 (p=0,012), namun masih ada subjek kelompok PEEP-5 dengan distribusi ventilasi tidak homogen hingga 1 jam pengukuran. Nilai ∆EELI global dan regional dalam 1 jam secara statistik bermakna dengan nilai p<0,05. Nilai ∆CR (anterior dan posterior) bermakna secara statistik (p=0,000) dalam 1 jam. Tidak ditemukan perbedaan ratio PF, lama intubasi dan lama rawat di UPI. Tidak ditemukan komplikasi paru/ekstraparu lain dan mortalitas.Simpulan. Distribusi ventilasi berdasarkan gambaran EIT antara penggunaan PEEP 10 cmH2O dan PEEP 5 cmH2O tidak berbeda secara statistik dalam 1 jam penggunaan ventilasi mekanik pascaoperatif. Distribusi ventilasi hanya bermakna secara statistik pada menit ke-20. pernapasan perioperatif

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ABSTRACTBackground. Atelectasis is the most common perioperative respiratory complications up to 24 hours postoperatively, but can last up to several days. PEEP can open postoperative alveolar collapse. We determined to compare the effect of PEEP 5 cmH20 and 10 cmH2O on distribution of ventilation in patients postoperatively using EIT.Method. This randomized clinical trial conducted in Cipto Mangunkusumo Hospital to 35 patients underwent elective craniotomy and laparotomy (18-60 years of age, surgery> 3 hours, normal lung). Subjects were randomized into two intervention groups: postoperative mechanical ventilation PEEP 5 cmH20 (PEEP-5) and 10 cmH2O PEEP (PEEP-10). The hypothesis is distribution of ventilation PEEP-10 is better than PEEP-5. Parameter ΔTIV, ΔEELI (global and regional) and ΔCR were taken from a monitor EIT PulmoVista 500®.Results. ΔTIV values ​​between anterior and posterior parts of lung statistically significant difference in the 20th minute (p=0.012), but there is still a subject of the PEEP group-5 which has a non-homogeneous distribution of ventilation up to 1 hour of measurement. The value of ΔEELI (global and regional ) in 1 hour statistically significant with p <0.05. ΔCR value (anterior and posterior) was statistically significant (p = 0.000) in 1 hour. No differences found for PF ratio, length of intubation and duration of hospitalization in ICU. No pulmonary/extrapulmonaary complications and mortality were found.Conclusion. Distribution of ventilation based EIT imaging between the use of PEEP 10 cmH2O and PEEP 5 cmH2O do not differ statistically within 1st hour of the postoperative mechanical ventilation. Distribution of ventilation is statistically significant only in the 20th minute.;Background. Atelectasis is the most common perioperative respiratory complications up to 24 hours postoperatively, but can last up to several days. PEEP can open postoperative alveolar collapse. We determined to compare the effect of PEEP 5 cmH20 and 10 cmH2O on distribution of ventilation in patients postoperatively using EIT.Method. This randomized clinical trial conducted in Cipto Mangunkusumo Hospital to 35 patients underwent elective craniotomy and laparotomy (18-60 years of age, surgery> 3 hours, normal lung). Subjects were randomized into two intervention groups: postoperative mechanical ventilation PEEP 5 cmH20 (PEEP-5) and 10 cmH2O PEEP (PEEP-10). The hypothesis is distribution of ventilation PEEP-10 is better than PEEP-5. Parameter ΔTIV, ΔEELI (global and regional) and ΔCR were taken from a monitor EIT PulmoVista 500®.Results. ΔTIV values ​​between anterior and posterior parts of lung statistically significant difference in the 20th minute (p=0.012), but there is still a subject of the PEEP group-5 which has a non-homogeneous distribution of ventilation up to 1 hour of measurement. The value of ΔEELI (global and regional ) in 1 hour statistically significant with p <0.05. ΔCR value (anterior and posterior) was statistically significant (p = 0.000) in 1 hour. No differences found for PF ratio, length of intubation and duration of hospitalization in ICU. No pulmonary/extrapulmonaary complications and mortality were found.Conclusion. Distribution of ventilation based EIT imaging between the use of PEEP 10 cmH2O and PEEP 5 cmH2O do not differ statistically within 1st hour of the postoperative mechanical ventilation. Distribution of ventilation is statistically significant only in the 20th minute.;Background. Atelectasis is the most common perioperative respiratory complications up to 24 hours postoperatively, but can last up to several days. PEEP can open postoperative alveolar collapse. We determined to compare the effect of PEEP 5 cmH20 and 10 cmH2O on distribution of ventilation in patients postoperatively using EIT.Method. This randomized clinical trial conducted in Cipto Mangunkusumo Hospital to 35 patients underwent elective craniotomy and laparotomy (18-60 years of age, surgery> 3 hours, normal lung). Subjects were randomized into two intervention groups: postoperative mechanical ventilation PEEP 5 cmH20 (PEEP-5) and 10 cmH2O PEEP (PEEP-10). The hypothesis is distribution of ventilation PEEP-10 is better than PEEP-5. Parameter ΔTIV, ΔEELI (global and regional) and ΔCR were taken from a monitor EIT PulmoVista 500®.Results. ΔTIV values ​​between anterior and posterior parts of lung statistically significant difference in the 20th minute (p=0.012), but there is still a subject of the PEEP group-5 which has a non-homogeneous distribution of ventilation up to 1 hour of measurement. The value of ΔEELI (global and regional ) in 1 hour statistically significant with p <0.05. ΔCR value (anterior and posterior) was statistically significant (p = 0.000) in 1 hour. No differences found for PF ratio, length of intubation and duration of hospitalization in ICU. No pulmonary/extrapulmonaary complications and mortality were found.Conclusion. Distribution of ventilation based EIT imaging between the use of PEEP 10 cmH2O and PEEP 5 cmH2O do not differ statistically within 1st hour of the postoperative mechanical ventilation. Distribution of ventilation is statistically significant only in the 20th minute."

