Comparative Study on Sectio Caesarean Surgical Wound Infection and Ministry of Health Regulation Implementation

Friza Novriansyah; Kusbaryanto

doi:10.61860/jigp.v4i2.305

Penulis

Friza Novriansyah Universitas Muhammadiyah Yogyakarta
Kusbaryanto Universitas Muhammadiyah Yogyakarta

DOI:

https://doi.org/10.61860/jigp.v4i2.305

Abstrak

Angka persalinan sesar (CS) yang terus meningkat secara global menambah risiko infeksi luka operasi (surgical site infection/SSI), salah satu penyebab utama morbiditas dan mortalitas ibu. Untuk menekan angka tersebut, Indonesia menerbitkan Peraturan Menteri Kesehatan No. 40 Tahun 2022 yang mengatur standar teknis bangunan, prasarana, dan peralatan rumah sakit. Penelitian ini bertujuan menilai dampak penerapan regulasi tersebut terhadap kejadian SSI pada pasien CS dengan membandingkan RSU PKU Muhammadiyah Gubug yang telah menerapkannya dan RS Aisyiyah Kudus yang belum. Studi observasional potong lintang dengan pendekatan campuran dilakukan Januari–April 2025 pada 41 pasien CS (10 di RSU PKU Muhammadiyah Gubug dan 31 di RS Aisyiyah Kudus). Data kuantitatif dianalisis dengan statistik deskriptif dan uji t independen, sementara wawancara semi-terstruktur digunakan untuk data kualitatif. Hasil menunjukkan tidak ada kasus SSI di RSU PKU Muhammadiyah Gubug, sedangkan satu kasus (3,23%) terjadi di RS Aisyiyah Kudus, dengan perbedaan tidak signifikan secara statistik (p = 0,251). Meskipun demikian, kepatuhan penuh di RSU PKU Muhammadiyah Gubug didukung pelatihan staf dan peningkatan infrastruktur, sedangkan RS Aisyiyah Kudus menghadapi kendala biaya dan sumber daya. Temuan ini menegaskan bahwa penerapan regulasi mendukung pencegahan infeksi, namun efektivitas jangka panjang memerlukan budaya organisasi, pendidikan staf, dan penelitian dengan sampel lebih besar.

Unduhan

Data unduhan belum tersedia.

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