EFEKTIVITAS ELEVASI KAKI TERHADAP HEART RATE DAN TEKANAN DARAH PADA PASIEN PASCA SPINAL ANESTESI Ni Putu Wulan Ratnadi Asih Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang : Penggunaan anestesi spinal pasca operasi menimbulkan beberapa komplikasi diantaranya hipotensi dan bradikardi. Salah satu tindakan non farmakologis yang dapat diberikan untuk mencegah hal tersebut adalah dengan elevasi kaki. Tujuan : Penelitian ini bertujuan untuk mengetahui efektivitas pemberian elevasi kaki dalam menstabilkan tekanan darah dan heart rate pasien pasca spinal anestesi. Metode : Penelitian ini menggunakan desain cross sectional menggunakan 85 sampel. Pengambilan sampel menggunakan teknik Consecutive sampling . Instrumen yang digunakan pada saat pengumpulan data yaitu lembar observasi yang kemudian data dianalisis dengan menggunakan uji Wilcoxon rank test. Hasil : Terdapat perbedaan nilai rata rata pada data heart rate dan tekanan darah pre spinal anestesi dan pasca spinal anestesi setelah elevasi kaki. Berdasarkan uji Wilcoxon rank test pada tekanan darah sistole didapatkan nilai p- value = 0,010 < dari 0,05, pada tekanan darah diastole didapatkan nilai p-value = 0,001 < dari 0,05 dan pada heart rate didapatkan nilai p-value = 0,000 < dari 0,05 yang artinya terdapat pengaruh signifikan pada pemberian elevasi kaki terhadap heart rate dan tekanan darah. Kesimpulan : Pemberian elevasi kaki efektif dalam menjaga kestabilan heart rate dan tekanan darah pasien pasca spinal anestesi. Kata Kunci : Anestesi Spinal, Elevasi Kaki, Heart Rate, Tekanan Darah.

THE EFFECT OF LEG ELEVATION TOWARD HEART RATE AND BLOOD PRESSURE ON POST SPINAL ANESTHESIA PATIENTS Ni Putu Wulan Ratnadi Asih Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: The use of post-operative spinal anesthesia can cause some complications such as hypotension and bradycardia. One of the non-pharmacological treatments which is usually done to prevent the complications is leg elevation. Purpose: To identify the effect of leg elevation to stabilize the blood pressure and heart rate on post spinal anesthesia patients. Method: This research employed cross sectional design with 85 samples. The samples were taken by using consecutive sampling technique. The instrument used was observation sheet. The data were analyzed by using univariate and bivariate analysis with SPSS version 2.0. Findings: There were the differences between average score of heart rate and blood pressure pre spinal anesthesia and post spinal anesthesia after being given leg elevation. Based on Wilcoxon rank test the systole blood pressure showed p-value = 0.010< out of 0,05, diastole blood pressure showed p-value = 0.001 < out of 0,05 and heart rate showed p-value = 0.000< out of 0.05 which meant there was significant effect of leg elevation toward heart rate and blood pressure. Conclusion: Giving leg elevation is effective in maintaining the heart rate and blood pressure stable on post spinal anesthesia patients. Keywords: Spinal Anesthesia, Leg Elevation, Heart Rate, Blood Pressure