HUBUNGAN TEKANAN DARAH INTRAOPERATIVE DENGAN KEJADIAN INTRA OPERATIVE NAUSEA AND VOMITING (IONV) PADA PASIEN SECTIO CAESAREA DENGAN ANESTESI SPINAL DI RSUD SANJIWANI GIANYAR Zoya Krisnandari Utari Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Rekomendasi dari Obstetric Anesthesia Guidelines yang lebih baik digunakan untuk sectio caesarea adalah teknik anestesi spinal ataupun epidural. Sectio caesarea dengan anestesi spinal dapat menyebabkan penurunan tekanan darah dimana jika terjadi selama tindakan persalinan sectio caesarea yang tidak dapat dicegah dan ditangani akan menyebabkan Intraoperative Nausea and Vomiting (IONV) selama persalinan sectio caesarea akan menyebabkan ketidaknyamanan pada ibu dan menggangu proses persalinan. Tujuan : Mengetahui hubungan tekanan darah intraoperative dengan kejadian intra operative nausea and vomiting (IONV) pada pasien sectio caesarea dengan anestesi spinal Di RSUD Sanjiwani Gianyar. Metode : Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional dengan teknik consecutive sampling. Alat pengumpulan data yang digunakan lembar observasi. Sampel penelitian adalah pasien sectio caesarea dengan anestesi spinal di RSUD Sanjiwani Gianyar dengan jumlah sampel 57 responden yang dilakukan pada Februari – Maret 2022. Analisa data menggunakan uji spearmen rho. Hasil Penelitian : Berdasarkan hasil penelitian ini tekanan darah intraoperatif ditemukan mayoritas mengalami hipotensi sebanyak 47 responden (82,5%) dan intraoperative nausea vomiting ditemukan sebanyak 37 responden (64,9%). Hasil uji analisa ditemukan nilai p < 0,005 dengan nilai r - 0,531. Kesimpulan : Terdapat hubungan signifikan antara tekanan darah intraoperative dengan Intraoperative Nausea and Vomiting (IONV) Kata Kunci : Tekanan darah Intraoperatif, Intraoperative Nausea Vomiting

THE CORRELATION BETWEEN INTRAOPERATIVE BLOOD PRESSURE AND INTRA OPERATIVE NAUSEA AND VOMITING (IONV) INCIDENCE ON CAESAREAN SECTION PATIENTS WITH SPINAL ANESTHESIA AT SANJIWANI HOSPITAL Zoya Krisnandari Utari Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali Email : [email protected] ABSTRACT Background: The recommendation of Obstetric Anesthesia Guidelines shows that caesarean section is better to use spinal anesthesia or epidural anesthesia technique. Caesarean section with spinal anesthesia can cause decreasing of blood pressure and if it occurs during delivery which cannot be prevented and it will cause Intraoperative Nausea and Vomiting (IONV). It can make discomfort for mothers and disturb the delivery process. Purpose: To determine the intraoperative blood pressure and Intraoperative Nausea and Vomiting (IONV) on caesarean section patients with spinal anesthesia at Sanjiwani Hospital. Method: This research was an analytical observational study with cross sectional approach. The samples were chosen by consecutive sampling technique. The data were collected by using observation sheet. The samples were 57 caesarean section patients at Sanjiwani Hospital which were taken on Februari – March 2022. The data were analyzed by using Spearmen rho test. Findings: The result of intraoperative blood pressure showed that 47 respondents (82.5%) had hypotension and 37 respondents (64.9%) had intraoperative nausea vomiting. The result of data analysis showed p < 0,005 with r - 0,531. Conclusion: There is significant correlation between intraoperative blood pressure and Intraoperative Nausea and Vomiting (IONV). Keywords: Intraoperative Blood Pressure, Intraoperative Nausea Vomiting