GAMBARAN TEKANAN DARAH PASIEN DENGAN BLOK SPINAL ANESTESI DI RUMAH SAKIT KERTHA USADA Fita Kurniati Fakultas kesehatan Program studi D-IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email: [email protected] ABSTRAK Latar Belakang: Salah satu efek dari pemberian anestesi mengakibatkan adanya ketidakstabilan tekanan darah. Tekanan darah adalah kekuatan yang di perlukan agar darah dapat mengalir di dalam pembuluh darah dan beredar mencapai semua jaringan tubuh manusia. Penurunan tekanan darah yang signifikan, tentu akan mengganggu autoregulasi organ dalam tubuh.Tujuan Penelitian: Mengetahui gambaran tekanan darah pasca operasi pada pasien dengan blok spinal anestesi RSU Kertha Usada Metode: Penelitian ini menggunakan jenis penelitian deskriptif dengan pendekatan time series desain analitik. Sampel dalam penelitian ini sebanyak 120 responden yang dipilih dengan menggunakan teknik purposive sampling. Analisa data yang digunakan yaitu uji univariat yang dianalisis mengunakan SPSS. 20. Pengumpulan data menggunakan lembar observasi. Hasil: Hasil penelitian didapatkan rata-rata perubahan hemodinamik diantaranya pada menik ke-5 rata-rata tekanan darah sistole yaitu 98,63, tekanan darah diastole yaitu 66,32, MAP yaitu 77,09. Pada menit ke-10 rata-rata tekanan darah sistole responden yaitu 117,58, tekanan darah diastole yaitu 69,16 MAP yaitu 85,30. Pada menit ke-15 rata-rata status hemodinamik responden tekanan darah sistole yaitu 98,63, tekanan darah diastole yaitu 66,32, MAP yaitu 77,09 Kesimpulan: Penelitian ini menunjukan bahwa gambaran tekanan darah pada pasien pasca spinal paling banyak ditemukan rata-rata pada rentang TDS 98-117 mmHg dan TDD 66-69 mmHg dengan MAP 69-77 mmHg. Tekanan darah pasien tetap harus diobservasi pasca operasi dengan anestesi spinal untuk mengurangi dan mencegah komplikasi yang dapat timbul serta untuk mengontrol status hemodinamik pasien Kata Kunci: Tekanan Darah, Spinal Anastesi

THE BLOOD PRESSURE OF PATIENTS WITH SPINAL BLOCK ANESTHESIA AT KERTHA USADA HOSPITAL Fita Kurniati Faculty of Health Diploma IV Nursing Anesthesiology Institute of Technology and Health Bali Email: [email protected] ABSTRACT Background: The effects of anesthesia is the instability of blood pressure. Blood pressure is the force needed so that blood can flow in the blood vessels and circulate to all tissues of the human body. A significant decrease in blood pressure will disrupt the autoregulation of organs in the body. Purpose: To describe the blood pressure of patients with spinal block anesthesia at Kertha Usada Hospital. Method: This study employed descriptive with time series analytic design. There were 120 respondents recruited as sample of the study which were selected by using purposive sampling technique. The data collected using observation sheet. The data analyzed using univariate test with SPSS. 20. Result: The finding showed that the average of hemodynamic changes was in the 5th minute, the average systolic blood pressure was 98.63, diastolic blood pressure was 66.32 and MAP was 77.09. In the 10th minute, the average of systolic blood pressure of the respondents was 117.58, the diastolic blood pressure was 69.16 and the MAP was 85.30. In the 15th minute, the average of hemodynamic status of the systolic blood pressure was 98.63, diastolic blood pressure was 66.32 and MAP was 77.09 Conclusion: The finding of this study shows that the blood pressure in post-spinal patients is commonly found on average in the range of TDS 98-117 mmHg and BP 66-69 mmHg with MAP 69-77 mmHg. The blood pressure of patients must be observed postoperatively under spinal anesthesia to reduce and prevent complications which can arise and control the hemodynamic status of the patients Keywords: Blood Pressure, Spinal Anasthesia