Overview of Nausea and Vomiting in Postoperative Patients (PONV) in the Recovery Room
Keywords:
Nausea Vomiting PONV
Abstract
Surgery requires anesthesia to reduce pain. Anesthesia can have side effects such as decreased blood pressure, pulse, nausea, and vomiting. The incidence of postoperative nausea and vomiting (PONV) is different for each person because it is influenced by several factors such as age, gender, BMI, physical status of the patient, previous history of PONV, history of motion sickness, type of action and anesthesia, and duration of surgery. The purpose of this study was to determine the factors that influence the incidence of nausea and vomiting in postoperative patients. This study used a case study research design with a cross-sectional approach. This research was conducted in the Recovery Room of the Central Surgical Installation (IBS) of Tidar Hospital, Magelang City. The population in this study was 55 respondents. The sample in this study was 48 respondents who met the inclusion and exclusion criteria. Data analysis in this study used univariate analysis with frequency and percentage and bivariate analysis with the chi-square test. The results showed that the incidence of postoperative nausea and vomiting occurred in 16.7% of respondents in the mild category and 4.2% of respondents in the moderate category. Factors that are proven to affect the incidence of nausea and vomiting in this study are the duration of surgery with a p-value of 0.001, the type of action performed with a p-value of 0.015, and a history of illness with a p-value of 0.019.
References
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Karlina, N. (2020). Hubungan Mean Arterial Pressure dengan Kejadian Mual Muntah Pasca Operasi pada Pasien Post Anestesi Spinal di Rumah Sakit Bhayangkara. Jurnal Kesehatan Mahardika, 7(1), 1–3. https://doi.org/10.54867/jkm.v7i1.62
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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 di Rumah Sakit Umum Cut Meutia Aceh Utara. AVERROUS: Jurnal Kedokteran Dan Kesehatan Malikussaleh, 7(2), Article 2. https://doi.org/10.29103/averrous.v7i2.5391
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Pratama, A. Y., Susanto, A., & Sebayang, S. M. (2024). Gambaran Kejadian Post Operative Nausea and Vomiting (PONV) pada Pasien Post Operasi Tumor Mamae dengan General Anestesi di Rumah Sakit TNI Uu dr. M. Salamun Bandung. Jurnal Cakrawala Ilmiah, 3(6), Article 6.
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Weibel, S., Rücker, G., Eberhart, L. H., Pace, N. L., Hartl, H. M., Jordan, O. L., Mayer, D., Riemer, M., Schaefer, M. S., Raj, D., Backhaus, I., Helf, A., Schlesinger, T., Kienbaum, P., & Kranke, P. (2020). Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: A network meta‐analysis. The Cochrane Database of Systematic Reviews, 2020(10), CD012859. https://doi.org/10.1002/14651858.CD012859.pub2
Allene, M. D., & Demsie, D. G. (2020). Incidence and Factors Associated with Postoperative Nausea and Vomiting at Debre Berhan Referral Hospital, NorthShewa, Ethiopia: A Cross-sectional Study. International Journal of Surgery Open, 25, 29–34. https://doi.org/10.1016/j.ijso.2020.06.009
Anam, M. K., Astuti, Y. P., & Mubarok, A. H. (2025). Development of a Patient Safety Incident Reporting System using the Agile Development Method. Sistemasi: Jurnal Sistem Informasi, 14(5), 2365–2381. https://doi.org/10.32520/stmsi.v14i5.5280
Anisa, A., Susanto, A., & Setyawati, M. B. (2024). Gambaran Kejadian Mual Dan Muntah Pasca Operasi Dengan Anestesi Umum Di Rumah Sakit Islam Banjarnegara. Jurnal Ilmiah Wahana Pendidikan, 10(7), Article 7.
Apipan, B., Rummasak, D., & Wongsirichat, N. (2016). Postoperative Nausea and Vomiting After General Anesthesia for Oral and Maxillofacial Surgery. Journal of Dental Anesthesia and Pain Medicine, 16(4), 273–281. https://doi.org/10.17245/jdapm.2016.16.4.273
Cing, M. T. G. C., & Hardiyani, T. (2022). Pengaruh Indeks Massa Tubuh terhadap Kejadian Mual Muntah Post Operasi. Faletehan Health Journal, 9(01), Article 01. https://doi.org/10.33746/fhj.v9i01.377
Cing, M. T. G. C., Hardiyani, T., & Hardini, D. S. (2022). Faktor Yang Mempengaruhi Kejadian Mual Muntah Post Operasi. Poltekita : Jurnal Ilmu Kesehatan, 16(1), Article 1. https://doi.org/10.33860/jik.v16i1.537
Elsaid, R. M., Namrouti, A. S., Samara, A. M., Sadaqa, W., & Zyoud, S. H. (2021). Assessment of Pain and Postoperative Nausea and Vomiting and Their Association in The Early Postoperative Period: An Observational Study From Palestine. BMC Surgery, 21, 177. https://doi.org/10.1186/s12893-021-01172-9
Fajar, R. K., Jufan, A. Y., & Sari, D. D. (2023). Manajemen Intraoperative Nausea and Vomiting (IONV) pada Pasien Seksio Sesarea dengan Anestesi Spinal. Jurnal Komplikasi Anestesi, 9(2), 78–84. https://doi.org/10.22146/jka.v9i2.8350
Gao, P., Zhao, L., Li, S., Li, Y., Chen, M., Fu, J., & Ji, Y. (2024). Prevention of postoperative nausea and vomiting after orthognathic surgery: A scoping review. BMC Anesthesiology, 24, 121. https://doi.org/10.1186/s12871-024-02510-z
Ghosh, S., Rai, K. K., Shivakumar, H. R., Upasi, A. P., Naik, V. G., & Bharat, A. (2020). Incidence and risk factors for postoperative nausea and vomiting in orthognathic surgery: A 10-year retrospective study. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 46(2), 116–124. https://doi.org/10.5125/jkaoms.2020.46.2.116
Hidayah, E. S., Khalidi, M. R., & Nugroho, H. (2021). Perbandingan Insiden Shivering Pasca Operasi dengan Anestesi Umum dan Anestesi Spinal di RSUD Abdul Wahab Sjahranie Samarinda: Comparison of Postoperative Shivering Incidence with General Anesthesia and Spinal Anesthesia at RSUD Abdul Wahab Sjahranie Samarinda. Jurnal Sains dan Kesehatan, 3(4), Article 4.
