Tsany, Moch. Naufal (2026) PERBEDAAN REFLEKS BATUK PADA TEKNIK EKSTUBASI END-INSPIRATORY DAN EKSTUBASI KONVENSIONAL TERHADAP PASIEN GENERAL ANESTESI ENDOTRACHEAL TUBE DI RST DR. SOEDJONO MAGELANG. Skripsi thesis, Poltekkes Kemenkes Yogyakarta.
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Abstract
Background: Endotracheal Tube (ETT) extubation frequently triggers a cough reflex, posing a risk for postoperative airway complications and hemodynamic fluctuations. Efforts to facilitate a safe, smooth emergence quality can be achieved through modifying the respiratory phase, namely the end-inspiratory extubation technique. Objective: To determine the difference in the cough reflex scale between the use of end-inspiratory and conventional extubation techniques in general anesthesia ETT patients at IBS RST Dr. Soedjono Magelang. Methods: This study employed an analytical observational design with a prospective comparative approach. Sampling was conducted using consecutive sampling on 66 adult respondents aged 18-59 years undergoing general anesthesia with an ETT. Data were collected using observation sheets, utilizing the Minogue Scale to measure the peri-extubation cough reflex scale. Data analysis was performed univariately and bivariately using the Mann-Whitney U and Fisher's Exact tests. Results: A total of 51.5% of respondents experienced a grade 1 cough in the end-inspiratory extubation group, compared to 24.2% in the conventional extubation group. The Mann-Whitney U test results indicated a statistically significant difference in the cough reflex scale (p = 0.039). Fisher's Exact test results showed that the proportion of clinically significant coughs (moderate-severe) had a 1.33 times higher risk of occurring in the conventional extubation group; however, this did not reach statistical significance (95% CI 0.323-5.500). Conclusion: There is a significant difference between the end-inspiratory and conventional extubation techniques regarding the overall incidence of the cough reflex. However, in terms of clinically significant coughing, there is no significant difference. This technique is recommended as a safe standard of care to support smooth emergence. Keywords: End-Inspiratory Extubation, Cough Reflex, Smooth Emergence, General Anesthesia, Patient Safety Latar Belakang: Ekstubasi Endotracheal Tube (ETT) sering memicu refleks batuk yang berisiko menyebabkan komplikasi jalan napas dan fluktuasi hemodinamik pasca-operasi. Upaya memfasilitasi kualitas smooth emergence yang aman dapat dilakukan melalui modifikasi fase pernapasan, yakni teknik ekstubasi end-inspiratory. Tujuan: Diketahui perbedaan skala refleks batuk antara penggunaan teknik ekstubasi end-inspiratory dan ekstubasi konvensional pada pasien general anestesi ETT di IBS RST Dr. Soedjono Magelang. Metode: Penelitian ini menggunakan desain observasioal analitik dengan pendekatan komparatif prospektif. Pengambilan sampel dilakukan secara consecutive sampling terhadap 66 responden pasien dewasa usia (18-59 tahun) yang menjalani anestesi umum dengan ETT. Data ini dikumpulkan melalui lembar observasi yang mencatat skala refleks batuk saat ekstubasi, Skala Minogue untuk mengukur skala refleks batuk saat peri-ekstubasi. Analisis data dilakukan secara univariat dan bivariat menggunakan Mann-Whitney U dan Fisher’s Exact. Hasil: Sebanyak 51.5% responden mengalami batuk grade 1 pada kelompok ekstubasi end-inspiratory dan 24.2% yang mengalami batuk grade 1 pada kelompok esktubasi konvemsional. ). Hasil uji Mann-Whitney U menunjukkan perbedaan skala refleks batuk yang bermakna secara statistik (p = 0,039). hasil uji Fisher's Exact menunjukkan proporsi kejadian batuk bermakna klinis (sedang-berat) beresiko 1.33 kali lipat akan terjadi pada kelompok ekstubasi konvensional, namun secara statistik belum mencapai kemaknaan (CI 95% 0.323-5,500) Kesimpulan: Terdapat perbedaan antara ekstubasi end-inspiratory dan ekstubasi konvensional terhadap penurunan kejadian refleks batuk secara umum. Namun, dari segi batuk bermakna klinis tidak ada perbedaan yang signifikan. Teknik ini direkomendasikan sebagai standar asuhan yang aman untuk mendukung kelancaran smooth emergence. Kata Kunci: Ekstubasi End-Inspiratory, Refleks Batuk, Smooth Emergence, General Anestesi, Keselamatan Pasien.
| Item Type: | Thesis (Skripsi) |
|---|---|
| Kata Kunci/Keyword Abstrak: | Ekstubasi End-Inspiratory, Refleks Batuk, Smooth Emergence, Anestesi Umum |
| Subjects: | R Medicine > RT Nursing |
| Divisions: | Poltekkes Kemenkes Yogyakarta > Jurusan Keperawatan > Program Studi Sarjana Terapan Keperawatan Anestesiologi |
| Depositing User: | Mahasiswa Polkesyogya |
| Date Deposited: | 31 Aug 2026 03:21 |
| Last Modified: | 31 Aug 2026 03:21 |
| URI: | http://eprints.poltekkesjogja.ac.id/id/eprint/24133 |
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