EFEKTIVITAS HOME CARE DALAM MEMPERCEPAT PENYEMBUHAN LUKA DAN MENCEGAH INFEKSI PADA IBU PASCA OPERASI SC: SYSTEMATIC REVIEW

Alisajurni Padang; Nilawati Nilawati; Marta Imelda Br Sianturi

doi:10.51771/mj.v6i1.1996

Authors

Alisajurni Padang Universitas Bunda Thamrin
Nilawati Nilawati Universitas Bunda Thamrin
Marta Imelda Br Sianturi Universitas Bunda Thamrin

DOI:

https://doi.org/10.51771/mj.v6i1.1996

Keywords:

Operasi Sesar, Home Care, Penyembuhan Luka, Infeksi Luka Operasi, Kepuasan Pasien

Abstract

Operasi sesar merupakan prosedur bedah mayor yang berisiko menyebabkan komplikasi seperti infeksi luka dan gangguan penyembuhan. Intervensi home care telah muncul sebagai model layanan untuk menjembatani kesenjangan kontinuitas perawatan. Tujuan systematic review ini adalah mensintesis bukti ilmiah tentang efektivitas intervensi home care dibandingkan perawatan standar pada ibu pasca operasi sesar. Review ini disusun mengikuti panduan PRISMA 2020. Pencarian literatur dilakukan pada database elektronik untuk mengidentifikasi Randomized Controlled Trials (RCT) dan studi quasi-eksperimental yang membandingkan intervensi home care dengan perawatan standar. Outcome yang dievaluasi meliputi waktu penyembuhan luka, angka infeksi luka operasi, skor nyeri, dan kepuasan ibu. Penilaian risiko bias menggunakan Cochrane Risk-of-Bias tool (RoB 2) untuk RCT dan ROBINS-I untuk studi non-RCT. Dua belas RCT memenuhi kriteria inklusi. Meta-analisis menunjukkan intervensi home care secara signifikan mempercepat waktu penyembuhan luka (p < 0.001), menurunkan angka infeksi luka operasi (p < 0.001), mengurangi skor nyeri (p < 0.001), dan meningkatkan kepuasan ibu. Model hybrid menunjukkan efek paling konsisten dibandingkan telemedicine murni. Intervensi home care yang berfokus pada edukasi dan perawatan luka mandiri efektif meningkatkan outcome klinis dan kepuasan ibu pasca operasi sesar, sehingga direkomendasikan sebagai bagian standar perawatan pascapersalinan.

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