Ikhsan, M., & Yunafri, A. (2020). Gambaran Angka Kejadian Post Operative Nausea and Vomiting (PONV) pada Pasien yang Menjalani Anestesi Inhalasi dengan Isofluran pada Bulan Oktober—Desember 2018 di RSU Putri Hijau Tk. II Kesdam I/BB. JURNAL ILMIAH SIMANTEK, 4(4), Article 4.
Irawan, R., Sukmaningtyas, W., & Safitri, M. (2022). Gambaran Kejadian Post Operative Nausea And Vomiting (Ponv) setelah Pemberian Ondansetron 8mg pada Pasien Post Operasi Mata dengan General Anestesi di Rumah Sakit Mata Cicendo Bandung. Seminar Nasional Penelitian Dan Pengabdian Kepada Masyarakat, 159–164. https://doi.org/10.35960/snppkm.v2i1.1146
Johansson, E., Hultin, M., Myrberg, T., & Walldén, J. (2021). Early post-operative nausea and vomiting: A retrospective observational study of 2030 patients. Acta Anaesthesiologica Scandinavica, 65(9), 1229–1239. https://doi.org/10.1111/aas.13936
Karlina, N. (2020). Hubungan Mean Arterial Pressure dengan Kejadian Mual Muntah Pasca Operasi pada Pasien Post Anestesi Spinal di Rumah Sakit Bhayangkara. Jurnal Kesehatan Mahardika, 7(1), 1–3. https://doi.org/10.54867/jkm.v7i1.62
Karnina, R., & Salmah, M. (2022). Hubungan Usia, Jenis Kelamin, Lama Operasi dan Status ASA dengan Kejadian PONV pada Pasien Pasca Operasi Laparatomi Bedah Digestif. Health and Medical Journal, 4(1), 16–22. https://doi.org/10.33854/heme.v4i1.867
Kemenkes. (2021, August 21). Pembedahan Tanggulangi 11% Penyakit di Dunia. https://kemkes.go.id/id/rilis-kesehatan/pembedahan-tanggulangi-11-penyakit-di-dunia
Krismanto, J., & Jenie, I. M. (2021). Evaluasi Penggunaan Surgical Safety Checklist terhadap Kematian Pasien setelah Laparotomi Darurat di Kamar Operasi. Journal of Telenursing (JOTING), 3(2), 390–400. https://doi.org/10.31539/joting.v3i2.2556
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 di Rumah Sakit Umum Cut Meutia Aceh Utara. AVERROUS: Jurnal Kedokteran Dan Kesehatan Malikussaleh, 7(2), Article 2. https://doi.org/10.29103/averrous.v7i2.5391
Noviani, R. W., Puspito, H., & Listyaningrum, T. H. (2022). Faktor- Faktor yang Mempengaruhi Mual dan Muntah Pasca Operasi pada Pasien General Anestesi: Literature Review [S1_sarjana, Universitas ’Aisyiyah Yogyakarta]. https://digilib.unisayogya.ac.id/6419/
Pratama, A. Y., Susanto, A., & Sebayang, S. M. (2024). Gambaran Kejadian Post Operative Nausea and Vomiting (PONV) pada Pasien Post Operasi Tumor Mamae dengan General Anestesi di Rumah Sakit TNI Uu dr. M. Salamun Bandung. Jurnal Cakrawala Ilmiah, 3(6), Article 6.
Supriyatin, T., Sekar Siwi, A., & ur Rahmawati, A. (2022, October 6). Pencapaian Bromage dan Aldrete Score pada Tindakan Anestesi di Instalasi Bedah Sentral (IBS) RSUD Ajibarang | Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat. https://prosiding.uhb.ac.id/index.php/SNPPKM/article/view/1103
Weibel, S., Rücker, G., Eberhart, L. H., Pace, N. L., Hartl, H. M., Jordan, O. L., Mayer, D., Riemer, M., Schaefer, M. S., Raj, D., Backhaus, I., Helf, A., Schlesinger, T., Kienbaum, P., & Kranke, P. (2020). Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: A network meta‐analysis. The Cochrane Database of Systematic Reviews, 2020(10), CD012859. https://doi.org/10.1002/14651858.CD012859.pub2
Published
2025-12-09
Section
Articles
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