"Latar Belakang: Karsinoma pankreas umumnya merupakan adenokarsinoma duktus dari pankreas, karena lebih dari 90% tumor pankreas berasal dari epitel duktus dan memiliki angka mortalitas tinggi. Adenokarsinoma pankreas menyebabkan berbagai gejala akibat obstruksi duktus biliaris dan duktus pankreatikus serta hipermetabolisme terkait perubahan metabolik pada kanker. Tindakan kuratif meliputi pembedahan menyebabkan perubahan anatomi fisiologik saluran cerna dan dapat menimbulkan berbagai komplikasi gastrointestinal yang menyebabkan malnutrisi pada pasien. Perubahan metabolik, gejala penyakit, dan tatalaksana adenokarsinoma pankreas dapat menyebabkan malnutrisi dan kaheksia kanker. Terapi nutrisi perioperatif yang adekuat akan menghasilkan outome bedah yang baik, menurunkan morbiditas dan mortalitas pascabedah, dan meningkatkan kualitas hidup pasien. Metode: Laporan serial kasus ini menguraikan empat kasus adenokarsinoma pankreas, yaitu dua kasus adenokarsinoma papila Vateri, satu kasus adenokarsinoma papila Vateri yang sudah infiltrasi ke duodenum, dan satu kasus adenokarsinoma pankreas dari kaput sampai kauda. Keempat pasien serial kasus tergolong kaheksia kanker. Pembedahan pada keempat kasus disesuaikan dengan lokasi dan metastasis kanker. Terapi nutrisi pada serial kasus ini dilakukan sesuai dengan pedoman terapi nutrisi perioperatif. Seluruh pasien mendapat terapi nutrisi mulai dari masa prabedah hingga pascabedah dengan pemberian energi dan makronutrien ditingkatkan bertahap sesuai dengan kondisi klinis dan toleransi pasien. Suplementasi mikronutrien juga diberikan kepada keempat pasien. Pemantauan pasien meliputi keluhan subjektif, hemodinamik, analisis dan toleransi asupan, pemeriksaan laboratorium, antropometri, keseimbangan cairan, dan kapasitas fungsional. Hasil: Selama pemantauan di RS, keempat pasien menunjukkan perbaikan klinis, peningkatan toleransi asupan, outcome bedah yang baik, serta perbaikan kapasitas fungsional dan hasil laboratorium. Kesimpulan: Terapi nutrisi perioperatif pada keempat pasien berperan penting dalam menunjang perbaikan klinis, dan outcome bedah, serta mendukung terapi pada kasus kanker pankreas.

