GAMBARAN PONV TERHADAP PELAKSANAAN METODE ERAS PADA PASIEN SC DENGAN SUBARACHNOID BLOCK (SAB) DI RS. NINDHITA SAMPANG Valentine Claradicha Program Studi Ilmu Keperawatan Institut Teknologi dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang: Tindakan Sectio Caesarea (SC) dilakukan tehnik anestesi Subarachnoid Block (SAB). Salah satu komplikasi SAB yaitu Post Operative Nautea and Vomiting (PONV). Untuk mengurangi kejadian PONV, telah ditemukan Metode baru yaitu Metode Enhanced Recovery After Surgery (ERAS) Tujuan: Untuk mengetahui Gamabaran PONV terhadap Pelaksanaan Metode ERAS Pada Pasien SC Dengan Menggunakan Subarachnoid Block (SAB) Di RS. Nindhita Sampang. Metode: Penelitian ini termasuk jenis penelitian kuantitatif dengan desain penelitian deskriptif. Penelitian ini dilakukan di Rs. Nindhita Sampang. Tehnik pengambilan data dengan total sampling, yaitu didapatakan 60 responden SC dengan SAB yang menggunakan Metode ERAS . Intrumen penelitian menggunakan lembar observasi, dan analisa data yang akan digunakan dalam penelitian ini univariat. Hasil: Karakteristik yang diukur meliputi usia 30-35 sebanyak 29 responden (48,3 %), dan IMT berat badan ideal (18,5-24,9) sebanyak 33 responden (38,3%) serta riwayat PONV 44 reponden (73,3%). Dari serangkaian ERAS yang diamati peneliti adalah puasa pra anestesi 6-8 jam 50 responden (83,3%), intra anestesi penggunaan OPIOID dengan nyeri sedang 56 responden (93,3%), dan pasca anestesi dengan mobilisasi dini kurang dari 6 jam 60 responden (100%). Kejadian PONV tidak mual muntah 50 responden (83,3%). Kesimpulan: Kelompok terbesar usia 30-35 sebanyak 29 (48,3%), IMT 18,5-24,9 SEBANYAK 33 RESPONDEN (38,3%), kelompok riawayat PONV yang mengatakan tidak mual muntah 44 responden (73,3%). Berdasarkan ERAS pra anestesi puasa 6-8jam 50 responden (83,3%), intra anestesi yang mengalami nyeri ringan 50 responden (83,3%0, dan pasca anestesi mobilisasi dini kurang dari 6 jam 60 rsponden (100%). Yang tidak ada PONV 50 responden (83,3%), elemen keberhasilan ERAS pra anestesi dengan interval puasa, penggunaan non OPIOID minimalis di intra anestesi, dan mobilisasi dini kurang dari 6 jam pasca anestesi.

PONV INCIDENCE IN THE IMPLEMENTATION OF ERAS METHOD ON SECTIO CAESAREA PATIENT WITH SUBARACHNOID BLOCK IN NINDHITA SAMPANG HOSPITAL Valentine Claradicha Faculty of Health Diploma IV of Nursing Anestesiology Institute of Technology and Health Bali Email : [email protected] ABSTRACT Background : Sectio Caesarea (SC) is perfoformed by using Subarachnoid Block (SAB) anesthesia technique. One of the complication of SAB is Ppost Operative Nausea and Vomiting (PONV) incidence. In order to reduce PONV incidence, a new method was found such as Enhanced Recovery After Surgery (ERAS) method. Purpose : To identifyPONV incidence on the implementation of ERAS method on sectio caesarea patient with Subarachnoid Block in Nindhita Sampang Hospital. Method : This research was quantitativ research with descriptiv design. It was conducted at Nindhita Sampang Hospital. The samples were taken by using total sampling technique. There were 60 sectio caesarea patient with ERAS Method reqruited as the samples. The instrument used was oservation sheet and the data were analyzed by using univariatet. Finding : The result of the research showed that the characteristic of respondent age 30-35 years were 29 respondent (48.3%), 38.3% of respondent had Body Mass Index (IMT) 18,5-24,9 and 44 respondent (73.3%) had history of PONV. 83.3% respondent were fasting 6-8 hours pre anesthesia, 93.3% respondent used non opioid intra anesthesia, and 100% respondent had early mobilization post anesthesia less than 6 hours. 83.3% respondent did not experience PONV. Conclusion : The conclusion shows 83.3% of the respondents do not experience PONV in implenting ERAS method on sectio caesarea patient with Subarachnoid Block in Nindhita Sampang Hospital. Keywords : Sectio Caesarea, Subarachnoid Block, ERAS, PONV.