HUBUNGAN JUMLAH PERDARAHAN DENGAN KEJADIAN HIPOTENSI PADA PASIEN SECTIO CAESAREA DENGAN SUBARACHNOID BLOCK DI IBS RSUD CUT MEUTIA Muliadi Program Studi DIV Keperawatan Anestesi Institut Teknologi dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Perdarahan dapat menyebabkan penurunan volume intravaskuler , sehingga preload berkurang yang menyebabkan penurunan cardiac output . Ketika penurunan cardiac output tidak ditangani den gan penambahan cairan maka yang dapat menjadikan vasodilatasi pembuluh darah dan dapat menjadikan hipotensi (Syaifuddin, 2011). Tujuan : Mengetahui hubungan jumlah perdarahan dengan kejadian hipotensi pada pasien sectio caesaria dengan subarachnoid block d i RSUD Cut Meutia. Metode : Metode penelitian yang digunakan dalam penelitian ini adalah metode penelitian kuantitatif korelasi analitik dengan pendekatan cross sectional dengan cara observasiona l sebanyak 77 responden. Pengumpulan data dilakukan dengan observasi langsung dengan instrumen penelitian untuk jumlah perdarahan digunakan tabung suction dan kassa, untuk tekanan darah digunakan monitor pasien dan lembar observasi. Hasil Peneltian : Ada h ubungan jumlah perdarahan dengan kejadian hipotensi pada pasien sectio caesaria dengan subarachnoid block ( p value < 0.00 3 < α - level 0.05 dan r = . 331** artinya Ha diterima dan Ho ditolak. Kesimpulan : A da hubungan positif antara jumlah perdarahan dengan hipotensi dengan korelasi sedang/cukup. Artinya semakin banyak jumlah darah yang dikeluarkan maka semakin besar kejadian hipotensi. Kata Kunci : Jumlah Peradarahan, Hipotensi, Sectio Caesaria, Subarachnoid Block

THE CORRELATION BETWEEN BLEEDING VOLUME AND THE INCIDENCE OF HYPOTENSION IN SECTION CAESAREAN PATIENTS WITH SUBARACHNOID BLOCK AT CENTRAL SURGICAL INSTALLATION WARD CUT MEUTIA HOSPITAL Muliadi Faculty of Health Diploma IV Nursing Anesthesiology Program Institute of Technology and Health Bali Email : [email protected] ABSTRACT Background: Bleeding can cause a decrease in intravascular volume and preload is red uced which causes a decrease in cardiac output. If the decrease in cardiac output is not treated with the addition of fluids, it can cause vasodilation of blood vessels and cause hypotension (Syaifuddin, 2011). Aim: To determine the correlation between the bleeding volume and the incidence of hypotension in sectio caesarean patients with subarachnoid block at Cut Meutia Hospital. Method: The study employed quantitative analytical correlation research design with a cross - sectional approach with an observatio nal method. There were 77 respondents recruited as the sample. Data were collected by direct observation with research instruments for the volume of bleeding using suction tubes and gauze. The blood pressure patient was taken by using monitor and observati on sheet. Finding: There was a correlation between the volume of bleeding and the incidence of hypotension in sectio caesarian patients with subarachnoid block (p value < 0.003 < - level 0.05 and r = .331**. It meant that Ha is accepted and Ho is rejected. Conclusion : There is a positive correlation between the volume of bleeding and hypotension with a moderate correlation. This means that the more the volume of blood go out, the greater the incidence of hypotension. Keywords: Bleeding Volume, Hypotension, Sectio Caesarian, Subarachnoid Block