Head-up Position did not Correlated with the Recovery Time of Lower Extremity Motor Function in Spinal Anesthesia Patiens

Authors

DOI:

https://doi.org/10.26699/jnk.v12i2.ART.p115-123

Keywords:

Head-Up Position, Motor Function Recovery Time, Spinal Anesthesia

Abstract

Patients who are delayed in recovery after spinal anesthesia will be transferred to the post anesthesia care unit (PACU) which can lead to increased service costs and patient dissatisfaction. Lower extremity motor function recovery time after spinal anesthesia is the time it takes for patients to be able to move from the recovery room to the patient's original room. The purpose of this study was to determine the correlation of Head-up position to the recovery time of lower extremity motor function in spinal anesthesia patients in the recovery room. The design of the study was correlation with a “cross-sectional” approach. The population was post-spinal anesthesia patients in the recovery room who meet the criteria. The study used "purposive sampling" with 96 post-spinal anesthesia patients. The independent variable was the head-up position, while the dependent variable was the recovery time of lower extremity motor function. The analysis test used the Pearson correlation test. The results of the correlation test showed no correlation between head-up position and recovery time of lower extremity motor function in spinal anesthesia patients with p-value = 0.099 (>0.05). This was due to the longer the duration of surgery, the faster the effect of spinal anesthesia drugs will run out. It is recommended to apply the results of this study as a review of SOPs related to the intervention of giving a head-up position to post-spinal anesthesia patients in the recovery room.

Author Biographies

Taufan Arif, Poltekkes Kemenkes Malang


Taufan Arif
mceclip0-fd8df5898c34f4713bfa52f26137c0a7.pngPoltekkes Kemenkes Malang - East Java, Indonesia
Expertise: Nursing, Science
(mceclip5.pngGoogle Scholar, mceclip6.pngSinta, mceclip7.pngORCID)

Rudi Hamarno, Poltekkes Kemenkes Malang


Rudi Hamarno
mceclip0-fd8df5898c34f4713bfa52f26137c0a7.pngPoltekkes Kemenkes Malang - East Java, Indonesia
Expertise: Nursing
(mceclip5.pngGoogle Scholarmceclip8.jpgScopusmceclip6.pngSintamceclip7.pngORCID)

Arief Bachtiar, Poltekkes Kemenkes Malang


Arief Bachtiar
mceclip0-fd8df5898c34f4713bfa52f26137c0a7.pngPoltekkes Kemenkes Malang - East Java, Indonesia
Expertise: Medical Surgical Nursing
(mceclip5.pngGoogle Scholarmceclip8.jpgScopusmceclip6.pngSinta, mceclip7.pngORCID)

References

Alsaeid, M. A., & Sayed, A. M. (2019). Comparison between Position Change after Low-Dose Spinal Anesthesia and Higher dose with Sitting Position in Elderly Patients: Block Characteristics, Hemodynamic Changes, and Complications. Anesthesia, Essays and Researches, 13(3), 476–480. https://doi.org/10.4103/aer.AER_101_19

Arif, T. (2022). Pengaruh Mobilisasi Dini Terhadap Post Operative Nausea and Vomitting Pada Pasien Post Operasi Dengan General Anestesi Di Rumah Sakit Ngudi Waluyo Wlingi. Jurnal Ilmiah Kesehatan Media Husada, 11(1), 26–33. https://doi.org/10.33475/jikmh.v11i1.288

Dwiputra, A. G. (2023). Komplikasi Pasca Anestesia Spinal: Apa saja yang harus kita waspadai? Majalah Anestesia & Critical Care, 41(1), 1–3. https://doi.org/10.55497/majanestcricar.v41i1.316

Ego, B. Y., Admass, B. A., Tawye, H. Y., & Ahmed, S. A. (2022). Magnitude and associated non-clinical factors of delayed discharge of patients from post-anesthesia care unit in a comprehensive specialized referral hospital in Ethiopia, 2022. Annals of Medicine and Surgery, 82(August), 104680. https://doi.org/10.1016/j.amsu.2022.104680

Eldiana, R., Suryani, R. L., & Adriyani, F. H. N. (2024). Implementation of 30° Head-up Position Setting in an Effort to Accelerate Recovery in General Post-Anesthesia Patients. 4(10), 2020–2025. https://doi.org/https://doi.org/10.58344/jmi.v3i10.1884

