Edukasi Pencegahan dan Penanganan Risiko Jatuh Pada Pasien dan Keluarga Pascaanestesi Spinal di Rumah Sakit Emanuel Banjarnegara

Penulis

  • Gabriella Jessicca Claudia Gera Program Studi Keperawatan Anestesiologi Program Sarjana Terapan, Fakultas Kesehatan, Universitas Harapan Bangsa, Indonesia
  • Asmat Burhan Program Studi Keperawatan Anestesiologi Program Sarjana Terapan, Fakultas Kesehatan, Universitas Harapan Bangsa, Indonesia
  • Martyarini Budi Setyawati Program Studi Keperawatan Anestesiologi Program Sarjana Terapan, Fakultas Kesehatan, Universitas Harapan Bangsa, Indonesia

DOI:

https://doi.org/10.56359/kolaborasi.v6i5.1067

Kata Kunci:

fall prevention, family education, knowledge, patient safety, spinal anaesthesia

Abstrak

Introduction: Residual motor and sensory block, dizziness, and haemodynamic instability after spinal anaesthesia can increase the risk of falls during early mobilisation.

Objective: This community service activity aimed to provide fall-risk education and describe knowledge-category distributions before and immediately after education among patients and accompanying family members at Emanuel Hospital, Banjarnegara.

Method: The activity took place from 15 July to 6 August 2026. Of 42 prospective participants recorded as approached, 12 declined and 30 completed the activity, comprising eight patients and 22 family members. Participants received a pretest, approximately ten minutes of leaflet-assisted education on fall-risk recognition, requesting staff assistance, environmental safety, and supervised mobilisation, followed by discussion and a posttest. A ten-item knowledge questionnaire developed by the activity team was used at both assessments. Formal validity and reliability testing had not been performed.

Result: Before education, good, moderate, and poor knowledge categories comprised 1 (3.3%), 26 (86.7%), and 3 (10.0%) participants, respectively. Immediately afterward, the corresponding figures were 7 (23.3%), 21 (70.0%), and 2 (6.7%). Only aggregate category distributions were available; individual paired changes could not be determined.

Conclusion: The absence of a comparison group, immediate reassessment, and unvalidated questionnaire limit interpretation. The activity was followed by a favourable descriptive shift in knowledge categories, but did not establish a causal effect or measure actual fall prevention. Education should complement, not replace, clinical assessment and staff supervision before mobilisation.

Unduhan

Data unduhan belum tersedia.

Referensi

Abualeinein, R. M. K., Kamaralzaman, S., Zakiah, N., & Saat, M. (2026). Development and preliminary validation of a knowledge, attitude, and practice questionnaire assessing parental self-healthcare. Cureus, 18(2), 1–14. https://doi.org/10.7759/cureus.103317

Arsani, F., Cipta, C. R., & Purwaningsih, H. (2023). Hubungan hipotensi dengan kejadian postoperative nausea and vomiting pada pasien pasca spinal anestesi. Jurnal Ilmiah Kedokteran dan Kesehatan, 1(3), 179–188. https://doi.org/10.55606/klinik.v1i3.2182

Buren, M. A., & Cil, H. (2025). Anesthetic considerations and management of spine surgery performed under neuraxial anesthesia. Current Anesthesiology Reports, 15(1). https://doi.org/10.1007/s40140-024-00671-8

Campos, M. G., Peixoto, A. R., Fonseca, S., Santos, F., Pinho, C., & Leite, D. (2022). Assessment of main complications of regional anesthesia recorded in an acute pain unit in a tertiary care university hospital: A retrospective cohort. Brazilian Journal of Anesthesiology, 72(5), 605–613. https://doi.org/10.1016/j.bjane.2021.03.011

Dulahu, W. Y., Hunawa, R. D., & Hiola, D. S. (2024). Edukasi tentang pencegahan risiko jatuh dan penanganan awal saat jatuh pada pasien dan keluarga. Jurnal Pengabdian Kepada Masyarakat Aphelion, 4, 171–178.

Ema, E., & Ariyani, N. D. (2024). Evaluasi pencegahan risiko jatuh oleh perawat di ruang instalasi gawat darurat. Jurnal Review Pendidikan dan Pengajaran, 7, 12143–12147.

Farahani, M. A., Mohammadi, E., Ahmadi, F., & Mohammadi, N. (2013). Factors influencing patient education: A qualitative research. Iranian Journal of Nursing and Midwifery Research, 18(2), 133–139.

Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A. M., & Morris, M. E. (2020). Hospital falls prevention with patient education: A scoping review. BMC Geriatrics, 20(1). https://doi.org/10.1186/s12877-020-01515-w

Jatmiko, A., Prasetyo, J., & Wardani, R. (2025). Effect of preoperative nursing visitation on perioperative anxiety, nausea, vomiting, and postoperative pain in elective surgical patients with spinal anesthesia. STRADA Jurnal Ilmiah Kesehatan, 14(1), 1–15. https://doi.org/10.30994/sjik.v14i1.1154

Kim, J., Lee, E., Jung, Y., Kwon, H., & Lee, S. (2022). Patient-level and organizational-level factors influencing in-hospital falls. Journal of Advanced Nursing, 78(11), 3641–3651. https://doi.org/10.1111/jan.15254

Krathwohl, D. R. (2002). A revision of Bloom’s taxonomy: An overview. Theory Into Practice, 41(4), 212–218.

