PENANGANAN DELIRIUM PADA PASIEN DENGAN TINDAKAN GENERAL ANESTESI DI RSUD SANJIWANI GIANYAR Hany Rafelia Margaretha Fakultas Kesehatan Program Studi D IV Keperawatan Anestesiologi Institut Teknologi dan Kesehatan Bali Email : [email protected] ABSTRAK Latar Belakang : Dalam tindakan operatif, salah satu jenis anestesi yang digunakan adalah anestesi umum dengan komplikasi yang bisa muncul delirium. Anestesi umum dapat menyebabkan hiperventilasi, penurunan curah jantung, penurunan sirkulasi serebral, hipoksemia pasca operasi, dan vasokonstriksi serebral, yang semuanya berkontribusi terhadap kejadian delirium. Penanganan delirium dapat dibagi menjadi dua yaitu farmakologi dan non farmakologi. Tujuan : Untuk mengetahui penanganan delirium pada pasien dengan tindakan general anestesi. Metode : Penelitian ini menggunakan deskriptif kualitatif dengan rancangan multiple case study. Partisipan sebanyak 3 orang yaitu pasien yamg menjalani operasi dengan general anestesi. Pengumpulan data dilakukan menggunakan panduan observasi dan dokumentasi. Analisa data yang digunakan dalam penelitian ini adalah analisis kasus tunggal dan analisis lintas kasus. Hasil : Sebelum pemberian penanganan, ketiga partisipan mengalami delirium subtipe hiperaktif. Penanganan delirium secara farmakologi pada ketiga partisipan adalah dexmetomidine dengan pengenceran infus Nacl 50 mL.Pemberian penanganan delirium secara non farmakologi dengan keterlibatan keluarga melalui komunikasi efektif selama 30 menit. Setelah pemberian penanganan farmakologi dan non farmakologi, terjadi peningkatan kesadaran menjadi subtipe tenang. Kesimpulan : Pemberian penanganan farmakologi dengan dexmetomidine dan non farmakologi dengan komunikasi efektif melalui keterlibatan keluarga dapat meningkatkan kesadaran ketiga partisipan. Kata Kunci : Delirium, general anestesi, farmakologi, non farmakologi

MANAGEMENT OF DELIRIUM IN PATIENTS WITH GENERAL ANESTHESIA IN SANJIWANI REGIONAL GENERAL HOSPITAL, GIANYAR Hany Rafelia Margaretha Faculty of Health Diploma IV of Nursing Anesthesiology Institute of Technology and Health Bali Email : [email protected] ABSTRACT Background: General anesthesia is a type of anesthetic technique employed in surgery which can cause complications such as delirium. General anesthesia can cause hyperventilation, decrease in cardiac output, decrease in cerebral circulation, postoperative hypoxemia, and cerebral vasoconstriction, all of which can contribute to the incidence of delirium. Delirium can be treated pharmacology or non-pharmacology. Aim: To find out the management of delirium in patients with general anesthesia. Methods: This study employed descriptive qualitative with multiple case study design. There were 3 participants – the patients who undergone surgery with general anesthesia. The data were coll ected through observation and documentation. The data were then analyzed using single case and cross case analysis. Results: Before provided with treatment intervention, the three participants experienced hyperactive subtype delirium. The pharmacological management of delirium on the three participants was dexmetomidine with 50 ml NACL infusion dilution. The non-pharmacological management of delirium with family involvement was delivered through effective communication for 30 minutes. After provided with pharmacological and non-pharmacological treatments, the three participants experienced a decrease in the level of delirium. Conclusion: Administering dexmetomidine as the pharmacological treatment and effective communication with the patients’ family as the non-pharmacological treatment can increase the patients’ consciousness. Keywords: delirium, general anesthesia, pharmacology, non-pharmacology.