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Background: Pancreatic cancer usually refers to ductal adenocarcinomas of the pancreas, since more than 90% of the tumors are ductal epithelium origin and have high mortality rate. Pancreatic adenocarcinoma causes various symptoms resulted from ductal biliary and pancreatic ducts obstruction, along with hypermetabolism related to metabolic alteration in cancer. Curative management involves surgery will make changes in gastrointestinal anatomy and physiology, and cause various gastrointestinal complication that will lead to malnutrition. Metabolic changes, symptoms of the disease and pancreatic adenocarcinoma therapy will cause malnutrition and cancer cachexia. Adequate perioperative nutrition will have good surgery outcome, reduce postoperative morbidity and mortality and increase patients quality of life.

Methods: This serial case report described four cases of pancreatic adenocarcinoma consist of two cases with adenocarcinoma of the papilla of Vater, one case with adenocarcinoma of the papilla of Vater with duodenum infiltration, and one case with pancreatic adenocarcinoma from head to tail. All patients classified as cancer cachexia. Surgery was carried out corresponds to cancer location and metastasis. Nutrition therapy in this serial case report was conducted in accordance to perioperative nutrition therapy guideline. All patients received nutrition support from preoperative to postoperative with gradual increased of energy and macronutrient adjusted to the clinical condition and food tolerance of the patients. Micronutrients supplementation was given to all patients. Monitoring included patients complaints, hemodynamic, food analysis and intake tolerance, laboratory results, anthropometry, fluid balance and functional capacity.

Results: During monitoring in the hospital, all patients showed improve clinical outcomes, increased food intake tolerance, good surgery outcomes, and improved functional capacity, and laboratory results.

Conclusion: Perioperative nutrition therapy in all patients play an important role in supporting clinical outcome improvement, surgery outcomes, and therapy in pancreatic cancer."

"Latar Belakang. Puasa sebelum pembiusan merupakan hal yang lazim dilakukan untuk menghindari aspirasi perioperatif. Lama puasa dapat menentukan volume lambung yang tersisa. Puasa yang terlalu singkat dapat meningkatkan risiko aspirasi, namunpuasa yang berkepanjangan dapat menyebabkan dehidrasi dan hipoglikemia. Penelitian ini bertujuan untuk menganalisa volume lambung setelah puasa 6 jam dan 8 jam setelah makan padat pada pasien yang akan menjalani operasi elektif. Metode. Penelitian ini merupakan studi kohort terhadap 37 subjek penelitian selama Januari hingga Februari 2019. Subjek penelitian adalah pasien yang akan menjalani pembedahan elektif non-disgestif di RSUPN Dr. Cipto Mangunkusumo dengan usia antara 18-60 tahun, tidak mengalami kelainan status gizi, dinilai dengan status fisik ASA 1 atau 2. Kriteria penolakan adalah pasien dengan penyakit diabetes mellitus, kehamilan, distensi abdomen, riwayat dispepsia dan gangguan motilitas usus. Hasil. Pada penelitian ini, didapatkan volume lambung setelah puasa makan padat 6 jam adalah 35,07±39,17 dan setelah puasa 8 jam adalah 14,16±19,24. Selisih antara kedua rerata tersebut adalah 20,91±38,60, p=0,002. Setelah puasa 6 jam, 5.4% subjek memiliki volume lambung di atas 1,5 ml/kg, sedangkan setelah puasa 8 jam, volume lambung seluruh pasien di bawah 1,5 ml/kg. Simpulan. Volume lambung setelah puasa 6 jam lebih kecil secara signifikan dibandingkan dengan puasa 8 jam.

