KEBERHASILAN EFEK FARMAKOTERAPI TEHNIK PARAMEDIAN SPINAL ANESTESI PADA PASIEN GERIATRI DI RUANG OK CENTRAL RSU BATARA SIANG PANGKEP SYAMSINAR Fakultas Kesehatan Program Studi D-IV Keperawatan Anestesiologi Institut Teknologi Dan Kesehatan Bali E-mail: [email protected] atau [email protected] ABSTRAK Latar belakang : Geriatri merupakan suatu fase irreversibel, dimana terjadi perubahan-perubahan fisiologis. Beberapa perubahan degeneratif seperti perubahan struktur dan organ tubuh menjadikan geriatri memerlukan perlakuan dan penanganan khusus dari tindakan anestesi yang sebaiknya menggunakan regional anestesi. Tujuan : Untuk mengetahui keberhasilan efek farmakoterapi tehnik paramedian spinal anestesi pada pasien geriatri di ruang OK Central RSUD Batara Siang Pangkep. Metode :Jenis penelitian iniadalah kuantitatif menggunakan metode deskriptif, dimana pasien geriatri dengan operasi elektif yang akan dilakukan teknik paramedian spinal anestesi. Penelitian ini dilakukan di Kamar Operasi Bedah Sentral Rumah Sakit Umum Batara Siang Pangkep dengan jumlah responden 50 responden. Hasil : Karakteristik responden kelompok umur 60 – 69 tahun sebanyak 30 orang (60,0 %), umur 70 -79 tahun sebanyak 15 orang (30,0%), umur 80 – 89 tahun sebanyak 5 orang (10,0%), jenis kelamin laki-laki sebanyak 38 orang (76,0 %), perempuan sebanyak 12 orang (24,0%), pekerjaan petani/Tambak 17 orang (34,0%), campuran sebanyak 16 orang (32,0%), pensiunan PNS sebanyak 10 orang (20,0%), ibu rumah tangga 7 orang (14,0%). Onset obat dengan rata-rata waktu mulai kerja 1 – 5 menit seebanyak 50 orang (100%). Durasi obat 60 – 120 menit sebanyak 50 orang (100%). Keberhasilan penusukan jarum menggunakan jenis spinal anestesi dengan teknik paramedian jarum penyuntikan pertama sebanyak 38 orang (76%). Kesimpulan : Keberhasilan efek farmakoterapi tehnik paramedian Spinal anestesi pada pasien geriatri di ruang Ok Central RSU Batara Siang Pangkep adalah Onset obat dengan rata-rata waktu mulai kerja 1 – 5 menit sebanyak 100%. Durasi obat 60 – 120 menit sebanyak 100%. Keberhasilan penusukan jarum menggunakan jenis spinal anestesi dengan teknik paramedian jarum penyuntikan pertama sebanyak 76%. Kata kunci : Geriatri, Efek Farmakoterapi, Spinal anestesi teknik paramedian

THE SUCCESS OF PHARMACOTHERAPY EFFECT SPINAL ANESTHESIA WITH PARAMEDIAN TECHNIQUE ON GERIATIC PATIENTS IN CENTRAL SURGERY UNIT OF BATARA SIANG PANGKEP HOSPITAL SYAMSINAR Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali E-mail: [email protected] or [email protected] ABSTRACT Background: Geriatrics is an irreversible phase in which it happened some physiological changes. Some degenerative changes such as body structures and organs make geriatrics require special treatment on anesthetic actions that should use regional anesthesia. Purpose: To identify the successful effects of pharmacotherapy spinal anesthesia with paramedian technique on geriatric patients in Central Surgery Unit of Batara Siang Pangkep Hospital. Metode: This research is a quantitative research with descriptive method. The samples were geriatric patients with elective surgery who were given paramedian technique with spinal anesthesia. This research was conducted in Central Surgery Unit of Batara Siang Pangkep Hospital with 50 respondents. Findings: The result showed that 30 respondents ( trdf.0%) were female, 17 respondents (34.0%) were farmer, 16 respondents (32.0%) were others, 10 respondents (20.0%) were retired civil servant, and 7 respondents (14.0%) were housewife. 50 respondents (100%) had onset of drug with the average starting time 1-5 minutes and 50 respondents (100%) had drug duration between 60-120 minutes. 38 respondents (76%) had successful needle injection by using spinal anesthesia with paramedian technique in first injection. Conclusion: The success of the pharmacotherapy of spinal anesthesia with paramedian technique on geriatric patients in Central Surgery Unit of Batara Siang Pangkep Hospital shows drug onset with an average starting time of 1-5 minutes is 100%. The success of injection by using spinal anesthesia with paramedian technique in the first injection is 76%. Keywords: Geriatrics, Pharmacotherapy effects, Spinal Anesthesia with paramedian technique.