อุบัติการณ์และปัจจัยที่เกี่ยวข้องกับอาการคลื่นไส้และอาเจียนหลังจากได้รับยาระงับความรู้สึก โรงพยาบาลปักธงชัย จังหวัดนครราชสีมา: การศึกษาเชิงพรรณนาย้อนหลัง

Surasak Kabmuangpak; Phiman Thirarattanasunthon

Authors

Surasak Kabmuangpak Pakthongchai Hospital
Phiman Thirarattanasunthon School of Public Health, Walailak University

Keywords:

incidence, postoperative cesarean section, nausea vomiting, spinal block

Abstract

Introduction: Postoperative nausea and vomiting (PONV) following cesarean delivery is a common health issue in postpartum mothers. The incidence rate can be as high as 30 - 50%, affecting comfort, recovery, and the ability to care for the newborn. The causes of these symptoms may stem from various factors, such as anesthetics, analgesics, or post-surgical stress.

Research objectives: This research aimed to determine the incidence of postoperative nausea and vomiting (PONV) and to identify its associated factors among patients who underwent a spinal block for cesarean section at Pakthongchai Hospital in Nakhon Ratchasima province.

Research methodology: This research employed a retrospective descriptive study design. Data were collected from medical records at Pakthongchai Hospital, Nakhon Ratchasima from January 2021 to December 2023. A total of 429 patients who underwent a spinal block for cesarean section were selected using purposive sampling. The data were analyzed using descriptive statistics and the Chi-square test.

Results: Forty point eight percent (40.80%) of patients experienced PONV within 24 hours of surgery. Age was a significant factor, with patients aged 15 - 44 years having a significantly higher likelihood of nausea compared to other age groups (p < .05). Furthermore, the administration of preventive drugs significantly reduced the incidence of nausea and vomiting (p < .05).

Conclusions: Patients undergoing spinal block for cesarean section are likely to experience PONV.

Implications: Close monitoring and observation may help manage and reduce the incidence of PONV in these patients, ensuring patient comfort, preventing complications, and promoting continuous quality improvement in anesthesia practices.

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