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Background. Preoperative fasting was a common practice to decrease perioperative aspiration risk. Duration of fasting was proportional to gastric volume. Short fasting duration may increase aspiration risk. However, prolonged perioperative fasting duration may lead to dehydration and hypoglycemia. The objective of this study was to analyze gastric volume after 6-hour and 8-hour duration of fasting after consumption of solid meal in patient scheduled for elective surgery. Methods. This was a cohort study for 37 subjects from January to February 2019. Subjects were patient scheduled for elective non-digestive surgery in RSUPN Dr. Cipto Mangunkusumo, with age between 18 to 60 years old, no nutritional status disorder and physical status of ASA 1 or 2. Exclusion criteria were patients with diabetes mellitus, pregnancy, abdominal distention, history of dyspepsia and intestinal motility disturbances. Results. In this study, gastric volume 6-hour after solid intake was 35.07±39.17 and gastric volume 8-hour after solid intake was 14.16±19.24. Difference of gastric volume between 6-hour and 8-hour after solid intake was 20.91±38.60, p=0.002. After 6-hour of fasting, 5.4% of the subjects had gastric volume above 1,5ml/kg, while after 8-hour of fasting, gastric volume of all subjects were below 1,5ml/kg. Conclusion. Gastric volume 8-hour after solid intake was smaller than gastric volume 6-hour after solid intake."

"[ABSTRAKLatar Belakang: Kraniotomi elektif memiliki insidens komplikasi paru pascaoperasi (25%) dan mortalitas (10%) yang tinggi. Pemakaian volume tidal rendah sebagai bagian dari teknik proteksi paru diketahui menurunkan komplikasi paru pascaoperasi. Penelitian ini berusaha mengetahui efek volume tidal 6 mL/kg dan 10 mL/kg terhadap rasio PaO2/FiO2 pascaoperasi pada kraniotomi elektif.Metoda: Uji klinis acak ini dilakukan di satu rumah sakit pendidikan di Indonesia. Lima puluh dua pasien kraniotomi elektif (usia 18-60 tahun, durasi bedah >4 jam, paru normal) dirandomisasi ke dalam 2 kelompok intervensi: ventilasi mekanik perioperatif dengan volume tidal 6 mL/kg (VT-6) atau 10 mL/kg (VT-10). Hipotesis penelitian ini adalah rasio PaO2/FiO2 kelompok VT-6 lebih tinggi dibandingkan VT-10. Analisis gas darah dilakukan pada 1 jam pascainduksi, akhir operasi, 24 jam pascainduksi dan 48 jam pascainduksi. Komplikasi paru (atelektasis, pneumonia, ARDS, gagal napas) dan komplikasi ekstraparu (SIRS, sepsis, sepsis berat) diobservasi sampai hari ke-7 dan mortalitas pada hari ke-28.Hasil: Rasio PaO2/FiO2 kelompok VT-6 dan VT-10 secara berurutan adalah: pada 1 jam pascainduksi adalah 413,7 ± 113,4 mmHg dan 401,5 ± 106,3 mmHg (p = 0,69); pada akhir operasi, 466,6 ± 94,6 mmHg dan 471,1 ± 89,0 mmHg (p = 0,86); pada 24 jam pascainduksi, 418,8 ± 108,8 mmHg dan 448,5 ± 119,6 mmHg (p = 0,35); pada 48 jam pascainduksi, 414,9 ± 88,1 mmHg dan 402,5 ± 100,7 mmHg (p = 0,63). Pneumonia ditemukan pada 1 pasien (3,8%) di kelompok VT-6 dan pada 2 pasien (7,6%) di kelompok VT-10. SIRS ditemukan pada 1 pasien (3,8%) di kelompok VT-6 dan pada 2 pasien (7,6%) di kelompok VT-10. Tidak ditemukan komplikasi paru/ekstraparu lain dan mortalitas dalam penelitian ini.Simpulan: Ventilasi mekanik perioperatif dengan volume tidal 6 mL/kg tidak menghasilkan rasio PaO2/FiO2 yang lebih tinggi pada 1 jam pascainduksi, akhir operasi, 24 jam pascainduksi, dan 48 jam pascainduksi dibandingkan volume tidal 10 mL/kg pada pasien kraniotomi elektif dengan paru sehat. Insidens komplikasi paru/ekstraparu pascaoperasi dan mortalitas serupa di antara kedua kelompok.