Lam, C.-F., Hsieh, S.-Y., Wang, J.-H., Pan, H.-S., Liu, X.-Z., Ho, Y.-C., & Chen, T.-Y. (2016). Incidence and characteristic analysis of in-hospital falls after anesthesia. Perioperative Medicine, 5(1), 1–7. https://doi.org/10.1186/s13741-016-0038-z

Licina, A., Silvers, A., Laughlin, H., Russell, J., & Wan, C. (2021). Pathway for enhanced recovery after spinal surgery: A systematic review of evidence for individual components. BMC Anesthesiology, 21, 1–21.

Malik, A., Thom, S., Haber, B., Sarani, N., Ottenhoff, J., Jackson, B., Rance, L., & Ehrman, R. (2022). Regional anesthesia in the emergency department: An overview of common nerve block techniques and recent literature. Current Emergency and Hospital Medicine Reports, 10(3), 54–66. https://doi.org/10.1007/s40138-022-00249-w

Mayorga, D. E. S., Delgado, M. A. F., Gazcón, H. Z., Arriazola, J. E. E., Meléndez, M. L. C., & Gutiérrez, F. O. (2022). Local and regional anesthesia: Clinical considerations. International Journal of Medical Science and Clinical Research Studies, 2(8), 834–836. https://doi.org/10.47191/ijmscrs/v2-i8-20

Millizia, A., Sayuti, M., Nendes, T. P., & Rizaldy, M. B. (2021). Faktor-faktor yang berhubungan dengan kejadian postoperative nausea and vomiting pada pasien anestesi umum. AVERROUS, 7(2), 13–23. https://doi.org/10.29103/averrous.v7i2.5391

Rade, A. (2024). The non-pharmacological management of shivering post-spinal anesthesia. Jurnal Komplikasi Anestesi, 11(2), 6–16. https://doi.org/10.22146/jka.v11i2.12641

Rahimi, S., Khankeh, H. R., Ebadi, A., Mohammadian, B., Eghbali, M., & Habibzadeh, F. (2024). Developing a fall prevention program in an inpatient spinal cord injury rehabilitation unit: A participatory action research study. PLoS ONE, 19(7), 1–15. https://doi.org/10.1371/journal.pone.0304320

Rezayi Soufiani, A., Joulani, M., Jolani, M. S., & Parish, M. (2024). Efficacy and peri-operative adverse effects of three hyperbaric bupivacaine 0.5% dosages for spinal anesthesia induction in lower limb orthopedic surgery. BMC Anesthesiology, 24(1). https://doi.org/10.1186/s12871-024-02673-9

Sabo, G. (2022). Spinal anesthesia in day surgery: Early mobilization. Acta Clinica Croatica, 61, 160–164. https://doi.org/10.20471/acc.2022.61.s2.22

Santri, A., Erwin, & Zukhra, R. M. (2023). Gambaran penerapan patient safety risiko jatuh oleh perawat di ruang rawat inap kelas III. Jurnal Bagus, 2(1), 402–406.

Saputra, S., Ermawati, E., Salomo, S. T., & Bahtiar, A. (2025). Edukasi penggunaan warm blanket untuk penanganan hipotermia pasca spinal anestesi di RSUD Bayu Asih Purwakarta. Jurnal Pengabdian Masyarakat, 6, 2101–2110.

Setijanto, E., & Putra, K. P. (2023). Regional anesthesia subarachnoid blockade (RASAB) in scoliosis patients. Indonesian Journal of Anesthesiology and Reanimation, 5(1), 51–63. https://doi.org/10.20473/ijar.v5i12023.51-63

Singh, H., Scovil, C. Y., Yoshida, K., Oosman, S., Kaiser, A., Craven, C., Jaglal, S., & Musselman, K. E. (2020). Factors that influence the risk of falling after spinal cord injury: A qualitative photo-elicitation study. BMJ Open, 10(2), 1–11. https://doi.org/10.1136/bmjopen-2019-034279

Spoon, D., De Legé, T., Oudshoorn, C., Van Dijk, M., & Ista, E. (2024). Implementation strategies of fall prevention interventions in hospitals: A systematic review. BMJ Open Quality, 13(4), 1–17. https://doi.org/10.1136/bmjoq-2024-003006

Unduhan

Diterbitkan

09-11-2026

Cara Mengutip

Claudia Gera, G. J. ., Burhan, A., & Setyawati, M. B. (2026). Edukasi Pencegahan dan Penanganan Risiko Jatuh Pada Pasien dan Keluarga Pascaanestesi Spinal di Rumah Sakit Emanuel Banjarnegara. Kolaborasi: Jurnal Pengabdian Masyarakat, 6(5), 1096–1103. https://doi.org/10.56359/kolaborasi.v6i5.1067