Finucane, B. T., & Tsui, B. C. H. (2017). Complications of regional anesthesia. In JBJS Case Connector (Vol. 7, Issue 4). https://doi.org/10.2106/JBJS.CC.17.00279

Fitria, W. E., Fatonah, S., & Purwati, P. (2019). Faktor Yang Berhubungan Dengan Bromage Score Pada Pasien Spinal Anastesi Di Ruang Pemulihan. Jurnal Ilmiah Keperawatan Sai Betik, 14(2), 182. https://doi.org/10.26630/jkep.v14i2.1304

Haniya, I. N. S. M. S. S. (2022). Hubungan Anestesi Spinal dengan Kejadian Retensi Urine pada Pasien Post Operasi di RSU. Santa Anna Kota Kendari. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat, 2022: Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2022). https://prosiding.uhb.ac.id/index.php/SNPPKM/article/view/1122/314

Juniardi, I., Setyawati, M. B., Wirakhmi, I. N., Studi, P., Terapan, S., Anestesiologi, K., & Bangsa, U. H. (2022). Hubungan Indeks Massa Tubuh dengan Waktu Pulih Spinal Anestesi pada Pasien Post Sectio Caesarea di Rumah Sakit Umum Daerah dr . Agoesdjam. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat, 453–458. https://prosiding.uhb.ac.id/index.php/SNPPKM/article/view/1069/366

Kim, H. Y., Lee, M. J., Kim, M. N., Kim, J. S., Lee, W. S., & Lee, K. C. (2013). Effect of position changes after spinal anesthesia with low-dose bupivacaine in elderly patients: Sensory block characteristics and hemodynamic changes. Korean Journal of Anesthesiology, 64(3), 234–239. https://doi.org/10.4097/kjae.2013.64.3.234

Lee, M. H., Kim, E. M., Bae, J. H., Park, S. H., Chung, M. H., Choi, Y. R., & Choi, E. M. (2015). Head elevation in spinal-epidural anesthesia provides improved hemodynamics and appropriate sensory block height at caesarean section. Yonsei Medical Journal, 56(4), 1122–1127. https://doi.org/10.3349/ymj.2015.56.4.1122

Liu, G., Zhang, J., Zhang, L., Yuan, L., Wang, X., & Tursunmamat, D. (2024). Comparison of spinal anesthesia and local anesthesia in percutaneous interlaminar endoscopic lumbar discectomy for L5/S1 disc herniation: a retrospective cohort study. BMC Musculoskeletal Disorders, 25(1), 774. https://doi.org/10.1186/s12891-024-07898-w

Mahan, M. C., Jildeh, T. R., Tenbrunsel, T., Adelman, B. T., & Davis, J. J. (2019). Time of return of neurologic function after spinal anesthesia for total knee arthroplasty: mepivacaine vs bupivacaine in a randomized controlled trial. Arthroplasty Today, 5(2), 226–233. https://doi.org/https://doi.org/10.1016/j.artd.2019.03.003

Misal, U. S., Joshi, S. A., & Shaikh, M. M. (2016). Delayed recovery from anesthesia: A postgraduate educational review. Anesthesia, Essays and Researches, 10(2), 164–172. https://doi.org/10.4103/0259-1162.165506

Muti, R. T. (2020a). Pengaruh Posisi Semi Fowler Dengan Kombinasi Lateral Kanan Terhadap Perubahan Haemodinamik Pada Pasien Gagal Jantung Di Ruang Iccu Rumah Sakit Umum Daerah Margono Soekarjo Purwokerto. Viva Medika Jurnal Kesehatan, Kebidanan Dan Keperawatan, 13(2), 124–140.