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ABSTRACTBACKGROUND: Elective craniotomy is associated with high incidence of postoperative pulmonary complications/PPC (25%) and mortality (10%). Low tidal volume as part of lung protective strategy is known to decrease PPC. We determined to study the effect of low tidal volume solely to postoperative PaO2/FiO2 ratio (PF ratio) in elective craniotomy.METHODS: This was a randomised control trial in one university hospital in Indonesia. Fifty two patients underwent elective craniotomy (age 18-60 years, duration of surgery >4 hours, normal lung) were ventilated with tidal volume 6 mL/kg (VT-6) or 10 mL/kg (VT-10) perioperatively. We hypothesized that postoperative PaO2/FiO2 ratio in VT-6 is higher than VT-10. Blood gas analysis were measured at 1 hour postinduction, at end of surgery, at 24 hours postinduction and 48 hours postinduction. Postoperative pulmonary complications (atelectasis, pneumonia, ARDS, respiratory failure) were observed on day 7 and mortality on day 28.RESULTS: PaO2/FiO2 ratio of VT-6 and VT-10 respectively: at 1 hour postinduction, 413.7 ± 113.4 mmHg and 401.5 ± 106.3 mmHg (p = 0.69); at end of surgery, 466.6 ± 94.6 mmHg and 471.1 ± 89.0 mmHg (p = 0.86); at 24 hours postinduction, 418.8 ± 108.8 and 448.5 ± 119.6 mmHg (p = 0.35); at 48 hours postinduction, 414.9 ± 88.1 mmHg and 402.5 ± 100.7 mmHg (p = 0.63). Pneumonia were found in 1 (3.8%) patient in group VT-6 and 2 (7.6%) patients in group VT-10. SIRS were found in 1 (3.8%) in group VT-6 and 2 (7.6%) in group VT-10. No other pulmonary/extrapulmonary complications and mortality were found in this study.CONCLUSION: Perioperative mechanical ventilation with lower tidal volume (6 mL/kg) does not result in higher postoperative PaO2/FiO2 ratio compared to higher tidal volume (10 mL/kg) in healthy lung patients undergone elective craniotomy. Incidence of postoperative pulmonary/extrapulmonary complications and mortality were similar between both groups. , BACKGROUND: Elective craniotomy is associated with high incidence of postoperative pulmonary complications/PPC (25%) and mortality (10%). Low tidal volume as part of lung protective strategy is known to decrease PPC. We determined to study the effect of low tidal volume solely to postoperative PaO2/FiO2 ratio (PF ratio) in elective craniotomy.METHODS: This was a randomised control trial in one university hospital in Indonesia. Fifty two patients underwent elective craniotomy (age 18-60 years, duration of surgery >4 hours, normal lung) were ventilated with tidal volume 6 mL/kg (VT-6) or 10 mL/kg (VT-10) perioperatively. We hypothesized that postoperative PaO2/FiO2 ratio in VT-6 is higher than VT-10. Blood gas analysis were measured at 1 hour postinduction, at end of surgery, at 24 hours postinduction and 48 hours postinduction. Postoperative pulmonary complications (atelectasis, pneumonia, ARDS, respiratory failure) were observed on day 7 and mortality on day 28.RESULTS: PaO2/FiO2 ratio of VT-6 and VT-10 respectively: at 1 hour postinduction, 413.7 ± 113.4 mmHg and 401.5 ± 106.3 mmHg (p = 0.69); at end of surgery, 466.6 ± 94.6 mmHg and 471.1 ± 89.0 mmHg (p = 0.86); at 24 hours postinduction, 418.8 ± 108.8 and 448.5 ± 119.6 mmHg (p = 0.35); at 48 hours postinduction, 414.9 ± 88.1 mmHg and 402.5 ± 100.7 mmHg (p = 0.63). Pneumonia were found in 1 (3.8%) patient in group VT-6 and 2 (7.6%) patients in group VT-10. SIRS were found in 1 (3.8%) in group VT-6 and 2 (7.6%) in group VT-10. No other pulmonary/extrapulmonary complications and mortality were found in this study.CONCLUSION: Perioperative mechanical ventilation with lower tidal volume (6 mL/kg) does not result in higher postoperative PaO2/FiO2 ratio compared to higher tidal volume (10 mL/kg) in healthy lung patients undergone elective craniotomy. Incidence of postoperative pulmonary/extrapulmonary complications and mortality were similar between both groups. ]"

