EFEKTIFITAS ELEVASI KAKI TERHADAP PENANGANAN HIPOTENSI PADA PASIEN POST SECTIO CAESAREA DENGAN SPINAL ANESTESI DI RUANG PEMULIHAN RSUD SANJIWANI GIANYAR Haekal Fahmi Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Hipotensi merupakan salah satu komplikasi yang paling sering muncul pada pasien post sectio caesarea dengan spinal anestesi. Hipotensi pada spinal anestesi terjadi akibat dari blokade saraf simpatis yang menimbulkan vasodilatasi pembuluh darah. Jika tidak segera ditangani hipotensi pada pasca operatif dapat menyebabkan penurunan curah jantung sehingga kebutuhan oksigen dalam tubuh pasien tidak terpenuhi. Karena kebutuhan oksigen pasien tidak terpenuhi kesadaran pasien bias menurun dan potensia berbahaya. Salah satu tindakan yang dianjurkan untuk menangani hipotensi adalah elevasi kaki. Tujuan penelitian: Untuk menganalisa efektifitas elevasi kaki terhadap penanganan hipotensi pada pasien post sectio caesarea dengan spinal anestesi. Metode penelitian: Desain penelitian yang digunakan adalah pre-eksperimental dengan one-group pretest posttest design. Pengambilan sampel dilakukan dengan convenience sampling, jumlah sampel yang digunakan sebanyak 15 orang. Hasil penelitian: hasil analisis menggunakan uji Wilcoxon diperoleh nilai p-value kurang dari 0,05 yang berarti elevasi kaki efektif dalam menangani hipotensi pada pasien post sectio caesarea dengan spinal anestesi di ruang pemulihan RSUD Sanjiwani Gianyar. Kesimpulan: Berdasaran hasil penelitian didapatkan bahwa elevasi kaki efektif dalam menangani hipotensi pada pasien post sectio caesareadengan spinal anestesi di ruang pemulihan RSUD Sanjiwani Gianyar. Kata kunci: elevasi kaki, hipotensi, spinal anestesi

THE EFFECT OF FEET ELEVATION ON THE HYPOTENSION TREATMENT IN POST-SECTIO CAESAREA PATIENTS WITH SPINAL ANESTHESIA IN THE RECOVERY ROOM OF SANJIWANI HOSPITAL GIANYAR Haekal Fahmi Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background. Hypotension is one of the most common complications in post-Sectio Caesarea patients with spinal anesthesia. Hypotension in spinal anesthesia occurs due to the blockade of sympathetic nerves, which causes vasodilation of blood vessels. If not treated immediately, post-operative hypotension can cause a decrease in cardiac output; therefore, the oxygen demand in the patient's body is not met. Hence, the lack of oxygen needed by the patient can decrease consciousness, which is potentially dangerous. One of the recommended measures to treat hypotension is leg elevation. The purpose of this study was to identify the effect of leg elevation on the hypotension treatment in post-Sectio Caesarea patients with spinal anesthesia. Method. This study employed a pre-experimental with a one-group pretest-posttest design. Through convenience sampling, 15 respondents were recruited as samples in this study. Results. Findings in the analysis using the Wilcoxon test obtained a p-value of less than 0.05. This result indicated that leg elevation effectively treated hypotension in post-Sectio Caesarea patients with spinal anesthesia in the recovery room of the Sanjiwani Hospital, Gianyar. Conclusion. Leg elevation effectively treats hypotension in post-Sectio Caesarea patients with spinal anesthesia in the recovery room of Sanjiwani Hospital, Gianyar. Keywords: Leg Elevation, Hypotension, Spinal Anesthesia