Muti, R. T. (2020b). PENGARUH POSISI SEMI FOWLER DENGAN KOMBINASI LATERAL KANAN TERHADAP PERUBAHAN HAEMODINAMIK PADA PASIEN GAGAL JANTUNG DI RUANG ICCU RUMAH SAKIT UMUM DAERAH MARGONO SOEKARJO PURWOKERTO. Viva Medika, Vol 13 No 02 (2020): Volume 13/NOMOR 02/MARET/2020, 124–140. http://ejournal.uhb.ac.id/index.php/VM/article/view/519/450

Pangestika, R. A., & Setiyorini, E. (2015). Pengaruh Bermain Plastisin terhadap Perkembangan Motorik Halus pada Anak PRA Sekolah. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 2(2), 169–175. https://doi.org/10.26699/jnk.v2i2.art.p169-175

Park, S., Park, J. W., Park, J. H., Lee, C. S., Lee, D.-H., Hwang, C. J., Yang, J. J., & Cho, J. H. (2022). Factors affecting the prognosis of recovery of motor power and ambulatory function after surgery for metastatic epidural spinal cord compression. Neurosurgical Focus, 53(6), E11. https://doi.org/https://doi.org/10.3171/2022.9.FOCUS22403

Permatasari, endah, C. Lalenoh, D., & Rahardjo, S. (2017). Pulih Sadar Pascaanestesi yang Tertunda. Jurnal Neuroanestesi Indonesia, 6(3), 187–194. https://doi.org/10.24244/jni.vol6i3.48

Rehatta, N. M., Hanindito, E., & Tantri, A. R. (2019). ANESTESIOLOGI DAN TERAPI INTENSIF: BUKU TEKS KATI-PERDATIN. Gramedia pustaka utama. https://books.google.co.id/books?id=d7q0DwAAQBAJ

Rismawati, Wibowo, T., & Hikmanti, A. (2023). ANALISIS FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP PEMULIHAN BROMAGE SCORE PASIEN PASCA ANESTESI SPINAL DI RUMAH SAKIT KHUSUS BEDAH JATIWINANGUN. Jurnal Cakrawala Ilmiah, 2, 4485–4496. https://doi.org/10.53625/jcijurnalcakrawalailmiah.v2i12.6384

Samuel, S., Kasahun, B., Demeke, T., Reshad, S., Shemsu, N., Kedir, A., Achule, A., Mamo, T., Dendir, G., Genetu, S., & Wolde, Y. (2025). Impact of being lateral and sitting position for spinal anesthesia administration on maternal hemodynamic variability and the timing of hypotension among cesarean section patients in a resource-constrained area: a prospective observational cohort study. Annals of Medicine and Surgery (2012), 87(1), 62–69. https://doi.org/10.1097/MS9.0000000000002754

Situmeang, J. D., Novitasari, D., & Maryoto, M. (2022). Gambaran Tekanan Darah pada Penggunaan Bupivacaine dengan Spinal Anestesi di RSU Sint Lucia Siborong-Borong. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat (SNPPKM), 2(1), 773–777.

Sommeng, F. (2019). Hubungan Status Fisik Pra Anestesi Umum dengan Waktu Pulih Sadar Pasien Pasca Operasi Mastektomi di RS Ibnu Sina Februari - Maret 2017. UMI Medical Journal, 3(1), 47–58. https://doi.org/10.33096/umj.v3i1.34

Tapar, H., Karaman, S., Dogru, S., Karaman, T., Sahin, A., Tapar, G. G., Altiparmak, F., & Suren, M. (2018). The effect of patient positions on perfusion index. BMC Anesthesiology, 18(1), 111. https://doi.org/10.1186/s12871-018-0571-z

Wilson, J. P., Bonin, B., Quinones, C., Kumbhare, D., Guthikonda, B., & Hoang, S. (2024). Spinal Anesthesia for Awake Spine Surgery: A Paradigm Shift for Enhanced Recovery after Surgery. In Journal of Clinical Medicine (Vol. 13, Issue 17). https://doi.org/10.3390/jcm13175326

Zuliani, Malinti, E., Faridah, U., Sinaga, R. R., Rahmi, U., Malisa, N., Mandias, R., Matongka, S. F. Y. H., & Suwarto, T. (2021). Gangguan Pada Sistem Perkemihan. In Deepublish (Issue September). https://www.researchgate.net/publication/353946767_Gangguan_pada_Sistem_Perkemihan

Downloads

Published

04-08-2025

How to Cite

Arif, T., Hamarno, R., Bharata, B. S., & Bachtiar, A. (2025). Head-up Position did not Correlated with the Recovery Time of Lower Extremity Motor Function in Spinal Anesthesia Patiens. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 12(2), 115–123. https://doi.org/10.26699/jnk.v12i2.ART.p115-123

Issue

Section

Article