"ABSTRAKLatar belakang: Sistektomi radikal dengan ileal conduit yang merupakan tata laksana utama karsinoma buli adalah prosedur pembedahan kompleks yang seringkali membutuhkan rawat inap yang lama dan menyebabkan berbagai komplikasi. Malnutrisi praoperatif merupakan kontributor penting terhadap tingginya morbiditas dan mortalitas pada sistektomi radikal. Dukungan nutrisi perioperatif yang adekuat bertujuan untuk menurunkan stres akibat pembedahan sehingga dapat mencegah komplikasi, menunjang outcome yang baik, dan memperpendek masa rawat inap pascaoperasi.Metode: Laporan serial kasus ini menyajikan empat kasus karsinoma buli, dengandua kasus termasuk kaheksia kanker dan dua kasus termasuk pra-kaheksia. Keempat pasien dilakukan sistektomi radikal dengan ileal conduit dan diberikan dukungan nutrisi perioperatif yang mencakup carbohydrate loading dan nutrisi enteral dini pascaoperasi serta pemberian nutrisi secara bertahap. Dilakukan pemantauan yang meliputi keluhan klinis, pemeriksaan fisik, antropometri, hasil laboratorium, dan analisis asupan.Hasil: Tiga pasien mengalami hiperglikemia yang berlangsung singkat tanpa membutuhkan terapi insulin. Dua pasien mengalami ileus paralitik pascaoperasi, namun dapat teratasi secara konservatif dalam waktu cepat. Dua pasien mencapai 70-80 target kalori dalam 5 hari pascaoperasi, sedangkan pasien yang mengalami ileus paralitik mencapai target kalori 60-70 dalam waktu 9 hari pascaoperasi. Masa rawat inap pascaoperasi bervariasi mulai dari 7 hingga 10 hari.Kesimpulan: Dukungan nutrisi perioperatif pada keempat pasien menunjang dalam mengontrol stres pembedahan yang terlihat dari hiperglikemia yang hanya berlangsung singkat, mencegah komplikasi, serta memperpendek masa rawat inap.

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ABSTRACT

Background Radical cystectomy and ileal conduit, a mainstay treatment of bladder carcinoma, is a complex surgery which not rarely requires a long hospital stay and has many complications. Preoperative malnutrition is on of important contributor to high morbidity and mortality in radical cystectomy. Adequate perioperative nutritional support aims to alleviate surgical stress, thus prevent complications, support good outcome, and shorten length of hospital stay after surgery.

Method This case series presenting 4 cases of bladder carcinoma, consists of 2 cases of cancer cachexia and 2 cases of pre cachexia. All of the patients had undergone radical cystectomy and ileal conduit, and was supported by perioperative nutrition including carbohydrate loading and postoperative early enteral nutrition. The monitoring included clinical complaints, physical examination, anthropometry, laboratory results, and intake analysis.

Result Three patients had hyperglycemia lasted only in short period and no insulin treatment needed. Two patients experienced postoperative paralytic ileus and was resolved only with conservative treatment. Two patients achieved 70 ndash 80 calorie target on 5 days after surgery, while the others who experienced paralytic ileus achieved 60 ndash 70 calorie target in 9 days postoperative. Length of stay in the hospital after surgery was varied between 7 to 10 days.

Conclusion Perioperative nutritional support on the above patients had contribution in controlling surgical stress, seen on the short period hyperglycemia, preventing complications, and shortening the hospital stays."

