GAMBARAN WAKTU PENCAPAIAN MOBILISASI DINI PADA PASIEN POST SECTIO CAESAREA DENGAN SPINAL ANESTESI METODE ERACS DI RUMAH SAKIT TK. II UDAYANA DENPASAR Niluh Dewi Murdiyani Adiningrum Fakultas Kesehatan Program Studi D-IV Keperawatan Anastesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Pasien yang tidak dapat melakukan mobilisasi dengan baik dapat menyebabkan proses pemulihan menjadi lebih lama. Penggunaan metode ERACS bermanfaat dalam membantu pasien melakukan mobilisasi dini karena dapat meningkatkan fungsi paru, aliran oksigen ke jaringan, insulin resisten, mengurangi terjadinya thromboembolism dan LOS. Tujuan: Untuk mengetahui gambaran waktu pencapaian mobilisasi dini pada pasien post sectio caesarea dengan spinal anestesi metode ERACS di Rumah Sakit Tk. II Udayana Denpasar. Metode: Penelitian deskriptif dengan pendekatan cross-sectional yang melibatkan 100 sampel berupa pasien post sectio caesarea dengan spinal anestesi metode ERACS dan diambil menggunakan consecutive sampling. Data diambil menggunakan lembar observasi bromage score dan dianalisis dengan descriptive statistic. Hasil: Penelitian didapatkan 79 responden (79%) membutuhkan waktu pencapaian mobilisasi dini pada 5-15 menit, 16 responden (16%) membutuhkan waktu pencapaian mobilisasi dini pada 16-25 menit, 3 responden (3%) membutuhkan waktu pencapaian mobilisasi dini pada 26-35 menit, dan 2 responden (2%) membutuhkan waktu 36-45 menit untuk mencapai mobilisasi dini. Kesimpulan: pasien sectio caesarea dengan spinal anestesi metode ERACS dapat melakukan mobilisasi lebih cepat. Penata Anestesi dapat melakukan observasi terhadap Bromage Score minimal 2 jam pasca spinal anestesi, serta memberikan informasi terkait waktu pencapaian mobilisasi dini pada pasien di ruang pulih sadar. Kata Kunci: mobilisasi dini, sectio caesarea, spinal anestesi, ERACS.

EARLY MOBILIZATION IN PATIENTS POST-CAESAREAN SECTION WITH SPINAL ANESTHESIA USING ERACS METHOD IN TK. II UDAYANA HOSPITAL, DENPASAR Niluh Dewi Murdiyani Adiningrum Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: Patients who cannot mobilize properly can cause a prolonged recovery process. The use of the ERACS method is useful in helping patients to mobilize early because it can improve lung function, oxygen flows to tissues, insulin resistance, and reduce the occurrence of thromboembolism and LOS. Aim: To find out the length of time required to achieve the early mobilization in the post-cesarean section patients with spinal anesthesia, using the ERACS method at Tk. II Udayana Hospital, Denpasar. Methods: This study employed a descriptive study with a cross-sectional approach, involving 100 samples of post-cesarean section patients with spinal anesthesia using the ERACS method, which was selected through consecutive sampling. The data were collected using a Bromage score observation sheet and analyzed with descriptive statistics. Results: The study found that 79 respondents (79%) required 5-15 minutes to achieve early mobilization, 16 respondents (16%) required 16-25 minutes to achieve early mobilization, 3 respondents (3%) required 26-30 minutes to achieve early mobilization, and 2 respondents (2%) required 36-45 minutes to achieve early mobilization. Conclusion: The post-cesarean section patients with spinal anesthesia using the ERACS method can mobilize more quickly. Nurse anesthetists can observe the patients using the Bromage Score at least 2 hours after spinal anesthesia, and provide information regarding the time required to achieve early mobilization to patients in the recovery room. Keywords: Early Mobilization, Cesarean Section, Spinal Anesthesia, ERACS.