"Kepuasan pasien merupakan komponen utama penilaian mutu pelayanan rumah sakit. Kepuasan pasien terhadap layanan keperawatan peripoperatif perlu diidentifikasi agar perawat lebih termotivasi dalam memberikan pelayanan yang prima. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara persepsi mutu pelayanan keperawatan  peripoperatif dengan kepuasan pasien. Metode: Studi cross-sectional dengan teknik pengambilan sampling simple proporsi, serta menggunakan kuesioner Service Quality (ServQual) dan LPPSq (Leiden Perioperative care Patient Satisfaction questionare) ini melibatkan 140 responden yang menjalani operasi di salah satu rumah sakit di Depok. Hasil: Terdapat hubungan antara mutu pelayanan keperawatan peripoperatif dengan tingkat kepuasan pasien dalam menjalani operasi (p = 0,000; α = 0,05). Kesimpulan: Persepsi mutu pelayanan keperawatan peripoperatif berhubungan erat dengan kepuasan pasien dan faktor jenis operasi adalah faktor yang paling mempengaruhi tingkat kepuasan pasien. Saran: Perawat dan pemangku kepentingan dari bidang Pendidikan dan Pelayanan diharapkan mau meningkatkan kompetensi perawat di bidang layanan peripoperatif agar bisa memberikan pelayanan yang lebih prima.

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Patient satisfaction is an important indicator of quality of services in healthcare facilities. Patient satisfaction of perioperative nursing care should be assessed in order to motivate nurses in providing better services. Objective: This study aimed to identify correlation between perception on quality of perioperative nursing care and patient satisfaction. Method: this cross-sectional with simple proportion sampling, and using questionare Service Quality (ServQual) and LPPSq (Leiden Perioperative care Patient Satisfaction questionare study involved 121 participants who underwent surgery in certain hospital in Depok. Result: there was a significant correlation between quality of perioperative nursing care and patient satisfaction who underwent surgery. Conclusion: Perception on quality of nursing care is closely associated with patient satisfaction, and type of surgery is the most significant factor affecting patient satisfaction. Conclusion: Nurses and stakeholders in Education and Services should be more concerned about improving nurse competencies in perioperative care in order to provide better services."

"Kepuasan pasien merupakan komponen utama penilaian mutu pelayanan rumah sakit. Kepuasan pasien terhadap layanan keperawatan peripoperatif perlu diidentifikasi agar perawat lebih termotivasi dalam memberikan pelayanan yang prima. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara persepsi mutu pelayanan keperawatan peripoperatif dengan kepuasan pasien. Metode: Studi cross-sectional dengan teknik pengambilan sampling simple proporsi, serta menggunakan kuesioner Service Quality (ServQual) dan LPPSq (Leiden Perioperative care Patient Satisfaction questionare) ini melibatkan 140 responden yang menjalani operasi di salah satu rumah sakit di Depok. Hasil: Terdapat hubungan antara mutu pelayanan keperawatan peripoperatif dengan tingkat kepuasan pasien dalam menjalani operasi (p = 0,000; α = 0,05). Kesimpulan: Persepsi mutu pelayanan keperawatan peripoperatif berhubungan erat dengan kepuasan pasien dan faktor jenis operasi adalah faktor yang paling mempengaruhi tingkat kepuasan pasien. Saran: Perawat dan pemangku kepentingan dari bidang Pendidikan dan Pelayanan diharapkan mau meningkatkan kompetensi perawat di bidang layanan peripoperatif agar bisa memberikan pelayanan yang lebih prima.

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Patient satisfaction is an important indicator of quality of services in healthcare facilities. Patient satisfaction of perioperative nursing care should be assessed in order to motivate nurses in providing better services. Objective: This study aimed to identify correlation between perception on quality of perioperative nursing care and patient satisfaction. Method: this cross-sectional with simple proportion sampling, and using questionare Service Quality (ServQual) and LPPSq (Leiden Perioperative care Patient Satisfaction questionare study involved 121 participants who underwent surgery in certain hospital in Depok. Result: there was a significant correlation between quality of perioperative nursing care and patient satisfaction who underwent surgery. Conclusion: Perception on quality of nursing care is closely associated with patient satisfaction, and type of surgery is the most significant factor affecting patient satisfaction. Conclusion: Nurses and stakeholders in Education and Services should be more concerned about improving nurse competencies in perioperative care in order to provide better services."